Inspection on 14/10/08 for Kings Lodge Care Centre

This inspection was carried out on 14th October 2008.

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

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

Other inspections for this house

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Kings Lodge Care Centre The Pavillions Kings Head Lane Byfleet Surrey KT14 7AT     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: Mavis Clahar     Date: 1 4 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Kings Lodge Care Centre Kings Head Lane The Pavillions Byfleet Surrey KT14 7AT 01428685327 Telephone number: Fax number: Email address: Provider web address: shaslam@carehomesofdistinction.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Frances Haslam Type of registration: Number of places registered: Care Homes of Distinction care home 42 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 42. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Kings Logde Care Centre is a new purpose built home with forty two (42) beds providing nursing care and accommodation for Older people of both sex, admitting twelve (12) residents diagnosed with dementia. The home is situated in a culdesac near the town centre of Byfleet a small town in Surrey with good transport. There is ample car parking space to the front of the home and in a nearby car park. All Care Homes for Older People Page 4 of 29 Over 65 0 42 42 0 Brief description of the care home bedrooms which opens on to the inner courtyard or garden are well equipped and includes full en-suite facillities are spread out on two floors. A passenger lift or stairs gives access to the first floor. There are a number of spacious communal areas for residents to enjoy. The weekly fee at thie home is £795.00 per week. There is extra costs for chiropody, hairdressing, private physiotherapy. 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: The quality rating for the service is 2 stars. This means the people who use this service experience good quality outcomes. Fees at this service is 795.00 pounds per week and does not cover hairdressing, chiropody and private physiotherapy. This is a new service and this is the first Key Inspection visit to the home. This unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on 14th October 2008 and lasted for seven hours; communing at 09:17 hours Care Homes for Older People Page 6 of 29 and concluded at 16:20 hours. The Registered Manager Mrs Susan Haslam participated throughout the visit. The CSCI (us) Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service provider, which includes information about the service from a variety of sources was receive by us in good time and is referred to throughout the report. This document initially helps us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. On the day of the visit there were only three service users in residence and they were all able to express their thoughts about the care they receive. The information contained in this report was gathered from speaking with service users, speaking with care workers, speaking with both the registered manager and deputy manager of the home and from observations made by the inspector during the visit. Further information was gathered from records kept at the home. We did not see any visitors to the home on the day, but on signing out at the end of the day we observed a number of visitors had signed in and out of the home. The first part of the visit was spent in discussion with the deputy manager and agreeing the format of the inspection. The registered manager joined us about an hour later. Time was spent in discussion with the Chef and service users and care staff. The manager and care staff are aware of the Laws regarding equality and diversity and this is reflected in the staff mix. All service users in this home are Caucasians and reflects the majority of the population of the area in which the home is situated. A tour of the home was conducted. All records sampled were up to date with care plans being signed by service users relatives/representatives. The final part of the visit was spent giving feedback about the findings of the visit to the manager, deputy manager and Responsible Individual/Provider. No requirements were made on this visit. We would like to thank the service users and care staff who spent time speaking with us and for making the visit so productive and pleasant on the day. 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. Care Homes for Older People Page 8 of 29 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 9 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 10 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. Prospective service users are given good information to enable them and their relatives /representatives to make an informed decision about the care and support the home will provide. Admissions are not made to the home unless a full Preadmission assessment is carried out by a Registered Nurse trained to undertake assessment. The assessment is conducted professionally and sensitively and involves the prospective service users and their family/representative where appropriate. Evidence: All three service users were case tracked and this revealed Pre-admission and full assessments were carried out for all service users. The AQAA informs the home uses the person centred approach to care and this was observed where a carer was having one to one activity session with a service user who expressed a wish to have this aspect of care. Full and further Assessments were undertaken by a Registered Nurse over a period of time and this assessment involved the service users and their choice Care Homes for Older People Page 11 of 29 Evidence: of relative or representative. The assessment included the social, nursing, cultural and end of life requirements of the service users, personal care needs and physical well being, mental state and cognition with suitable risk assessment developed where necessary. This home does not cater for service users needing intermediate care, but will admit service users for respite care and for holidays. Care Homes for Older People Page 12 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. People living at the home receive personal and health care support using a person centred approach with support provided based on the individuals rights of dignity, equality, fairness, autonomy and respect. personal health are needs including specialist health, nursing and dietary requirements are clearly recorded in each persons care plan. Evidence: Three service users were case tracked and we observered that each service user had a personal care plan drawn from the Pre-admission and continuing assessments carried out by the Registered Nurse. This plan included details of their health and personal care needs, social and recreational needs and psychological care needs detailing how these needs would be met. The home embraces the named nurse approach to care and each service users plan of care had a named nurse. The AQAA informs the home uses the Eden Alternative Care Plan when planning care and we observed this plan was easy to read and understand. This observation was supported by one care worker who wrote in the Pre-inspection questionnaire excellent care plan (Eden) very Care Homes for Older People Page 13 of 29 Evidence: individualised, easy to understand and person centred. We also observed care plans were signed by service users relatives/representative to indicate their involvement in developing the plan. Suitable risk assessments were in place with actions to be undertaken by care staff to reduce or prevent identified risks. Review of the daily work sheet and observations of carer and service users interactions and discussion with service users demonstrated service users care needs are being met according to the agreed care plans. The health care needs of the service users are met by their General Practitioner (GP). Service users are assessed by a person trained to do so, to identify those service users who are likely to develop pressure sores and appropriate interventions are recorded in the service users care plan. Opportunities are given for physical activities as agreed with the service users and this is carried out and documented. All service users have access to hearing and sight tests, with appropriate aids according to the capability of the service user. Dental care is provided from visiting dentist or own private dentist. The registered person ensures that service users entitlement to NHS services are upheld in accordance with guidelines and legislation by providing information about entitlements in the form of a handout Further Information, which includes access to advice. There were no service user needing Control Drugs at the home on the day of the visit. Review of the homes medication Policy and record and in discussion with the Registered Nurse indicated the home administered medication in accordance with their policy. All records were reviewed and found to be in good order with records suitable maintained. No service user at the home was assessed as capable to self administer their own medication. A list of care workers (Registered Nurses) RN considered competent to administer medication was kept along with their signatures in the medicine trolley which is kept locked in a locked room. We observed that all service users had a recent coloured photograph included in their personal medicine folder and also in their personal files. We observed that each bedroom had en-suite facillities to include a wet room with a shower. We were told service users personal care is carried out in the privacy of their bedroom. The home has a number of assisted baths should service users request a bath. We observed the communal bath room to be very well equipped with a raising bath and bath chair and bubble jets to give a soothing and gentle massage whilst emerged in the bath. In discussion with service users we were told the staff respects and honour service users privacy and dignity and that they had choice in their daily lives. We observed that each service user had discussed and completed their end of life care Care Homes for Older People Page 14 of 29 Evidence: and their wishes are documented along with those of their relatives. We were told by the manager that current Registered Nurses have completed the palliative care Course and another is due to start the course later this month. Care Homes for Older People Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. They are able to make choices in accordance with their abilities and are provided with a balanced diet in pleasant surroundings and in an unhurried way. Evidence: The manager informed us the home does not at the moment employ an activity cocoordinator, but one has been interviewed and as soon as the number of service users increase the home will be in a position to appoint her. The AQAA informs us that due to low number of service users care staff are able to spend quality time on a one to one basis with service users enabling and encouraging them in their chosen activities. The home has provided a wide screen TV for each service users bedroom. We observed that service users also had their own radio. We also observed carers enabling and encouraging service users to participate in their chosen personal activities such as carer reading to service user, encouraging the service user to turn the page and to discuss the photographs that accompanied the article being read; aiding service users to participate in movement and gentle hand exercises. In discussion with service users Care Homes for Older People Page 16 of 29 Evidence: we were told they really like this individual activity time and that they can decide when they have had enough and ask the carer to stop. The manager informed us she has plans for taking those service users who would like to go out to garden centres and seaside or the theatre when the weather gets warmer. We saw no visitors to the home during the inspection, but when signing out we observed that a number of visitors had signed in and out during the day. Service users said they could have visitors at any time of the day and that their visitors could have a meal with them if they wished. This was supported in discussion with the Chef and by the registered manager for the home. Since the home has been opened it has forged links with a number of groups in the local community such as the local primary school, the local C/E Church and Vicar. Arrangements are made for service users to see their Spiritual Leader of their choice at a time that is convenient to both service user and Spiritual Leader. We were told the home respects and values all service users religious or non religious commitments. The home encourages service users to be responsible for all their finance. Otherwise their relatives or representative manages their finance on the service users behalf. We were told the home believes in enabling and encouraging service users to be autonomous and exercise their rights and choices for as long as they are able. We observed many personal belongings of service users in their bedrooms. We were told the home gives each service user/representative a handout entitled Further Information which contains information on how to contact external agents (e.g. advocates), who will act in their interest. In discussion with the Chef, we were told menu planning is done on a one to one basis at the moment as there are so few service users at the home. He tries to accommodate the food wishes of all three service users and sometimes he can prepare two different main courses if that is the wish of the service user on the day. Service users told us the food is excellent and they are always asked what they would like for the next day. They also told us they can change their minds and the Chef will go out to get something special for them if they request it and it is not in the home. We observed service users had ample amount of fluid within arms reach and there was also good amount of fresh, frozen and dry food in the home. The Inspector did not sample the food but service users said the lunch was tasty and very good. Care Homes for Older People Page 17 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. The home has a satisfactory complaints policy and procedure in place and have ensured that care staff receive up to date training on Safeguarding Adults. Service users concern are listened to and acted upon. Robust Safeguarding policy and procedures are in place to protect service users and care staff from abuse. Evidence: CSCI received no complaints about the home. The AQAA informs the home has not received any complaints since opening in August 2008. We observed the homes complaints policy and procedure and complaints and compliments folder were in place. In discussion with staff we were told they had completed training relating to the Local Council Safeguarding procedures and we observed the home had the most recent copy of the Surrey Safeguarding Adults procedure in place. Staff are encouraged to read this document and then sign to show they have done so. The manager told us she or her deputy is in daily contact with the service users and issues raised are dealt with immediately and this reduces the need for service users to complain. Service users who were able to discuss this aspect of care told us they would speak with the management and that their relatives dealt with all issues concerning their stay at this home. Care workers told us they are aware of the homes policy and procedure on maintaining the safety of service users and that they knew if they had to whistle blow Care Homes for Older People Page 18 of 29 Evidence: they would be supported by the manager and the Owners. We reviewed the Pre-admission pack which we were told is given to each prospective service user. This contained their Statement of purpose. Service user Guide and Complaints procedure. We also reviewed the homes first admission questionnaire which appeared most favourable. we were told that the manager is in the process of analysing these to send out in their first quarter news letter to service users and their relatives and friends who had participated in the completion of the questionnaires. We were told that arrangements will be made for all service users who wish to vote to be enabled to do so. We were told the home and company does not become involved with service users finance. This aspect was left to the individual to manage. However, the home will oversee small amount of spending money for service user and receipts and records of expenditure will be strictly followed and adhered to. On the day of the visit no spending monies were being looked after by the home. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The provider and manager have ensured that the physical environment of the home provides excellent outcomes for the individual requirements of the service users who live at the home. The living environment is suitable for the particular lifestyles and needs of the people who use the service. All the bedrooms are for single occupancy, fully equipped with flat screen TV and telephone and en-suite facilities. The fixtures and fittings are of a high standers and meets the needs of the current service users. People are able to personalise their bedrooms. Evidence: This is a newly purpose built care home offering care and support to forty two (42) older people which was opened August 2008. On the day of the visit there were three (3) service users in residence. The home is situated in a quiet culdesac with ample parking for visitors in front of the home and additional parking in an adjoining car park which at the moment is free of cost. The home is arranged on two floors, the first floor accessible by stairs and lift. All bedrooms are for single occupancy and all have full ensuite facillities to include a good size shower in the form of a wet room, able to take a shower chair. All bedrooms are built around a central courtyard, which has special underground lighting which, we were told are suitable for service users diagnosed with dementia. The ground floor bedrooms all have access to the courtyard and ramps are provided for those service users who will need them. All bedroom doors are of the Care Homes for Older People Page 20 of 29 Evidence: swing to type which will swing shut on the sound of the fire bell. The building complies with the requirements of the local fire service and environmental health department as witnessed by the certificates issued to the home. The home has a number of communal rooms for the use of service users to include sitting rooms, dining rooms, library, and quiet rooms where service users can entertain their guest in privacy or have a meal with their guests away form other service users. The grounds are newly laid mostly to lawn with very wide walkways able to take a wheel hair and a person walking beside the wheelchair in comfort. We observed seats in the garden were strategically placed to provide service users with privacy, or to sit in a group if they preferred. We observed lighting in the home and specially in bedrooms are domestic in character, sufficiently bright and positioned to facilitate reading and other activities. Furnishing throughout the home is domestic in character and are of good quality and suitable for the range of current and expected service users. We observed the home had sufficient suitable toilets and washing facilities to meet the needs of the service users. Toilets are of a good height suitable for older people, and we were told that step would be provided for those service users who were short in stature. The home has a highlow bath on each floor with water jets included. One service told us they enjoyed their bath as it was like having a gentle under water massage whilst having their bath. We observed that the lighting in the bathrooms were turned on automatically when someone entered the room and switched off when the person left the room. We observed a sluice on each floor and that the doors had combination lock fitted. We were told that this was a health and safety precaution so that no service user would be able to wonder into the sluices. We were told that the planning and design of the home took note of the advise of the occupational therapists with special knowledge of the proposed client group of the home. We observed that aids for disabled service users were in place. Service users have access to every part of the home, with corridors wide enough for wheelchair users and grab rails provided to aid mobility. There is a new and up to date call system and three telephones installed per corridor all link to the computer. These phones are for the use of service users and staff and can also take incoming calls. We observed all bedrooms are fitted with a profiling bed with cot sides included for which the appropriate risk assessment was in place for service users using this aid. All furniture in bedrooms are domestic in character and of good quality. A lockable space was provided and service users are encouraged to keep their keys. All bedroom doors are lockable, but on the day of the visit none of the current service users wanted their doors locked. Care Homes for Older People Page 21 of 29 Evidence: The home is centrally heated and each service user can regulate the heat in their bedroom to suit themselves. All rooms in the home have good ventilation, with windows conforming to recognised standards. The home is connected to the main water supply for the area. We observed the premises to be very clean, hygienic and free from offencive odours and systems are in place to control the spread of infection in accordance with relevant legislation and published professional guidelines. We observed hand washing facillities are prominently placed in areas where infected material and /or clinical waste are being handled. The laundry facillities meet the required standards. 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. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home in meeting the assessed needs of the service users. Evidence: The staff rota demonstrated suitable numbers and grade of staff on duty to provide care and support to service users for any twenty-four hour period. Review of care staff training files indicated staff are suitably trained to do the work. The AQAA informs the company of which this home forms a part employs their own training co-ordinator and evidence was provided to support the managers claim that all training of staff is monitored and recorded. In discussion with care staff they told us they were able and encouraged to attend all training sessions. This statement was further supported in the response to the CSCI Pre inspection questionnaire. All care staff files reviewed demonstrated minimum qualification of NVQ L2. for care staff. We reviewed one care workers induction record which is based on the Skills for Care Induction programme. Review of care workers recruitment files indicated the home complies with the Care Homes Regulations 2001 (Amended) Schedule 2 in ensuring the legislation relating to employing people in care homes are enacted. We also observed staff signatures Care Homes for Older People Page 23 of 29 Evidence: attesting to the fact they have received GSCC code of conduct. We were told supervision records were up to date and this was verified during random sampling of care workers records. 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 manager has the experience to manage the home and works to continuously improve services and provide an increases quality of life for the people using the service. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought. Service users financial interests are safeguarded and the health, safety and welfare of service users are protected and promoted by the homes policies and procedures. Evidence: The AQAA informs the manager has demonstrated that she has kept herself updated on issues relating to care of service users and staff in her charge. In discussion with the manager it was evident she was knowledgeable about the care needs of the service users. There are clear lines of accountability within the home, each member of staff spoken to on the day of the visit aware of their role and Care Homes for Older People Page 25 of 29 Evidence: responsibilities. We were shown completed questionnaire from relatives regarding the home, and this was favourable. These questionnaires have not yet been analysed, but we were told they plan to do them soon and distribute them to the participants. We were told by the Chef that due to the small number of service users at present they were treated on a one to one basis for meals and that the home was able to do individual meals to stimulate appetite. The company has a policy of not becoming involved with service users finance. However we were told that the home would look after small amount of spending monies and we were shown strict systems and guidelines in place to manage this should it become necessary. Review of records and documents indicated the home is able to safeguard the health, safety and welfare of the service users and staff are protected by the homes policies and procedures. Review of records indicated all health and safety checks are routinely carried out by the home. We observed there were no Regulation 26 record of visits, and we were told the providers are in daily contact so these visits were not officially documented. In discussion with the providers this was affirmed and we agreed that officially documenting the Regulation 26 visits should commence for October 2008. Random sampling of care workers training files demonstrated that up to date and relevant training were planned and carried out by care workers to protect the service users health, welfare and safety. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the service users and in discussion with care workers it was evident they were confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers were knowledgeable about issues relating to race and equality and diversity, they were not able to put this knowledge into practise, as the current service users are all Caucasians. 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 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!