Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Croft (The) Walsingham Way Eye, Peterborough PE6 7XB The quality rating for this care home is:
one star adequate 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: Lesley Richardson
Date: 1 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 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: Croft (The) Walsingham Way Eye, Peterborough PE6 7XB 01733222448 01733223895 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Jill Frances Waywell Type of registration: Number of places registered: Peterborough Primary Care Trust care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Purpose-built in the 1960s, The Croft is in a residential area in the village of Eye and offers a home to 39 older people. The home is on two floors and all areas are accessible to people who use wheelchairs. On the ground floor there are three lounges with dining areas, toilets, bathrooms and some single bedrooms, as well as a main kitchen, laundry, smoking lounge and office. Upstairs there are single bedrooms, a quiet lounge, toilets, bathrooms and the managers office. All bedrooms have a washbasin and are comfortably furnished. The home is set in pleasant gardens, and is within walking distance of local shops, pubs and churches. The city of Peterborough, with its wide range of leisure facilities including a large shopping centre, restaurants, cinemas and a theatre, is within a few minutes drive or bus ride. Good road and rail services link Peterborough to London and other major cities. Residents financial status Care Homes for Older People
Page 4 of 30 Over 65 6 39 0 3 0 3 Brief description of the care home is assessed so that they pay what they are deemed to be able to afford, up to a maximum of the local authority benchmark rate. Additional charges include hairdressing, chiropody, newspapers and any personal items such as toiletries, alcohol, tobacco and clothing, as well as some outings. Copies of the CSCI inspection reports are available in the foyer of the home. 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: one star adequate 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 1 star. This means the people who use this service experience adequate quality outcomes. This was a key inspection of this service and it took place over 6 hours and 30 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. All of the requirements from the last inspection have been met. There has been one requirement and six recommendations made as a result of this inspection. Information obtained from the Annual Quality Assurance Assessment (AQAA) and from returned Care Homes for Older People
Page 6 of 30 surveys was used in this report. Eight surveys were returned from visitors to the home. We received no surveys from staff members. What the care home does well: What has improved since the last inspection? The amount of information written in care plans has improved. We only found one plan for one person where information had not been put into the plan. The information was in the risk assessment and staff were able to tell us what they should be doing. They give staff members details about how people like to be looked after and what they should do in particular circumstances. We found the way staff members give out medication, the records that are kept and the way medicines are stored are all acceptable. Staff members organise trips, activities and events for people in the home. There is Care Homes for Older People Page 8 of 30 information in care records about what people take part in and some brief information about their lives. People said they are happy with the activities that are provided for them. The home is clean and gives people a safe and pleasant place to live. There was a new toilet being built during the inspection, which cause some noise and disruption, although most people said they didnt mind. This is the last part of the improvements that were asked for at the last inspection. Staffing levels are usually high enough so that staff can care for people properly. We saw during the inspection that staff are easily available and people do not have to wait for help. People who returned surveys also said staff members are available when they are needed. Records are kept of the health and safety checks that are carried out. This includes the fire safety checks that were not completed often enough at the last inspection. It means the home can show if things are in good working order and what they have done to repair problems. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 9 of 30 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 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 11 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 have enough information before moving into the home, which means they are able to decide if they would like to live there. Evidence: Seven of the eight people who we received surveys from said they had received a contract and six people (3/4) said that they had enough information before moving to the home. Both visitors also said they had enough information before their relative moved into the home. The duty manager told us that assessments are obtained from health and social care teams before people move into the home and a manager also visits the person. We looked at the care records of 2 people who had moved into the home since the last inspection. There were written assessments from social care teams, but no record of visits carried out by staff at the home. These visits should be recorded, so that staff are able to see if there have been any changes between the health or social care assessment and the homes assessment.
Care Homes for Older People Page 12 of 30 Evidence: The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. Care Homes for Older People Page 13 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. Evidence: People who commented in surveys said they get the care and support they need from staff members and during the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection and that staff knock on doors before entering rooms. Most staff members are polite and gentle with people and we saw this during a minor medical emergency when staff stayed with one person when he needed attention. They obtained portable screens so that he had as much privacy as possible and did not move him until he had recovered enough to be able to do this himself. Comments made by people living at the home include, Happy with help, I get on with most people and I like it here and one persons relative said, I cannot fault the care given. However, we also heard staff members talking amongst themselves about holidays
Care Homes for Older People Page 14 of 30 Evidence: and their social lives while helping people. Although speech is generally acceptable, some staff members also call people by names that are terms of endearment, such as honey and little one, which is not always appropriate. One staff member was polite to most people, but was not polite to one particular person and did not explain what she was going to do when she left the person, even though she returned with equipment to be able to move the person. Care plans for five people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed, but not always often enough. We found the care plans gave staff members enough guidance about how to meet most of peoples needs, but that the level of detail varied between different people. Care plans generally tell staff how each person likes to be cared for and what their preferences are, and there were some plans that gave staff a lot of information about people. For example, one persons plan tells staff about a medical condition that can mean the person becomes bloated, and that he should not be dressed in tight, restrictive clothing. This same person also has a care plan that tells staff about disruptive and challenging behaviour. There is information in a risk assessment about distraction techniques and what works, although this isnt written in the care plan and there is no reference to the risk assessment. We watched staff talk to this person and then talked to a staff member about how they care for him. They told us all of the information in the risk assessments and the care plans, which means that they have a good understanding of his needs. However, information in another persons care plan tells staff that fluids must be thickened to the consistency of runny honey. We saw one staff member, who had just returned from leave, give a person a drink of water that had not been thickened. The effect was that the person coughed and was not able to swallow properly. This means that care records are not the main source for obtaining information about people and that not all the information about people is passed on to staff when they change shifts. It also means that peoples health needs are not always met. Most people or their relatives said they are able to look at the plans and say if they agree with them or not. We saw details in the care plans that show people are involved in their care plans. Plans are reviewed monthly and we saw that some information and changes are recorded, although not everything that happens is included. Incidents for the person with the disruptive behaviour had not been mentioned in the reviews. This means that reviews do not always look at whether there is anything else that can be done, or whether the plan has been effective in one way but not another.
Care Homes for Older People Page 15 of 30 Evidence: All of the people (8 out of 8) who returned surveys said they receive medical attention when they need it. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. However, one persons relative felt that staff do not always understand the persons medical needs. She said, my husband needs a thickening agent in all his drinks, gravy and any sauces...If he does not have this all his fluid and sauces go straight onto his lungs. A prescription was not ordered which resulted in my husband not having the thickening agent for 4 days, which resulted in another chest infection. This is not acceptable. The manager has told us since the inspection that this delay occurred while the home were waiting for the thickening agency to be supplied by the pharmacy. Medication administration records (MAR) were looked at for all of the people living in one unit. The MAR sheets are completed and there are very few records with entries missing. Entries for medications that have not been given show the reason for this. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. Variable dose medications have clear records that show the dosage that has been given. There are also clear records to show where medication in the form of a patch stuck to the skin has been placed and how this is rotated. There are no entries in the MAR sheets for medication kept in peoples room, such as creams, although there is information to show this is where the medication is kept. Other forms are also kept with the medication in the room and this is signed instead of the MAR sheet. The need for staff to sign this extra sheet should be written on the MAR sheet. Stock levels of medications are acceptable; no medication had been out of stock and there are no stores of medication nearing its expiry date. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although activities are available and people can choose what they do, staff do not always support people to have control over their lives. Evidence: Activities in the home are organised by staff members who arrange for entertainers to visit the home, and activities and events in the home. A weekly activities programme is displayed on large hand written sheets on the wall of each lounge or dining area. All of the people who returned surveys to us said there are activities that they can take part in. We spoke to people around the home and there were mixed reactions about whether there were activities provided that they could join in. However, they did all say what they like to do and that these things, like doing the crossword or watching a film, usually keep them occupied. One person said, I enjoy the activities arranged. Staff members record information about the activities people take part in, although the records dont give any information about how much the person enjoyed the activity, or whether it identified anything else they would like to do. There is also a document called This is my Life that is kept in each persons care file. This gives staff very brief information about peoples individual likes and dislikes, their interests and their lives.
Care Homes for Older People Page 17 of 30 Evidence: For example, one person had a sheepdog and a cat and they like music. But that is all the information that is given; there is nothing about the animals names, what colour the cat was, how old they were, or what sort of music the person likes listening to. We spent some time in one of the lounge areas after lunch watching what was happening. There were very few staff in the lounge for the two hours the inspector was there, although people were able to summon them quickly and when a medical emergency occurred staff were on hand very quickly. People in the lounge had little obvious activity to take part in, although a game of carpet bowls was being played in another lounge. Staff who did help people with drinks did this quietly and there was little conversation. Many people in this area were asleep during this period of time. Because there is little information about peoples lives, and specific care plans for social needs are not written, staff are not able to offer fulfilling interaction to everyone living at the home. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the main lounge/dining area. We saw and listened to how staff members interact with people and found they mostly ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. One staff member was able to give us a very clear description of one persons day and what staff should do to reduce the risk of disruptive or anti-social behaviour as the day went on. The home has an open visiting policy and people can have visitors at any time of the day. One of the two visitors who returned a survey said the home helped people keep in touch and they both said they are kept up to date with issues concerning that person. One person said, When ever there is a change I am always informed by phone or on my weekly visit to my wife. The main meal is served at lunchtime and there is a choice of two hot meals every day and a separate Choices menu. We spoke with one person who doesnt think there is a choice, although she said she isnt worried about this as the meals are what she likes. We saw lunch being served in one of the main dining rooms. Food was served appropriately in a relaxed and unhurried way and drinks were offered throughout the meal. Everyone we spoke to said they like the meals and the food is good. The atmosphere was jovial and social, although it was staff members who were socialising and talking about their lives. People who need help eating are helped, but staff are not always attentive or
Care Homes for Older People Page 18 of 30 Evidence: concentrating on what they are doing without being distracted. We saw one person struggling to put food on her spoon. Staff members helped this person, but they constantly came and went without spending much time with her. Another staff member was speaking to a person living at the home, but made comments to her every time she started to put food towards her mouth. This meant that the person either put the food down so she could answer, which is what she did most of the time, or was not able to reply easily. Care Homes for Older People Page 19 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 know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: All of the people returning surveys said they know who to speak to, they know how to make a complaint if they have to, and that staff listen to what they say and act on it. Most people we spoke to during the inspection also said they know what to do if theyre not happy about something. Although one person said she didnt know who to talk to, but that she doesnt have anything to complain about. All of the visitors who returned surveys said they know how to make a complaint and they are appropriately dealt with. Everyone we spoke to during this inspection said they are happy with the service given to them. Two comments we received were, I have never in 8 years have had cause for concern for my wife and to me they treat me very well, if I do have a concern about anything it is and has always been dealt with very well. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there has been 1 complaint made to the home in the last 12 months. This was investigated by senior managers and therefore a copy is not held at the home. The Commission for Social Care Inspection has not been told directly of any concerns or complaints.
Care Homes for Older People Page 20 of 30 Evidence: The staff training matrix shows that only 12 out of 22 care staff members have received training in safeguarding (adults protection). This training has been given to 6 other staff members, such as assistant managers and relief care assistants, but it also includes one member of the housekeeping staff. Information provided to CSCI before the inspection shows there have been no safeguarding referrals orinvestigations in the last 12 months. Care Homes for Older People Page 21 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 clean and provides a safe environment, giving most people a pleasant place to live. Evidence: The home is a large purpose built property situated in the village of Eye, a few miles to the north east of Peterborough. People living at the home have access to a number of communal areas, including three lounge areas and a small fenced patio area at the side of the property. The general decor in most parts of the home is satisfactory, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is clean and tidy and people at the home said the home is clean. Comments include, I am happy with my room. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff members to be able to care for people, but skills and training are not always put into practice to make sure people are cared for properly. Evidence: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training. This training is updated annually and records show all staff have received training within the last year. Additional training is given to staff so that they are able to properly meet peoples needs. For example, challenging behaviour and continence care are two training sessions available to staff. However, the records show only 10 out of 22 permanent care staff members have received challenging behaviour training. These levels are improved for continence training, where 17 out of 22 care staff, have received the training. Although, the records show that 9 of these staff members received the training more than 5 years ago. Other training sessions about dignity in care and the Mental Capacity Act have had higher attendance records and nearly all staff have received training in these subjects. However, as described in a previous section, staff do not always consider people before acting. We talked to the manager about this and she said staff should be aware of how to behave while working as they have recently undertaken training in dignity at work. Care Homes for Older People Page 23 of 30 Evidence: Both visitors who commented about staff said they usually had the skills and experience to care for people at the home. One visitor described how a staff member has had a positive effect, she has learnt all about Parkinsons and truly is a great carer in the real sense and is extremely dedicated. Other comments, though, did not show this. One was that agency staff working at the home do not always have the right skills and experience and they must be made aware of specialist care and needs. Another comment was, most staff do not fully understand the symptoms of either (dementia and Parkinsons disease) of these conditions, so how can they care for him properly. We saw one staff member, who had just returned from leave, give a person a drink of water when the person should only have fluids that have been thickened. This means that care records are not the main source for obtaining information about people and that not all the information about people is passed on to staff when they change shifts. There is no information that staff have received any training in the specialist needs of people with the same condition as this person, or in managing swallowing problems. Information in the AQAA tells us only 20 of care staff have a National Vocational Qualification in care at level 2 or above. There are another 8 (32 ) staff members working towards the qualification. The recommended number of staff with a NVQ is 50 and when these staff members have gained the qualification this will be acheived. All of the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. People we spoke to during the inspection said there is usually enough staff on duty. We saw during the inspection that even when staff are doing things elsewhere in the home they can be easily summoned and people dont have to wait. We looked at recruitment records for two staff members employed since the last inspection and they contained the appropriate recruitment documents including references, application forms, and Protection of Vulnerable Adults/Criminal Records Bureau (CRB) checks. There was an entry on one persons CRB disclosure that the person had not put on her application form. The manager said the staff member had been open and honest during the interview and informed her of the disclosure. There was no written information of the staff members file to show this had been discussed. Although information received after the inspection shows the interview had been recorded and the record was kept elsewhere. 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 a safe place to live and people are asked their opinion so that things they are not happy with are changed. Evidence: The manager has been working at The Croft for several years. She has completed the Registered Managers Award and a NVQ level in care. She is supported by duty managers when she is away from the home. An joint annual quality assurance report is completed for this home and other homes in the same group every year. The manager told us that each month a different aspect of the home is looked at and people are asked what they think about it. This information is put into a quarterly report for the home. The manager talks to anyone who has said theyd like something changed to see how this can be done. The result of this is reported in the Regulation 26 visit reports that are completed every month. Care Homes for Older People Page 25 of 30 Evidence: We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us most of the information we asked for. There were some sections, especially those looking at what has improved and what need to be improved where there was little information written. Money is kept by the home on behalf of people living there; access can be gained through the administrator or the manager who keep an accounting system for credits and withdrawals. The records for three people were looked at and we found that the records were correct and the amount of money available tallied with the account records. People living at the home are also able to keep money with them if they wish. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home; this has been tested within the last 12 months. Staff have received fire safety training within the last year and there are regular fire drills. While we were in one of the lounge areas before lunch we saw workmen walking through the area so they could carry out some work in the kitchen area. This was happening while food was being transferred from the oven the a presentation tray. Noone in the kitchen talked to the workmen about the health and safety aspects of this. However, when we talked to the manager later in the day, she immediately discussed this with the foreman and made sure it doesnt happen again. Care Homes for Older People Page 26 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 27 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 1 30 18 Staff must receive training in specialist needs. This is so they are able to properly meet the different needs of people living at the home. 30/01/2009 Recommendations
These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 Pre-admission visits to people by staff from the home should be recorded to show whether there are any further changes to care needs, or to show more detailed information about the person. Staff members should not talk about their personal and social lives in front of people living at the home, unless they are going to include people in their conversation. This is so that people are not excluded in their own home. Staff members should be careful of the terms of endearment they use, so that people are not belittled or treated like children. Information about peoples lives should be written in more detail, so that staff are able to develop meaningful activities. All staff members employed in the home should receive
Page 28 of 30 2 10 3 10 4 12 5 18 Care Homes for Older People safeguarding (adult protection) training to make sure they are aware of abuse and what to do about it, therefore keeping people safe from harm. 6 29 Information discussed at interview about disclosures not previously known should be recorded to show the employer has been satisfied the person is safe to work with vulnerable people. Care Homes for Older People Page 29 of 30 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 30 of 30 - 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!
