Inspection on 07/01/09 for Park Grove

This inspection was carried out on 7th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Grove 17/01/07

Park Grove 08/11/05

Park Grove 23/08/05

Park Grove 22/02/05

Park Grove 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Park Grove 2-4 Liverpool Road North Burscough Ormskirk Lancashire L40 7SA     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: Julie Playfer     Date: 0 7 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 28 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 28 Information about the care home Name of care home: Address: Park Grove 2-4 Liverpool Road North Burscough Ormskirk Lancashire L40 7SA 01704893750 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Judith Lemarinel Type of registration: Number of places registered: Mrs Una Banks,Mr Kevin Michael Banks care home 32 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 of service only: Care Home only - Code 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 - Code OP The maximum number of Service Users who can be accommodated is: 32 Date of last inspection Brief description of the care home Mr and Mrs Banks own Park Grove. The house, once a private residence, has been developed over the years to provide personal care and accommodation for up to 32 older people. The home is located in the small village of Burscough, near to shops, pubs and other village amenities. The home provides accommodation throughout two floors and currently single room accommodation is offered, although shared facilities can be made available. Accessible toilets and bathrooms are located on both floors Care Homes for Older People Page 4 of 28 Over 65 32 0 Brief description of the care home near to bedroom and living rooms. The communal areas are situated on the ground floor and a passenger lift is available for access to the first floor. The home has ample garden space with garden furniture for the residents to enjoy. The weekly charges at the home range between £346.00 and £430.00 with additional charges being made for hairdressing, newspapers/periodicals, chiropody, toiletries, transport and manicures. Information about Park Grove can be obtained from the home in the form of The Statement of Purpose and Service Users Guide. Previous inspection reports can be viewed in the home or obtained from the Commissions website at www.csci.org.uk Care Homes for Older People Page 5 of 28 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: A key unannounced inspection, which included a visit to the home, was conducted at Park Grove on 7th January 2009. The inspection was carried out by one inspector, however, the report refers to we as it was written on behalf of the commission. We lasted visited this service 17th January 2007 and an annual service review was carried out on 17th January 2008. There have been no additional visits to the home since the last key inspection. At the time of the visit there were 24 people accommodated in the home, with an additional two people in hospital. During the inspection we spent time with the residents, looked round the home, read some of the residents care records and other documents and talked to the staff, the registered provider and the registered manager. Care Homes for Older People Page 6 of 28 We also consulted our records about the service. As part of the inspection process we used case tracking as a means of gathering information. This process allows us to focus on a small group of people living at the home, to assess the quality of the service provided. Prior to the inspection, the registered provider completed an Annual Quality Assurance Assessment known as AQAA, which is a detailed self assessment questionnaire covering all aspects of the management of the home. This provided us with useful information and evidence for the inspection. Satisfaction questionnaires were sent to the home for distribution to the staff and the residents. Ten questionnaires were returned from the staff and twelve were received from the residents. Some of the residents relatives had also made comments on the questionnaires. The responses from the questionnaires were collated and used throughout the inspection process. What the care home does well: What has improved since the last inspection? Since the last inspection, the care plan format had been updated to provide staff with more information about the residents needs and preferred routines. This meant that the staff were provided with comprehensive guidance about how best to meet residents needs and preferences. A new assistant manager had been employed on night duty. This ensured the care provided during the night was more coordinated and the night staff had a line manager, who was aware of the complexity of the residents needs during the night. Various improvements had been made to the premises to promote the comfort and safety of the residents. These included new beds for the residents bedrooms and new chairs for one of the lounges. New fire doors and door closures had also been fitted and fire seal strips had been replaced in line with the recommendations by the fire safety officer. A bathroom had been converted into a walk in shower room. This provided Care Homes for Older People Page 8 of 28 greater flexibility and allowed to residents to have a shower in comfort. 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 28 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 28 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. The residents had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. Evidence: Written information was available for residents in the form of a statement of purpose and service users guide. The service users guide had been issued and explained to all residents and their families. A brochure was also available which offered current and prospective residents with an overview of the services and facilities. The documents seen were presented in an easy read format and provided useful and informative information about the home. All the residents who completed a questionnaire indicated they had received enough information prior to moving into the home. Copies of the last inspection report were available for reference in the hallway. Care Homes for Older People Page 11 of 28 Evidence: Privately funded residents had been issued with a contract. A copy of the contract was included in the service users guide. The contract was easy to read and was presented in a clear format. This meant that residents were aware of the terms and conditions of residence and knew what they could expect from the service. The case tracking process demonstrated that the residents had their needs assessed prior to admission by a social worker and/or the registered manager. The pre admission assessment was carried out in at a convenient time and place for the prospective resident, to ensure they had the time and opportunity to participate in the assessment process. Copies of the preadmission assessments seen covered a range of individual needs including personal, social, health and cultural needs. It was evident that admissions were not made to the home in the absence of a full needs assessment. This meant the registered manager could be confident that the staff had the necessary skills and knowledge to meet the assessed needs of prospective residents. Following the assessment of needs a letter was sent to prospective residents and their families to confirm that the residents needs could be met in the home. This meant residents could be assured that the home was a suitable place for them to live. The registered manager said that prospective residents were invited to spend as much time as they wished in the home prior to making the decision to move in. This enabled the person to meet other residents and staff and experience life in the home. One resident who completed a questionnaire commented, The introduction and support at the time was excellent. Following admission, the contract and the service users guide stated that a trial period of four weeks was offered to every new resident, so both parties could make sure the placement was successful and the residents individual needs could be met. Care Homes for Older People Page 12 of 28 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. The health and personal care received by residents was based on their individual needs. Care practice took full account of the residents privacy and dignity. Evidence: Three residents files were looked at in detail as part of the case tracking process. All three files seen contained a care plan, which was based on the residents assessment of needs. The plans were supported by records of personal care, which provided information about changing needs and any recurring difficulties. The records had been made on a daily basis, to ensure staff were provided with up to date details about the residents well being. The records were detailed and the residents needs were described in respectful and sensitive terms. The care plans covered the residents personal, social, health and cultural needs and provided staff with clear guidance on how best to meet these needs. This meant staff had up to date information about the residents needs and preferences. Staff who completed a questionnaire indicated that they were given up to date information about Care Homes for Older People Page 13 of 28 Evidence: the needs of the residents. Since the last inspection, the care plan format had been updated, to provide staff with more detailed information about the residents needs. The new style plans were comprehensive and incorporated the residents personal preferences and daily routines. This meant staff were aware of how the residents wished to spend their day and they were thus able to provide individualised care dependent on each residents preferred lifestyle. The residents and their families had been consulted wherever practicable during the development and review of their care plan. The residents confirmed they were involved in the care planning process and had signed their plans to indicate their participation and agreement. This ensured the residents had an active role in the planning and delivery of their care. Written records seen on the residents files demonstrated that the care plans were reviewed each month and updated in line with changing needs. This meant the staff had access to up to date information about the residents health and well being at all times. Healthcare needs were considered during the assessment process and included within the care plan. This meant that staff were provided with information about how to monitor and respond to specific medical conditions. There was written evidence within the personal care notes to indicate that the residents accessed NHS services and received specialist support as necessary, for instance the District Nursing Team. Charts were maintained to monitor the residents weight, to ensure any fluctuations were noted and acted upon. Risk assessments had been carried out as necessary, in respect to moving and handling, pressure sores, falls and nutrition. The risk assessments were supported by risk management strategies, which provided staff with guidance on how to manage and reduce any identified risks. This meant the staff were able to respond consistently and safely to any identified risks. The risk assessments had been reviewed alongside the care plans, to ensure that an holistic view was taken of the residents needs. The residents spoken to felt the staff respected their rights to privacy and dignity and all made complimentary remarks about the staffs approach, for instance one person said, They are marvellous, they look after us very well. The residents, who completed a questionnaire indicated that they received the care and support they needed. One relative who made comments on a questionnaire wrote, Everyone is very pleasant. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred form of address. During discussions, staff demonstrated an awareness of treating people with respect and Care Homes for Older People Page 14 of 28 Evidence: considering their dignity when providing personal care. Policies and procedures were in place to cover the management of medicines and were available for staff reference in the medication file. The home operated a monitored dosage system of medication, which was dispensed into blister packs by a local Pharmacist. All staff designated to administer medication had received accredited training. However, there were some shortfalls identified in the maintenance of records. The shortfalls were discussed with the registered provider and registered manager, who gave assurances that immediate action would be taken to rectify all discrepancies. Further to this, verbal and written confirmation was received following the inspection of the improvements made. Care Homes for Older People Page 15 of 28 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. Residents were able to exercise choice and control over their lives to enable them to lead a fulfilled lifestyle. The residents were provided with a nutritious and varied diet, which met with their expectations. Evidence: The residents preferences in respect of social activities were recorded and considered as part of the assessment and care planning processes. A range of activities was planned and implemented by the manager and staff. These included dominoes, jenga, connect 4, garden and craft club, and mature motivation (armchair activities with music). The residents were encouraged and supported to participate in the activities as they wished. Residents spoken to during the inspection said they enjoyed participating in the various activities, one person said, they particularly enjoyed the Garden and Craft Club, which was held every other Saturday. The residents were consulted on a daily basis about what activities they wished to pursue and more formally during the residents meetings. Information about forthcoming activities was displayed on the residents notice board. On the day of inspection, the residents were observed to be watching television and chatting to staff. Care Homes for Older People Page 16 of 28 Evidence: The residents were supported to continue with their chosen form of religious worship. Representatives from local churches visited the home for prayers and communion and an ecumenical service was held once a month, for all those residents who wished to participate. The routines were flexible and were primarily designed to meet the needs of the residents. The residents spoken to said they had a choice in the times they got up and went to bed. One person said, I like to watch television in my room, but I can go to bed what time I like. The staff were observed to seek the residents views throughout the inspection and the residents spoken to felt comfortable to comment on life in the home. The residents had the opportunity to develop and maintain important personal and family relationships. There were no restrictions placed on visiting times and residents were able to receive their guests in private, should they wish to do so. Refreshments were offered to visitors, to ensure they felt welcome in the home. Relatives spoken to during the inspection were satisfied with the quality of care. One person commented They have been absolutely wonderful. I cant fault them at all, I have complete peace of mind. All the residents spoken to said they liked the food provided. There was a choice of food each meal time and residents were asked prior to each meal what choice they wished to make. The food was mostly homemade and breakfast was served throughout the morning to suit the preferences of the residents, who wished to have a lie in. The menu was displayed on the residents notice board in the corridor. Residents were asked their opinion of the food on an ongoing basis and they could make suggestions for future meals. The meal served on the day of inspection was plentiful and well presented. Residents were given sensitive and appropriate support to eat their meals. Drinks and snacks were served throughout the day and at other times on request. Jugs of water were left around the lounges, to ensure that residents benefited from good hydration. Care Homes for Older People Page 17 of 28 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 were able to express their views and any concerns and had access to a clear complaints procedure. There were established ways of working to respond effectively to any suspicion or allegation of harmful practice. Evidence: Arrangements were in place to ensure the registered manager and staff listened to and acted on the views and concerns of residents. This was achieved during daily conversation, one to one discussion, residents meetings and satisfaction questionnaires. The residents spoken to said they felt comfortable about expressing their views and were aware of whom to speak to in the event of a concern. Staff who completed a questionnaire also indicated that they were aware of what to do if the residents or their families had a concern. This ensured systems were in place any problems could be promptly and readily rectified. The complaints procedure was included in the statement of purpose and service users guide and was also displayed in hallway. The residents had been issued a personal copy of the complaints procedure as part of the service users guide. The procedure contained the necessary information and included the relevant telephone numbers should a resident wish to raise a concern. The registered manager had received one complaint, during the last twelve months Care Homes for Older People Page 18 of 28 Evidence: which had been sent direct to the Commission. The complaint concerned moving and handling practices in the home. The registered provider and registered manager investigated the complaint under the homes complaints procedure and submitted a report of the investigation to the Commission. The complaint was resolved within 28 days and was found not upheld. The policies and procedures for safeguarding vulnerable adults were available and provided guidance for staff should they suspect or witness any harmful practice. However, the procedure did not fully explain the lead of role of Social Services, in the event of an alert and required some minor amendments. Issues relating to the protection of vulnerable adults were incorporated into the induction training and staff received specific tuition as part of mandatory and NVQ training. The staff also had access to a whistle blowing procedure. This set out a system for staff to report any concerns about colleagues or managers to the relevant authorities. There were established arrangements in place to safeguard the residents financial affairs and the registered manager operated a robust recruitment procedure, to ensure the residents were protected from unsuitable people. Care Homes for Older People Page 19 of 28 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 were provided with a clean, pleasant and well-maintained environment, which promoted their comfort and independence. Evidence: Park Grove is a mature detached property set in its own grounds, in the centre of the village of Burscough. The gardens are attractive, private and well maintained. Accommodation is provided in 26 single rooms, however six of these bedrooms could be used as double rooms, if two residents wished to share. Four bedrooms had an ensuite facility, comprising of a hand wash basin and toilet. At the time of the inspection the double rooms were used for single occupancy. Communal space was provided in three lounges one of which was designated as a smoking lounge. There were also two additional reception rooms used for dining. Bathrooms and toilets were conveniently positioned around the home with the relevant aids and adaptations. A passenger lift eased access to the first floor. The residents had free movement around the home and could choose where they wished to spend their time. Established arrangements were in place to report repairs and routine maintenance and appropriate records were maintained of the work completed. A person was employed to carry out day to day maintenance. This meant that any problems with the building were promptly rectified. Care Homes for Older People Page 20 of 28 Evidence: It was evident from a partial tour of the building that the residents had personalised their rooms with their own belongings and decoration was a good standard throughout. The residents said they liked their bedrooms. One person said, I really like my bedroom, its very comfortable. However, the residents bedroom doors were not fitted with locks, this meant that it was not possible for the residents to lock their door. The registered provider explained that this work was planned for completion during 2009. Since the last inspection, various improvements had been made to the premises to promote the comfort and safety of the residents. These included new beds in the residents bedrooms and new chairs for one of the lounges. New fire doors and door closures had also been fitted and fire seal strips had been replaced in line with the recommendations by the fire safety officer. A bathroom had been converted into a walk in shower room. This provided greater flexibility and allowed to residents to have a shower in comfort. The home was fitted with gas central heating. However, not all radiators had been fitted with guards. This is an important safety feature to prevent the risk of burning, should a resident accidentally fall against a radiator. The registered provider provided assurances that this work will be fully completed during 2009. The home was clean and odour free at the time of the inspection. The residents and relatives spoken to said that a good level of hygiene was maintained at all times. All the residents who completed a questionnaire indicated that the home was always fresh and clean. Care Homes for Older People Page 21 of 28 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 residents benefited from experienced, competent and well-trained staff. Evidence: A staff duty roster was drawn up in advance and provided a record of the number of hours worked by the staff in the home. The roster indicated that at least four care staff and a senior member of staff were on duty throughout the waking day plus additional ancillary staff. Two members of staff were on waking watch duty with an additional person available on call. All staff who provided personal care were aged over 18 and all staff left in charge of the building were aged over 21. Many of the staff had worked at the home for several years which meant they had a good knowledge of the needs of the residents. Since the last inspection a new assistant manager had been employed on night duty. This ensured the care provided during the night was more coordinated and the night staff had a line manager, who fully understood the complexity of the residents needs during the night. A recruitment and selection procedure was available and a checklist was used to track documentation required for the recruitment of new staff. The files of two members of staff were looked at in detail. It was evident that both applicants had completed an Care Homes for Older People Page 22 of 28 Evidence: application form, provided a full working history and had attended the home for an interview. CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) checks had been obtained prior to the applicants commencing work in the home, along with two written references. This meant that the registered manager had collated all records and checks in accordance with regulatory requirements. Arrangements were in place for all new employees to undertake induction training, which incorporated the Skills for Care standards. The latter provided underpinning knowledge for NVQ level 2. According to information supplied by the registered manager 12 out of 18 care staff had achieved NVQ level 2, which equated to 66 of the overall staff team. In addition three members of staff were working towards this qualification. This meant a good majority of the staff team had achieved the necessary qualifications to enable them to carry out their role effectively. All staff who completed a questionnaire confirmed they received training relevant to their role and all commented that they were well supported by the management team with any training needs. Staff attended both internal and external training courses and had at least three paid days training a year. It was noted staff discussed their individual training needs during their supervision sessions and there was an overall staff training plan. This meant the registered manager could readily identify future training needs for individual staff and for the staff team as a whole. Care Homes for Older People Page 23 of 28 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. Management and administration practices were effective in ensuring the home was run in the best interests of the residents. Evidence: The registered manager had overall responsibility for the management of the home and had achieved the Registered Managers Award and NVQ level 4 in Care. The manager had been employed at the home for over 20 years and has been registered for approximately 6 years. The manager had a good understanding of the residents needs and had attended various courses to update her knowledge and skills. The management approach was consultative and there were established ways of working to consult the staff and residents on an ongoing basis. Relationships within the home were positive and staff spoke to and about the residents with respect. Further to this, a member of staff wrote in a questionnaire, The home takes care of the residents in the correct way, they get treated very well and another member of staff Care Homes for Older People Page 24 of 28 Evidence: commented, We make sure the residents are looked after well and they get what they want. There was a programme in place for staff supervision and the topics discussed during supervision were recorded on a suitable format. Staff received formal supervision six times a year with a designated line manager. This enabled the staff to identify any future training needs and discuss the care of the residents. In addition to supervision, staff were given the opportunity to attend regular staff meetings and handovers. This meant that the staff were able to share experiences and discuss future developments. The service was reaccredited with an Investors in People Award in December 2008. This is a professionally recognised quality assurance award. Satisfaction questionnaires had been distributed to residents and their residents in May 2008. The results of the questionnaires had been collated and the residents had been provided with feedback about the outcome of the survey at a residents meeting. The registered manager had produced a brief annual development plan which set out the objectives for the forthcoming year based on the results of the quality monitoring processes. This document linked with the AQAA questionnaire submitted to the Commission. All sections of the AQAA were completed and the information provided gave a clear picture of the current situation within the service and the planned areas for development. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. A random check of the records and monies deposited on the premises was found to be correct. This meant the residents financial affairs were safeguarded. There was a set of health and safety policies and procedures, which included the safe storage of hazardous substances and infection control. Staff received health and safety training, which included moving and handling, food hygiene, first aid, fire safety and infection control. Documentation seen during the inspection and information supplied in the AQAA indicated the electrical, gas and fire systems were serviced at regular intervals. The fire log demonstrated that the staff had received instructions about the fire procedures during their induction. Appropriate arrangements were in place to record accidents and incidents in the home. This ensured that the residents condition was closely monitored following an accident or incident. Care Homes for Older People Page 25 of 28 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 26 of 28 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 9 13 Accurate records must be 14/01/2009 maintained of all medication received and administered in the home. This is to ensure all medication is handled in a safe and consistent manner. 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 18 The safeguarding adults procedure should be updated to include reference to the lead role of Social Services in the event of suspicion or evidence of abuse or harm. This is to ensure an appropriate response is made by the agency to any safeguarding issues, as set out in No Secrets in Lancashire. Doors to residents private accommodation should be fitted with appropriate locks suited to the residents capabilities and accessible to staff in emergencies. This to fully protect the residents rights to privacy. All radiators should be guarded or have a guaranteed low surface temperature. This is to reduce the risks of burning, should a resident fall against a radiator. 2 24 3 25 Care Homes for Older People Page 27 of 28 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. 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