Inspection on 22/10/08 for Edwina Mountbatten House

This inspection was carried out on 22nd October 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Edwina Mountbatten House 25/10/06

Edwina Mountbatten House 29/11/05

Edwina Mountbatten House 18/11/04

Edwina Mountbatten House 07/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Edwina Mountbatten House Broadwater Road Romsey Hampshire SO51 8GH     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: Christine Bowman     Date: 2 2 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 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: Edwina Mountbatten House Broadwater Road Romsey Hampshire SO51 8GH 01794518317 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Carol Robbins Type of registration: Number of places registered: Countess Mountbatten Memorial Trust care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Edwina Mountbatten House is a registered charity run by a management board and registered manager. The home is purpose built and located near to Romsey town centre with easy access to local amenities and public transport and provides residential care for up to 18 older residents. Accommodation is provided on the ground and first floor, and is linked with a chair lift and equipped with a variety of aids and adaptations to allow residents to move around independently. Sixteen of the bedrooms are single and one is a double. Four of the single bedrooms have been fitted with en suite bathrooms. All residents are able to access the well-tended gardens to the front and side of the property. Charges range from 26.90 to 85.35 per week according to the size of the bedrooms. 0 Over 65 18 Care Homes for Older People Page 4 of 28 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: This inspection report includes information gathered about the service since the previous site visit in October 2006 under the Commissions Inspecting for Better Lives (ILB) process. The registered manager completed an Annual Quality Assurance Assessment (AQAA) giving up-to-date factual evidence about the running of the home and informing us of what they think they are doing well, how they have improved the service and of their plans for further improvements. Residents completed five service user surveys, giving their views on the running of the home. Two relatives and six staff members also completed surveys, giving their views on the care and support given to the residents. An unannounced site visit was conducted on 22nd October 2008, to assess the outcomes of the key inspection standards for older people with respect to the residents living at the home. The registered manager was interviewed and provided Care Homes for Older People Page 6 of 28 support for the inspection process by making residents and staff files and other documents available to be sampled. A tour of the premises was undertaken and communal areas and some of the residents’ bedrooms were viewed. A number of staff and residents were spoken with throughout the day and observations were made of the residents and of staff as they carried out their duties. Residents’ and staff records, maintenance certificates and complaints and compliments records were sampled and the Statement of Purpose, the Service User Guide and policies and procedures were viewed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. 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 8 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 9 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. Sufficient information and a good introduction to the home enable prospective residents to decide if the home meets their needs. A full needs assessment is carried out to ensure individuals needs and aspirations are taken into consideration and planned for and that they can be met at the home. Evidence: The Trustees of the home had recently produced a brochure, with a colourful print of the home on the cover, to introduce prospective residents to the home. An excellent description of the services offered was included and some background about the origin of the charitable Trust, which owns and operates the home. In conjunction with this information, the homes Statement of Purpose included a Service User Charter promising residents that their privacy would be respected, that they would be treated with dignity and respect and that they would be encouraged to retain their independence. Prospective and current residents were also promised that they would Care Homes for Older People Page 10 of 28 Evidence: not be discriminated against on grounds of race, religion, sex, colour or disability and that the Trust would like them to feel at home. 100 of the residents, who completed surveys, confirmed they had received enough information about the home before they moved in to decide if it was the right place for them and also that they had all received a contract, formally setting out terms and conditions of occupancy. One commented that they had been to visit and another resident wrote, my son found out all he required to know. The home was the right place by far for me, his mother, and he could not have chosen better. The manager stated that prospective residents are invited to visit with their relatives/representatives and that, if they like the home, she will complete a full assessment. If a bedroom is available it will be offered if the prospective resident fits the homes criteria. Visits for the day and to include a meal are encouraged to enable socialisation with current residents and to provide an opportunity for prospective residents to ask questions. The location of the home, in central Romsey, promotes the possibility of residents maintaining affiliation with clubs and other organisations and to continue living the life they have chosen. The manager wrote in the AQAA, new residents are encouraged to bring items of furniture with them to make their surroundings more familiar. A residents bedroom, viewed on the day of the site visit, illustrated this very well. The residents bedroom had been made into a bed–sitting room with a group of three easy chairs brought in by the resident for comfortable and private social visits. Assessment documentation sampled included information with respect to equality and diversity to ensure the resident would be treated as an individual and that their personal, emotional and spiritual needs and interests would be taken into consideration in drawing up their care plan. Care plans, which included risk assessments for any identified risks and measures to reduce them, had been signed by residents to confirm their acceptance. Care Homes for Older People Page 11 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. Care plans addressed the residents health, personal and social care needs and residents had been involved in compiling them. Safe arrangements were in place for the handling of medication to protect the residents and the staff and the residents right to privacy was upheld and their dignity maintained. Evidence: Residents files sampled included individual care plans, which had been reviewed on a monthly basis and had been signed by the residents to confirm that they agreed with the contents. Degrees of independence were recorded to highlight where support was required to enable residents to remain as independent as possible. Risks identified, included measures to reduce them, with special instructions to the staff to ensure the safety and protection of residents. All the residents, who completed surveys, confirmed they always received the care and support they needed and comments included, all the staff are very helpful, admirable care provided and every care needed at all times. Residents spoken with on the day of the site visit stated that they were very satisfied with their care. Two relatives, who completed surveys recorded that the home Care Homes for Older People Page 12 of 28 Evidence: always gives the support and care to their relative that they expected or agreed and one commented, without fail, the staff display boundless understanding and care. Records showed that residents were registered with General Practitioners (GP) and all appointments were listed in the care plans to inform the staff of any changes made as a result of consultations. The four staff, who completed surveys, confirmed that they were always given up-to-date information about the residents needs. The manager wrote in the AQAA that, we have a good relationship with all the three GP practices in Romsey and they provide us with the services of district nurses when they are needed. Care plans confirmed that residents had accessed visiting dentists and a chiropodist and residents, whose files were sampled, had undertaken visits to the optician and the specialist eye clinic at the local hospital. The manager stated that assistance in accessing any services in the community was available. Medication administration records inspected had been completed in a satisfactory manner, showing that residents had received the required dosage of their prescribed medication, as set out by their medical practitioners, and there were no unexplained gaps in the recordings. The staff, who took responsibility for this task had received training in the safe handling of medication, and their individual training and development logs confirmed this. Individual residents records did not contain a photograph to identify them, but the notice board in the medication room did, and it was clear that the staff, who had all been working at the home for more than two years, knew the residents very well. The home did not have any controlled drugs on the premises at the time of the site visit, but a controlled drugs register was available to keep these records should it be required. The manager also confirmed that a suitable metal cabinet secured to the wall, would be purchased, should it be required to prevent the misappropriation of these drugs. Records were kept of medication received and returned to the pharmacy to ensure it was all accounted for. The manager stated that should residents wish to take responsibility for their own medication, risk assessments would be undertaken and suitable storage facilities in bedrooms was available, but all the current residents had chosen to have their medication administered by the staff. Observations of the staff throughout the day confirmed that they were respectful and polite in their interactions with the residents, who smiled in response to them and appeared relaxed and happy in their home. Bedroom accommodation was in single rooms, except for one double bedroom, which the manager stated, could be used for the accommodation of couples or as a large single bedroom. Consultations with healthcare professional and private meetings with relatives and representatives could be held in residents bedrooms with the assurance of confidentiality and a small sitting area off the dining room could also be used for private meetings. Some residents had Care Homes for Older People Page 13 of 28 Evidence: their own personal telephone lines and the home also had a mobile telephone, on which, residents could receive private calls in their bedrooms. Care Homes for Older People Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are treated as individuals, who lead interesting lives both in the home and in the community, make choices about how they spend their time, about the food they eat and with respect to their social lives. Evidence: The daily activities list was posted on the notice board at the entrance to the lounge and included sing-along to old time favourites, armchair exercises, A-Z quiz, bingo, word games, skittles, creative activities such as drawing, painting and handicrafts, snakes and ladders, scrabble and dominoes. Residents were informed about the availability of religious services such as the Harvest Festival, Holy Communion and a Carol Service and when to expect the mobile library. Other entertainment such as a silver band concert at the United Reform Church was also posted here and residents had been given a date for the annual fair with cake stall, raffle and tombola, organised for the home in the hall next door. Trips had been organised for the enjoyment of the residents, including a fish and chip supper at Milford on Sea, cream tea outings to the New Forest and pub nights. Care Homes for Older People Page 15 of 28 Evidence: Two of the five residents, who completed surveys, stated there were always activities arranged by the home that they can take part in, two thought there usually were and one that there sometimes were. The resident, who wrote sometimes stated that they, also had outside interests with the Romsey Disability Forum, so go sailing and waterskiing each week, but the home do supply activities. The two relatives, who completed surveys, confirmed that the home always supports the residents to live the life they choose, and they commented, there are plenty of daily activities and outings and the home is good at bringing in outside organisations and the home always tries to keep residents motivated and active. Throughout the day of the site visit, visitors were made very welcome and one resident was out for the day in Salisbury with a relative. One relative wrote in a survey, the home has a welcoming attitude to relatives and visitors. Residents were able to receive their visitors in the privacy of their own bedrooms or in a small private room available for this purpose. Some of the residents were able to access the local community independently and the manager stated that most of the residents had family members, who take them out regularly. She also stated that there was a good neighbours scheme in Romsey, which makes arrangements to accompany people making medical appointments, but the staff were flexible and support from the home could be arranged if the resident chose. The dining room was nicely set out for lunch with place settings and glasses. The floor was non-slip and the lighting was pleasant and domestic in nature. Pictures and china plates displayed on the walls and domestic furnishings made this an attractive place to eat. The four-week menu was in the process of change, the cook explained. The minutes of the most recent residents meeting recorded that the cooks were trying out some new recipes and were inviting the residents views on them. Christmas menus had also been discussed and agreed at the meeting and, it was clear from the minutes of the four meetings sampled, that the residents were confident in putting forward their ideas, that they were listened to and that their suggestions were put into practise. Four of the five residents, who completed surveys, confirmed that they always liked the meals at the home and one resident had given this a double tick. Comments included, very much so – a good variety of choice, good food, well cooked and well presented, meals are home-cooked and quite varied, and the food is excellent. One of the residents spoken with on the day of the site visit was a vegetarian and they stated that their needs were well catered for. The residents were observed eating lunch with obvious enjoyment and the groupings of four residents at each table made the meal into a pleasant social occasion. Care Homes for Older People Page 16 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. Residents were confident they would be listened to, should they express concerns, and a satisfactory procedure was in place to deal with complaints, should they arise. Residents are protected from abuse by well-informed staff, who know how to protect them. Evidence: The complaints procedure was available in the service user guide and was also displayed on a notice board at the entrance to the lounge. A timescale, by which the complainant could expect to receive a response to a formal complaint, should be included in the procedure. 100 of the residents, who completed surveys, confirmed they always knew who to speak to if they were not happy and that they also knew how to make a complaint. The AQAA recorded that there had been no complaints over the previous twelve months, but a large number of compliments had been received. Some of these included, thank you for the care and attention when I had my heart attack, I was really frightened, but could not have been better looked after. The whole of the staff team really do care for all the residents, thank you for giving dad a complete new lease of life since coming to Edwina Mountbatten Home. In giving individual care you all excel and dad frequently comments, I am not alone, I belong to a community, thank everyone for their skill in providing such high quality care, and our relative was very happy with you and we were confident she was getting the best possible care. We Care Homes for Older People Page 17 of 28 Evidence: would like to thank the staff for their care, kindness, dignity and love you gave our relative over the last years. The home had an up to date copy of the local authority safeguarding procedures, and a local procedure based on this to clarify referral details for the staff. The staff training and development logs sampled confirmed that the staff had accessed the Protection of Vulnerable Adults training. The manager stated that she had booked to do the Safeguarding Adults train the trainer course and would be passing on this training to the staff. No safeguarding referrals had been made since the previous site visit. Care Homes for Older People Page 18 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a homely, comfortable, safe and well-maintained home, which fulfils their needs and is clean, fresh and odour free. Evidence: The home was located in Romsey town centre and conveniently situated for accessing public transport and the shops. It was also close to main routes to Southampton and Winchester and on the edge of The New Forest. Access to the home from the public road was through an archway with a clock tower. The home and independent living bungalows (owned by the same Charitable Trust) were built around an attractive courtyard, which provided car parking space, and was well maintained with small trees, potted plants, planted borders and areas laid to lawn. The home had been purpose built and specially designed to meet the needs of the elderly. The entrance to the home was welcoming and the smiling and sociable residents were enthusiastic in expressing their satisfaction with all aspects of the service provided at the home. All the residents spoken with on the day of the site visit could not have praised the home more highly. Comments from the residents included, I could not wish for a better Home and This is a terrific example of a home, and I do not think you could improve upon it any more than it is. Care Homes for Older People Page 19 of 28 Evidence: A tour of the premises revealed that communal space consisted of a large lounge area with comfortable chairs and domestic furnishings. There was a large, widescreen television, music system, DVD, video player, games and puzzles for the residents entertainment and a piano was provided to accompany sing-a-long sessions. Leading from the lounge was a bright and airy conservatory, suitably furnished and decorated with vases of fresh flowers and potted plants for the enjoyment of the residents. An outdoor sitting area, in the courtyard, had been provided with furniture and parasols to enable residents to comfortably enjoy the fresh air when the weather permitted. Double doors opened up into the dining room from the lounge and a small private room led off from the dining room on one side, providing a private space for residents to entertain visitors or to enjoy some solitude. The kitchen was located at the end of the dining room and food was delivered through a large hatch. In addition to the living rooms, the home also provided a hairdressing and chiropodists room and a library area supplied with bookshelves and seating. Some large print books were available to enable those with visual impairment to read should they wish to do so. The manager stated that the mobile library replenished the supply of books regularly. Residents bedrooms viewed were homely and reflected the individuality of the residents. One resident spoken with confirmed that they had been encouraged to bring as much of their own furniture as was possible depending on the size of their bedroom. Pictures, photographs, ornaments, lamps, televisions, radios, cushions and even personal towels, sheets and other bedding had been brought to make this a familiar home from home. Bedrooms viewed were clean, well lit by natural light, and a comfortable temperature. The ground floor bedrooms were provided with a hand basin for washing and the first floor bedrooms had ensuite bathrooms. The two shared bathrooms were fitted with assisted baths, and a shower room was also available. Mobility aids, such as handrails in the corridors and a stair lift were provided; to enable residents with mobility needs to move around the home independently. The laundry room was beautifully clean and fresh, in keeping with the home as a whole, and contained all the necessary equipment for washing and drying the residents clothes and bed linen. Hand-washing facilities were available to promote infection control and staff training records confirmed that infection control training was included in the mandatory updates for all the staff. 100 of the residents, who completed surveys, thought the home was always clean and fresh, and one commented, very much so, and to a high standard. Care Homes for Older People Page 20 of 28 Evidence: 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. A stable, committed and well-trained staff team, which had been safely recruited to ensure the residents protection, provide their care. Evidence: The home benefited from having a loyal staff team offering consistency and continuity to the residents. The AQAA recorded that no staff had left the employment of the home over the previous twelve months. Domestic staff were also employed including two cooks, kitchen assistants, cleaning and maintenance staff. One resident wrote in a survey, the cleaners all work hard to keep us clean and tidy. 100 of the residents, who completed surveys, confirmed that the staff listen and act on what they say and that they were always available when they needed them. Residents commented that, the staff are very helpful, all the staff are always cheerful and bright, which makes a happy home, the staff are very caring and the staff are absolutely excellent. The AQAA recorded that twelve of the fifteen staff had completed a National Vocational Qualification (NVQ) in Care or Health and Social Care at level 2 or above to support them in their role and the manager stated that three of the four assistant managers were currently completing NVQ at level 4. Care Homes for Older People Page 22 of 28 Evidence: No new staff had been recruited over the previous two years. The previous report confirmed that the four staff, whose files were sampled, had been recruited in accordance with regulations, and that all the necessary pre-employment checks had been carried out for the protection of the residents. The four staff, who completed surveys, also confirmed that their employer had carried out checks, such as Criminal Record Bureau checks and references, before they started work. The manager recorded in the AQAA that all the staff had completed the induction training expected by the National Minimum Standards and as described and recommended by Topss England, prior to the introduction of the Skills for Care Common Induction Standards. This was to ensure the staff had a good introduction to the caring role. The four staff, who completed surveys, recorded that their induction covered everything they needed to know to do the job when they started, very well. Staff training and development logs sampled contained certificates for Moving and Handling, Fire training, Infection Control, Medication Administration, Food Hygiene, the Protection of Vulnerable Adults, First Aid and Health and Safety. Some of the staff had also undertaken Continence training and Dementia Care and attended Communication workshops. All the staff, who completed surveys, confirmed that they were being given training which is relevant to their role, helps them to understand the individual needs of the residents with respect to equality and diversity, and keeps them up-to-date with new ways of working. The manager stated that community nurses could be accessed through the residents General Practitioner, should any nursing input be required, and that the staff receive specialist training in accordance with residents developing needs. 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. Residents live in a well managed home, in which their opinions are sought and acted upon for the improvement and development of the service. Effective systems are in place to promote the residents health, safety and welfare creating a safe environment for them to live in. Evidence: The homes management team consisted of the registered manager, who is well qualified and experienced. She holds an NVQ at level 4 in Care and the Registered Managers Award and also keeps herself up-to-date with regular training including train the trainer in order to inform the care team. There were four assistant managers, one of which is full-tine and the others part-time, to support the manager. Three of the assistant managers were in the process of completed NVQ at level 4 and all had specific areas of responsibility. There was no Information Technology equipment in the offices and the manager stated that, she and the Trustees deal with all administration and the Trustee, registered as the Responsible Individual, on behalf of the provider, Care Homes for Older People Page 24 of 28 Evidence: carried out the monthly inspections. The lack of access to the CSCI website and other important sources of information could impact upon the homes ratings as the manager was not aware of the Key Lines of Regulatory Assessment and how they are used in assessing the quality ratings of services. The homes quality assurance questionnaires were sampled and positive responses had been received with respect to the quality of the service received by the residents. Meetings were held every three months to enable residents to give their views and recorded minutes were sampled. Menus, activities and entertainment and seasonal events were regularly discussed. The residents offered plenty of ideas and comments. The cook attended all the meetings and showed openness to suggestions with regard to the menus, balanced with an awareness of the requirements of healthy eating. The activities co-ordinator had recently conducted a satisfaction questionnaire on entertainments and activities with bingo, A-Z quizzes, word games and sing-a-longs receiving the highest votes. The manager stated that the home did not manage residents money or other financial affairs, but that small amounts of money would be held in safekeeping if residents or their relatives requested this and that records were kept to support this process. The health, safety and welfare of the residents was promoted by regular staff training in moving and handling, fire safety, first aid, food hygiene and infection control. Certificates were viewed on staff personnel files to confirm this. The Annual Quality Assurance Assessment, completed by the manager confirmed that policies and procedures with respect to health and safety were in place, and that the essential maintenance of equipment had been carried out according to manufacturers’ recommendations. A sample of certificates were seen on the day of the site visit confirming that maintenance checks had been carried out in a timely fashion. 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 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!