Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Highcroft Rest Home Highcroft Rest Home 599 Lytham Road Blackpool Lancashire FY4 1RG The quality rating for this care home is:
three star excellent 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: Pauline Caulfield
Date: 0 4 1 1 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 © (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 28 Information about the care home
Name of care home: Address: Highcroft Rest Home Highcroft Rest Home 599 Lytham Road Blackpool Lancashire FY4 1RG 01253402066 01253341273 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Melanie Zenay Murphy,Mr James Joseph Murphy Type of registration: Number of places registered: care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 27) Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 1) The maximum number of people who can be accommodated is: 27 Date of last inspection Brief description of the care home Highcroft provides residential care for 27 older people. The home is situated within a residential area of South Shore, Blackpool and is close to local amenities. The promenade and bus and tram routes are close by. Accommodation is situated on the Care Homes for Older People
Page 4 of 28 Over 65 0 27 1 0 Brief description of the care home ground and first floors in single and double bedrooms some with ensuite facilities. There is a statement of purpose and service user guide which is given to prospective residents. This written information explains the care service that is offered, who the owners and staff are and what the resident can expect if they decide to live at the home. The fees for the home are three hundred to three hundred and ninety one pounds per week with added expenses for hairdressing, chiropody, toiletries, newspapers and outings. 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: three star excellent 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: Information provided during this visit showed that the fees for the home are three hundred to three hundred and ninety one pounds per week with added expenses for hairdressing, chiropody, toiletries, newspapers and outings. This was an unannounced visit undertaken as part of the inspection process which commenced at 10:30 AM for seven and a half hours. Prior to the visit the home completed an annual quality assurance assessment (AQAA). this is a document that provides CSCI with written information and an assessment about the quality of the services the home provides. The registered person is asked to provide us with this information each year. Care Homes for Older People
Page 6 of 28 The inspection involved case tracking four residents as a means of assessing some of the National Minimum Standards. This process allows the inspector to focus on a small group of people living in the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people in the home. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. Comment cards were received from two residents and five members of staff. From the observations made, comments received and written documentation seen, the information has been put together to form this report. The last key inspection on this service was completed on 8th May 2007 What the care home does well: The residents in this home are well cared for. Residents are given enough information about the home before admission so they can decide whether they want to live in the home. Staff meet residents to assess their care and support needs before deciding if the home can meet their needs effectively. Care plans are in place for all residents. These clearly relate to the individuals care and support needs. Staff record any significant others in a relatives life and also discuss with residents how much sensitive information they want to share with others. All care plans are regularly reviewed with residents input and the information in place is up to date. Most medication administration was satisfactory and medication is stored and disposed of correctly. Some of the residents smoke and there is an area in the home set aside for this. Staff complete a risk assessment with each resident who smokes to assess the safety of them smoking unsupervised or if they need discreet supervision and whether they are safe to smoke in their rooms We observed staff interacting with residents. There was a light hearted atmosphere in the home with lots of laughter and joking. We also observed staff sensitively supporting people who needed help with personal care or who seemed a little distressed. One resident spoken to said, Staff are respectful but have a laugh. Another resident said I couldnt do without them. There are regular activities in the home including entertainers and a daily exercise programme and residents said these are usually good. One resident said We have some good singers coming in. Another resident said I like a walk to the shops with staff when you can have a nice chat. A relative said, This is a fantastic home. The staff get the residents involved with lots of things. Routines in the home are quite flexible and residents spoken to said that they can choose when they get up and go to bed and whether they want to join in activities. Meals are varied and plentiful. Special diets are provided as needed or requested. A member of staff said, Residents can ask for a cup of tea at any time of the day or night and if they want something that we do not have on the menu we will go out and buy it for them. Residents are supported to attend church services if they want and several residents do. Others prefer to see the visiting ministers on their regular visits. Relatives are welcomed at any time but professionals are asked to respect the resident right to a peaceful meal without interruption and are requested not to visit at mealtimes. One relative said, The staff are so welcoming, they are so good. Residents feel they are listened to and any concerns acted upon. Any concerns are robustly investigated and dealt with appropriately and sensitively. We toured the home and found the environment clean, tidy well maintained and homely. Residents said the home was very comfortable and friendly. A relative commented, This is a fantastic home, the new owners are improving it no end. Care Homes for Older People Page 8 of 28 Residents were complimentary about the staff and the new owners of the home. One resident said They are fantastic, the staff here. Another added Marvelous, with another resident shouting We only have the best here. Comments then followed about the new owners, how pleasant and kind they were and how they would always come for a chat and had made the home look so much nicer. A relative said how kind the staff were, going out of their way to make life good for residents. Residents said they were enough staff to support them well. Staff induction and training is good. This ensures staff have up to date skills and knowledge in care practice. The manager is enthusiastic about caring for older people and passes this onto the staff team. One member of staff said, The manager is very supportive and insists that all staff provide good care. Systems are in place for quality assurance including investors in people and internal audits to ensure care practice is up to date and effective. There are regular staff meeting and residents meetings and issues discussed can and do affect care practice in the home. The new owners have plans to extend and improve the home and are enthusiastic about and interested in the residents and staff and in developing the home. Staff spoken to and those who returned comment cards said they felt really well supported by the new owners and by senior staff. One member of staff said, It is a pleasure to come to work. Another member of staff said of the new owners, They are great they come in every day and talk to the residents and to us to see everything is alright. What has improved since the last inspection? What they could do better: Staff need to improve medication recording so everyone knows how many tablets a resident is given when there is a choice in the number of tablets they take. Care Homes for Older People Page 9 of 28 Prospective staff need to have a full working history so that staff are aware of their past work experience and can identify any gaps in employment. The manager should keep fire records up to date and should seek the advice of the fire service about a master key for residents bedrooms so that only one key is needed for any residents bedroom in an emergency. 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 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 11 of 28 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their relatives have information needed to choose a home and staff have information about residents to ensure that they can meet their needs. Evidence: The statement of purpose and service user guide have been updated and are given to all residents before or on admission. This ensures that they have enough information to decide whether they want to live in the home. Service users are assessed, preferably in their home but sometimes in hospital if they are inpatients at the time, so that staff are aware of their specific care needs and know they can meet these. Care Homes for Older People Page 12 of 28 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about residents care needs is accurate and up to date and most areas of medication management are good. Evidence: We looked at four residents files. Care plans were in place for all residents. Some of the care plans had been modified and were more personal than the old style forms. These clearly related to the individuals care and support needs. Staff record any significant others in a relatives life and also discuss with residents how much sensitive information they want to share with others. All care plans were regularly reviewed and the information in place was up to date. Residents and relatives (where appropriate) are involved in compiling and reviewing the care plans and sign to say they have done so. Residents likes and dislikes are in place as are hobbies and end of life choices. The residents who have been in the home for a while have a detailed life history, newer
Care Homes for Older People Page 13 of 28 Evidence: residents much less so but staff gradually develop these. There are daily individual records and professional visit records in place and accident forms where appropriate. The manager was aware of the need to audit any falls or accidents and discussed individual falls or accidents at the regular staff meetings to see if any lessons could be learnt or accidents reduced. Risks assessments are in place for all residents so any risks are reduced and managed appropriately. These included Nutritional, waterlow, falls and moving and handling. Weight charts are in place and up to date. Action is taken if weights change without clear cause. Most medication administration was satisfactory with clear entering of and disposal of medication, appropriate signing and storage of medication. However there was one instance where through a mix up, a resident had missed an evening and morning dose of medication. The manager had realised this and dealt with the error before the inspection. One other resident was receiving medication when necessary, with an option of one or two tablets but staff were not stating whether one or two tablets were being administered. The manager said that the resident always had two but agreed that this was not clear and said she would ensure that this was recorded. One resident administers her own medication. this has been risk assessed and appropriate storage facilities are provided. Residents have been involved in choosing key workers and were complimentary about the staff working closely with them as key workers as well as other staff. Residents have access to appropriate health services. One resident was being supported as she prepared for a medical procedure.The resident chatted to me and said how a staff she was really comfortable with was taking her to the hospital and how this made her feel better about the procedure. Staff advise residents of the health risks involved in smoking and the risks of passive smoking whilst supporting the individuals right to smoke. Some of the residents smoke and there is an area in the home set aside for this. Staff complete a risk assessment with each resident who smokes to assess the safety of them smoking unsupervised or if they need discreet supervision and whether they are safe to smoke in their rooms We observed staff interacting with residents. There was a light hearted atmosphere in the home with lots of laughter and joking. However we observed staff sensitively supporting people who needed help with personal care or who seemed a little distressed. As we went around the home chatting to residents it was clear that staff were well
Care Homes for Older People Page 14 of 28 Evidence: aware of how residents wanted to be addressed. Staff routinely knocked at door and called out requesting to enter before they did so. One resident spoken to said, Staff are respectful but have a laugh. Another resident said I couldnt do without them. Residents said staff were very supportive kind and respectful. Residents made the following comments as we were introduced. The staff are fantastic. They couldnt be better. Absolutely wonderful staff and we only have the best here you know. were just some of the comments received. Care Homes for Older People Page 15 of 28 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Meals, social and leisure activities meet residents needs and and residents visitors are welcomed into the home . Evidence: According to residents there are regular activities and these are usually good. Activity plans are followed for daily social and leisure activities and individual residents involvement in activities is recorded. Regular social newsletters are available informing residents of up and coming events and activities. The manager said residents and staff were involved in arts and crafts making cards and decorations for Christmas and had made lots of Halloween decorations and had just had a halloween party. There are regular entertainers and a daily exercise programme. Residents discuss the quality of and how they have enjoyed particular activities and entertainers at residents meeting. If they have not enjoyed them they are not used again. There are regular visits to a local hotel specialising in supporting older people and those with disabilities. Residents have said they like this because all residents who wish to can be involved. The manager said that she plans to increase activities. She felt that residents enjoyed
Care Homes for Older People Page 16 of 28 Evidence: frequent short trips, particular on a one to one with a member of staff rather than organised days or evenings out so had started planning these more often. One resident said We have some good singers coming in. Another resident said I like a walk to the shops with staff when you can have a nice chat. A relative said, This is a fantastic home. The staff get the residents involved with lots of things. Routines in the home are quite flexible and residents spoken to said that they can choose when they get up and go to bed and whether they want to join in activities. Residents recently asked for breakfast to be earlier in the morning as they felt that when cooked breakfast was provided at 9am they were not ready for a cooked lunch at midday. Breakfast is now at 8am and residents are satisfied with this. Anyone who does not want breakfast this early is given a later breakfast on request. There is one set meal provided at each meal. This is written up on the notice board and all residents are made aware of the meal on offer. If residents do not want this meal they are asked to let the cook know preferably given two hours notice and they can have virtually any meal they choose. Special diets are provided as needed or requested. A member of staff said, Residents can ask for a cup of tea at any time of the day or night and if they want something that we do not have on the menu we will go out and buy it for them. Residents are supported to attend church services if they want and several residents do. Others prefer to see the visiting ministers on their regular visits. Relatives are welcomed at any time but professionals are asked to respect the resident right to a peaceful meal without interruption and are requested not to vist at mealtimes. One relative said, The staff are so welcoming, they are so good. Residents said they are treated with respect by staff. We observed staff routinely knocking on doors and calling out to the resident before entering their room. Care Homes for Older People Page 17 of 28 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are handled well and residents feel their concerns will be listened to and acted upon. Evidence: According to the AQAA, discussion with the manager and from surveys it is clear that residents and relatives know how to make a complaint and the home has responded appropriately if they have made a complaint. Complaints are recorded and acted upon. The manager said she is encouraging staff to support and enable residents to express any complaints and concerns even minor ones, as this will improve the service. There has been one complaint re a care issue to the home and one anonymous complaint sent to CSCI. These were robustly investigated and dealt with appropriately and sensitively. Staff have received safeguarding adults training on induction and on National Vocational qualification training (NVQ) and have a good understanding of the action to be taken if they are alerted to a safeguarding issue. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment in the home is comfortable, homely and well maintained providing residents with a pleasant place to live. Evidence: We toured the home and found the environment clean, tidy well maintained and homely. Residents said the home was very comfortable and friendly. The home has changed ownership in the last few months and the manager and staff spoken to said that the home had got a little run down before the sale. The new owners have redecorated communal areas and bought several new bedroom carpets and a new carpet for the hall, stairs and landing, which greatly improves the look of the home. The owners also have plans to extend the home to create more single bedrooms and reduce double bedrooms, therefore allowing residents more choice of having a room of their own if they so wish. The home is clean and fresh smelling despite several residents having frequent incontinence. The manager said the home has a small emergency carpet cleaner and the owners have a specialist carpet cleaning firm into the home on a frequent basis. Residents spoken to said the home was lovely and clean. A resident said, They work hard here keeping it spick and span. Another resident said, Have you seen our lovely new carpet as you came in? its magnificent.A relative commented, This is a fantastic
Care Homes for Older People Page 19 of 28 Evidence: home, the new owners are improving it no end. Another relative said about the environment, This has improved with the new owners, excellent home now the improvements have been carried out. Aids and adaptations are in place to help residents get about more easily and to be as safe and as independent as they can be. Care Homes for Older People Page 20 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. Most areas of recruitment and selection are well managed and there are sufficient numbers of well trained staff in the home. Evidence: Residents spoken to as we toured the building and who returned the comment cards were complimentary about the staff and the new owners of the home. One resident said They are fantastic, the staff here. Another added Marvelous, with another resident shouting We only have the best here. Comments then followed about the new owners, how pleasant and kind they were and how they would always come for a chat and had made the home look so much nicer. A relative said how kind the staff were, going out of their way to make life good for residents. A lot of the staff have worked in the home for several years and there is only a small staff turnover. This ensures that staff are familiar with residents and their care needs and residents know the people caring for them. Staff rotas showed sufficient staff on duty doing the inspection. Residents, relatives and staff felt that there were sufficient numbers of staff on duty to provide good care. One member of staff said that new staff would be starting as soon as the necessary checks had been completed.
Care Homes for Older People Page 21 of 28 Evidence: The records of three members of staff were checked. All applicants had an application form with work history although two had only the year of changes of employment, rather than the month and year and one only went back ten years. However gaps in employment had been looked at at interview. All other required checks for recruitment and selection had been carried out and all necessary information was in place. A member of staff said All checks were done before I was allowed to work or start my induction. Staff interviews include a series of questions written by residents and once answered looked at by residents as part of the interview process. This has made residents feel part of the process and has been well received by prospectivre staff. All staff had received a detailed induction. The manager was concerned that sometimes this was taking a little longer than 12 weeks but did not want to rush through it as she felt it was important to cover it thoroughly. Staff are encouraged to work towards NVQ training as soon as their induction is completed. One member of staff said, I received in depth induction before I started work and was supervised at all times during my induction. Another member of staff said My induction covered everything I needed to know regarding the residents as well as the home itself. All staff are working towards or have completed National vocational qualifications (NVQ). These are national awards in care that enable staff to gain up to date skills and knowledge about current care practice. Staff now have outcome based job descriptions. This clearly tells them what they should be doing to meet residents needs. Staff have regular training to develop and update their skills and knowledge and ensure care practice remains good. Two staff had details of the training they had completed in place. The third member of staff had not yet completed training other than induction but had courses booked in the weeks following the inspection. Care Homes for Older People Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and owners provide clear guidance and enthusiasm to staff. They manage the home effectively and have good quality systems which support and protect residents, staff and visitors. Evidence: The manager Jennifer Hughes worked as the deputy for some time before becoming registered manager over a year since. She has completed the registered managers award and ensures that she updates her skills and knowledge so that she is familiar with any developments in care practice. She is enthusiastic about caring for older people and passes this onto the staff team. One member of staff said, The manager is very supportive and insists that all staff provide good care. The new owners have plans to extend and improve the home and are enthusiastic about and interested in the residents and staff and in developing the home. Staff spoken to and those who returned comment cards said they felt really well supported by the new owners and by senior staff. One member of staff said, It is a pleasure to come to work. Another
Care Homes for Older People Page 23 of 28 Evidence: member of staff said of the new owners, They are great they come in every day and talk to the residents and to us to see everything is alright. Formal supervision is carried out regularly. Records are detailed and up to date but the full date on supervision records rather than just the month and year should be recorded. Staff supervision allows the member of staff and manager or other nominated person to meet regularly and look at the member of staffs care practice and the care practice in the home, and any improvements that can be made. They also look at future plans in the home, training and the individuals career developments. A member of staff said, We have a formal supervision meeting every two months and an appraisal every 12 months. Systems are in place for quality assurance. The home has recently been reassessed for and has again met the standards for investors in people which is a national quality assurance award. There is a detailed internal audit carried out regularly by the owners or manager to ensure that the home is meeting appropriate standards. There are regular staff meeting and residents meetings and issues discussed can and do affect practice. Changes have been made to activities and to daily routines and mealtimes as a result of meetings. Residents money held by the home was checked and records were satisfactory and showed that residents money was looked after properly. A member of staff said, We regularly have staff meetings and appraisals to let us know how we are working and if needs be discuss any problems in the workplace. Residents and relatives are asked to complete questionnaires by the home. When returned the manager looks at them all and where possible acts on the findings. We saw recently completed questionnaires. These were all very positive. One relative has said, Fantastic, my relative has not been so happy, well looked after and sociable in years. Staff have regular fire safety and moving and handling training and appropriate health and safety checks are in place. The fire risk assessment and regular fire checks and training carried out by an external company are up to date. One member of staff said, We are constantly updating training in all aspects of our work such as first aid, health and safety and medication. These measures increase the safety of residents staff and visitors to the home. There are regular in house fire alarm and emergency light checks but these are not always recorded and should be. The manager and owners told us that they were contacting the fire service about getting a master key for residents bedrooms as they are not satisfied with the current system where there are different keys for different residents bedroooms. The manager should seek the advice of the fire service about a master key for residents bedrooms so that only one key is needed for any residents bedroom in an emergency.
Care Homes for Older People Page 24 of 28 Evidence: We observed good moving and handling techniques using appropriate equipment and good care practices throughout the inspection. 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 1 9 Medication where the doses given can vary should be clearly recorded so everyone is aware of how many tablets or how much medication has been given each time. A full employment history should be completed for all prospective members of staff. This will reduce the risk of employing anyone who should not work with vulnerable adults. Staff should record regular fire safety checks so that there is a clear record of checks made. The fire service should be contacted to seek advice about a master key for residents bedrooms so that the most appropriate fire safety is in place. 2 29 3 4 38 38 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 © (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 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!
