Inspection on 13/01/10 for Fairfield Residential Home

This is the latest available inspection report for this service, carried out on 13th January 2010.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fairfield Residential Home 18/08/08

Fairfield Residential Home 01/09/06

Fairfield Residential Home 30/08/05

Fairfield Residential Home 02/06/05

Fairfield Residential Home 09/12/04

Fairfield Residential Home 27/07/04

Fairfield Residential Home 05/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 28/03/2010.

Key inspection report Care homes for older people Name: Address: Fairfield Residential Home Fairfield 115 Banbury Road Oxford Oxfordshire OX2 6LA     The quality rating for this care home is:   two star good 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: Andy McGuckin     Date: 1 3 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 26 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 26 Information about the care home Name of care home: Address: Fairfield Residential Home Fairfield 115 Banbury Road Oxford Oxfordshire OX2 6LA 01865558413 01865513699 aliparry@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Management Committee of Fairfield care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 30 The registered person may provide the following category 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 category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Fairfield Residential Home is situated on the edge of Oxford city centre, and can be easily reached by bus, taxi, or on foot. It is also within walking distance of Summertown, a shopping area. Fairfield is currently registered for 30 older people. The house is a large town house with large grounds and gardens. The house has been extended over time to provide 30 single bedrooms, all with a sink and vanity unit, and 19 rooms have en-suite facilities. There is a small passenger lift to the first floor. People living at the home have the use of two small kitchens. Care Homes for Older People Page 4 of 26 Over 65 30 0 1 7 0 8 2 0 0 9 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: We looked at all the information that we have received, or asked for, from the home since the last key inspection. This included: A site visit to the home. Six staff members were involved in the inspection and six residents. No questionnaires were sent out to the service due to the limited timescales. The annual quality assurance assessment (AQAA) which was sent to us by the service has been included. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. It also provides information we have about how the service has managed any complaints and what the service has told us about things that have happened within the service, these are called notifications and are a legal requirement. The previous key inspection has been taken into account and the results of any other Care Homes for Older People Page 5 of 26 visits that we have made to the service in the last 12 months are included in the report. We have included relevant information from other organisations where this is available. Fees charged for the service can be obtained direct from the home. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. 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 7 of 26 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 8 of 26 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. The home is now producing good quality information to inform prospective residents and their families what the home has to offer and gives an insight into the daily life of the home. Evidence: The home has a statement of purpose, which is reviewed regularly and updated where necessary. This is included in the homes information pack which is given to prospective residents along with a copy of the terms and conditions of residency, their complaints procedure, an application form, a request for a medical overview from the GP, a copy of the homes latest inspection report and a list of the Management Committee names and addresses. This all forms the information given to residents prior to admission. Prior to the offer of a trial period for residency the Manager would assess the needs and wants of the person either at home or during a visit to Fairfield. Where possible the prospective resident would also be invited for a short stay to allow them to see how the home operates and to meet with the other residents and staff. Care Homes for Older People Page 9 of 26 Evidence: From past experience the home feels that this has proved a successful way of reassuring prospective residents of the homes commitment to providing appropriate care. This also gives residents an opportunity of testing the water before they begin the process of finally leaving their present home. The home does not provide intermediate care or nursing care. It does however offer short term respite care. This is often used as an assessment prior to admission. Records of all initial assessments are now kept along with copies of correspondence offering both short stay and permanent residency. All short stay visits are recorded and the needs assessments for these are kept. The manager undertakes another needs assessment during the one month trial period and this is used along with feedback from the resident to prepare a plan of care showing the residents preferences for how the care is to be delivered. Care Homes for Older People Page 10 of 26 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. The home is able to meet the assessed needs of the residents it cares for. Staff are trained and treat residents with dignity and respect Evidence: The home has policies, procedures and systems in place to ensure that residents are cared for in a structured way that meets with their expectations, wishes and needs. We looked at a random selection of six residents files which evidenced that individual plans of care are drawn up taking into account personal preferences, using a recognised needs assessment tool, nutritional screen, pressure area risk assessment and personal handling plan. Residents mental capacity is now assessed and recorded in line with recent legislation. The manager and senior staff undertake generic and individual risk assessments and these are recorded. Four residents and one relative were asked for their views on the home and all commented on the recent improvement and the fact that they had avenues in which to comment constructively on the home. The actions of the managers and staff were praised with residents feeling well cared for and treated with respect and dignity. A residents relative felt that she was always made welcome and that she often stayed and had a meal with Care Homes for Older People Page 11 of 26 Evidence: her relatives and other residents. Comments on the food varied but in the main food presentation and variety was good. Some residents would like more fresh vegetables and less potatoes. New care staff undergo induction training and all staff have mandatory training in health & safety and fire awareness. All care staff receive training in manual handling, basic first aid, safeguarding adults, mental capacity and deprivation of liberties, and for designated staff care and administration of medication including the management of controlled substances. Seven of the current staff have NVQ level 2 in care and two staff will be enrolled on the NVQ program early next year. Residents are encouraged to choose their General Practitioner from six surgeries surrounding the home and they are given access to other health care professionals when necessary. The designated staff administering medication have received the appropriate training and the storage of such medication meets with current guidelines. For those residents wishing to administer their own medication, the manager has undertaken a risk assessment and provided the resident with a cabinet with a lockable draw to enable them to keep their medicines safely. An inspection of the homes medication processes took place and was found to be robust with staff aware of their responsibilities. The homes policy regarding privacy and dignity states that they will provide individuals with their own bedroom and where possible their own toilet. The care staff must knock before entering a bedroom and await an invitation to enter. Residents are encouraged to have visitors whenever they wish and may invite guests for lunch or supper. If a doctor visits the home they are taken to the residents room and will see the resident in private. The home, where possible, gains the wishes and requirements of residents following serious illness or death. The home has a policy to underpin this which promotes dignity at all stages during illness and after death. The wishes of the resident is always taken into account and their relatives are offered support throughout the process. Access to the correct medical assistance is given and where possible residents are allowed to die at Fairfield with relatives and friends present. Funeral arrangements are followed in accordance with the residents wishes and members of staff are given the opportunity to attend the service. The home has received many letters of thanks for the treatment of residents who have passed away in the home. Care Homes for Older People Page 12 of 26 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. The home have consulted with residents on many areas concerning the way in which the home is run and the daily activities it offers. As a result of this consultation the home offers a wider range of opportunities to participate in daily life and social activities. Evidence: The home in consultation with residents has devised a varied program of activities and encouraged visitors to participate where possible. The activities are often seasonally related and are arranged according to the residents choices and taste. The home holds a Christmas party for residents their visitors and staff, this is usually in the evening and has always been very popular. A garden party is organised each summer and entertainment is included as well as drinks and summer themed canopes. There is a calendar produced each month advertising the activities planned. According to recent surveys and meetings held with the residents they have shown a preference for entertainment rather than participation led activity. On the day of the inspection a piano recital was taking place which was being enjoyed by many of the residents. The residents are encouraged to have visitors at their convenience and refreshments are offered to them. Guests may be invited for lunch and supper and there is a guest room available should a visitor wish to stay overnight. The home has a visitors policy Care Homes for Older People Page 13 of 26 Evidence: and this is displayed in the entrance porch. Visitors are requested to sign the visitors log upon arrival and when leaving the home. The home invites clergy from various religious denominations to visit the home to give services and communion. The staff have received training to enable them to understand and provide appropriate support to residents of other faiths, especially those requiring special facilities to enable their prayers and rituals. Again there are policies for privacy and diversity covering religious and cultural needs. Where possible the resident is encouraged to control their own financial affairs. Often when there are difficulties the family have already invoked enduring power of attorney. It is not the homes policy to look after residents monies. If necessary a resident can be given access to advocacy services. The manager oversees the kitchen staff and is responsible for putting together the seasonal menus. The residents are encouraged to participate in planning and they are asked to suggest meals and suppers. The food is cooked on the premises from fresh produce purchased locally. The residents are offered alternatives if the set menu is not to their taste or if their dietary requirements dictate. The cooking staff have undergone food handling and hygiene courses with the local authority and undertake health & safety and food hazard training.The residents have nutritional monitoring and screening and diets can be altered to ensure that they receive the appropriate levels of nourishment. Comments varied on the presentation and content of the food. With so many differing needs it is hard to please everyone but it would be beneficial if the home were to reassess residents satisfaction with the menu. Many residents are fairly independent and self sufficient. The less able residents would benefit from one to one time with the manager or deputy to be given the opportunity to say how it is for them. Care Homes for Older People Page 14 of 26 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 takes appropriate steps to ensure that residents and staff are safe within the homes environment and where hazards have been identified, appropriate steps have been taken to alleviate and minimise risk. Evidence: The home operates under current legislation and best practice policies in order to protect and promote residents rights. The home has a clear complaints policy and procedure on health and safety and the protection of adults, and this is displayed on all notice boards and included in the new residents information pack. Residents are encouraged to take part in the civic process and they are given the opportunity to have postal or proxy voting. Access to advocacy services can be facilitated. The manager has undertaken both generic and individual risk assessments to identify hazards and has put procedures in place to alleviate risk where possible and monitor any areas of concern. The Quality Assurance Audits and the residents meetings allow individuals to raise concerns or issues and they can choose to speak directly to the management committee or by completing an anonymous question and feedback forms. All complaints and concerns are taken seriously and investigated prior to any actions being implemented.We looked at the recent complaints/ concerns log which was up to date and issues had been addressed to mutual satisfaction. All staff are recruited using the recommendations and guidelines provided by the Care Homes for Older People Page 15 of 26 Evidence: regulators. A POVA search and Criminal Record Bureau Disclosure is sought. No staff are allowed to start their employment without the correct documentation being received by the home and references being taken. Where possible a complete work history is recorded. Once employment is commenced staff receive safeguarding adults and mental capacity training. Regular updates are given and under the supervision and monitoring policy any further support needed can be identified. All staff are made aware of the whistle blowing policy within the home and they know that they can use the complaints procedure to raise concerns. Staff records showed that all the necessary checks and references are taken up by the home prior to carers starting to work in the home. The manager and deputy operate an open door policy where residents can pop in and discuss issues with the managers. Not all residents would be able to take advantage of this. The manager informed us that she does a daily walk around and speaks to residents who prefer to stay in their rooms. Care Homes for Older People Page 16 of 26 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. Whilst not purpose built, the home offers a safe environment for its residents. The home is well maintained and furnished. All residents have access to private bathing and toileting. Evidence: The home is well maintained and set in large landscaped grounds. The management team and the committee work together to keep the standard of decor and maintenance as high as the structure of the building allows. The home was not purpose built, but improvements to the structure and layout of the home over several years have provided large and spacious rooms with plenty of comfort, heating and lighting. All residents bedrooms are single occupancy and where possible en-suite toilets or washing facilities have been provided. The communal areas are large and bright and are recently decorated with input from the residents. When a new resident is admitted, the bedroom they occupy is newly decorated to their taste and they are encouraged to use their own belongings to personalise the space. Where there are shared washroom facilities, these are spacious and well equipped with hoist chairs to allow for safe bathing. The heating is by gas fired radiators which all have appropriate safety covers and individual thermostat controls. The system is serviced annually. All lighting is of a high standard and the electrical circuits are checked by a recognised contractor every five years. Care Homes for Older People Page 17 of 26 Evidence: There is a legionaries disease risk assessment and management program in place. A recognised contractor monitors the water system regularly and monitors water samples annually. The manager has undertaken risk assessments of all areas of the home and these are reviewed annually. Domestic staff are employed to keep the home clean, comfortable and free from odour. The residents are encouraged to participate in keeping their rooms clean and tidy with assistance from the staff. There are appropriate laundry facilities to enable the staff to do personal laundry for the residents and an external commercial laundry is responsible for providing clean bedding and towels weekly. Items of soiled bedding and clothing can be sluiced in the commercial washing machine prior to being washed. Safety and security is taken very seriously, all windows above 1.5 metres from the ground are fitted with restricted opening devices. Where it has proved difficult to fit a window restrictors the handyman has fitted a grill against the window. This allows for the window to be opened as much as is preferred but with insufficient gap for anybody to fall through. The grounds can be secured at night by lockable gates and there is CCTV monitoring the front entry point and the rear entry point. The front doors have coded entry systems fitted. There are security lights fitted to the outside of the building. There is sufficient emergency lighting both inside and outside to allow residents to move safely should an evacuation situation arise. Within the home each resident has a lock on their door to enable them to have privacy and they have a cabinet supplied with a lockable draw for medication and other items they wish to secure. The home has an appropriate buildings and contents insurance which covers residents belongings as well as the communal items. Care Homes for Older People Page 18 of 26 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 has reassessed its recruitment and made changes to the staff team. Training has been improved. Staff are employed in sufficient numbers to meet the assessed needs of its residents. Staff feel supported to do the job expected of them. Evidence: Staffing within the home has changed slightly in the last three months, three staff have left and four new staff have been recruited. All of the recruited staff have some experience in this environment and two of them already hold NVQ level 2. Seven of the care staff have an NVQ level 2, with two more due to enrol. The manager introduced a new training system in March which has provided mandatory training and good practice training all in the same easy learning format which assists continuity. The manager feels this has given the staff confidence that they are working in line with current trends and has improved morale. Staff can complete the training modules at their own pace during their normal working times or at home if they prefer. The manager is able to monitor their progress while an outside source provides certification of competence. New staff are taken on following the completion of the homes rigorous recruitment procedure which ensures that staff do not start work without all the required checks having been completed. The new training system incorporates induction and mandatory training. Induction is completed for inexperienced staff within six weeks of their start date. All care staff are given a copy of the GSCC code of conduct and will receive adult protection, and Care Homes for Older People Page 19 of 26 Evidence: mental capacity training. There is a recruitment and equal opportunities policy in place. The staffing numbers are in excess of those required according to the guidance from the Dept of Health. The Manager is flexible about shift patterns where this meets with the needs of the working rota. The Manager uses a two week rota system for both day and night staff. There are three domestic staff working a set rota. The use of agency staff is very rare and is mainly used on a night shift to cover for emergency sickness cover. Staff will cover extra shifts when others take annual leave. This suits the staff and the residents are very happy that the use of agency staff is kept to a minimum. The staff have regular individual supervision and monitoring as well as annual appraisals. They are encouraged to continually develop their skills and knowledge. Staff spoken to at the inspection felt supported and that supervision both formal and informal was readily available. Staff felt it to be a good place to work with many staff having been at the home for some time. Care Homes for Older People Page 20 of 26 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 have made many improvements to the running and management of the home, which has resulted in a sustainable improvement in the satisfaction of both residents and staff Evidence: The Manager is experienced and qualified to manage the home. The manager has the following qualifications: Registered Managers Award, ENB R-89 Care and Management of Elderly (Brookes University, Oxford), First Aid certificate, Manual Handling & Risk Assessment Instructors certificate. A1 NVQ Assessors certificate Level 3 Palliative care certificate, First Aid instructors Certificate and has attended many study days and workshops relevant to caring for elderly and infirm residents. The Deputy Manager holds a Registered Managers Award, A1 NVQ assessors certificate NVQ level 3 business and administration certificate, First Aid Instructors certificate, Level 3 Palliative Care certificate. She has also attended study days and workshops relevant to caring for elderly and infirm residents. Both of the Management team have several years experience in elderly care and are Care Homes for Older People Page 21 of 26 Evidence: committed to self development. There is an open and friendly approach to their management style and residents, visitors and staff are encouraged to give feedback and raise concerns and issues when they arise. During the inspection both the manager and her deputy spent most of the time in the office involved in administrative work. An administrative assistant would free up time for the managers to spend more valuable time in the home with residents and staff. The manager is responsible for all of the operational policies and procedures except financial matters. The policies and procedures reflect the commitment to best practice, clear leadership and an understanding of what is needed to promote independence, dignity, diversity, fulfilment and contentment for individual residents. All policies and procedures are reviewed at least annually. The Manager is aware of the differing needs for individuals and accepts that future training and changes in the way care is delivered may be necessary for those of different cultures and religions. This will be implemented without prejudice and in accordance with the individuals wishes and requirements. The Management Committee are responsible for overseeing the manager and deputy. There is a treasurer and administrator who set the budgets and collect the fees. Both have the necessary qualifications and skills to ensure that they work in accordance with legislation and best business practice. An independent auditor inspects the financial records annually. All records that are required to be kept for inspection purposes are held in accordance with the Data Protection Act and are stored securely. Residents and staff may have access to the information held on them in accordance with the Freedom of Access to Information Act. No information is held about residents or staff that is not required by legislation or needed for the purpose of providing safety and appropriate care. The Manager facilitates access to doctors and other health care professionals at the request of the residents and they are encouraged to chose their own practitioners. Residents can contact their GPs themselves if they choose or can ask that a member of the management team make calls on their behalf. In an emergency situation all staff are able to contact residents GPs or the emergency services. The manager carries out risk assessments for all residents including their competence to administer their own medications. Where it is appropriate for the resident to do this a secure locking facility is provided for the safe storage of such medicines. Where it is decided that the home will administer a residents medication, the home has policies and procedures to ensure that medicines are stored securely and records of ordering, administering and returning unused medication is appropriately kept. Suitable training is given to those staff designated to administer medication, the deputy manager is responsible for ordering and returning unused medicines. There is an ongoing program of health & safety monitoring and maintenance to ensure that the residents, staff and visitors are provided with a safe and comfortable Care Homes for Older People Page 22 of 26 Evidence: environment and that there is sufficient and appropriate equipment to assist this. The Manager and her team feel that they have worked hard to meet the requirements of the last inspection report and promote a high standard of care and comfort within the home. The manager feels that the rapport with residents, staff and visitors is very good. Feedback is often sought from other health care professionals and this has been positive and reassuring to the homes staff. The management team is able to receive constructive criticism and accepts suggestions and recommendations for improvements. A Quality Assurance Audit is undertaken quarterly. Residents, visitors and staff are given feedback forms to allow them to comment upon various areas and make suggestions for improvements. Residents and their invited relatives/representatives are able to make comments about the management team during the regular meetings held with members of the Management Committee. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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. 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