Inspection on 23/02/09 for Clarendon Manor

This inspection was carried out on 23rd February 2009.

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

Clarendon Manor 16/03/07

Clarendon Manor 13/03/06

Clarendon Manor 14/09/05

Clarendon Manor 14/09/04

Clarendon Manor 28/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clarendon Manor 37 Golf Lane Whitnash Leamington Spa Warwickshire CV31 2PZ     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: Patricia Flanaghan     Date: 2 3 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 30 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 30 Information about the care home Name of care home: Address: Clarendon Manor 37 Golf Lane Whitnash Leamington Spa Warwickshire CV31 2PZ 01926426758 F/P01926426758 clarendon-manor@carehomes.uk.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Greentree Enterprises Ltd care home 30 Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Additional conditions: 0 The maximum number of service users to be accommodated is 30. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following category: Old Age (OP) 30. Date of last inspection Brief description of the care home Clarendon Manor provides residential care accommodation for 30 older people aged 65 years and over. It does not offer specialist services for dementia care or any other provision apart from its registration category. Clarendon Manor is on a quiet residential road in Whitnash, on the outskirts of Leamington Spa. Shops and a post office are accessible to any service user who is able to walk to these facilities, otherwise a bus route is nearby. The forecourt of the home has parking for cars. The home consists of a period house, which has been extended by joining it through a Care Homes for Older People Page 4 of 30 Brief description of the care home ground floor corridor to a more modern house next door. A further extension has added 4 bedrooms to the third floor of the house; these are accessible by use of a lift. The home has two passenger lifts and a stair lift. At the time of the inspection visit the manager states that the current fees range from £364 for a shared room, to £500. The fees do not include newspapers, toiletries, chiropody or hairdressing. Care Homes for Older People Page 5 of 30 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 quality rating for this service is 2 star. This means the people who use the service experience good quality outcomes. This was an unannounced inspection visit which took place on Monday, 23rd February 2009 between 10:00am and 4:00pm. Two inspectors undertook the inspection; one was a pharmacist inspector. The previous key inspection to Clarendon Manor was on 16th March 2007. An Annual Service Review (ASR) was undertaken on 3rd March 2008. An ASR involves reviewing all the information received by us since the last key inspection. The people living at the home were also sent satisfaction surveys to complete. After reviewing this evidence we Care Homes for Older People Page 6 of 30 judged the home as continuing to provide a good service. Before this key inspection, we looked at all the information we have about this service, such as information about concerns, complaints or allegations, incidents and previous inspection reports. We do this to see how well the service has performed in the past and how it has improved. We looked at the Annual Quality Assurance Audit (AQAA) which the manager completed and returned to us before our visit. This is the managers review of the service and gives us information about how the service has progressed in the last 12 months. We used a range of methods to gather evidence about how well the service meets the needs of people who use it. We talked to people who use the service and observed their interaction with staff. Before the inspection we sent surveys to people living at Clarendon Manor and staff asking them for their opinion of the service. We received 10 completed surveys from people living at the home and five from staff members. We also received two letters from families of people who use the service. Two people using the service were identified for case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We looked at the environment and facilities provided and checked records such as care plans and risk assessments. We talked to residents, the manager and three care staff. We also spoke with two visitors to the home and one relative on the telephone. At the end of the visit we discussed our preliminary findings with the manager. What the care home does well: What has improved since the last inspection? What they could do better: The findings of this inspection indicated that the service is currently performing well. We made several good practice recommendations as a result of this visit. In order to protect the financial interests of people living in the home, the registered provider should ensure that any monies or valuables held in safe keeping for people are covered by an appropriate contents insurance policy. All financial transactions should also be supported by receipts for the amount withdrawn. Care Homes for Older People Page 8 of 30 Care plans should be updated to reflect any guidance from visiting healthcare professionals. This will ensure all staff are aware of the current needs of the person. People living at Clarendon Manor would benefit from continued decoration of the home to ensure it is a comfortable and pleasant place to live in. 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 30 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 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into Clarendon Manor benefit from having their care needs assessed so that they can be sure the home can meet their needs. Evidence: We looked at the files of a person who had recently been admitted to the home to assess the admission process. The file contained information gathered during a pre-admission assessment that identified all of the persons needs. The pre-admission assessment was supplemented by a further assessment of long term needs on the day of admission. Information gathered about the needs and abilities of people living in the home is used to develop care plans to meet these needs. People have an opportunity to visit the home before they move in. One person told us Care Homes for Older People Page 11 of 30 Evidence: their relative had visited on their behalf. They told us they were very pleased with the care they received, commenting; I couldnt have chosen a better home myself. A person told us in their survey, I was impressed straight away. Care Homes for Older People Page 12 of 30 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. People living in the home are treated respectfully. Each person has a plan of care and access to health care services so that their health and personal care needs are met. The medicine management within the home is of a high standard. Evidence: We looked at the care files of two people as part of our case tracking process. This process enables us to make decisions about how the home is meeting the needs of the people living there. Each person had a care plan, daily records and monitoring records. Care plans were based on information secured during the initial care needs assessment and were developed as staff got to know the individuals strengths and limitations. Care plans were available for the identified needs and abilities of each person and supplied staff with the information needed to make sure the persons needs were met safely and appropriately. For example, the night care plan for one person recorded that they become unsettled during the night. Staff must give reassurance when this happens. X Care Homes for Older People Page 13 of 30 Evidence: usually settled after a cup of tea and chat with the care team. We saw from the daily records by staff that this is what they did. The home develop care plans for short term care needs. For example, one person had sore skin and stayed in bed. The manager had developed a care plan for staff to follow to ensure the person was kept comfortable while bedfast. For example, the care plan directed staff to change the persons nightclothes regularly to ensure they are comfortable. Short term care plans are printed on coloured paper ensuring staff are able to quickly identify changes to the persons needs. The district nurse was visiting the home to dress this persons sore skin. We saw instructions that the person should be turned every two hours by two members of staff. When we looked at the turning chart maintained by the home for this person we saw that this was not happening. A senior staff member told us that the district nurse had since advised that the person should not change position if they were asleep and looked comfortable. The home should ensure that all instructions from healthcare professionals are appropriately recorded in order that staff can safely meet a persons care needs. The care plans are evaluated on a monthly basis, or more often if needed and changes are made to the care plans if there is a change in the need of the person. Each month the keyworker and senior staff review the plans. If the care plan is to continue as before, they record, No Changes on the evaluation sheet. It was unclear how they reached this decision. We discussed this with the manager and suggested that there should be evidence to demonstrate how each aspect of the care plan was evaluated at reviews. A range of risk assessments are in place for activities that may place people at risk and includes pressure sores, falls and nutrition. For example, a risk assessment used for one person identified they had a high risk of falling. A care plan was developed and implemented to minimise this risk. This included the use of a pressure mat at night to alert staff if the person got out of bed and tried to stand without staff support. The home keeps a record of contacts that each person has with health care professionals and this showed that they have regular contact with them. The home also has visiting outside professionals who provide optical, auditory and chiropody care. The pharmacist inspection took place on the same day as the key inspection. Six peoples medicines were looked at together with their care plans, daily records and the Medicine Administration Record (MAR) chart. One member of staff that administered Care Homes for Older People Page 14 of 30 Evidence: the medicines and one resident were spoken with and all feedback was given to the manager. The medicine management was good at the time of the inspection. The manager had worked hard to implement good systems to ensure that the medicines are administered as the doctor intended. All prescriptions are seen prior to dispensing and checked before they are photocopied and sent to the pharmacy for dispensing. These copies are then used to check the medicines and MAR charts received into the home. All quantities of medicines received or carried over from previous 28 day cycle are recorded on the MAR chart enabling audits to take place to check whether the medicines have been administered as prescribed. Audits undertaken on the day indicated that the majority of medicines had been administered as prescribed and records reflected practice. The home regularly audits the medication to check that the staff administer the medicines correctly. This involves counting the medicines dispensed in traditional boxes and bottles to see if the quantities left over tally with what should be left over. The MAR charts are also looked at regularly to ensure that staff have recorded exactly what has occurred. These have enabled the manager to sustain the level of the medicine management seen in the home. An additional audit was also undertaken every two months. Other good practices were seen. For example, when a cream was prescribed, a body mapping picture was completed so staff knew exactly where to apply the cream. All residents MAR charts had a facing page which had a photograph of the resident, any allergies the resident may have and details of how the resident prefers to take their medication. The care plans were good and it was easy to track when an external healthcare professional had visited the home and the outcome of the visit. Care plans supported the clinical needs of the residents in most cases. Residents are encouraged to self-administer their own medication. One risk assessment was seen but this did not reflect actual practice as the resident selfadministered her medication incorrectly. No compliance checks had been undertaken so the home was not aware of this. The manager was keen to address this matter. Care Homes for Older People Page 15 of 30 Evidence: The medicines were stored safely and at the correct temperature. The home keeps a stock of homely remedies for the staff to administer to the residents for minor ailments instead of immediately calling out the doctor. Records of administration were good and the doctor had signed individual protocols for the staff to follow to safely administer them. The lead carer spoken with during the inspection had a reasonable understanding of the medicines she administered. Medical information about what the medicines were for was accessible if needed. We saw staff treating people with kindness and respect during the time we were in the home. Visitors confirmed that they thought the staff were very kind and understanding with people. We were told, I am very pleased with my relatives care, they are looked after extremely well, and The staff are extremely good, attending to the individual needs of all residents. One relative commented in a letter sent to us about the home, I bless the day my mothers social worker suggested I should view Clarendon Manor. Care Homes for Older People Page 16 of 30 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. A planned activity programme provides opportunities for meaningful stimulation for people who are able to participate. People are supported by the home in maintaining contact with their families and friends. Meals are well balanced and nutritious. Evidence: People we talked to said that they were happy with the daily routine. They said that they were free to get up and go to bed whenever they chose. They also said they were satisfied with the range of social and leisure activities provided in the home. These included music and movement sessions, reminiscence sessions, visiting entertainers, bingo and board games. One person told us in their survey we have some excellent trips out. People are encouraged, and given the opportunity to continue with their hobbies and favourite pastimes once they move into the home. A separate hairdressing salon is also provided and a hairdresser visits to cut and style peoples hair regularly. The home recognises the importance of maintaining contact with family and friends and welcomes visitors. Relatives are encouraged to visit when they want to and we Care Homes for Older People Page 17 of 30 Evidence: saw visitors come and go throughout our inspection. One person told us, I am here regularly and I am always made welcome. I am always offered refreshments. They couldnt be kinder to me. People are encouraged to personalise their own rooms with their own possessions. Some of the rooms we saw had been decorated in this way and were homely and welcoming. The home is aware of the importance of supporting people with making choices about their lives. All meals provided are cooked within the home, which has dedicated catering staff. People who completed and returned surveys to us indicated they were very happy with the quality of meals served in the home. One person said lunch is usually excellent. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can be confident that their concerns will be listened to and acted upon. There are systems in place to respond to suspicion or allegations of abuse ensuring people living in the home are protected from harm. Evidence: There is a comprehensive complaints procedure on display in the reception of the home. This is available in large print to assist people with visual impairments to access the information and is included in the statement of purpose. There are a number of thank you cards and letters on display, which suggests satisfaction with the service provided. Since our last inspection the home has recorded one complaint. This had been appropriately investigated and the outcomes recorded. People who use the service and visitors told us they would have no hesitation complaining about the service if necessary. A visitor said, I know how to complain, but the occasion has never arisen. Another person told us that the manager is very open to listening and dealing with any concerns. One safeguarding referral had been made to the local Adult Safeguarding Team since the last inspection. It concerned staff attitude. This has been investigated and closed Care Homes for Older People Page 19 of 30 Evidence: by the Safeguarding team. The manager has taken appropriate action as a result of the investigation. Those staff on dury spoken with were able to tell us what action they would take if an allegation of abuse was made and this should ensure that people are safeguarded from harm. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally well maintained providing a safe, attractive, homely and clean place to live. Evidence: Communal areas in the home consist of an 2 main lounges and 2 dining rooms. Bedrooms are located over three floors. Communal areas are bright, homely and look lived in with lots of peoples personal possessions scattered around the home. People were seen to move about freely in all areas of the home. The manager told us that the owners are considering building a conservatory off the small lounge, which would further enhance the living area for people. Some communal areas of the home had been decorated since the last inspection visit and looked clean and bright. In contrast, one area of the home, identified to the manager on the day of the inspection visit looked tired and shabby. The carpet was thin and the outline of the floor boards were cleary visible. Several bedrooms, including those belonging to the people involved in case tracking, were viewed. Rooms were comfortable, well decorated and had furniture and coordinating soft furnishings. Rooms viewed were personalised with peoples own belongings. Care Homes for Older People Page 21 of 30 Evidence: Equipment is available to assist residents and staff in the delivery of personal care, which includes assisted baths, moving and handling equipment including hoists. Pressure relieving equipment such as cushions and various types of mattress are made available for people who have an identified need for them. The home smelt fresh and clean. The laundry room, although small, has sufficient commercial equipment to provide an effective laundry service to people. It was clean and tidy on the day of the inspection visit. Care Homes for Older People Page 22 of 30 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 competent staff on duty to meet the needs of people living in the home. People are protected by robust recruitment procedures. Evidence: There are four care assistants on duty throughout the day and two care assistants throughout the night. In addition to care staff the home also employs kitchen, housekeeping and maintenance staff to ensure that all aspects of peoples needs are met whilst living at the home. Three of the four staff surveys returned to us told us that there are usually enough staff on duty to meet peoples needs. The fourth survey said there are always enough staff available. The new members of staff recently recruited in the home had all the relevant documentation, including two references and criminal records checks, to ensure that they are safe to work in the home. Robust recruitment procedures and preemployment checks should protect the vulnerable people living in the home. Staff training was undertaken on a regular basis and each member of staff had a file containing evidence of this. However it was difficult to easily see exactly what training each member had done, whether they needed a refresher course or actual training. Three training matrixs had been completed but none accurately recorded all the Care Homes for Older People Page 23 of 30 Evidence: current information. The manager has confirmed to us that following the inspection she has updated the training matrix, clearly showing training done by staff and when this training is next due. The manager told us that 15 of the 26 care staff have, or are working towards obtaining a National Vocational Qualification in Care. This should ensure that a knowledgeable and skilled workforce can meet peoples needs individually and collectively. People and visitors told us, The staff are so kind and patient, I never feel Im a nuisance, and I cant praise the staff enough, I want for nothing here. Care Homes for Older People Page 24 of 30 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 an experienced and competent person to ensure the service is run in the best interests of people living in the home. Evidence: The Registered Manager has many years experience within care of older people and management. She has completed the Registered Managers Award, which will assist her knowledge in supporting and leading the staff team. Staff members and people spoken with spoke highly of her and said she always has an open door. One staff member commented, she is very hands on, we can discuss anything with her. Prior to the inspection the manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This gave us some information about the home, staff and people who live there, improvements and plans for further improvements, which was taken into consideration. Some areas of the AQAA had not been completed fully and we discussed this with the manager at the visit. Care Homes for Older People Page 25 of 30 Evidence: There is a quality assurance and monitoring process which is based on ensuring the home is meeting the needs of the people living in the home. This involves an internal audit against identified standards, for example, medication management and food provision. The views of residents and relatives were surveyed in October 2008. The manager should also include views of external stakeholders and the people who use the service when reviewing the quality. While some feedback is being obtained the home must now work towards formalising this information into a quality assurance system and produce an annual report on its findings, including an action plan to address any areas where improvements could be made. Residents and staff meetings are held and these give people the opportunity to share their ideas about the home, while also providing a social activity. Minutes of these meetings were reviewed. It appeared from the minutes that actions are taken to try and resolve any concerns raised in the interests of the people living at the home. For example, people said they didnt enjoy a recent entertainer to the home and asked that they not be re-booked for future events. The manager agreed to do this. The manager has installed a new system to ensure that the residents personal money is safely held and accountable. Each persons money is stored and recorded individually. Written records of all transactions had been completed and receipts were kept. Problems were seen when the receipt date did not match the date recorded. One error was seen where some money was not fully accounted for even though two staff members always record and check the money and account book. The manager had reported an incident of money missing from some peoples personal monies to the local safeguarding team and the police. The referral has been closed by the safeguarding team. The manager said she refunded the money herself, as it was unclear if the registered provider had appropriate insurance to cover such incidents. The registered provider must ensure that any monies or valuables held in safe keeping for people are covered by an appropriate contents insurance policy. The home has effective systems for maintaining equipment and services to the home to promote the safety of people in the home. The manager confirmed in the AQAA that health and safety checks had been completed. A sample of service and maintenance records were examined and found to be up to date. The homes programme of mandatory training further protects the safety of people in the home. Care Homes for Older People Page 26 of 30 Care Homes for Older People Page 27 of 30 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 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Instructions received from healthcare professionals should be recorded on the persons file to ensure that all staff are aware of the correct procedures to follow to safely meet the persons needs. It is advised that all service users that self-administer their own medication have regular compliance checks undertaken on a regular basis to demonstrate that they safely self administer their medicines as prescribed. The home should consider redecoating the corridors and replacing the carpet in the area of the home discussed with the manager on the day of the inspection visit. It is advised that one training matrix is written and regularly updated to easily identify all the training needs of the staff within the home. It is advised that all financial transactions for people living in the home are correctly receipted and checked by a second member of staff at all times. This ensures that peoples financial interests are protected. The registered provider should ensure any monies or valuables held on behalf of people living in the home are protected by appropriate insurance cover. Page 29 of 30 2 9 3 19 4 30 5 35 6 35 Care Homes for Older People 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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