Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Kynance 97 York Avenue East Cowes Isle Of Wight PO32 6BP 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: Richard Slimm
Date: 0 1 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 30 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 30 Information about the care home
Name of care home: Address: Kynance 97 York Avenue East Cowes Isle Of Wight PO32 6BP 01983297885 01983297885 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Corinne Rachel Lovejoy Type of registration: Number of places registered: Mentfade Limited care home 32 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 32. The registered person may provide the following category/ies of service only: Care home only - (PC) 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 Kynance residential care home provides care and accommodation for up to 32 older people, some with support needs in the dementia care category, and a physical disability. The single room accommodation is arranged over two floors, with access to the first floor via a three-person passenger lift. Currently all but one room has an ensuite facility. The home is situated in a residential area of East Cowes, on the main road leading to, and about a quarter mile from the town centre. An ongoing Care Homes for Older People
Page 4 of 30 Over 65 0 32 32 0 Brief description of the care home maintenance and refurbishment plan is in place to ensure the home continues to provide a safe, comfortable and homely environment. In the summer of 2008 an extention to the home was registered to provide additional accommodation and facilities. Communal areas comprise a lounge, dining room and conservatory on the ground floor, and a quiet lounge on the first floor. Each floor has access to communal bath/shower and toilet facilities. A mini bus is available to provide regular outings for the residents. The home provides 24 hours staffing. Please contact the home for up to date fees. The manager states that a copy of the homes service users guide is provided to all residents or their representatives where applicable. 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 quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was an unannounced Key Inspection of the home, a Key Inspection being part of the CSCI inspection program, which measures the service against the key National Minimum Standards, and outcomes for people using the service as part of a process known as Inspecting for Better Lives (IBL). This report incorporates information gained from people using the service and/or their advocates / relatives, staff, including managers and comments from external stakeholders who completed professional comment cards. Care Homes for Older People
Page 6 of 30 We were also provided with the services annual quality assurance assessment (AQAA) completed by the manager and other relevant information gained by the inspector via such processes as observations, interviews, inspection of documents and records and case tracking, during a site visit to the home. The visit to the home was undertaken by one inspector and lasted 5 hours. What the care home does well: There were many positive aspects found at the home in the interests of service users. People living at the home that were interviewed or spoken to more informally were found to be very happy with the quality of care and support they received on a daily basis. People were observed to have good relations with the staff team and the manager, and spoke highly of the staff in general. Residents choose the food they eat and are offered an alternative if the main menu options were not to their liking. People said there are usually three options at main meal times. There was evidence of regular activities arranged. As far as possible these were planned and provided on the basis of each individuals assessed needs and wishes. It was evident that people were being supported to lead the lifestyles they chose, and that support also took account of the abilities and skills of the person concerned. The home has a mini bus and trips out are organised twice a week. People said they enjoyed their trips out and looked forward to this as a highlight of their week. The home was, clean and pleasantly presented providing a valuing environment for residents. The property has recently benefited from some development and refurbishment. This has added another 8 single en suite bedrooms to the home, that now offers 32 beds, all in single room accommodation. The home continues to develop good systems of assessment and care planning to promote a good quality of care, support and continuity of services. Each person benefits from an individualised plan of support and care, and from these documents the home plans service development that is in line with the needs and wishes of the people living at the home. People told us there are regular resident meetings where they are consulted about the running of their home. Staff members were found to engage well with residents, and there was a range of skills and experience in the team. Staff are supported in their training and development, and the home were exceeding the national benchmark for the number of staff trained and qualified to national vocational levels. In addition to this the manager is trained and qualified to NVQ level 4 with the Registered Managers Award. The manager makes sure documentation provides information needed by staff members relevant to any specialist needs of service users and also provides staff with opportunities to attend more specialist courses. We were advised that any visitors are always made to feel welcome, and could visit at any reasonable time. There is a clear statement in respect of visitors displayed on the entrance door to the home. There was a reasonable response to surveys included comments such as The Family can always speak to someone on our relatives behalf (relative has dementia). My relative always receives the care and support they need. Staff listen and act on what I say. My relative attended Kynance before being admitted permanently, so she was familiar with the surroundings and the staff. I am able to ask and discuss any issues at any time with any staff. All are very friendly and approachable. They do a wonderful Care Homes for Older People Page 8 of 30 job! There is a core of mature, reliable and long-standing staff who are fully aware of my relatives needs and problems. I am confident that she is in good hands. The staff have made great efforts to interpret my relatives wishes, which is no easy matter given her speech and language problems. I have witnessed the staff asking residents what they would like from the choices available at each meal. Food always smells delicious. Staff know what my relative does not like and ensure she is offer appropriate alternatives if needed. I am entirely happy they (the home staff) are doing the right thing. The home has undergone re-decoration and has had new furniture and carpets during the past year. Rooms and bathrooms are always clean and if there are any accidents they are swiftly cleaned up and the area refreshed. Staff, too, are always fresh and clean. Staff made a great fuss of my relative on her birthday, with ; flowers; cards; banners; balloons and birthday tea with cake. Residents joined in and they all had a great time. The manager and the staff are very helpful. The staff have been wonderful. The staff are always available when you need them. I came for respite post hospital, I liked it and have stayed ever since. I like the food and the birthday buffets. We spoke to two people visiting a relative at the home. They confirmed a trail visit had been arranged and encouraged, indicating that Kynance is better than previous care homes their relative had been accommodated in recently. They confirmed that they had read the last CSCI inspection report, and that this had been useful, and said they felt confident that the registered manager would deal with any issues as they arose. What has improved since the last inspection? Since the last inspection the provider has developed and registered an 8 bedded extension. All except one bedroom now offer en suite facilities, and there are plans to create an en suite to this room during future upgrades. The homes annual quality assurance assessment (AQAA) tells us the following changes have been made following consultation with people using the service recently - Staff are issued with name badges which our clients have suggested at a residents meeting. We also have a small kitchenette for clients to use to make drinks etc. We have also tea/coffee facilities in the upstairs lounge for clients and their families. The lounge has a wide screen television on the wall which enables all clients to see. All clients doors now have name plates which were also requested at a residents meeting. In addition the home tell us - Now we have a newly designed garden, some clients have expressed and interest in plants that could be planted in the garden. As some of our clients go out on mini-bus trips twice a week, they have suggested more outings to the Island zoo or Flamingo Park or to have a pub lunch. We were also able to confirm these developments and the AQAA statement covering improvement over the past twelve months which stated, We have improved the physical appearance of the Home which includes a hydraulic seat raiser bath. A new bathroom with shower facilities for clients with disabilities which means every client has a choice of a bath or shower. Now the extension has been finished the garden has also been improved, access to the lawn by means of a ramp so clients in wheelchairs also have access and we have a larger patio area. Care Homes for Older People Page 9 of 30 We and people surveyed also noted the home has had new carpeting fitted and there is a constant process of maintenance and redecoration throughout the premises. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 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 11 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 who may use the service and their representatives have the information needed to choose a home that will meet their needs. People are assessed by suitably trained staff before admission to the home. Evidence: We case tracked 3 people living at the home. We looked at three assessments. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We received the homes AQAA. This provided evidence that any new or prospective resident is fully assessed by a competent and suitably trained staff member. Assessment materials were seen and covered all relevant areas of daily living, key information; key contacts / networks;
Care Homes for Older People Page 12 of 30 Evidence: likes/dislikes; activity based risk assessments and this information was then used to inform a plan of care and support. People said their needs were known and met on a daily basis. Staff confirmed that they used the assessment and care planning information. The manager promotes the use of assessment and care planning, and is usually the person who carries out the initial assessment. Assessments provide information about needs and wishes, and take account of any risk issues. Assessments ensure that peoples needs can be met at the home. Assessments ensure that people are only admitted to the home within the legal categories of registration. Care Homes for Older People Page 13 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. Peoples health, personal and social care needs are set out in an individual plan of care and support. People make decisions about their lives with support when needed. People where appropriate and able are responsible for their own medication, are support where ever needed, and are protected by the home practices and procedures for dealing with medications. People feel they are treated with dignity and respect and their rights to privacy upheld and promoted. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We spent time with the manager of the service. We
Care Homes for Older People Page 14 of 30 Evidence: observed practice, and staff using and completing records. There were two systems of care planning in place, but it is planned to adopt just one in due course. Comprehensive systems of care planning were evident with evidence of good daily recording. Care plans promote the delivery of care and support that the person wants and needs. Plans of care and support had clearly been informed by assessments and continue to develop as more information is obtained or comes to light. Staff are using planning systems appropriately, plans provided staff with information about peoples needs and wishes and were found to promote peoples wishes as well as to meet their needs. This was confirmed by a number of people who were interviewed. Each resident has a care plan and there was evidence that plans had been developed with each individual and the information contained in each plan reflected that persons particular individuality. People said that their personal privacy and dignity was protected at the home, and this was reflected in plans and records. Staff interviewed were aware of the need to promote such values as privacy and dignity. Most people living at the home need some degree of support in respect of taking, and/or managing their medications. The home adopts a monitored medicine dosage system that ensures medications are stored safely, and are recorded and administered in line with doctors instructions. Staff confirmed they were trained in the use of the medication systems and one staff said she had just completed a 12 week course in medication training. Where possible people are encouraged and supported to remain as independent as possible, and residents spoken to said they were happy with the arrangements made in respect of their personal medications at the home. 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. People lead the lifestyle they wish, that matched their skills and their expectations. Social, cultural, religious and recreational needs and interests are met. People are encouraged and supported to maintain contact with family and friends in the wider community as they wish. People are encouraged and supported to exercise choice and control over their lives. People receive a wholesome, appealing, balanced diet in pleasing surroundings at times convenient to them. Evidence: We case tracked 3 people living at the home. We looked at three care plans. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We observed practice, and staff using and completing records. We interviewed the manager, and received the homes AQAA. We interviewed an external professional. Care Homes for Older People Page 16 of 30 Evidence: The AQAA tells us - It is clear that clients may need care and help in a range of aspects of their lives. To respond to the variety of needs and wishes of clients we aim to provide a lifestyle for residents which satisfy their social, cultural, religious and recreational interests and needs. We help clients to exercise choice and control over their lives. We aim to provide meals which constitute wholesome, appealing, homely and balanced diet in pleasing surroundings and at convenient to our clients. The home provides a mini bus. This enables people to get out regularly. Outings are arranged twice weekly. People said they enjoyed the outings and looked forward to these as a highlight of their week. People confirmed that there were other activities organised at the home that they enjoyed, these included art classes and armchair aerobics/exercises. In addition a number of people mentioned that there are regular birthday teas, and one person said, they never miss a birthday! Other entertainments are also arranged, and there are also regular resident meetings where such topics are discussed. The visiting policy is prominently displayed at the entrance to the home, and places services users central to the arrangements. People interviewed confirmed the they can see their visitors at any reasonable time, and felt this would be possible at any time if the requested this. Two visitors were spoken to at the time of this site visit, who were visiting the home. People said the kept in touch with whom they chose. Each persons case record contained information about key people in the residents life and wherever possible how to contact them. Case records outlined peoples wishes clearly, and there was evidence that peoples individual choices are respected wherever possible. People said they are supported to stay as independent as possible, and are encouraged and supported to make decisions about their lives and the running of their home. We had the opportunity to join people at lunch time. The meal offered three options, and people confirmed this was normal. People said that the food was good, and that their individual preferences were known and checked. One person did say it was a bit difficult to choose what they were going to eat the day before, but said the home does its best to make food as varied and interesting as possible, and acknowledged how difficult it must be to cater for such a large group of people. One relative who responded to a survey said they thought the quality of food was very good, and that their own relative enjoyed the food. People said the meals are at set times and are suitable spaced so you do not ever feel hungry. One person said that if you were ever hungry they would make you a sandwich or something. The manager mentioned that there are plans to make seasonal changes to the menus and this will be discussed with residents at their next meeting. The cook confirmed that she is provided with all the
Care Homes for Older People Page 17 of 30 Evidence: resources she needs to provide a good quality of service to the people living at the home, she does not currently get out to meet residents, but is provided with information by staff and the manager as needed. 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 who live at the home, and their relatives / advocates are confident that any concerns of complaints will be listened to, taken seriously and acted upon. People are protected from abuse. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We interviewed the manager, and received the homes AQAA. We checked policies and procedures including the complaints procedures that were available to all service users and/or their advocates. There had been no complaints at the home in the last year. People said they knew who to speak to if they had any concerns or wished to make a complaint. The complaints procedure is displayed prominently in the home. Residents and visitors spoken to said they felt the manager was very approachable and would deal with any matters before it became more serious. The home ensures the complaints procedure is part of the homes contract. One out of seven surveys returned said they were unclear as to how to make a complaint, but this survey did indicate that staff listened to them and acted on what they said. All other survey respondents said they or their relatives/advocates know how to make a complaint.
Care Homes for Older People Page 19 of 30 Evidence: The home has clear safeguarding adult policies and procedures and these link to the local authority protocols. The home are aware of what to do in the event of identifying any safeguarding issues and refer accordingly to the relevant agencies. Staff interviewed had received safeguarding training and were able to demonstrate an awareness of what constituted abuse or vulnerable persons. People told us they felt safe living at the home. We confirmed that staff recruitment and selection took account of safeguarding, and all relevant checks were being undertaken at the home on any new staff, and updated for existing staff as needed. 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 live in a safe well maintained environment. The home is clean, pleasant and hygienic. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We observed practice, and staff using and completing records. We interviewed the manager, and received the homes AQAA. We checked policies and procedures, and relevant records. We carried out a tour of the premises inside and out. The CSCI registration team have made a visit to the premises since the last inspection in order to process the providers application to vary the conditions of registration at the home following the building of an extension. The home was well presented clean and well decorated. People said they liked their home, and had been involed in choosing decor, and furnishings recently. This was also confirmed in the homes AQAA. The home provides all single bedrooms with only one not having an en suite. It is planned to provide an en suite for this room as part of the ongoing improvement and delelopment of the homes environment to the benefit of the people living there. There are a mixture of facilities and communal areas that meet the
Care Homes for Older People Page 21 of 30 Evidence: needs and wishes of people. The home employs specific domestic staff who ensure the home is always cleaned to a good standard and any accidents or other spillages are dealt with quickly to the benefit of all concerned. Care Homes for Older People Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their needs will be met by the number and skill mix of the staff team. People feel they are in safe hands at all times. The safety of people using the service is promoted by the homes recruitment policies and practices. The staff team are trained and are competent to do their jobs. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We observed practice, and staff using and completing records, and their interventions with service users. We interviewed the manager, and received the homes AQAA. We checked staff knowledge and understanding of operational policies and procedures, and inspected staff records. The 2 staff members we interviewed told us one had just started their NVQ level 3 and the other her level 4 training. They confirmed that the manager was very supportive and that they received annual appraisals. Staff feedback and supervision records
Care Homes for Older People Page 23 of 30 Evidence: indicated that one to one supervisions were not happening as frequently as needed. The manager was aware of this and was planning to increase the number of staff supervisions in order to provide at least 6 sessions per staff member each year. However, staff did say they had regular staff team meetings and that the manager operated an open door approach so she was very accessible should they need guidance or support. The home also operates a senior team that support other staff. The staff team was made up of a good varied mix of skills and experience. There was a clear commitment to ongoing staff training and development, and 80 of care staff have NVQ level training qualifications or above. People said they felt confident in the staff team, who they said were very helpful, nothing too much trouble, they are very good, the staff are lovely. The home applies a robust staff selection and recruitment procedure that both promotes diversity and equal opportunities as well as ensuring all appropriate checks are carried out in order to protect any vulnerable adults accommodated. Staff files contained records of checks and references, staff interviewed confirmed the recruitment process they were subject to, and the manager explained the process in the homes AQAA. All staff receive thorough induction into their role at the home. There are plans to increase the number of one to one supervisions that will enable further identification of any training needs for the staff team. Staff interviewed said they received good training input at the home. Staff qualifications to NVQ level 2 or above are currently at 80 of the staff team. 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 live in a home that is run and managed by a person who is fit to be in charge, of good character and able to discharge his/her responsibilities fully. The home is run in the best interests of the people who live there. Peoples financial interests are safeguarded. The health, safety and welfare of people and staff are promoted and protected. Evidence: We case tracked 3 people living at the home. We interviewed those three people plus another 8 people. We received 7 responses to surveys sent out to service users. We interviewed two staff members. We observed practice, and staff using and completing records, and their interventions with service users. We interviewed the manager, and received the homes AQAA. We checked staff knowledge and understanding of
Care Homes for Older People Page 25 of 30 Evidence: operational policies and procedures, and inspected other relevant records. The homes AQAA tells us - We know that the leadership of the home is critical to all its operations. To provide leadership of the quality required the home engages a registered manager who is qualified, competent and experienced for the task. We aim for a management approach which creates an open, positive and inclusive atmosphere. We operate an effective quality assurance system. Where necessary we will offer our clients appropriate assistance in the management of their personal finances or help seeking support from an advocate. We take care to supervise our staff regularly and up date accurate records on all aspects of the home and its clients. We also ensure that the health, safety and welfare of clients and staff are promoted and protected. The registered manager has NVQ level 4 and the registered managers award. She also has significant experience working within the care industry with 5 years as a manager, 9 years as a deputy and a total of 22 years experience. We were told the manager is open and approachable by both her staff, visitors and people using the service. The home operates a quality assurance system that is based on consulting and involving service users. People told us they were regularly consulted via questionnaires and resident meetings. We were also told that changes happen based on the views and the wishes of people using the home, and we were also advised of this in the homes AQAA that states - Staff are now issued with name badges which our clients have suggested at a residents meeting. We also have a small kitchenette for clients to use to make drinks etc. We have also tea/coffee facilities in the upstairs lounge for clients and their families. The lounge has a wide screen television on the wall which enables all clients to see. All clients’ doors now have name plates which were also requested at a residents meeting. The manager advised us that the home will bill any additional expenses to the service user or their Representatives. This ensure that people have access to what the want and need when they wish. Where residents personal monies and/or valuables are held by the home, there are systems in place to safeguard the interests of the person concerned. The AQAA told us - Where necessary we will offer our clients appropriate assistance in the management of their personal finances or help seeking support from an advocate. Staff told us they felt well supported, but also confirmed they were not currently receiving at least six one to one supervisions in a year. Records also indicated a shortfall in staff supervision sessions. The manager was found to be aware of this issue and advised us she is taking the necessary action to provide all staff with the correct number of individual supervisions in future. Care Homes for Older People Page 26 of 30 Evidence: People said they felt safe living at the home. Staff confirmed that action is taken to promote safe practices in such areas as manual handling and moving, first aid, food hygiene and health and safety, including infection control. We saw hoists to aid staff and people with mobility problems. there are assisted baths and a wheelchair accessible shower at the home. The access to the home and the rear garden which is on a different level are all wheelchair accessible via safe ramps. The AQAA tells us all necessary servicing and checks are carried out to ensure the building is safe in all areas such as fire alarms, personal alarms, servicing aids and equipment such as those above and the shaft lift, boiler and central heating. The home applies COSHH, and promotes good infection control practices. The home has electrical wiring certification as well as regular test to electrical equipment in the home. Records and staff confirmed induction systems include health and safety input. Care Homes for Older People Page 27 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 28 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 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 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 © (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 30 of 30 - 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!
