Care Home: Wheatlands Care Home

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What the care home does well Staff and visitor feedback was very positive and when asked what the care home does well responses included; Care is very good, Mom always clean and cared for. Communication with staff and families, and provides a good standard of care. Provides a clean and safe environment. All of the people consulted during the inspection were happy with the care they or their relative receive. People told us carers look after them well and relatives we consulted told us they are kept in touch with any changes or other important information. Peoples health needs are well monitored and we saw evidence of the home engaging the support of health care professionals where necessary. The Wheatlands provides people with a clean and comfortable place to live with the opportunity to personalise their own bedrooms. There is an excellent wide range of activities on offer which include people coming in to the home to provide activities for people to take part in if they wish. What has improved since the last inspection? The home continues to improve the environment with an ongoing refurbishment programme. What the care home could do better: We consider the home to be performing well and provide positive outcomes for people who use the service. We have not issued any requirements or recommendations following this visit. We gave feedback to the manager from surveys that were completed as part of the inspection process. A number of staff would like to see improved lighting in the car park. Some staff would value more time to be able to sit and chat to the people who live at the home. Some staff report that cleaning of wheelchairs could be improved. Key inspection report Care homes for older people Name: Address: Wheatlands Care Home Southfield Road Much Wenlock Shropshire TF13 6AT     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: Karen Powell     Date: 0 1 0 7 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 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) 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 27 Information about the care home Name of care home: Address: Wheatlands Care Home Southfield Road Much Wenlock Shropshire TF13 6AT 01952728497 01952728752 wheatlands@barchester.com www.barchester.com Barchester Healthcare Homes Ltd care home 53 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) : 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 is: 53 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 (DE) 27, Old age, not falling within any other category (OP) 26 Date of last inspection Brief description of the care home The Wheatlands is a residential Home, established in 1995, and is owned by Barchester Holdings; it comprises an original building and a purpose-built extension. It is set in pleasant gardens within walking distance of Much Wenlock Town Centre. The home is registered to provide care for 53 older people - 26 in the main building, known as Corris House, and 27 Elderly Mentally Ill, in Ellis Suite, including 4 requiring high dependency care. In addition, day care and respite care provision is offered when beds are available. There are four close care bungalows in the grounds, which are not Care Homes for Older People Page 4 of 27 27 0 Over 65 0 26 Brief description of the care home subject to regulation. The standard of accommodation is high with much attention paid to creating a warm, homely atmosphere. Weekly fees range from £530.00 - £600.00. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Reports for this service are available from the provider or can be obtained from www.cqc.org.uk 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: The inspection of the service was unannounced and took place on 1st July 2009 by one inspector over a period of approximately eight hours. A range of evidence was used to make judgements about this service to include discussions with people using the service, visitors, the registered manager, deputy and staff. We also examined a number of records to include care records of people living at the home, staff training, staff recruitment and health and safety records. Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. An Annual Quality Assurance Assessment AQAA document was posted to the Care Homes for Older People Page 6 of 27 Wheatlands care home for completion. The AQAA is a self assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. The registered manager completed this, and some of the information is included in the report. The purpose of the inspection was to assess all 22 Key National Minimum Standards for Care Homes for older people and any further standards necessary and to follow up the two requirements and two recommendations made at the last key inspection undertaken on 24th July 2007. An annual service review was carried out on 17th July 2008. This did not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection. The report is available at the service. Information to produce this report was gathered from the findings on the day and also by review of information received by CQC prior to the inspection date. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. Fees are published in information given to prospective clients. The weekly fee range is 530.00 to 600.00 per week. Readers wishing to know more about this information should contact the service directly. Care Homes for Older People Page 7 of 27 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 27 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. People are provided with information and encouraged to make informed decisions about the home before moving in. Pre placement assessments ensure that individual needs are met. Evidence: It was stated on the completed AQAA that residents are fully assessed before admission to the home to ensure that all care needs can be met, a pre-admission and total care assessment is produced, then full care planning documents and risk assessments are prepared. We case tracked one individual who was recently admitted to the home. We talked to them about their experience of the admission; they told us that their next of kin had assisted them with finding a place at the Wheatlands. The person told us that they were happy with these arrangements and that this is the happiest I have been in a long time. They look after me very well here. Care Homes for Older People Page 11 of 27 Evidence: We looked at the records for this person and found a pre admission assessment carried out by the home which was detailed. We established through discussion with the manager and confirmed by the individual that their next of kin had contributed to the assessment process along with hospital staff that were looking after this person at the time. The home does not provide intermediate care. 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. Staff have the information they need and have a clear understanding of how to offer care to each person, which ensures peoples health and personal care needs are met in a way that they prefer. Evidence: It was stated in the completed AQAA that residents each have a personalised comprehensive care plan in place which identifies personal and social needs. Residents are fully supported in accessing services to ensure their health and well being. Care plans we looked at for three people were detailed and explained to staff how people preferred their care to be given. Evidence showed that care plans are reviewed regularly on a monthly basis. We saw the home had included family members and significant others where appropriate. This included social workers and occupational therapists. Care plans contained a record of input from other health care professionals involved in individuals care. For example general practitioners, district nurses, opticians and Care Homes for Older People Page 13 of 27 Evidence: chiropodists. We saw details in one care plan of someone who is cared for in bed. Their care needs were clearly documented and contained evidence that pressure area assessment and moving and handling assessments had been carried out. We observed specialist equipment in place in their bedroom identified to meet their needs. Through discussion with staff it was clear that they could demonstrate the care required to meet the needs of the individual. Care plans also contained personal preferences and finer detail in relation to nutrition, ensuring someone has the opportunity to wear their make up and selecting their own clothes each day. When we spoke to the individuals that these comments were related to they confirmed that their personal preferences are always adhered to. One relative spoken to told us that they were very happy with the care their relative receives. They told us that their healthcare needs are met and that the home keeps them in touch with important information about their relative. They were very complimentary about the Wheatlands, the staff and management of the home. The home has policies and procedures in place for the safe handling of medication. We talked to a senior member of staff who has responsibility for the management of medication within the home. She was able to competently explain all procedures and practices relating to the safe handling of medication. We looked at the medication administration records and storage of medication for the people we case tracked. Medication administration records had been signed when medication had been given indicating that medication had been given as prescribed. Only trained carers administer medication at the home. Medication receipt and disposal was satisfactory and in line with good practice. We observed people to be treated with respect during the visit with their dignity and privacy being maintained. One relative commented on how kind and caring the staff group are. They provided us with their own experience of observing staff being respectful to people who live in the care home. The staff group were patient, kind and caring throughout the day. People we case tracked and who were able to talk to us confirmed this is the case at all times. People on Ellis suite were dressed appropriately at all times and people told us that thier mail is always given to them unopened. 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. People living at Wheatlands are provided with opportunities to experience a meaningful lifestyle that ensures self esteem and well being. People are provided with healthy, well presented meals according to their dietary requirements and choice. Evidence: The completed AQAA told us the routines of daily life are flexible and are based on a person centred approach to care. Residents are offered choice and control where possible to meet social and spiritual needs. Menu choice has improved and is varied and rearranged to suit lifestyle. Residents are encouraged to have visitors to the home at all times and to use all the living space indoors and outdoors to suit their needs. Visitors are welcome to join in with events and activities. Residents are able to express their choices throughout all daily life requirements. All three care plans we looked at identified peoples likes and dislikes and preferred routines. People we case tracked and other people we spoke to during our visit told us that their daily routines are flexible and they are able to choose how they wish to spend their Care Homes for Older People Page 15 of 27 Evidence: day. Individuals told us that their family and friends could visit at any time. We spoke to one visitor who regularly visits the home who told us how they had taken part in the homes activities. We saw photographs around the home of this taking place. We saw an activity plan on the homes notice board, and lots of pictures around the home of events that have taken place. A recent wedding day event had been enjoyed by all. This included people sharing their wedding day experiences, a member of staff who put on her wedding dress for the event, and food was prepared at the home for the occasion. The home are due to visit the town of Llandudno again in the near future, with a number of staff and family members accompanying the group. The hairdresser was visiting the home on the day of our visit, people spoken to say they enjoy this facility. Religious observance is supported and regular visits by the local churches takes place. The home has just acquired a pet rabbit which, was being enjoyed by individuals on the afternoon of our visit. The home are hoping to get some guinea pigs for the people who live at the home to enjoy. A pet therapy dog visits the home, and one relative told us they have also brought their dog in for people to enjoy. The home has good links with the local community and we were told local Brownie groups and schools visit the home. A singer is booked in later this month who will sing songs to remember. The summer fayre was being held at the weekend to generate funds for social activities. People we case tracked told us they were happy with the food provided at the home. The home has an excellent way of involving people who live on Ellis suite in choosing their meal. Two small plated meals are taken around and shown to people to enable them to make a choice there and then at the meal table. Staff were seen to have patience when undertaking this task. The home have researched best practice ideas for the people on Elliss suite and use a different colour crockery to help visual appearance of the meal. Menus were seen on each table and offered choices and a well balanced diet. The menu reflected what was being served on the day of our visit. People told us that their birthdays are always celebrated and they are made to feel special. As a result of the satisfaction survey more choice is now contained in the menus. 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. People living at Wheatlands have access to a complaints procedure, which is accessible and ensures the views of people are listened to. Staff receive training so that they have an understanding in adult protection to ensure people they support are protected from abuse, ensuring their well being. Evidence: It was on the completed AQAA that we make the complaints procedure available to all residents and visitors in the home and have it on display on the notice boards. People we case tracked and who were able to told us they knew what to do if they were unhappy with the service they receive and reported that they have no concerns or complaints about the home. People have access to a complaints procedure, which we saw during our inspection in the homes reception area. There has been one complaint since the last inspection, that was dealt with through the homes complaints procedure. This complaint was dealt with and fully recorded including the investigation and outcome details. The complaint was considered to be upheld. There has been one referral into the safeguarding of adults process since the last inspection. This does not involve any of the staff at the home but relates to a third party and does not question in any way the homes care practices. People we case tracked and who were able to told us they feel safe and secure at the Care Homes for Older People Page 17 of 27 Evidence: home. Staff are trained in adult protection; we saw evidence of training certificates on staff training files. A copy of the multi agency adult protection policy was seen in place, a recommendation made at the last inspection. The manager and deputy have both attended the deprivation of liberties safeguarding awareness day with Shropshire County Council and Barchesters own training on the deprivation of liberty safeguarding. The manager is currently looking at training in this topic for all senior staff. This training has yet to be rolled out to staff. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Wheatlands are provided with a clean and homely place to live, which is equipped to meet their individual needs and makes them feel safe and secure. Evidence: It was stated on the completed AQAA we offer a safe, comfortable, friendly homely environment that is well maintained free from hazards. Residents have access to the outdoors from both units and ongoing gardening projects are taking place. Specialist equipment is provided to maintain safety and independence, sufficient lavatory and washing facilities. Residents have well furnished bedrooms and are able to bring in personal furniture and other items to personalise. The home is clean, tidy and hygienic. We took a tour of the home and found it to be clean and tidy. Staff spoken to confirmed that they have undertaken infection control training. Ongoing renewal and maintenance of the home ensures that the service provides an environment that is well maintained for people who live at the home. Elliss suite has been created with the emphasis being on good dementia care practice, with sensitively created areas throughout the suite. The unit is key coded and all Care Homes for Older People Page 19 of 27 Evidence: relatives are made aware of the access code box. It was stated by the manager that some residents are fit and well enough to leave the unit, but always inform a member of staff first. It is in the best interests of other residents to be escorted by a member of staff for their safety. Members of staff escort residents outside of the unit at all times. Residents who wish to leave building are taken out of the unit for a walk or to reception area. They are not stopped from doing this. We looked at the bedrooms of the three people we case tracked. These were personalised with their own belongings. They told us I like my room. Another told us I am happy with my room it is always clean and tidy. I like to dust my room and make my own bed; the staff just hover for me. One person we case tracked resided on Elliss suite, their room was seen to have stimulating lighting equipment and soft music playing. On the day of the inspection it was very hot and an oscillating fan was in use in the room. Drinks machines, both cold and warm refreshments are available to residents and visitors placed throughout the home. The home is set in pleasant grounds and in nice weather can be accessed by people if they wish to sit and walk around the garden. There is also a sensory garden for people to enjoy. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangement for staffing, their support and development ensures that the needs of the people living at the home are met. People have confidence in the staff at the home because checks are done to make sure that they are able to care for them. Evidence: It was stated on the completed AQAA residents needs are met by sufficiently trained staff of various skill mix dictated by the residents requirements, activity staff are also employed to support this. Additional support staff are employed to ensure that care staff are designated for more specific care duties. All staff receive induction and ongoing mandatory training additional workshops and training is given to support individual roles. Staff are recruited appropriately to ensure the continued safety and well being of residents. Staff are encouraged to undertake further ongoing personal development and training. We made a requirement at the last inspection regarding all pre employment checks being obtained before staff commence employment and staffing levels on Elliss suite being reviewed. Care Homes for Older People Page 21 of 27 Evidence: We looked at the files of three staff employed since our last inspection to make sure that pre employment checks are undertaken so that staff are checked as being suitable to work with vulnerable adults. Files were well organised and contained all the checks required under regulation. All people consulted as part of the inspection told us that the staff treat them well and that they are happy with the care and support they receive. We observed staff supporting people throughout the day; they did this with respect and were professional at all times. Staff told us that they are given regular updates about people living at the home during handover on each shift, and supported through updated care plans. Staff we spoke to demonstrated a clear understanding of the peoples needs we case tracked. It was confirmed by the manager that staffing levels are determined by the current needs of people living at the home, we saw sufficient staff cover on the day of the inspection and staff spoken to on the day told us the staff ratio is generally good. Staffing rotas reflected the home is currently staffed to meet the needs of the people currently living at the home. Training for the staff is good. We looked at training completed by staff and saw the relevant training certificates on staff files. Training included dementia, moving and handling, protection of vulnerable adults, health and safety, and fire safety. Staff told us that they thought the training at the home is good. The manager stated in the completed AQAA that over 50 of the care staff have obtained a nationally recognised care qualification NVQ at level 2 and above. This exceeds national minimum standards. All staff are formerly supervised and appraised; we saw records to support this. Staff spoken to said they felt well supported by the manager of the home. The homes induction process, consistent with Skills for Care expectations, is thorough and conducted over a period of time. 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. People have confidence in the Wheatlands because it is effectively managed in the best interests of the people living and working there. Evidence: The registered manager is suitably qualified to manage the care home and has a number of years experience in the care sector. The staff receive clear guidance on how to perform their role and there is a clear understanding from staff of what is expected of them. This ensures that people living at the home receive consistent care and support of a good standard. People living at the home, their relatives and visiting professionals are regularly consulted in what they think about the service and any improvements that could be made. We saw evidence of feedback from questionnaires given to people to seek their views and an action plan that addresses areas of development. Feedback was generally very Care Homes for Older People Page 23 of 27 Evidence: good. We saw a number of thank you cards from people who had contact with the home. Comments we saw included thank you for all the love and care in particular in her last few days. I visited Wheatlands unannounced and arrived at lunchtime which might have been convenient. However, every member of staff was extremely courteous and helpful. I was delighted to find X in much better health. I am sure that the pleasant environment, friendly smiling staff have helped her recovery. I wish to commend the staff working at Wheatlands and in particular the staff working on the EMI unit. The care X received was remarkable I really appreciate the kindness, care and understanding which was shown to him and what was also extended to me. I feel that it all went well beyond the normal interpretation of duty of care. The manager confirmed that the home do not handle finances of anyone living in the home. All checks required such as of the fire safety systems; hot water systems, lifting equipment and electricity are in place. People are protected through regular maintenance of systems and equipment and records to show this are well organised. 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 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). 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