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Inspection on 09/02/10 for Moormead House Nursing Home

Also see our care home review for Moormead House Nursing Home for more information

This is the latest available inspection report for this service, carried out on 9th February 2010.

CQC 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Care plans accurately reflect the individuals` needs and how they will be met. People who live in the home and their families are involved in this process wherever possible. Systems are in place to help ensure that there is consistency in assessing, planning, implementing and evaluating the care when required. We saw improvements in people making choices about how they choose to live their lives, this is detailed in the care documentation and staff we spoke with told us about the people living in the home, their likes and dislikes and their preferred routines. Safe, effective systems of practice are in place in receiving, storing, administering, and disposing of drugs which will help protect the health and wellbeing of people living in the home. Staff have a good awareness of individuals` needs and treat people in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. Mealtimes were dignified and unhurried. The dining experience was a sociable occasion and people were given adequate support where needed. The complaints policy and procedure in the home is effective and all concerns are taken seriously and acted upon efficiently. People can be sure that they will be listened to and that their thoughts and feelings are taken into account. Recruitment procedures have meant that vacancies have been filled with people that are suited to the job with the right skills, this will also help ensure more continuity of care to the people who use the service. The home encourages and supports staff with training in order for them to develop their knowledge so that they have the required skills to meet the needs of the people.

What has improved since the last inspection?

The home is well organised and managed by an effective, stable management team that promotes the views and interests of all people who use the service. The home has continued to improve following the last inspection and further examples are detailed throughout this report.

What the care home could do better:

All of the National Minimum Standards assessed at this inspection were met. No statutory requirements have been made as a result of this inspection. We would like to thank everyone who took part in the inspection, their enthusiasm and support was greatly appreciated.

Key inspection report Care homes for older people Name: Address: Moormead House Nursing Home 67 Moormead Road Wroughton Swindon Wiltshire SN4 9BU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Wendy Kirby     Date: 0 9 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Moormead House Nursing Home 67 Moormead Road Wroughton Swindon Wiltshire SN4 9BU 01793814259 01793771185 moormead@online.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Zandra Amelia Sharp,Mr Steven Barry Sharp Name of registered manager (if applicable) Mr Steven Barry Sharp Type of registration: Number of places registered: care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category terminally ill Additional conditions: No more than 1 service user in receipt of terminal care at anyone time No more than 21 service users in receipt of nursing care at anyone time Staffing levels as specified in the Notice of Proposal dated 14 November 2002 Date of last inspection Brief description of the care home Moormead House is registered to provide nursing care, for up to 21 people. Accommodation is provided on two floors with a passenger lift in between. There are nineteen single rooms, and one shared room. Five of the rooms have en-suite facilities. A communal lounge is located on the ground floor. This also incorporates a dining area. Care Homes for Older People Page 4 of 29 Over 65 21 0 0 1 Brief description of the care home At the rear, there is an enclosed garden area with a patio. The home is privately owned, by Mr Steven and Mrs Zandra Sharp. Mr Sharp is also the registered manager of the home. The home is in Wroughton, a village approximately one mile from Swindon. It is situated close to the village centre. This offers local amenities, including shops, pubs, and a health centre. There is a bus stop close to the home and some parking on site as well as street parking close by. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced Key Inspection which included a visit to the home. The visit was completed by one inspector and lasted approximately nine hours. Prior to the inspection we (The Commission) looked at various pieces of information to gather evidence in preparation for our visit, which included the following The previous inspection report. The homes inspection record, which gives us an account of any information we have received about the home since the last inspection. The Annual Quality Assurance Assessment, known as an AQAA. The home is requested annually to complete and return this assessment to us by a specified time. We received the AQAA on time, which contained information about what the home considers it does well and what plans they have for further improvements in the coming year. Care Homes for Older People Page 6 of 29 We sent surveys Have Your Say to people who live in the home and staff, eleven were completed and returned. Comments received form the surveys will be referred to throughout this report. In addition to this the home also conducts an annual survey programme for people living in the home and relatives, details of the results are referred to throughout the report. During our visit we spoke with some of the people who live in the home, visitors, the registered providers, the registered manager, and other staff members who were on duty. We also looked at how effectively staff engage with people in the home and how they were interacting and communicating with each other. We looked at four individuals care files, which included, pre admission assessments, care plans and risk assessments. We also looked at a number of records and files relating to the day to day running and management of the home. We spent time in all communal areas of the home and some of the bedrooms. Mr and Mrs Sharp are the registered providers and both were present at the inspection. Mr Sharp is the registered manager. We have referred to Mr and Mrs Sharp as the management throughout the report. Both demonstrated a very caring, committed attitude to their roles and responsibilities in ensuring they provide quality of care to the people who use the service. Care Homes for Older People Page 7 of 29 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 Care Homes for Older People Page 8 of 29 following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed prior to admission to determine the suitability of placement. They can be confident that staff will have the resources and skills to meet their assessed needs. Evidence: We looked at the pre admission assessments, these were comprehensive covering all activities of daily living, a full health screen and personal history background. The information gathered pre admission should provide a sound benchmark of the persons ability, state of health prior to admission and subsequent needs when they move into the home. The AQAA tells us, Our care home ensures an indivdualised holistic package of care is planned, implemented and evaluated from pre admission throughout the service users stay. People wishing to live in the home, family and carers are involved in the pre admission assessment wherever possible and all information is used to determine the suitability Care Homes for Older People Page 11 of 29 Evidence: of the placement. Where possible the manager also obtains comprehensive assessments and care plans from other health and social care professionals involved, for example, social workers and hospital staff. We spoke with the manager who clearly demonstrated the importance of pre admission assessments in order to ensure that the home can meet individuals identified needs. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Because they are consulted about their health and personal care needs people should be assured that their views and expectations will be considered. The health and personal care that people receive is based on individual needs. There are safe systems of practice in place in receiving, storing, administering, and disposing of drugs which will help protect the health and wellbeing of people living in the home. People can be confident that staff have a good awareness of their needs and that they will be treated with dignity and respect. Evidence: From the pre admission assessments the staff are able to develop a set of care plans based on identified needs. During the first months trial period the plans are reviewed weekly and developed accordingly. Care plans were completed with regards to health and social needs including, psychological, emotional, and cultural needs which Care Homes for Older People Page 13 of 29 Evidence: demonstrates that the home takes an holistic approach to the provision of care. The plans that we looked at were fairly detailed and person centered, including personal preferences and like and dislikes. Some plans told us that people had specific requests and routines, this is very good practice and helps demonstrate that people are involved in deciding how they wish to receive care. The plans showed consistency in assessing, planning and evaluating care as required. Regular care reviews take place for people living in the home, which include family members and care staff wherever possible. This allows the opportunity to discuss and evaluate care and any issues or concerns people might have. Staff agreed that they had up to date information about individuals needs and confirmed that care plans were reviewed at least monthly unless there were any other significant changes. All staff are now involved with using and writing in the care files which has improved the overall quality of the information and its value to staff. Health care needs are monitored and documented in peoples care files. Nutritional assessments are completed on admission and reviewed monthly, people are weighed as part of this review. Care plans are written for people who are nutritionally at risk and how this is to be managed. Specialist health care support is often sought and referrals are made to community dietitians and speech and language therapists. The home has good relationships with local General Practitioners (GP) who will visit on request. All visits and the outcomes are recorded in peoples care file. Specialist referrals and visits from other professionals including, Tissue Viability Nurse, Chiropodists, Dentists and Opticians were also seen. We spoke with staff who demonstrated good relationships with individuals and were knowledgeable about the care needs of those living in the home. Our surveys ask people if they receive the care and support they need and all surveys agreed that they did. Comments included, The care is excellent, They provide good care and support and Medical and nursing care is very good and always available. The homes satisfaction surveys asks, Do staff understand your needs? and Are staff able to meet your needs?. Comments were positive and included, I feel that my relative has a good relationship with staff and that they are getting know him well, My relative speaks very well of the staff, The staff have always been helpful and sympathetic and All basic needs are very well met. Care Homes for Older People Page 14 of 29 Evidence: Policies and procedures for receiving, storing, administering and disposing of medications were examined and discussed. All systems in place are very effective, well managed and audited. The home operates a monitored dosage system for the administration of medication, which is supplied at regular intervals by a local pharmacist. Fridge temperatures are recorded daily, the administration charts were legible and continuity of administration was shown with a signature from the people dispensing. The home promotes privacy and dignity to all people who use the home. Staff attend training on induction, which covers aspects such as closing doors and pulling curtains when delivering personal care and knocking on doors and waiting for an invitation to enter before going in to their bedrooms. We saw staff knocking on peoples doors before entering, members of staff spoke respectfully about individuals needs and referred to them in the term of address that they preferred, this information was also recorded in the care files. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a varied activities programme, which is both enjoyable, stimulating and meets individual preferences and expectations. People maintain family contact and staff encourage family and friends to join in with activities and any outings. The home actively promotes individuals to exercise choice and control over the lives they choose to live. People receive a varied and wholesome diet that they are able to influence. Evidence: There does not appear to be any unnecessary rules and it seemed that daily routines are flexible within the home. We saw some evidence that people can get up and go to bed when they like, have their meals in their bedrooms, they can go out when they wish and participate in activities they have a particular interest in. This was confirmed in discussion with individuals and through observation during our visit. We spent time talking with the activity coordinator who showed great enthusiasm in Care Homes for Older People Page 16 of 29 Evidence: her role and showed commitment to all the people living in the home and their families. She was also very knowledgeable about the people in her care, including their likes, dislikes, communication needs, personal history, hobbies and interests. We were told that she gathers this information by meeting prospective clients and family members before they have moved into the home. By receiving this information she is able to compile an activities plan for individuals, these plans are reviewed to ensure that the needs and activities are still relevant and meaningful to people. She also has good systems in place to audit the services provided, whereby each session is evaluated by the people living in the home in order to ascertain its value to people. The home provides a weekly timetable of organised group events, which includes, games, quizzes, exercises, and arts and crafts. There is always a varied programme on offer for people living in the home and peoples wishes are respected if they do not wish to join in. The home recognises the importance and value for those people who prefer personal individual time with either the activity coordinator or staff members. This can include reading, playing games, painting, trips out, nail care and reminiscing. Various volunteers and entertainers visit the home throughout each month. Each month a local church group visit providing spiritual occupation for those who wish to attend. People are supported to satisfy their religious preferences. Several denominations will visit the home on request and people can be taken to local places of worship when they wish to go. Useful information is shared by having a notice board in the home and we also saw photographic displays of memorable events which provide topics of conversation and allows for people to reminisce. The coordinator has also joined a group forum with other coordinators from other homes. They meet regularly and share information and ideas. They also target courses for co ordinators to attend to develop their skills and expertise so that activities are meaningful for all people that live in the home. All of the comments received were very positive about stimulation provided in the home, these included, Activities are very good and varied and Activities are great, I am looking forward to more outings and would love some activities over the weekend. The home operates an open door policy for visitors and people are able to see visitors in the privacy of their own rooms and there are some semi private seating areas around the home and in the gardens. Care Homes for Older People Page 17 of 29 Evidence: The size and layout of the dining room makes it possible for everyone to enjoy the social advantages of dining together. The dining room is light and spacious with good quality dining furniture. Staff members supported people that required assistance with eating their meals in a respectful sensitive manner. Staff sat at the same level and assisted them without rushing. We saw jugs of juices, beakers and glasses and these were being handed to people whilst waiting for lunch. Later when we visited people in their rooms we saw that jugs of fluid had also been provided for individual use. The kitchen is well organised and runs efficiently and effectively. The chef and staff are able to demonstrate an awareness of individual requirements and needs including special dietary requirements and personal preferences. The food is home cooked offering various choices of hot and cold alternatives and fresh fruit is available at all times. The four week menu displays traditional meals and menus are reviewed to reflect seasonal trends and availability of produce. Extras are ordered on request for birthdays and special occasions. The kitchen is clean, well equipped and spacious. Stores exhibited a good range of foods. Food hygiene training is up to date for all staff. All surveys confirmed that they like the food and choices available. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good policies and procedures in place to manage complaints and people can be confident that their concerns will be listened to and acted upon. There are good arrangements in place for staff training and the awareness of protecting vulnerable adults so that people living in the home are further protected from abuse. Evidence: The complaints policy and procedure is detailed and contains all the relevant information required, this can be found in the service user guide and welcome pack, which is given to people on admission. It is also displayed on notice boards throughout the home. We would receive details from the home about any internal complaints investigations and safeguarding referrals. We know that any concerns raised are dealt with openly and effectively. The home is committed to encourage an open culture within the home so that people feel comfortable and able to make a complaint or a suggestion without fear of reprisals. The management makes every effort to see people living in the home Monday to Friday. Being available means that people can discuss any concerns or issues before they potentially escalate into complaints. Systems that are in place at the home such Care Homes for Older People Page 19 of 29 Evidence: as regular care reviews, key workers and holding meetings for people living in the home, relatives, and staff means that there is opportunity to communicate and share information. This further promotes people becoming less frustrated thus relieving anxieties and any potential complaint referrals. People living in the home confirmed that they knew how to make a complaint and that there was always someone they could speak with if they were unhappy. There are policies and procedures as well as a range of guidance information on the topic of protection of vulnerable adults from abuse. The availability of this information should increase staff awareness and the understanding of their role in protecting vulnerable adults who live at the home. Policies and procedures given to staff include, Whistle blowing, How to make a grievance and Harassment in the workplace. We were told that the home actively promotes staff training and education in the protection of vulnerable adults on induction and on an annual basis the staff receive an update. A number of staff have either completed or are enrolled on the National Vocational Qualification (NVQ) in care award and a component of the award addresses issues around the topic of the protection of vulnerable adults from abuse. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Moormead House is well maintained, decorated and furbished to a very high standard, providing a safe, homely, peaceful environment for everyone. Evidence: Moormead House is a detached residence which has been extended over the years. It is not purpose built but has cleverly been developed and utilised over the years to accommodate people requiring residential and nursing care. The home and its gardens are well maintained and the inside has been tastefully decorated throughout, it provides a safe peaceful home for people to live in. The home is set back from a residential road and provides parking for several cars. The front is safe, private and is complimented with walled boarders. There are a number of aids and adaptations throughout the premises to enable physically disabled people to maximise their independence. This includes passenger lifts, specialised bathing facilities, grab rails, and assisted toilet facilities. We walked around the inside of the home and viewed some of the bedrooms and bathrooms. People had been supported to personalise their bedrooms with pictures and ornaments and they are able to bring items of furniture should they wish. Rooms are lockable so that they can maintain their privacy and keep their personal possessions secure. Rooms have adjustable beds and good quality matching bedroom Care Homes for Older People Page 21 of 29 Evidence: suites, soft furnishings, lounge chairs, and a small table. Some of the rooms provide people with en suite facilities. People have individual commodes should they require one and communal bathing areas, showers and toilet facilities are located throughout the home. The home has domestic staff seven days a week. The house was spotless throughout. Comments received about the environment included, The home is clean, tidy and warm, My relatives room is comfortable and clean, and It is very homely, I have everything I could possibly need. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The relationships between staff and people living in the home are good and create a warm positive environment to live in. People are supported and protected by the homes recruitment policy. The people are cared for by skilled staff that are trained, supported and supervised by management. Evidence: Staffing levels are indicative of needs and the level of care required and we know that levels of staff would rise should dependency levels increase. People living in the home and staff agreed that there were enough staff to meet their needs. When there have been staff vacancies permanent staff will cover extra shifts in order to support continuity to people living in the home. Staff rotas are developed to ensure an appropriate skill mix of staff is on duty. We know that the home follows a good recruitment procedure. This will help ensure that people living in the home will be further protected. Records contain completed application forms with a full employment history, two or more written references and Criminal Records Bureau (CRB) disclosures. Staff confirmed that relevant checks had been completed before they started working in the home. Care Homes for Older People Page 23 of 29 Evidence: There is an induction programme which covers all mandatory training. The home has a mentor system where all new staff are linked with and shadow a senior staff member during shifts to help with continued training throughout the induction process. The home provides the staff at the home with training and development opportunities tailored to individual needs. The manager and all staff are conscientious in attending training relevant to the care needs of the people they are caring for and those relevant to the roles they perform. We saw that staff were respectful and sensitive towards the people they were caring for and the atmosphere was calm, happy and relaxed. We spoke with staff who were on duty. Comments included, I enjoy my job, I feel we are very family orientated and all the staff get on well, Our best strength is teamwork, there is no them and us, we just all work together, Everyone gets on very well together, Its a great atmosphere to work in which helps us care for people well, The training is great and has increased my understanding and We have all that we need to perform our roles and I am really enjoying any training we are having. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and best interests are central to the management approach in the home. The health and safety of people who use this service should be protected by systems that are in place Evidence: The management demonstrated skills that relate to the aims and purpose of the home. Everyone working in the home is very committed to the people living there and the roles and responsibilities expected of them. Staff are empowered by the management to continually monitor and evaluate the services they provide to people. The ethos of the service is person centered with the views of people using the service actively being sought as part of this process. The home continues to monitor and assess the quality of services provided by giving Care Homes for Older People Page 25 of 29 Evidence: people questionnaires to complete, any weaknesses identified are put into an action plan. Regular audits are carried out in the home including health and safety care documentation, medication and other procedures in the home. Comments received about the home and management were very positive and included, It is home from home. Small, freindly, well run and enjoyable to come to work, As a relative I appreciate the good relationships between staff, everyone seems to get on well and The management have always been approachable and very supportive. People who live in the home are supported to manage their own finances. The home has written policies and procedures in relation to the promotion of the health and safety for all people who use the service and associated training is provided for staff in all health and safety matters. Some of the Health and Safety records in the home were examined. Documentation showed that relevant checks were maintained correctly and at the required intervals including all fire alarms, equipment and emergency lighting. The homes records showed all necessary service contracts were up to date including, gas and electrical services and the passenger lift. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!