Care Home: The Rookery Care Home

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What the care home does well Staff will seek the help of other care professionals to ensure that the best possible outcomes are reached for individuals including obtaining dental care for people who live at the home and for people who due to changes in health need further support using the Mental Capacity Act to ensure that the individual is treated fairly. People`s comments included `I feel that I am treated with respect and dignity by all the staff at the care home. I feel that my wishes are taken listened to. Staff will help me with bathing and to get undressed or dressed.` `No problems with family being able to come when they like`. The professional visitor also said that she was always made welcome by the staff at the care home. For someone else who was forgetful the care plan showed that as part of their care, `staff were to gently prompt and show or point the individual back to their room when they looked lost or ask them if they needed to use the toilet`. The need for privacy when providing care was seen by staff waiting outside toilet doors to allow the person time and privacy to use the toilet where it was safe to do so. In the bathing plan choices were provided by asking the person if they wanted a bath or shower. If the person was able to be left with minimal support in the bathroom the care plan would say `one person to assist`. The staff at the care home hires a mini bus to take people out. AQAA `Resident reminiscence therapy has increased and therapies are now documented`. `We now have a minister providing monthly services` For those who could not express an opinion staff endeavoured to offer them choices before helping them to make a decision if they were able to. No one appeared to rush the anyone. The staff were attentative to each persons needs. The skill mix of the staff was sufficient to meet the needs of the people who live at the home. People who live at the home and their relatives spoke with the inspector they felt the home met their needs and felt confident to raise a concern knowing the Registered Manager would address them. What has improved since the last inspection? The AQAA tells us that the care home is able to `Offer staff opportunities to increase their knowledge. We have enough staff trained to National Vocational Qualification (NVQ) Level 2 in care so that residents receive high quality care. We spend time and follow all correct procedures when employing new members of staff.` The Rookery has achieved an Investors In People award dated from 13th February 07 to February 2010. Nottingham County Council has issued a quality provider status for 2008-2009 to this home. What the care home could do better: The AQAA tell us that areas for improvement includes `attention to teeth, eyes and feet as there can be a considerable time period between a person coming into the house and facilitation of these resources being available`. Improvements are needed in the area of medications. Key inspection report Care homes for older people Name: Address: The Rookery Care Home 130 Church Street Eastwood Nottingham NG16 3HT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lesley Allison-White     Date: 0 2 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: The Rookery Care Home 130 Church Street Eastwood Nottingham NG16 3HT 01773713176 01173770258 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Lightdawn Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated at The Rookery Care Home is: 30 The registered person may provide the following category of service only: Care Home only - PC to service users of the following gender: Both whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE(E) of the following age range: 65 years and above Date of last inspection Brief description of the care home The Rookery Care Home is an extended converted detached house. It is located on the outskirts of Eastwood town centre within a residential area. It is close to local facilities such as shops, banks and the medical centre. There are good local public transport links. The accommodated is over two floors. There are 24 single and 3 double rooms. Both stair lift and passenger lift are provided. Care is provided for older people and people who have dementia. The weekly accommodation charges are £404.00. A Care Homes for Older People Page 4 of 28 Over 65 30 30 0 0 Brief description of the care home copy of the last Inspection Report was available within the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key unannounced inspection that took place on a week day. It took six and a half hours to complete. It took any previous information held by the care Quality Commission (CQC). The main method of inspection used was called case tracking which involved selecting two people who receive care at the home and checking their records. Where it was possible discussions took place with both people, other people who live at the home, with any relatives visiting and also with the staff who support them. Care Homes for Older People Page 6 of 28 Prior to the visit the provider had returned the Annual Quality Assessment (AQAA) and this document is mentioned within the report. The Registered Provider and deputy were present during this inspection. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? The AQAA tells us that the care home is able to Offer staff opportunities to increase their knowledge. We have enough staff trained to National Vocational Qualification (NVQ) Level 2 in care so that residents receive high quality care. We spend time and follow all correct procedures when employing new members of staff. The Rookery has achieved an Investors In People award dated from 13th February Care Homes for Older People Page 8 of 28 2007 to February 2010. Nottingham County Council has issued a quality provider status for 2008-2009 to this home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed prior to accepting a place at the care home. In this way the staff at the home are informed as to how to meet the needs identified. Evidence: Two people were seen to have had assessments prior to coming into the home to assess if their needs could be met. The assessments included food choices, history of weight loss, history of falls, problems with continence, medication taken, mental state and condition, social interests, hobbies and religious needs. Assessments for speech was arranged where necessary with the speech and language therapists from the community where appropriate. A moving and handling assessment was undertaken and where help to provide equipment was identified appropriate medical was sought. One person chose to smoke at intermittent intervals. Having been in hospital for a Care Homes for Older People Page 11 of 28 Evidence: long while and discouraged from doing so the issue of consent was explored by the staff at the home by asking the appropriate services to help make this assessment. It was agreed that under the Mental Capacity Act the individual concerned had capacity and was able to make the choice to smoke a cigarette when they wished to. Although the home had adopted a no smoking within the building policy in keeping with current legislation a walled garden area where smoking could take place was provided. In this way the home ensured that the needs of the individual was carefully considered, risk assessed and supported by the staff at the home. This allowed the person to settle into life at the home more easily allowing them to feel comfortable within their new environment. From the Annual Quality Assurance Assessment (AQAA) the provider tells us We have developed The Rookery Web-site. We have added computerised software to give evidence of how our alarm call system works. We have added a call point in the cellar so care assistants can hear the alarm call system in the cellar. We have put our homes quality policy statement on our notice board upstairs and downstairs. We have incorporated the quality policy statement into our brochure and our website. We saw that the provider has improved and increased the ways in which information about the service is provided. In this way prospective people interested in staying at the care home can make a fully informed choice about whether the home is suitable and able to meet their individual and particular needs. There is also the opportunity for prospective people their family and friends to visit the care home before a decision to accept a place is made. Standard 6 intermediate care that involves specific rehabilitaion care to return to the community is not offered at this care home. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered person ensures that the health care needs of the people who live at the home are recognised and assessed to meet their needs. There are procedures in place to assist staff to do so. A review in the management of medications will improve this aspect of health care. Evidence: One person was visited by a Community Psychiatric Nurse (CPN) who had been asked by the home to assist using the Mental Capacity Act and made an assessment of the person for capacity. This was not the nurses first visit to see this person at the home and the assessment was completed on the day of inspection. The nurse spoke with the inspector and explained how much better this person looked since being at the care home. This person had started to gain trust in the staff members and had put some weight on and looked well. Food supplements was prescribed and was given to ensure that regular weight gain was achieved. Each person had assessments for personal, health and social needs recorded in their Care Homes for Older People Page 13 of 28 Evidence: care plans. (Care plans are records of care or support that an individual will need following an initial assessment of their needs). Both individuals had been involved in their care planning. One person was able to explain that they attended reviews about themselves and that if they needed anything they said the staff were always at hand to help me. This person also said that they felt that they were treated with respect and dignity by all the staff at the care home. I feel that my wishes are taken listened to. Staff will help me with bathing and to get undressed or dressed. For someone else who was forgetful the care plan showed that as part of their care, staff were to gently prompt and show or point the individual back to their room when they looked lost or ask them if they needed to use the toilet. In this way they would eventually become more familiar with places of importance to them. The care plans included details of who visited and when, and if the person was attended to by the Doctor, Chiropodist or the Registered Nurses from the community. The AQAA tell us that areas for improvement includes attention to teeth, eyes and feet as there can be a considerable time period between a person coming into the house and facilitation of these resources being available. The AQAA also tells us that wheelchair maintenance is done monthly and recorded. Dental services for anyone who lives at the Rookery is now met as the provider has ensured that the Dentist is aware of his responsibilities as he is under contract to the Primary Care Trust. The Dentist now performs his service in a professional and caring manner. Visits from family and friends were also recorded. One relatives comments included My relative is always kept clean and she gets her hair done here. The need for privacy when providing care was seen by staff waiting outside toilet doors to allow the person time and privacy to use the toilet where it was safe to do so. In the bathing plan, choices were provided by asking the person if they wanted a bath or shower. If the person was able to be left with minimal support in the bathroom the care plan would say one person to assist. Medications were checked. One person had medication on the trolley that although not in use should have been sent back to the Pharmacist. A liquid medicine of lactulose Care Homes for Older People Page 14 of 28 Evidence: was seen opened but was not dated or signed. There were other similar examples. A photograph of each person was attached to the medicine recording sheet (known as the MARS sheet) but in a few cases where there was no photograph. When the registered person was asked she was aware and had already made the necessary arrangements for this to be done. One tablet was prescribed to be taken one or two tablets at any one time. The care staff gave the tablets but did not record how many they actually gave. Allergies were recorded. A requirement has been given for improvements to be made in this area. The medicine cupboard containing Controlled Drugs (CDs)was checked. Storage arrangements were satisfactory. There were no CDs on the premises at the time of inspection.(Controlled Drugs are drugs considered to be in need of extra security in their administration and storage). Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social, cultural and recreational activities meet the needs of the people who live at the Rookery. People recieve a healthy, varied diet according to their assessed requirements or choice. Evidence: Activities are arranged Wednesdays or Fridays each week. A Beautician visits people at the home every Monday. As part of the treatment she provides facial care. This includes the removal of unwanted female facial hair and nail painting. A hairdresser visits twice a week to provide care to men at women at the home. When people living at the home wish to go out the staff hires a mini bus to take them out. A recent visit to a place of interest was provided and photographs were available on the activities board as a reminder for people who live at the home to see. The AQAA tells us Resident reminiscence therapy has increased and therapies are now documented. We now have a minister providing monthly services People who spoke with the inspector said A tuck shop is provided and I can buy small things that I need from it. (The tuck shop is a trolley filled with various items such as soap, sweets, deodorant and other Care Homes for Older People Page 16 of 28 Evidence: miscellaneous items that someone may wish to buy for themselves). My family and friends are made welcome whenever they visit No problems with family being able to come when they like. I like the friendliness of the home it is less sterile than some homes visited. The professional visitor also said that she was always made welcome by the staff at the care home. People who spoke with the inspector said that they could choose when they had a bath or shower and the time of the day usually. Two people said they chose when they wanted to go to bed or what to wear the next day. Four people said that they were able to decide what they wanted to eat and in this way for those who could express an opinion they felt very satisfied. For those who could not express an opinion staff endeavoured to offer them choices before helping them to make a decision if they were able to. No one appeared to rush the anyone. The staff were attentative to each persons needs. A Cook at the home had a list of residents likes and dislikes and a list of any food allergies that people at the home were reported to have. This cook had a good understanding of the need for choices, presentation of food and different diets such as a diabetic diet where a reduction in sugars are needed. The food was attractively prepared when using a blender this included providing individual portions for people who needed liquidised or semi solid foods. Large and small plates were used depending on the persons appetite. Menus were alternated every week and the menus were placed on the dining tables for people to see. The meal at lunch time was seen of lamb, broccoli carrots, mint sauce, with a sweet of treacle sponge and custard. Ice cream was offered to people who needed or preferred a less sugary sweet. The meal was served in a pleasant conservatory with air conditioning, a fridge that stored drinks and sauces was provided for this. The integrated fridge was enclosed within a pine cabinet and matched the surroundings. Except for two people everyone dined in the conservatory. The two people that did not dine in this area were given one to one assistance by the staff and were well attended to. Their meal was of a semi solid consistency and individual portions were easily identified and carefully presented to look appetising. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are clear of the reporting systems and understand how to access external help on behalf of the pople they care for. In this way the protection of the people who live at the service is met. Evidence: People who spoke with the inspector said that they felt the staff were helpful and that they would approach a staff member if they had any problems. Since our last inspection the Care Quality Commission has received a complaint about the care home. The complaint has been dealt with. The accident and incident book was seen. All incidents had been dealt with in a satisfactory manner. Neither of the people who spoke with the inspector had suffered from falls. Staff training on abuse was recorded in the training listed as part of the ongoing training for staff at the home. Staff who spoke with the inspector were aware of the issues of abuse and knew who to go to for help or advice so that they could ensure the protection of the people living at the care home. Staff were aware of the whistle blowing policy and knew that they could go to external agents if problems around care were not resolved by the owner/manager of the care home. The Whistle blowing policy is written to inform staff who to go to, if Care Homes for Older People Page 18 of 28 Evidence: they should see or hear about anything that adversely affects the well being of anyone cared for at the care home. The correct internal reporting systems within the care home would be followed by staff members. However, if there was no sign of improvement staff know that they can seek help or advice from external agencies such as the Police, Social Services or the Care Quality Commission. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is kept clean, pleasant and hygienic. In this way the environment is kept safe for people to live in. Evidence: Three bedrooms were seen including a shared room. Areas for privacy were maintained by the use of curtains or blinds in the rooms. Facilities were clean and tidy. Public areas viewed included one upstairs bathroom and a downstairs toilet and bathroom. The doors were able to close and to lock and the rooms were clean and pleasant. Toilets are labelled to assist people with memory problems. Equipment for moving and handling was seen this included an electric hoist provided for people who need help with moving and handling. A bath chair for assisting people to get into and out of the bath safely. Yellow bins for the correct disposal of waste management, black bin bags, aprons, and a selection of gloves of all sizes for staff to use to prevent the spread of infection between people at the home. The dining area had a ceiling fan to cool the environment and air conditioning that also became heaters in winter time. Radiators were covered to prevent the risk of injury from burns in all areas of the home seen. The home is kept clean, pleasant and hygienic. It is maintained by supporting staff Care Homes for Older People Page 20 of 28 Evidence: including the maintenance person, the domestic and cleaning staff. In this way a pleasant environment is created for people to live in. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider has systems in place that fully protects the people who live at the Rookery. Evidence: Induction training included privacy and dignity. This value is encouraged throughout each aspect of the persons life as shown in the approach by staff towards each person including those less able such as people unable to speak or move independent of staff help. (For example the two people who needed feeding). The AQAA tells us that the care home is able to: Offer staff opportunities to increase their knowledge. We have enough staff trained to National Vocational Qualification (NVQ) Level 2 in care so that residents receive high quality care. We spend time and follow all correct procedures when employing new members of staff. Two staff training records were seen they included training in fire safety, Health and safety, Infection control, Food safety, First Aid and Moving and Handling. Diversity training was started in February 2009 and Healthy eating and nutrition as part of a distance learning course had also been commenced. The skill mix of the staff was sufficent to meet the needs of the people who live at the home. Care Homes for Older People Page 22 of 28 Evidence: Supervision records were in place, application forms completed and the Crimminal Records Bureau (CRB) and Protection of Vulnerable Adults (Pova First) check for each staff member. This provided good evidence of the recruitment practices at the home. The inspector noted that staff did not wear name badges neither was there a photograph of them within the home so that people living at the home or their visitors could identify any member of staff should they need to when asking for help. This is an area that the homes manager may wish to consider. Two further staff spoke with the inspector. They were aware of the issues surrounding abuse of older people and when to use the whistle blowing policy. They were able to explain that if a situation that involved someone at the home put them at risk and the issue remained unresolved this would be taken up further with the Social Services, Police or Care Quality Commission. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider ensures that the home is run in the best interests of the people who live there. Evidence: The Rookery has achieved an Investors In People award dated from 13th February 2007 to February 2010. The hallway displays the Commission for Social Care Inspection (now known as the Care Quality Commission) certificate and the current Employers liability certificate. Nottingham County Council has issued a quality provider status for 2008-2009 to this home. People who live at the home and their relatives spoke with the inspector they felt the home met their needs and felt confident to raise a concern knowing the Registered Manager would address them. Comments included I like the friendliness of the home it is less sterile than some homes visited. There is always someone available to sort out your problems. I was Care Homes for Older People Page 24 of 28 Evidence: given a brochure about the home. I am always offered a choice of food for my meals. As family I am able to visit freely and we are always offered a drink or food. A quality review is undertaken by the home this includes a review of financial arrangements for the people who live at the home. Two peoples monies were checked and found to be correct and had appropriate procedures in place to ensure the safety of peoples money at the care home. The Registered Manager was able to verify that the Health and Safety records are kept up to date and we saw that there were no obvious issues in this area of the home. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Improvements in the area of medications is required as this can impact on the safety of individuals living at the home. 02/09/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 27 The registered provider can consider the need for anyone to be able to recognise staff members in a way that will be helpful to them if they wish to thank them or to express a concern. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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