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Inspection on 30/09/08 for Cleveleys Nursing Home

Also see our care home review for Cleveleys Nursing Home for more information

This inspection was carried out on 30th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

This service provides a pleasant and homely environment for the people who live there. The home is nicely furnished and the residents rooms are spacious and nicely decorated. All of the people that we spoke to on the day of the inspection said that they liked living at Cleveleys Nursing Home and felt that they were being looked after properly. One relative spoke very highly of the service that her mother was receiving. She commented, I want the best for her and I think I`ve found it. I am very pleased and I can relax now. The care staff were seen to speak politely to the people who used the service and are respectful in the way they carry out their duties. We spoke to two of the care staff at length and we found them to be knowledgeable and enthusiastic regarding the way they approached their job. The care plans are clear and informative and are reviewed on a regular basis. This means that the residents care is constant and that the carers have current accurate information, and clear instruction. Mealtime arrangements are good and the food that was being served during our visit looked pleasant and appetising. Several people said that the food was to their liking and that they looked forward to mealtimes. One person commented, The food is fine, there are obviously things I don`t like but there is always a choice. Care staff are recruited properly and there are records of the checks the service had made on each new carer. Good recruitment also helps to ensure that the residents are protected from unsuitable staff. Training is definitely a strong point for this home. There have been regular training events for the staff both within the home and externally. All the mandatory safety areas have been covered. Courses are selected well to maximise the knowledge of the carers. This helps to ensure that the carers have the knowledge, skills and ability to care for people properly and professionally in a specialised setting. The management of the home is strong and the staff that we spoke to said that they felt that the home is being run well, in the best interest of the people it cares for. The home was clean and fresh smelling.

What has improved since the last inspection?

There have been several training events for the care staff since the last inspection. Some of the rooms have been redecorated. This helps to ensure that people live in a pleasant, well maintained environment.

What the care home could do better:

There are clear issues around the storage of equipment and care products at this home. This has been an issue at previous inspections and it seems that little has been done to rectify this problem. The conservatory area by the entrance to the home was cluttered with wheelchairs and a motorised buggy. There were boxes of care products and old equipment in the first floor dining area. The manager and the care staff are fully aware of the problems that this presented and the safety aspects that can arisefrom this. This is an issue that must be dealt with by the owners of the home in order that the environment remains safe and that the people who use the service have a spaceous environment in which to live in.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cleveleys Nursing Home 19 Rossall Road Thornton Cleveleys Lancashire FY5 1DX     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: Christopher Bond     Date: 3 0 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Cleveleys Nursing Home 19 Rossall Road Thornton Cleveleys Lancashire FY5 1DX 01253865550 01253866589 cleveleysnursinghome@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elaine Lowe Type of registration: Number of places registered: Manor Homes (Poulton) Limited care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD (maximum places: 6) The maximum number of service users who can be accommodated is: 32 Date of last inspection Brief description of the care home Cleveleys Nursing Home is registered to accommodate a maximum of 32 elderly persons. Six beds may be used for residents with a physical disability and six beds may be used for residents with a terminal illness. The home is situated in a residential area of Cleveleys and is close to local amenities and within walking distance of the seafront. The home was purpose built and the accommodation consists of 3 double bedrooms and 26 single bedrooms, 8 of which have ensuite toilet facilities. There are lounge and Care Homes for Older People Page 4 of 28 Over 65 32 0 0 6 Brief description of the care home dining room areas on the ground and first floor and there is a no smoking policy throughout the home. A passenger lift is available and aids are provided throughout the home to assist residents as required. A copy of the homes Statement of Purpose and the Service User Guide are displayed in the hallway of the home for everyone to read. This information explains the care service that is offered, who the owners and staff are and what the resident can expect if he or she decides to live at the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. As part of the inspection process an unannounced site visit took place over a total of 5 hours on the 30th September 2008. The residents personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures for the service were also examined. We spoke at length to the manager of the service during the inspection. Six residents Care Homes for Older People Page 6 of 28 were also spoken to as part of the inspection process. We also spoke to three relatives of a people who used the service. We also sent out surveys to people who used the service and their relatives and carers to gather their views about the service they receive. A number of these were sent back to us and the results have been included in this report. We also sent out surveys to the care staff of this home to tell us about their experiences of working at Cleveleys Nursing Home. Every year the registered person is asked to provide us with written information about the quality of the service they provide. This is called the Annual Quality Assurance Assessment AQAA. They are also asked to make an assessment of the quality of the service. This information, in part, has been used to focus our inspection activity and is included in this report. The fees for this home are from 505GBP to 597GBP with added charges for hairdressing and chiropody. What the care home does well: What has improved since the last inspection? What they could do better: There are clear issues around the storage of equipment and care products at this home. This has been an issue at previous inspections and it seems that little has been done to rectify this problem. The conservatory area by the entrance to the home was cluttered with wheelchairs and a motorised buggy. There were boxes of care products and old equipment in the first floor dining area. The manager and the care staff are fully aware of the problems that this presented and the safety aspects that can arise Care Homes for Older People Page 8 of 28 from this. This is an issue that must be dealt with by the owners of the home in order that the environment remains safe and that the people who use the service have a spaceous environment in which 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their families have the information they need to make an informed decision as to whether or not the home can meet their needs. Peoples needs are assessed to ensure that the home can meet their specific requirements. Evidence: The manager of the home helped to ensure that all of the people who were thinking of going to live at Cleveleys Nursing Home had clear and concise information about the purpose and role of the home. The Service User Guide was given to new residents and prospective residents to ensure that they had the information to make an informed decision as to whether the home could meet their needs and was right for them. Two relatives who were spoken to during the inspection said that they were invited to look round the home and view the facilities that the service had to offer before making the important decision as to its suitability. We spoke to two people during our visit who confirmed that they had the opportunity to look round the home prior to making a Care Homes for Older People Page 11 of 28 Evidence: decision about whether the home was right for them. We sent out surveys to the people who use this service. All three that were returned to us told us that the person received enough information about the home before they moved in to make an informed decision. There were good pre admission assessments held on the residents personal files. These were completed before people came to live at the home to ensure that individual needs could be met appropriately by the care staff. A recent admittance, however, showed that this process was not always successful. After the initial assessment process, assisted by Social Services, a young person with physical disabilities was admitted to Cleveleys Nursing Home. It was found that the service could not meet the needs of this person and a far more individual level of support was required by specialist carers. The manager agreed that she had learnt from this process and assessment procedures for younger adults have been redefined as a result. The person has since moved on, but all those involved in making the decision regarding the appropriateness of this service for this individual should consider that mistakes were made in the admittance process. The home does not supply intermediate care and this standard has not been assessed. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and respect in this home. Health, personal and social care needs are taken seriously and the people who use the service are well cared for. Evidence: The care plans held information to show that the health needs of the people who use the service were being attended to properly. There were entries to show that the district nurse had been involved in the care of the residents and that other health agencies had been involved in providing health care. A doctor was in the process of viewing patients whilst we were there and information was being passed on to the manager and nursing staff. We looked at seven of the care plans, and all of them held evidence that the residents needs were being attended to properly and that people were receiving proper medical care. Each care plan held evidence that they were being reviewed on a regular basis so that care needs could be kept under review and important information passed on to the carers. This helped to ensure that all the carers had the same information and Care Homes for Older People Page 13 of 28 Evidence: knew what the current needs of the residents were. Some of the residents were receiving pressure area care. There was a folder that outlined the treatment and dressings that were necessary. Photographs were taken to show how wounds were progressing. A nationally recognised assessment tool was being used by the home to assess the skin condition of the residents and a review of this took place monthly. The results of the review were held on file and were displayed on the office wall for all of the care staff to see. The home had the necessary equipment to help prevent pressure sores, such as gel pads and special mattresses. A tissue viability nurse was asked to visit the home on a regular basis to assist with pressure area care. We saw that people were well dressed and looked well cared for. A hairdresser visited the home on a regular basis, an event that people looked forward to. The carers who were on duty during the inspection were polite and respectful when speaking to the people who use the service. All of the residents that we spoke to were pleased with the standard of care that the service gave. Several residents told us that they were treated well and felt that they were being properly looked after. Three people told us via surveys that they always or usually received the care and support that they needed. We spoke to two visitors whilst we were there who were relatives of people who used the service. One of them commented that she found the service excellent and considered that her mother was being cared for really well. Another visitor described the care as superb. There were records to show when those resident who were on prescribed mediation were given this at the correct times. There were no unexplained gaps and medication was stored and administered correctly. We looked at the medication information for most of the people who use the service and found this to be good, with plenty of information available for the carers who were responsible for giving out the medication. There had also been training in medication awareness for care staff. There were policies and procedures for the trained staff to follow regarding the administration of medication. Some of the residents were receiving medication that was controlled because of its content or strength. The procedures for handling this medication were being followed correctly, which meant that the residents were safer. The manager should ensure that recent photographs are available on all of the medication records to aid identification and help prevent errors. Care Homes for Older People Page 14 of 28 Evidence: There were also risk assessments available within the care pans to help ensure that people remained safe and that hazards were identified within the home. The care staff had received training in the safe moving of people who use the service about the home and there was equipment available to assist the care staff. This helps to ensure that people are assisted to move safely and professionally. The care staff that we spoke to confirmed that they had undertaken this training and that they were comfortable when undertaking this task. There had been several training events for the care staff to help ensure that a good standard of care was provided and that the caer staff had the knowledge, skills and abilities to provide a high standard of care. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use this service receive a wholesome and appealing diet. Activities for most of the residents were regular and interesting, meaning that people were kept stimulated and active. Evidence: The home did not have a planned daily programme of organised activity for its residents. There were, however, regular events for the residents to become involved in, such as singing, music, videos and card making. There were regular trips out, for some residents, to a hotel in Blackpool that specialises in providing entertainment for older people. There had also been a recent trip out to Blackpool Illuminations. There were no specific activities for those with dementia. The manager of the home acknowledged this and said that she would look in to developing these specialist activities for those that had developed dementia whilst living within the service. Specific training in Dementia awareness had also been planned. We spoke to three visitors to the home whilst we were there, who were visiting friends and relatives who lived at the home. Each person said that they were welcomed by the Care Homes for Older People Page 16 of 28 Evidence: care staff and given refreshments and privacy. The home encouraged friends and relatives to visit as, in most cases, this helped to add to the well being of the residents. Lunch was being served whilst we were there. The food looked wholesome and appealing. All of the residents that were spoken to during our visit said that the food was good and that they looked forward to mealtimes. Three residents told us via surveys that they usually liked the meals at the home. One resident told us, The food is fine, theres obviously things I dont like but theres always a choice. There were two residents enjoying their meal in the first floor dining room. This was a quieter environment away from the main dining area on the ground floor. We noticed that there were items of furniture, wheelchairs and stored boxes of incontinence pads cluttering this area. The manager told us that storage space was very limited. One of the residents told us that the clutter was annoying, impeded his movement, and affected his enjoyment of the meal. It would be better if such items were stored more appropriately so as not to clutter the dining area. This directly affected the comfort of the residents. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good safeguarding procedures help to ensure that people remain safe in this home. The complaints procedure is clear and accessible meaning that people who use the service and their representatives can voice their opinions easily. Evidence: There had been recent training for all of the care staff in protecting vulnerable adults and safeguarding procedures. This helped to ensure that people lived in a safe home. Most of the care staff had also undergone training in this area whilst completing a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). There were also policies and procedures available in the home for the care staff to read regarding safeguarding people. Two of the care staff that we spoke to during the visit said that they had received training and were able to demonstrate their knowledge with regard to safeguarding vulnerable adults. All of the staff that were spoken to said that they knew what to do if someone was unhappy about the service. The complaints procedure was displayed in the home and was part of the Service User Guide. Everyone was given a copy of this when they first arrived at the home; timescales were given for the handling of complaints and the manager confirmed that all complaints and concerns were handled properly and seriously. The manager was aware of the homes role regarding the complaints procedure and how complaints can be used as a quality tool to ensure that the home is Care Homes for Older People Page 18 of 28 Evidence: run in the best interests of the people who use the service. There had been one concern raised about the home since the last key inspection. This was dealt with appropriately by the manager of the service and the Commission for Social Care Inspection was satisfied with the outcome of this. There had also been a matter raised regarding a resident who had physical disabilities and this had been the subject of safeguarding procedures raised by the local authority. The matter has now been resolved and procedures within the home have been changed in response to this. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a clean, pleasant and well -maintained environment. This was a service that was homely. Storage facilities at this home were poor which affected the comfort of the residents. Evidence: The first thing that we noticed about the home was the lack of storage space, which meant that wheelchairs, hoists and boxes of pads were stored mainly in communal areas. Several wheelchairs and a small motorised buggy were stored in the conservatory area by the front door. This made this area look cluttered and was not an appealing area to spend time. Similarly with the corridors and upstairs dining room: there were wheelchairs and boxes of pads stored to the annoyance of the residents who used these areas. The manager of the home was aware of the lack of storage space and the obvious safety issues this posed for the residents of the home. This has been a long standing problem at this home and steps should be taken by the owners of the service to rectify this matter. The bedrooms at the home were quite large and there were lots of personal possessions in the rooms. One gentleman had his own TV and music system in his room, along with photographs, pictures and ornaments. Most of the bedrooms that we looked at were very homely and care had been taken to ensure that they were Care Homes for Older People Page 20 of 28 Evidence: pleasant areas to spend time. There were two televisions in the lounge, and facilities for listening to music. The garden area could be accessed from the main lounge and there were places to sit out in good weather. All of the people that we spoke to during our visit said that they liked living at the home and liked the services and facilities that were on offer. Concerns were, however, raised about storage, as previously mentioned. There were large bathrooms on each floor, and these had been adapted to accommodate people who had a physical disability. The corridors were wide, as were the door frames, to ensure that wheelchair users could access their rooms properly. Overall we found this to be a pleasant home where care had been taken to ensure that it was clean and free from unpleasant odours. A cleaner was working within the home whilst we were there and the manager emphasised the importance of maintaining a clean and pleasing environment. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good recruitment procedures at this home help to protect the people who use the service from unsuitable staff. Training for the staff was good, which helps to ensure that the care staff have the skills to do their jobs properly. Evidence: Each of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. We looked at several of these and spoke to the carers about them. It was confirmed that the service takes the training of its staff seriously; several courses and training events had taken place since the last key inspection. Safety training had also taken place in areas such as food hygiene and helping people to move around the home safely. Over 70 of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3 in care). A well -trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. Recruitment for the service was good and each carer had the proper checks completed prior to starting work. This helped to ensure that the people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Care Homes for Older People Page 22 of 28 Evidence: Vulnerable Adult Scheme prior to employment. There were enough care staff and trained staff on duty at the time of this inspection to ensure that the assessed needs of the residents were being attended to properly. The care staff that we spoke to were pleasant and with the residents with respect and politeness. Three people who use the service were able to tell us that they were pleased with the amount of care staff that were available, and that they felt well cared for. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of the residents and their welfare is promoted and protected. Good quality control systems help ensure the service runs well. The manager is well respected and runs the service well. Evidence: The manager of the home is a trained nurse and was caring and knowledgeable in her approach. The care staff received regular training in areas of safety around the home: this included fire safety, food hygiene, first aid, infection control, and moving and handling training. There was equipment available to help ensure that the residents of the home were helped to move around the home safely and comfortably. The staff had received training in using this. There were records to show that major appliances within the home had been serviced Care Homes for Older People Page 24 of 28 Evidence: properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the people who use the service was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the people who use the service. Risk assessments had been completed for areas where the residents might need extra protection. There is a need to ensure that equipment that isnt being used is stored properly and that communal areas, corridors arent blocked by items that arent in use. The owners of the home need to address this as problems with storage are affecting the quality of life of some of the residents and preventing them from using some areas to their full extent. The conservatory and the first floor lounge/ dining area are examples of this. The absence of adequate storage areas is also affecting the safety of the residents and preventing them from moving around the home freely. The care staff told us that individual supervision had taken place and there were records available to show this. Supervision is important because it provides support for the care staff to review their performance and training needs. The manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. Some of the people who use the service had small amounts of personal money that was held by the home. This was monitored by the manager and checked by the manager of the home on a regular basis. There was an administration assistant employed by the home to deal with the ordering and paperwork. The manager said that this was a positive step because it gave the trained staff more time to spend with direct caring duties and more time to ensure that the home was being run in the best interests of the people who use the service. As part of the inspection process the service provided the Commission with an Annual Quality Assurance Assessment that told us about the home and how it was progressing. This was completed well and outlined in detail how the service was improving outcomes for the people who use the service and meeting their specific needs. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 25 22 Poor storage of equipment is 31/12/2008 affecting the comfort of the residents. The owner of the home must provide a suitable storage area for stores and equipment in order that the safety and comfort of the residents is maximised. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!