Inspection on 17/11/08 for Belvoir Vale Care Home

This inspection was carried out on 17th November 2008.

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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Belvoir Vale Care Home Old Melton Road Widmerpool Nottingham NG12 5QL     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: Angela Starr     Date: 1 7 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 29 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Belvoir Vale Care Home Old Melton Road Widmerpool Nottingham NG12 5QL 01949823989 01949823810 pat.pinfold@belvoirvalecarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Belvoir Vale Care Homes Ltd Name of registered manager (if applicable) Mr David Tomlinson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 62 The registered person may provide the following categories 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 Dementia - Code DE Date of last inspection Brief description of the care home Belvoir Vale is a purpose built Care Home providing residential care for a maximum of sixty two people. The easily accessible accomodation is all on the ground floor. The home comprises of three main areas, each catering for people with varying needs. Granby Court and Rutland House each have twenty five rooms and Gatehouse Cottage has a further six rooms. Double rooms are available for anyone wishing to share. All bedrooms have en-suite facilities and people are encouraged to personalise their Care Homes for Older People Page 4 of 29 care home 62 Over 65 0 62 62 0 Brief description of the care home rooms with familiar and treasured possessions. Communal areas include libraries, television lounges, quiet lounges and a number of dining rooms. These communal areas are small and individualised to provide people with homely areas in which to relax. There are extensive gardens, outside seating areas and woodland walks, all accessible to people using wheelchairs. The home is situated in the countryside within easy reach of Nottingham, Newark, Melton Mowbray and Leicester. Fees range from Six hundred pounds to Seven hundred and eighty five 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: 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 focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people who use the service and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing Care Homes for Older People Page 6 of 29 us with information to assist in planning our visit and deciding what areas to look at. We also reviewed all the information we have received about the service since we last visited on the 4th of October 2007 and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent ten Have Your Say questionnaires to a random selection of people who use the service, ten more to relatives and a further ten to some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. The last Key Inspection report can be found on the Commission for Social Care Inspection web site at www.csci.org.uk What the care home does well: What has improved since the last inspection? The service now employs an activities co-ordinator who has developed a wide range of activities tailored to the needs and preferences of the people living at the service. A mobile shop is provided to enable people to purchase a variety of items. Some re-furbishment has taken place and this includes the installation of new bathrooms and the creation of a small dining room which can be used by people and their visitors to enjoy a meal together. The outside areas now include a number of small courtyard gardens, some of which are secure to enable people to spend time outdoors in a safe environment. An adjoining piece of woodland known as The Spinney has been developed to enable people to enjoy a woodland walk accompanied by staff or relatives. There are three walks varying in distance, short, medium and a longer walk. They are all accessible to people in wheelchairs. A room has been dedicated as a training room where staff attend a variety of suitable courses. Care Homes for Older People Page 8 of 29 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 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. People wishing to live at the home have their needs fully assessed to ensure that their needs can be met. People are given accurate and up to date information about the services and facilities available to them at the home to assist them in making a choice. Evidence: The manager told us in the written information he provided, We have brochures that go out to prospective clientele and we follow up with a telephone call, inviting them to visit the home and have a look around. Overnight stays are offered and people are invited to join us for meals. Contracts are drawn up after forty eight hours of a person moving into the home. Care Homes for Older People Page 11 of 29 Evidence: We saw the Statement of Purpose and the Service User Guide on display in the entrance of the home, along with a copy of the last Key Inspection and other documents including the complaints procedure. The documents we saw were comprehensive and informative and were produced in a suitable format. The Brochure was up to date and contained useful and relevant information about the services and facilities provided at Belvoir Vale, as well as in the local community. We looked at files of three people living at the home, including the last person to be admitted. All the files contained pre-admission information including an initial plan of how their needs would be met and each person had been given a copy of their contract. People we spoke with told us that they knew of the home and chose to live there because they had heard good things about it. They also confirmed that they had been given copies of the Service User Guide, Statement of Purpose and complaints procedure when they made their initial enquiries. One relative we spoke with said We chose this home because it is local and we had always heard good things about it. It has proved to be the right choice. Another relative who returned our questionnaire said I decided on Belvoir Vale because I received good reports from someone I knew who had a relative there. Another person told us Although my relative has only been here a short time, they have settled in very well. This is due to the high quality of care and the pleasant surroundings. Seven people who live at the home returned our questionnaires. We asked Did you receive enough information about the home before you moved in so you could decide if it was the right place for you? All replied Yes. The people we spoke with all said that Belvoir Vale was their first choice and that they made that choice based on information provided by the home as well as on the things they heard from other people. The written information told us Assessments are always carried out before a prospective client moves into the home so essential equipment can be made available from day one and so that we know individual care needs can be provided for, including dietary requirements. The care plans we looked at all contained assessments completed before admission to the home. Care Homes for Older People Page 12 of 29 Evidence: We encourage people to bring their pets with them to the home to avoid any unecessary anxiety about having to give them up. We spoke with a person about bringing pets to the home and were told This is an important feature of the service offered and even the pets are very well looked after. Care Homes for Older People Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and Health care needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: The manager provided us with written information that told us, All staff are trained to ensure care plans are person centred and the ten dignity challenges are addressed. The Dignity Challenge is a clear statement of what people can expect from a service that respects dignity. It is backed up by a series of dignity tests that can be used by providers, commissioners and people who use services to see how their local services are performing. During our visit to the home, we observed staff knocking on peoples doors and waiting to be invited into the room. We also observed staff speaking with people in a Care Homes for Older People Page 14 of 29 Evidence: respectful manner. The written information also told us Care plans are audited regularly to ensure they are person centred and the information captured in the audits is readily available for perusal. Care planning involves both the client and their family. We looked at care plans for three people who live at the service. All were detailed and provided evidence of consultation with the person and had been reviewed each month. In the questionnaires we sent out, we asked people living at the home Do you receive the care and support you need? Of the seven that were returned to us, six said Always and one said Usually. Comments included All the care and support is excellent. Yes, I think the care and support is very good. Four relatives returned questionnaires and all said the needs of their relatives are always met. Very caring. Often beyond the call of duty. We asked people if they receive the medical support they need and all told us that they do. A relative we spoke with told us that the staff are very willing to accompany their relative to hospital appointments but said that they choose to take them. People who are able to manage their own medication have the relevant risk assessments in place and a suitable storage facility provided. Staff who administer medication have had training to do this. Staff files and the training matrix support this and staff we spoke with said they had had the relevant training. The files we looked at provided evidence of Doctors and District Nurses visiting as well as Opticians, Chiropodists and Dentists. It was also evident that specialist services are called upon when required. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a flexible lifestyle which is in accordance with their needs, abilities and preferences. Evidence: The manager provided written information that told us, We provide a luxury furnished environment which is clean and comfortable, with privacy and dignity being at the core. We provide a lot of small areas where clients and families can meet without interruption. We employ an activities co-ordinator who works three days each week. Activities are based on peoples preferences and each person is consulted. Opportunities are provided to join in with a group or one to one activity. We saw the activities record book and observed that a variety of organised activities take place each week. These include painting groups, poetry groups, themed meals and a weekly quiz. There is a record of people being invited to join in and it is also recorded if people decline. One person told us I have been asked but I do not wish to join in. Care Homes for Older People Page 16 of 29 Evidence: The activities co-ordinator visits each person that refrains from mixing with others, to discuss their interests and choices about joining in or not. The one to one activities include, looking at photographs and reading with the person, hand massage and manicure. A variety of entertainers also visit the home, including Morris Dancers and children from local schools. A monthly newsletter is produced to provide information about any planned activities, for example, trips on the river or meals out. There is a pool car for staff to use to take people out. This may be to attend appointments or for social reasons. There is also a mobile shop which provides people with an opportunity to buy confectionery, cards, stamps, stationery and toiletries. In the questionnaires we sent to people living at the home, we asked, Are there activities arranged that you can take part in?. Of the seven that were returned, three said Always, one said Usually, two said Sometimes and one said Never. One person who replied always, added the comment Especially now the activities lady has started. She is excellent. A local church conducts a Holy Communion Service each month and people from the wider community join this service. People have expressed a wish to attend church services outside the home and a member of staff accompanies them. People living at the home who have taken their pets with them are encouraged to continue looking after them. Staff walk dogs and people accompany them when they choose to. There are walks within the adjoining woodland that have been made suitable for wheelchair use. One person we spoke with told us My relative says it is like a hotel. If they fancy something different for tea, it is provided. Another person said Food is lovely, plenty of it. Our questionnaire sent to relatives asked Does the care service meet the different needs of people? Four were returned to us and all said Always. One person told us of the extraordinary lengths the staff go to to accomodate personal celebrations, including catering for family members to enjoy a meal with their relative Care Homes for Older People Page 17 of 29 Evidence: in a private dining room. Another person told us My relative has put on some weight which is down to the food they are getting, which is excellent. The written information also told us People are always given choices of what meal they would like. There are two main courses and two sweets offered each day but we always provide an alternative if requested. People can eat in the dining rooms or in their bedrooms. A number of people told us that they prefer to spend time in their rooms and eat their meals in privacy. They also confirmed that this choice is respected by staff but they can always be accomodated in one of the dining rooms if they wish. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and have confidence that any concerns they raise would be listened to, acted upon and responded to. Robust policies and procedures protect people living at the service from harm and abuse. Evidence: The written information returned to us told us, Clients and families know who they can make any complaint to. All complaints are taken seriously and are investigated and dealt with immediately. Staff are aware of our Whistle Blowing policy and would have no hesitation in reporting anything they feel is not acceptable. Appropriate authorities are informed immediately if any form of abuse is suspected. We saw a copy of the homes complaints procedure prominently displayed in the entrance of the home. It is included in the information given to people who move to the home and it is clear and comprehensive. We have not received any complaints about the home. Our questionnaires asked people Do you know how to make a complaint? Of the seven that were returned, all said Yes. When asked Do you know who to speak to if you are not happy? five said Always, one said Usually and one said sometimes. Care Homes for Older People Page 19 of 29 Evidence: People we spoke with told us that they would tell the staff if they were not happy or ask to see Matron. A relative told us that they had never had to complain and that anything they ask for is always done. All four of the questionnaires returned by relatives said that they know how to make a complaint and one person commented Any concerns I have had have been minor but any action required has taken place without delay. The staff we spoke with all demonstrated a good understanding of Complaints and Protection and confirmed that they have received training on Safeguarding Adults and Whistle Blowing. Further evidence of this training was seen in the staff files. Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. We saw the book for recording complaints and there were two entries. Both records showed that these matters had been investigated and resolved. The outcomes had been shared with the complainant. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe, comfortable and well maintained home which is equipped to meet their needs. Evidence: The manager told us, The home was purpose built in 1993 to accomodate sixty two people. We meet all the environmental requirements and fire regulations etc. The home is decorated and maintained to an extremely high standard with all bedrooms having en-suite facilities. We have several luxurious communal areas and the grounds are also maintained to a high standard by our gardener. We undertook a partial tour of the home and observed that all areas were clean and warm. The decoration was of a high standard and there were numerous individual touches that created an atmosphere of homeliness and comfort. A number of small communal areas provided privacy and choice for people and each were furnished in an individual manner creating sitting rooms, library areas and dining rooms. The bedrooms we saw were comfortable and personalised with peoples own furniture and belongings. The dining rooms had tables set with tablecloths and cutlery. Flower arrangements and Care Homes for Older People Page 21 of 29 Evidence: napkins were in place to compliment the home from home atmosphere. Belvoir Vale employ a number of housekeepers who work seven days a week to achieve a home that is odour free, clean and hygienic. We asked people Is the home fresh and clean? Six said Always and one said Usually. One person commented Very clean. A relative we spoke with told us There are never any unpleasant smells and the home is always clean. Another relative said My relative has settled very well due to the high standard of care and the pleasant surroundings. The outside areas are maintained to a high standard and provide seating areas for people to use when the weather is fine. The owners of the home have purchased a piece of adjoining woodland and have invested both money and time, in making it accessible for people to enjoy walks with staff, family or friends, including wheelchair access. We saw the maintenance log and it had clear records confirming that any identified problems are dealt with immediately. We spoke with the member of staff responsible for ensuring that all maintainence is up to date and they confirmed that all identified problems are remedied immediately. The written information provided to us states Infection control is a high priority. Staff we spoke with all confirmed that they have had training in relevant areas including Prevention and Control of Infection. The staff files that we saw contained evidence to support this. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service are supported and protected from harm by well trained staff in sufficient numbers to meet their needs. Evidence: The written information returned to us told us, We have a balance of well trained, knowledgable staff who cater for the needs of the people living at Belvoir Vale. More than fifty per cent of staff have NVQ (National Vocational Qualification) level 2 and are now working towards level 3. This includes housekeeping staff. We consider training to be a high priority and provide an extensive training programme which we continue to expand. We saw files of three members of staff and they contained evidence of the training they have undertaken and also of the training that has been booked for them. Staff we spoke with told us that they enjoy a wide range of training and have recently completed person centred planning, dignity and respect and safe handling of medication. Our questionnaires asked relatives Do the care staff have the right skills and experience to look after people properly? Comments we received include Staff are Care Homes for Older People Page 23 of 29 Evidence: very good at Belvoir Vale. They are always having a joke with my relative. I have noticed that they all seem very skilled to deal with peoples various problems. My relative has been here for eighteen months and is very happy. I think it is because of the wonderful staff. I cannot praise them enough. I see my relative everyday and have always been made very welcome. A relative we spoke with told us My relatives dignity is well respected. I have only ever heard staff being polite and respectful. They always knock on doors and wait before going into a room. I find them all to be very helpful and friendly. They work together. The staff files we saw all contained two written references, satisfactory Criminal Record Bureau and Protection of Vulnerable Adults checks, evidence of induction and training. The written information provided to us by the manager told us Communication is the key to a successful team. We work closely together, respecting and supporting each other. Staff we spoke with told us I am brought up to speed with things by Matron at least once a week. Handovers take place each day and we have regular staff meetings and supervisions. Staff we spoke with told us they feel supported by their manager and they have regular supervision which they find useful. Staff are rewarded for achieving qualifications, with an enhanced pay scale. We looked at the staff rota and observed that there are always sufficient staff on duty to meet the assessed needs of the people who live at the service. A relative told us There are always plenty of staff around. I can always find someone. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and is being run in the best interests of the people who live there. Evidence: The Annual Quality Assurance Assessment was returned to us within the required timescale and it told us, The management structure is based on a Managing Director, Matron, Administration manager, Hospitality manager and Maintenance manager. This team is involved with all matters pertaining to the running of the home. Systems are in place to ensure continuous self monitoring and quality assurance. Monthly audits are undertaken in areas such as health & safety, fire safety, medication, first aid, person centred care plans, complaints and room refurbishmets. Regular meetings take place to ensure the smooth running of the home. We saw the quality assurance audit produced from the information gathered from people living at the home and their relatives. It provided evidence that peoples Care Homes for Older People Page 25 of 29 Evidence: opininions are listened to and acted upon to make any improvements to the service provided. The people we spoke with told us that they feel listened to and consider their opinions are valued. One person living at the home had said that they would like there to be more opportunities for people using wheelchairs to access the grounds. This has been acted upon in the development of The Spinney, as mentioned in the area of how the service has improved. We spoke with the various managers and it was evident that they have a clear and well defined understanding of the principles and focus of the service and that they strive to continously improve the service provided to people. The maintenance manager completes a tour of the buildings on a daily basis and any problems identified are dealt with immediately. We saw a comprehensive log that is kept detailing any problems and the solutions. We also saw monthly audits relating to the various checks that are completed. People living at Belvoir Vale are encouraged to manage their own finances or this is done on their behalf by family members. We looked at the finanial records for people who do have their money managed by the home and these were all accurate and well kept. One staff member we spoke with told us I appreciate the support I receive from my manager at the same time as being given scope to develop my own skills. Health and Safety of staff and residents is promoted through training. Staff files showed us that all staff have had training in Health & Safety, Fire Safety and evacuation of the buildings. Where relevant, staff have had training in Moving and Handling, Infection Control, Food Hygiene and some have had First Aid training. All staff are encouraged to undertake training in addition to mandatory training and their achievements are acknowledged and rewarded with an enhanced pay scale. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 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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