Care Home: Woodpeckers

What the care home does well Prospective residents are able to make an informed choice about moving into the home. They are provided with information and can spend time at the home before making a decision. The home carries out assessments of those referred for possible admission so that home makes sure it admits only those whose needs it can meet. Each person has a comprehensive care plan outlining how health and social care needs are to be met. Residents and their relatives have opportunities to be involved in the care plans. Health care professionals report a very good standard of care. The privacy and dignity of residents are promoted. Residents report that staff treat them with kindness and respect. Individual preferences are catered for and these are recorded. for instance residents can choose the time they have their breakfast and the food they would like to eat which includes a cooked breakfast if they wish. The home has its own staff to facilitate and provide a range of activities. An activities programme for the month is given to each resident and the day`s activities are displayed on a notice board. The activities are provided 7 days a week and include musical entertainment, games and outings. Staff input is provided for those who are not able to join in group events. Residents are supported to pursue their own interests and hobbies. The food is varied, nutritious and of a very good standard. Choice is provided at each meal and special arrangements are made for those with specific eating needs. Residents say that any concerns are addressed promptly. The environment is of a very good standard with excellent facilities for the residents. The home is clean and well maintained. The staff are well trained and provided in sufficient numbers to meet residents` needs. Staff recruitment procedures protect residents. The home is well managed with excellent systems for auditing service delivery. The views of the residents are incorporated into the decision making with a residents` food committee and residents` meetings. What has improved since the last inspection? The home has produced a brochure and improved the written communication to residents and visitors. The care plan system has been updated and improved. Risk assessments and monitoring of care needs have improved.The activities programme has been developed and the activities co ordinator has been awarded the Colten Care group activities co ordinator of the year. Ongoing improvements have been made to the environment including the installation of a second passenger lift. What the care home could do better: There were no requirements or recommendations made at this inspection. Key inspection report Care homes for older people Name: Address: Woodpeckers Sway Road Brockenhurst Hants SO42 7RX     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: Ian Craig     Date: 2 6 0 1 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 29 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 29 Information about the care home Name of care home: Address: Woodpeckers Sway Road Brockenhurst Hants SO42 7RX 01590623280 01590623694 woodpeckers@coltencare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Colten Care (1693) Ltd Name of registered manager (if applicable) Mrs Roberta Jacqueline Reddell Type of registration: Number of places registered: care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommmodated is: 41 The registered person may provide the following category/ies of service only: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Physical Disability (PD) Date of last inspection Brief description of the care home Woopeckers Nursing and Residential Home is located in Brockenhurst, Hampshire. It is owned and run by colten Care Ltd. who also own and run a number of residential services in the Wessex area. Care Homes for Older People Page 4 of 29 Over 65 0 41 0 41 0 41 Brief description of the care home The building is converted from an existing house and has been extended. There are 35 single and 2 double bedrooms. 34 bedrooms have an en suite toilet. At the time of the inspection all bedrooms were singley occupied. Communal areas consist of 2 lounges and a dining room. There are 2 passenger lifts so that residents can access each of the floors. Care staff and a Registered General Nurse are on duty 24 hours a day. The home has 2 staff to provide and facilitate activities 7 days a week. 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: 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 consisted of a site visit of 5 hours, during which time communal areas and a number of bedrooms were seen. Discussions took place with the manager. Two staff were also spoken to. A residents relative was spoken to. 3 residents were spoken to. Residents were observed taking part in activities and making use of the homes facilities. Surveys were sent to residents, staff and health and social care professionals asking for their views on the service provided. These were returned by 5 residents, 8 staff and 3 health and social care professional. Some of the residents surveys were completed with the help of a relative. Records, documents and policies and procedures were looked at. Care Homes for Older People Page 6 of 29 Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for this report. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? The home has produced a brochure and improved the written communication to residents and visitors. The care plan system has been updated and improved. Risk assessments and monitoring of care needs have improved. Care Homes for Older People Page 8 of 29 The activities programme has been developed and the activities co ordinator has been awarded the Colten Care group activities co ordinator of the year. Ongoing improvements have been made to the environment including the installation of a second passenger lift. 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 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 10 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 are able to make an informed choice about whether or not to move into the home. The home accommodates only those whose needs it can meet. Evidence: Once the home has received a referral for the possible admission of a resident, a letter is sent to the person or their representative inviting them to visit the home. A copy of the homes brochure, the activities programme, the homes own newsletter and details of the room rates are enclosed with the letter. A copy of the homes Statement of Purpose and a document called, Information for Residents is given to the prospective resident and/or their representative when they visit. The Statement of Purpose includes details of the homes values, the complaints procedure, the food provision, the care panning and details of the staff team. Care Homes for Older People Page 11 of 29 Evidence: Each resident who returned a survey said that they received enough information about the home before moving in and that this helped them to decide if it was the right place for them. Residents confirmed that their relatives looked round the home on their behalf. Care records were looked at for 4 people. These show that each persons needs were assessed before they were admitted to the home. The assessment is carried out by a member of staff from the home at either the persons home or in hospital. The assessments cover the following areas: personal details, daily life including preferred routines and social history, communication, mental well being, maintaining a safe environment, eating and drinking, continence needs, personal care, skin integrity, medication, body temperature, sleeping, pain, breathing and advanced care arrangements. The assessment records how that residents or their relatives were present at the assessment. Care Homes for Older People Page 12 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. Care plans are of a very good standard and residents health and personal care needs are met. The privacy and dignity of the residents is promoted. Evidence: Further assessments of need are carried out and recorded once the person has moved into the home and include: a moving and handling assessment, a falls assessment, waterlow pressure sore prevention assessment, continence assessment, barthel index assessment, Mental Capacity Act assessment, risk assessment, bed rails risk assessment, and a nutritional assessment. Care plans are devised based on the following: communication, mental well-being, maintaining a safe environment, continence and toileting, personal well being, skin integrity, controlling body temperature, sleeping and medication. Care records detail specific care needs such as prevention of pressure sore treatment, feeding and catheter care. Where needed, monitoring charts are maintained of food and fluid Care Homes for Older People Page 13 of 29 Evidence: intake as well as weight. Records show that care plans are regularly reviewed and updated. Care plans are also audited by the homes management. Care plans include reference to each persons preferred routines for getting up and breakfast as well as hobbies, activities and interests. Residents confirmed that the care routines take account of their preferences. Health and social care professionals say that the residents privacy and dignity is always respected. Residents say that the staff treat them with respect and dignity. Residents are offered a key so that they can lock their bedroom door when they go out. Care staff say that they are provided with information about residents individual needs and that communication from the management, and, within the staff team about residents care needs, is good. Each person who returned a survey says that they receive the care and support they need and that arrangements are made for medical care. Residents spoken to on the day of the visit said that they are well looked after and that staff always respond when they ask for help by using the call point in their room. Health and social care professionals also reported that the home meets the care needs of the residents. Comments made include the following: Woodpeckers provides excellent residential and nursing home care for a range of residents, some of whom have very complex needs. The nursing care, particularly for skin care, is exceptional. The homes medication procedures were looked at. Residents are supported to hold and administer their own medication if they have been assessed as capable of being able to do so. This involves the signed consent of the residents General Practitioner, a Registered General Nurse and the resident themselves. The home has policies and procedures for the handling and administration of medication. A record is kept of staff signatures so that a check can be made of which staff administered medication. Medication is handled by qualified nurses only. Medication details are recorded upon arrival at the home form the pharmacist. Staff Care Homes for Older People Page 14 of 29 Evidence: record a signature each time medication is administered. Controlled medication procedures were looked at. Two staff are involved in this and both sign a record to say the medication has been given and the remaining balance. Stocks of medication balanced with the amount recorded. For those residents who have medication on an occasional basis clear guidelines are recorded so that staff are aware of the signs and symptoms of when the medication is needed. It was noted that the medication records were not securely stored. This was addressed immediately by the manager. Care Homes for Older People Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a range of activities suited to their needs and abilities. The food is of a very good standard with a choice at each meal time. Evidence: The home employs an activities co ordinator for 38 hours a week and a social carer for 28 hours a week for one to one activities with those people who are not able to join in group activities. A monthly activities programme is given to the residents detailing various social events 7 days a week, including crossword games, exercises, bird watching, hymn singing, singing sessions, library visits and outings in the mini bus once a week. A notice in the hallway gives details of the activities programme for the day. Residents who returned a survey say that activities are always provided that they can take part in. One person said,There are lots of activities and we get taken out. Another person commented that the activities co ordinator is very good, that residents can choose to join in or not, and, that activities include musicians, singers, board games and outings. Care Homes for Older People Page 16 of 29 Evidence: A resident said how he/she is able to exercise independence and is able to spend time in his/her room pursuing his/her own interests. Residents rooms contain numerous personal items including books, pictures, furniture and equipment o pursue interests. Another resident described how the social carer spends time talking with him/her. Residents can have a daily newspaper delivered which some do. Residents have opportunities to involve themselves in the running of the home. One person said how he/she is involved in both regular residents meetings and a residents forum. Comment was also made that the homes management and staff are good at communicating with the residents and that the residents views are listened to. Religious needs are catered for and the home facilitates visits to the home by priests. The AQAA states that community groups visit the home such as the WRVS. The home produces a newsletter which is distributed to residents and their relatives and is available in the hall. Information is also displayed in the hall about the staff team. Staff confirm that there are a range of activities for the residents to take part in. A health care professional made the following comment: The residents benefit from a grounded team approach where social activity is of equal importance to personal care. The homes food provision was looked at. There is a 4 week menu plan showing a varied, nutritious and balanced diet. The days meals are displayed in the hall. Each person is given a menu card in advance from which they can choose for their meals. Residents confirmed that there is a choice of food at each meal. One person said, Some of the meals I am very keen on. I particularly like the poached salmon or sea bream on Mondays. Residents described how they are able to chooses what they have for breakfast from a wide range of food, including cooked meals. Specialist diets and specific feeding needs are catered for. Residents were observed having the midday meal. Residents made positive remarks about the presentation of the food. Staff gave help to those that needed it and took time to talk to the residents whilst doing so. Care Homes for Older People Page 17 of 29 Evidence: Residents and the chef conformed that fresh fruit and vegetables are provided. There is a food committee where residents are able to give their views on the food and contribute to the menu planning. Care Homes for Older People Page 18 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. The home has an effective complaints procedure and steps are taken regarding any possible harm to residents. Evidence: The homes complaints procedure is contained in the homes Statement of Purpose, which is provided to each person at the time of admission. Residents confirmed that they know what to do if they have a complaint and that there is someone available to speak to on an informal basis if they are not happy. Residents also said that any concerns or issues about life at the home are dealt with promptly when raised. There have been no complaints since the home registered in August 2009. Staff receive training in safeguarding vulnerable adults from possible harm. This was evidenced from training records, staff surveys and interviews with staff and from the manager. The service has its own safeguarding policy for vulnerable adults and guidance for staff on dealing with any suspected abuse. The home has its own whistle blowing policy regarding any concerns that staff may have. Care Homes for Older People Page 19 of 29 Evidence: 6 staff have attended training run by Hampshire county Council on the Mental Capacity Act 2005. There are plans to extend this to other staff. Care Homes for Older People Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well maintained, clean and homely environment that is of a very good standard. Evidence: The communal areas and a sample of bedrooms were seen. Each person has his or her own bedroom. 2 bedrooms have their own en suite shower and all but 3 rooms have an en suite toilet. 5 bedrooms have balconies and 3 have a ground floor private terrace. Rooms have views across the homes gardens, which have flowers and trees, to the countryside. Three people said how much they enjoy looking at the gardens and countryside. Two people commented on the abundance of wildlife and one person had his/her own bird feeder close to the window. Bedrooms have may items of personal possession such as decorations, pictures, furniture and equipment so that hobbies and interests can be maintained. Call points are provided in each bedroom and there is a secure place for residents to store their valuables. Communal areas include 2 lounge areas and a dining room. Residents were observed using these areas. The garden has seating and level areas so that residents can make use of the facility. Care Homes for Older People Page 21 of 29 Evidence: There is a passenger lift which serves all floors. A second passenger lift has been installed since the last inspection visit. There are communal bathrooms and toilets including 2 hydrotherapy baths. Sluice facilities are available on the first and second floor. Furniture and decor was found to be intact and in a good state of repair. The home is clean and there is an absence of any unpleasant odours. Staff receive training in infection control. The following comments were made about the environment: It couldnt be any better. The home is always spotlessly clean and the rooms and communal areas are of a high standard. Care Homes for Older People Page 22 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. The home provides a well trained staff team supplied in sufficient numbers to meet residents needs. Recruitment procedures are of an excellent standard and protect residents. Evidence: The home aims to provide the following staffing levels: 8am to 2pm, 2 Registered General Nurses and 7 health care assistants. 2pm to 4pm, 2 Registered General nurses and 4 health care assistants. 4pm to 8pm, 1 Registered General nurse and 4 health care assistants. Night time staff consists of the following waking staff: 1 Registered General nurse and 3 health care assistants. Examination of the rota and observation show that these staffing levels are being maintained. In addition to the above staffing are the following; activities organiser 38 hours a week, a social carer 28 hours a week, waitresses 10am to 6pm each day, a chef and kitchen assistant 7 days a week, a laundry assistant for 5 hours each day, 102 hours of domestic staff a week, a maintenance person 2 days a week and a gardener for 1 day a week. The names of the staff on duty for the day are displayed on a notice board in the hall. Care Homes for Older People Page 23 of 29 Evidence: Staff report that there are sufficient staff on duty to meet residents needs. One staff member said there should be an additional Registered General Nurse on the staff team. Residents said that staff are available when they need them. Staff receive an induction when they start work. This was confirmed form staff surveys and discussions with staff and the manager. Records of induction training for newly appointed staff were seen. the home employs 22 health care assistants and 7 Registered General Nurses. 10 of the 22 health care staff have National Vocational Qualification (NVQ) level 2 or above. 2 staff are trained at NVQ level 3 and 4. At the time of the visit 2 health care assistants were completing NVQ level 2. 50 of the staff have completed training in dementia and 50 in customer care. There is mandatory training for staff in fire safety, moving and handling, food hygiene for those who handle food, contamination by substances hazardous to health (COSHH), infection control and safeguarding vulnerable adults. Additional training is provided for staff based on individual training needs and includes: palliative care, emergency resuscitation, diabetes, use of syringe drivers, Parkinsons disease, equality and diversity and end of life care. There are plans for staff to attend the following training in the near future: death and dying, creating and leading a team, conflict management, delivering community care needs and decency, dignity and ethics. Staff confirm that they receive training which is relevant, helps them to understand the individual needs of residents, gives updates on new ways of working and knowledge about health care and medication. Staff made the following comments: Everyday we get a clear report about individual residents and discuss between us how to improve the care. We have good team work. There are robust systems of communication between staff. Clear allocation of roles and duties to optimise care delivery. Excellent and varied training with regular clinical supervision. Lots of training and support by the manager and staff team. Recruitment procedures were checked for 4 recently appointed staff. These show that staff only start work after the required checks have been completed. This includes obtaining 3 written references for each person. Care Homes for Older People Page 24 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 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 well managed with excellent systems for auditing its own performance as well as including residents in decision making. The health and safety of residents is promoted. Evidence: The manager is a Registered General Nurse. She has completed a foundation degree in Care Home Management as well as other courses such as a 4 day Health and Safety course run by the institute of Occupational Health and Safety, managing discipline and grievance, time priority management and a course enabling her to train other staff in specific subjects called Train the Trainer. The manager is in turn supported and supervised by the organisations management team who make frequent visits to the home. Staff describe the manager as supportive and helpful. Residents also commented that Care Homes for Older People Page 25 of 29 Evidence: the manager is helpful. The home has a number of methods for checking its own performance. Surveys are used to ask residents what they think about the activities, the food and the service provided. Residents confirmed that they had completed these surveys. The manager holds a surgery where residents and relatives can raise any concerns. There is a comments and suggestions box in the entrance hall. The home has a quality audit file showing that a 3 monthly check is made on the home by the organisations operations manager with an associated action plan if anything needs addressing. In addition to this a monthly visit and report on the homes performance is completed by the operations manager. Regular audits and checks are carried out and recorded and include the following: night review where an unannounced spot check is made to the home by a member of the management team, accident analysis, call point audit each week, an audit of 10 per cent per cent of care plans each month, a housekeeping audit and action plan, a food safety audit, monthly medication audit and a laundry audit. Residents are involved in the planning of the home via the residents meetings and the food committee. The home looks after some of the residents money and valuables. Records are kept of any amounts including the dates and amounts deposited. This was checked and the amount recorded matched the amount held. Where any valuables are looked after a record is made and a receipt given each time anything is given or returned. Staff receive regular supervision. This was confirmed from staff in surveys and in discussion as well as from records. Regular staff team meetings take place. The AQAA shows that the appliances and equipment are tested and serviced by suitably qualified persons. staff receive training in first aid, resuscitation, food hygiene, infection control and moving and handling. 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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