Care Home: Woodside Lodge Resource Centre

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What the care home does well The staff provide a calm, relaxed and happy atmosphere, where the needs of people who use the service always come first. Staff take time helping people, and encourage them to maintain their independence. Comments made by the families of people who use the service included: `Thankyou to you and all your staff for the excellent care Mum`s receiving.` `Extremely happy with the level of care.` `Very well run and its a pleasure to see the kindness shown to residents by staff.` `I couldn`t praise them (staff) enough.` `I have never heard anyone shout or be short or impatient with people.` Activities have been developed that specifically meet the needs of people with dementia. These are for short periods of time, in small groups or one to one support. People are able to do familiar tasks such as dusting. joining in reminiscence or singing, or just spending time sitting with staff in the sensory room. Time is also spent providing entertainment that helps people remain orientated in time. For example, recent celebrations have included remembering Mother`s Day and Easter. People are able to have new experiences such as themed weeks which include tasting food from other countries. Trips out are organised in small groups so people do not feel overwhelmed and can enjoy the day. Staff have access to good training that enables them to provide the support people need. They are encouraged to obtain qualifications and feel they have the skills they need to provide good care. What has improved since the last inspection? The environment is being renovated. New windows and carpets have been fitted. The registered manager continues to try and improve the environment for people with dementia. Recent improvements have included the provision of an activities room and small enclosed garden area, where it is hoped people will be able to do some gardening. Pictures have been added to various rooms to help people find their way round the home. What the care home could do better: The registered manager identified in the AQAA she hopes to recruit more volunteers to provide more flexibility in the activities and support offered to people who use the service. No requirements were made as a result of this inspection visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodside Lodge Resource Centre Wimpson Lane Maybush Southampton Hants SO16 4PS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Patricia Trim     Date: 1 6 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Woodside Lodge Resource Centre Wimpson Lane Maybush Southampton Hants SO16 4PS 02380776141 02380512464 catherine.mearns@southampton.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southampton City Council care home 27 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: 27 The registered person may provide the following category/ies of service only: Care home only (PC) 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) Date of last inspection Brief description of the care home Woodside Lodge provides long stay or short stay residential services to 27 older people who have may have varying degrees of dementia. All accommodation is provided on the ground floor and all bedrooms are single. The home is situated approximately 2 27 0 Over 65 0 27 Care Homes for Older People Page 4 of 28 Brief description of the care home miles from Southampton City centre on main bus routes and adjacent to local shops. The fees are 474 pounds 18 pence per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The information used to write this report was obtained in the following ways. We looked to see if we had received any complaints about the home and found that we had not. We also looked at any information the home had given us about what might have happened since we visited. We used some of the information the provider gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who have used the service the care that they want. A five and a half hour visit was made to the home by one inspector to carry out a key unannounced inspection. During the visit time was spent talking with relatives of two Care Homes for Older People Page 6 of 28 people who use the service to get their views about it. Three people who use the service were spoken with to find out what they thought about the home. However, many of the people living in the home are not able to express their views about the care they receive, so time was spent observing staff practice and the interactions between people who use the service and staff. There was also an opportunity to get the views of two members of staff who worked in the home. Time was also spent discussing the providers plans for the home and looking at the environment. A random selection of documents was viewed. Four people who use the service were case tracked. This means their records were looked at to see how the provider identified their needs and made sure they were met. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Older People Page 8 of 28 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A detailed admission procedure makes sure people who want to use the service will only be offered a place if the service can meet their identified needs. Evidence: The AQAA recorded that everyone had an assessment of need completed before moving in to enable the registered manager to make sure the service could meet their identified needs. The files of four people were viewed and each found to contain detailed information about what the person could do and what they needed help with. For example, if they could manage washing and dressing independently, needed prompting or needed staff to help. People coming for a short stay had an assessment of need completed before their first stay. This is reviewed before each visit to make sure any changes in need are identified and the care plan updated accordingly. Care Homes for Older People Page 11 of 28 Evidence: The initial assessments are kept under review, with a range of tools used to monitor any changing needs. Care plans are then amended to give staff the guidance they need to manage these changes. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive care plans enable people who use the service to receive the care they need in the way they like it. People who use the service are able to have their health care needs monitored and met. Staff have the training and guidance they need to enable them to manage medication safely. Evidence: Each person has a detailed plan of care completed using the information obtained through their assessment. These identify what support a person needs in each aspect of their personal care and also what they can do for themselves. For example, one person was able to wash and dress themselves independently, but needed to be reminded to do so. Each plan was reviewed on a monthly basis using a range of tools to assess whether someones care needs had changed. Plans were then amended to reflect this change. For example, one person now needed a much higher level of personal care support. Staff hours had been increased to provide this support and a meeting arranged with health care professionals and relatives to review their long term care needs. Care Homes for Older People Page 13 of 28 Evidence: The AQAA recorded the home had regular visits from the dentist and chiropodist. Daily records confirmed people who use the service had regular visits from these and other health care professionals such as the community health care and mental health care teams. Records were kept of all health care visits and appointments and the registered manager said a new system had been introduced to make it easier to find this information. Visitors to the home confirmed their relatives were able to see their doctor if they were unwell and staff were heard arranging a visit for someone they were concerned about. The AQAA recorded that only senior staff were permitted to give out medication and that they were given the training they needed to be able to do this. The senior staff on duty confirmed she had completed a 2 day training course and attended regular refresher training. Her training record confirmed this. The senior staff member was observed giving out medication during the morning. She took each persons medication to them and watched to make sure it was taken. She then completed the medication record. Medication was stored safely in a locked trolley which was taken round the home when it was needed. A record was kept of all medication received into the home and any given to the pharmacist for distruction. Separate records were kept for people coming to the home for a short stay, with unused medication being returned to their homes. People who use the service were seen being supported with dignity and respect. Staff were heard explaining to people what was happening and then giving them time to complete the task. For example, one person found it hard to take their tablets. The staff member sat with this person, encouraging her to eat and drink between taking the tablets. When she could not take one the staff member contacted the doctor to see if an alternative could be found. Another person came into the lounge in their nightclothes. Staff said this person liked to get up for a short while, then go back to bed. They felt this was the persons choice and were confident the person would ask when they wanted help with dressing. Staff were also seen helping people to eat independently by using hand over hand to guide the person to begin eating. As soon as the person remembered what to do, staff let them do it for themselves. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to make choices about how they spend their time. They are offered activities that provide mental stimulation and that they enjoy and a choice of meals they like. Evidence: The routines of the home are organised to enable people who use the service to follow their own preferred daily routine. Staff said the home had to be run for the benefit of the people who used the service, not the staff and it was evident that this philosophy was actively put into practice. Each care plan records the persons preferred daily routine, such as what time they like to get up and go to bed. People were seen throughout the morning getting up when they wished and spending time where they chose. Previous interests are recorded with guidance for staff on how to support the person maintain the interest. For example, one person liked to watch sport on television. Staff were instructed to tell him what was on and to go with him to the television room to make sure he could watch it. Another person liked singing and the plan recorded they were to have the opportunity to do this each day. Care Homes for Older People Page 15 of 28 Evidence: The home is set out so that people may wander freely round it. There is a range of different areas where people can spend time, such as a room with a television, quiet rooms, an activity room and a sensory room. Staff explained a large part of their role was to spend time with people, helping them with activities and talking with them. There is a four week activity plan, and information about each day is displayed at various places throughout the home. The activities provided are offered for short periods of time in small groups. This is specifically designed to meet the needs of people with dementia. Throughout the day, staff were seen spending time with small groups or offering 1 to 1 support. People were able to spend time with staff in the activity room, taking part in reminiscence, singing in a small group, spending time chatting in the sensory room. The home also has a hairdressing room, so people can feel they have actually gone to the hairdressers. Part of the garden has been sectioned off to provide an area where people who use the service and staff will be able to grow plants and do gardening. Walls throughout the home have textured pictures added so people may touch these as they walk round the home. Pictures and symbols that have meaning to the person have been used to help them identify their own room and find their way there independently. The home also organises trips out and themed days to provide entertainment. Pictures of recent activities are shown throughout the home. When these are superceded by new events, the pictures are put in photo albums so people who use the service and their families can still look at them when they want. Recent entertainments have included a trip to Beaulieu. The registered manager said trips are always arranged in small groups with a high level of staff support to make it enjoyable for people who use the service. An entertainer visited the home, and recent celebrations included Spanish week, Mothers Day and Easter. Visitors to the home felt the staff knew what their relatives liked to do. Comments included: Her care plan identifies all her needs. She is able to dust her room and potter round in it. She loves going out in the garden. They have made her more independent. She sits to the table and has her own drink which she could not do before. I couldnt praise Care Homes for Older People Page 16 of 28 Evidence: them enough. and I have been coming here since December. I am always made welcome and given information about my relative. Visitors came to the home throughout the day and were made welcome by staff. They confirmed they were invited to join the regular parties and celebrations. The registered manager said she was trying to recruit more volunteers to come to the home and spend time with people who use the service. At the moment two volunteers regularly visit and spend time chatting with people. Spiritual needs are discussed before admission and guidance for staff recorded in the care plan. The home is regularly visited by a minister and the registered manager said arrangements would be made for anyone to have the spiritual support they needed. People who use the service are invited to choose their meals the day before. A range of photographs have been made to help people identify what is offered. Staff explained that people often forgot what they had chosen. This was not a problem as they were able to choose the alternative or anything else they wanted when the meal was served. A list of likes and dislikes is recorded on admission and the cook said she referred to this when looking at meal choices. The home has a four week menu plan to provide a balanced diet. The cook said that fresh fruit and vegetable were used as much as possible. A basket of fruit is offered to everyone after the main meal each day. Puddings and cakes are home made. The cook said that at present no-one required a special diet, although she was able to provide puddings and cakes made with sugar substitute for people with diabetes. She was aware of the cultural needs in respect of diet for one person having a short stay in the home. Mealtimes were relaxed and unhurried with people being supported to have their meals at their own pace. Staff sat with people who use the service, supporting them to be as independent as they could. Visitors commented on how well staff helped their relative retain their independence. One person commented how much the persons independence had improved since they had moved to the home. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to make complaints and can be confident their concerns will be listened to and investigated. Staff have the training and information they need to enable them to identify and report any allegations made in respect of safeguarding, which minimises the risks to people who use the service. Evidence: The service has a complaints procedure, a copy of which is displayed in the entrance hall. Everyone also had an easy read version in their bedroom. Relatives of people who use the service said they were aware of the procedure, which had been explained to them on admission. The AQAA recorded the service had received seven complaints since the last inspection visit. All had been investigated within the required timescale and one complaint upheld. The complaints file showed people who had made complaints had been written to after the investigation had been completed. There was no evidence to show they were dissatisfied with the outcome. The commission had not received any complaints about the service. Staff received training about safeguarding and two staff spoken with were able to show they understood the action they would need to take if they had concerns. The registered manager had shown her commitment to ensuring people who used the service were kept safe, by working with adult services and using the safeguarding procedure when necessary. Care Homes for Older People Page 18 of 28 Evidence: Risk assessment was used to manage situations where people who use the service might need to have care they did not want. The risk assessment included an agreement, signed by relatives, the care manager and other involved health care professionals, which identified why it was in the persons best interests that they have the care described. Staff had a clear procedure to follow, which gave guidance on how to minimise the required intervention. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to live in a home that provides a clean, safe, comfortable environment that meets their needs. Infection control measures in the home protect people who use the service from the risk of infection. Evidence: The building was not designed to provide care to the current client group, but care has been taken to make it as suitable as possible. The communal areas have been redecorated and are bright with interesting pictures on the walls. As stated in the previous section, photographs of recent activities are displayed, as well as textured pictures for people to touch and feel. New signage has been added to communal areas to help make it easier for people who use the service to find their way round independently. There are lots of areas for people to sit in. These are used so people can spend time doing things with staff, or watching television, or sitting quietly. There is also plenty of space for families to spend time visiting their relatives. Following a requirement made at the last inspection, windows are now being replaced and a renovation programme of the environment is being completed. Cleaners work in the home on a daily basis and have a cleaning rota to make sure all Care Homes for Older People Page 20 of 28 Evidence: areas are regularly cleaned. At the time of the visit the home smelt clean and fresh and visitors said it always did when they came. The homes laundry cannot be accessed by people who use the service as the entrance is protected by a keypad system. It has industrial washing machines and dryers that are capable of managing the high level of soiled linen. Staff were seen following their procedure when dealing with soiled linen and had access to disposable gloves and aprons. Staff have regular training in infection control. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported by well trained staff in sufficient numbers to meet their needs. A robust employment procedure minimises the risk to people who use the service. Evidence: Throughout the visit staff were observed supporting people at their own pace. The atmosphere in the home was calm and relaxed. The rota showed the normal staffing levels were four care staff on duty during the day time. During the morning of the visit, five staff were on duty. The registered manager explained this was because a temporary increase in staffing had been arranged to offer short term support to one person whose needs had changed. There are three staff on duty at night; two care staff and a care co-ordinator. One night staff, visiting the home during the day, said it was the policy of the home for all staff to work different shifts occasionally. She liked to visit during the day when she could, to meet people who use the service she might not normally see during a night shift. She explained her duties often meant making hot chocolate and playing music with people who were unable to sleep. Staff spoken with felt staffing levels were sufficient to meet the needs of people who use the service. They said the registered manager was able to call in extra staff when Care Homes for Older People Page 22 of 28 Evidence: needed and felt this enabled staffing levels to be flexible, providing increased support when required. Relatives of people who use the service were very impressed with the professionalism and caring attitude of the staff. Comments made included: I have been coming now since December. I have never heard anyone shout or be short or impatient with people. Staffing here is very good. I cant praise them enough. Staff spoken with felt the employment procedure was thorough and fair. Records showed staff were expected to complete a number of checks before being employed, including Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks, providing an employment history, references and attending an interview. Once employed, all staff had to complete an induction. This comprised completing a work record where their competence was assessed by a member of the management on each aspect of their care role. They also attended training courses. One record showed it had taken 3 months to complete the induction. Staff spoken with felt they had access to a wide range of training, which enabled them to provide a good standard of care to people who use the service. Training records showed staff had been able to attend training such as moving and handling, infection control and safeguarding. They were also able to attend training specific to the people with whom they were working, such as dementia care, sight and hearing loss, and the prevention of violence. To help people understand new legislation likely to have a major impact on the care of people with dementia, training had been arranged about the Mental Capacity Act and the Deprivation of Liberty. Staff felt they were encouraged and supported to achieve qualifications. The AQAA recorded that 53 of staff had completed a National Vocational Qualification (NVQ). One staff spoken with had completed hers and the records of two others showed they also had this qualification. The registered manager said it was the expectation that care co-ordinators would complete their NVQ 3 and the AQAA stated the last two were completing it. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run for the benefit of the people who use the service. Satisfactory systems are in place to monitor services and equipment so the risks of injury to people who use the service are minimised. Evidence: The registered manager has the experience, skills and qualifications to manage the home effectively. She continues to develop her practice, attending training days and working with other colleagues to understand the impact of new legislation on the care of people with dementia. Relatives of people who use the service and staff found her approachable and easy to talk to. The management of the service work hard to get feedback from people who use the service. Individual care is regularly reviewed by care managers, as well as by in house reviews completed on a monthly basis. Regular residents meetings are held, although the registered manager is keen to Care Homes for Older People Page 24 of 28 Evidence: develop a way of making sure feedback is inclusive and representative of the views of all the people who use the service. Annual surveys are sent to relatives of people who use the service, and the registered manager is introducing a survey to be sent every time someone has come for a short stay. Comments from surveys recently received showed peoples satisfaction with the care provided. Information is shared with families through a newsletter and notices on the board in the entrance hall. The service has a monthly visit from a representative of the provider. All aspects of the day to day running of the home are reviewed and a written record of the visit given to the registered manager. A copy of this is kept in the entrance hall for anyone to read. The AQAA recorded that any money belonging to people who use the service is handled in accordance with Southampton City Council policy and procedure. Each person has an account and are involced for any expenditure. If someone visiting for a short stay needs the service to look after a small sum, a record is kept of this and of any expenditure, together with any receipts. This is regularly checked. As stated in the staffing section of this report, staff receive regular mandatory training such as food hygiene, infection control and moving and handling. A record is kept so the registered manager can identify when refresher training is needed and arrange necessary training. Staff confirmed they had regular refresher training. The AQAA gave a list of service contracts and the dates equipment had been serviced. A random selection of these certificates were viewed which showed the regular maintenance of equipment protects people who use the service and staff from injury. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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