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Inspection on 06/01/09 for Jubilee Court Care Home

Also see our care home review for Jubilee Court Care Home for more information

This inspection was carried out on 6th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

People are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. Most people using the service are supported to live a full and active life where able. People using the service are supported and enabled to maintain contacts with people that are important to them. People using the service are protected from abuse and they are assured that their complaints will be listened to and acted upon. People using the service live in a comfortable environment which is well maintained. People using the service live in a care home which is well run and managed where their views and opinions are valued and acted upon. People using the service tell us that they are happy living at the care home and that staff are always courteous and respectful towards them. They feel that their needs are met and that they are safe and secure. Staff are able to discuss how they support people using the service to make sure that their needs are met.

What has improved since the last inspection?

Staff now ensure that people using the service are offered weekly baths, if these are refused this is now documented. Fridge and room temperatures where medication is stored is now recorded and monitored to make sure that medication is stored at the manufacturers recommended temperature. This ensures that medication remains effective and people using the service are protected. The keys from medication fridges have now been removed to make sure that people using the service are protected.

What the care home could do better:

Plans of care must be in place for people`s identified needs. This will ensure that staff have the necessary information to fully meet people`s needs. Risk assessments must be in place for people`s identified risks. This will ensure that people are protected from highlighted risks. Medication administered must be signed for as given. This will ensure that people receive their medication as prescribed. People using the service must be supported by sufficient numbers of staff to ensure that their needs are fully met. A number of staff require updates and further training to ensure that they all have the necessary skills and knowledge to enable them to fully meet people`s needs.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Jubilee Court Care Home Nabbs Lane Hucknall Nottingham NG15 6HB     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: Karmon Hawley     Date: 0 6 0 1 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Jubilee Court Care Home Nabbs Lane Hucknall Nottingham NG15 6HB 01159834630 01159834640 colleen.russell@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Nottinghamshire County Council care home 60 Number of places (if applicable): Under 65 Over 65 30 60 0 dementia old age, not falling within any other category physical disability Additional conditions: 30 0 5 Out of the total number of beds (60), 5 may be used for PD 55 and over Out of the total number of beds (60), there will be 30 beds for DE 55 and over and/or DE(E) Service Users shall be within category OP Date of last inspection Brief description of the care home Jubilee Court is a purpose-built care home for up to 60 older people some of whom may have dementia. The home is owned and managed by Nottinghamshire County Council. The accommodation is provided on two floors with two shaft lifts to assist independent access. The home is divided into four units each with kitchen, dining room, sitting room and assisted bathing facilities. All bedrooms are for single occupancy and have ensuite facilities. One of the units is dedicated to provide respite care. There are pleasant well-maintained gardens, which are accessible to all residents. Care Homes for Older People Page 4 of 30 Brief description of the care home The weekly accommodation charges for those residents who are self funding would be £377.00. A copy of the most recent inspection report is available in the home. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people living at the home and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One regulatory inspector conducted the unannounced visit over 1 day, including the lunchtime period. A review of all the information we have received about the home from the provider and the general public since the last inspection was considered in planning this visit and Care Homes for Older People Page 6 of 30 this helped decide what areas were looked at. The main method of inspection we use is called case tracking which involves selecting the care plans of 4 people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The manager, members of staff and people who use the service were spoken with as part of this visit. As we were unable to effectively understand and communicate with some of the people living at the home, some judgements in this report are drawn from our observation of staff and resident interactions. Documents were read as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken, all communal areas were seen and a sample of bedrooms to make sure that the environment is safe and homely. The service sent us an Annual Quality Assurance Assessment which outlines the developments and improvements the care home has made throughout the year. We used some of this information within the report to determine our judgements. 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 30 Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. The service does not offer intermediate care. Evidence: The manager visits people within the community to carry out a preadmission assessment to make sure that staff are able to meet peoples needs before they make a decision to move into the care home. As there is also a daycentre within the building people may also enter the care home via this link. We saw that a preadmission assessment has taken place within those case files examined. People may also visit the care home and spend some time there so that they can get a feel for what it would be like to live in the care home before they make a decision to move in. Care Homes for Older People Page 11 of 30 Evidence: One person using the service told us that they are staying in the care home for a short while and that they had come to have a look around to see what it was like before they made a decision to move in. Staff spoken with told us that they are given sufficient information about people before they move into the care home so that they can support them appropriately. The service does not offer intermediate care. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Plans of care do not always contain all the necessary information a member of staff may need to make sure that they are supporting people appropriately. People using the service are not fully protected by the medication practices in place. Evidence: Plans of care examined are written in the first person to make them more personalised and to ensure that staff are aware of peoples likes and dislikes. Within one plan of care where a person had experienced a personal loss there was information available as to how staff are to support the person with this. Following an assessment of a persons independence and remaining life skills, plans of care outline specific goals, so that these may be maintained. So that people are protected, the Mental Capacity Act is considered in regard to people who have behaviour that is challenging where they may be unable to make decisions for themselves. Care Homes for Older People Page 13 of 30 Evidence: Within one plan of care examined a specific care plan was in place for a person who has behaviour that may be challenging, outlining how staff are to support the person, however within another plan where this was a highlighted need, no specific plan of care or risk assessment was in place. Also where a person has diabetes mellitus, again there was no specific risk assessment or plan of care in place to outline how this person is supported in ensuring that their needs are met. There are however no incidents of ill health noted within daily running records. We saw that a number of risk assessment in place for people are of a generic nature, and are not written specifically for the person it refers to, whilst this covers a number of areas that may reduce a risk, not all of these may be significant to the individual. Within plans of care examined we saw that these are reviewed and updated as needed to ensure that people receive continuity of care. Staff spoken with are able to discuss the needs of people using the service and how they support them in meeting these. People using the service told us, I generally look after myself, but the staff do pop in to help me if I need them, and the staff are very good, they look after me well. On examining plans of care we can evidence that people using the service are supported to access specialist services such as the district nurses, general practitioner and opticians as needed. The manager stated that the district nurse offers a good support to the care home and relevant equipment such as special mattresses and cushions are supplied as needed. We saw that people have access to these resources during the tour of the care home. Staff spoken with said that people may see the doctor at anytime should they need to and one person using the service said, I have a bad chest, I am seeing the doctor about it. On examining the medication practices we saw that staff who administer medication are currently updating their training due to medication errors that have occurred in the past. The medication administration records examined show that the manager is carrying out regular audits of the medication to check that staff are maintaining good practice. The results of the audits and our examination show us that on occasion staff are not always signing for medication that has been administered. The manager is addressing this with specific staff, which she evidenced to us. Care Homes for Older People Page 14 of 30 Evidence: Medication records are clear and two members of staff check medication into the building to make sure that this is correct. The medication checked on the day of the visit matched the prescription charts ensuring that people using the service receive the correct medication. Room and fridge temperatures are now recorded to make sure that medication is stored at the correct temperatures. We saw that where a person has been refusing medication for a period of time that this matter has been referred to the general practitioner to be addressed. During the inspection we saw staff treat people respectfully at all times and ask after their welfare when supporting them. Staff spoken with are able to discuss how they ensure that peoples privacy and dignity are maintained by ensuring that they knock on peoples doors before entering, keeping confidences as required and covering people up when supporting them with personal care. People using the service told us, the staff are very good here, they help me as I like to be helped, the staff are very polite. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Most people using the service are supported to live a full and active life where able, however some people feel that they would benefit from more activities being made available. People using the service are supported and enabled to maintain contacts with people that are important to them. Evidence: The manager stated that there are specific staff who are entertainment managers, and in addition to this staff on each unit assist in carrying out activities with people using the service. There are various activities on offer such as bingo, arts and crafts, quizzes and sing-alongs. People made their own Christmas decorations and calendars for their relatives prior to the festive season. Staff are now arranging a meeting so that the Easter celebrations can be discussed. Carers and relatives support the service in fund raising for trips into the local community and events that take place. The care home can also use the day centre bus for trips out. Staff spoken stated that they feel that there is sufficient for people to do, they feel that it is important to make sure that people are stimulated and not bored and lonely. Care Homes for Older People Page 16 of 30 Evidence: People on one of the units offered the following comments: I am better off here, we have a laugh, I am happy, the staff are very nice, I wipe the tables after lunch and do a bit of dusting, I enjoyed our Christmas trip to the school, they made us a meal and we had a bit of a party, I received a very moving letter from them afterwards, it was nice to go out, we had a karaoke at Christmas I enjoyed it that much I did not want to leave, we play bingo, I won a lot last time, I like living here, I am settled, the girls help a lot and try to make it homely and friendly, I have a laugh, and I like it here, I enjoy playing dominoes and laughing and reminiscence, we have a good time. People on another unit stated that there was not enough for them to do and they are often bored and felt ignored by the staff. This was discussed with the manager so that these issues can be addressed. We saw four people on one of the units enjoying making cards, with staff, they were very pleased with their efforts and were praising each other for what they had made. So that people may maintain contact with people that are important to them there are no restrictions on visiting and visitors may be received in private. People using the service told us, my family visit me regularly, they are made welcome, and we can have visitors at any time, there is no problem. Staff spoken with confirmed that visitors are made welcome and several visitors were seen to enter the care home throughout the visit. Staff are aware of peoples rights and choices, they are able to discuss how they ensure that people using the service are facilitated to maintain these; we treat everyone as individuals, we deal with their needs rather that looking at their dementia, it is who they are that shines thorough, if people refused personal care, we do not force them, but if it is ongoing we do report it to senior staff so that they can resolve issues, I interact with people, get to know them and their personalities, ask them what they are capable of so I do not take away their independence, people are able to take risks in their daily lifes, this is their choice, we do carry out risk assessments and discuss these issues with them to make sure they are as safe as possible and people can choose how they spend their time, we should make sure that they are comfortable and feel safe and secure in their own home, we should be mindful of their wishes. People using the service told us that staff are courteous at all times and that they felt that they could make their own choices about the way in which they are supported in Care Homes for Older People Page 17 of 30 Evidence: regard to their care. One person stated, we are accepted for who we are, we are safe and secure, staff are courteous and respectful, I can express my views and make my own decisions. People using the service are offered a wholesome and appealing menu, there are choices and alternatives available at each meal time and special diets such as diabetic diets are catered for. Staff spoken with told us that choices and alternatives are available at each meal and they are able to discuss the special diets on offer and the reasons for these. People using the service told us, the food is good, the food is good, I do not send any back, I eat well and am given choices and alternatives. If I am hungry I can just ask for tea and biscuits, fresh fruit or cake, and I do bits and pieces in the kitchen with the staff, I enjoy doing this. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are protected from abuse and they are assured that their complaints will be listened to and acted upon. Evidence: So that people know how to make a complaint the complaints policy is made available to people using the service. This is given to people when they first move into the care home and is also on display in various areas around the home. The service has received five complaints since the previous visit in regards to staffing, standards of care and missing money. There is evidence that these issues have been addressed and resolved as required. Staff spoken with are able to discuss how they would deal with a complaint should one be received to ensure that it is resolved. People using the service told us, I know who to talk to if I was unhappy here, anyone would listen to me really but I can see the manager if I needed to, and I have made a complaint about a minor issue in the past, this was resolved quickly. Only eight members of staff have currently undertaken training in safeguarding adults, however the manager showed us that further staff have been booked on a course in Care Homes for Older People Page 19 of 30 Evidence: the near future and also new staff are covering this area within their induction. Staff spoken with are able to discuss what they feel constitutes abuse and their roles and responsibilities in ensuring that people remain safe. People using the service told us, I feel secure and settled here, the staff are very good to us, and I feel safe and comfortable here. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service live in a comfortable environment which is well maintained. Evidence: There is evidence of routine maintenance taking place to make sure that people live in a well-maintained environment. There are several seating areas around the care home that people may access and people may also visit other units in the care home should they wish to. We saw that people are not restricted and that they walk freely around the home as able. One person using the service told us that they have brought in some of their personal things to make it feel more like home. All areas of the care home accessed during our inspection are well kept, clean and tidy. There are separate laundry areas for each unit of the care home. These are clean and tidy and we saw that staff wear appropriate protective clothing when handling laundry. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are not always supported by sufficient numbers of staff to ensure that their needs are fully met. Staff are working towards completing compulsory training to ensure that that have the necessary knowledge and skills to enable them to fully meet peoples needs. Evidence: The duty rota shows us that during the day there are two members of staff on each unit supported by two floaters (staff who help out on all of the units) and three senior staff members. During the night there is one member of staff on each unit, which is sometimes supplemented with a floater. Staff spoken with offered varying opinions with regards to the amount of staff that are available. Two felt that insufficient staff are available at times, especially when they are busy such as in the morning when supporting people go get up and at meal times. They stated that there is insufficient time to spend quality time with people, just sitting and talking with them, however another member of staff stated that they always make time to carry out some kind of activity with people on a daily basis; we usually do things with them from 11am to 2pm in between busy times. Care Homes for Older People Page 22 of 30 Evidence: All members of staff spoken with told us that at times there are no floaters on duty which makes it extremely difficult, however they are confident that people using the service still receive quality care due to their dedication; I have concerns about the staff levels, however there are no incidents as all staff work so hard, the staff team work well together. One member of staff felt that there are sufficient staff available, however they did state that at times it is very hectic. Although there is a laundry person employed, who works in the downstairs laundry, care staff are still responsible for carrying out certain laundry duties, which takes them away from the unit. One member of staff said that this is concerning as it leaves only one member of staff on the unit at times, if no other member of staff is available. In addition to this care staff are also responsible for serving meals and washing the crockery and cutlery after meals, which again takes them from working on the floor and being available for people using the service. One member of staff said, the care staff serve meals and have to help people to eat, there are three people on this unit that need help, however only two members of staff to do it, if there is no floater available someone has to wait for their meal. One member of staff also expressed concerns at night, stating that as there is usually only one member of staff on each unit, when someone needed assistance on another unit this effectively left a unit unmanned during this time. During our visit we saw that staff are very busy at all times, on one unit time had been made to spend quality time with people using the service to carry out various activities, however on a another unit, there was no evidence of activities taking place. People using the service told us, the staff are very busy, they do help me, however I feel at times that I am ignored, and there are no activities, I want more to do, it would help if there are certain staff just for activities, staff do activities but not much, I tend to fall asleep because I am bored. These issues were discussed with the manager, who stated that staff are supported by senior staff and each member of staff has a walkie talkie to call on other staff when needed. All new staff commencing employment undertake an induction programme so that they are aware of their roles and responsibilities in their new job role. Staff files examined show that this takes place and two members of staff spoken with confirmed that they had undertaken an induction, I enjoy working here, I covered all sorts of Care Homes for Older People Page 23 of 30 Evidence: things in my induction, like my general responsibilities and the routines, I shadowed someone for two weeks whilst I got to know everyone. Twenty eight members of staff have completed the National Vocational Qualification level 2 (a nationally recognised work and theory based qualification, designed to enhance skills and knowledge in caring for people) and seven members of staff are working towards this qualification. One member of staff spoken with confirmed that they had undertaken this training. So that people are protected from unsuitable people being employed a thorough recruitment process is in place. The staff files examined show us that all the necessary documentation required by law is in place. Staff spoken with confirmed that they have undertaken a Criminal Record Bureau check (a police check to see if an individual has a police record or caution). Training records examined show us that staff continue to undertake compulsory training in areas such as fire, dementia care, and food hygiene. There are however a number areas such as first aid, manual handling and health and safety where staff now require additional training or refresher courses. The manager stated that she is aware of this and that she is in the process of booking courses to remedy this but it is a struggle to get places on some courses. Two new members of staff spoken with told us that they have not received any training with the exception of their induction to date, however this was being considered in their working day and they were only responsible for supporting people with personal care and were not carrying out tasks such as manual handling. Another member of staff told us that they felt that the training and development programme was good and they felt supported by the management. Staff spoken with are able to discuss the needs of people using the service and how they support them, however two members of staff were unsure as to how a person may present if they were unwell due to diabetes mellitus and the action that they would take if this happened to make sure that their needs are met. One person using the service told us, the staff work very hard, and I think they are very good at their job. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service live in a care home which is well run and managed where their views and opinions are valued and acted upon. Evidence: The manager has been in post for five years. She has undertaken the Registered Managers Award (a nationally recognised work and theory based qualification designed to enhance management skills). She has also undertaken relevant management courses to remain up to date with good practice recommendations. Staff spoken with spoke highly of the manager and said that she is always available when needed and that they could approach her at any time. People using the service stated that they felt happy and settled in the care home and that it is well run. Care Homes for Older People Page 25 of 30 Evidence: People using the service are enabled to have a say in how the care home is run and managed by way of questionnaires and meetings. The residents meeting minutes show us that issues such as staff and recruitment, concerns about care, the menu and activities have been discussed. Following this action plans have been put into place to resolve any issues. We saw that people using the service and relatives have completed questionnaires, which tell us that people are mainly happy with the service provided. The manager stated that she is waiting for all the questionnaires to be returned, following this they will be complied and any areas of concern addressed. We saw that staff meetings take place on a regular basis and issues such as the quality of work, health and safety issues, and staff development are discussed. People using the service are able to have their personal allowance kept in safe keeping in the care homes safe should they wish. Personal allowances examined show us that receipts are available for all transactions and when able people using the service have signed for the withdrawal of their money. Only senior members of staff have access to the money so that an audit trail of all transactions can be kept. The annual quality assurance assessment completed by the service tells us that routine maintenance and servicing of equipment continues to take place to make sure that they are in good working order. We checked the hoist certificate and fire records during our visit, which confirms that servicing is taking place as required. Care Homes for Older People Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 You must ensure that risk 30/04/2009 assessments are in place for peoples identified risks. This will ensure that people are protected from highlighted risks. 2 7 15 You must ensure that plans of care are in place for peoples identified needs This will ensure that staff have the necessary information to fully meet peoples needs. 30/04/2009 3 9 13 Medication administered 28/02/2009 must be signed for as given. This will ensure that people receive their medication as prescribed. 4 27 18 You must ensure that sufficient numbers of staff are available at all times. This will ensure that peoples needs are fully met and they are protected. 30/03/2009 Care Homes for Older People Page 28 of 30 5 30 19 You must ensure that all staff have completed compulsory training. This will ensure that all staff have the necessary skills and qualifications to meet peoples needs. 30/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Risk assessments are written specifically for the individual so that all the necessary information is available and people are protected. Further liaise with people using the service to ensure that all their social care needs are met and activities that they enjoy are available to them. 2 12 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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