Inspection on 19/09/08 for Norwood House Care Home

This inspection was carried out on 19th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Norwood House Care Home 04/06/07

Norwood House Care Home 25/07/06

Norwood House Care Home 27/10/05

Norwood House Care Home 25/11/04

Norwood House Care Home 18/06/04

Norwood House Care Home 25/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Norwood House Care Home 1-3 Vicarage Gardens Scunthorpe North Lincs DN15 7BA     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: Stephen Robertshaw     Date: 1 9 0 9 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. 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 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Norwood House Care Home 1-3 Vicarage Gardens Scunthorpe North Lincs DN15 7BA 01724850321 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : North Lincolnshire Care Limited care home 23 Number of places (if applicable): Under 65 Over 65 23 23 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 0 Norwood House is in the centre of Scunthorpe and close to all of the local shops and amenities. It is registered for 23 service users in the category of older people and older people with dementia. The home has 4 bathrooms, a shower room and nine toilets for the service users to share. These are all in close proximity to service users? bedrooms. Three bedrooms also have en-suite facilities. The accommodation is provided over two floors. There are two staircases and two passenger lifts to aid accessibility. There are pleasant gardens to the front and rear of the property. The current scale of charges are between £349-£398 per week. Additional charges include hairdressing, chiropody, holidays and newspapers or magazines. Individual service users pay for these services as and when they require them. Care Homes for Older People Page 4 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 site visit to the service took place on the 30th September 2008. The visit was unannounced and the Commission was in the home for approximately seven hours. We spoke with eight of the people that use the service, three care staff, the management of the service and observed the written documentation maintained in the home. We also observed the interactions between the individuals that use the service and each other and their interactions with the care staff. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. Care Homes for Older People Page 5 of 30 In future, if a requirement is repeated, it is likely that enforcement action will be taken. The Commission would like to thank everyone for making them welcome at the home. What the care home does well: What has improved since the last inspection? What they could do better: The conservatory in the home is in a very poor condition and must be repaired or be replaced with urgency to protect the health and safety of the people that use this area of the home. The general environment still needs to be improved to create a homely and safe environment for people to live and work in. This includes the decoration of the communal areas and the replacement of some of the homes carpets. The records of the temperatures of the prescribed medication in the home must be recorded on a regular basis, and where appropriate a separate fridge should be made available to make sure that medication is appropriately stored. This will help to support the health and safety of the people receiving the prescribed medication. The manager of the service needs to register with the Commission to be recognised as the registered manager of the service. Care Homes for Older People Page 7 of 30 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This means that the service user or their representatives are given the opportunity to visit the home before they make a decision to move there on a more permanent basis and they receive an assessment of their needs before they are admitted to the home to make sure that the home can safely care for them. Evidence: We observed all of the information recorded in the home in relation to the care provided to three of the people that live there. This included their original assessment of need that had been completed before they had been admitted to the home. All of these people had their care needs fully assessed before they had been admitted in to the home to make sure that the service was able to meet their individual needs and that this was within the homes registration with the Commission. The assessments were a combination of the homes pre-admission information and where appropriate Care Homes for Older People Page 10 of 30 Evidence: care management assessments of need. Although the homes pre-admission assessments covered all of the areas of need for individuals, however they were quite generic and did not convey how individual needs affected their daily lives and the support they would require to support them whilst at the same time minimising any risks. The homes pre-admission assessments would benefit from developing a more person centred approach. This would help to add clearer detail to how individual wished to be supported with their care need. An example of this could include bathing need two people may only need one carer to support them while bathing, however one may only require verbal motivation and the other may need full physical support to completed this process. The current assessment of need does not include this finer detail. The people spoken to by the Commission said that they had been given the opportunity to visit the home before they had been admitted there, and individual care files supported the evidence that individuals or their representatives had visited the service before any decisions were made to move there on a more permanent basis. The home was able to demonstrate that it has the capacity to meet the needs of the people that use the service. This evidence was supported through direct observations of the interactions between the care staff and people living in the home, interviews with management and care staff and observation of care staff supervision and training records. We also spoke with eight of the people that were using the service. One person stated to the inspector the staff are very good, they work hard but are always happy. We also spoke with four visitors to the home. They also supported that trial visits had been made available to their family and friend. One said We visited here together, but we already knew the home as several years ago we had another relative that lived here. The home does not provide intermediate care to people that use the service. Care Homes for Older People Page 11 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. This means that there are care plans to support individuals care needs at the home, however the information included in the care plans is generally generic and does not detail how individuals would prefer to have their needs supported. Evidence: The Commission observed the care plans for three of the people that were living at the home. Their care plans identified all of the areas of assessed need and stated how support should be provided to the individuals, however the care plans were very generic and although they stated how many staff were required to support people with individual needs they did not clearly identify how the support should be provided. The care plans would benefit from developing a more person centred approach. This will help to demonstrate how individuals want their personal needs to be supported. The daily diary records for people that use the service showed mainly task orientated events such as care plan followed etc. These records continue to be very brief and did not clearly identify how the people that use the service had responded to any Care Homes for Older People Page 12 of 30 Evidence: interventions from other people including the care staff and other individuals that live at the home. These records should be developed further to include peoples feelings and behaviours on a daily basis. This will help to build up pictures of the people that use the service and help to identify any cycles of behaviour. The medication practises in the home have improved since the previous inspection. At the time of the site visit all of the records including those for controlled drugs were up ton date and had been accurately recorded. The pharmacy that supplies the home with the prescribed medication continues to visit the home to audit the medication held in the home. At their last inspection they introduced a new system for the home to return unused drugs to the pharmacy. Each different drug is placed in a separate sealed envelope and these are signed for by the home and the pharmacy. At the last inspection a recommendation given to obtain alternative arrangements to store refrigerated medicines. This recommendation remains in position. The temperature of the fridge and medication should also be recorded to ensure the health and safety of the people that receive the medication. The administration of medication was observed by the Commission during the site visit and all appropriate legislation and good practice guidelines were followed. Training records and interviews with care staff identified that only staff that have received appropriate medication training can administer prescribed medication to the service users. There were no people living at the home that have been assessed as safe to selfadminister their own medication. The member of staff that is responsible for ordering the medication and to make sure that the stocks are up to date is a qualified nurse, however she is not employed as a nurse at the home. Direct observations supported that people that use the service have their privacy and dignity is upheld in the home. However the Commission observed a chiropodist treating an individual in a public area of the home. This was raised with the manager of the service and she stated that this issue had already been raised with the chiropodist and a professional approach would be made again. She also said that if this did not improve then an alternative chiropody service might be considered to support the dignity and respect of the people that use the service. However one-person user told us I always see the nurse in my room. A visitor to the service said I come here regularly and have never seen or heard any other peoples problems, they are private and nothing to do with me. The home meets the health and personal care needs of the people that use the service. Clear records are kept of all health care appointments attended in the home or Care Homes for Older People Page 13 of 30 Evidence: in the community. Care managers contacted by the Commission were confident that the service users that they were responsible for had all of the health and personal care needs met through the services provided by the home or through their health care partners that are based in the community Care Homes for Older People Page 14 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This means that the people that use the service are supported to maintain and develop the interests that they had before they were admitted in to the home. Evidence: We spoke with eight of the people that use the service and to several visitors to the home. They all supported the evidence that people are encouraged to follow their personal interests and favourite pastimes at the home. The daily lives and activities provided for the people are flexible and varied and are targeted to meet the individual needs of the people that use the service. The manager stated to us that the home employs an activity co-ordinator to organise events at the home and in the community and stated that it was also the responsibility of the care staff to support these events. On the day of the site visit there did not appear to be any stimulating activities being provided to the individuals that use the service. The manager stated that one of the priorities for the service was to identify appropriate and stimulating services to provide for the people that use the service. Since the last inspection new televisions have been provided in the home. These have larger screens and make it easier for people to watch them. Although on the day of the site visit the televisions were on, but few Care Homes for Older People Page 15 of 30 Evidence: people were actually watching them. However one person said that they enjoyed watching the television programmes that were on in a morning. Visitors to the home said that they are welcome to visit at any reasonable time, and as long as the staff knew where they were going (for their safety) people that they were visiting could access the community with them. The visitors also said that when they visit the home they are always made welcome and that the care staff were always friendly and polite. The home has a social fund and the people that use the service are consulted with around how it is used. However the manager of the service stated that there had been some difficulties with accessing the fund as a previous manager of the home and a person that previously lived at the home were the signatories for the bank account. The homes manager provided evidence of the contact that she has had with the bank to try and resolve these issues. The atmosphere in the home was very relaxed. Advocacy services are made available to the people that use the service. Staff spoken to stated how they make sure that individuals are consulted with and empowered to make their decisions in relation to their daily lives and activities. The Commission observed a mealtime at the home and had lunch with several of the service users. The meal were unhurried and where needed care staff offered appropriate levels of support to individuals and at the same time supporting their dignity and respect. People were offered a choice at the lunchtime meal, and when they did not want what was on the menu they were offered any alternative (within reason). Due to the complexities of many of the people with dementia care needs they could not remember what they had ordered. If they requested a different meal to what they had ordered then the care staff endeavoured to get the meal that they wanted for them. The manager stated that that the home tries to promote healthy eating for all of the individuals that use the service. One person said the food is always good however another said I dont like the food here, but I dont like food much anyway. Care Homes for Older People Page 16 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. This means that there is a clear complaints procedure in the home and the people that use the service are protected from possible abuse. Evidence: We observed that the home has a clear and easy to follow complaints policy and procedure. There had been no formal complaints recorded at the home, or with the Commission since the last inspection. Since the last inspection the service had reported two cases to the local safeguarding adults team. One of these concluded in a member of staffs dismissal from the home, however they were reported to the Protection Of Vulnerable Adults (POVA) list and this was not accepted. At the time of the site visit there was an outstanding protection issue involving two staff that had been dismissed due to gross misconduct. At the time of the site visit an application has been made to the POVA list. All of the staff personnel and training files confirmed that the staff receive training in relation to the protection of vulnerable adults. Staff interviewed by the inspector were also aware of safeguarding adults issues and how to alert the appropriate authorities if they had any concerns or and had received any allegations of abuse. Care Homes for Older People Page 17 of 30 Care Homes for Older People Page 18 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This means that the environment provided for the service users can generally meet their needs, however there are some areas of the home that require improvement to improve the quality of life and safety for the people that use the service. Evidence: The Commission made a tour of the premises as part of the site visit. Since the last inspection of the service there have been several improvements made to the environment of the home. At the last fire service assessment of the home several improvements were recommended and had been completed. This included changing the smoke and fire strips in the edges of the homes doors and the replacement of a fire door. This was actually being refitted on the day of the site visit. Consideration is being given to changing the staff changing room to a hairdressing room. This will provide the people that want hairdressing services to be provided in a more appropriate and comfortable area. The old smoking room in the home is intended to be changed in to a room for people to relax in. The shower room that used to have problems with the floor has had this problem repaired however at the time of the inspection the shower unit itself was out of commission. Care Homes for Older People Page 19 of 30 Evidence: One of the bathrooms has had a shower unit taken out of it, however the base and frame are still in position and could cause a trip hazard and impairs carers accessing people that are using the bath. At the last inspection it was stated that The paths at the rear of the home around the garden are not level and could easily cause a service user to trip or fall if there were any problems with their mobility. One service user said to the inspector that they would like to go outside more but they were frightened of falling. This area has now had gates fitted to both sides of the path to prevent people accessing this area without support and protect them from falling or tripping on the uneven paving. However it would benefit the people that use the service if this area was levelled and they would then be free to access it depending on their mobility. The general decoration for the home is looking tardy. The acting manager stated that all of the corridors in the home were identified for decorating and this should be completed in the near future. The home has a laundry, which is suitable to meet the needs of people that use the service. There is only one manual hoist used in the home and the service and maintenance records were up to date for this equipment. Five people that use the service invited the Commission to look around their own rooms. These had all been decorated and furnished to included their own personal tastes and preferences. This included introduction of their own small items of furniture and personal pictures and ornaments. Several of the people that use the service spend most of their day in the conservatory area of the home. The roof/top edge of the conservatory was in very bad condition and there were holes completely through the inside of the unit to the outside of the home. It is very important that this area is correctly repaired or is replaced to support the health and safety of the people that are accessing the conservatory. The manager of the service stated to the inspector that several different quotes had been requested from different companies to replace/repair the conservatory. This however had also been stated at the last site visit and nothing has been done since that time in relation to the conservatory. Care Homes for Older People Page 20 of 30 Care Homes for Older People Page 21 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. This means that the staff have the skills and knowledge required to be able to safely care for the people that use the service. Evidence: The management of the home stated that they use the residential forum to calculate the staffing requirements for the home. Since the last inspection the staffing deployment around the home has changed to make sure that staff are available at all parts of the home that people are using. A visitor to the home stated the staffing has got better, there is always somebody close by if you need them. Several other visitors and people that use the service supported this statement. Direct observations also supported the evidence the care staff are now more evenly distributed throughout the home. The manager also stated that the staff break times have been staggered so that only a minimum of staff are not available at any one time. The home employs domestic and catering staff. This makes sure that the care staff are not taken away from their caring duties at any time. The managers hours are supernumerary to the staff rota. The management and care staff are very committed towards NVQ training (National Vocational Qualifications) and are currently working towards their commitment to a Care Homes for Older People Page 22 of 30 Evidence: minimum of 50 of the care staff to have achieved a minimum of NVQ 2 or equivalent in care. The recruitment practices in the home are appropriate to ensure that the residents are protected and are appropriately cared for. Recently due to staff leaving the service for different reasons and leaving the staffing requirements short of what was expected for the service. Due to this fact new staff were employed to work at the home after a POVA first safety check had been completed. This made sure that the staffing compliment of the home was sufficient to safely care for the people that use the service. The manager was reminded that this action should only be taken in extreme circumstances, otherwise new staff must wait for full Criminal Records Bureau checks before they are employed to work with the people that use the service. Any differences to this must first be discussed with the Commission. The manager stated to us that the home has a clear training plan for all of the staff to make sure that they have the skills and knowledge to be able to safely care for the people that live at the home. She also stated that the plan identifies when staff require any refresher training to update and consolidate their skills. The inspector interviewed three of the care staff working at the home and they all confirmed that they receive in excess of the required three days paid training per year. They also confirmed that training issues are discussed in their supervision sessions and added that if the have to attend training on their off duties then they are paid for attending this training. The homes management have introduced a new induction package for new staff and this is being developed to incorporate the common standards for care. The manager stated that all new staff that have started working at the home in the last twelve months will undertake this training. The inspector observed the personnel and training files for two of the care staff working at the home and all of these had the appropriate information recorded. People that use the service confirmed to the Commission that all of the staff understood their needs and gave them they support and encouragement that they needed. One person said the staff are very busy, but they are very friendly and helpful, another person said the staff are always around you dont have to wait for anyone. Care Homes for Older People Page 23 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. This means that the management of the home understands and supports the needs of the people that use the service and the staff group. Evidence: Since the last inspection of the service the acting manager has left the home and a new manager has been appointed by the homes proprietors. The new manager of the home is currently studying for a degree in counselling and is in the process of making an application to the Commission to be recognised as the registered manager for the service. She also has two professional diplomas in advanced counselling and graphology. The manager of the home is also a qualified moving and handling instructor. She says that this is beneficial as all of the homes staff can undergo moving and handling training in-house and do not have to wait for any refresher or update training in this Care Homes for Older People Page 24 of 30 Evidence: area. The manager of the service clearly understands the needs of the people that use the service and the needs of the staff group. Since her arrival at the home a lot of the documentation used by the staff has been improved or has been replaced by more appropriate documents. Since the last inspection to manager of the home and the activity co-ordinator have built up a relationship with the local museum. The museum now works with the home to provide materials for reminiscence and nostalgia days at the home. The senior management of the service are support the manager of the home in her new role. Interviews with the care staff and with the people that use the service confirmed that the managers approach is open, supportive and positive. The home previously had an effective quality assurance system that seeks the views of the people that use the service, their representatives, outside professionals and the homes staff on a regular basis. However there was no evidence to support that this process had been kept up to date and was an ongoing process. The home does not act as appointee for any resident, however it does look after personal accounts and the inspector observed three of these. All of the accounts were appropriately stored and accounted for. Written records of all transactions are accurately maintained and where appropriate copies of receipts were also included. The home has a fund for the people that use the service. This fund is used to purchase additional activities for the people that use the service and provide them with opportunities for visits outside of the home or local area. There was a problem in relation to the fund. The two people that were signatories for the associated bank account are no longer at the home. The manager stated that she was in discussions with the bank to seen how this problem can be resolved and to identify how the home can access the funds that are already in the account. The home operates in the best interests of the health and safety of service users and staff. All safety checks are carried out within the specified time frame and policies are in place for safe working practice. Health and safety training is available for staff. The manager of the home needs to make sure that when anyone completes any records in the home then they should use their full names and not just include initials. This will help to identify the people easier that complete the records as some people Care Homes for Older People Page 25 of 30 Evidence: may have the same initials but different names. Care Homes for Older People Page 26 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 27 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 1 19 12 The registered person must urgently repair or replace the homes conservatory. This must be undertaken to protect and uphold the health and safety of the people that live and work at the service. 05/12/2008 2 29 19 The registered person must make sure that prospective new staff to the home have recieved the correct safety vetting This will help to protect the individuals that live in the home from possible abusive situations 10/12/2008 3 31 8 The responsible individual must make sure that the manager of the home completes an application to the Commission to be considered as a fit person to manage the service. 30/12/2008 Care Homes for Older People Page 28 of 30 This will help to support the health, safety and welfare of everyone that lives and works at the home. 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 1 3 The registered person should develop the service preadmission assessment documentation to consider a more person centred approach. this will help to clearly identify what a persons individual needs are and the level of support that they will require. The registered person should develop the homes care plan documentation to include a more person centered approach to care. This will help to identify how individuals want to have their care needs supported while they are resident at the home. The registered person should make sure that when outside professionals visit people at the home they uphold their privacy, dignity and respect at all times. The registered person should make sure that the temperature of the refridgerated medicatiomn is safely and appropariatley maintained. The registered person should continue with the homes programme of decoration to ensure that the home provides a comfortable and safe environment for the people that use the service The registered person should work closely with the bank that holds the homes comfort fund to re-open the account and access the monies that have been deposited in it. This will allow a greater and more varied amount of activities to be made available to the people that use the service. 2 7 3 8 4 9 5 19 6 35 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!