Inspection on 25/11/08 for Broadmeadow Court

This inspection was carried out on 25th 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

Broadmeadow Court 09/01/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Broadmeadow Court London Road Chesterton Stoke on Trent Staffordshire ST5 7JG     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: Keith Jones     Date: 2 5 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. 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 28 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 28 Information about the care home Name of care home: Address: Broadmeadow Court London Road Chesterton Stoke on Trent Staffordshire ST5 7JG 01782561398 01782563889 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Sanctuary Care care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Broadmeadow Court was purpose built and previously managed by the Beth Johnson Housing Association. From 1st April 2006 the home has been in the ownership of Sanctuary Care. The home is registered for 31 elderly people receiving personal care. The home is located in Chesterton, close to local shops and community facilities. There is good public transport access to the home. The property was built to a high specification and provides a well maintained, spacious and attractive environment. All bedrooms are for single use are equipped with a small kitchenette and have en-suite facilities. The home has a good record of providing care to older people. The facilities are spacious and attractive throughout, with standards of furnishings and decor maintained to a very high standard. The fees chargeable for the service at Broadmeadow Court are from £322.00p to £368.00p per week. The fee information Care Homes for Older People Page 4 of 28 Over 65 6 31 10 0 0 0 Brief description of the care home included in this report applied at the time of inspection, and the reader may wish to obtain more up to date information from the care service. Care Homes for Older People Page 5 of 28 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: Broadmeadow Court was judged to offer a good standard of care at the last key inspection on the 09/01/07, which was reaffirmed by our Annual Service Review we conducted on the 08/01/08. We conducted this unannounced inspection over one day with the Registered Care Manager and senior care staff on duty, whose input contributed towards this report. To help us plan the inspection we looked at pre-inspection information in the form of an Annual Quality Assurance Assessment (AQAA), requested from the Registered Provider and supplied to us several weeks before the inspection. We also received seven survey returns from people who use the service and their families. Our inspection of the service allowed us free access to all areas, and open discussion with people who use the service, relatives and staff. There were 29 people in residence Care Homes for Older People Page 6 of 28 on the day of our inspection, with two presently admitted to hospital for treatment. We looked at how care is being arranged and supported for a range of people with health and personal care needs. To do this we looked at and tracked three peoples care from the point of referral to the present time. We also examined three staff files to review staff appointments, induction programmes, training and supervision arrangements. We examined other information such as complaints, incidents, events and other professional reports. We took the opportunity to speak with a number of people who use the service, relatives and members of staff, who took an active role in the inspection process, and contributed towards the subsequent report. We inspected a sample review of administrative procedures, practices and records, confirming consistent good practice and effective management. There followed a report feedback, in which we offered an evaluation of the inspection to the Care Manager, indicating those recommendations resulting from the inspection. What the care home does well: What has improved since the last inspection? What they could do better: There is a need to organise records to produce a more effective and robust system to focus attention. Staff appointments and maintenance of staff records are to be reviewed to ensure a consistent and thorough approach to effective employment procedures. We also consider that formal staff supervision be conducted at regular intervals for all staff employed, to maintain an effective staff development process. Care Homes for Older People Page 8 of 28 Nevertheless the achievements in establishing a good standard of care have been recognised, areas of detail outlined through recommendations will continue to play a part in the ongoing development and maintenance of an honest, solid and homely service. 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 28 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 28 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 needs of people who may use the service are appropriately assessed before they are offered a place. They and their relatives can be confident that the service will be able to meet their needs. Evidence: We examined the services Statement of Purpose and Service User Guide, and found them to provide an informative description of Broadmeadows aims, objectives, and the way it operated. We also acknowledged that the documents, presented to all enquirers, contained information regarding the fees payable. It is stated in the AQAA, and we recognise that the Statement of Purpose represent the foundation on which the home operates upon, offering those people who may use the service, and their relatives the opportunity to make an informed choice about where to live. We were advised that the Service User Guide is to be produced in large print and an audio version to help people to make an informed choice. Care Homes for Older People Page 11 of 28 Evidence: Our examination of three peoples care records and plans confirmed that each person had an individualised pre-admission assessment, and were invited to visit the Home with family members, before any decision is made. In each case we identified that the Care Manager, or her deputy conducted the pre-admission assessment, showing an attention to individuality to form a care support plan, based on those personal needs. We understood from speaking to people who used this service, that this assessment was produced with the involvement of those people and their family, allowing them to have an influence in the direction of care, which is geared to stimulate a daily living plan. The assessor also determined the suitability of the application in view of the capability of the home to manage the persons special needs. We were informed that on a persons admission a Keyworker is made available to welcome, reassure and help that person to settle in and feel comfortable in their surroundings. Comments we received from surveys, and with talking to people, confirmed that to be true, and presented to us the confidence that people had in the service: We asked a lot of questions about mums care plan and the extent of the help that she would receive. A person we interviewed on the day said: I remember that the staff made me feel very welcome, and included me in everything that was being discussed. We acknowledged through our case tracking of peoples care, that any special needs were discussed fully and documented, ensuring their individual needs would be met. From discussions with the people who used the service, it was evident that they had been able to visit and assess the quality of the facilities and suitability of the Home, and to meet with the staff and management. We confirmed that all new people entering the home are provided with a contract, giving a clear statement of services offered and charges involved. We recognise that no intermediate care takes place in the home. Care Homes for Older People Page 12 of 28 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. A wide range of needs are addressed through the care planning process, meeting clear principles of respect, dignity and privacy towards people who use the service. Medicine administration systems are safe and secure. Evidence: Our examination of care records showed a good quality process of assessment, with individual care plans developed by the recognised keyworker. We found that the pre admission assessment represented the foundation for a well considered, detailed care planning process, including risk assessments. We recognise that the individual plan of care is based upon dependency assessments and activities of daily living. Each persons health, personal and social care needs were found to be carefully considered in an individual plan of care that is reviewed monthly, to reflect changing needs, which are supported with a informative daily progress report. Risk assessments were carried out on an individual basis, and frequently reviewed. The AQAA stated, and we confirmed from examination of records, that those people who use the service, families and friends are invited to participate in the care planning Care Homes for Older People Page 13 of 28 Evidence: and evaluation process. Our case tracking confirmed to us that specialist support and advice are sought as needed, with each person using the service having access to a local Doctor, Dentist, Optician, Chiropodist, and District Nurse as required. We appreciate that the strength of planned care lies within the frequency of the review process, and in monitoring and adapting care plans by the Care Manager and Senior Carers. A purposeful daily report is maintained to control monitoring, and offers a good account of care and service given. We noted that keyworker care staff maintain records of peoples personal care, which are overseen by the Care Manager on a daily basis. Our observations showed that people using the service appeared to be content, comfortable and happy with their lifestyle, most being complimentary regarding the quality of their lives, and the care they were receiving at Broadmeadow Court. Comments from surveys we received: It is very difficult at times because mum is unable to ask for things herself, but the staff know her well enough to understand her needs most of the time. I am very pleased with my care and support. The administration of medicines adhered to procedures to maximise protection to people. We saw that storage was secure, with added security for controlled drugs. Random checks of medicine stocks against the Medicines Administration Record (MAR) sheets, confirmed a consistent and accurate administration, with no observed breaches in the system. Self medication and risk assessment policies were seen to be satisfactory, with no one in at the time who wished to participate in the scheme. We confirmed that only senior care staff administer medication, all having received training in the Safe Handling of Medications. In our examination of care records, we established that a policy and procedure on end of life had been produced to meet individual needs, and were in place with the full knowledge of those who use the service and relatives. Individual spiritual persuasions were seen to be documented and respected at all times. We were informed that relatives are welcome to stay as long as they liked in times of stress, including overnight stay. It is stated in the services Statement of Purpose and the AQAA, that independence, privacy and dignity are encouraged, with the full involvement of family in all matters concerning the well being of people. This was confirmed in our discussions with people who use the service, visitors and staff, and that relatives have freedom of visiting, which emphasised the importance of maintaining social contact. Care Homes for Older People Page 14 of 28 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. Peoples rights to live a meaningful life are central to the homes aims and objectives. People are offered opportunities to exercise choice and control over their lives. People are offered a healthy, well balanced diet. Evidence: We found the daily routine to be flexible to match peoples abilities and wants, offering choices for meal times, personal and social activities, including recognition of varied religious needs. Our discussions with people who use the service and staff, clearly identified a relaxed and informal atmosphere in which peoples needs were respected, with the security that there are familiar events to the day they could relate to. We saw that peoples life histories are discussed and used as a basis for individualised social care, offering choice and support. An activity coordinator has been appointed for 25 hours a week, and we were informed that the Home is planning extended activities to add to those already in place, including bingo, exercises, games, and hairdressing sessions. We also noted that people have occasional trips to the locality, and a mix of individual and group activities, whilst recognising that normal daily routines such as personal care procedures, are social interactions. Care Homes for Older People Page 15 of 28 Evidence: Some comments we received from the surveys we sent out to people : The activities programme has vastly improved since the arrival of a daily coordinator. The activities have become regular and I enjoy them. A lady has now been employed by Sanctuary Care to arrange activities 5 days a week, so it is much better than before. Families and friends are actively encouraged to participate in the daily life of the home, with no restriction being placed on visiting times. During the course of the inspection we saw staff interact with people in a positive and polite manner. General comments received from people in the course of inspection, indicated an appreciation and involvement with the progress of their health and social status. We were informed through the AQAA that a group attends a Craft Class at the local Church Hall every Monday, encouraging further arrangements to go out for coffee mornings and social evenings, a meal and a drink, and also enjoying a monthly tea dance. Several people we talked with were very positive about this arrangement, and the wider scope of meeting other people and engaging in with other activities. It is stated in the Statement of Purpose that personal choice, dignity and self determination are respected in policy and action, which we found to be true. Those individuals rooms inspected showed a significant influence of personalisation in the inclusion of belongings, some furniture and general decor. Our inspection of the home demonstrated a degree of expressed individuality in most of the bedrooms inspected. Relatives and friends are encouraged to maintain social links as part of the planning of care. We found that the standards of catering offered a satisfactory service, to which those people we spoke with were highly complimentary of all aspects of quality. A menu on a four weekly cycle offered a wholesome, varied and suitable choice of meals. We observed a very pleasant lunch served during inspection, with choices available of pork steak or vegetable curry, with optional preferences catered for, served in a comfortable and well equipped dining room. The quality and quantity of the food offered on the day was observed to be of a good standard. People interviewed confirmed that that the quantity and quality food provided was good: The meals have improved, but there is some room for improvement. The meals are very good. Excellent food. We saw that staff offered discreet assistance to those who required it. The choice of dining room, lounge or bedroom was at the discretion of people using the service. We confirmed that the cook knew each person using the service, and some of the relatives. We discussed diversity with the cook, who indicated an awareness in meeting individual needs; although there were no special cultural needs at the time. Individual preferences were recorded in assessment and conveyed to the catering staff, who met with, and discussed their requirements. The manager informed us that each individual is encouraged to be independent with Care Homes for Older People Page 16 of 28 Evidence: regard to financial affairs with the assistance of their relatives. We found this to be true, and saw that a lockable drawer or cabinet was available in the bedrooms of each person who wanted one. We discussed with the manager the arrangements for handling small amounts of personal monies, and found that they were efficiently handled, and checked by the Registered Provider. Our discussions with people confirmed that individual spiritual persuasions was seen to be respected. It was noted that the local Roman Catholic church provided regular communion, and that several people attend a nearby Church of England service. No other diverse religious needs were identified at the time of inspection. We were impressed with the confidence and closeness within the Home and the mutual respect that prevailed. Our discussion with visitors on the day was a fruitful exchange, with all being very complimentary of care: No problems with open visiting, and we were kept up to date on all matters that affected care. Care Homes for Older People Page 17 of 28 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. The service has a meaningful complaints policy. People are given opportunities to freely express any concerns, and these are quickly responded to. People are protected from abuse, and their human rights are promoted. Evidence: Through the course of inspection we confirmed that peoples rights are protected by the systems in place in the home to safeguard them, including the frequent review and assessment of care planning and policies in place, including the complaints procedure. The complaints policy, and records of complaints dealt with by the service were examined, which evidenced that people and families concerns were dealt with in a meaningful and effective manner. From our discussions with people who used the service it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. One comment made to us through interviewing people on the day was: I would ask my daughter to speak to someone. But havent really had the need. No complaints or safeguarding issue had been received by us since our last inspection. Our discussion with the care manager confirmed that there is satisfactory evidence of a protocol and response, to anyone reporting any form of abuse, to ensure effective handling of such an incident. It is stated in the AQAA that the home operates a zero tolerance attitude to abuse, and great emphasis is placed on staff training and raising abuse issues. The policy and procedure for handling issues of abuse was examined, Care Homes for Older People Page 18 of 28 Evidence: and found to be appropriate. The Annual Quality Assurance Assessment completed by the service prior to the inspection stated that all staff employed in the last 12 months have undertaken a satisfactory Criminal Records Bureau (CRB) check, confirmed by us when examining staff files. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Home provides a safe, well maintained, clean and comfortable environment for the people who use the service. Evidence: This purpose built home is central to the local community, with good public transport links, and considered suitable for its stated purpose, in offering a clean, warm and comfortable environment, satisfactorily maintained. We found car parking to be satisfactory, and grounds safe and well maintained. The external, attractive garden and patio areas are easily accessed, pleasant and well used during the summer months. The general state of repair and maintenance was found to be very good, offering a comfortable, homely yet secure environment. We were informed that on admission the Care Manager assesses each individuals needs for equipment and necessary adaptations, we found this to be correct, and saw those facilities available throughout the Home, with suitable fittings of hand and grab rails, in adequate, well lit and airy corridors. Wheelchair access was satisfactory throughout the Home. We found communal spaces furnished in a traditional style, yet presented a very comfortable and homely atmosphere, offering social as well as private reflection, as the mood takes. Efforts had been made to provide a homely atmosphere and the decor throughout was found to be of a high standard. Recent decoration of bedrooms, new Care Homes for Older People Page 20 of 28 Evidence: carpets and upgrades to bathrooms were found to be satisfactory. The lounge spaces allow activities to be presented in very pleasant areas of the home, with furniture and fittings of good quality. The dining area is very well furnished, and presented to provide a high quality, conducive environment to enjoy a good meal. Staff supervision is available throughout the day. There is a small shop selling sundry items that the residents can purchase, such a sweets and toiletries, a very popular facility according to those people we spoke with. Bedroom areas were seen to be bright, well decorated and furnished, each seen to have been personalised with peoples possessions and some personal furniture brought in with them. Bedrooms are automatically redecorated when they become vacant, and ongoing re-decoration and maintenance are good. The Manager reports that any maintenance issues are dealt with immediately and efficiently, with no observed no outstanding maintenance issues. We tested the call alarm system with a satisfactory result. All personal electrical equipment were seen to be tested. People we spoke to during the course of the inspection expressed their general approval of their accommodation standards, which was complemented with the large number of personal items brought in to enhance the homeliness of their rooms. Comments we received from people who use the service through surveys and in the course of inspection: The cleaners do an excellent job. My room is well looked after, and there is a good cleaning service. Very nice surroundings, and lovely bedrooms, a home from home, considering how busy everybody is looking after us. The home presented to us a clean and pleasant atmosphere, much to the credit of staff. To complement the presentation there were numerous floral and decorative displays. There are three bath and shower rooms, all spacious and finished to give a homely feel, each bath have assisted facilities. All bedrooms also have good quality en-suite facilities. We found the kitchen presentation showed good standards of cleanliness, and evidence of sound food hygiene practices. We found the laundry was secure, well organised and equipped to a good standard, regulations concerning Control Of Substances Hazardous to Health (COSHH) were available, and would be enhanced with posters clearly displaying solutions in use. Care Homes for Older People Page 21 of 28 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. Staffing levels ensure that suitably trained staff are provided to meet the needs of people who use the service. Recruitment processes are consistent and robust, protecting the people who use the service from harm and abuse. Evidence: We found that the service has kept staffing to consistent levels to ensure a balance between numbers, skills and qualifications, with a strong presence of long serving, stable and experienced staff. There were 31 people using the service on the day of inspection, although two people were in hospital receiving treatment. We looked at consecutive duty rotas which provided evidence that the home is suitably staffed to ensure the needs of people are met, and we recognised that the Care Manager is supernumerary to the staffing roster. Flexible hours with agreed overtime are used to meet shortages due to sickness and absence, and agency staff are rarely used. There is a good level of support staff for housekeeping duties, catering and maintenance. We were informed through the AQAA that some 92 of care staff have a National Vocational Qualification (NVQ) II or III, with all new staff committed to undertaking training on appointment. This we confirmed on examination of training records and speaking with staff. We recognise that staff received a meaningful training programme to complement induction, and to promote supervision, and that the majority of staff Care Homes for Older People Page 22 of 28 Evidence: members are qualified in first aid, with a valid certificate. The Provider and Care Manager have established a procedure for interview, selection and appointment of staff, which meets the foundation standard. We consider that a review of the way that the recording of employment and the ongoing management of staff is organised would enhance the process. Although there is a procedure for regular staff supervision, we have noted the inconsistency in applying a recognised routine for all staff. We interviewed three staff and confirmed the policies in operation, with all stating their involvement in a detailed induction process and training programme. Care Homes for Older People Page 23 of 28 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 care team promote the health, safety and welfare of people using the service, and working practices are safe. People who use the service can be assured that the home is run in their interests, based on openness and respect. Evidence: The experienced Home Manager, Ann Stanyer, has over the years demonstrated effectiveness in establishing a solid management foundation to achieve a good standard of set aims, objectives and care, and has completed the Registered Managers Award. She has been actively engaged in quality reviews and audits with the Registered Provider, Sanctuary Care, following our last inspection, and in meeting requirements, and recommendations we made. Those staff we interviewed indicated their respect and admiration in her leadership skills, and caring management style. We observed an openness, professional and pleasing confidence in the interactions of staff, relatives and people who use the service, based on mutual trust and respect. Care Homes for Older People Page 24 of 28 Evidence: Comments from those people we met in the course of inspection told us: The Care Home Manager operates an open door policy, whenever I wanted to talk she will come along and sit with me, which makes me feel better. A lovely home very relaxed, friendly, homely atmosphere. We found the service applies sound policies and procedures, which the manager reviews and updates. There are effective systems to monitor staff applying those policies into practice. Through the inspection process we found appropriate risk assessments in place for people using the service, through care planning and monitoring, staff selection and of the general environment; these are up to date and accurate. Health and safety notices can be seen throughout the Home, although chemicals safety notices (COSHH) should be prominent in areas of use and storage. An examination of administrative, monitoring, planning and care records showed to us a diligent attitude to effective record keeping. We found them to be generally well maintained in ensuring that the peoples rights and best interests are safeguarded. The Home has an effective quality control programme with regular and routine internal audit of services, including surveys asking people who use the service their opinion. These are conducted annually by Sanctuary Care. The Manager offered to us evidence of procedures and safe working practices including: dementia awareness, Administration of Medicines, Challenging behaviour and Infection Control. The accident book was seen and found to be in order, with a regular analysis of trends and frequency. Our examination of those records showed an effective follow through of action taken, including a review of care plans if necessary. We were informed through the AQAA, and by the manager that financial arrangements are supervised and administered by the Sanctuary Care in respect of pocket money, comfort fund and petty cash management generated through the home shop service. The administration and management of the home is considered by us to be efficient, uncomplicated, and sensitive to the needs of people. Care Homes for Older People Page 25 of 28 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 26 of 28 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 25 That laminate posters be obtained to display clearly identifiable safety procedures for the handling of chemicals used in the home. That the recording of staff appointments and maintenance of staff records be reviewed to ensure a consistent and thorough approach to effective employment procedures. That formal staff supervision be conducted at regular intervals for all staff employed, to maintain an effective staff development process. 2 29 3 30 Care Homes for Older People Page 27 of 28 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. 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. 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