Care Home: Wade House

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What the care home does well Wade House provides a safe, clean and comfortable environment. Residents tell us that their needs are met and they are well cared for. Relatives speak highly of the home and tell us they are always made welcome. Comments we received included "The staff are kind, considerate, helpful and understanding", "Residents are always treated with respect" and "The care staff always do what they can for me. The managerial staff run the home perfectly". The home is well managed, residents are safeguarded by thorough recruitment procedures and staff are appropriately trained and competent. What has improved since the last inspection? Since the last inspection the glass at the top of the main stairwell has been replaced with safety glass as required by the fire officer. This provides a safer environment for residents and staff. We found that people are benefiting from a much wider range of social and leisure opportunities, both within the home and the community. What the care home could do better: There has been no requirements made at this inspection and the manager has demonstrated that they are committed to the process of monitoring and improvement. During this inspection they told us that priority areas for development will be the care plans of short term care residents, the physical environment, menu options and meal times. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wade House Wade House Violet Hill Road Stowmarket Suffolk IP14 1NH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tina Burns     Date: 0 8 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 29 Information about the care home Name of care home: Address: Wade House Violet Hill Road Wade House Stowmarket Suffolk IP14 1NH 01449626250 01449626251 karen.curle@socserv.suffolkcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Suffolk County Council care home 30 Number of places (if applicable): Under 65 Over 65 8 22 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 0 Wade House is a Residential Care Home providing personal care and accommodation to 30 older people. It is registered to provide care for eight people with dementia and twenty-two older people over the age of sixty -five. The home is owned and managed by Suffolk County Council. It is situated in the town of Stowmarket in a residential area with shops and other local amenities nearby. The home is purpose-built on two floors, which are accessed by stairs or by passenger lift. Externally there are two garden areas and a two parking areas. One garden is directly accessible to service users accommodated within the dementia care unit. All bedrooms are single occupancy with no en-suite facilities; seven bedrooms have under 10 square metres usable floor space. The homes fees vary according to individuals assessed needs and financial circumstances. Care Homes for Older People Page 4 of 29 Care Homes for Older People Page 5 of 29 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 was an unannounced key inspection, which focused on the core standards relating to older people. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included a tour of the premises and examination of a wide range of documents and records including three residents care plans and three staff files. We also observed activity at the home and spoke with several residents, visitors and care workers throughout the course of the day. Information has also been gathered from the homes Annual Quality Assurance Assessment (AQQA) submitted to the commission in June 2009, and survey forms Care Homes for Older People Page 6 of 29 completed by six residents, eight relatives, nine care staff and one health care professional. The registered manager, Ms Karen Curle, was present at the time of our visit and fully contributed to the inspection. What the care home does well: What has improved since the last inspection? 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 set out 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 8 of 29 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 9 of 29 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. Prospective residents can expect to be given the information they need to make an informed choice about whether the home is suitable and will meet their needs. The home does not offer intermediate care. Evidence: A copy of the homes Statement of Purpose was provided. It had been updated in August 2009 and reflected the fact that The Commission for Social Care Inspection had been replaced by The Care Quality Commission. It included clear and detailed information about the home and the service it provides. A copy of the document was also on display in the entrance to the home. The homes Service User Guide or Residents Information Booklet, was also on display. It was produced in large print and included information about the accommodation and services provided and the homes key policies and procedures. Care Homes for Older People Page 10 of 29 Evidence: Information displayed in the home and discussion with the manager confirmed that the guide was currently under review and residents were being actively consulted about the detail and format of the document. The homes registration certificate was displayed together with their previous inspection report and Annual Service Review. There was also a wide range of leaflets and information about rights and benefits available in the foyer. People we spoke with and information provided in residents and relatives surveys confirmed that prospective residents are provided with enough information to make an informed choice about whether the home is suitable. Records we looked at confirmed that people have the opportunity to visit and have a trial stay as part of the homes pre admission processes. Information provided in the AQAA and records examined confirmed that prospective residents and their relatives are consulted about the individuals needs and preferences before they move into the home. The assessments we looked at covered a wide range of needs and covered areas such as comprehension and expression, hearing and sight, orientation and memory, mobility, foot care, personal care, continence, mouth care, eating, drinking and nutrition, skin integrity, medication and pain, hobbies and interests, equality and cultural diversity, and social interaction. Two of the homes thirty places were used to offer short term or respite care to people referred by local authority care managers. The pre admission process was the same for both short term and long stay residents. Intermediate care was not provided. Care Homes for Older People Page 11 of 29 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. People who use this service can expect to have their privacy and dignity respected and their personal and health care needs met. Evidence: The AQAA tells us that care plans are developed from the assessment information gathered prior to admission and evolve as the needs of the person are established. It says that they use a person centred approach so that the plans are individualised to the persons needs from the start. Further more, the resident; the team leader and the key worker spend time together to discuss needs and preferences, which are incorporated into the care plan. The information provided in the AQAA reflected our findings when we looked at the records of two permanent residents. Their care plans were detailed and highly individual and covered areas such as moving and handling and mobility; personal care; interests, hobbies and activities; diet and nutrition; health and medication; continence Care Homes for Older People Page 12 of 29 Evidence: management and management of risks. We spoke with several residents and relatives during our visit. They all confirmed that they were satisfied with the care and support provided at the home. Comments included; Excellent standard of care, Never had any problems, the staff are excellent, and I cannot fault this home. We also looked at the records of one short term care resident. They were having their second short stay and their care plan was still being developed. The manager agreed that the care planning process for short term care residents needed to be reviewed so that they could benefit from having a detailed, individualised care plan from the time of their first visit. They confirmed that the procedure for completing care plans for short term care residents would be reviewed as a matter of priority. The home had undertaken an annual review of residents and relatives views. Only eight of the thirty surveys sent out were completed but the results showed a high level of satisfaction with the care and support provided. Out of the six surveys returned to us by people that use the service four said that they always receive the care and support they need and two said usually. Out of the eight surveys returned to us by residents relatives five said the home always meets the needs of their relative and three said usually. The records we looked at contained risk assessments for moving and handling, nutritional needs, skin integrity and falls. There was evidence that the assessments are regularly reviewed and care plans are updated to reflect any changes. Records of contact with residents GPs and other health professionals were maintained together with the outcome of appointments. People we spoke with during the inspection and feedback from surveys we received confirmed that residents are appropriately supported with matters relating to their health. Six out of six residents that completed surveys told us they always receive the medical support they need. Records we looked at, information provided in the AQAA and discussion with the manager and staff during our visit confirmed that the home has appropriate policies and procedures in place for the safe handling of medication. The home uses a monitored dosage system (MDS), so blister packs are filled by a local pharmacy and delivered to the home on a monthly basis. Overall, the Medication Administration Records (MAR sheets) examined had been correctly completed. The exception was regarding the administration of PRN medication, particularly creams and ointments, where there were gaps. This shortfall had already been identified by the homes Care Homes for Older People Page 13 of 29 Evidence: internal audit system and action had been taken to provide separate MAR sheets in individual care plans specifically to record the administration of creams and ointments. Observations were that staff interacted positively with residents and were polite and respectful at all times. All personal care was given in the privacy of residents rooms. Comments received included: The staff are kind, considerate, helpful and understanding, Residents are always treated with respect and care and hygiene is very good and The care staff always do what they can to help me. Care Homes for Older People Page 14 of 29 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. People who use this service can expect to maintain contact with their friends and family and enjoy a range of recreational activities. Further more, they can expect to benefit from a whole some and well balanced menu. Evidence: People we spoke with and surveys we received confirmed that residents friends and families are made welcome at the home. We saw visitors coming and going throughout the day and those we spoke with told us that they were regular visitors and spoke highly of the home. The AQAA tells us that there are planned events and a programme of leisure and social activities which include one to one or group sessions, outings and visiting entertainers. A programme of activities for the next twelve days was displayed on the notice board at the time of inspection and included; Gentle Exercises, Scratch drawing, Memory Games, Skittles, Reading the News, Cards, Dominoes, Word Games, Baking and Christian Worship. One member of staff we spoke with told us that the home had fallen short on activities Care Homes for Older People Page 15 of 29 Evidence: at their last inspection and consequently they had tried really hard to improve in this area. They said that there had been a lot more organised outings, booked entertainment and events such as themed days, for example a wild west barbecue. Residents and relatives we spoke with told us that there were plenty of activities available and this was evidenced in the records we looked at and the numerous photographs that were displayed in an album and on the walls around the home. Three out of six residents that completed surveys told us that the home always arranged activities for them to take part in if they wished and three said the home usually arranged activities for them to take part in if they wished. Comments we received included; They provide excellent activities and Activities are varied and plentiful. People were particularly pleased that there had been more opportunities to get out and about and told us about trips that had taken place to Christchurch Park, Banham Zoo and Felixstowe seafront. There was also a mystery tour and a boat trip planned. We were told that the outings were a great success but they would not be possible without the commitment of dedicated staff who give there time freely and voluntarily. The activities co-ordinator had started a distance learning course about activities in residential care through Otley College. They spoke with knowledge and enthusiasm about the activities available and their potential benefits. They understood the need to provide a varied range of activities and planned them with the needs and interests of residents in mind. We were advised that the home did not own a vehicle and the cost of hiring suitable transport for outings was met by fund raising. The most recent fund raising event had been a summer fete which everyone said they had enjoyed. It was positive to hear how residents had been actively involved in planning the fete and running the stalls. Monthly residents meetings had recently been introduced so that people had the opportunity to contribute to matters relating to the home. We were told that this was beginning to work well. The home had a four week rolling menu in place. The range of meals looked well balanced and varied but were limited to one main choice at lunch time. The manager told us that people were offered an alternative if they preferred and the residents we spoke with confirmed that this was the case. Following some discussion about the limited menu the manager said that they would review it as a matter of priority so that Care Homes for Older People Page 16 of 29 Evidence: there were at least two main options. The manager showed us the work they had done to produce a pictorial breakfast, lunch and supper menu. This was almost complete and included large colour photographs of dishes available. We joined residents for lunch in the main dining area. The atmosphere was warm and friendly, calm and relaxed and tables were nicely laid. The main meal was sausages, gravy, roast potatoes, peas & sweetcorn. Dessert was apple pie and custard. One member of staff offered each resident a small glass of squash at the beginning of the meal. There were no jugs of water or squash available on individual tables, however the manager agreed that this was the preferred option and told us that they would ensure drink was freely available at meal tables. Out of the six residents surveys returned four people told us that they always liked the meals and two said usually. Comments we received included; Food is good, Meals are normally very nice and Meal times are good. The catering survey undertaken by the home in March 2009 confirmed that at the time twenty one out of twenty two residents were satisfied with their meals. Care Homes for Older People Page 17 of 29 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. Residents and relatives can be assured that their complaints or concerns will be listened to. Further more they can expect to be protected from abuse. Evidence: The homes information booklet included a section on Having your say which explained the procedure for raising concerns, and making comments, compliments and complaints. This was also displayed in the entrance hall together with the local authoritys leaflet about how to make a formal complaint. The home had recorded three complaints in the previous twelve months. One was being investigated at the time of inspection. The records we looked at evidenced that the complaints had been taken seriously, and had been thoroughly investigated and addressed. People we spoke with during the inspection told us that they had never had cause to complain. However they confirmed that the staff and manager were approachable and they felt confident that any concerns could be raised. Six out of six residents that completed surveys told us that they had someone they could speak with informally if they were not happy. Four said that they would know how to make a formal complaint and two said they did not know how to make a Care Homes for Older People Page 18 of 29 Evidence: complaint. Six out of eight relatives that completed our surveys told us that they knew how to make a complaint and two said they did not. Seven out of eight relatives said that the home responded well to concerns and one said not applicable. Training records examined and staff spoken with confirmed that appropriate safeguarding adults training is provided to staff. Staff also confirmed that they felt confident that they could raise any issues or concerns about the welfare of residents with their line managers. Equally, feedback from visitors confirmed that people were confident that staff were alert and observant and their relatives were safe in their hands. Care Homes for Older People Page 19 of 29 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. People who use this service can expect to live in a safe, clean and comfortable environment. Evidence: The AQQA tells us that the home was purpose built and opened in 1963. It has thirty single bedrooms, twenty two on the first floor and eight on the ground floor. None of the rooms have en suite facilities but they are all fitted with a wash hand basin or vanity unit. Access to the first floor is by a shaft lift or stairs. The home has a special needs unit called the Willow unit at the rear of the building that provides accommodation for up to eight people with dementia. It has dedicated communal areas that include a lounge and dining area, a kitchenette, and a conservatory. There were a range of large and small communal areas in the main part of the home and this enabled people to have a good choice about where they wanted to spend their time. Throughout the inspection we could see that people preferred to use different areas according to their needs and preferences. For example some areas were quiet, others had activities going on and others provided privacy for people meeting with Care Homes for Older People Page 20 of 29 Evidence: visitors. We found the decor and general fabric of the building dated but comfortable and overall well maintained. Residents we spoke with said that they liked the environment and found it Spacious, Well designed, with good views. The manager told us that funding for maintenance and refurbishment work had been approved and work would be starting shortly. This would include upgrading and moving the medication room to the first floor, moving the wheelchair storage room from the first floor to the ground floor, new carpets and redecoration throughout Willow unit, replacement windows and doors, replacement flat roofs, external paintwork, replacement guttering and down pipes, and upgrading the call system. Evidence provided in the AQAA and records seen during the inspection confirmed that the home has appropriate fire safety procedures in place. We also found that since our last key inspection glass in the stairwell had been replaced with toughened glass as required by the Fire Officer at an earlier fire inspection. On the day of inspection the home was clean and there were no unpleasant odours. There were adequate laundry facilities and staff confirmed they were provided with disposable gloves, aprons and hand wash. Four out of six residents that completed surveys told us that the home was always clean and two said it was usually clean. Care Homes for Older People Page 21 of 29 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. Residents can expect their needs to be met by a competent and well trained staff team. Further more, they are safeguarded by robust recruitment procedures. Evidence: Three staff recruitment records were examined and included evidence of personal identification checks, Criminal Record Bureau checks (CRBs), copies of application forms, evidence of health screening and suitable written references. There was also good evidence that face to face interviews were carried out as part of the staff selection process. The manager advised us that there is a minimum of one team leader and five care staff on duty at all times with the exception of nights when there is one team leader and two care staff. The manager and senior team leader are usually supernumerary. In addition to the management and care team there are a number of support staff that include; a handyman, domestic staff, cooks and kitchen assistants. There is also a part time clerk. On the day of our visit our observations were that there was a good staff presence and care staff were available at all times to attend to peoples needs. Five out of six Care Homes for Older People Page 22 of 29 Evidence: residents that completed surveys told us that staff were always available when they needed them and one said that they were usually available. Four said that they always received the care and support they need and two said usually. Comments we received from residents and their relatives included; Staff are excellent, The staff are kind, considerate, helpful and understanding and They genuinely care ..... The AQAA tells us that all new staff are subject to a six month probation period and undertake a thorough induction programme based on the skills for care induction framework. Further more twenty four of the thirty four permanent care staff have completed NVQ level 2 or above. Feedback from surveys, discussion with staff and training records examined confirmed this to be the case. The homes annual training and development plan confirmed that all care staff are expected to undertake training in areas such as; Safeguarding Adults, Mental Capacity Act, Fire Safety, Infection control, Unisafe levels one and two (managing challenging behaviour), administration of medicines, equality and diversity, nutrition and well being, health & safety, food hygiene and dementia. Care Homes for Older People Page 23 of 29 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 home is well managed and run in the best interests of the residents. The health, safety and welfare of staff and residents is promoted and protected. Evidence: The AQAA tells us that there are clear lines of accountability and delegation of duties within the staff group and this was observed to be the case during our inspection. We were advised that at the time of our visit the management team consisted of the registered manager, a senior team leader, four day team leaders and three night team leaders. The manager, Ms Karen Curle, has been at Wade House since May 2003 and became the registered manager in November 2005. She has NVQ Level 4 qualifications and has recently completed a leadership development programme. She has also attended a course in dementia care mapping and is currently working towards a Level 5 Institute Care Homes for Older People Page 24 of 29 Evidence: of Leadership Management qualification. The manager and senior team leader were both present at the time of inspection. They were highly co-operative and provided all of the information we requested promptly, openly and in a professional manner. Discussion with the manager and documentation provided confirmed that the home has appropriate Quality Assurance processes in place such as internal audits, residents reviews, and residents and relatives surveys. We were also told that monthly residents meetings had recently begun and although the take up was initially quite low these were becoming more popular and beginning to be an effective means of giving everyone the opportunity to contribute their views to matters relating to the home. The homes AQAA was well completed and submitted to us within the given timescale. It included information about what they do well, how they can evidence it and where they need to improve. Discussion with the manager and records examined confirmed that monthly visits are undertaken by a designated representative of the provider. We could see from their reports that the visits were used as an additional quality assurance tool and any issues arising were taken seriously and addressed. The home does not handle large sums of residents personal monies or manage anyones personal accounts. We were advised that all current residents manage their own finances with support, if necessary, from their relatives or representatives. We were shown a risk assessment that was in place and concerned the handling of money for one person. The assistance being provided for them had been agreed with appropriate people following a best interest meeting. Staff training included health and safety, food hygiene, moving and handling, and fire safety. The AQAA tells us that manual handling equipment and fire protection equipment is regularly serviced. During our visit there was good evidence of routine health and safety checks such as hot water temperature tests, call system tests, portable appliance tests, fire equipment tests and food hygiene temperature checks. The manager advised us that Suffolk County Council had provided training on the Mental Capacity Act to all care staff and Deprivation of Liberty Safeguards training had been provided to the senior staff. Care Homes for Older People Page 25 of 29 Evidence: The manager had made one Deprivation of Liberty Safeguards referral. This had been handled by the local authority and had resulted in the agreement of temporary safeguards to protect one resident while they settled into their new home. Comments we received from residents included; Overall administration of the home is first class, Difficult to fault any part of the organisation, A very well managed home and The managerial staff run the home perfectly. Care Homes for Older People Page 26 of 29 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 27 of 29 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 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 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!