Inspection on 15/01/10 for Edgelea Care Home Ltd

This is the latest available inspection report for this service, carried out on 15th January 2010.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Edgelea Care Home Ltd 14/10/09

Edgelea Care Home Ltd 06/08/09

Edgelea Care Home Ltd 03/03/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 11/04/2010.

Key inspection report Care homes for older people Name: Address: Edgelea Care Home Ltd 14-16 Half Edge Lane Eccles Manchester M30 9GJ     The quality rating for this care home is:   one star adequate 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: Val Bell     Date: 1 5 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 32 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 32 Information about the care home Name of care home: Address: Edgelea Care Home Ltd 14-16 Half Edge Lane Eccles Manchester M30 9GJ 01617890430 01617896000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Edgelea Care Home Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of people who can be accommodated is: 37 The registered person may provide the following category of service only: Care home with nursing - Code N To people 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 - Code OP Physical disability - Code PD. Date of last inspection Brief description of the care home Edgelea Nursing Home provides nursing and residential care for 37 older people or people with physical diabilities. Accommodation within the home is situated on the ground, first and second floors in single and double rooms. There is car parking space available at the front and the side of the home but this space is unsuitable for people to sit out in. Roof space has been converted to a roof garden. There is a Statement of Care Homes for Older People Page 4 of 32 Over 65 37 0 0 37 1 6 1 1 2 0 0 9 Brief description of the care home Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what people can expect if they decide to live at the home. The current fees for this service can be obtained by contacting the manager at the home. Care Homes for Older People Page 5 of 32 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out by two inspectors over two days. The manager was not informed beforehand that we were coming to visit. During our visits we spoke to people living in the home, the manager and members of the staff team and health and social care professionals that were visiting at the time. We examined various records relating to the care that was being provided to people living in the home. We also walked round the home to determine if it was clean, hygienic and a safe place to live. The manager had completed and returned an Annual Quality Assurance Assessment (AQAA) to us before our visits. This document is a self-assessment of how well the manager and staff consider they are meeting the National Minimum Standards. We also considered information that we had received about the home from health and Care Homes for Older People Page 6 of 32 social care professionals since our last visit in 2009. Care Homes for Older People Page 7 of 32 What the care home does well: What has improved since the last inspection? Significant progress had been made towards meeting the outstanding requirements from the last inspection. Each person living in the home had their needs reassessed and their preferences for how their care and support should be provided had been recorded. This information had then been developed into plans of care for 16 of the 22 people accommodated. Detailed risk assessments had been undertaken and clear guidance provided to inform staff what they must do to keep people safe from harm. A new computer-based system had been provided to investigate complaints and we saw evidence that this was being managed well. The required improvements had been made to the environment and equipment used in the home had been subject to regular servicing and maintenance. Concerns relating to hygiene and control of infection within the home had been dealt with to the satisfaction of the infection control team. We found that good hygiene standards were being maintained. Additional domestic staff and the recruitment of an activities co-ordinator had resulted in positive life experiences for people living in the home. During our visits, people were enjoying a variety of activities that provided stimulation and interest. We found that careful attention had been paid to ensuring the required checks were obtained before new staff were confirmed in post. This ensured that the staff selected were suitable to work with vulnerable adults. The manager had conducted assessments of the training needs for each member of staff employed to work in the home and a programme for the supervision of individual staff was in place. A training plan was being developed to meet identified needs in this area. Staff told us about the training they had received and future courses that they would be attending. All care staff had been registered on National Vocational Care Homes for Older People Page 8 of 32 Qualification courses at level 2, with nursing staff enrolled at level 4. Improvements had been made to the way the finances of people living in the home were managed. Small amounts of spending money held on peoples behalf had been fully accounted for and records had been subject to regular audits. Requirements made by the fire officer in 2009 had been addressed to their satisfaction. 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 9 of 32 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 10 of 32 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 11 of 32 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. Edgelea has a good system in place for assessing the needs of people moving into the home and the process ensures that individuals can express their preferences for how their care is provided. Evidence: Edgeleas Statement of Purpose and Service User Guide had not been reviewed since our last visit. This would need to be done as a new manager was appointed six weeks prior to our visit. It is important that the information in these documents is kept up to date. This will ensure that people enquiring about the service can base their decisions about moving into the home on accurate information. The AQAA completed by the manager told us that people have thorough assessments of their needs before they move into the home. The home was currently closed to new admissions so we looked at the care records belonging to two people who had lived in the home for some time. It was pleasing to find that since the managers Care Homes for Older People Page 12 of 32 Evidence: appointment, each of the two people had received a re-assessment of their needs. Both assessments contained good information each individuals health and personal care needs, their likes, dislikes and preferences and risks to the safe delivery of care had been identified and documented. It was particularly encouraging to find that the manager had worked a shift with night staff to undertake assessments of peoples care needs during the night. Both assessments gave a clear picture of the support that each person needed during a 24-hour period. Edgelea did not provide an intermediate care service. Care Homes for Older People Page 13 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Despite improvements in care planning, peoples specific support needs are not always clearly identified. This potentially places their health and welfare at risk of not being consistently met. Evidence: We asked the manager what action had been taken to address the concerns with care planning, highlighted during our last visit. She told us that she had reviewed and updated 16 of the 22 care plans so far. Priority had been given to managing risks. We were unsure how effective care planning would be if staff had not been fully involved in their development. The manager explained that her priority had been to ensure that care plans were up to date so that she could monitor the care being provided. She planned to provide care plan training for all staff and once she was confident that staff understood what was expected of them, she would hand management of the care plans over to the staff team. She would then continue to monitor their effectiveness and utilise outcomes for discussion within supervisions and staff appraisals. We examined two of the care plans that had been reviewed. Needs identified during Care Homes for Older People Page 14 of 32 Evidence: the recent reassessments had been formulated into plans of care that detailed how the persons needs would be met according to their stated preferences. Risks had been carefully assessed and instructions provided for what staff must do to keep people safe from harm. It was pleasing to find that referrals had been made to relevant health care professionals for advice on how individuals specific needs should be met. Examples included referrals for speech and language therapy, dietician and tissue viability services and podiatry and wheelchair assessments. Care plans had been drawn up to meet peoples social and emotional needs and we found evidence of a varied and stimulating programme of social events in progress. The manager was monitoring the outcomes of care and support on a weekly basis. We spoke to two reviewing officers, from the Primary Care trust and Social Services, who were visiting while we were in the home. They had undertaken a joint review of the care provided to a person living in the home. They told us that they had found some improvements, although they had concerns about the standard of recording in relation to pressure area care. The manager pointed out that the care plan in question had not yet been subject to review. However, this should not have affected the manner in which staff record the treatment and care provided. While care planning had generally improved we found further shortfalls that needed to be addressed. One care plan for pressure area care stated, change position regularly. This lacks the detail to ensure that the persons skin integrity is maintained. There must be clear instructions for determining how often the person is assisted to change position, such as every hour/two hours etc. One of the communication care plans lacked detail. It referred to providing social stimulation but did not inform the reader what type of social stimulation the person preferred. The review of this care plan also lacked detail. It recorded the following, Care plan remains effective. Reviews must contain sufficient detail to describe the actual progress that the person has made during the previous month. This is essential in providing evidence of the action that is being taken to ensure the persons needs are being met. It was pleasing to find that this persons health had improved as a result of good care and support in relation to their diet. The persons dietician told us that she was satisfied with the care her patient had received in the home. However, we were concerned to find that the frequency of baths recorded, was inconsistent with the persons choice as stated in the care plan. On one occasion, no bath had been recorded for 11 days. Due to this persons specific health needs this potentially placed their health and welfare at risk. Care Homes for Older People Page 15 of 32 Evidence: Throughout our visit we observed staff interacting well with people living in the home. Staff addressed people by their preferred names and provided personal care support in private. As part of the inspection a pharmacist inspector visited on 14th January 2009, to check how medicines were being handled. This was because we found some serious shortfalls on our last visit that resulted in us issuing a legal notice requiring the home to make urgent improvements. We checked medicines records, medicines stock and looked at a sample of care plans. Overall we found general improvements in the recording of medicines but still found some people were not being given their medicines at the right and best time. Records of medicines received into the home, given to people and disposed of were usually signed and up to date. We saw regular recorded checks that were carried out weekly and monthly to make sure staff were giving and recording medicines correctly. When any mistakes were found action was taken immediately to help prevent them happening again. All nursing staff had attended medicines training in the last month and a programme of competency assessment had been started by the new manager. We gave some further advice about how to make it easier to check medicines have been given to people correctly because the current stock control system was not efficient for medicines being carried forward at the beginning of a new month. The manager told us that a new system of running stock balances was to be introduced. This would help identify any mistakes and help make sure staff were handling medicines safely. We checked the last records of medicines disposed of and found some recording mistakes. These mistakes happened because staff had not made accurate records of medicines that were not given, for example, if they were refused. We gave some advice about how this could be improved and how to improve the general recording and storage of medicines that are no longer required. Detailed records and secure storage help prevent the misuse and mishandling of medicines. Our detailed checks of the current stocks and records showed medicines were usually being given to people correctly. However, we found some medicines were not being given at the right time in relation to food intake. Medicines that needed to be given before food were often given with or after, which could stop them working properly. The medicines round was taking up to three hours to complete, which was the reason some people were not always receiving their medicines at the right and best time. The manager said an extra member of staff was to be employed to help out in the morning Care Homes for Older People Page 16 of 32 Evidence: and immediate action was taken to reorganise the medicines so they would be given at the right time. We checked how controlled drugs (medicines that can be misused) were handled. The cupboard used for storage was not properly attached to the wall so it did not meet the requirements of the law. A special register was used for record keeping. Stock levels were correct and all entries were properly witnessed. Secure storage and witnessed records help prevent the misuse and mishandling of controlled drugs. Care Homes for Older People Page 17 of 32 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities are both well managed and provide daily variation and interest for people living in the home. Evidence: Since we last visited Edgelea a full-time activities co-ordinator had been recruited. We asked this member of staff what interest and stimulation are provided for the people accommodated. We were told that following her appointment, she carried out social needs assessments for each person living in the home. From this information an activity schedule was developed to provide activities that appealed to the preferences of people living in the home. Regular events included birthday parties, music therapy, visiting entertainers and trips to places of interest. We were told that research is being undertaken into suitable activities for sensory stimulation for people living with dementia to participate in. Arts and crafts had proven popular with some of the people and we saw several individuals engaging in their chosen hobbies during our visit. We also noted that a priest attended during the afternoon to administer Communion to several participants. The activities co-ordinator had also taken responsibility for improving communication between staff, service users and their relatives. To achieve this she had arranged Care Homes for Older People Page 18 of 32 Evidence: regular meetings, where suggestions for improvement and feedback on outcomes could be discussed. This had been useful in resolving any concerns at an early stage, preventing the need for people to make formal complaints. After each meeting an action plan had been drawn up to ensure that issues raised would be dealt with before the next meeting. This constitutes a significant improvement in communication and was an example of best practice. Feedback from relatives was positive. Several remarked that people living in the home have become much more aware and have improved their skills in communication. We asked the chef about the meals provided. Menus showed that people were afforded a choice of nutritious meals. The chef had a good understanding of each persons dietary needs and she liaised closely with dieticians and speech therapists to ensure that people were receiving good nutrition. We saw evidence that people were able to eat their favourite foods as an alternative to the choices provided on the menu. One of the care plans we looked at told us that the person had progressed from being fed through a PEG tube to eating a soft diet and drinking normally and had resulted in the person gaining weight. This person told us that she was enjoying her food now and that the chef makes sure her favourite foods are always available. Care Homes for Older People Page 19 of 32 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. There are good procedures to enable the people living in Edgelea to express their concerns and be listened to. Their rights are protected and they are safeguarded from abuse. Evidence: The AQAA told us that the home had received seven complaints in the previous year. The home had invested in a software programme for managing several administrative tasks, one of these being complaints. The manager showed us how this worked. The details of the complaints were recorded and the system produced letters for responding to complainants and prompts for managing complaints within agreed timescales. This was a significant improvement since our last visit and it provided us with evidence that complaints were being managed well. We asked two people if they knew who to talk to if they had any concerns or complaints. One person said she would tell a member of staff and the second person said she preferred to speak to the manager. Both people confirmed that their concerns were dealt with appropriately. We asked the manager about the procedures for safeguarding people living in the home from abuse. She said that there was zero tolerance of abuse within the home and that staff had received refresher training so that they had the skills and knowledge to recognise and deal with potential abuse effectively. The staff we spoke to confirmed this and they were able to demonstrate a good understanding of what constituted abuse and what action should be taken. Edgelea had adopted Salford Care Homes for Older People Page 20 of 32 Evidence: Social Services policy and procedures on safeguarding vulnerable adults as the operational policy for the home. The AQAA told us that three safeguarding referrals had been made to the local authority and that two of these had been investigated. Care Homes for Older People Page 21 of 32 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. Edgelea provides a clean, comfortable and pleasant environment for people using this service. Evidence: We undertook a tour of the home to assess improvements that were required to be made following our last visit to Edgelea. Chairs, carpets and essential equipment had been replaced as required and new dining tables and chairs had been provided in the conservatory. At the time of our visit, however, the dining facilities were not in use, due to difficulty in maintaining a suitable temperature during the current cold weather. The manager and handyperson told us that a heating and air-conditioning unit was on order and due to be installed the week after our visit. The equipment would solve the problem of fluctuating temperatures during hot and cold weather spells. Domestic assistance in the home had been increased since our last visit. We found the home to be clean and hygienic with no unpleasant odours present. Staff had received refresher training in infection control and the requirements of the infection control improvement plan had been met in full. A suitable laundry system was in place. The area was clean, hygienic and well organised. Care Homes for Older People Page 22 of 32 Evidence: We asked the handyperson about the homes development plan. He told us that contracts had been taken out for the regular servicing and maintenance of the homes equipment. Work had not yet begun on the roof garden, but planning was in place to improve this area by the summer of 2010. The plan involved replacing the surface and providing suitable garden furniture and shading. He had consulted the activities coordinator about ideas for sensory equipment in the garden area for the benefit of people suffering from dementia. We will assess progress on this the next time we visit Edgelea. Three people living in the home told us that they were pleased with the improvements to the environment. One person said, Its looking much better now, especially the dining room. Care Homes for Older People Page 23 of 32 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. Improved staffing arrangements, recruitment and training ensure that people are cared for and supported safely. Evidence: We examined the personnel file for one member of staff appointed since our last inspection. A full set of satisfactory pre-employment checks had been undertaken prior to confirming this person in post. This means that the home is complying with the requirement to vet new staff to ensure that they will be suitable to work with older people. There were sufficient numbers of staff on duty to meet the assessed needs of the people accommodated in Edgelea and rosters provided evidence that sufficient staffing levels were being maintained. An additional nurse had been deployed to help administer the morning medication to people. This action had been taken in response to the findings of the pharmacy inspection the day previously. The manager had developed a robust system for the training and development of staff. Since her appointment six weeks previously, she had assessed each member of staffs training needs and was in the process of assessing their competency to undertake the tasks associated with their roles. All care assistants had been registered on a National Vocational Qualification (NVQ) programme and the nursing staff had Care Homes for Older People Page 24 of 32 Evidence: been enrolled to undertake NVQ level 4. During our visit we observed interactions between staff and the people accommodated. Staff were seen to spend time talking to and assisting people with various activities of daily living. They referred to people in a respectful manner and addressed them by their preferred names. The people we spoke to said that they liked the staff and one person commented, They are kind and help me when I need it. Staff praised the improvements that had taken place since the new manager had been in post. One member of staff said, Morale has increased. The manager listens to us and takes on board our views. We receive good support and we can ask for any training that we need. Care Homes for Older People Page 25 of 32 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. Edgelea is being managed in the best interests of the people who live there and their welfare is promoted and safeguarded. Evidence: A manager had been appointed six weeks prior to our visit. She had relevant experience in working with older people and was a qualified nurse. We expect the manager to submit an application for registration with the Care Quality Commission. The manager was working to an action plan for improving the quality of the service provided to people living in the home. The progress made to date has been detailed under the various headings in this report. A quality assurance system was being developed to measure the quality of outcomes experienced by people using the service. Communication between staff, people using the service and their relatives had significantly improved through the introduction of regular meetings. People were able to express their views on the service and make suggestions for improvement during these meetings and records provided evidence Care Homes for Older People Page 26 of 32 Evidence: that prompt action had been taken to take peoples suggestions on board. This system should be further developed by issuing satisfaction surveys to people using the service, their representatives and health and social care professionals. This will afford people the opportunity to express their views anonymously. We saw evidence that the provider for this service was conducting monthly Regulation 26 visits as required during our last inspection. The reports produced from these visits clearly identified the progress on improvements made to the quality of the service. Since our last visit, improvements had been made to how peoples personal finances were being managed. This function had been passed to the client affairs department at Salford Council. Small amounts of spending money held in the home for several people were being fully accounted for, with records held on the homes computer system. These accounts had been subject to regular auditing by the manager and quarterly reports were being submitted to Salford local authority. The manager provided us with evidence that the outstanding requirements from the fire officers inspection report from March 2009 had been addressed. No health and safety issues were found during our visit. Care Homes for Older People Page 27 of 32 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 28 of 32 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 1 1 4 Edgeleas Statement of Purpose must be reviewed to ensure that it contains up to date and accurate information. It is important that people enquiring about Edgelea, can base their decisions on whether to use the service on accurate and up to date information. 15/03/2010 2 1 5 Edgeleas Service User Guide must be reviewed to ensure that it contains accurate and up to date information. It is important that people enquiring about Edgelea, can base their decisions on whether to use the service on accurate and up to date information. 15/03/2010 3 7 15 Care plans relating to pressure area care must contain sufficient detail to 15/02/2010 Care Homes for Older People Page 29 of 32 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 provide evidence that peoples needs are being consistently met. To ensure that people are receiving the right amount of treatment and care to keep them well. 4 9 13 Controlled drugs must be stored in a cupboard that meets the requirements of the law. This will help prevent mishandling and misuse. 5 9 13 Medicines must be given to people at the right and best time for them. 28 day timescale This is important to make sure they work properly. 6 31 9 The manager must submit an application for registration with the Care Quality Commission. In order to assess that the manager is a fit and competent person to manage a care home for older people. 15/04/2010 11/02/2010 11/04/2010 Care Homes for Older People Page 30 of 32 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 33 Edgeleas system for quality assurance should include the option for people to express their views anonymously. Care Homes for Older People Page 31 of 32 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 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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