Inspection on 09/12/08 for Cheybassa Lodge

This inspection was carried out on 9th December 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

Cheybassa Lodge 21/01/08

Cheybassa Lodge 04/07/07

Cheybassa Lodge 14/08/06

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cheybassa Lodge 2 Chichester Avenue Hayling Island Hants PO11 9EZ     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: Janette Everitt     Date: 0 9 1 2 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 32 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 32 Information about the care home Name of care home: Address: Cheybassa Lodge 2 Chichester Avenue Hayling Island Hants PO11 9EZ 02392462515 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Lesley Pamela Quinton,Mr Michael Quinton Name of registered manager (if applicable) Mrs Lesley Pamela Quinton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Cheybassa Lodge is a large detached property located on the seafront on Hayling island, Hampshire. The communal lounge overlooks the seafront and promenade with large windows to provide everyone with wonderful views. The front garden also proves very popular with service users during the summer months when various carnivals, processions and sea events take place. Ample car parking facilities are to the side of the home. All service user accommodation is located on the ground floor, making access easier for service users, whilst the proprietors live upstairs. The home is currently registered to provide care for 18 adults in the older person category and consists of six single bedrooms and six double bedrooms, all with en-suite facilities. The fees range from £354 per week to £500 per week. These fees do not include hairdressing, chiropody and other personal items. Care Homes for Older People Page 4 of 32 care home 18 Over 65 18 0 Care Homes for Older People Page 5 of 32 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: This report details the evaluation of the quality of the service provided at Cheybassa Lodge and takes into account the accumulated evidence of the activity at the home since the last inspection, which took place in January 2008. An unannounced visit to the home took place on the 9th December 2008. For this visit the inspector was assisted for part of the inspection by an Expert by Experience (this is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service). An Annual Quality Assurance (AQAA) had been completed by the home following the Care Homes for Older People Page 6 of 32 last inspection visit and information from this and the last inspection report was also used to inform this report. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and users of the service. During the inspection the expert by experience spoke to a large number of residents both in their bedrooms and in the communal areas, and also spoke to visiting relatives and the three members of staff on duty at the time. In order to prepare for the visit, surveys were sent to the people living in the home, staff and other professionals involved with the home. Ten service users and six staff surveys were returned and most commented on improvements to the environment and management of the home over the last year and a high level of satisfaction was expressed from service users for the care they receive. The home is registered to provide support for 18 residents and at the time of the inspection there were 13 people in residence. The Registered Manager is also one of the Registered Providers. Both Registered Providers were present and received feedback following the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 32 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 32 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 32 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. Pre-admission assessments are carried out and people can visit the home or choose to have short stays, before moving in. Evidence: There was evidence in the three care plans viewed that a thorough assessment is undertaken by the manager before a decision is made about a potential service user going to live at the home. This is undertaken in the persons own home or in the clinical setting. The pre admission assessment is comprehensive in content and covers all aspects of a persons care needs. Potential service users are invited to visit the home and stay for a meal. The service also offers informal day care if the person is undecided about moving into the home permanently or if there are no vacancies. Care Homes for Older People Page 11 of 32 Evidence: The expert by experience reported that residents spoken with told her that they had either visited the home for respite beforehand or had known the home through the manager, some saying that their relatives had visited the home for them before they went there to live. One comment from a relative spoken with said I had looked at several homes before this one and this was by far the best. None of the other home took time to discuss my mother properly, whereas this home sat down with me for a long chat. Another visitor said that her grandmother seemed very happy living in the home. Care Homes for Older People Page 12 of 32 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. Service users health and social care needs are documented in care plans which are regularly reviewed. Service users are protected by the policy and procedures in place for the management of medication. Service users rights to privacy is upheld and respected. Evidence: For each person living in the home there is now a plan of care in place detailing both the personal care and healthcare support that people require. A sample of three service user care plans was viewed. These demonstrated that a full assessment is undertaken on admission and care plans formulated. All care plans included personal details such as next of kin and preferred lifestyle choices and also contained risk assessments where a problem was identified. Nutritional assessments are undertaken and all service users are weighed monthly and Care Homes for Older People Page 13 of 32 Evidence: records of this are maintained. Care plans were observed to be reviewed every two months or before, if changes occur. The home operates a key worker system and the key worker is responsible for the care plans for a number of clients and it is their responsibility to ensure that any changes, and the general well being of the service user, is communicated to all other staff. Daily notes are recorded and these detail significant occurrences in the service users day and how they have spent it. Service users and relatives told us they are consulted on their care plans. There was evidence in the daily records of visits from the GP, district nurse and the community psychiatric team, with outcomes from the visit documented in care plans. Service users told us in the surveys returned that they receive and have access to the medical care they need. Records show that people have access to other professionals such as dentist, the dental technician who deals with dentures only, the chiropodist and optician who visit the home. A survey from a local Doctor who regularly visits the home said that he was confident that peoples health care needs were being met. Medication policies and procedures were in place. The home uses a monitored dose system of medication. There is a list of authorised medication handlers identified in the medication folder. There was one service users choosing to self-medicate and this was being done within a risk assessment framework and being monitored by the manager. The service user was supplied with a lockable facility in their room to store medication. Medication was suitably stored and records were current and in good order. The home was not currently administering any controlled drugs or night sedation. There was no controlled drug cupboard or register in place. This was discussed with the manager. It was suggested that controlled drugs and sedation could well be prescribed in the future and that the misuse of drugs regulations have been amended to state that all care homes must now store all controlled drugs, including Temazepam, in a proper controlled drugs cupboard that meets the legal requirements. The manager told us that a controlled drugs cupboard would be fitted during the refurbishment of the office, which was currently in progress. Staff training records evidenced that all staff have received training in the Care Homes for Older People Page 14 of 32 Evidence: administration of medicines. This has been supplied by the pharmacist in the form of a training package consisting of units that, when completed are sent to a university for verification. Medication training also forms part of the NVQ level 3 training, of which some staff are undertaking or have achieved. The people living in the home said that they were treated with dignity and respect and comments on surveys returned to the CSCI, and those made to the expert by experience when speaking with service users and visitors said. We are well cared for and the staff are very kind. I would rather be here than anywhere. I like living here and I am very happy and would not like to move anywhere else. The staff are friendly and caring. I am quite content. There is such a happy and friendly atmosphere in the home. Nothing is too much trouble for the staff. Observation throughout the visit supported these comments as carers were observed to be kind and courteous when interacting with service users and were seen to knock on doors before entering their rooms Care Homes for Older People Page 15 of 32 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a wide variety of activities, outings and community involvement for the people living there, visitors are made welcome and people receive a choice of fresh, home cooked meals. Evidence: The home excels in the amount of activities, outings and opportunities for community involvement it provides for the people who live there. In good weather people go out to the beach. local garden centres for tea and also go to the local shops. Entertainers visit the home and there are good links with local churches and clubs. People are involved in the running of the home and we saw people setting and clearing tables, helping to dry dishes and during the visit several people were knitting blankets for an oversees charity. Although the home has a full and busy activities programme, this is not displayed. Service users have expressed a wish at a residents meeting for the programme to be displayed so as they may plan in advance what they wish to attend. The manager said Care Homes for Older People Page 16 of 32 Evidence: this will be done in the new year. The expert by experience report stated that the home prides itself in the number of activities they offer and is part of the ethos of the home to keep residents stimulated, interested and part of the community. The Christmas programme has commenced and, at the time of this visit the Salvation Army and Angel Radio visited the home to lead carols, readings and Xmas music, using the homes piano. All the residents were animated and enjoyed themselves. The expert by experience spoke to most of the service users and the people visiting the home and was informed that a trip to Port Solent and Gosport had taken place on the day before in a mini-bus, which some commented had been most enjoyable. Other activities include themed arts and craft, knitting squares for charity blankets, bingo, gardening club, cooking, visits from local school-children, walks on the beach opposite, church services at the home and at the local churches. One lady said, They take you out. Another said, Once a month there are exercises. She added, Every 5th Saturday my friend takes me out shopping. There is no TV on till 6pm which means the residents have more social-interaction. One person said, They all talk to you, nothing is too much trouble. TVs are in individual rooms but none were being used. Above the dining-room was the word DECEMBER in coloured letters, which is changed every month. One person was seen knitting and another doing a puzzle in her paper which had been delivered. It was noted that there was not enough light for those activities later in the afternoon, but the manager informed us that the lights were awaiting shades before being installed. The home orders a daily paper for general use. Various hairdressers come to the home, which are arranged by the residents themselves. One was visiting the home at the time of this visit. One lady said, I like having my hair done once a week. There were several visitors, one took a resident out, a couple visited another in her room. The manager told us that the service users helped mix and cook the Christmas cake and puddings this year and it had been an enjoyable activity and social occasion. A diary documents all the activities that take place and who has participated is recorded in this diary. Care Homes for Older People Page 17 of 32 Evidence: The manager said that quite a number of people go out to attend church services in various locations. She arranges the transport and takes a number of residents, who choose to do so, with her to the church she attends. Surveys returned by the service users told us that there is always activities arranged that you can take part in. The home has open visiting and this was evidenced in the visitors book records and on the day of this visit there were a number of visitors attending the home. One commented I find the home delightful and very friendly and whenever I visit I am offered refreshments and invited to stay for a meal. The four weekly menu was viewed. These are planned by the chef and the manager. The menus demonstrated a varied and nutritious diet was being offered. There was evidence of fresh fruit and vegetables in the store cupboard and the home also grow their own vegetables, which the manager organises in the courtyard garden. There is an alternative meal offered for service users who do not like the main meal, but this is not advertised. The AQAA says that the home is improving over the next year by providing menu cards on each of the dinner tables. The manager said that the kitchen are aware of peoples like and dislikes and menus are planned accordingly. The chef and residents confirmed that the home know residents food likes and dislikes. The kitchen was visited and was found to be very clean and well organised. The lunchtime meal was observed by the expert by experience. She reported that the lunch tables were laid out neatly with table-mats, cloth napkins and drinks of orange or pink juice. Residents were being social amongst themselves chatting to each other. The manager said that she and her husband usually eat with the residents. Everyone enjoyed their lunch of lamb hot-pot, broccoli, peas and potatoes followed by a red berry tart and custard. There were comments of It was a lovely lunch. Thank you, chef, lovely meal. The foods very good. You can have a choice. We have a roast on Sunday and Wednesdays. There is always something different for puddings. We have some really nice meals and I am diabetic and my needs are met. Coffee and tea was served after the meal at the table. Left-overs were plated up and labelled to be frozen for future use as an alternative meal. The chef and residents told us that for supper at 5pm, they had sandwiches, soup, Care Homes for Older People Page 18 of 32 Evidence: eggs or cheese on toast and sausage rolls followed by cake and fruit. Breakfast was fruit juice, choice of cereal and toast. It was observed that the service users likes and dislikes and choices of how they wish to undertake their activities of daily living is recorded in care plans. One care plan documented that a service user chose to hold their own bedroom door key and to lock the door when she was not in her room. It was observed that staff were giving choices to service users where they sat or if they chose to stay in their rooms for meals, this was respected. Care Homes for Older People Page 19 of 32 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 homes policies, procedures and working practises are designed to protect people from risk of abuse and complaints are taken seriously. Evidence: The home has a complaints procedure a copy of which is included in the Service User Guide and also displayed in the home. The people living in the home and a visitor said that they would feel confident in making a complaint, one person said, I feel confident that if I did have a complaint, it would be taken seriously if I approached the manager. The AQAA reports that no formal complaints top the home have been recorded in the past year. The CSCI did receive one complaint and the issues have been resolved. There are policies and procedures in place regarding the safeguarding of people from abuse. The staff members on duty were aware of their responsibilities and said that they would report any suspected abuse straight away to the manager. Most staff have attended training in adult protection and staff are made aware of this during the induction programme. The manager told us that she was going to attend the new Safeguarding train the trainer course in February of next year and cascade this to the staff team. Care Homes for Older People Page 20 of 32 Evidence: A requirement made at the last visit regarding risk to service users by some Criminal Bureau Checks (CRB) not being in place has now been met. Care Homes for Older People Page 21 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are provided with a comfortable, well maintained and clean home. Evidence: The home was observed to be clean and homely and has had extensive improvements to the environment in the last year with a programme of redecoration and refurbishment, which is still in progress. The AQAA stated that a new patio doors have been fitted to the newly laid paved patio around the front of the building. A new kitchen fitted and equipped. New fire alarm system Radiators covers have been fitted in all 12 bedrooms. Replacement double glazed windows fitted to kitchen downstairs bathroom and laundry. Exterior of the house has been repainted and new roof fitted,. 3 residents rooms have been refurbished in the last twelve months. The AQAA states that service users can be involved with the refurbishment of their rooms and choose colours and give suggestions for fixtures and fittings. Thermostatic controls have been fitted to hot water taps to all 12 rooms. The pond has been removed and a vegetable patch created. The home plans to continue to refurbish areas of the home in the next year, this will include a new office space and laundry. Care Homes for Older People Page 22 of 32 Evidence: A shower room that leads off of the laundry is in the process of being refurbished. The downstairs assisted bathroom and shower cubicle combined, was viewed. This room has no window and there was evidence of dampness on the walls. The manager said the walls are regularly washed but the dampness was due to the condensation from the bath and the shower when in use, if the extractor fan, which work independantly to the light switch, is not switched on when these are in use. She told us that staff sometimes forget to put on the extractor fan in the room. On observation it was noted that the fan was very dirty which would contribute to it being less efficient. It was suggested to the manager that the home explores appropriate ways of dealing with the dampness. Thermostatic controls have been fitted to all hot water taps in all twelve bedroom, to prevent scalding. There was a complaint about the temperature of the home. The manager said that this is being monitored but there was no evidence on the day of this visit that the environment was not warm enough. The home is situated on the sea front and is therefore exposed to all weathers which could influence the temperature of the environment. The expert by experience commented in her report that the home felt warm and one of the residents was overheard saying to a carer It is too hot in here. Some residents said that it was a bit cold at times. A visitor told us that it has been a bit cold but I keep my coat on. The rooms not occupied were very cold in the afternoon with others being warm. One resident resting under a blanket said she was warm enough but the room was cool. The AQAA acknowledges this complaint and is monitoring the temperatures of the home throughout the day. The home has a pleasant front garden area that looks out over the beach. It has seating areas for service users to enjoy the fine weather. The home has a courtyard area that is protected from the elements and in this area there is a green house, a vegetable plot and a nice seating patio area. We were shown photographs of the summer in the courtyard and it was a very pleasant, protected area for service user to sit. The home has an infection control policy. The AQAA states that nine of the twelve staff have received this training. Soap dispensers and towelling towels are available as hand washing facilitates. This was discussed with the manager and it was suggested that disposable towels be supplied in toilets and bathrooms to aid infection control. Protective clothing and rubber gloves were observed to be used by staff appropriately. Care Homes for Older People Page 23 of 32 Evidence: Surveys returned by service users say that The home is always kept nice and my room is always clean and tidy. The home is always fresh and clean. Care Homes for Older People Page 24 of 32 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. There are sufficient numbers of staff on duty to meet the needs of the people currently living in the home. People are protected by the homes recruitment procedures and staff receive training and support. Evidence: At the time of this visit there were thirteen service users in residence. The staffing rotas were viewed. These demonstrated that three care staff were on duty in the morning together with a cook and the manager and her husband, who live in a flat above the home. The home does not employ a separate house keeper as the carers take on these duties as they go about their daily routines. Two carers and the manager are on duty in the evening and one waking staff and one sleeping staff at night. Observation of the daily routines would suggest that there were sufficient staff on duty at this time to meet the needs of the service users in residence. The surveys returned by service users indicate that they consider that there is sufficient staff on duty and that they are available when they need them. The expert by experience commented that she observed that there was a busy but calm atmosphere around the home. Care Homes for Older People Page 25 of 32 Evidence: The expert by experience spoke to three carers and the chef. They all expressed satisfaction with their jobs and said that the interests of the residents was priority and that they encouraged the service users to live an active independent life as much as possible whilst respecting their rights to choose what they wish to take part in. The expert by experience observed that following lunch there was no member of staff in the dining room to assist to help people from the table and the residents appeared to help one another. A sample of three recruitments files was viewed. These held all the necessary documentation in them and included Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adult (POVA) checks had been carried out. Two references and proof of identification was also evidenced. The manager has comprised a new application form that requires more detail about a persons employment history. Training needs are identified though appraisal and supervision and this was demonstrated in the supervision notes that are recorded every two months with manager. A training matrix was viewed. This evidenced that staff have undertaken various training sessions and also mandatory health and safety training. The manager told us that the Skills for Care induction programme has not yet been used fully in the home but will be used in the future as she has just recruited three new staff. The AQAA states that nine of the twelve carers have achieved NVQ level and three staff have achieved NVQ level 3. There was evidence in the staff meeting records that during staff meetings the manager provides in-house training sessions and any care practise issues that need discussing. The surveys returned by staff indicate that they consider their training needs are met and that they attend regular training. All staff have received training on the Mental Capacity Act. Care Homes for Older People Page 26 of 32 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 home is managed by a person who is competent to do so. The home has a quality assurance process in place and people are complimentary about the way the home is managed. The safety and welfare of service users and staff are promoted and protected. Evidence: The manager of the home, Mrs Quinton is also one of the Registered Providers along with her husband. She has completed NVQ 4 and said that she also carried out further training in order to keep her registered nurse qualification up to date. She has also undertaken train the trainers courses in moving and handling. the mental capacity act and infection control and is about to undertake the train the trainer course for Protection of Vulnerable Adults and will cascade this informatin to all staff. Both the people living in the home and families were complimentary about the way the home is managed and described the manager as open, friendly and accessible. A staff Care Homes for Older People Page 27 of 32 Evidence: member said, The manager is very caring person and makes me feel valued as a team member. Another said that There is a very happy atmosphere in the home which is due to the manager and her husband. It was observed throughout the visit that Mrs. Quinton was very visible in the home and was very familiar with the service users needs and interacted well with them. A carer spoken with told us that there has been a lot of changes since the new manager has been in post over the last two years and all for the good. We have had new furniture, carpets and everywhere has been redecorated and residents get on better with each other and staff. There is good evidence that the manager has worked well to meet the requirements made from the last visit and a great deal of environmental improvements have been made to the home. During the past year a quality assurance process has been carried out by the home sending surveys to service users, families and other professional. We saw the results of the returned surveys. The manager had analysed these showing the results to be very positive. The manager holds a residents forum three monthly. Action is taken if any issues come out of the meetings. The manager checks the Medication Administration Recording records monthly to ensure staff are completing the records appropriately. The environment is checked daily. Small amounts of service users monies are kept at the home for safe keeping. Envelopes for four service users were checked. Receipts were maintained and the balance of monies on the records balanced with money held. Most service users are able to manage their own money. We saw the accident and incident book and confirmed that accidents are recorded and are linked to daily records for service users. We discussed with the manager the appropriate occasions when regulation 37 notices must be returned to the CSCI. It was noted that the environmental risk assessment was in need of review. This was discussed with the manager who said she would ensure this was done imminently. A sample of servicing certificates for equipment and systems were viewed and were up to date. The fire log book was checked. A new panel and emergency lighting system was fitted in March 2008. The fire system was serviced in October 2008. It was noted in the fire log that the fire alarms were not being tested weekly as recommended. This Care Homes for Older People Page 28 of 32 Evidence: was discussed with the manager who reported that she would be speaking to the person who had been allocated to undertake this duty. Care Homes for Older People Page 29 of 32 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 30 of 32 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 31 of 32 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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