Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Glencoe Nursing Home 23 Churchtown Road Gwithian Hayle Cornwall TR27 5BX 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: Diana Penrose
Date: 0 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home
Name of care home: Address: Glencoe Nursing Home 23 Churchtown Road Gwithian Hayle Cornwall TR27 5BX 01736752216 01736758325 info@glencoenursinghome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Alexandra Lunn Name of registered manager (if applicable) Mrs Tracey Ann Brooking Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability terminally ill Additional conditions: To admit one named person with a learning disability which is outside of the home`s registered categories. Date of last inspection Brief description of the care home Glencoe is a Care Home providing accommodation, personal and nursing care for up to 20 older people. The home is situated on the edge of the village of Gwithian, near to the towns of Camborne and Hayle. It is set in its own grounds, with ample parking and is easily accessible by road. Accommodation is provided across two floors. The upper floor is accessible by a lift. The environment is pleasant and homely, attractively decorated and very clean. There is sufficient communal space in addition to residents own bedrooms. Most of the bedrooms are single there are two double rooms. The Care Homes for Older People Page 4 of 29 0 10 5 Over 65 20 0 0 care home 20 Brief description of the care home Registered Provider is actively involved in the running of the home and spends two or three days each week at the home. The Registered Manager and staff present as competent, friendly and caring. Information about the home is available in the form of a residents guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from 595 to 845 pounds per week; this information was supplied to the Commission on the day of this inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. Care Homes for Older People Page 5 of 29 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: An inspector visited Glencoe Nursing Home on the 05 February 2009 and spent seven hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that peoples needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents placements in the home result in good outcomes for them. All of the key standards were inspected. On the day of inspection 19 people were living in the home. The methods used to undertake the inspection were to meet with a number of people using the service, relatives, staff and the management to gain their views on the services offered by Glencoe Nursing Home. Case tracking and observation of the care practices and staff Care Homes for Older People
Page 6 of 29 interaction with people formed a part of this inspection. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of the inspection. Residents and relatives expressed great satisfaction with the care and services provided at the home. Overall the home is providing a very good quality of care to the residents placed there. What the care home does well: The home provides a comfortable, warm, clean and safe environment for residents, staff and visitors. The registered provider continues to upgrade the decor and furnishings in the home and strives to maintain a very high standard. The grounds are well maintained and the rear garden has been landscaped with a patio and a ramp to make it suitable for wheelchairs. People are only admitted following a thorough assessment to ensure the home can meet their needs. Prospective residents and their family are invited to visit the home prior to any decisions being made to live there. Residents have an individual care plan and relevant risk assessments are undertaken for their safety. People using the service said their health and social needs are met and they are very happy living in the home. They said the staff are kind and caring and their privacy is respected. They appreciate the manager working as a nurse as well as in the office and say she works as part of the team and is not superior. Staff interacted well with residents during this inspection and the atmosphere was relaxed and friendly. The staff have been implementing the Gold Standard Framework for palliative care and is applying for accreditation very soon. It is linked to the Liverpool Care Pathway, which is a care plan for dying and death. The system for medication in the home is appropriate and safe. Medicines are stored securely and only qualified nurses administer the medicines. Relevant equipment is provided for moving and handling purposes and pressure-relieving equipment is supplied as required. Adjustable hospital beds and profiling beds are provided as necessary. One member of staff is responsible for organising social activities and events. She was busy with the residents looking at photographs and reminiscence books during this inspection. They all got on well together and she is obviously is very well liked by the people using the service. Everyone spoken with knew her and liked her; they say she is the ideal person for the job. Activities have certainly improved since the last inspection, entertainers visit and trips out are organised monthly with the people using the service. There are no restrictions on visitors to the home and the people using the service said they have no restrictions either they can do as they wish each day. Nutritional needs are assessed and there are plenty of choices on the menu both at lunchtime and teatime. The cook said they are purchasing more products locally and using good branded foods. Everyone spoken with said the food is very good with plenty of variety. There is a robust recruitment procedure in place that ensures relevant checks are made prior to staff employment. Training is provided with sessions every month for staff to attend during their work time. Records show that staff attend regularly and they said they appreciate the amount of training they have. All care staff are enrolled onto NVQ courses following induction if they do not already have the qualification. 70 of care staff are currently qualified to at least level 2 in care with the remainder Care Homes for Older People Page 8 of 29 enrolled onto the course. There is a quality assurance system in place that allows people to air their views. The management strive to review and continually improve the service. No money is held on behalf of people using the service. Relatives or representatives are invoiced for costs incurred. This system works well. There is a system in place that ensures complaints are dealt with promptly and records are kept. There have been no complaints since the last inspection two years ago. There is a policy to protect people from abuse and staff receive regular training in this area. There have been no allegations of abuse since for this service. The management team promotes the health safety and welfare of people using the service and the staff. There are suitable policies, procedures and safety checks in place. What has improved since the last inspection? Maintenance and refurbishment is ongoing and a lot has been done since the last inspection for example: 1 Several rooms have been decorated with new furniture and carpet provided 2 The corridors have had new carpet fitted. 3 Two flat screen televisions have been provided 4 New fire doors have been installed and the recommendations from the fire authority addressed 5 The downstairs bathroom has been re-designed with a ceiling hoist installed 6 The rear garden has been landscaped and a new patio area with a ramp has been provided. Pet rabbits have been purchased for the residents and are kept in the garden. One member of staff is now responsible for the organisation of activities and social events. There is a great deal on offer and monthly trips out are arranged with the residents. Everyone spoken with was appreciative of her hard work in this area. The menus have been, and soon will be, reviewed again to ensure people have what they enjoy eating at mealtimes. Local produce is used where possible and well known brands are purchased. Training for staff has greatly improved with regular monthly sessions for included on the duty rota. Life histories have been obtained for the people using the service that give details of their life and personal preferences. The information is useful for compiling the care plans and for staff to communicate with people. The staff have been working towards the Gold Standard Framework for palliative care and accreditation is imminent. They have also been working towards the Investors in People Award and are nearly Care Homes for Older People Page 9 of 29 ready to apply for accreditation. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 29 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 29 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. Evidence: The registered manager told us that she, or her deputy, visit prospective residents prior to their admission to the home. They carry out a needs assessment to ensure that they can care for the individual appropriately. We were shown the forms for recording this initial assessment; they comply with standard 3.3 and have space for dating and signing. Three completed assessment forms were examined and were completed well. Not all were dated or signed and this was discussed with the manager who agreed to address this. The manager said that information from the Department of Adult Social Care and copies of care plans from hospital staff are received as well. An individual written plan
Care Homes for Older People Page 12 of 29 Evidence: of care is compiled from all of the assessment information. A relative said she was invited to visit the home and was given very good information to help her decide if the home was right for her mother. She said she was fully involved in the assessment process. Care Homes for Older People Page 13 of 29 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person using the service has a detailed written care plan that enables staff to ensure that healthcare needs are met. There is an appropriate system for the use of medicines that safeguards the people using the service. Evidence: Each person using the service has a written care plan and three care plans were inspected during this visit. The information is in a format that states the problem, the action to be taken and the outcome expected. They cover health and personal care needs but social religious and cultural needs are still lacking. This was discussed with the manager who has obtained life histories for the people using the service and these do record peoples preferences in these areas. We discussed compiling a care plan for these needs to inform and direct staff on the care to be given. The care plans seen were reviewed monthly but not all were signed by the person or their representative. The manager said that people are aware of the plans but often do not wish to see them or sign them. She agreed to document this in future. People
Care Homes for Older People Page 14 of 29 Evidence: using the service said they discuss their needs with the manager and were aware that they were documented. Risk assessments include Waterlow scoring, nutrition, moving and handling, falls and Barthel scoring. Daily records are maintained and care staff write in these records as well as the nurses. The records are very informative. Residents spoken with said their health needs are met and they have access to their GP or other health professionals when required. Staff interacted well with people using the service during this inspection and told them what they were about to do. Moving and handling and pressure relieving equipment was evident and adjustable hospital style beds and profiling beds are provided. The manager said that links with specialist healthcare professionals is good and the nurses employed keep themselves up to date on current practice. The staff have been implementing the Gold Standard Framework for palliative care and is applying for accreditation very soon. It is linked to the Liverpool Care Pathway, which is a care plan for dying and death. There are suitable policies and a system in place for the use of medicines in the home. Medicines are administered from individual pots/packets that are stored safely in individual labelled trays in a tidy trolley. No residents are self-administering at the moment. The medicine charts are typed and very clear there were no gaps observed in the administration records. For people prescribed to have medicines administered when required we found that there were no care plans in place about the use of this medicine, or any directions on how to make an assessment if this medicine is required. The manager said that the nurses know how to assess for these medicines but the documentation would be addressed. The system for the disposal of medicines and the records kept is satisfactory. Disposable paper medicine pots are used; the manager said these are better for infection control. A new medicines fridge has been provided so that medicines are no longer stored in the food fridge. Relevant reference books and leaflets are available for staff or residents to refer to. Care staff receive some informal medicines training, the manager said she would ensure that more is included in the induction programme. The manager stated that training was provided for the nursing staff in October 2008. Staff were observed to uphold residents privacy during this inspection and knocked on doors before entering. Appropriate screens were seen in the two shared rooms. There
Care Homes for Older People Page 15 of 29 Evidence: is a suitable policy and privacy is acknowledged in the statement of purpose. Residents said their privacy is always respected and they are treated with dignity. Care Homes for Older People Page 16 of 29 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A wide variety of activities and social events are provided in consultation with the residents, visitors are welcomed and people are encouraged to be independent and live a life of their preference. Evidence: One member of staff is responsible for the organisation of activities and social events. She has undertaken training in respect of her role. There is a wide variety of activities and entertainment are on offer to residents and one member of staff is responsible for co-ordinating these. Activities in the home include music and movement, singing, card games, dominos, cooking, manicures, one to one chats and reading the newspaper and magazines to residents. People visiting include someone with their pat dog, a man who involves residents in Arts for Health, someone who gives talks on days gone by, the library visit each month and a minister provides Holy Communion each month. People told us about trips out in a minibus to places such as the zoo, the maritime museum and for eating out. The activities coordinator said that the people using the service particularly like eating out and visits to parks and so on for walk.
Care Homes for Older People Page 17 of 29 Evidence: There are posters displaying whats on and a board with photographs as well as several albums full of photographs of residents and staff enjoying social time together. Recent photographs on a board show pasties made by residents and a snowman they made in the garden. A garden party was held last summer and several people talked about the band and the magician. Special occasions are celebrated in the home and Christmas appears to have been a memorable event with Santa visiting. Records are maintained of the events taking place and of who attends. The development of individual records for people was discussed with the activities coordinator and the manager to evidence peoples reaction to activities and their participation and so on. Monthly residents meetings have commenced although tend to be informal and an informative newsletter is produced each month and circulated to the people using the service. People spoken with were very happy with the activities provided and they all appreciated staff finding time to sit and chat. Those who prefer not to join in the organised events said their wishes are respected. Everyone spoke highly of the coordinator and said she always visits them and finds time for them. Staff interaction was good during this inspection with staff from all areas seen chatting with residents. There is a record of visitors to the home and there were visitors in the home during the inspection. Residents said they could receive visitors in private and at any time. Visitors spoken with said they are always made welcome in the home and can call whenever they like. They said the staff and management are very friendly and helpful. Residents said the telephone arrangements are good and people were seen to have telephones in their rooms. People told us there are no restrictions and they can do as they wish each day. They said they choose when they get up and go to bed within reason. Some residents were seen having breakfast late into the morning and several people were seen to go to bed for a nap in the afternoon. People said they choose what clothes to wear and how they spend their day. All residents were suitably dressed in clean clothes and residents rooms were personalised with their own belongings and furniture. Nutritional needs assessments were seen in care files and the manager said the speech and language therapist is involved when necessary. Likes and dislikes are recorded and the staff all seemed to know these well. There is a three week menu at present but the cook said they are looking to set a four week menu. The menu is varied and nutritious with four choices at lunchtime and two
Care Homes for Older People Page 18 of 29 Evidence: in the evening. There are six different sweets on offer. The cook said they are purchasing more products locally and using good branded foods. There is a board in the dining room to display the daily menu. Everyone spoken with said the food is very good with plenty of choice. Plenty of fluids were available for residents throughout the day and they enjoyed the homemade cake with their afternoon tea. The cooks have achieved NVQ qualifications in food preparation and food hygiene. One is undertaking an NVQ in supervision and leadership. Care Homes for Older People Page 19 of 29 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable policies and processes in place for complaints and adult protection to ensure that people using the service are safeguarded. Evidence: There is a suitable complaints policy in the home; the manager was advised to include the reporting of complaints to the department of adult social care. There is a suitable process for the recording of complaints, the action taken and the outcome. There have been no complaints to the home or the Commission in the past year. Thank you letters and cards are kept. People using the service said they could raise issues with any of the staff or the management. The manager has attended an adult protection training course and she provides in house training with the use of a video and training pack. The records show that all staff have received the training. Staff said they found the training useful. It is still recommended that a copy of the local inter agency procedures be obtained. There have been no abuse issues regarding this home. Care Homes for Older People Page 20 of 29 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, well maintained, decorated and furnished to a high standard, with no unpleasant odours, making it a very pleasant place to live and work in. Evidence: The home is warm, homely, comfortable and clean with no offensive odours. Maintenance and refurbishment is ongoing, and several rooms have been decorated with new furniture and carpet since the last inspection. Carpets in the corridors have been replaced and the dining room has been refurbished with new tables to be provided in the near future. The downstairs bathroom has been redesigned with a ceiling hoist fitted. The manager told us that doors around the home have been fitted with self-closures and other necessary work has been undertaken to comply with fire regulations. The manager said they are looking to replace the call system at some stage. Two new flat screen televisions have been provided for the people using the service; one was installed during this inspection. The grounds are kept neat and tidy and are accessible to residents. The rear garden has been landscaped and a new patio area with a ramp has been provided. Pet rabbits have been purchased for the residents. People using the service appreciate the work that has been done and said they have enjoyed time in the garden. Several spoke of a garden party on completion of the work last summer and there were photographs of
Care Homes for Older People Page 21 of 29 Evidence: the occasion. More recent photographs include a snowman built by residents and staff. All laundry is dealt with in house and people said they are happy with the service. One person said her clothes are washed to a good standard and there has never been any clothing missing. There is one washer disinfector in the laundry room. The flooring has yet to be addressed. Hand-washing facilities are appropriate with anti bacterial hand gel now in use. There are hand-washing posters in toilets and bathrooms. Staff were observed wearing protective clothing. Staff receive infection control training in house and the AQAA states that infection control procedures have improved. Care Homes for Older People Page 22 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable staffing levels for the number of residents and evidence that staff hold nursing and NVQ qualifications. Recruitment procedures are robust and staff receive regular training this helps to safeguard people using the service and ensures staff have the knowledge and skills to care for them. Evidence: The registered manager said that staffing levels are very good and there are no vacancies at present. She also said that she has the most settled workforce since she has been in post. Agency staff are very rarely used. There is a qualified nurse on duty at all times and on average there are 3 carers in the mornings, 2 in the afternoons and 1 at night. There is an on-call system and staff said that extra staff are brought in if the needed. Catering and domestic staff are employed along with a person responsible for maintenance. The manager said that the domestic hours have been increased so that there is someone in every day. Everyone spoken with said there are enough staff and that they are all very caring, nothing is too much trouble. Staff interacted well together and with the people using the service during this inspection. The atmosphere in the home is relaxed and friendly. Care Homes for Older People Page 23 of 29 Evidence: The records show that staff are encouraged to undertake NVQ training. 70 of care staff are qualified to at least NVQ level 2 in care with the remaining 30 enrolled on the courses. The home has an equal opportunities policy and staff said they are all treated fairly. Three staff files were inspected and contained the documents required by legislation. Interview records have not been maintained but the manager said she intends to keep records in future. The registered provider is looking to use an employment consultancy and the manager said they will be providing a wide variety of new forms as well as information. Staff are issued with terms and conditions of employment and a relevant job description, they are also required to read the employees handbook. Relevant employment checks have been made. There is an induction programme for new staff that includes the skills for care induction standards. Care staff said they had a really good induction but a nurse said hers was not so good. This was because of the staff shortages at the time and the need for her to get to work on the floor. Individual training records are maintained for staff and easily show when updating is due. Training needs are identified at interview, appraisal, and supervision and sometimes during meetings. Staff said there are opportunities to attend external courses if they wish and there is in house training every month. The duty rota is compiled three monthly and includes the training sessions that are to be attended. Training is undertaken during work hours. The registered manager provides a great deal of the staff training and packs supplied by a training company are used for some subjects. She said she also tries to obtain funding whenever possible as training is so important. She told us that a Registered Mental Nurse is going to provide dementia training for staff and that another nurse helps with palliative care training. Certificates were seen in the staff files for training attendance and qualifications achieved. Care Homes for Older People Page 24 of 29 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager is competent in running the home and systems are in place to monitor and improve the service for residents and staff. Appropriate training and safety checks are undertaken to ensure the health, safety and welfare of residents, staff and visitors. Evidence: The manager has managed the home for twelve years; she is a registered general nurse and has achieved the Registered Managers Award. She is very competent and experienced and works closely with the registered provider and her deputy in the day to day running of the service. She said she keeps herself up to date on current issues by reading relevant magazines and using the internet. She attends courses when she can and keeps up to date with statutory training in house, training since the last inspection includes the Mental Capacity Act and Deprivation of Liberties. She has kept up to date with the moving and handling trainers updates and has signed up for an NVQ level 4, train the trainers course. Staff, residents and visitors said the home is
Care Homes for Older People Page 25 of 29 Evidence: well run and the management team are all dedicated but very approachable. Staff feel supported, they appreciate the training provided by the manager and her hands on involvement. One resident said that the manager and the staff have a very good relationship and feel relaxed enough to pull each others legs. A quality assurance survey is undertaken annually and is now due to be done. The satisfaction questionnaires are distributed to residents, relatives and GPs. The past results have been very positive with very good comments about the home and the services provided. The manager said she goes through them all and looks into any issues raised. The manager does a quality assurance form following training sessions and staff has given good feedback. Staff and residents meetings take place and an informative monthly newsletter is produced. Minutes were seen for the staff meetings and show staff involvement and any actions to be taken. The home is in the process of doing the Investors In People award (IIP) and aims to apply for accreditation in the coming months. The registered manager has completed an Annual Quality Assurance Assessment for the Commission in good detail. The home does not hold money for any residents; their representatives deal with their finances. Bills are sent to the representatives for costs incurred for chiropody and hairdressing and so on. The manager said this system works well. The manager said they endeavour to ensure that working practices are safe. Relevant service checks take place as required and details are maintained in a file, all were up to date. Fire maintenance checks are held in a file and are up to date. Radiators in peoples rooms and communal areas are covered to help prevent the risk of burns. The radiators in the corridors are not yet covered but the manager said they have obtained quotes ready for the work to be done. Records show that staff receive statutory training regularly. The manager told us that she plans for all of the nurses to undertake the fire wardens training. The kitchen staff have all received food hygiene training. The last Environmental Health Officers reports was again very positive about the standards maintained in the kitchen. Accident reporting complies with data protection; there are few accidents in the home; an average of one a month or less. Health and safety risk assessments have been undertaken and so has a fire risk assessment. The recommendations made by the fire officer have all been addressed. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
