Inspection on 08/01/09 for Maryfield Convent

This inspection was carried out on 8th 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

Maryfield Convent 09/01/07

Maryfield Convent 07/03/06

Maryfield Convent 18/10/05

Maryfield Convent 23/12/04

Maryfield Convent 01/09/04

Maryfield Convent 05/03/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Maryfield Convent London Road Hook Hampshire RG27 9LA     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: Christine Bowman     Date: 0 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 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: Maryfield Convent London Road Hook Hampshire RG27 9LA 01256762394 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): sisters@maryfieldhook.fsnet.co.uk Congregation of Dominican Sister Name of registered manager (if applicable) Sister Celestina Cini Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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: Old age, not falling within any other category - OP The maximum number of service users who can be accommodated is: 13 Date of last inspection Brief description of the care home Maryfield residential care home is registered to provide accommodation for 13 people who are within the category of old age. The home is owned and managed by the Congregation of Dominican Sisters of Malta. The home endeavours to provide a homely and relaxed environment for service users. Staffing is provided twenty-four hours a day. Visitors are welcome and service users families are encouraged to play an active part in their relatives life where appropriate. The home has well-established links with local General Practitioners and nursing services to support and enhance the care provided. The home is situated in a small village of Hook and is set within the grounds Care Homes for Older People Page 4 of 31 care home 13 Over 65 13 0 Brief description of the care home of the convent, which is attached. The home is a three-storey building and accommodation is provided on the first floor. The current fees range between #320 and #480 per week. There are additional charges for hairdressing, chiropody, toiletries, newspapers/magazines and holidays. 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: This inspection report includes information gathered about the service since the previous site visit on 9th January 2007 under the Commissions Inspecting for Better Lives (ILB) process. The registered manager Sister Celestina Cini, had completed an Annual Quality Assurance Assessment (AQAA) giving some up-to-date factual evidence about the running of the home and informing us of what they think they are doing well, how they have improved the service and of their plans for further improvements. Although only a sample number of surveys had been sent to the home, all the residents wished to make their views known, so copies had been made and feedback obtained from all the residents. Five staff and two healthcare professional also returned surveys, giving their views on the care and support given to the residents. An unannounced site visit was conducted on 8th January 2009, to assess the outcomes of Care Homes for Older People Page 6 of 31 the key inspection standards for older people with respect to the residents living at the home. The registered manager and deputy manager were interviewed and provided support for the inspection process by making residents and staff files and other documents available to be sampled. A partial tour of the premises was undertaken and some of the residents bedrooms and communal areas were viewed. A number of staff and residents were spoken with throughout the day and observations were made of the residents and of staff as they carried out their duties. What the care home does well: What has improved since the last inspection? The manager wrote in the AQAA that, we actively encourage residents of all backgrounds to join our home and seek to reflect the ethnic and cultural diversity representative of the local population. A drawback to this aim was that the general public believed that only Catholic applicants would be accepted. However, the home already accommodated residents, who were not of the Catholic faith, and the manager wrote that, local authority referrals have been actively sought to demonstrate their determination to encompass residents of all faiths and backgrounds. Over the last twelve months, the manager stated, we have endeavoured to offer a more personalised service, taking into account all the special needs of our residents. We have made substantial improvements in our menus, catering for individuals preferences and dietary requirements. Since the previous site visit all the staff had received training in infection control, the Protection of Vulnerable Adults and Understanding Dementia to raise their awareness and to support them in their work. Care Homes for Older People Page 8 of 31 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 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 are supplied with information about the home to help them to decide if is the right place for them and that it is able to fulfil their needs. Relatives and representatives are involved in completing the pre-admission assessment to ensure the home is made aware of the prospective residents individual needs. Evidence: Since the previous site visit the home had reduced the number of registered beds from twenty-six to thirteen. All the bedrooms in current use were on the first floor and the second floor was vacant. This was not due to lack of enquiries, because the home had a waiting list of prospective residents wishing to live there, and an excellent reputation locally, as confirmed by a visitor on the day of the site visit. This had been a management decision. Some of the current residents stated they had heard of the good reputation of the home prior to being placed on the waiting list. All the residents confirmed, in the surveys they completed, that they had received sufficient information Care Homes for Older People Page 11 of 31 Evidence: about the home before they moved in to decide if it was the right place for them. Comments included, a Catholic home was required so I could attend Mass daily, there was a successful trial period, which confirmed my first impressions, I was very happy to join Maryfield Convent Residential Home and I was very fortunate that a place became available when I had to move from my house. The service user guide offered the required information to prospective residents but was in need of a review to include the contact details of the CSCI to inform residents, their relatives and representatives. The manager wrote in the AQAA that, we actively encourage residents of all backgrounds to join our home and seek to reflect the ethnic and cultural diversity representative of the local population. A drawback to this aim was that the general public believed that only Catholic applicants would be accepted. However, the home already accommodated residents, who were not of the Catholic faith, and the manager wrote that, local authority referrals have been actively sought to demonstrate their determination to encompass residents of all faiths and backgrounds. The pre-admission assessment had been completed with prospective residents relatives or representatives and requested personal information with respect to equality and diversity including ethnic background and religion. It also gathered information with respect to the prospective residents health, sensory abilities and needs, mental awareness, mobility and ability to self-care and recorded the level of personal support they required. Special dietary needs were also included to enable a personalised care plan to be compiled. The home encouraged relatives or representatives to accompany prospective residents to visit the home and take a meal with the current residents prior to moving in. A trial period was offered to help new residents to decide if the home was right for them. 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. Care plans addressed the residents health, personal, emotional, social and spiritual care needs and residents had been involved in compiling them. Safe arrangements were in place for the handling of medication to protect the residents and the staff and the residents right to privacy was upheld and their dignity maintained. Evidence: Residents files sampled included individual care plans, which had been reviewed on a monthly basis and had been signed by the residents to confirm that they agreed with the contents. Health, personal care, social, emotional and spiritual needs were recorded and residents individual likes and dislikes and special preferences included to inform the staff. Degrees of independence were recorded to highlight where support was required to enable residents to remain as independent as possible. Special instructions to the staff on how to reduce identified risks promoted the safety and protection of the residents. Twelve of the thirteen residents, who completed surveys, confirmed they always received the care and support they needed and one that they usually did. Comments included, the sisters are brilliant and the standard of care is Care Homes for Older People Page 13 of 31 Evidence: excellent, I always receive full support for any need I have and if I need anything, there is always someone to help me. Residents spoken with on the day of the site visit stated that they were very satisfied with their care. A relative, who supported a resident to complete a survey wrote, the staff have been extremely supportive in enabling my mother to live as happily as possible. Records showed that residents were registered with a General Practitioner (GP) and any changes made as a result of consultations were recorded to inform the staff. The five staff, who completed surveys, confirmed that they were always given up-to-date information about the residents needs. Weekly visits were made to the home by a GP from the local practise and the manager stated that community healthcare professionals were accessed through the GP. Records showed that community nurses also visited the home and the manager stated that the homes vehicle was used to take residents on appointments to hospital consultants, dentists and opticians. When relatives were not able to attend, the staff accompanied residents, who needed support. A chiropodist visited the home every six weeks. Medication administration records inspected had been completed in a satisfactory manner, showing that residents had received the required dosage of their prescribed medication, as set out by their medical practitioners, and there were no unexplained gaps in the recordings. The staff, who took responsibility for this task had received training in the safe handling of medication, and their individual training and development logs confirmed this. Individual residents records did not contain a photograph to identify them but it was clear that the staff, who had all been working at the home for more than two years, knew the residents very well. Records were kept of medication received and returned to the pharmacy to ensure it was all accounted for. The manager stated that should residents wish to take responsibility for their own medication, risk assessments would be undertaken and suitable storage facilities in bedrooms was available, but all the current residents had chosen to have their medication administered by the staff. Observations of the staff throughout the day was that they were very cheerful, and respectful and polite in their interactions with the residents, who smiled in response to them and appeared relaxed and happy in their home. Bedroom accommodation was in single rooms so consultations with healthcare professional and private meetings with relatives and representatives could be held in residents bedrooms with the assurance of confidentiality. Two healthcare professionals, who completed surveys confirmed that the home always respect individuals privacy and dignity and one commented, residents have their own rooms and are encouraged to maintain dignity. Some residents had their own personal telephone lines connected and telephone calls could be taken in private in the office. Care Homes for Older People Page 14 of 31 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. Residents were involved in choosing activities and entertainment, were able to keep in touch with their relatives and representatives, and be involved in their local community. They enjoyed a balanced nutritious diet in attractive, sociable surroundings, but could also choose to eat alone. Evidence: Due to the ordered and disciplined lives of the nuns, who staff the home, some of the daily routines followed a set pattern, which suited most of the residents spoken with. However, those who did not wish to participate in devotional practices had no desire to displease the staff, who were so dedicated, selfless and kind. Mass consisted of a halfan-hour service commencing at 10:00 am in the chapel of the convent, which was attached to the home. Most of the residents attended this service and gathered afterwards in a ground floor room of the home for the coffee club. The room had been provided with a large table, chairs and tea and coffee making facilities, and the manager stated that some of the neighbours also came for the service and to socialise with the residents. Residents visitors were also welcome to make drinks and to use this room and other small private rooms were available to visiting relatives to meet with their relatives in addition to their bedrooms. Afternoon religious observance was a Care Homes for Older People Page 16 of 31 Evidence: prayer meeting in a sitting area on the first floor, where the residents bedrooms were located. Most of the residents had relatives, who visited regularly to take them out and the home celebrated residents birthdays and other events, such as garden parties in the summer and, invited relatives to join in. A car was available for trips to the local garden centres, shopping and visiting places of historic interest. The village hall was close by and residents attended concerts there. Some were able to access the local community independently for shopping and hairdressing and a visiting hairdresser attended the home regularly for the convenience of the residents. Newspapers were delivered and the mobile library exchanged books, including large print for those with visual impairment, every six weeks. Bingo sessions, quizzes, exercises, weekly visits from a PAT dog and singing and musical entertainment sessions were organised regularly, the manager stated, but there was no organised programme for residents to inform them of these sessions. Five of the thirteen residents, who completed surveys, confirmed that there were always activities arranged by the home that they can take part in, three thought there usually were and five that there sometimes were. Comments included, we are very much a part of the thriving Catholic parish church next door and some weeks seem very busy with various activities taking place, bingo, exercise to music, sometimes a concert of children singing and sometimes sister takes four of us for a car drive, I would like more stimulating activities and the spiritual aspect of the home is paramount and I am blessed and fortunate to participate in daily Mass and prayers. Truly I am thankful for this. Residents were consulted about the events held at the home in residents meetings. The minutes of the previous meeting confirmed that nine of the thirteen residents had attended, participated in the meeting and taken an active part in giving their views on the menu for Christmas lunch and tea and the entertainment for the Christmas party. Feedback from residents expressed at the meeting was also recorded and comments included, living here is safe, feeling relaxed and comfortable, getting more confident and happier, and looked after magnificently. The dining room was set out with tables for four. The tables were laid with white tablecloths overlaid with red for Christmas, small vases of flowers, glasses, and place settings. The furniture was solid and comfortable and the room was light and spacious with large windows overlooking the gardens. A large dresser, piano and domestic lighting gave the room a homely feel and a compact disc player was playing Christmas music for the enjoyment of the residents. The food was home cooked and a sample of the lunch served on the day, of rissoles, broccoli, Brussel sprouts, mixed vegetables, new potatoes and gravy confirmed it tasted as good as the appetising aroma promised. Fresh fruit was available in addition to a sweet dessert. Five of the residents Care Homes for Older People Page 17 of 31 Evidence: who completed surveys recorded that they always liked the meals at the home, six that they usually did and two that they sometimes did. Comments included, the food is excellent and there is always a choice at mealtimes, very nice home-cooked food, the menu is healthy, well balanced and the food is always home-cooked and tastes delicious, I enjoy all but a couple of meals - and that to be fair is mostly because I am generally a fussy eater, and the food is monotonous and more variety would be appreciated. Residents were encouraged to eat in the dining room and to socialise, but could choose to eat in their bedrooms if they wished. Breakfast and tea were served on trays in bedrooms and meals were served at set times. 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. Residents are confident they will be listened to, should they express concerns, and a satisfactory procedure is in place to deal with complaints, should they arise. Residents are protected from abuse by well-informed staff, who know how to protect them. Evidence: The service user guide informed residents, their relatives and representatives how to make a complaint, but did not include the current contact details of the CSCI. Twelve of the thirteen residents, who completed surveys, confirmed they knew how to make a complaint and one stated they would ask their family to complain if the need should arise. Comments included, the need has not arisen, yes I know how to make a complaint, but I have never needed to complain about anything. I am always happy here, and any issues are always taken seriously and acted upon immediately. This I know as fact as I am never afraid to speak my mind. The AQAA recorded that there had been no complaints over the previous twelve months. A copy of the local authority safeguarding policy and procedures was available in the home to inform the staff, should they need to make a referral, and since the previous site visit, a training video on the protection of vulnerable adults from abuse had been purchased for the staff. It is the responsibility of the home to ensure that any agency staff working there have received this training. No referrals had been made to the safeguarding adults team over the previous twelve months. Care Homes for Older People Page 19 of 31 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. Residents live in a comfortable, safe and well-maintained home, which fulfils their needs and is clean, fresh and odour free. Evidence: The home was an impressive three story building located in the grounds of the convent, to which it is attached and adjacent to the community Catholic church. It was situated off the main A30 road running thought the village of Hook and within easy access of local amenities. Standing well back from the road and with a large car parking area to the front of the building, and gardens surrounding it, the home had been purpose-built to cater for the needs of older people. The entrance to the home was welcoming and Christmas decorations including a large tree and a crib provided a colourful display. The manager stated that the large potted plants, which usually stand in the entrance hall, would soon be returned. A tour of the premises including the communal space and some of the residents bedrooms was undertaken. The lounge on the ground floor, close to the entrance, was comfortably furnished and homely. It was lit by a chandelier; there were framed pictures on the walls, comfortable seating, occasional tables, a piano and a display cabinet containing glasses. The manager stated that residents often waited there at the weekends for their visitors to arrive, but it did not appear to be in use on the day of the site visit. Care Homes for Older People Page 21 of 31 Evidence: The tearoom, further down the corridor, contained a large table with chairs around it and coffee and tea-making facilities, which could be accessed by the residents and their relatives and representatives at any time. A hairdressing and chiropody room on the opposite side of the corridor was equipped with two specially adapted sinks and comfortable seating for residents to sit and chat whilst they awaited their treatment. There were two dining rooms, one for the residents and one for the staff and the kitchen was well equipped and immaculately maintained. A certificate from the environmental health officer had been awarded in August 2008 and the home had been given a rating of excellent. A lift was provided to access the first floor, where all the residents bedrooms were located off a wide corridor, which terminated in a seating area with large windows and views of the garden. Residents bedrooms visited were personalised and residents spoken with confirmed they were able to bring items of furniture with them and other personal effects to make their bedrooms feel homely. Residents had their own televisions and radios, books, newspapers and puzzles for their entertainment and all the bedrooms had lovely views of the extensive gardens. Residents spoken with, stated they enjoyed walking in the gardens, eating outside in the summer months and taking part in events such as the garden party and picnics arranged throughout the summer for their entertainment. Specialist equipment had been provided to support residents with mobility needs and to facilitate the staff in providing care, including adjustable beds, handrails and a hoist in the bathroom. There was also a walk-in shower offering choice to the residents and toilets on the ground and first floor for their convenience. Bedrooms were all single occupancy to promote the residents privacy, dignity and confidentiality and had been provided with wash hand basins but did not have en-suite facilities. The large laundry room contained the necessary equipment for the washing and drying of the residents clothes and bed linen and hand washing facilities were available to promote infection control. The AQAA recorded that the six permanent staff had received training in the prevention of infection and management of infection control. Shared hand towels were provided beside all hand washing facilities, which the manager stated were regularly changed. However, the provision of disposable hand towels and foot controlled waste bins would improve infection control practise. The home was beautifully clean, fresh and well maintained and 100 of the residents, who completed surveys, confirmed they thought the home was always clean and fresh, and commented, spotless, very high standards, the home is always clean and spotless and the cleaners are excellent and very accommodating. Care Homes for Older People Page 22 of 31 Care Homes for Older People Page 23 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. A stable, committed and well-trained staff team, which have been safely recruited to ensure the residents protection, provide their care. Evidence: The six permanent care staff, including the manager, were Dominican Sisters from Malta, and the service and care of the elderly was their vocation. The staff observed working on the day of the site visit, did so with dedication and joy. Since the previous site visit, agency staff had provided some support during the day as well as overnight, making the care staff complement up to nine. The manager wrote in the AQAA, we make sure the same agency staff work at the home as this reassures the residents. Most of our residents are very old and changes may upset them. Other staff were employed for domestic and maintenance duties. 100 of the residents, who completed surveys, confirmed that the staff listen and act on what they say. Seven of the thirteen, recorded that the staff were always available when they needed them, and six that they usually were. Residents commented that, the sisters are very attentive and are always ready to help me, the care is excellent and the home is run like a family home, all the sisters always show everyone every kindness, I have always found the care I have received to be of a high standard, with unfailing kindness and consideration shown to us all. I feel very lucky to be here, any suggestions are always taken into consideration and the staff are always willing to listen, trying and Care Homes for Older People Page 24 of 31 Evidence: succeeding to accommodate for individual preferences, whenever possible and I cannot praise the sisters highly enough, and the day and night staff support them well in every aspect of my care. The AQAA recorded that six of the nine staff had achieved a National Vocational Qualification (NVQ) at level 2 or 3 in care and that the staff induction training covered the Skills for Care Common Induction Standards, which provided a good introduction to the caring role and help them to understand and meet the individual needs of the service users with respect to equality and diversity issues. The five staff, who completed surveys, confirmed that their induction covered everything they needed to know to do the job when they started, very well, and that they were being given training, which is relevant to their role, helps them to understand the individual needs of the residents with respect to equality and diversity, and keeps them up-to-date with new ways of working. No staff had left the home over the previous twelve months; therefore there had been no newly recruited staff. A sample of staff files confirmed that the necessary recruitment checks had been carried out to ensure that the staff were suitable to work with vulnerable people and the five staff, who completed surveys, recorded that their employer had carried out checks, such as Criminal Record Bureau (CRB) and references before they started work. The home held details of agency staff working at the home, including CRB check numbers and confirmation of the receipt of references, experience and training. Agency staff had been provided with identification badges. In addition to the NVQ and other mandatory training, the staff training included, Understanding Parkinsons Disease, Dementia training, Care of the Skin and Mental Health Problems in Old Age. Staff, who completed surveys, commented on what the service does well. One staff member wrote, we encourage people to behave assertively and to develop confidence in their abilities. We listen and talk to the residents with warmth, understanding and sincerity, showing interest, accepting them as individuals, demonstrating respect and treating them with dignity. 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. Residents live in a well managed home, in which their opinions are sought and acted upon for the improvement and development of the service. Effective systems are in place to promote the residents health, safety and welfare creating a safe and happy environment for them to live in. Evidence: The registered manager was well qualified, having completed the Registered Managers Award and a National Vocational Qualification at level 4 in care and management. She had many years of experience of running the home and recorded in the AQAA that she, attends training on a regular basis provided by the Hampshire Care Association, so that she remains aware of all the needs of modern management and administration for the benefit of the residents. The manager was very approachable and accessible to the residents, their relatives and representatives, and directly involved in their daily lives. Care Homes for Older People Page 26 of 31 Evidence: The homes quality assurance questionnaires were sampled and positive responses had been received with respect to the quality of the service received by the residents. Comments included, I would like to say how much I enjoy coming to the home. The peaceful surroundings, and the competent care the residents enjoy, are good to see. I always leave feeling a better person myself, this is the pleasantest home I have visited, in my role of reviewing officer, my sister and I are so glad we found this wonderfully happy Catholic and spotlessly clean convent for our relative to live, as they are so well looked after, I am always made to feel so welcome when I visit my relative, who I can see at any time. There is always genuine love, care and kindness from all the nuns. They are always patient and there is laughter and happiness throughout the home for all the residents and the welcomed visitors, and the care of my mother is excellent. I feel she would not be with us today, but for the care she receives. It is truly a home from home. Meetings were held every three months to enable residents to give their views and recorded minutes were sampled. Menus, activities, entertainment and seasonal events were regularly discussed and the residents offered ideas and comments. If residents were not able to manage their own finances, their relatives or representatives, who were invoiced for services such as hairdressing and chiropody, managed them. When shopping residents either paid directly or their relatives were invoiced. The health, safety and welfare of the residents were promoted by regular staff training in moving and handling, fire safety, first aid, food hygiene and infection control. Certificates were viewed on staff personnel files to confirm this. The Annual Quality Assurance Assessment, completed by the manager confirmed that policies and procedures with respect to health and safety were in place, and that the essential maintenance of equipment had been carried out according to manufacturers recommendations. A sample of certificates were seen on the day of the site visit confirming that maintenance checks had been carried out in a timely fashion. A maintenance person was employed to ensure that the environmental defects could be attended to promptly so as not to inconvenience the residents. A resident wrote in the survey they completed, I cannot praise all the staff at Maryfield, but most particularly the sisters, highly enough. Coming here was the best thing I ever did and has added years to my life. My family love visiting me in such a relaxed, loving and caring environment, which they say, is always welcoming. I am so well cared for and never need to worry. I feel I can live my last few years in complete comfort and peace. This is truly a gift, a priceless one, and I only hope the inspectors can both see and recognise the love and care that abounds at Maryfield. 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. 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