Care Home: West Port House Care Home

What the care home does well We found during our visit that West Port House provides an excellent service for those who have dementia. The service specialises in caring for those with this condition and the owner of the service has an extensive knowledge of dementia and related conditions. All of the care staff had received training in dementia awareness and there were a good range of appropriate activities that took place on a daily basis. The service had two activity co-coordinators who planned a regular programme of appropriate activities. A good activities programme means that the residents are mentally and physical stimulated and can do things that they enjoy. Some of the residents had photograph displays that had been developed by the care staff to stimulate memories and conversation. All of the people that we spoke to during this visit said that they liked the home and the care that it offered its residents. We observed the care staff speaking to people with respect and politeness. A relative of a resident commented via a Care Quality Commission Survey that, "Overall we feel that the management and staff at West Port House provide good quality care. The staff are understanding and caring and address his needs appropriately. The accommodation and facilities are excellent." The arrangements for meals are good and everyone that we spoke to said that the food is generally good and that people look forward to mealtimes. We were able to sample the lunchtime menu and this was nutritious and well presented. Care staff are recruited properly and there had been regular training events for the staff. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally. Good recruitment also helps to ensure that the residents are protected from unsuitable staff. The home was fresh, clean, pleasant and homely. There were regular quality checks by the management team regarding the cleanliness of the home. There were no unpleasant smells and this was commented on by visitors to the service. One person told us, "I visit the home every day and its always spotless." The owner of the home maintains a positive input and regularly visits. She has invested heavily to improve both the fabric and maintenance of the home and by providing positive outcomes for the residents who use this service. What has improved since the last inspection? There had been several training events since our last inspection activity. These have helped to develop the standard of care within the service and maintain safety and the wellbeing of the residents. Some of the bedrooms had been decorated and new carpets had been laid in some areas of the house. The office had been moved from the first floor to a smaller room on the ground floor. This had enabled the larger room to be used as a bedroom, with more space for the person using it.The service has introduced a new website for people to view prior to making a choice about this service. Information is also available on CD Rom for easier access. Information is also available in Braille. New signage has been introduced around the home to help people to find their way around. This has been done with the needs of those with dementia in mind. There are also `memory boxes` outside each bedroom with photographs and mementos to assist in memory recall. Night time risk assessments have been introduced for all residents to help the care staff be aware of what risks there may be during the night when residents are awake. What the care home could do better: Some of the bedroom furniture was looking worn and `tired` and will soon need replacing. We also noticed that some of the double glazing needed to be replaced as condensation was forming on the inside of the units, which made them difficult to see through. Key inspection report Care homes for older people Name: Address: West Port House Care Home 320 Fleetwood Road North Thornton Cleveleys Lancashire FY5 4LD     The quality rating for this care home is:   three star excellent 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: Christopher Bond     Date: 0 1 0 4 2 0 1 0 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 27 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: West Port House Care Home 320 Fleetwood Road North Thornton Cleveleys Lancashire FY5 4LD 01253856750 01253864016 wylie@thorntoncare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Lindsay Margaret Wylie Name of registered manager (if applicable) Mrs Donna Marie Ball Type of registration: Number of places registered: care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Westport House is a care home for 11 elderly people who have dementia. The home is situated in Thornton, near Blackpool. All of the bedrooms within the home have ensuite facilities. A lift is available to the first floor and the home has a large conservatory at the rear of the house. A decking area has been constructed at the back of the house and the residents are able to sit out in good weather. There is a large convenience store across the road from the home and there are other shops and amenities close by. Bus services run into Cleveleys, Fleetwood and Blackpool from close by. There is parking available at the side of the house. Care Homes for Older People Page 4 of 27 Over 65 0 11 Brief description of the care home Information relating to the homes Service User Guide and Statement of Purpose is included in the welcome pack, which is given to all prospective residents. This information explains the care service that is offered, who the owner, manager and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this inspection activity (01/04/2010) the information given to the Commission showed that the fees for care at the home are from GBP 474.00, with added expenses for hairdressing and chiropody. Care Homes for Older People Page 5 of 27 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: three star excellent 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: As part of the inspection process an unannounced visit took place over a total of 4 hours on the 1st April 2010. We looked at some of the personal information that was available regarding peoples care and we observed the care staff and how they worked with people. Care staff records and recruitment records were also looked at. Safety certificates and medication policies and procedures for the service were examined, along with record sheets. We spoke at length to the manager of the service during the inspection. Some of the people who used this service were also spoken to as part of the inspection process. Two visitors to the service were interviewed and their views have been recorded as part of the inspection process. We also spoke to two of the carers who were on duty at the time. Care Homes for Older People Page 6 of 27 The Care Quality Commission Inspection also sent out surveys to care staff to gather their views about the service they receive. Three of these were sent back to us and the results have been included in this report. Three relatives also returned surveys to us on behalf of their family member. Every year the registered person is asked to provide us with written information about the quality of the service they provide. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? There had been several training events since our last inspection activity. These have helped to develop the standard of care within the service and maintain safety and the wellbeing of the residents. Some of the bedrooms had been decorated and new carpets had been laid in some areas of the house. The office had been moved from the first floor to a smaller room on the ground floor. This had enabled the larger room to be used as a bedroom, with more space for the person using it. Care Homes for Older People Page 8 of 27 The service has introduced a new website for people to view prior to making a choice about this service. Information is also available on CD Rom for easier access. Information is also available in Braille. New signage has been introduced around the home to help people to find their way around. This has been done with the needs of those with dementia in mind. There are also memory boxes outside each bedroom with photographs and mementos to assist in memory recall. Night time risk assessments have been introduced for all residents to help the care staff be aware of what risks there may be during the night when residents are awake. 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 27 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 27 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. Good information is available for prospective residents and their family to read before they make a decision as to whether the home is right for them. Peoples needs are assessed properly to help ensure that the home can meet their health and social requirements. Evidence: The home had a guide for prospective and current residents that told people about what services they provided. The manager showed us the Service User Guide for the home and this document explained the services that were available and what people could expect if they chose to use this service. Prospective, and current residents received a copy of this information which was clear and easily understood. We also looked at the Statement of Purpose for this service and found that there was some good information presented to tell people about the services that were offered. The service has introduced a new website for people to view prior to making a choice Care Homes for Older People Page 11 of 27 Evidence: about this service. Information is also availabe on CD Rom for easier access. The manager also explained the process of admittance and how she visited people to assess their needs before the decision was made that the home was right for them. We looked at some of the pre-admission assessments that had been completed by the manager. Things such as mobility, health care needs and social needs were looked at and peoples health and social needs were written down clearly and precisely. This information helped the manager to decide if the home had the facilities to care for the person properly. The residents care could be planned properly using this information and it formed the basis of any refusal that was made if it was considered that the service could not meet peoples needs sufficiently (such as those who required nursing care). The manager also told us that the people who were thinking about using the service were invited to look round West Port House before they made a decision as to whether or not the home was right for them. This service did not supply intermediate care and this standard has not been assessed. Care Homes for Older People Page 12 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care needs are dealt with properly and professionally, and accurately recorded within each care plan. People receive a good service from a well- trained staff team. The people who use the service are treated with respect and privacy and dignity are paramount. Evidence: This was a relatively small home which enabled the care staff to give a more personal level of care to each person that used this service. There was training provided for the care staff in dealing with the needs of people who had dementia. This helped to improve the outcomes for people who had dementia because care staff would have a good knowledge of this condition and the needs that people presented. The owner of the service actively seeks new ways of caring for those with this condition to improve outcomes for those who use the service. She provides advice and support for relatives in understanding dementia and the affect this condition has on older people. When we looked round the service we observed how the care staff worked, and looked at how they cared for the residents. Overall the standard of care within this service Care Homes for Older People Page 13 of 27 Evidence: was excellent; we found that people were spoken to with respect and their dignity was maintained. The people that we spoke to were pleased with the service that they received and there were some very positive comments made about then standard of care and the way people were being looked after. There were several visitors to the home whilst we were there and two people spoke to us on their relatives behalf. One relative told us, I cant fault the place. Weve seen several other care homes and this is quite simply the best. Another visitor told us, Im very pleased. Mum is looked after really well and there are always friendly staff around. We couldnt have picked a better place. We looked at the way the service helped people to take their prescribed medication. There were clear instructions for the care staff who administered medication. Record sheets were accurate and properly filled out and the drugs were stored and handled in a correct manner. There had been recent training for the care staff in medication awareness. We talked to two of the care staff who confirmed this and there were certificates on the staff files to show that they had attended this training. This meant that people lived in a safer home and there was less chance of any mistakes being made. The manager and owner of the service both undertake regular audit and quality checks to help ensure that medication is handled properly. We also sent out surveys to the residents of the home and their relatives to ask them about their experience of West Port House, and the care that was provided. The residents who replied told us that they always or usually received the care and support they needed. A relative told us via our survey, our sister has been in this home for six months and the care that she has received has been of the highest quality. Everyone who used this service had a care plan that documented their health and social care needs: the care plans also told staff how to work with individual residents. We looked at six care plans and found them to be informative about peoples care. Important areas were looked at, such as continence needs, nutritional requirements, mobility and skin condition. The care plans were regularly reviewed to help ensure that the care provided was consistent, and dealt with current care and social needs. The manager made regular checks to ensure that peoples care needs were being properly addressed and that the car plans were accurate and current. Care Homes for Older People Page 14 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were varied and well planned, which contributed to the well being of the residents. Visitors were welcomed and valued family relationships were encouraged. Evidence: West Port House had two activity co-ordinators that arranged regular and appropriate pass-times for the people who used this service. Activities were taking place on the day that we visited the home and a programme of activity was displayed on the wall in the dining area. Previous inspections of this service have found that regular, planned and appropriate for those who had dementia are a strong point. These activities included aromatherapy, baking, pampering sessions, sing-a-longs, quizzes and discussion groups. There were also regular activities that took place within the local community. A visit to a tea-dance was planned for later in the week. Regular activity helps to ensure that people are stimulated and are kept alert and active. Two visitors to the service told us that they were very pleased with the amount of activity that went on in the home. One person said that they visited the service on a daily basis and found that activities were also a daily occurrence. There were good life histories of the people who used this service within the care plans and individual interests were catered for. Care Homes for Older People Page 15 of 27 Evidence: We looked at the provision that this service made for meals. The care staff generally prepared meals for the home and there was a regular, rolling menu that had plenty of choice. Lunch was being served whilst we were there and we were able to sample one of the meals on offer. This was nutritious and appetising. The dining area for this service was pleasant and the tables were properly set. We saw that some people were being assisted with their meals and this was being done appropriately. The manager told us that regular deliveries were made of fresh meat, fruit and vegetables. Our survey told us that people always or usually enjoyed the meals that the service provided. Care Homes for Older People Page 16 of 27 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. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible meaning that residents and their representatives can voice their opinions easily. Evidence: All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. Everyone was given a copy of this when they first arrived at the home; timescales were given for the handling of complaints and the manager confirmed that all complaints and concerns were handled properly and seriously. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is run in the best interests of the residents. It was clear that the manager and the owner of the home took safeguarding procedures very seriously. There were policy documents for the staff to read about how to ensure that people were safeguarded from harm. All of the staff that we spoke to said that they had a good awareness of this important issue and knew what to do if they were not happy about something they had seen. The manager was aware of her responsibilities and knew whom to contact should there be any question regarding how the residents were being supported and safeguarded. Recent training had taken place regarding safeguarding adults and some Care Homes for Older People Page 17 of 27 Evidence: of the carers that we spoke to said that they were taught about safeguarding people as part of their National Vocational Qualification training. It is important that all of the care staff that work at the home have access to this information as it helps to ensure that people are safeguarded from harm. Copies of all the homes policies and procedures were available in the main office for the staff to read to help them in their roles as carers. There was also a whistle blowing policy for staff to report incidents that they are not sure of, and assurances were given within this policy that any such reports would be taken seriously and acted upon. Care Homes for Older People Page 18 of 27 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 residents live in a clean, pleasant and well -maintained environment. This is a service that was homely. Evidence: We looked round the building with the manager of the service. The bedrooms were adequately sized and had plenty of natural light. There were personal possessions in the bedrooms, which helped to make them more homely. Many of the bedrooms had been decorated since our last visit and carpets had been replaced. The main office had been moved into a smaller bedroom downstairs which left a larger room on the first floor to be used as a bedroom. All of the rooms were well appointed and pleasant. The home was very clean throughout and there were no unpleasant smells. There was a large conservatory at the rear of the house, which served as a lounge. This led on to a decking area with outdoor seating. There were objects of interest, such as an old mangle, that helped to stimulate conversation and memories. Care Homes for Older People Page 19 of 27 Evidence: Most of the residents were in the main lounge at the front of the building. There were easter cards, that had been made by the people who used the service, on the mantle piece. The residents looked happy and content. Some residents were able to tell us that they were pleased with their surroundings. Care Homes for Older People Page 20 of 27 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. Good recruitment procedures at this home help to protect the residents from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. Evidence: Each of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at several of these and spoke to the carers about them. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. These included training in dementia awareness, diabetes, end of life care, medication awareness and safeguarding people. Mandatory safety training had also taken place. Almost all of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3 in care). A well -trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. This service has a training facility within the service where instruction of the staff takes place. We looked at six care staff files during our visit. Staff files were individually bound and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the people who used this service remained Care Homes for Older People Page 21 of 27 Evidence: safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and further checks had been made to help ensure that the staff that were recruited were suitable and that people were safe. There were enough care staff on duty to help ensure that the assessed needs of the residents were addressed properly. There were some positive comments made about the care staff who worked at this service. One relative told us, Theres always plenty going on and plenty of staff around to help out. Three of the residents told us that there were always or usually enough staff on duty to attend to their needs properly. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Good quality control systems help ensure the service runs well. The manager is well respected and runs the service professionally and properly. Evidence: The manager of the home holds the Registered Managers Award. She a nationally recognised qualification in care (National Vocational Qualification level 3)and is currently studying towards achieving level 4, which is the management component of this qualification. She ensures that she has an awareness of current good practice within the care sector and updates her knowledge regularly. Good managerial training and skills help her to run the service successfully. The owner of the service visits the service on almost a daily basis and has a very good knowledge of events within the home and of the residents needs and wishes. She is continually looking for ways to improve the service and the best ways to offer a good Care Homes for Older People Page 23 of 27 Evidence: standard of care to those who have Dementia. The management team is trained, prepared and qualified to manage the home properly, which helps to ensure that the people who live there receive a good service. The care staff and visitors told us that the manager was pleasant, organised and well thought of. One visitor told us, Shes knowledgeable and easy to talk to, she has my wifes best interest at heart. There were quality monitoring systems in process to measure how well the service was progressing. The manager undertakes a daily quality walk round, checking the bedrooms and communal areas. The residents and their families are surveyed as to their views about the service on a regular basis and the results collated and assessed. The owner of the home undertakes regular quality visits and is in regular touch with the manager. The care staff received regular training in areas of safety around the home: this included fire safety, food hygiene, first aid, infection control, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. The staff had received training in using this. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the residents. Risk assessments had been completed for areas where the residents might need extra protection. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. As part of the inspection process the manager provided the commission with an Annual Quality Assurance Assessment that told us about the home and how it was progressing. This was completed well and outlined in detail how the service was improving outcomes for the residents and meeting their specific needs. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 24 Some double -glazed units to the rear of the building were in need of attention. This is because the view through some of the windows were obscured by condensation. 2 24 Some of the bedroom furniture within the home should be replaced due to wear and tear. This is to help ensure that people have good quality furniture in their bedrooms. Care Homes for Older People Page 26 of 27 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. 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