Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Chichester Hall Chichester Hall Dicktrod Lane Skinburness Silloth Cumbria CA7 4QZ The quality rating for this care home is:
three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nancy Saich
Date: 1 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home
Name of care home: Address: Chichester Hall Dicktrod Lane Chichester Hall Skinburness Silloth Cumbria CA7 4QZ 01697332478 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lakeland Care Services Ltd Name of registered manager (if applicable) Mrs Jennifer Wilkinson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The home is registered for a maximum of 20 service users to include:- *Up to 20 service users in the category of OP (Old age not falling within any other category) *Up to 6 service users in the category of DE(E) (Dementia over the age of 65 years) *Uo to 1 service user in the category of DE (Dementia under the age of 65 years) *Up to 1 named service user in the category of MD (Mental disorder excluding learning disability or dementia under the age of 65 years of age) may be accommodated within the overall number of registered places. Date of last inspection 1 1 0 Over 65 6 0 20 care home 20 Care Homes for Older People Page 4 of 29 Brief description of the care home Chichester Hall is situated in Skinburness. It is approximately three miles from Silloth. The home is set in its own extensive grounds, is near to the foreshore and benefits from uninterrupted views over the Solway. The home is an older property that has been adapted to cater for up to twenty older people. The accommodation is on two floors with access by a passenger lift. The home has a large lounge and separate dining room. Most of the residents have single rooms with ensuite toilet and wash handbasin. People may choose to share the double room. The house has been a residential home for older people for many years but is now owned by Lakeland Care Services who are refurbishing the property. The home continues to be managed by Mrs Jennifer Wilkinson who has managed the home for a number of years. The weekly charge ranges from 386 pounds to 500 pounds per week. Further details, including our inspection reports, can be accessed from the manager of the home or from the company. Care Homes for Older People Page 5 of 29 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was the main or key inspection for the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the the last inspection and for the plans for the coming year. This was completed with plenty of detail showing how the home had improved. We then sent out postal surveys to people who live in the home and to the staff group. We had a good response to these surveys and we quote from them in the report. The responses were fairly positive and gave us a good picture of what its like to live and work in the home. Care Homes for Older People
Page 6 of 29 We visited the home on the above date and we didnt tell the manager we would be visiting. We spent around seven hours in the home. We spoke to people who live in the home, their relatives, the staff on duty and the manager and her deputy. We toured the building, sat in lounges and shared a meal with residents. We also looked at files and documents that backed up what was said and what was seen. What the care home does well: Chichester Hall is good at making sure that they can give new people the right kind of care and services and that they will fit in with the existing group. People who live in this home know that their health care is managed correctly and that they will get suitable support to take their medicines. I have had wonderful treatment from staff getting me doctors and nurses and appointments at hospital...now I couldnt be better!. The home provides some activities and entertainments and has plans to develop this further. I enjoy the music and the regular entertainer and enjoyed trips out...am looking forward to more outings when the roads arent so icy... I enjoy watching TV and my DVDs so it is very rare I join in but this is my choice and I am always asked... People are happy with the quality and variety of food on offer and the kitchen was tidy and organised. They have a four star food safety rating from the local Environmental Health officer. The food is very good and because I am fussy I get offered different things...they know I am picky and they try to find me things that I can eat and will do me good... The manager and her team are always ready to deal with any issues so that things do not turn into complaints. Staff knew how to help people and copies of the complaints procedure were available to each person. I dont have any complaints but I would tell staff and on the back of my door there is a number to contact if I am worried... People we spoke to said there was nothing abusive happening in this home. There are suitable policies in place and staff are trained in how to safeguard vulnerable people. The manager completes regular audits where she focuses on individual safety and wellbeing. I could safely go to any member of staff...but the manager would know if something was wrong...if she wasnt here the owner comes to visit and he is very approacheable and I would ask to see him in private... Chichester Hall was clean, tidy and suitably furnished on the day of our visit. Staff were fully aware of the need to prevent cross infection. People told us they were happy with the way their personal laundry was done and bedding and towels were fresh and clean around the home. My room is lovely, nice views over the sea and to the hills. It is warm and clean and Care Homes for Older People Page 8 of 29 well furnished... I enjoy sitting out in good weather...its a nice situation... This home has a highly motivated, well-trained staff team. People we spoke to agreed that the staff worked really hard but always found time to help and support residents. Our training covers all aspects of care and service ...and we talk about it in meetings and handovers. I get regular supervision...we discuss the individual needs of people...including things like gender issues, race, ethnicity etc... and we look at these in relation to my NVQ...and good practice.... Sometimes they are busy helping people who need them more than me ...but they always get to me ...they are kind and patient with me and I can talk to them and to the manager. The manager of this home is well trained and experienced and we were told that people who live and work in the home trust and depend on her. We had evidence to show that the provider is beginning to encourage the managers of his three homes to share ideas so that his company can continue to develop. We also had evidence to show that staff in this home are encouraged to make things better. We are always looking for ways to improve the service we give our residents... We had evidence to show that systems work really well in this home and that the manager has good routines in place so that she can monitor whether staff reach the standards she expects. These systems are now so well established in the home that they continue to safeguard and support people even if she is not around. We checked on health and safety systems in the home and found that these were all running smoothly. People told us they felt safe and secure and well cared for in this environment. What has improved since the last inspection? The home has improved the information available for prospective new residents. The information pack was very useful...then I visited, then they visited me, then I visited again and spoke to other residents and this helped me make up my mind....best thing I ever did ! ... The manager has done a lot of work to make the written plans of care much more focused on the whole person. She has moved towards a new system that is termed Person Centered Planning and this means she has included more information about a persons past and about their interests, preferences and character. This means that staff have a better understanding of peoples needs. Information in the care plans is always up to date and this helps us understand the person and act on the plan.... Care Homes for Older People Page 9 of 29 I was in a low way when I came in...poor health etc...but after being here 12 months I am a different person... The provider has improved some of the decor of the home and has bought some new furniture and soft furnishings. He has renovated and repaired structural problems with the roof and the central heating system. As one person said: I think that the team here do very well and things seem to work smoothly...I dont suppose they always do but the manager makes us feel that way. No matter what else is going on I feel that we come first.... What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 29 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 29 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is good at making sure they only take new residents that they know they can care for,who will fit into the home and who have been given all the details they need about making this choice. Evidence: When we visited Chichester Hall we saw the information package that is given to people who are interested in coming into the home. It contains details of the service and a copy of the summary of the last inspection report. The pack consists of a folder that describes the home and into this the manager can put different pieces of information. This means that the information pack can be updated regularly and can also include specific information that is requested. People in the home told us that they found this useful and two of the surveys returned also commented on how useful this was. Care Homes for Older People Page 12 of 29 Evidence: We met a number of people who had not been in the home for very long. They told us that they (or in some cases their relatives) had been invited to visit the home and meet the staff and other residents. People said that they had been given opportunities to ask questions about living in the home. They also told us that staff had helped them to settle in once they had decided to give it a try. We looked at a number of files and we saw that where social workers had placed the person there was a social work assessment on file. For one or two people there were also health assessments. Where people chose to come in and pay privately the manager had completed her own assessment. There was evidence of ongoing written assessment for people once they were in the home. There was also spoken and written evidence showing that people were asked about options and preferences, life story work was completed and that any changes in need were documented correctly. Care Homes for Older People Page 13 of 29 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good care planning delivered by respectful staff allow people to get the best health and personal care and this keeps people happy in the home. Evidence: We read a number of the written plans of care that are kept for every person in the home. We also spoke to a number of residents about these Care Plans. We discovered that the manager had been working with people to improve what were already very detailed documents. She had decided to take a much more person centred approach and had included detailed life stories, new documents about personal preference and had been asking people about how they wanted both their daily lives and the future care to be supported. We judged that this new approach gave a much more rounded approach to the delivery of care and services. Staff said that it helped them to get a better picture of the persons past and of their needs and wishes for future care. Relatives told us that they were happy with this new approach as it also involved them if people wanted. Care Homes for Older People Page 14 of 29 Evidence: People told us that they were given good levels of health care support in that the doctor would be called if they felt unwell but also that people came from the surgery to check their medicines, take their blood pressure and generally make sure they did not become ill. We were told that the district nursing service come into the home on a regular basis to give people treatment and to help prevent ill-health. There was good evidence of this in individual files. One person was attending a hospital appointment with a member of staff during the visit and another had just had new glasses fitted by a visiting optician. We checked on the medicines kept on behalf of residents. These were kept securely and only trained staff handle these. We had evidence to show that staff order and dispose of drugs correctly and that they administer and sign for them when they are given. We noted that this home does not rely on a great deal of sedative medicines and this is why people are alert and interested in what is happening around them. We observed the way that staff treated residents. We saw a number of very nice interactions with staff treating people with respect and dignity. People who live in the home and the staff are very relaxed together. Staff used gentle humour and it was interesting to note that they used the word we a lot as they were referring to the shared experience of the home. This home certainly has a family feel to it and surveys told us that people got on well together and that the staff team treated them well. Although interactions were friendly and often humourous we also had evidence to show that people were treated as individuals and given the respect due to them. Care Homes for Older People Page 15 of 29 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People told us that they had a good range of choices and options and that this gave them a satisfying life. Evidence: People told us that they could get up or go to bed as they chose, that they could spend all day in their own rooms and could have their meals taken to them. Most people enjoyed spending time with the others in the lounge, the quiet area or the dining room. We could see from the visitors book that a number of people come to see relatives or friends. We met some visitors on the day and they confirmed for us that they were always made welcome and were kept fully informed of how things were in the home and with their relative. One or two people are still able to go out into the local community and they told us that they had made some friends in the area. Occasionally local community groups visit the home and there are regular visits from different religious groups. Care Homes for Older People Page 16 of 29 Evidence: Several people told us how much they enjoyed the regular entertainer who came to the home. A number of people have been encouraged to follow their own hobbies and most people enjoy the TV or radio. Daily papers are delivered to the home and we saw a number of people enjoying books or magazines. Staff say they organise games or activities when possible. We were told that people enjoyed the trips out organised by the provider and that they really wanted to go out more. The trips out hadnt been happening due to the wintry weather. This home is a little isolated and some people have to rely on relatives or local taxi service to go out. The manager told us that she was aware of this and was planning how to overcome these things. When we last visited the home the activities programme had been working quite well but recently activities had fallen away a little. The manager hoped to employ a new activities organiser to take things forward. Several people said that they werent too concerned because sometimes during the winter people didnt want to do much anyway and that they were looking forward to the better weather so that they could get out more on trips or into the garden. The manager has regular residents meetings and also meets with relatives. Every person has monthly discussions with the manager about whether their care plan is working for them and whether there is anything they want to change. People told us that the provider came to the home regularly and asked people their opinion. Our conversations and returned surveys confirmed that people in this home felt that their views were respected and their opinions sought on a regular basis. In July 2007 we investigated a concern about choice of food and nutrition in the home. This was done as a random inspection and a copy of this report can be accessed via our helpline. We made one recommendation about this and we judged that the provider had taken this on board. The manager explained that people were asked about meal choices at every meal time and we saw evidence showing that they influenced the menu and that staff were fully aware of peoples likes and dislikes. On the day of the visit the manager was cooking as she was in the process of recruiting a new full-time chef. At lunchtime people were offered three choices of main meal and three desserts. The options were varied and nutritional. There was a good range of basic foods in the kitchen. People said they enjoyed their meals and they ate well at lunchtime. One person said they had a poor appetite and explained how staff helped them to eat as well as possible. This person had a nutritional plan as did one or two others. Staff had recently been trained in nutrition. A number of people said that the good food on offer had helped their health improve. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 of 29 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in this home know that they are listened to and that the management and staff are able to protect them from harm. Evidence: We had received one complaint in the last two years and we went out to look at this. The complaint was largely unfounded but we did make one recommendation and this had been followed through. There had been no other major complaints received by the service or by ourselves. People had copies of the complaints procedure and the manager said it was included in the admissions pack. When we spoke to people about complaints they said that they would go to the manager or to any member of staff and they felt that their concerns would be listened to and acted upon. Staff were aware of how to help people if they had a complaint. One or two people said that they would go to the provider if they were dissatisfied. We also asked people and their visitors about how things were in the home and everyone said that there was nothing abusive happening in this service. We also spoke to staff about safeguarding vulnerable adults and they too confirmed that nothing untoward was happening. Everyone we spoke to was aware of how to report any abuse and staff felt they were protected by the companys approach to Whistleblowing. Staff have been suitably trained in understanding safeguarding and could explain to us how they would deal with any abusive situation. There had been no
Care Homes for Older People Page 19 of 29 Evidence: matters of abuse reported in this service. The manager completes a safeguarding audit every month when she reviews care planning. This involves her reviewing things like accidents and incidents as well as the outcomes of care planning. She says she does this to satisfy herself that none of the people in the home are open to abuse because of their individual circumstances. We judged this to be very good practice that helps safeguard people even more. Care Homes for Older People Page 20 of 29 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and comfortable home where they feel relaxed and secure. Evidence: Chichester Hall is located some 2 miles from Silloth. There is limited public transport to the home but there is a local taxi service. There is adequate parking at the front of the property. The home has access to a shared minibus. Access to the home is by an unadopted lane. The surface of this is in a poor state of repair and we have been told by the manager and the provider that they cannot upgrade this until all the neighbours agree to the work being completed because the lane does not belong solely to the company. We judged that access to the home might be impeded by this uneven surface and we would like the provider to keep us updated about the progress of this. The home is set in its own very pleasant grounds and there is a secure and secluded garden area where people can walk or sit safely in fine weather. This enclosed garden has new fencing that has made the area more secure. Accommodation for residents is on two floors accessed by a passenger lift. We walked around the home and saw all the shared and private areas for people. We could see that a start had been made on redecoration of individual bedrooms and some of the shared areas. The manager tells us that there are plans to redecorate the main lounge and dining room. Some new furniture has been purchased along with new soft
Care Homes for Older People Page 21 of 29 Evidence: furnishings and bedding. People told us that they were happy with their own bedrooms and that the lounge and dining room were comfortable and met their needs. There had been some external repairs completed. For example the main roof had been repaired and a single storey extension had a roof replacement. Improvements have been made to the central heating.The company has updated the laundry facilities and new units and equipment are on order for the main kitchen. We judged that the company are dealing with structural problems and are beginning to update the living areas. We look forward to seeing the companys plan to upgrade all areas of the home being completed. Care Homes for Older People Page 22 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 well trained and highly motivated team that deliver care to people in a sensitive and caring manner. Evidence: We looked at the last four weeks of rosters prior to the day of our visit. These showed suitable levels of staffing by day and by night. We talked to staff and management about this and asked people whether they thought there was enough staff to give good levels of care. Generally people thought that the home was suitably staffed. One or two surveys said that sometimes they had to wait but that staff always came to them. The manager told us that the staff team had been very settled in the last couple of years with very few people leaving the service. Staff in this service received suitable training. Some of this is done by the manager. For example she has recently trained people in nutrition. She also uses outside trainers to deal with more specialist training. For example safe handling of medication, prevention of pressure areas and first aid. are all delivered by outside trainers. Over three quarters of the staff are trained to at least level 2 National Vocational Qualification in care and a number of senior carers are now registered for level 3. There are opportunities for people to gain qualifications at levels 3 and 4. The manager has a special interest in training and a lot of the supervision done in the home involves
Care Homes for Older People Page 23 of 29 Evidence: observation of practical work that is tied into NVQ. This shows that training in this home is very much centred on the job to be done caring for vulnerable people. The manager keeps good records of training that she and her team have completed. Every member of the team completes basic training in things like manual handling, food safety, health and safety and the principles of care. We could see from individual training records and plans that staff also undertake training in relation to the job they do. For example people who deal with medication are suitably trained. Several members of the team have undertaken training in understanding dementia and the manager and some senior staff have been trained to understand their responsibilities under the Mental Capacity Act. The manager had a new plan for training staff in the coming year. We looked at several staff files and spoke to staff. They confirmed that they had been recruited correctly, inducted to their job role, given regular supervision and training. We saw all the paperwork around a recent recruitment for a new chef for the home and this was being done correctly. We checked on other recent recruits and discovered that their background was looked into in detail before they were allowed to work with vulnerable people. We saw that Criminal Records Bureau checks were done before a person came in to the home and all of these things protect people from harm. Care Homes for Older People Page 24 of 29 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live free from worry as they trust the excellent systems to keep them safe and free from harm. Evidence: The manager of this home has been in post for some considerable time. She has a Registered Managers Award at National Vocational Qualification level 4. She has also done additional training so that she can train her staff in all aspects of the work expected of them. She is experienced in caring for older people and has a good knowledge of the ageing process. She also has skills and experience necessary to manage staff teams and keep the home running smoothly. Our surveys and conversations showed that people respected her judgement and ability and we could see that she knows every person in the service very well. Relatives, staff and people who live in the home all spoke highly of her ability. We were impressed with her enthusiasm and her commitment to improvement. For
Care Homes for Older People Page 25 of 29 Evidence: example she has a plans for changing things like decor and activities because residents want change but she has also introduced person centred care planning because she is aware that this is good, up-to-date practice. We also had evidence to show that she is beginning to share these innovations with other people in the company. The provider had held a management workshop for managers of his three homes where people could share practice issues and improvements. Both he and this manager told us that this had been a very useful day. We judged that this kind of information sharing shows a company that is keen to keep up-to-date with practice and improve things for people. The manager has a very detailed Quality Assurance system that she has devised herself over the years. This allocates tasks to the manager and different people on the staff team so that every aspect of the operation is checked at regular intervals. We looked at the records of managers checks of the environment, care and health and safety. We also looked at records that care staff keep by both day and night and we looked at the way things like cleaning and infection control are managed. We judged that these very good systems continue to work correctly and ensure that good standards are always met. We also learnt that the manager consults residents and sends surveys to other people involved in the home. Together these things make sure that there are continual checks on quality and changes made. We were informed that people in this home manage their own finances or are supported to do this by relatives or solicitors. The manager confirmed that she was aware of her responsibilities in this and she made sure that the arrangements in place were suitable. We looked at the records kept about health and safety and we found these to be detailed, up-to-date and suitable. There are regular fire drills and instructions and suitable checks on anything that might be hazardous. We checked the laundry and the main kitchen and found these to be in good order. Risk assessments and risk management plans were in place. We also walked around the building and checked externally and we found nothing hazardous on the day of our visit. Staff are aware of their responsibilities and they said they had received suitable training. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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. Care Homes for Older People Page 29 of 29 - 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!
