Inspection on 18/09/08 for Annacliffe Residential Home

This inspection was carried out on 18th September 2008.

CSCI found this care home to be providing an Excellent service.

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

Other inspections for this house

Annacliffe Residential Home 12/10/06

Annacliffe Residential Home 08/11/05

Extracts from inspection reports are licensed from CQC, this page was updated on 04/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Annacliffe Residential Home 129/131 Newton Drive Blackpool Lancashire FY3 8LZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jacqueline Riley     Date: 1 8 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Annacliffe Residential Home 129/131 Newton Drive Blackpool Lancashire FY3 8LZ 01253301955 01253399455 annaclifferh@ascali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Annacliffe Ltd care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The home is registered for a maximum number of 42 services users to include : up to 42 service users in the category of OP (Old Age not falling within any other category) Up to 4 service users in the category of PD (Physical Disability) aged 55 years and above Date of last inspection Brief description of the care home The home provides residential care for people of both sexes over the age of 65 years. A wide range of facilities and services are available for service users accommodated within the home. These include a laundry service, hairdressing, and Chiropody. The home also has extensive grounds with a bowling green and patio areas which are accessible to service users. Ramps are provided for wheelchair access. Aids and adaptations are in place to meet the needs of an elderly residential group. The home is situated in a residential area on a main road, with a good transport network close by. The home has two floors with both lift access and chair lift access to the first floor. There are currently 42 single rooms all en-suite. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the Care Homes for Older People Page 4 of 29 Over 65 42 0 0 4 Brief description of the care home qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. At the time of the inspection the fees ranged from 361.06 pounds to 400.00 pounds per week. 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: SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This was an unannounced site visit that took place on the 18th September 2008 as part of the inspection process. We spoke to the registered provider, registered manager, staff members, and groups of residents, individual residents and relatives. By spending time in all parts of the Care Homes for Older People Page 6 of 29 home we were able to take the views of people who use the service. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We had a reasonable response from surveys/questionnaires sent to relatives and residents for their views on how the home is run. Comments were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. We looked at recruitment and training records of three staff members. We also walked around the building and watched people living and working to see how everyone supported and talked to each other. What the care home does well: What has improved since the last inspection? What they could do better: The continuing development of the care home environment means that residents are living in a home, which is comfortable and designed to meet the needs of all stakeholders of the service. We were told that in some instances clothing of a delicate nature has been damaged in Care Homes for Older People Page 8 of 29 the laundry process and in other instances the wrong laundry has been returned to residents. This is an area, which should be looked at so that improvement can be made. The rear ground floor lounge has a small step at the entrance from the corridor. We saw this posed some difficulty to residents with walking aids who in some instances needed the support of a staff member. We say consideration should be given to improving this in order to improve access and so that people are not disadvantaged in any way form using this lounge area. We received comments from surveys saying residents who smoke but have poor mobility have to go into the gazebo in the rear external area of the home, and this poses discomfort to individuals who are elderly. However, through discussion with the management team they said this was a decision based upon Department of Health guidance, relating to the smoking legislation introduced in July 2007. In addition any prospective resident is informed by the manager and through the homes written literature that the home is a non smoking home. We looked at four staff files. They were found to be disorganised and would benefit from review so that they are sequential and are clear. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 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. The admission and assessment procedures were clear and precise to ensure the needs of the residents are met. Evidence: We looked at the records of four residents they had assessment information recorded in detail, so that the staff know what the individual needs of residents are. There has been a revised recording system put in place since the previous inspection which includes risk assessments for moving and handling and for nutrition, so that staff know the level of risk for individual residents. We talked to the registered manager who in most instances visits prospective residents to carry out a preliminary assessment to make sure the home can meet the needs of the resident. Visitors we spoke to and surveys we received all said they felt Care Homes for Older People Page 11 of 29 Evidence: confident the home can meet their relatives needs. Comments included, The manager came to see me and worked out what I needed, They talked to me about what sort of things I need, My social worker talked to me about the home, and I came to have a look. The files we saw have in place an assessment plan with information on file for the care staff at the home to develop a care plan to ensure all health, welfare and social and cultural needs are identified and recorded. A staff member spoken to said, We make sure we know all about the resident when they come in and find out just what their needs are, sometimes we talk to social workers or district nurses who have taken care of them before they came into the home. A resident spoken to confirmed they were involved in the assessment process and able to give their views of the support they required. Another resident spoken to said, The staff found out what I wanted before I came to live here. Staff members we spoke to said they use the assessment plans to guide them when providing care, and the assessment information is the basis of the care plan. The home does not provide intermediate care. 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. Promotion of health is taken seriously. Residents welfare is closely monitored and health needs are identified and met. Evidence: The records of four residents who were case tracked were complete, accurate and had excellent information relating to the health and welfare of the individual residents. The care plans are very well structured and there was evidence reviews are taking place so that any necessary changes are being addressed. Care staff are involved in the care planning process and those spoken to said, As key workers we work with the resident and go through what their health and personal needs are, so they feel involved wherever possible. A resident said, Staff talk to us about what my needs are. I have a key worker and they talk about things with me, I like to go out and they made a note of that. Health care records showed there is a good link between the home and healthcare professional including doctors, district nurses, chiropody, and optical services, so that residents are not disadvantaged in any way and their individual health needs are met. Care Homes for Older People Page 13 of 29 Evidence: Records examined confirmed risk assessments have been completed in all areas of a residents care and well being, and are reviewed regularly to reflect any changes that may have occurred individually and in the environment ensuring the residents needs are being monitored. The way medication is managed has been thoroughly reviewed since the previous inspection and a lot of work has gone into making sure the system is safe. Medication practices we observed at lunchtime were safe and good records are kept ensuring residents health is maintained. Individual members of staff are identified to be responsible for administering medication. Staff training in this area is ongoing and links in with the supplying pharmacist and the training provider to the home to make sure staff are competent in this area and the system is safe for the protection of users of the service. Comments included, Ive been on a range of training courses for medication and the manager is always checking up on meds, Weve just changed the meds system and the pharmacist is giving us advice, but its a better system than the last one. We found the way medication is stored is good, with suitable locked facilities to ensure the safety of medication at all times. We looked at how residents dignity and privacy are protected during the visit and we found staff treated people with respect at all times. This was confirmed by observing staff members knocking on doors before entering rooms, and the way staff talked and responded to residents. Comments we received said, the staff are really good and patient, theyve always got time for you, they knock and give a shout before they come in, whenever I call and its often the staff are seen to be ever so patient with the residents, they are so polite with everyone. Staff said, Some people want to be in their own room and be private and we respect that. Care Homes for Older People Page 14 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. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home Evidence: We spoke to a number of residents who said routines in the home are flexible and they were able to make their own decisions about how they live their lives. Comments we received said, There is always something going on each day, they give us a good choice of things to do, When the weather is nice we go into the garden for a chat and a drink and sometimes activities are held out there, Theres always something going on, and if you dont want to watch telly you dont have to, the rooms are really big, so that you can bring some of your own things and its really homely, We have an excellent lady who is here to arrange all kinds of activities for residents. There are arrangements being made for a number of residents to take a short holiday to Southport in January. We spoke to some of the residents who are planning on going on the trip and they said they were looking forward to it. They said if this works the next plan is for Llandudno, which they all said would be nice and for many would bring back good memories of their times spent there. Care Homes for Older People Page 15 of 29 Evidence: We observed that two of the three lounges do not have a television. A number of residents were spoken to who said they liked the fact that there is no television on as they have that choice in their own rooms, we like the peace and quiet, if I want to watch something I like to go to my room. The one television on was not too loud to hinder conversation. Staff comments included, Residents have a choice as to what they like to take part in and what they dont like, the good thing about the daily choice is that it gives people a variety of things to do. We saw a well designed activity programme on the notice board so that people know what is happening and when. We saw the activity coordinator has a daily diary recording what events take place and who participated in them. We spoke to the coordinator who said this system is useful as she can identify which activities are most popular. We found all activities are varied and meet the needs of the residents living at the home. Residents meetings include asking for comments as to future activities and what might be developed, so that they are designed to meet the needs of the residents at the home. The grounds are extremely well kept and there are plenty of choices of seating for residents and visitors to enjoy, the garden is my favourite place, its so beautiful and well kept. We looked at diet and nutrition and found the home provides a varied and balanced diet for residents. There is a designated cook, who was spoken to and confirmed the home provides a varied menu, which is designed around residents choices and preferences. The dining experience is designed to be a positive one with meals being taken in two dining rooms. Both areas are well designed and tables set with attention to detail including napkins in napkin holders. We spoke to a number of residents who said they enjoy spending time together and having a good natter over a meal. Other residents we spoke to said they prefer to eat in their own rooms and this was not seen to be a problem. Special dietary needs are taken into account and advice is sought in some instances for specialist diets. Care planning makes sure the home is promoting equality by treating residents as individuals. Discussion with a resident confirmed the home is taking into account personal hobbies and interests. I like to do my own thing and the staff understand that. We received comments from surveys saying residents who smoke but have poor Care Homes for Older People Page 16 of 29 Evidence: mobility have to go into the gazebo in the rear external area of the home, and this poses discomfort to individuals who are elderly. However, through discussion with the management team they said this was a decision based upon Department of Health guidance, relating to the smoking legislation introduced in July 2007. In addition any prospective resident is informed by the manager and through the homes written literature that the home is a non smoking home. Care Homes for Older People Page 17 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. Arrangements for complaints are handled well and taken seriously ensuring people are listened to. Procesures for reporting abuse are in place ensuring people are adequately protected. Evidence: The home has a detailed complaints procedure, which is made available to all residents on admission and contained in the Statement of Purpose and Service User Guide to ensure they feel protected. We spoke to a number of residents and visitors who said they were aware of how to make complaints and felt they would be listened to and acted upon. Comments included, Mum will say straight away if she is not happy, The staff are very prompt in letting me know of any problems that may occur, I say when Im not happy with something, but its a rare occasion that I have to. . We looked at a number of records and saw there have been no formal complaints made to the home or the Commission since the previous inspection. We saw the home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. We spoke to the manager and some staff about training in safeguarding adults and were informed this area is addressed by the home and through the external training programme in Care Homes for Older People Page 18 of 29 Evidence: place for staff so that they have the knowledge and skills to address any concerns raised in an appropriate manner in accordance with local and national guidance. Care Homes for Older People Page 19 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. The environment is safe and clean maintained to a high standard providing comfortable surroundings for the residents. Evidence: We looked around the building both externally and internally and found it to be maintained to a high standard. We received many positive comments about this and they included, The domestic staff are excellent keeping everywhere clean and fresh, there is always someone cleaning, and making sure the rooms are cleaned daily, The gardens are extremely well kept and there is plenty of choices of seating for residents and visitors to enjoy, Just look at these gardens, where else can you get a view like that, I like sitting here just watching out of the window, seeing whats going on. We saw evidence through general observation and records that the home is well maintained and decorated for the comfort of the users of the service. There is a maintenance employee designated to provide regular maintenance cover to areas of the home both internally and externally so that it is maintained to a good standard and in accordance with health and safety practices. As the home is large there are other external contractors overseeing maintenance as and when necessary. We saw there has been development in the ground floor bathing facility, which is now Care Homes for Older People Page 20 of 29 Evidence: complete. It is a large wet room, incorporating a shower, toilet facility. It is very well designed with additional handrails around the sink and mirror area for residents with mobility problems. It is well lit, warm and tiled throughout in a design, which residents spoken to said they thought was very nice. We looked around the home and found it to be clean and tidy with no evidence of offensive odours. A resident said, theyre always cleaning and tidying up. We saw the home has designated staff for domestic and laundry procedures. We saw the homes laundry system is effective so that residents clothes are generally managed well and returned to the residents on a daily basis. However some comments said, they thought the laundry could be improved, as there are a number of instances where delicate cloths have been damaged, and in some cases the wrong laundry has been returned to some residents. There are policies and guidance for laundry processes and for the control of infection ensuring the home is kept clean, pleasant and hygienic. The home benefits from a continuous programme of decoration for the comfort of the people using the service. We looked at a number of rooms, all of which have been decorated in neutral colours so that residents can add colour of their choice. Most had new carpets and curtains. Residents spoken to are very happy with their own environment and all had personal items from home, so that they felt very comfortable One resident commented on how nice it was to be able to have their own things in the room, as it was a home from home. Residents and visitors we spoke to said they can use their rooms whenever they chose to and this was seen throughout the time we spent at the home. Many of the residents we spoke to especially liked the extensive gardens at the rear of the home. They all said they enjoy using the large grounds during the summer months as they are pleasant and well maintained so that they bring pleasure to the residents and visitors using them. Residents with mobility aids can use the ground due to access by ramp. We say the step down to the rear lounge should be improved to assist residents with walking aids better access. We saw a few residents need the assistance of staff to gain access to this lounge due to the limitations created by the step. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for the recruitment of staff are good ensuring the safety and protection of the residents. Training for staff is good and enables staff to have the skills and competencies for their roles. Evidence: We looked at the recruitment system for staff. This has been reviewed and improved so that there is a robust system of recruitment before any applicant is accepted to undertake a role in providing care to residents. This was confirmed through observation of four staff files. Staff spoken to say, I had my references and everything else checked before I started so they know you are safe to work with older people. We spoke to a number of residents and visitors who are happy with the staff team, they commented on how helpful and cheerful they always are. Other comments we received included, Staff are always available, My relative has looked so much better for being a resident at Annacliffe. We looked at the homes staffing rota and found the home is staffed in numbers to meet the current needs of residents living there. We found there has been little change in the staff team since the previous inspection, which means there is good continuity for residents. We were told that it was nice to see the same faces, when visiting the home. Care Homes for Older People Page 22 of 29 Evidence: When looking at staff files and talking to people we found there is a good skills mix of staff, this is formally recognised within the home by using various colour coding of uniforms, so that staff and residents know what role a member of staff is occupying. The files we looked at were not in any sequential order and were difficult to follow. We spoke to the manager about this who said they would be reviewed and put in order so that a clear audit of information is available. By making observations throughout the inspection, we found that by sitting in different areas of the home residents had good access to staff at any one time. We observed some residents calling for staff and there was always a good response time. We received a number of positive comments about the staff team including, Its really nice here, we are treated really well, nothing is too much trouble, the staff cant do enough for you. We looked at how the staff team are trained and found there is more development being put into the training programme. We spoke to the manager who recognised the need for staff to receive training to support their personal and professional development so that they are equipped with the necessary skills and competences to carry out their individual roles for the benefit of all stakeholders of the service. There was evidence on the three staff files seen and through discussion with members of staff on duty that the home encourages all members of the staff team to attend training in areas associated with care practices and caring for older people. Comments included, When we start here, you get to know what to do from the manager and other senior staff, and now we have a new three day induction programme, so you dont feel out of it, Ive been on training courses for medication and the manager is always checking up on meds. The information the manager provided before we came to the home showed over 90 of care staff have completed a national vocational qualification, so that staff are equipped with the knowledge and skills to carry out their role. Other staff said they were now taking a higher level care qualification, and that staff attend external training in other areas of care associated with caring for older people. This means the home is committed to making sure the staff team are competent in their roles and that the home keeps up to date with changes in care practices for the benefit of all stakeholders of the service. Care Homes for Older People Page 23 of 29 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. The home is managed well and systems and policies in place for the protection and safety of staff and residents are good. Evidence: We say the registered manager has the necessary skills and experience required to support the staff and residents and enable the home to meet its stated purpose and objectives. Staff spoken to say they found the management team to be supportive and they felt provided a clear sense of leadership. Staff comments included, Its nice working here, we work well together, another commented, Always approachable and helpful. Comments from residents, surveys and visitors were positive about the management, comments included, the manager is always here for you if you need her, We feel supported by the managers, they have lots of good advice and keep on top of things, I just knew this was the right place for my relative, when I looked at it and felt the Care Homes for Older People Page 25 of 29 Evidence: atmosphere in here, Its such a nice place for my relative and they say they really like it here. We saw there is a designated administrative employee who manages some of the residents financial and other administrative records. These records are audited ensuring residents interests are safeguarded. We found the home has improved its quality monitoring system so that it takes into account views from users of the service so that the home can use the information to measure their effectiveness in meeting their stated aims and objectives. We saw the registered provider of the home visits almost daily and take an active role in the day to day management of the home, so that they are involved in all the decision making processes. Inspection of maintenance records confirmed equipment and facilities are being maintained as required by health and safety legislation so that the homes environment is safe for all users of the service. 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 1 26 The home should ensure residents laundry should be returned to the named resident, and clothing requiring delicate washing is treated as per instruction so that clothing is well cared for. The step to the rear lounge should be removed so that access to this lounge is easily available to residents with mobility aids. The way staff files are organised should be improved so that they are in a sequential order. 2 26 3 29 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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