Inspection on 15/01/09 for Springbank Nursing Home

This is the latest available inspection report for this service, carried out on 15th January 2009.

CSCI 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

Springbank Nursing Home 11/11/05

Springbank Nursing Home 16/02/05

Springbank Nursing Home 07/09/04

Springbank Nursing Home 09/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Springbank Nursing Home Mill Hayes Road Knypersley, Biddulph Stoke-on-trent Staffordshire ST8 7PS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Yvonne Allen     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Springbank Nursing Home Mill Hayes Road Knypersley, Biddulph Stoke-on-trent Staffordshire ST8 7PS 01782516889 01782523382 springbank@chessbroadband.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Care Consortium (Biddulph) Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 42 Number of places (if applicable): Under 65 Over 65 10 20 20 42 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: DE minimum age 60 yrs PD minimum age 60 yrs Date of last inspection Brief description of the care home 10 0 0 42 Springbank is a care home that provides personal and nursing care to a variety of people within the categories detailed on the previous page. The home was opened in 1988. It is set in a rural location just off the A527 within close proximity to Biddulph Care Homes for Older People Page 4 of 27 Brief description of the care home town centre. The home offers accommodation on 2 floors with access by stairs or shaft lift. Some rooms have en-suite facility. Communal accommodation is provided with the availability of 2 lounges (one on each floor) and a large dining area. There are sufficient and appropriate washing and bathing facilities throughout the home and a hairdressing salon. The gardens are very well maintained and there is a large seating area, which is accessible to wheelchair users. There is ample parking space. The fees charged by this home range from 363.00 pounds to 520.00 per week. Additional charges would be incurred for private chiropody, hairdressing and transport (escort). This information was provided by the manager in January 2009. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 STARS. This means that the people who live in this home experience GOOD quality outcomes. The inspection process commenced several weeks prior to the inspection visit with the Providers completing a self assessment tool known as the Annual Quality Assurance Assessment (AQAA). Completion of the AQAA is a legal requirement and it enables the service to undertake a self assessment, which focuses on how well outcomes are met for people living in the home. This was completed to a good standard and gave us detailed information about the services offered. We have referred to the AQAA throughout this report. Care Homes for Older People Page 6 of 27 All of the key minimum standards have been assessed and for each outcome a judgment has been made, based on the evidence gathered. These judgments tell us what it is like for the people who live in this home. The ways in which we gathered evidence to make our judgments are as follows We spoke with a number of people who live in the home and some visitors. We gathered their views on what it is like to live in the home. We spoke with some of the staff who work in the home. We held discussions with the acting manager of the home. We examined relevant records and documentation. We walked around the home and visited bedrooms at random and all the communal areas. We observed care practices and staff interaction. At the end of the inspection visit we discussed our findings with the acting manager. This was a positive key Inspection with almost all of the Key Standards being fully met and all of the outcomes being Good for the people who live at the home. There are some areas in need of further improvement and development and these have been highlighted as good practice recommendations. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 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 27 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 undergo a full assessment of their needs before being offered a place at the home and are supplied with up to date information. People entering this home can be assured that their assessed needs will be met. Evidence: In their AQAA the Provider told us that Springbank provides people and their families with an opportunity to visit the Home at a time suitable to them. A copy of the Service User Guide is provided at the time of the visit. Detailed information about the fees is also given at this stage. Information about additional services and the cost is also given. The Homes Statement of Purpose, Service User Guide, Complaints Policy and Procedure (these are reviewed regularly to reflect any changes) and Inspection Reports are all displayed prominently near the entrance of the Home for easy access and people and or their relatives are encouraged to refer to these documents. Prior to Care Homes for Older People Page 10 of 27 Evidence: admission the Home requires a copy of the full joint health needs assessment from the commissioning team. This is then followed by a detailed pre-admission assessment undertaken by a senior nurse from the Home in the place where the person currently resides. This is recorded in the prescribed form. We looked at a number of care plans and saw that a pre-admission assessment of needs had been carried out prior to offering people a place at the home. These are thorough and comprehensive assessments and, where applicable, include joint assessments with funders of care such as Social Services. People told us that they knew about the home before they came in Oh yes I came for a look around before I came in. Visitors also told us that they had come to have a look around first in order to ensure that this was the right place for their relative. We noted copies of the Service User Guide, Statement Of Purpose and last Key Inspection report displayed in the entrance to the home. The manager told us that the home only admits people whose needs have been assessed and whose needs can be met. Care Homes for Older People Page 11 of 27 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. Personal and nursing care is planned and delivered with dignity and respect. Some documentation will need to be be further developed and improved in order to help ensure that all nursing and health care needs are monitored and met. Evidence: In their AQAA, the Providers told us - On admission, a comprehensive plan of care is drawn up with input from the person and their relative. This also includes a medication assessment form. The person is registered with the local General Practitioner (GP) if his or her own GP is out of the area and is unwilling to visit. The GP visits the home routinely once weekly. The GP is also happy to visit should any issues arise between this time, unless it is out of hours when the on-call GP has to be contacted. The older people specialist nurse is also available should she be required. Referrals to dentist, optician, specialist nursing like community psychiatrist nurse, tissue viability nurse, Care Homes for Older People Page 12 of 27 Evidence: speech, physiotherapist and occupational therapist and dietician are made as required. The Home has a good stock of pressure relieving overlay and replacement mattresses and seats and these will be used as required for the prevention and or treatment of pressure sores. The persons plan of care is reviewed as the care needs change by the nurse in charge and monthly by the named nurse and key workers. People and or next of kin, advocate are involved in this process where possible and can access this information as appropriate. Identical protocols are followed for respite admissions and the Home also has in place an emergency admissions protocol. We looked at a number of care plans, chosen at random. The overall standard of care planning is satisfactory. However there are some inconsistencies and areas for improvement. It was noted that where some risk assessments identified a need for a specific care plan to be developed, this had not always been followed. We noted this in relation to nutrition, moving and handling and falls risk. People receive appropriate personal care and this is planned and delivered with dignity and respect. People told us that staff treated them respectfully and with dignity and we observed this. We observed that people receive regular drinks throughout the day and fluid intake is recorded where necessary. We noted that people are assisted to eat their meals where required and nutritional needs are monitored. Health care needs are monitored and met and there is involvement of other health care professionals where needed. When we spoke with the nurse in charge she told us that there is a good Tissue Viability Nurse support and good GP support for the home. She also told us that the Community Matron visits to offer staff training and advice. She told us that the home has access to a dentist, chiropodist and optician and we saw evidence of their visits. We spoke with a number of people who live in the home about the care they receive. They were all complimentary and said - Oh they are very good here, I am very satisfied. We also spoke with a set of visitors - they too were pleased with the home and the care afforded to their relative. Psychological health care needs are also assessed and monitored and staff receive training in meeting dementia care needs. When we spoke to staff they confirmed that they feel able to meet the specific care needs of the people who live in the home. Nursing care is planned and monitored but certain clinical practices and procedures need to be reviewed and improved. This is relating to the lack of regular monitoring Care Homes for Older People Page 13 of 27 Evidence: and recording of the treatment of a pressure ulcer. This lack of documentation results in being unable to assess and monitor the progress of the ulcer. People are able to self medicate but there is no risk assessment in place and this will need to be developed in order to ensure that self-administration of medication is safe. At the time of the visit there was no one self-medicating. We looked at the receipt, storage, administration, recording and disposal of medication. This was all in keeping with requirements. There is a need for a thermometer in the medication storage room in order to ensure that medications are stored at the correct temperature. At the time of the visit there was a person being nursed in bed with her family at her bedside. This lady was very ill and in the final stages of her life. We observed staff taking in drinks and snacks for the family and generally being very supportive toward them. All the different grades of staff were observed to treat this lady and her family with dignity and respect. Care Homes for Older People Page 14 of 27 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 lifestyle in the home is made flexible and varied and individual choices and preferences are promoted. Evidence: In their AQAA the Provider told us - we involve people in choosing activities, menus, social and community contacts. Where a person is unable to do so, we maintain contact with their family. The home has newspapers delivered and the mobile library visits 3 monthly. Staff do the shopping for those people who have no next of kin. We have regular visits from the Church and holy communion. The hairdresser visits the home twice weekly. Some people go out with their relatives and friends for trips out and we encourage this. Visitors are welcome anytime and can visit in the lounge or the persons own room. We offer visitors refreshments. Lunch is always supervised by the manager and people are given a choice even at the last minute - the cook will try and accommodate. Fresh seasonal produce is ordered. Personal preferences are recorded in the care plan and kitchen staff are aware of these. Those who are unable to feed themselves are helped by staff but Independence is promoted also. Hot and cold drinks, homemade cakes and biscuits are offered throughout the day. Nutrition is monitored with supplementary drinks and referral to a dietitian where needed. Care Homes for Older People Page 15 of 27 Evidence: The home has a programme of activities and entertainment in place. We were informed that the activities co-ordinator had recently left and that the Providers are trying to recruit another person for this role. People told us that trips out have included visits to Amerton Farm, Llandudno, Pub trips and there is a narrow boat trip planned. A trip to the theatre is also planned and this was seen advertised as singing in the rain and was displayed on the wall in the home for people to put their name down. Social activities are planned in the home - such as watching films, playing bingo and reminiscence therapy. We observed people watching a film during the inspection visit. Social activities are assessed and planned in care plans. People we spoke with confirmed that regular Church services are held. We sampled the lunchtime meal which was a tasty chicken dinner. We sat with three ladies who chatted and told us that the meals in the home are very good. Some people were having an alternative to the main menu. Every one is treated as an individual with each meal being slightly different. Pudding was equally as pleasant - a homemade crumble and custard. There were three different puddings served including a fresh fruit salad for a person who has diabetes. People told us that there are always choices available. We were told that people could sit in their rooms if they wished to but most were encouraged to come to the dining room to socialize. Care Homes for Older People Page 16 of 27 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. Their is an open culture at the home and people feel that any concerns they might have will be listened to and acted upon. The systems in place at the home help to keep people safe from harm or abuse. Evidence: In their AQAA the Providers told us - we have a clear easy to understand complaints policy which is regularly reviewed and updated. It is displayed on the Homes notice board and forms part of the service users guide. People are encouraged to vote in the local elections using a postal vote. The Home has a detailed policy on abuse and the protocol to be followed in any event of abuse or possibility of abuse. The procedures for referrals detailed in the Staffordshire Multi Agency Procedures for the protection of vulnerable adults are followed. We foster an atmosphere where people, staff, visitors and significant others are encouraged to report poor practice, discuss concerns and lodge complaints by acknowledging, investigating, addressing, rectifying and giving feedback about what we have done to CSCI, Social Services and the individual. We, the commission, have not received any complaints about this home since the last Key Inspection, nor have we received any Safeguarding Referrals. We discussed management of complaints with the acting manager and people who live Care Homes for Older People Page 17 of 27 Evidence: at the home and are satisfied that complaints are managed and dealt with effectively at the home. We also spoke with a number of people who all confirmed that they would know who to go to should they have any concerns. This is what one lady told us I am outspoken anyway so I would tell them if I didnt like anything Another person told us - Oh yes - I would go to the manager she is very approachable We also noted the complaints procedure displayed on the wall in the home. This is also contained in the Service User Guide. We spoke with staff members about Protection Of Vulnerable Adults and Abuse training. All staff members told us that they had received this training and were aware of the procedure to follow to report this. Their is a robust staff recruitment procedure and staff are carefully selected to work at the home so people are kept safe. Care Homes for Older People Page 18 of 27 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. The home provides a comfortable, clean and homely environment for people which has been adapted to meet their individual needs. Evidence: In their AQAA the Providers told us - the communal areas in the Home have been redecorated and refurbished and new furniture has been put in place. People have electric profiling beds, an armchair, lockable drawers and a wardrobe in their rooms and they are encouraged to bring their favorite personal possessions to decorate their rooms. However we have to limit the amount of personal possessions they can bring into their rooms to ensure compliance with Health and Safety laws. The services of a maintenance man are available to the Home on a daily basis and any areas or equipment requiring repairs attention are listed in the maintenance book by staff. The Operations management team undertake regular inspections of the property to ensure that it is well maintained and in a good state of repair. Planned auditing is done by the assistant operations manager. Regular fire alarm tests and drills are carried out and the professional fire risk assessor carries out an annual inspection and fire risk assessment. All staff at the home have regular fire safety, food hygiene, moving and handling, infection control and health and safety training. All equipment at the Home is serviced regularly by professional engineers. The Homes water is regularly tested for legionnaires and water tanks regularly disinfected by a professional firm. The Home Care Homes for Older People Page 19 of 27 Evidence: had a recent food hygiene inspection with a very good report, four stars were awarded. We walked around the home visiting some bedrooms and all communal areas. The home is clean, homely and well presented. People were observed sitting in both communal lounges on both floors, interacting with each other and the staff. Activities were underway in both lounges. Over lunchtime most people come down to the main dining room which is a social event - with small groups of people talking and eating together. Bedrooms are personalized and adapted to meet individual needs. Specialized equipment is in use where needed. Special pressure relieving mattresses are in place for people who need these and call bells within reach of people. The home is maintained well and has an ongoing programme of redecoration and refurbishment. We saw the new carpets upstairs which had been purchased since the last inspection. We also saw the new bedroom furniture in some of the rooms. There is pleasant outdoor space with seating areas. This is accessible to all the people who live in the home including wheelchair users. Care Homes for Older People Page 20 of 27 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 people who live in this home are cared for by a skilled and competent staff team who are trained to meet their needs. Staff are very carefully selected to work at the home and this helps to ensure that only staff with the right attributes are chosen. Evidence: In their AQAA the Providers tell us that - the Home has a recruitment policy which is updated to reflect changing legislation. The recruitment process is robust and all checks as prescribed are carried out. All Registered Nurses at the Home are registered with the Nurses and Midwifery Council (NMC) and their registration details are confirmed. The Home has an extensive training programme for continuous staff development delivered by the Training Officer, and teaching sessions are provided on a monthly basis. All staff are invited to attend teaching sessions, including ancillary and qualified staff. Adequate resources are provided to ensure that training takes place and is effective. The Home has an appropriately qualified workforce and the current number of care staff who hold National Vocational Qualification (NVQ) level 2 has increased to 68.75 per cent. The Home has a weekly rota which clearly shows what staff are on duty at specific times. Staff feel supported and confident in the execution of their duties and the training officer and manager are always available to reinforce Care Homes for Older People Page 21 of 27 Evidence: training and or resolve issues that may arise. At the time of the visit there was a total of 32 people living in the home. With the exception of 1 nurse short, the number of staff on duty at the time of the visit appeared to be adequate to meet the needs of the people living in the home. We looked at a number of staff files and spoke with the same staff members. We noted that there is a good staff training and development programme in place. Staff told us that they had done NVQ level 2 training in Care, Health and Safety, Moving and Handling and Fire Safety training. There was also evidence of other relevant training courses having taken place such as Dementia Awareness. Staff told us that they are very happy at the home and feel supported with their training needs. They talked about their job roles. They told us about how they help new starters and showed us the staff induction pack. They also said that Staff numbers are ok most of the time staff will usually cover for each other and their is a good staff team morale. It was identified that the recruitment procedure is robust with staff undergoing required checks before they are offered employment at the home. These checks include a Criminal Records Bureau (CRB) check, a Protection Of Vulnerable Adults (POVA) check and two written references are required. As well as this identification, employment history and checks on qualifications are carried out. People who live at the home told us The staff are lovely and are very helpful All the staff are friendly and talk respectfully There are sometimes issues with staffing levels which affects care. We have witnessed in house training sessions taking place. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run and managed in the best interests of the people who live there. As there is no registered manager for the home, this needs to be addressed urgently so that someone has accountability and responsibility for management of the home. Evidence: In their AQAA the Providers told us that - the Home has a clear and accountable management structure appropriate for its size. All staff receive induction and other training relevant to their job description Management. People and their relatives are regularly formally and informally consulted to monitor what we are doing well and suggestions for improvement are also sought from people and various stakeholders. People who live at the home and their next of kin are able to access and view care records at any time. We provide lockable drawers for residents to store their valuables and have in place insurance in the event of loss of these items. We do not recommend any particular advocacy service but provide information on well known services and Care Homes for Older People Page 23 of 27 Evidence: will encourage residents and relatives to contact them. There has been a change in management of the home since the last inspection. The registered manager has left and the current acting manager has also previously been registered manager for this home. She has stayed in a supporting operational role for the past few years and is very well qualified and experienced to manage the home. As the manager has been acting for longer than six months it was discussed with her the necessity for us to receive an application for registered manager in respect of this home without further delay. We have sent her a letter outlining the above. The manager told us that the Providers have been actively recruiting a manager for the home and have just appointed a suitable individual. The acting manager also explained that she will continue to offer support at Operational level. People who live at the home told us that they like the manager and find her approachable and supportive, as do staff members. The manager also told us that the Provider visits the home weekly and completes the Regulation 26 monitoring reports. These are available for inspection. There is an effective Quality Assurance programme in place at the home which includes obtaining the views of the people who live at the home and their representatives. We looked at the maintenance of personal allowances and these are in keeping with requirements and Protection Of Vulnerable Adults. Clear audit trails can be carried out on individual accounts. The management of health and safety in the home is effective. We looked at records relating to the maintenance and servicing of equipment in the home. We also looked at fire safety records and mandatory staff training. All these are carried out as required and are up to date. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 7 To ensure that where a risk assessment indicates for a specific care plan to be developed, then this is done. This is to help ensure that all individual needs are met. To ensure that specific care plans are developed for the monitoring and treatment of pressure ulcers. This is so that nurses can monitor and record the progress of the ulcer on a regular basis. To develope a risk assessment for people who wish to selfmedicate. This is to help ensure that self-medication is done safely. To install a thermometer in the medication storeroom in order to monitor the ambient temperature of the room. This is to ensure that medication is sotred at the correct temperature. This especially relates to liquid medication. 2 8 3 9 4 9 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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 27 of 27 - 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!