Inspection on 15/01/09 for Lordington Park

This inspection was carried out on 15th January 2009.

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

Lordington Park 27/02/07

Lordington Park 31/01/06

Lordington Park 28/07/05

Lordington Park 15/02/05

Lordington Park 26/10/04

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lordington Park Lordington Park Lordington Chichester West Sussex PO18 9DX     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 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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 © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Lordington Park Lordington Park Lordington Chichester West Sussex PO18 9DX 01243371536 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs E Rutland,Mrs J Smith,Mr David Harold Rutland,Mrs Fiona L Gordon-Smith Name of registered manager (if applicable) Mrs E Rutland Type of registration: Number of places registered: care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Lordington Park is a privately owned care home registered to accommodate up to eighteen residents in the category older persons not falling within any other category (OP). Lordington Park is situated approximately eight miles from Chichester. The property is a large detached house set in its own grounds and providing eighteen single rooms with en suite facilities on the ground and first floors. A vertical lift provides access between the floors. Communal accommodation includes a dining room and a large drawing room situated on the ground floor. The registered providers of this care home are Mr D Rutland, Mrs E Rutland, Mrs F Gordon-Smith, and Mrs J Smith. The registered manager, who is responsible for the day-to-day running of the establishment, is Mrs E Rutland. The current scale of fees being charged at the home is Care Homes for Older People Page 4 of 30 Over 65 18 0 Brief description of the care home from 650 to 850 pounds per week. This does not include personal items such as toiletries, hairdressing and chiropody. 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 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 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 documents Care Homes for Older People Page 6 of 30 will be referred to in the report. A visit to the care home was made on Thursday 15th January 2009. 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. 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 six hours. Mrs Smith 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 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 Care Homes for Older People Page 8 of 30 240 7535. Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 Lordington Park 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 Lordington Park does not provide intermediate care this standard was considered to be not applicable. Evidence: During our last inspection we found evidence that prospective residents and their families have the information they need to make an informed choice about where they want to live. We also found that residents have their needs assessed before they move Care Homes for Older People Page 11 of 30 Evidence: to the home permanently, so that they know that the home can meet those needs. There is also an opportunity to visit the home, have a short stay and assess its suitability so that prospective residents know what facilities and services are offered. During this visit we noted that an up to date copy of the homes statement of purpose and service user guide were on display in the front hallway. A copy of the service users guide is also available in each residents private accommodation. All residents who returned surveys confirmed they had received enough information about Lordington Park before moving in so they could decide if it was the right place for them. One resident told us My daughters visited and made the decision for me. We spoke to several residents during our visit. One resident told us, My daughter heard of Lordington Park. She arranged to have a look around the care home. She then arranged for me to have a two week trial stay to see if I liked it. Another resident told us, My doctor recommended Lordington Park to me. I came for a week initially. I found I liked it, so I decided to stay. During this inspection we found evidence that confirmed potential residents continue to be individually assessed prior to admission to ensure their care needs can be met in the care home. We found this by looking through the care records of three residents, one of whom had recently been admitted. 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, We have a brochure that gives comprehensive information about Lordington Park and the way it is run. We do not advertise, residents have all been recommended to us. We prefer that prospective residents have a short stay with us so that they are sure they are making the right decision with regard to their future. We could find no evidence which confirmed this care home provides intermediate care. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual care plans have been drawn up for each resident which give clear information about the care needs of residents and the action staff should take to meet them. 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 care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal Care Homes for Older People Page 13 of 30 Evidence: and social care needs. During this visit we found evidence that care plans had been drawn up for each resident and have been based on information gathered by pre admission assessments. Care plans identified routines of daily living for each resident and identified the level of care each person required to carry them out. There was also information and guidance provided to care staff with regard to the actions required of them to provide the level care needed by each resident. Reviews of care plans have also been routinely carried out, and where necessary care plans have been updated. We could find no evidence that residents had been consulted when care plans have been drawn up and reviewed. Mrs Smith informed us that she does discuss them with residents and relatives and invites them to sign the care plan. However, Mrs Smiths invitiation is often declined. We recommended that Mrs Smith makes a note of this within the residents care records when such consultations take place. We also found evidence that risk assessments had been routinely carried out. However, we also noted that on occasion, the outcome of such assessments were not recorded within the care plan. We discussed this with Mrs Smith who agreed to make the necessary amendments. Surveys returned by two residents confirmed they always receive the care and support they need, whilst three surveys confirmed this is usually the case. We also spoke to several resident during our visit. They confirmed they were very satisified with the quality of care provided. One resident told us, The staff are very helpful. They ask me if there is anything they can do for me. Another resident told us, The staff are very nice. I like them, they are very helpful. Information provided in the AQAA confirmed that, We assess residents, identify their requirements, plan and implement the care required on a very individual basis. We listen to residents, relatives and friends to improve any aspect of care that is given. We maintain very high standards of care. During our last visit we found that residents healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. During this visit we saw that visits by health care professionals such as doctors and district nurses to provide treatment to individual residents are routinely recorded in care records. All the surveys returned by residents indicated that they always receive the medical support they need. We also spoke to some residents during our visit. One resident told us, My medical needs are well catered for. If I am not well, I will ask the staff to Care Homes for Older People Page 14 of 30 Evidence: arrange for my GP to visit. We were also able to speak to a local doctor who was attending to some of the residents. He told us, This is a Rolls Royce service. Residents are afforded excellent care. The hands on knowledge of the manager and her staff is exceptional. We have good communciation between my practice and Lordington Park. The manager and her staff have extensive knowledge of providing care to elderly people. During our last visit we found evidence that residents are treated with dignity and their right to privacy is respected. On this occasion we observed care practices and found that staff are respectful when speaking to residents and ensure residents are treated with dignity when personal care is being provided. Staff were seen to address residents using the name and title they prefer. Staff were seen to knock on the doors to residents private accommodation and wait for a response before entering. We spoke to several residents. They informed us they felt well treated by the manager and her staff. One resident told us, I find all staff at Lordington Park are very respectful to me. During our last visit we found that the home can demonstrated satisfactory medication handling. On this occasion we looked at care records and medication records. We noted that care records identified residents who have the capacity and who wish to handle their own medication. We also noted that a secure facility had been provided to store all medication. We were satisfied that medication records had been well maintained and were up to date. We noted that staff handle who medication had been provided with appropriate training. We discussed the homes practices of storing and administering medication with Mrs Smith. She was able to clearly demonstrate they continue to support residents who wish to look after their own medication and protect all residents within 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines in the home continue to be flexible, allowing residents to have control over their lives where possible and encourages residents to make choices about what they wish to do. Activities continue to be offered by the home which take into account the hobbies and interests of residents. The home continues to support residents in maintaining contact with family and friends. Home cooked food continues to be provided to a good standard. Alternative meals are provided as required. Evidence: During our last inspection we found evidence that the home has flexible routines which allows people to make choices and to have control over their lives. Care Homes for Older People Page 16 of 30 Evidence: During this visit we looked through a selection of care records. We noted that information with regard to residents contact with family members, hobbies and interests and personal preferences with regard daily routines had been recorded. We also spoke to several residents. One resident told us of ther plans for the evening. They told us, My daughter is coming to take me to a chamber concert. I will be getting an early supper served in my room so that I will be ready for her. We were also informed that residents prefer to go to their rooms after lunch. Some prefer to spend the majority of their day in their own room. We also spoke to some care staff who were on duty. They described to us their role as carers and their duties. This included providing residents with appropriate and support assistance so they could spend the day as they wished. Surveys returned by residents confirmed that staff listen to them and act on what they say. We observed that residents chose to receive visitors and were taken out by them. We also noted that residents were not expected to get up for breakfast. Some had chosen to have breakfast in their own room and then get up at a pace which suited them. We concluded that the routines of the care home supported residents in making their own decisions about how they wished to spend their day. Residents we spoke to told us that some activities are provided at Lordington Park. We were told about a film evening where some residents watched Mama Mia in the drawing room. We were also told about a recent concert evening where a jazz pianist was invited to the care home to play for the residents. One resident told us, Yesterday we saw the film, Mama Mia. We dont have a lot of activities as the residents prefer this. Another resident told us, I like to read and to listen to the radio. I have my own books, but there is also a library in the home. There is also a mobile library that visits regularly to exchange books. One survey returned by a resident confirmed there is always activities arranged by the home they can take part in. One survey confirmed this is usually the case. The resident informed us, I dont always avail myself of them. Two surveys confirmed there are sometimes activities available. One resident told us, Concerts are arranged occasionally and are very good, but otherwise life is quiet. It is understood that most residents do not favour arranged activities so there is little demand. One survey confirmed activities are never arranged. The resident informed us, Although there are some lovely concerts we can attend, and sometimes a comedian. There is communion sometimes which I like to go to. Information provided in the AQAA told us that, We provide a comfortable environment Care Homes for Older People Page 17 of 30 Evidence: in which residents are encouraged to continue living their normal lives but with support as required. Our residents live independent lives and, on the whole, arrange their own social diaries. We often offer sherry before lunch in the drawing room. We recently held a private piano concert by an international jazz pianist. We spoke to the cook during our visit who told us about the main meal of the day that was being prepared. This consisted of home made pepper and tomato soup, roast beef, roast potatoes, parsnips, carrots, cauliflower and brocolli with Yorkshire pudding and gravy, followed by apple strudle and cream. Whilst a choice of menu is not routinely provided, alternative meals are provided for residents who require this. For example a lighter meal is provided for residents who are unwell or those who do not wish to have the main meal. We looked through records of food provided which demonstrated when alternative meals have been provided. We were given copies of recent menus to look through. They demonstrated that a varied, wholesome and appealing diet is provided to residents. We spoke to several residents who confirmed they were very satisified with the food provided. One resident told us, The food is excellent. Another resident said, I dont like liver or curry. The kitchen is very accommodating. They go out of their way to ensure I have the food I like. Three surveys returned by residents confirmed they always like the meals at the home, whilst one survey confirmed this is usually the case. One survey confirmed the resident sometimes likes the food provided. They also informed us, I am critical about the food. 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. The homes complaint procedure enables residents and their relatives to have the confidence that any complaints they make will be taken seriously and acted upon. The registered provider has made the necessary arrangements to ensure residents are protected from possible harm or abuse. Evidence: During our last visit we found evidence that the homes complaint procedure enables those using the service to have the confidence that any complaints will be taken seriously and responded to. On this occasion we noted that a written complaint procedure has been included in the homes statement of purpose and service users guide. Copies of these documents are readily available to residents and their relatives. Whilst no complaints have been received, we were shown the process by which any complaints received would be recorded and investigated. Four surveys returned to us by residents confirmed they knew how to make a complaint. One survey confirmed the resident did not know the procedure. However, they informed us, But I could make a pretty good guess! Care Homes for Older People Page 19 of 30 Evidence: Residents we spoke to confirmed they knew who to speak to if they wished to make a complaint. One resident told us,I would speak to Mrs Smith or to Mrs Rutland. Information provided within the AQAA confirmed that, We are very much involved in the daily running of the home and have daily contact with residents and have close contact with their relatives. Should any complaints or concerns arise we are on hand to deal with them immediately, and to bring them to a satisfactory conclusion before the matter becomes a problem. All residents are aware of how to make a complaint. There is a copy of the complaints procedure in their contract and service users guide. There is a copy of this in the hall. During our last visit we found evidence which confirmed the registered person has made arrangements to protect residents from being placed at risk of harm or abuse. We spoke to some staff who were on duty. They confirmed they have received training from Mrs Smith with regard to identifying different types of abuse. Following discussion the staff were able to demonstrate they knew the different categories of abuse that they might encounter. They were also able to explain who they should notify if they witnessed an incident where a resident had been abused. We spoke to Mrs Smith about the training that had been provided to staff. We were informed that she had conducted a training session for all staff which covered the subject of safeguarding vulnerable adults. However, as this was in house, no record had been kept of the session. Following discussion, we recommended that such sessions are recorded so that evidence could be provided to demonstrate staff had received the necessary training in this area. Residents we spoke to confirmed they were satisfied with the quality of care provided. They also confirmed they felt they were in safe hands. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home continues to be maintained to a high standard of cleanliness and decoration. Residents are provided with a comfortable and homely environment in which to live. The home has been well maintained, ensuring it is safe for residents and staff. Evidence: We looked at the private accommodation of several residents along with the communal areas, including the dining room and the drawing room . These areas were exceptionally clean, decorated and furnished in a comfortable manner that met the needs of the residents accommodated. Residents have been encouraged to bring personal effects and small items of furniture in order to make bedrooms as individual as possible. Surveys returned by residents confirmed the home is always fresh and clean. We also spoke to several residents during our visit. Residents told us they are very happy with their accommodation and the beautiful views it affords them of the surrounding countryside. One resident told us, The drawing room is simply lovely. It is a joy to sit in it! Residents also told us that they have been able to bring their own possessions with them, including some furniture, ornaments, books, pictures and photographs. This means they are able to personalise their accommodation to suit their own taste. Care Homes for Older People Page 21 of 30 Evidence: We also visited the kitchen area, the laundry, and several bathrooms. We noted that these areas have been maintained to a high state of cleanliness. Information within the AQAA stated that, We pride ourselves on providing a homely environment which is decorated, furnished and maintained to a high standard. We maintain a clean environment that is odour free. The grounds are also well maintained and we encourage our residents to make use of them. Residents are encouraged to bring their own furniture and personal belongings so that they can make their room their own. Information supplied within the AQAA also confirmed that policies and procedures are in place for staff to follow to ensure the risk of cross infections is reduced. It also confirmed the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. 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. The needs of residents living at Lordington Park continue to be met by a competent staff team. Residents are protected by the homes recruitment procedures and practices. Staff have been trained so that they are competent to do the work expected of them. Evidence: During this visit we were given copies of staff rotas to look through. They showed that there are two care assistants from 8am to 8pm each day supported by either Mrs Smith or Mrs Rutland. From 8pm to 8am each night there are two waking care assistants who are available to meet residents personal care needs. In addition housekeeping staff are on duty to cook meals, carry out laundry duties and to clean the premises. We looked through a selection of care records, which demonstrated there are sufficient staff on duty to meet the current care needs of residents. One survey returned by residents confirmed staff are always available when they are needed, whilst four surveys confirmed this is usually the case. Residents we spoke to during our visit confirmed they are very satisfied with the care provided. One resident told us, The staff are very helpful. They always ask if there is anything they can do for Care Homes for Older People Page 23 of 30 Evidence: me. Information supplied in the AQAA informed us, We have a very small turnover of staff. Our staff are very loyal and hard working. We looked through the recruitment records of three staff who have been appointed since our last visit. These records demonstrated that the registered providers have obtained appropriate checks for staff, including criminal records checks. However, we could not find evidence that the manager had routinely obtained relevent documentation to confirm their identity. We spoke to Mrs Smith who informed us that she has only recently found it necessary to recruit new staff to work at the home. Mrs also informed us that she is, therefore, not familiar with the documentation she should obtain to ensure staff recruited are fit to work at the care home. We advised her to refer to the current regulations. Mrs Smith readily agreed to ensure she familiarises herself with this legislation. Surveys returned by staff confirmed their employer had carried out appropriate checks and had obtained references before they started work at the care home. We looked at staff training records. They demonstrated that newly appointed staff undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents rights, independence, choice and dignity. Training records also provided evidence that confirmed staff have been provided with mandatory training such as fire safety, health and safety, manual handling and food hygiene. Staff surveys returned us confirmed induction training covered everything they needed to know to do the job when they started. They also confirmed they had been given training which is relevant to their role, helps them understand and meet the needs of residents and keeps them up to date with new ways of working. We spoke a group of staff who were on duty. Following discussion, they told us about their role in the care home, the training they have undertaken and the work they are expected to do to ensure residents needs have been met. We were informed that two members of staff are currently working towards obtaining the National Vocational Qualification in Care at Level 2. We were able to speak to their tutor who was also visiting the care home to assess progress in their studies. The tutor told us, I have observed that principles of good care are being put into practice at Lordington Park. I also believe that the staff understand why this is important. Care Homes for Older People Page 24 of 30 Evidence: The registered provider has identified within the AQAA an area that has been improved over the last 12 months as, All staff have undertaken manual handling and food hygiene training. Three members of staff have completed several of their NVQ level 2 modules and should obtain their NVQ early in the new year. Care Homes for Older People Page 25 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. Residents continue to benefit from a well managed care home which has been run in the best interests of residents. The health and safety of residents and staff have been promoted and protected. Evidence: During our last visit we found evidence which demonstrated Lordington Park has been well managed and has been run in the best interests of residents. The registered manager of Lordington Park is Mrs Rutland. Mrs Smith, who is one of the registered provider also helps with the day to day running of the care home. Whilst Mrs Rutland was not available, Mrs Smith was present throughout our visit and helped us with our enquiries. On this occasion Mrs Smith informed us that it is usual for staff meetings to be held Care Homes for Older People Page 26 of 30 Evidence: informally in the dining room. This takes place during a tea or coffee break that staff during the morning. Mrs Smith informed us that a range of subjects are discussed including staff training, staff holidays and daily routines. Whilst we would not want to change the routine, we have recommended that a record is kept so that Mrs Smith can demonstrate the home is being run in the best interests of residents. Mrs Smith has ensured each member of staff is supervised regularly. We looked through records of these sessions which indicated they take place every 2 months. Staff we spoke to during our visit confirmed this was so. They also told us they felt well supported by the management of the care home. Mrs Smith informed us that, in her view, resident meetings may not be appropriate. However, Mrs Smith did inform us that either she or Mrs Rutland regularly speaks to each resident to ensure they are getting all they need. If residents identify something which they are unhappy about, changes will be implemented if possible. Mrs Smith gave us an example that the time of the evening meal has been changed to suit the requirements of residents. Mrs Smith informed us that, recently, residents have been asked to complete satisfaction questionnaires about their views of the care home. They have been completed and returned and Mrs Smith has drawn up a report of the findings of the questionnaires. We looked at the report and noted that it also included an evaluation of the results and an action plan to be followed to make improvements where identified. During our last visit we found evidence which confirmed that all residents either manage their own financial affairs or have appointed family members or solicitors to act on their behalf. The home does not act as an appointee for handling the fiancial affairs of any resident. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. The registered provider has supplied us with information in the AQAA that indicates equipment such as boilers; other gas installations and electrical equipment have been regularly serviced and maintained. Residents have told us that they are satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as fire safety training, moving and handling and food hygiene. 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 © (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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