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Inspection on 10/02/09 for Alderbank Community Care Centre
Also see our care home review for Alderbank Community Care Centre for more information
This inspection was carried out on 10th February 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.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.
Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Alderbank Community Care Centre Melville Road Kearsley Bolton Lancashire BL4 8JD 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: Claire Lee
Date: 1 0 0 2 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 30 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 30 Information about the care home
Name of care home: Address: Alderbank Community Care Centre Melville Road Kearsley Bolton Lancashire BL4 8JD 01204337791 01204337794 mandy.woods1@bolton.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bolton Metropolitan Borough Council care home 26 Number of places (if applicable): Under 65 Over 65 26 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only- Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category- Code OP (maximum number of places: 26). The maximum number of service users who can be accommodated is: 26. Date of last inspection Brief description of the care home Alderbank is owned by Bolton Council and is run by their Social Services department. It provides care for up to 26 older people. There are currently twenty one places for intermediate (rehabilitation) care (a six week maximum stay); one interim place (for an intermediate care service user who needs longer than six weeks to recover); and four short stay/respite care places. The home also provides a day care service for older people seven days a week. Social Services and the Primary Care Trust jointly provide the intermediate care service at Alderbank. Care is provided to these service users by an onsite team of nursing, physiotherapy, occupational therapy, social workers, carers and specialist support staff. Care Homes for Older People Page 4 of 30 Brief description of the care home Alderbank is in a residential area of Kearlsey, about four miles from Bolton town centre. The home is purpose built, on one level ground floor. It has twenty six single bedrooms, all with washing facilities. The home is divided into three care units (pink, blue and green), each with their own lounges and dining areas. There is also a large central dining/lounge area (shared with the day care service). There is a central, enclosed garden and a patio area with seating. Limited parking is available at the front of the building. There is no fee for the accommodation as this is paid for by the health authority. Local contact details for the Commission for Social Care Inspection and copies of recent inspection reports were available for people to see. Care Homes for Older People Page 5 of 30 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: An unannounced visit to the home was one part of the inspection. It was carried out over one day for a duration of approximately eight hours. Twenty service users were staying at the home at this time. The term service user is used in this report as this what the people accommodated in the home like to be known as. During the time spent at the home different areas were looked at and a number of care, staff and health and safety records were checked to see what care the service users living there received. Discussion took place with six service users, one health care professional from the intermediate care team, five staff and the acting manager. During the inspection three service users were case tracked (their care files were looked at and they were asked for their views of the home). Other service users also Care Homes for Older People
Page 6 of 30 took part in the inspection and all the key and other standards were assessed during the visit. Reference to them is made in this report. To find out more about the care provided at the home survey forms called Have Your Say About... were distributed to a number of service users and staff prior to the inspection. A number of comments included in this report are taken from surveys received and also interviews which took place. An AQAA (annual quality assurance assessment) was completed by the manager prior to the site visit. The AQAA comprises of two self questionnaires that look at the outcomes for people and both had been completed in good detail by the manager. The self assessment provides information as to how the manager and staff are meeting the needs of the current service users and a data set that gives basic facts and figures about the home, including staff numbers and training. The last key inspection took place on 9th March 2007. What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 8 of 30 The brochure on the home is called a service user guide. Following the last inspection this has been reprinted and the written information now provides up to date details of what the home offers. This helps service users to decide whether they wish to stay there. Risks to the service users had been recorded in the care files seen. They identified the nature of the risk, for example, help with walking and the action needed by the staff to help minimise any potential injury. This helps to keep the service users safe and well. When service users need more care and support the manager arranges for additional staff to be brought in. Service users therefore receive good outcomes depending on their individual need. A member of staff remain on each unit lounge during the day to make sure the service users needs are tended to promptly. 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. Care Homes for Older People
Page 9 of 30 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 10 of 30 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 30 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. Service users are given information regarding the home and they have their care need assessed so they will know if these can be met by the staff. Evidence: Intermediate care was being provided for twenty service users at the time of the inspection. The staff and the intermediate care team provide help and support to service users users for up to six weeks following an illness or period of incapacity. A respite (short term) stay is also available to help service users and their families. The rehabilitation programme includes exercises, help with washing, dressing, eating and drinking. This help and guidance is given by the intermediate care team with the help of the homes staff. The intermediate care team is made up of a number of staff including physiotherapists, occupational therapists, registered nurses and social workers. Once service users are well and have achieved a certain level of independence they are able to go home. If concerns remain about their health they
Care Homes for Older People Page 12 of 30 Evidence: may need to be reassessed for further care in a different home. Written information is provided for service users and their families regarding Alderbank. The documents are called a service user guide and statement of purpose. They were on display in the main entrance hall and also in service users rooms for them to read. They are given out to service users prior to their arrival to ensure they have all the information they need to decide whether the staff will be able to meet their needs. Both documents have been updated since the last key inspection so that the details are accurate and reflect what the home offers. The AQAA reports that room sizes differ and staff allocate larger rooms where possible to service users who use moving and handling aids. Following admission staff complete an admission checklist to ensure all the necessary paperwork has been completed and to take time to explain the care and support the service users will receive. The home is constantly busy therefore staff allocate plenty of time to each service user to alleviate any fears or worries they may have in relation to their stay. This helps them to settle in with their new surroundings. A member of staff from the intermediate care team said the staff were welcoming and that the home had a very relaxed feel about it. Staff uniforms and photographs help service users to become familiar with the different staff roles and to identify them more easily. A service user said that the staff took time to introduce themselves when she arrived and she was able to meet other service users over lunch. The AQAA refers to white boards in the lounges with service users names and room numbers as an aid to getting to know the layout. These were seen on the different units and service users said they were helpful. Care Homes for Older People Page 13 of 30 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that the service users receive is based upon their individual needs and is given in a respectful manner. Evidence: Service users have a plan of care which records lots of information as to what the service user can do for themselves and what they need help with. This included, help with washing and dressing, medicines and walking. The intermediate care team set up a skills plan which outlines the care and support the service user needs. The intermediate care team provide this with the help of the care staff. A rehabilitation programme includes exercises set up by the physiotherapist and also an assessment of help needed in the home by the occupational therapist. This includes an assessment of the service users needs in relation to domestic tasks, for example making a cup of tea. Any risk to the resident and what action staff needed to take to keep them well and safe had been written in the plan of care. For example, walking, eating and drinking
Care Homes for Older People Page 14 of 30 Evidence: and hazards in the building. The AQAA states that service users are now weighed weekly as part of assessing nutrition. This will help to ensure they benefit from a good, well balanced diet. The care staff have access to the care records and are informed of any changes made to the service users treatment or care. Daily records give a summary of the care and support the service users receive each day. The intermediate care team also record the care they give using the same documents. This helps to provide a complete picture for each service user. Records seen showed that the care was being given according to the plan of care and that medical intervention was sought when it was needed. Multi Disciplinary meetings (health professionals involved with the care of the service users) are held each week and the AQAA reports that the service users views are fed into the meetings. This ensures their opinions are respected and listened to. A service user said this was always the case and that they were not worried about asking questions regarding their care. Service users have good input from the intermediate care team to help them keep medically fit and well. The nursing team monitor general health and there are twice weekly visits by medical staff. A staff member reported The social workers keep us updated from reviews and all information is updated. The Commission for Social Care Inspection have been notified of recent outbreaks of diarrhoea and vomiting which have affected the service users. Infection control measures have been put in place to minimise further risks to them and the staff. The manager and staff have managed the outbreaks correctly and promptly. Service users were complimentary regarding the standard of care they received. Comments included, Very good indeed, You could not have better, We have so much help from the staff and the intermediate staff all the time, The staff know what they are doing and will always do that bit extra to help and Brilliant care. They also said that the staff were polite and very helpful when talking to them and helping them. Staff were seen spending time with service users either in a group or one to one basis. Time was spent with service users ensuring they were comfortable and that all their needs were met. Good communication was evident, staff were kind, attentive and caring in their approach. They demonstrated a good knowledge of the service users care needs and how they wished to be treated. A staff member said, We care and support service users in a warm, caring, professional environment. We promote independence to enable them to return home where ever possible. The staff ensure the care they give is personalised and this was seen in relation to choice of meals, dressing and how to spend the day. Service users are asked how they would like to be addressed and service users commented that the use of first names helped them to
Care Homes for Older People Page 15 of 30 Evidence: relax with the staff. There is a policy regarding treating service users fairly and staff ensure their rights, wishes and views are respected. Care Homes for Older People Page 16 of 30 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. Service users had support and choice to meet their expectations and preferences regarding their daily lifestyle. Evidence: Service users were seen relaxing in their bedrooms or spending time with other service users in the lounges. The home is spacious which enables service users to enjoy some quiet time if they wish. They can decide how they wish to spend their day however emphasis is placed on the rehabilitation programme and support provided by the intermediate care team and the staff in preparation for going home. Service users can join in with the day care activities. There are no designated social arrangements for the service users receiving intermediate care. The majority of service users interviewed did not feel social activities were an important part of their stay however one service user reported that there is only television to watch. The acting manager agreed that further discussion was needed with the service users to establish what they would like. One unit has book shelves dedicated to memorabilia from the war time, a fish tank and private room for telephone calls. There are also plenty of DVDs and books available for the service users. Staff said they do everything they can to enable service users to enjoy their day. Visitors were seen to be made welcome by
Care Homes for Older People Page 17 of 30 Evidence: staff and could spend time with their family member in private if they wished. The AQAA reports that the manager has an open door policy and that they are able to make themselves drinks when they visit. Service users have access to their care notes and daily communication with the staff and intermediate care team ensure they are aware of how their care and treatment is progressing. A resident said that she was kept informed at all times and that the rehabilitation programme was organised. A social worker is on site to provide advice and support to the service users and their family members. Service users said that the food was very good and comments included, Like a hotel and You could not have better. Likewise a staff member Good substantial meals are provided. The cooks provide home baking and scones were baked for afternoon tea. The menu is based over four weeks and offers an alternative for the main meal which is served at lunch time. The daily menu board in the lounge did not show the choice available and service users interviewed were unsure as to what it was. They did however say that they could ask for something different and it would be prepared. The kitchen was well stocked with fresh fruit and vegetables and a choice of two vegetables is provided each day. Fruit had been left on each unit for service users to help themselves. Each unit has a small dining area and there is one large dining room; all tables were attractively laid for lunch. The cooks cater for special diets and any foods that need to be pureed are kept separate to ensure the colour and texture is kept. Care Homes for Older People Page 18 of 30 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. Service users are protected by the complaints and safeguarding procedures, which were understood by the staff. Evidence: The complaints procedure was displayed for service users and their families to see. Details of this are also in the service user guide. Feedback from two surveys and service users interviewed confirmed that they very happy with the care and support they were receiving. They also said they knew whom to speak to if unhappy about anything. Comments included, I would say something if I was not happy and What is there to complain about. A staff member said they would, Provide the complaints procedure, explain how it works and speak to the manager regarding the complaint to see if changes could be made. Any complaints received were recorded in a complaint log and the AQAA reported that since the last inspection one complaint had been received in house and not upheld. No complaints have been received by the Commission for Social Care Inspection. The staff follow Boltons guidelines on safeguarding adults and these were in the office with abuse policies and procedures. Not all staff have attended adult protection training and this should be provided so they are aware of the correct procedures to be followed. A training date was provided following the inspection and this should include
Care Homes for Older People Page 19 of 30 Evidence: local contact details for the agencies who would deal with a safegurading referral. Staff interviewed showed an awareness of how to recognise and respond to all allegation of abuse. Care Homes for Older People Page 20 of 30 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. Service users stay in safe, clean, comfortable and well maintained accommodation. Evidence: The home presents as bright and welcoming with administrative staff on duty at the main desk to welcome and help service users and their visitors. Plenty of information regarding the home was displayed for service users and visitors to view. The home was found to be warm and decorated to a good standard. The choice of wallpaper in the corridors, lounge and dining areas was attractive. Matching furnishings and fittings were seen in the bedrooms and service users said they could bring in personal items from home to make their room feel more like their own home. They also said the beds were comfortable and that they could lock money and valuables away safely. The bedrooms are for single accommodation only. The home is divided into units - pink, blue and green. Each unit has its own small kitchen, dining and lounge area with bedrooms and bathrooms. The green unit has two separate lounge/dining areas. One for intermediate care and one for residents receiving respite care. New comfortable armchairs have been purchased for the lounges. The AQAA reports on the ongoing maintenance and refurbishment of the building. This
Care Homes for Older People Page 21 of 30 Evidence: includes the dining room with new dining room chairs with glide rails for ease, replacement of flooring in some bedrooms, a new roof, replacement of lighting, windows and improved parking. Garden lighting is also planned to improve the external grounds for the residents. The bathrooms were well equipped with bath hoists and aids to promote service users independence and allow them to bathe safely. A special shower room is also being fitted. Staff had recorded the temperature of the hot water prior to bathing service users to ensure it was delivered at safe temperature. Service users said there was always plenty of hot water. Service users have access to a good standard of equipment for example, moving and handling equipment, hand rails, raised toilet seats and nursing beds. These are provided following the physiotherapists assessment of the care and support needed. There is a therapy room which has a number of aids used by the intermediate care team in preparation for a service users return home. All areas seen were clean and there were no unpleasant smells. Liquid soap, gloves, aprons, anti bacterial hand gel were being used by the staff on all the units and in the laundry room. There are designated laundry and domestic staff who ensure a good standard of cleanliness is maintained. Service users said the laundry service worked well and that their rooms were cleaned and tidied each day. Records seen confirmed that the home had been visited by a fire officer last year to ensure the building conforms with fire regulations to keep everyone in the home safe. The AQAA reports that there are policies and procedures regarding health and safety as part of monitoring the safety and well being of the service users. A number of these were seen at the time of the inspection. Care Homes for Older People Page 22 of 30 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. Staff training must be provided to ensure service users receive care and support from trained competent staff. Evidence: Records looked at confirmed that there were sufficient numbers of staff on duty to provide the necessary care and support to the service users. The AQAA reports that the manager has employed more staff to help meet their changing needs. Levels of dependency for intermediate care can fluctuate and extra staff can only help to ensure good outcomes for service users. Feedback via surveys and interviews with service users confirmed staffing numbers were good and the support seen was provided in an unhurried, professional manner. Staff interviewed had a good understanding and knowledge of the care needs of the service users and how to provide support for them on an individual basis. Comments from service users included, The staff never seem to get phased, They are really helpful The staff are utterly charming and Even though they are busy they take time and come back to help when they say they will.Likewise a staff member said, I do feel the team of carers at Alderbank work well as a team as they support one another on a day to day basis. According to the AQAA twenty eight of the thirty three permanent staff are qualified to NVQ (National Vocational Qualifications) in care at Level 2 or above. This is a
Care Homes for Older People Page 23 of 30 Evidence: recognised qualification involved in the care profession and shows commitment to the staffs individual learning and development. Staff recruitment files are kept at Bolton head office and arrangements were made to bring them to the home for the inspection. Three staff files were looked at and these showed that the staff had been recruited in a safe manner to protect the service users. There is an equal opportunities policy so that new staff are recruited fairly and without any discriminatory practices. The AQAA states that new staff have a probationary period and regular meetings take place as part of monitoring their skills and practice. Numbers of administrative staff have been increased to help at the front desk as the home is very busy and care staff are now not taken away from their care duties. Staff training was not up to date with a number of staff requiring training in infection control and food hygiene. The need to rectify this had also been recorded in a monthly quality report completed by the operations manager. Staff must be provided with the skills and knowledge to undertake their work. A training plan would be beneficial for arranging future training dates. The acting manager said this would be provided and training dates were forwarded to the Commission for Social Care Inspection following the inspection. Bolton head office arrange the induction for new staff and this covers safe working in the care home, for example, moving and handling and food hygiene. A staff member said, We did cover a wide range of issues which enabled me to do my job. The staff files seen recorded details of the staff members personal development plan. It would be beneficial to link this to a training plan for courses undertaken and planned. Staff also attend other training, for example, dementia care as part of developing their knowledge of this specialist area. Staff said they have training with Bolton City Council and the manager encourages them to attend. Care Homes for Older People Page 24 of 30 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. Staff may not have the necessary skills and knowledge to deal with a fire and this may place service users at risk. Evidence: The manager Ms Mandy Woods was not present for the inspection and it was conducted with the acting manager, Ms Joanne Duggan. Service users and staff are supported by a senior management team who have the necessary qualification in management and care. Service users said all members of the management team were helpful, supportive and always made themselves known when on duty. A staff member commented that Alderbank provides good support for individuals living in the community. Likewise a service user said, It is a very good home indeed. The staff receive supervision of their job roles however the acting manager agreed that this needs to be given more frequently as part of assessing their training needs. Staff confirmed they are kept up to date of any changes in the home or planned events. A
Care Homes for Older People Page 25 of 30 Evidence: staff member said that they receive supervision, attend meetings and Can discuss individual service users as and when needed. Service users receive surveys which enables them to give their opinions of what the staff do well and what could be improved. For October and November 2008 the staff achieved a satisfaction rate of 80 . These results show that the staff work hard to ensure the service users stay is comfortable and according to what they want. All staff have daily contact with the service users so therefore good communication exists. The operations manager undertakes a monthly visit to the home and writes a report of his findings. As previously stated he has highlighted the need for staff training. These reports provide feedback from service users staying at that time and how the home is operating. Staff provide help to the service users with managing their finances and advice was given on providing receipts for the haidressing service as part of keeping the financial records accurate. A number of staff have not had any fire prevention training since 2007 and the beginning of 2008. New staff receive some guidance on fire prevention at the time of their induction however training must be given to all staff so that they have the knowledge and skills to deal with a fire. This was disusssed with acting manager and following the inspection twenty staff received fire training at the home and more training sessions are being arranged. If a service user has an accident then the details of this incident are recorded. Accident reports seen were detailed and showed that staff looked after the service user appropriately. The AQAA confirmed that health and safety policies and procedures were in place and the maintenance and associated records for services and equipment were all in date. A spot check of the gas, moving and handling equipment and fire prevention equipment showed this. Care Homes for Older People Page 26 of 30 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 30 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 30 18 Staff require training in moving and handling, first aid, food hygiene and infection control. To ensure service users receive care and support from staff who are skilled and competent in their job role. 11/05/2009 2 38 23 Staff require fire prevention training. To ensure staff have the knowledge and skills in the event of a fire. 13/05/2009 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 2 12 15 Discussion should be held with service users regarding the social activities they would like to take part in. Service uses should be made aware of the daily choice of food at lunch time. Care Homes for Older People Page 28 of 30 3 18 Adult protection training for staff should continue to ensure they are aware of contact details for the local agencies involved with sageguarding service users. A training plan would be beneficial for staff when arranging future training dates. Staff should receive supervision on a regular basis as part of monitoring their training needs and being able to raise any concerns they may have. 4 5 30 36 Care Homes for Older People Page 29 of 30 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 30 of 30 - 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!