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Inspection on 29/10/08 for Chelwood Corner Nursing Home

Also see our care home review for Chelwood Corner Nursing Home for more information

This inspection was carried out on 29th October 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere at the home was relaxed with communication between staff residents and visitors being positive open and friendly. The home provides prospective residents and their families with a good level of information about the services provided at the home and the costs involved. All parts of the home were clean, comfortable and well maintained. All residents relatives visitors and visiting professionals contacted as part of the inspection process confirmed a satisfaction with the home and its services. ` Creates a caring and supportive environment and the staff who seem to enjoy their work` ` any problems or difficulties and wishes are always met`. The quality and choice of meals remain good and all residents spoken with were complimentary about the food. The training for staff is comprehensive, and covers a wide variety of resident related conditions, which give the staff an understanding of the residents needs. There is a robust recruitment process in place which protects the well being and safety of the residents. All residents relatives visitors and visiting professionals contacted as part of the inspection process confirmed a satisfaction with the home and its services one resident saying The training for staff is good and covers a wide variety of resident related conditions which give the staff an understanding of the residents needs. There is a robust recruitment process that protects the residents.

What has improved since the last inspection?

There have been considerable improvements made to the overall care planning and accompanying risk assessments since the last key inspection. Good practice was observed throughout the inspection in respect of infection control measures. The homes recruitment processes were seen to be robust.

What the care home could do better:

The home have worked very hard as a team to meet the requirements of the last key inspection. There is a need to develop a monitoring system for the pressure relieving equipment to ensure it is set correctly and therefore benefiting the resident.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chelwood Corner Nursing Home Beaconsfield Road Nutley East Sussex TN22 3HJ     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: Deborah Calveley     Date: 2 9 1 0 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 © (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 28 Information about the care home Name of care home: Address: Chelwood Corner Nursing Home Beaconsfield Road Nutley East Sussex TN22 3HJ 01825-740282 01825-740282 ccnh@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jennifer Ann Foroudy Type of registration: Number of places registered: Mr Mehrad Foroudy,Mrs Jennifer Ann Foroudy care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: From time to time the home may admit service users whose assessed needs can be met and who are under the age of sixty-five (65) at the time of admission. That the care home provides general nursing care to older people aged sixty five (65) or over on admission and can provide care to people with a physical disability The maximum number of service users to be accommodated at any one time is twenty seven (27) Date of last inspection Brief description of the care home Chelwood Corner is a privately owned large converted manor house and is registered to provide nursing care for twenty-seven service users, who meet the registration category of elderly and service users with a physically disability. The home is located on the outskirts of the village of Nutley, East Sussex. There are no local amenities Care Homes for Older People Page 4 of 28 Over 65 27 0 0 27 Brief description of the care home within easy access, or access to public transport except taxis, however there is ample car parking available at the home. Chelwood Corner is set within its own grounds and is spread out over two floors, which are accessible by a passenger shaft lift. The home comprises of 22 single and two double bedrooms. There are ample communal areas and this includes a newly built conservatory overlooking the grounds to the rear of the property. There is an on-going refurbishment programme, which continues to improve the facilities for the service users living in the home. Intermediate care is not provided. Prospective residents and their relatives are provided with written information regarding the services and facilities. 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: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at Chelwood Corner will be referred to as residents. This was a key inspection that included an unannounced visit to the home and follow up contact with residents representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6 hours on the 29 October 2008. There were 19 residents living in the home on the day of which five were case tracked Care Homes for Older People Page 6 of 28 and spoken with. During the tour of the premises four other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key standards. A tour of the premises was undertaken and a range of documentation was viewed including the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Four members of care staff, cook and activity co-ordinator were spoken with in addition to discussion with the provider and the registered manager. Telephone contact was made with visiting professionals following the visit and their views and comments are incorporated into the report along with the information received verbally during the site visit . The feedback from surveys sent out was exceptionally good, a total of 36 responses were recieved and the feedback has been incorporated in to the report. An Annual Quality Assurance Assessment was received from the Manager completed in full prior to this key inspection. What the care home does well: What has improved since the last inspection? What they could do better: The home have worked very hard as a team to meet the requirements of the last key inspection. There is a need to develop a monitoring system for the pressure relieving equipment to ensure it is set correctly and therefore benefiting the resident. Care Homes for Older People Page 8 of 28 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 home provides prospective residents and relatives with a good level of information about the home its facilities services and the costs involved. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission Evidence: There continues to be a range of well-documented information about the home and the services it provides. The home has a combined Statement of Purpose and Service Users Guide and a copy of this is available on request along with the last inspection report and a copy of the homes terms and conditions of residency. From discussion with residents they do not have their own copy and as mentioned at the last key inspection, it would benefit residents if they all had a copy of their own to refer to. It was confirmed whilst talking to residents that the contract arrangements were clear Care Homes for Older People Page 11 of 28 Evidence: and understood. There is a copy of the terms and conditions of residency included in the homes information documents. A review of the care documentation confirmed that preadmission assessments are completed by the manager and or the registered provider. The last three admissions to the home were identified and the records relating to the admission procedures followed were reviewed. This confirmed that the pre admission assessments are completed and provide a clear assessment of prospective residents care needs. These are completed by either the manager or a senior nurse, discussion with manager confirmed that these are used to ensure new admissions to the home are appropriate and that the home have the staff equipment and environment to meet their care needs. It was discussed that the level of information gathered was not consistent in all the pre-admission assessments seen and there is need to ensure that all the staff receive guidance in undertaking the assessment. Prospective residents are seen either in their home or hospital before admission and the input from relatives and other professionals is used whenever possible. This approach should be more clearly recorded on the assessment documentation to demonstrate the procedure followed. It was confirmed by the manager that the home does now confirms in writing with the prospective resident the outcome of the assessment and that the home can meet their assessed needs. The manager was able to verbally demonstrate her knowledge and awareness of the different specialities required in the home and ensures that the carers employed have attended relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases Trial visits to the home can be arranged. The manager confirmed that residents are invited to a trial period to ensure suitability of the home this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. Chelwood Corner does not provide intermediate or rehabilitive care. 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. Care documentation provides a framework for the delivery of care, it has been developed to provide clear guidance to care staff on all the care needs of the residents along with robust systems for risk assessment to ensure individual person centred care is delivered. The homes practices ensure residents medicines are stored and administered safely and residents are treated with respect and have their privacy and dignity maintained. Evidence: The care documentation pertaining to five residents were reviewed as part of the inspection process These were found to include plans of care nutritional assessments personal histories and risk assessments. Since the last inspection the documentation has been developed and the care documentation demonstrated that the care was reviewed and evaluated. Risk assessments for health needs and residents safety are included in the care planning format used by the home and all risk assessments were found to be Care Homes for Older People Page 13 of 28 Evidence: completed. It was identified that the air mattresses in two residentsrooms were not set at the correct level for the residents weight and one was malfunctioning. It would benefit the residents if the all the mattresses and the weight setting was checked daily and reflected in the care plan. It is acknowledged that the staff have worked hard to sustain the improvement to the records and documentation seen at the last inspection and continue to develop the documentation. Staff spoken with confirmed that they received a full report on each resident daily and read the care documentation that is kept in the residents bedrooms. They felt that their views were taken into account when planning resident’s care. The home operates a key worker system. The surveys received from residents and relatives were satisfied with the care provided at the home comments received included: they always seem caring and give a friendly ambience to the home and provide a safe caring environment to those in need, looks after people very well, kindness and humour are very much in evidence at Chelwood, the staff are extremely warm and sensitive towards the residents and the relatives and seem to have a huge empathy for humanity. Residents spoken with were complimentary regarding the care they receive, everybody is very kind. Records indicated that local Doctors are called regularly and are involved in the care of residents. The senior staff confirmed that specialist external advice is sought as necessary and included the Dietician and regular visits from a privately employed Tissue Viability Nurse. A senior Registered General Nurse is the link with the Tissue Viability Nurse and takes the clinical lead for wound care in the home. The clinical room is on the first floor and whilst small was clean and well organised the clinical fridge was clean and temperatures are recorded daily. Staff were observed administering medicines safely and professionally. The records seen were found to be accurate and the storage areas were found to be appropriate and well managed. Staff were seen to be kind and pleasant and atmosphere friendly and inclusive. The residents spoken with confirmed that they felt that their privacy and dignity was respected. 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. Residents lifestyle within the home is their own choice and most residents are provided with sufficient stimulation to fulfil their interests and needs. The meals provided are nutritionally balenced and varied in line with residents choices and preferences. Evidence: The activities person commenced employment in January 2007 and remains dedicated to her role. There is an activity programme in place and it was confirmed that some days are arranged activities and the other days are based on residents choice and preferences. Outside entertainment includes a keyboard player, music for health takes place every second week and occasional pantomimes. Other activities provided at the home include bingo every second week, films on a Friday, arts and crafts, reminiscence therapy, games and one to one sessions. It was confirmed that the residents receive one to one sessions if they do not attend the group sessions due to health or preference, however this needs to documented more fully. It was confirmed there is a care plan in place for residents regarding activities and a Care Homes for Older People Page 15 of 28 Evidence: list of social contacts are kept. Some residents visit the local community with friends or family. From talking to residents it was not evident that any trips out are arranged for the residents. On the day of the site visit, residents were seen making halloween decorations. Residents are supported and enabled to maintain their independence for as long as they are able. There are no restrictions on visiting times as long as consideration is shown to all the residents. There are communal areas throughout the home that are available to residents and their visitors for private meetings if required. The dining area is situated next to the kitchen and is decorated simply with natural light. it would benefit from a make over. There are nineteen residents living in the home and of those ten were eating in the dining room and the others choose to either eat in the conservatory or their own room. The menus demonstrated that the meals are varied and nutritious and are rotated four weekly. The midday meal was observed and was well presented and enjoyed by the residents. The atmosphere was light and residents were singing and enjoying themselves. The menus are devised with consultation with residents and their preferences are taken into consideration, there is a with a list of residents likes and dislikes, allergies or any specialist diets e.g diabetic. From discussion with the cook, he is able to cater for religious diversities if required. The menu is also in a picture format to assist residents to make a choice. It was noted that the home has information and using the safer food better business documentation. the kitchen and storage ares were clean, and uncluttered. discussion took place regarding the decor and plans for retiling. Care Homes for Older People Page 16 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 home has a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive appropriate training to protect residents from abuse. Evidence: The home has a written complaints procedure and this is displayed in the home and provided within the Service Users Guide. The procedure followed on receipt of a complaint evidenced the investigation undertaken with an outcome recorded and the action taken. All records were clear and kept in a way that promotes peoples confidentiality. There have been no complaints received by the CSCI since the last key inspection. Relatives and visiting professionals said that they were confident that the management of the home would respond positively to any concern raised. A communication book has been introduced that residents and families can use if there any niggles or observation to make, each resident has their own book in their room and it is checked daily by the key worker. one survey mentioned this book and said it is helpful and sorts things out quickly. Everyone spoken to confirmed that if they had any concerns or complaints they would not hesitate in talking to either the manager or a senior staff member of the home. Care Homes for Older People Page 17 of 28 Evidence: The home has relevant guidelines on the protection of vulnerable adults and staff have received appropriate training. The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required. Care Homes for Older People Page 18 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. Chelwood Corner provides a comfortable clean and safe environment for those living there and visiting. Residents and their families are enabled and encouraged to personalise their room and rooms are homely and reflect the resident’s personalities and interests. Evidence: The tour of the home demonstrated that the home is safe and comfortable and meets its stated purpose. There is a maintenance programme in place that evidenced ongoing work that is to be undertaken with realistic timescales. On-going maintenance work is not reflected as an outstanding requirement as there is evidence that the home has and is continuing to address the maintenance within the home. There is also a written maintenance programme in place with identified timescales that the providers have set themselves. The home is located on the outskirts of Nutley in rural surroundings. There is no access to public transport nearby and therefore visitors and families rely on their own transport and taxis. The residents are encouraged and enabled to personalise their rooms with furniture and pictures. All personal items are listed in the individual care plans. Residents are Care Homes for Older People Page 19 of 28 Evidence: offered the choice of having a lock and key for their bedroom and risk assessments are in place for this. The gardens are attractive and enjoyed by the residents. The home have a choice of various communal areas which are attractive and allow for different uses ensuring residents have choice and how they spend their time. These include a conservatory, large lounge divided in to two separate seating areas and a separate dining area. The home has older style features which were seen to be attractive. There are adequate communal bathrooms and shower rooms in the home with specialist equipment to ensure all residents can have a bath or shower. The home has specialised equipment available throughout the home to promote independence. During the inspection it was noted that staff were using lifting and supporting equipment appropriately. Call bells are provided in all areas and staff were seen to be attentive and ensured residents had access to these. The home has a range of special mattresses and seat cushions which are used on an assessed needs basis to prevent tissue damage. The lighting in the home is of domestic quality and there are above bed lights as well as the main ceiling lights. Water temperatures are controlled and monitored monthly and a record kept. Random temperatures were taken and were of the recommended level. There are systems in place for monitoring safety issues such as fire checks, fire drills, PAT testing, electrical, gas and boiler checks and all the rooms are routinely checked for safety and maintenance issues. The records in the home confirmed they were up to date. The tour of the home confirmed that staff are aware of the fire safety policies, no doors were found inappropriately wedged open. Polices and procedures for infection control are in place and are updated regularly. The home was clean and free from offensive odours on the day of the inspection. Good practice by staff was observed during the day and there were gloves and aprons freely available in the home. Sluice facilities were clean and hygienic, laundry areas were found to be clean and safe. In the main good practice in respect of infection control by staff was observed during the inspection visit, soiled linen was appropriately put in red bags and all areas of the home were clean. Residents were very complimentary about the laundry service indicating clothes are generally returned the same day. Care Homes for Older People Page 20 of 28 Evidence: The storage for contaminated waste was viewed and these were suitable and appropriate on the day of the site visit. 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. Robust recruitment procedures are in place to protect residents and the staff training ensures they are aware of their roles and are able to provide the support and care the resident’s need. Evidence: The staffing rota was viewed and for the 19 residents living in the home at present there are four carers and two Registered Nurses (RN’s) in the morning and four carers and one RN in the afternoon and one RN and four carers at night. Feedback from residents and staff and from surveys recieved indicate that there are sufficient staff to meet the needs of the residents. From direct observation there were no concerns felt at this time in respect of the staffing numbers and no call bells were unanswered. The registered manager confirmed that that there is flexibility of the staffing levels especially if there is a resident that is receiving end of life care. Staff spoken to say that the levels of staff on duty were sufficient to give the care required. Five staff recruitment files were viewed and evidenced that the home management team follow robust procedures when employing staff. The improved robust recruitment procedures in place protect residents and the staff training ensures they are aware of their roles and are able to provide the support and care the residents need. The induction training is thorough and staff are supervised closely during this period to Care Homes for Older People Page 22 of 28 Evidence: ensure they are competent for job they are to undertake in the home. There is an induction programme in place and has been introduced for all staff. Files seen confirmed this. New staff are required to complete an initial induction programme and undertake mandatory training including fire and health and safety, this leads into foundation training, in preparation for a National Vocational Qualification (NVQ) training. At present 70 per cent of staff have an NVQ qualification with further staff enrolled on a course. The induction and foundation training is in line with the Skills for Care guidance. Staff interviewed confirmed satisfaction with the training provided and stated that recent training was interesting and informative. Staff and records seen confirmed that they had undertaken compulsory training such as manual handling, adult protection, first aid, food hygiene, fire safety and Infection control. In addition specialist training in team building, care planning, equality and diversity palliative care, wound care and catheter care updates are also provided. 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 overall management of this home is good with effective systems in place to protect residents. Evidence: The Registered manager is also one of the Registered providers and they have owned the home for twenty one years. She is a Registered Nurse and has the experience and qualifications to manage the home. The management of the home has continued to improve and follow their improvement strategies. The staff spoken with said that they felt supported by the management structure of the home. Residents were aware of whom the manager is and of her role in the home. The feedback from the surveys were extremely positive and contained comments such as: I have huge admiration and respect for the staff at Chelwood Corner, the care staff are unique with their exemplary attitude towards each individual in their care Care Homes for Older People Page 24 of 28 Evidence: home and they are selfless in their work and support for each other. They make a first class team. The ethos of the home is to focus on the residents and the staff were observed doing this and interaction was positive. The AQAA was completed in full and demonstrated their strategies for continued improvement and clearly evidenced what they had implemented and achieved since the last key inspection. The quality assurance systems in the home include questionnaires being sent out to residents families and health professionals and internal audits of all areas that had been identified as needing improvement. The introduction of these formal quality assurance and quality monitoring systems has enabled the management to objectively evaluate the service and ensure it is run in the residents best interests. There are two monthly formal staff meetings and informal meetings at handover daily, which are used as part of the quality assurance systems. There are no residents at present who are responsible for their own finances, relatives and solicitors support the majority, while the home does not handle the financial affairs of residents. Staff supervision was discussed and staff supervision is in place. Staff spoken with confirmed that they receive supervision and a plan of the years supervision sessions was seen displayed on the notice board. The manager confirmed that all staff are appropriately supervised until they have received the necessary training and induction. The accident book was viewed and was found completed appropriately. Good practice was observed throughout the inspection in respect of promoting the safety and well being of the residents whilst being moved around the building. There are references to other areas of promoting the health and safety of the residents under Health and Personal Care section of the report in respect of pressure mattresses. 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 1 8 16 That the registered person 14/01/2009 ensures that all equipment in use is set up correctly and monitored by the staff so as ensure the residents health and safety. this pertains to the pressure relieving matresses. To ensure the residents health and safety. 2 12 16 That the registered person ensures those service users who do not attend activities or are isolated in their bedroom recieve suitable social interaction and activities. To ensure all service users social needs are met. 14/01/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 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 © (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. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!