Inspection on 10/12/08 for Littlefair

This inspection was carried out on 10th December 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

Littlefair 13/12/07

Littlefair 12/10/06

Littlefair 17/01/06

Littlefair 05/09/05

Littlefair 10/02/05

Littlefair 12/07/04

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: Littlefair Warburton Close East Grinstead West Sussex RH19 3TX     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: David Bannier     Date: 1 0 1 2 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 31 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 31 Information about the care home Name of care home: Address: Littlefair Warburton Close East Grinstead West Sussex RH19 3TX 01342318008 01342300017 sue.dorman@littlefair.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Orosia Lilianne Kennedy,Mr Robin Christopher Sherard Kennedy Name of registered manager (if applicable) Mrs Susan Dorman Type of registration: Number of places registered: care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: No more than a total of 41 service users may be accommodated. Up to 3 persons in the category physical disability (PD), age 60 years and over requiring personal care may be accommodated. Up to 3 persons in the category pysical disability elderly (PD(E)) requiring personal care may be accommodated. Date of last inspection Brief description of the care home Littlefair is a privately owned care home providing personal care and accommodation for 41 older people for long term care or respite care. Littlefair is purpose built, and situated in a residential area close to East Grinstead town centre, shops, train station and other amenities. There are gardens to the front and side of the building and a Care Homes for Older People Page 4 of 31 Over 65 41 3 0 3 Brief description of the care home central secluded garden area. There is a large car park at the rear. Service users accommodation consists of forty-one single rooms arranged on three floors of the property accessible by lifts. Communal space is provided in two lounges and a dining room on the ground floor. The service provides prospective service users with a copy of the homes brochure and a welcome pack, which includes the homes? statement of purpose and service users guide. The range of fees charged at the time of the Inspection is from #351.00 to #575.00 per week. Additional charges are made for hairdressing, chiropody and newspapers. Intermediate care is not provided. Care Homes for Older People Page 5 of 31 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 star. This means the people who use this service experience good quality outcomes. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assurance Assessment or AQAA prior to the inspection. Some residents and staff were sent surveys by the Commission entitled Have Your Say. These are designed to enable residents and staff to give their opinions about how the care home is being run. The information received from these Care Homes for Older People Page 6 of 31 documents will be referred to in the report. A visit to the care home was made on Wednesday 10th December 2008. As this was an unannounced inspection we gave the manager and provider no notification of our intention to visit. We spoke to some residents and observed care practices. We also spoke to the relative of one resident who were visiting the home at the same time. This helped us to form an opinion of what it is like to live in this care home. We also spoke to some staff on duty in order to gain a sense of how it is like to work at the care home. We also viewed some of the accommodation and examined some records. The visit lasted approximately four and a half hours. Mrs Dorman was present throughout our visit and kindly assisted us with our enquiries. 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 Care Homes for Older People Page 8 of 31 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 9 of 31 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 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have been provided with information about Littlefair before they move in so that they are able to make an informed choice about where they wish to live. The care needs of all prospective residents are assessed before moving into this care home. As Littlefair does not provide intermediate care this standard was considered to be not applicable. Evidence: During our last inspection we found that whilst respite care was being provided this was not reflected in the homes statement of purpose. On this visit the manager showed us that the document had been amended to include the following statement Care Homes for Older People Page 11 of 31 Evidence: We provide both long term and respite care. We also noted that copies of the amended statement of purpose were available in the care home. All residents who returned surveys confirmed they had received enough information about Littlefair before moving in so they could decide if it was the right place for them. One resident told us My daughter chose the home because I was living in London at the time. Another resident told us My neice acquired information about Littlefair from her doctors surgery. Information in the AQAA confirmed that Prospective service users are given an up to date copy of our service users guide and a copy of the statement of purpose. During our last inspection we found evidence that confirmed potential residents are individually assessed prior to admission to ensure their care needs can be met in the care home. During this visit we spoke to some care staff who were on duty. They were able to demonstrate they had been fully informed about the care needs of newly admitted residents and how they should be met. We also spoke to several residents who confirmed they were very satisfied with the care provided. We also noted they appeared to be well cared for. Information provided in the AQAA confirmed that New service users are assessed by the manager or deputy manager and assessment plan is completed. Prospective service users are usually assessed upon a visit to the home. Care Homes for Older People Page 12 of 31 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. Individual care plans have been drawn up for each resident. The manager has ensured residents health care needs have been met. Residents who are able are supported to administer their own medication. Otherwise the care home manages this on behalf of residents to ensure their safety and wellbeing. Residents are treated in a courteous manner which ensures their privacy and dignity is maintained. Evidence: During our last visit we found evidence that residents have been protected by a detailed individual plan of care. However, we also found evidence that care plans for two newly admitted residents had not been completed. This means that staff may not have sufficient information about the needs of each resident and how they should be Care Homes for Older People Page 13 of 31 Evidence: met. On this visit we looked at the care records of five residents, including two residents who had recently been admitted. This confirmed that the manager had rectified the identified shortfall. Comprehensive plans have now been drawn up for all residents. Surveys returned by eight residents confirmed they always receive the care and support they need, whilst two surveys confirmed this is usually the case. One resident told us The care is very very good and I appreciate everything they do for me. A second resident told us The care is quite good. Information provided in the AQAA confirmed that Each service user has a comprehensive care plan drawn up from the assessment undertaken prior to admission and involves the service user and frequently their representative. Monthly reviews take place with the service users input. Care plans detail action to be taken by staff to ensure care needs are met. We found evidence during our last visit to indicate that all residents are registered with a local GP and have access to health care professionals including district nurses. Appointments are recorded in residents care records. Nine surveys returned by residents indicated that they always receive the medical support they need whilst one survey indicated they usually receive this support. One resident told us Staff organise any GP visits I may need. Another resident said I am able to see my GP when I need. Two surveys returned by by health care professionals confirmed residents health care needs are always met by the service. One professional told us Appropriate concerns about health care needs are brought to our attention in a timely manner. Information provided in the AQAA confirmed that Service users health needs are fully met. Access to sight and hearing tests are arranged as needed. Residents are encouraged to maintain their current GP if at all possible. During our last visit we found evidence that confirmed medication policies and procedures are in place and staff who administer medication have received appropriate training. We asked the manager to review and risk assess the storage of medication which needs to be refridgerated. During this visit the manager showed us the amended procedure which included clear directions to staff with regard to the refridgeration and storage of such medicines. We also examined the dispensing pharmacists report following their most recent visit to Littlefair. This confirmed that the storage, administration and recording of medication in the care home is satisfactory. Care Homes for Older People Page 14 of 31 Evidence: One survey returned by a health care professional confirmed that Littlefair always supports individuals to administer their own medication or manage it correctly if this is not possible. The second survey confirmed this is usually the case. One health care professional told us I dont usually observe how this is done but staff always seem aware of medication regimes and keep accurate and up to date prescription charts. Information provided in the AQAA confirmed that Staff have received accredited training in the adminstration of medication and records are kept following competency assessments by the manager. Medication and controlled drugs records are kept and stored in accordance with legislation. During our visit we noted that care staff conduct themselves in a manner which ensures residents are treated with respect and their right to privacy is upheld. Staff were seen speaking to residents in a polite and courteous manner. They were seen to knock on doors to residents private accommodation before entering. Staff on duty were also seen to ensure bathroom doors are closed before providing personal care. Residents we spoke to confirmed staff treat them with respect. They also told they were very satisfied with the way care is provided. Information provided by the manager within the AQAA confirmed that Service users tell us staff are respectful towards them, call them by their chosen name and knock on doors before entering. Staff induction records are kept which covers privacy and dignity. Care Homes for Older People Page 15 of 31 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. Activities and social events are provided on a regular basis which cater for residents social needs and interests. Arrangements have been made to enable residents to meet spiritual needs. Residents are supported and encouraged to maintain contact with family and friends. Residents are able to exercise choice and control in their daily lives. Residents have been provided with a varied and wholesome diet which meets individual needs and preferences. Evidence: During our last visit we found evidence that, where possible, residents are enabled to exercise choice in their lives. We also noted there are opportunities to participate in social and recreational activities provided. During this visit the manager told us about a programme of activities which is provided for residents to enjoy. For example a word game was planned for that morning. Care Homes for Older People Page 16 of 31 Evidence: Although we did not observe this, several residents we spoke to informed us they intended to participate in this activity. We also noted that a religious service and communion was taking place in the dining room. We saw table decorations with a Christmas theme in the dining room. The manager informed us that they been made by residents who attended art and craft sessions. We were also informed of plans to celebrate the festive season. This included a Christmas party and a trip to a local theatre to see a pantomime. Four surveys returned by residents confirmed there are always activities arranged by the home that they can take part in. One resident told us I choose not to join in. Another resident told us I enjoy carpet bowls and hoopla. I went on a trip this week to a local garden centre which I enjoyed. Three surveys returned by residents confirmed there are usually activities arranged. One resident told us Staff are helpful if they take me out. Three residents confirmed this is sometimes the case. One resident told us Sometimes there are activities I am not interested in. I sometimes I come down for things that are special. Information provided in the AQAA confirmed that We offer a wide range of activities in the home and employ a part time activities co ordinator. Monthly trips out are organised using local specialised transport facilities. Service users are able to choose which activities or trips they attend. Service users are able to choose where they sit for meals, what they eat and drink and if they wish to practice the religion of their choice. Interests are recorded and an activities programme is circulated weekly. During our last inspection we found evidence which confirmed that residents are encouraged to maintain contact with their family and friends. During this visit we noted that several residents had visitors. We spoke to three residents and a relative who confirmed that there are flexible visiting arrangements. We were also informed that visitors to the home are always made welcome. Information provided in the AQAA confirmed that We encourage service users to maintain contact with family, friends and the local community. Service users are able to choose who they wish to see and visiting is open. During our last visit we noted that care and support provided enabled residents, where possible, to exercise choice. On this occasion we spoke to several residents and to a relative who was visiting. They all confirmed that residents were afforded choice and control over their lives. Care Homes for Older People Page 17 of 31 Evidence: The manager informed us, in the AQAA that Service users are assisted to exercise choice and contol over heir lives, including financial affairs. We spoke to the chef during our visit, who informed us that the main meal of the day consisted of a choice of braised liver casserole or steamed salmon, soya and ginger with seasonal vegetables. We were also informed of the special diets currently being catered for. We viewed the dining room which was presented in a comfortable and homely manner. Each table was laid with individual place settings, condiments and fresh flower arrangements. Christmas table decorations made by residents and bowls of fresh fruit were also present on each table. We were given copies of menus to look through. They demonstrated that the food provided is varied and wholesome. We also looked through some records of food provided. They demonstrated that alternative meals are provided if individuals do not like the meal provided or if they are poorly and require a lighter alternative such as soup. We spoke to several resident who informed us they were satisfied with the food provided. They also confirmed they were provided with enough food for their needs and food which was to their liking. Surveys returned by six residents confirmed they always like the meals provided at the home. One resident told us I would like to see cabbage and greens on the menu more often. Meals are very nice. Another resident said I like nearly all the meals. I am always offered an alternative if it is something I dont like. Four surveys returned by residents confirmed they usually like the food provided. One resident told us There is some repetition especially with puddings. Information provided in the AQAA confirmed that We provide wholesome, nutritious meals to a high standard served in pleasant surroundings. Food is well presented including liquified meals. Menus are reviewed regularly and are on display. Care Homes for Older People Page 18 of 31 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. Arrangements have been made to ensure residents or their representatives know how to make a complaint where needed. The registered manager has ensured residents are protected from abuse. Evidence: During our last visit we found evidence which confirmed policies and procedures are in place to enable residents or their representatives to raise concerns about the care provided. On this occasion we spoke to several residents and asked if they knew what to do if they needed to make a complaint. Although residents told us they have not needed to, they were quite clear that they would speak to the manager if they had any concerns. All ten surveys returned by residents confirmed they knew how to make a complaint. Several residents told us I would speak to Sue, the manager. Another resident said A form is in reception if we need to complain. Information provided in the AQAA confirmed that A complaints procedure is on display in reception and a copy is given to all service users or thier representatives on admission. Care Homes for Older People Page 19 of 31 Evidence: During our last visit we noted that policies and procedures were in place to ensure residents are protected from abuse. However, we found evidence that new members of staff had been employed to work in the care home before all crimnal records checks had been obtained. This may mean that residents have not been fully protected from possible abuse. On this occasion we looked at a selection of recruitment records of staff who have been appointed since our last visit. The information we saw confirmed that the manager has ensured this shortfall has been corrected. Appropriate checks have been obtained for all newly apponted staff before they commence work. The AQAA confirmed that improvements made in the last 12 months included Staff are not employed until two written references and a POVA First (Protection of Vulnerable Adults) clearance has been obtained. Care Homes for Older People Page 20 of 31 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. A maintenance programme is in place to ensure residents live in a safe, comfortable environment. The home is clean, pleasant and hygienic Evidence: During our last visit we noted that the care home is decorated and furnished in a homely style. The homes maintenance plan and ongoing work to refurbish and improve the facilities in the home has ensured the standard of the environment continues to be maintained and improved. We noted that checks on hot water outlets used by residents were being carried out yearly. We recommended that the manager contacts their local environmental health officer for advice on this. On this visit the manager informed us that she had chosen not to contact the EHO. However she had made changes to the frequency of the checks. The manager has instructed maintenance staff to carry out checks on a random selection of ten outlets per week. We were shown documentary evidence which demonstrated this has been done. We also noted during our last visit that there were concerns about the security of the Care Homes for Older People Page 21 of 31 Evidence: front door to the home. We noted on this occasion that the front door has now been made secure. During this visit we went round the care home accompanied by the manager. We visited a selection of bedrooms, bathrooms and toilets, and the lounge and dining areas. We also went into the kitchen. We noted that the areas we viewed were clean, comfortably furnished and decorated in a homely manner. Residents we spoke to during this visit confirmed they are very satisfied with their accommodation and also the standard of cleanliness in the home. Seven surveys returned by residents confirmed the home is always fresh and clean. One resident told us My room is lovely and kept clean. Another resident said I am happy with the cleaning. Three surveys confirmed the home usually fresh and clean. One resident said Sometimes you get the odd spill but, otherwise, I am happy. Another resident commented The carpets need replacing. Information supplied by the manager in the AQAA confirmed that appropriate maintenance checks have been carried out on the premises to ensure it is safe. We have also been informed that regular servicing has been carried out on equipment and boilers to ensure they have been maintained in accordance with relevant regulations. Care Homes for Older People Page 22 of 31 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. The numbers and skills mix of staff provided are sufficient to meet the current needs of residents. The manager has ensured residents are in safe hands at all times. Recruitment procedures and practices have ensured residents are supported and protected from possible abuse. Staff have been provided with training which ensures they are competent to do their jobs. Evidence: During our last visit we found evidence which confirmed that a staff recruitment drive was in process to improve the continuity of staffing in the home. This was discussed with the manager who stated that that it had been a difficult period for staffing in the home, which had led to a high use of agency staff. The manager also agreed to review staffing levels to ensure adequate numbers remain on duty whilst staff are taking Care Homes for Older People Page 23 of 31 Evidence: breaks. During this visit we were given copies of staff rotas for the period 9th November 2008 to 3rd January 2009 to examine. They indicated that five care staff are deployed to work during the morning, afternoon and evening shifts. Three awake staff are deployed at night. The rotas also indicated that there was still some use of agency staff to cover vacant day and night time shifts. In addition catering and domestic staff are employed to ensure residents are provided with meals and the care home is kept clean and tidy. The manager also informed us that improvements had been made to the way staff break times are managed. Following discussion with staff during a meeting, which took place after our last visit, break times are now recorded on shift reports and are monitored daily by the manager to ensure there are sufficient staff on duty to meet residents needs. Five surveys returned by residents confirmed staff are always available when they are needed, whilst five confirmed this is usually the case. Three residents told us I will ring my bell when I need them. We also spoke to several residents during our visit. They confirmed they were satisfied with the care provided. We also spoke to a relative who was visiting at the time of our inspection. They told us The staff are excellent. But they are so busy they do not have the time to sit and talk to people. Information within the AQAA confirmed that Staffing ratios are based on the Residents Forum staffing model. Staffing levels are automatically generated by computer on a daily basis and are reviewed weekly by the manager/administrator. During our last inspection we found evidence that criminal records checks had been obtained on new staff after they had commenced work in the care home. This means vulnerable residents may not be adequately protected from possible abuse. On this occasion we examined recruitment records of three care staff who have been appointed since our last inspection. They demonstrated that the manager has obtained all necessary checks, including criminal records checks on staff before they start to work in the care home. During our last visit we found evidence which confirmed care workers are being provided with training to ensure they can meet the care needs of residents. On this occasion we spoke to three care staff who were on duty. They informed us of the training they had received. This included mandatory training such induction training, fire safety, manual handling, first aid, identifying and reporting possible abuse. Surveys returned by five members of staff confirmed they had received training Care Homes for Older People Page 24 of 31 Evidence: which helped them understand and meet the needs of individual residents. They also confirmed that the training they have received has kept them up to date with new ways of working. We also examined training records which are kept on computer. This confirmed training provided to each member of staff together with dates of completion. Information provided in the AQAA confirmed that of the 25 permanent care workers employed in the care home, 23 had completed a recognised induction programme, whilst 14 care staff held the National Vocational Qualification (NVQ) at level 2 or above. Care Homes for Older People Page 25 of 31 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 demonstrated she is fit to be in charge and is able to discharge her responsibilities fully. The manager has ensured the home is being run in the best interests of the residents. She has also ensured residents financial interests are safeguarded. There are systems in place to ensure the health, safety and welfare of residents and staff have been protected. Evidence: During our last visit we found evidence that the the home benefits from a manager who ensures an open, supportive, homely and caring environment. During this visit we met with Mrs Sue Dorman, the registered manager, who has been in post for the past ten years. She informed us she continues to undertake regular Care Homes for Older People Page 26 of 31 Evidence: training to update her knowledge, skills and competence. It was also clear that residents have benefitted from Mrs Dormans abilities and skills in managing the care home. We spoke to several residents, and a relative during our visit. Everyone we spoke to were very satisfied with the way in which Littlefair has been managed. They told us Mrs Dorman and her staff are always available to speak to if they have concerns about the running of the care home. During our last visit we found evidence that a quality assurance was in place. This process enables the manager to seek the views of residents or representatives on a regular basis. Residents we spoke to told they have consulted regularly with regard to the day to day running of the care to ensure it is being run in their best interests. Information provided in the AQAA confirmed that Quality assurance and monitoring systems are in place, based on the views of service users which enable us to measure our success in meeting the aims and objectives of the home. During our last visit we found evidence that residents financial interests have been safguarded. The care home has a system for the recording and safekeeping of money and valuables should a resident require this facility. However, residents we spoke to confirmed they did not need to use this facility. Information provided in the AQAA confirmed that Service users are able to control their own finances if they wish and are able to do so. Secure facilities are available for safekeeping of money and valuables. During our last visit all staff we had spoken to confirmed attandance at fire safety training, but one care worker informed us they had not attended a fire drill. We spoke to the manager who informed us a further fire drill had already been booked and she would ensure staff had attended. During this visit we examined records of fire drills and fire safety training. This confirmed all staff had attended sessions at intervals specified by the fire safety department. Information provided in the AQAA confirmed that all staff have received training in health and safety and other related subjects. The AQAA also confirmed that the premises and all equipment within the care home had received regular maintenance checks to ensure the safety and wellbeing of residents and staff. Care Homes for Older People Page 27 of 31 Care Homes for Older People Page 28 of 31 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 29 of 31 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 30 of 31 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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