Inspection on 12/11/08 for Merlin Park

This is the latest available inspection report for this service, carried out on 12th November 2008.

CSCI found this care home to be providing an Excellent 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

Merlin Park 19/01/06

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Merlin Park 1 Fort Road Alverstoke Gosport Hampshire PO12 2AR     The quality rating for this care home is:   three star excellent 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: Sue Kinch     Date: 1 2 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Merlin Park Alverstoke 1 Fort Road Gosport Hampshire PO12 2AR 02392524366 02392614803 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Dorothy Joan Arthur Type of registration: Number of places registered: Serincourt Limited care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service users currently accommodated in the mental Dosorder (E) prior to the date of this certificate may remain Date of last inspection Brief description of the care home The home is situated in a quiet residential area of Gosport, reasonably close to local amenities and with views across the Solent from the windows at the front of the house. The aim of the home is to provide care and support to older persons, including persons with dementia. There is also provision to care for three people who have a mental disorder, but this category is to be removed at the provider request. Those currently accommodated under this category will remain in the home. Accommodation is arranged over two floors, the upper floor being accessed by a passenger lift or stairs. There are ninteen single and three shared bedrooms, all with en suite facilities. There Care Homes for Older People Page 4 of 28 Over 65 25 25 0 0 Brief description of the care home is a large lounge that has several seating areas and there are two dining areas. The home has a large secure garden at the rear, which is accessible to residents and has several seating areas. There is a car park at the front of the home. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection took place on 14th November 2006 and the home was also reviewed on 24th December 2007. We were provided with a comprehensive Annual Quality Assurance Assessment (AQAA) document completed by the home including details about improvements that have taken place in the last year and those planned. During our visit we found evidence to support the information provided. The visit for this key inspection, which was unannounced, took place over 6.5 hours during which we spoke individually with several people living in the home. We observed care practices and spoke with six staff, two trainers, the Director of Care and the Responsible Individual. Care Homes for Older People Page 6 of 28 We sent surveys to a sample of people living in the home. Eleven were returned and findings are included through out the report. Although sent out, we received no surveys from health or care professionals for this inspection although we noted the results of the homes own survey in February 2008. The manager told us that charges for this home are 347-450 pounds per week with additional charges for newspapers,magazines, hairdressing, chiropody, spectacles and dentistry. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 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. People considering living in the home are having their needs assessed first and are offered information to help them to make a decision. Evidence: In the AQAA the manager said that people wishing to move into the home or have short break there are encouraged to visit the home before moving in. We found evidence of this and discussed the process of admission during our site visit with someone recently admitted to the home. The person had visited before arriving to stay and the home had discussed their needs and been told that the home could meet their needs. The person said that the home is able to meet their needs and staff know what support is needed each day. During our visit the deputy was asked to admit another person to the home and arranged a visit for that person on the same day. In the responses to our survey the majority of people said that that they received Care Homes for Older People Page 10 of 28 Evidence: enough information about the home before they moved in. Two people said that they had not but we were unable to check their views further. We noted however, that all rooms have copies of the service users guide and the statement of purpose. A staff member was not aware if there were any copies in large print or including more pictures and symbols and consideration was advised. Records for admissions were sampled and we found that the home is assessing the needs of people before admission. In the AQAA the manager said that information, if necessary is sought from health professionals. We noted in the sample viewed that care management assessments had been received before on the date of admission. Information obtained by the home before admission included a wide range of areas of care including: health, medication, hygiene and dressing, likes and dislikes, communication, mental health, hobbies, risks contacts and background information. Care plans had been provided for these new people and evidence of monitoring of care provided was in place. In the AQAA the manager showed that they review their admission process and said that they had made improvements to the pre admission assessment and, for example, now asked for information about dental care. In a recently completed pre-admission assessment we noted that this information had been obtained. In the survey of people living in the home or relatives all resounding said that they had received a contract. The home does not provide intermediate care. Care Homes for Older People Page 11 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. People using the service received the attention needed for health, personal and social care in a supportive and friendly manner and they are confident that their needs will be met. Medication is managed well and assists in health needs being met Evidence: The home provided a detailed AQAA showing the work that takes place to meet personal and health care needs in the home. The AQAA gave information about the work that has taken place and proposed to take place to improve the person centred care provided to people. An example of this was that the home had continued work with the fall representative of the PCT to try to prevent falls in the home. At the inspection visit one of the trainers explained their role in this and drew attention to the falls register in each personal file. The work done earlier in the year was explained when an additional member of staff worked at nights to assess falls. The trainer said that some care plans were subsequently revised and that she regularly trains staff Care Homes for Older People Page 12 of 28 Evidence: about falls slips and trips. Another improvement referred to in the AQAA was the updating of the policy and procedures for oral care and that a programme was in place to train staff in the care of dentures. We noted on our visit that oral care is included in the care planning. In the responses to our survey of people living or receiving care in the home or relatives all said that they receive the care and support needed. During our visit one person said to me its a nice home. Another said that the staff do their best. A third said that they had visited several homes and this was the best. They also said that they thought people were well looked after. During our visit to the home we noted that staff were attentive to the individual needs of people including emotional needs. Staff were able to give us details of the support needed by individuals and took care to ensure that there was always a carer in the lounge area. They said that they always did this and that the other two people on duty were able to meet more individual needs. Staff are aware of the need to promote dignity and privacy and examples were given when we asked about them. A sample of the care plans was viewed and covered a range of general health, emotional and social needs. The format of some of these plans have been updated as stated in the AQAA, and all care plans viewed included guidance for staff, goals and evidence of reviews of needs. Some of the people spoken with had some idea about care plans and said that staff knew what they needed. We noted that the care plans include a range of health needs and of monitoring. The areas covered included nutrition, skin care continence, mobility, bathing and showering, oral care optical care and foot care. A range of risk assessments were also included. These had been reviewed and there was evidence of recent appointments and visits from professionals such as opticians, dentists, and district nurses. In the AQAA the home said that there is regular advice from continence adviser and district nurses are consulted. On the day of our visit after a fall one person had been supported to go to hospital. One person receiving care in the home said that two other people had been unwell the day before and that the staff had been very attentive. In the surveys from people using the service all said that they receive the medical support as needed. In a survey carried out by the home in February 2008 they received positive responses from health professionals including about how they respond positively to instructions provided. There is regular auditing in the home regarding medication as part of the general reviews of care completed by the manager every other month. This includes monitoring that medication is reviewed by the doctors. In addition the Director of Care Care Homes for Older People Page 13 of 28 Evidence: showed us that the home will be auditing medication further in December to consider the range of drugs that people are on and to be followed up with health professionals as necessary. We found, as detailed in the AQAA that there is a system in place to ensure that the staff are provided with training and and an assessment of competence before administering drugs in the home. This information came from conversations with the staff and a sample of training records. A staff member described and demonstrated elements of the medication system and this was in line with national guidance. There is a drugs trolley in which most drugs are secured, others were in a medicine cabinet. We checked a sample of drugs issued from the monitored dosage system and noted that they had been issued and recorded properly. We advised that as required medication guidance needed to be in a bit more detail so that staff had recorded guidance about the decision process for administering it. However the two staff spoken with were aware of the reasons for giving the medication. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A consistent and varied programme of activities and support with interests and hobbies ensures that people living in the home provided with mental stimulation. People living in the home are consulted about and supported to make choices and decisions on a day to day basis although documentation is needed in relation to people unable to go out alone. Food provided is wholesome and based on choice and people benefit from attention to their individual needs. Evidence: The home reviews the activities that are provided and regularly consults with people about this.Whilst in the we home noted that the most recent survey was given out with the regular newsletter provided to people and families in October 2008. It gave information about activities that had taken place. Those reported on included : a visit of small animals from a local farm in August, Holy Communion in September, a toiletry party in October, and a Halloween and firework party on October 31st. Photographs and information about these events were on the noticeboard and people were talking Care Homes for Older People Page 15 of 28 Evidence: about them during our visit. A trip to a pantomime in November 2008 was also reported to be planned showing that the management were working on their plans to improve by providing outings. Staff were also noted to be asking people and compiling a list about going out for a Christmas lunch. We were told in the AQAA that the home now has an activities coordinator and that a wider selection of activities were provided. Although we did not look at the record of activities on this occasion we noted that throughout the day the care staff were involved in promoting stimulation and activity. These included board games, reading the paper, a game involving throwing bean bags, listening to classical music, a sing along, reading and general conversation. Televisions are available in the lounges and one of the people said that DVDs and videos are sometimes watched. In the surveys most people said that there are always or usually activities that they can take part in, two said sometimes and another said more exercise was needed. During our visit we were told by one person that there was an activity most days and that they enjoyed the quiz. Another said that there were always activities and said that the cake decorating the week before had been fun. We heard a staff member talking with one person about the clothes party on the following day. A staff member said that they had time to talk with people and saw it as part of their role to get to know their interests and had time to provide support. We noted that the preferred routines and interests of people are recorded in the care plans sampled. A hairdresser was in the home during the morning and people said she came regularly. We noted that not all people wished to be in the lounge during the day and were able to choose to use their rooms. Some people are able to use the community without staff and two people did so while our visit took place. People are helped to make choices and decisions and one of the trainers explained that the training they provide to staff regarding the Mental Capacity Act includes consideration of rights and choices. People we spoke with said they had choices and we noted choices, made over dress, food, where to eat ,where to sit and and what to do. We noted that the front door of the home is locked as a staff member explained that only some people are able to go out alone due to safety reasons. We asked to see risk assessments to demonstrate that the rationale for restrictions are documented .These were not available and were discussed with the Responsible Individual who agreed to take action. Visitors are encouraged to come to the home and some people who visit the home are mentioned above. We did not have any comments from relatives about the homes approach to visitors but we noted that a welcoming notice is on the notice board for Care Homes for Older People Page 16 of 28 Evidence: them. In the surveys of visitors carried out by the home in February 2008 they received positive responses about the home being welcoming and providing assistance. In our survey people said that they always or usually liked the meals in the home. We also found this during our visit. People spoke of choice and being consulted about the food and said they were asked each day and had alternatives. one person would sometimes like to be offered bigger portions and another smaller. However, they said that snacks are offered and we noticed that between meals drinks and biscuits are offered.We noted that people are able to choose where to eat,that staff support is available, equipment such as plate guards are provided and food is cut up at the table if needed. The home told us that the four weekly menus are rotated monthly and that they are currently consulting people living in the home about the food provided. They told us that they carry out nutritional assessments and noted evidence of this in files viewed. 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 using the service are confident to raised issues concerns and complaints and that they will be dealt with. Robust procedures are in place for the protection of people living in the home. Evidence: The management say that they have an open door policy and encourage people to raise any concerns that they have. We noted that this was evident during our visit as staff responded to the wishes of people and people said they felt able to talk to the staff. One person was very confident that a matter they had raised would be addressed. One person said that the staff werefine and good. Most people in our survey said that they know who to speak to if they are not happy about something, two said they did not and one did not know the complaints procedure.The complaints procedure was posted in the home and is included in the service user guide supplied in the bedrooms. A log of complaints is held in the office and this showed that one had been received since the last inspection. The outcome was recorded and it noted that this was to the satisfaction of the complainant. The management say that they strive to update their knowledge about safeguarding adults and have updated their policy and procedure about this matter.The manager is reported to have received Mental Capacity Act Training and it is proposed to train all Care Homes for Older People Page 18 of 28 Evidence: staff in this to promote choice and decision making.The home provides staff with training in adult protection and we noted evidence of this in individual staff training records and in the summary of training staff had received.We noted that many had also received training in communication and dementia. Safeguarding adult was discussed with a member of staff who said that adult protection training had been received and demonstrated an awareness of what to do if they had suspected that abuse may have occurred. The answer included notifying relevant agencies and a confidence that there is always an on call officer within the organisation to obtain support from. 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 living in the home have a pleasant environment which is comfortable clean and hygienic. Evidence: The environment is monitored routinely by the homes auditing system and the Director of Care said that this was an audit against the national minimum standards. We saw a copy of the most recent audit in November 2008. In the AQAA the manager said that there are regular audit action plans and records of maintenance and decoration records are held. One staff member spoken with during our visit said that things are addressed quickly and the home has maintenance people who dealt with matters promptly. Another staff member said that things are purchased as needed for the environment and sited bedding as an example of this.They also said that there is a rolling programme of decoration. We viewed shared and a selection of private areas of the home and noted them to be well furnished, clean and well decorated with items to make the areas more homely and personal effects in bedrooms. We noted that the management said that the heating system was serviced in July 2008 but one of the boilers had broken down and was being repaired. Staff said that they had been able to continue to have hot water and heating from use of the other boiler.People in the home said that they were warm Care Homes for Older People Page 20 of 28 Evidence: enough. The home employs domestic staff who are encouraged to work to National Vocational Standards and are employed throughout the week. We also noted that the shaft lift was working and was reported in the AQAA to have been serviced in July 2008. We viewed a selection of bathrooms and toilets and these were equipped for meeting people needs including an assisted bath. Bathrooms and toilets viewed were equipped with items for infection control,including paper towels,soap,toilet rolls and bins. We noted that disposable aprons and gloves were available for use. We advised that in toilets such as the one off the lounge the dignity of people would be enhanced by providing storage for the continence pads. Staff are given infection control training and this is documented in the training record and in the AQAA the manager said that further training is planned over the next year. The management said that there had been an audit of infection control and the infection control representative for the home had received training. 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 living in the home are supported by a well trained team of staff deployed in sufficient numbers to meet their needs. Employment procedures are rigorous and enhance protection of people living in the home. Evidence: The home has a well established staff team although there had been some changes recently and in the afternoon of our visit the team include an agency worker. Staff said that there were three staff a shift in the day time with management usually a chef from 8-5 and 1-2 cleaners.This number were on duty during our visit and an additional person was working and starting their induction. Staff showed good knowledge of the working practices in the home,of the needs of the people living there,caring approaches and were working together to ensure that one of them was always in the lounge area to support people.We noted that staff were very attentive to people living in the home and addressed requests and wishes promptly. The home has recently recruited staff and we sampled the records to consider the recruitment practices.We noted that the information that we sought was available showing that required practices are followed. The home says that all staff are given the Care Homes for Older People Page 22 of 28 Evidence: General Social Care Council Code of Conduct and job description. The management show a strong commitment to training all staff in respect of the various roles in the home. Staff are encouraged to have in house training and to follow external courses.The company employs training staff involved in all of the companys homes, a training coordinator, a trainer and NVQ assessor. Two of these people were spoken with about training as well as three staff. All showed a keenness to demonstrate good care practices in the home and that the training provided is based on the assessed needs of the staff. This information comes from supervision, which staff say is regular, and monitoring of care practices. A staff member said they are appraised annually. We saw signed evidence of the part one and part two staff induction which the trainers say follow the skills for care guidance. This is done through taught sessions,shadowing and completing questionnaires for assessment. We saw evidence of the range of courses that are provided covering core courses such as first aid, moving and handling, fire, communication, adult protection, infection control, falls slips and trips, medication and dementia.This is not an exhaustive list and the home is planning refresher training for those needing it and supports people to do NVQs. When we receive the AQAA the management report that the home had 72 of care assistants at NVQ level 2 or above. This had reduced at the inspection as three of the trained staff had left but the home was planning for more staff to undertake the assessment which will bring the level back above 50 .The home also has a key trainer in moving and handling enabling in house staff training. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from a strong management with a very high commitment to ensuring that the service is monitored and developed based on individual need. Evidence: In the AQAA we were told that the manager,who has managed the home since 2005, had completed an NVQ level 4 in management and that she continually updates her knowledge through regular training. Courses that she had completed recently included the Mental Capacity Act, record keeping, communication and management of dementia. We saw evidence of this in training records. Staff spoke well of the management of the home and said that they felt supported and able to ask for support. Since the last inspection we completed an annual review of the service in which it was noted that the home has a regular cycle of self monitoring and improvement. At this Care Homes for Older People Page 24 of 28 Evidence: inspection we noted that this has continued and saw evidence that the home carried out a general audit of the service every four months and also regularly monitors some areas in more detail. Examples of this are of the recording practices, infection control, and accidents. The latter was reported by one member of staff to have included using extra staff at night. The management are planning a further evaluation of medication practices and are sending out questionnaires about the service at night and about communication. We noted that the home periodically sends out questionnaires to other interested parties and noted that professionals were consulted in February 2008. A questionnaire had just gone out with the October Newsletter 2008 to people living in the home asking about matters such as privacy, dignity, activities and comfort asking people to rate the level of care. We saw that positive responses had been received to similar surveys in March and July 2008. One person spoken with agreed that they had received the questionnaire. A staff member said that there had been a survey about food in September and as a result more fish was being provided and portions reconsidered. In the AQAA the management said that they had introduced residents financial plans identifying how people wish their money to be managed. Evidence of this was seen in a personal file viewed. We also noted that money is stored individually for people and recorded with receipts held. We looked at a small sample with a member of staff and found the recording to be accurate. In respect of health and safety we have noted, in the staffing section, that the management have a commitment to ensuring that staff are receiving training related to health and safety and have moving and handling trainers in the home. In the environment section we have noted the auditing and attention to infection control. The home reports regular servicing and maintenance of the systems in the home. We noted no obvious hazards when observing areas of the home. Where checked window restricters were in place. We noted that the home has a fire log and where sampled the records of checks were up to date. The home also has a set of risk assessments for the household and is recorded as checked in 2008.We also noted that monitoring of falls has improved and a register is held in each file for this. The home plans to continue with first aid and infection control training for staff. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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. Care Homes for Older People Page 28 of 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!