Inspection on 14/01/09 for Prideaux House

This inspection was carried out on 14th 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

Prideaux House 08/01/07

Prideaux House 22/02/06

Prideaux House 20/09/05

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Prideaux House 21 Prideaux Road Eastbourne East Sussex BN21 2ND     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: Lucy Green     Date: 1 6 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 29 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 29 Information about the care home Name of care home: Address: Prideaux House 21 Prideaux Road Eastbourne East Sussex BN21 2ND 01323726443 01323749449 prideauxhouse@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Prideaux House Care Limited. Name of registered manager (if applicable) Miss Amanda Lloyd-Jones Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 20 The registered person may provide the following category of service only: (PC) to service users of the following gender: Either Whose primary care needs on admission to the service are within the following category Dementia (DE) Date of last inspection Brief description of the care home Prideaux House is a care home registered for 20 older people with a dementia type illness. The home is a large detached house situated in a residential area of Eastbourne, close to the town centre and the District General Hospital. Accommodation is situated on three floors with a stair lift giving access to the upper floors. There is a large lounge at the front of the house and a separate dining room that providing direct access to the large attractive garden at the rear of the property. Accommodation comprises sixteen single and two double rooms, of which four have full en-suite facilities. All bedrooms have at least a wash hand basin. There are five Care Homes for Older People Page 4 of 29 care home 20 Over 65 0 20 Brief description of the care home communal toilets and three bathrooms all of which are assisted. The service provides prospective service users or their representatives with a copy of the homes brochure, statement of purpose, service users guide and an offer to visit in the first instance. Contracts are completed at the time of admission and a copy of the homes latest inspection report is available on request. Care Homes for Older People Page 5 of 29 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term service user to describe those living in care home settings. For the purpose of this report, those living at Prideaux House are referred to as residents. This report reflects a key inspection based on the collation of information received since the last inspection, a review of the homes Annual Quality Assurance Assessment and a site visit which was conducted over two days and lasted for a total of nine hours. The first visit was conducted unannounced between the hours of 9:50am and 4pm on Wednesday 14 January 2009. The second follow up visit took place between 9am and 11:40am on Friday 16 January 2009. Care Homes for Older People Page 6 of 29 The site visit included a partial tour of the home and an examination of some care, medication and staffing records. The Inspector observed the interaction between staff and residents as they undertook their activities and received their meals. At the time of this inspection, there were eighteen people living at Prideaux House. Prior to the inspection surveys were sent out to people living and working at the home. Seventeen surveys were returned from residents (and/or relatives) and five completed staff surveys were received. Throughout the inspection process, the Inspector saw most of the residents and spoke individually with four of them. Three relatives were interviewed during the first visit and time was also spent with staff and the Registered Manager and a Team Leader and House keeper were interviewed in private. What the care home does well: What has improved since the last inspection? What they could do better: This inspection has not generated any requirements or recommendations. The home has good systems in place to self monitor and improve and the CSCI is therefore Care Homes for Older People Page 8 of 29 confident that the internal mechanisms in place are sufficiently robust to identify its own areas for improvement. The Registered Manager has agreed to reflect on the suggestions made at the time of the inspection and which are contained within this report and to fully reflect developments in the next Annual Quality Assurance Assessment. 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 29 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 29 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 protected by an assessment process that ensures their needs are identified and confirmed they can be met before they move into the home. Prideaux House does not provide intermediate care. Evidence: The Inspector viewed the pre admission assessments in place for three people who have been admitted to Prideaux House in the last twelve months. There was documentary evidence that the Registered Manager had conducted a comprehensive needs assessment for each of these individuals prior to them moving into the home. Where appropriate, information had also been obtained from other relevant professionals, such as social care assessments and hospital discharge forms. In line with a requirement of the last inspection, the home has now expanded the preCare Homes for Older People Page 11 of 29 Evidence: admission pro forma sheet and following the initial assessment, a statement of how each identified need will be met is compiled. In conclusion, assessment information is now sufficiently detailed to inform both the individual and the home whether a placement at Prideaux House is suitable. The Registered Manager confirmed that prospective residents and/or their representatives are encouraged to visit the home prior to admission to assess the suitability of the placement. Feedback from surveys and from the three relatives spoken with confirmed that that they had had the opportunity to visit the home as many times as they wished prior to their relative moving in. On the first day of the inspection, the Inspector observed the Registered Manager facilitating a visit for a prospective resident and their relative. There is no provision for intermediate care at Prideaux House and therefore Standard 6 is not applicable. Care Homes for Older People Page 12 of 29 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. Residents health and personal care needs are met in a respectful and dignified way that reflects their right to be treated as an individual. Residents are protected by the systems in place to manage medication. Evidence: The home has a computerised system of care planning with each staff member having their own login and access to a computer that is located in the dining room. This system allows the home to easily track when and by whom entries have been made. It also enables staff to be electronically reminded when reviews or appointments are scheduled. The Registered Manager advised that printed copies are available to residents and/or their representatives on request. Each month key parts of the care plan are printed in any case as part of the reviewing process. A sample of four care plans were viewed and it was evident that each resident has a plan of care that provides detailed information about their health and welfare needs, with evidence of multi-disciplinary input as necessary. Care Homes for Older People Page 13 of 29 Evidence: Care plans contain risk assessments for a range of areas and it is possible to track the level of risk and the controls in place to minimise the risk. In line with a requirement from the last inspection, the falls risk assessment has been expanded and includes more information about the steps staff take to minimise this risk. The home has also purchased a number of sensor mats that are used for those who have been identified as a high risk of falling at night. The Inspector highlighted to the Registered Manager that risk assessments could be further expanded to include for example, residents using the stair lift or accessing the shower or bath independently. Similarly, in line with the Deprivation of Liberty Safeguards that come into force on 01 April 2009, the home will be required after that date to fully document the way in which residents are supported to maintain their liberty and risk assessments in respect of residents accessing the community independently will be a key part of evidencing this compliance. As the Registered Manager was able to evidence that Prideaux House already promotes the principles of least restrictive care and has agreed to ensure documentation more fully reflects the holistic way in which decisions are being made, the Inspector has deemed that it is not necessary to make a requirement in respect of this area. There was evidence that care plans and associated documentation have been reviewed on a monthly basis and more often if necessary. Key changes to the way care is delivered was recorded in respect of the four care plans viewed. It was evident that the home has a robust system for ensuring that information is kept up to date and that the wishes of residents and/or their representatives are reflected. It was suggested that to further demonstrate the process that is undertaken, the home should record who participated in the review and provide a summary of the findings from the information reviewed and discussions held. The Registered Manager again confirmed that this would be implemented and as such the Inspector will review the progress of this when the home submits their next Annual Quality Assurance Assessment. The daily records maintained by staff were found to be of good quality and provided evidence of the way care and choices are delivered on a daily basis. Staff practices observed throughout the inspection demonstrated that they have a good understanding of the residents and their needs. Discussion with staff produced evidence that they have an excellent knowledge about the people they support. Residents and relatives spoken with confirmed that they are supported in the way preferred by each individual. Feedback about the way care at Prideaux House is provided was overwhelmingly positive and highlighted the person centred approach to support. One resident told the Care Homes for Older People Page 14 of 29 Evidence: Inspector when I came to visit before moving in I told the staff I like to have separate sugar bowl with my cup of tea, they have honoured that ever since. Similarly, a relative stated people are treated with a lot of dignity and respect here and one of the surveys returned commented my father is receiving excellent care at Prideaux House with respect to his wishes and needs. Residents are fully supported with their health care needs and care plans contain a record of any visits or contact with professionals external to the home. Any input or advice is then reflected in the relevant care plan and subsequent monthly review. There was evidence of current involvement from General Practitioner, Dentists and Chiropodists. Records demonstrated that residents are weighed on a monthly basis and appropriate action accordingly. Medication systems were inspected by way of a review of the Medication Administration Records (MAR sheets) and examination of the storage of medication. The medication policy was not inspected on this occasion. The supplying pharmacy also undertakes routine checks of medication. The home has a good system in place for managing the large amount of medication that has to be administered each day. Since the last inspection storage arrangements have improved, including the purchasing of a medication trolley. Records were clear and it was possible to track changes of medication. The Registered Manager confirmed that only senior staff who have been appropriately trained and supervised handle medication. Care Homes for Older People Page 15 of 29 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 benefit from an inclusive environment that respects their equality and diversity needs and where there are many opportunities to participate in activities and outings. Mealtimes provide a range of freshly prepared, wholesome and balanced food. Evidence: The daily running of the home was observed to provide residents with the flexibility and choice about how and where to spend their time. On the Inspectors arrival at the home on both days it was evident that individual routines were being respected by staff and residents are able to get up as early or late as they wish. Conversation with staff and the Registered Manager identified that mealtimes vary according to the majority consensus of the resident group. On day two of the inspection, the Inspector joined residents in the dining room, where the majority had breakfast served there at 9am. The wishes of others who chose to eat in their bedroom or the lounge was also noted to have been respected. Residents have a wide choice of foods and drinks at this time, including cereals, toast, fruit, yogurt and a cooked option. Residents were observed being offered and requesting second helpings. Care Homes for Older People Page 16 of 29 Evidence: A menu of the main lunchtime meal is displayed in the dining room with a minimum of two choices each day, one of which is always a vegetarian option. On day one of the inspection, the preparation and serving of the lunchtime meal was observed with a choice of three options; roast lamb, turkey and mushroom pasta bake or salmon fish cakes. The meal was noted to be entirely home-made with fresh ingredients. The meal looked appetising and well presented. Residents were observed being offered a choice of the three options a short time before the meal was served reflecting that the home is genuinely promoting real choice. In addition to mealtimes, drinks and snacks are available throughout the day, including biscuits with morning coffee and freshly baked cakes with afternoon tea. It was lovely to see that some residents have their own personal cups and mugs which their drinks are served in. Residents and relatives spoken with were all complimentary of the food provided at Prideaux House. One relative told the Inspector the food is really good, fresh vegetables and home cooked. Another also commented the food is brilliant and I have stayed for dinner on a couple of occasions, all homemade and every resident has a cake made for them on their birthday. The home provides a range of activities for residents to get involved in, with a dedicated activities co-ordinator employed for 5 hours a day during the week. Residents were observed taking part in a range of activities across both inspection days, including giant dominoes, a game of scrabble and chair exercises. One corner of the lounge has an activities area and it was entirely evident that the home have recently invested a lot of money in purchasing equipment to run in-house activity sessions. A photo album of activities has also been maintained and there was evidence of themed events, house parties and staff pantomimes. The Inspector was impressed with the imagination and commitment shown by staff to engage with residents and a real recognition that social needs are an important part of wellbeing. Prideaux House take simple activities, such as watching old films one stage further and create and old style cinema environment with sweets and crisps provided. Monthly outings enable residents to participate in activities outside the home and visit places of interest such as theatre, trips, local farms and historical centres. The Registered Manager was rightly proud of their achievement to support all residents out to Drusillas last year. Much positive feedback about activities was highlighted to the Inspector about the activities, with one relative commenting Im amazed at the activities that take place in the home and visits to National Trust places. Care Homes for Older People Page 17 of 29 Evidence: In addition to the in-house activities provided by the home, Prideaux House also arranges for external people to come into the home. This has included production companies, motivation groups and exercise classes. It is also noted that the in-house activities co-ordinator still provides alternative activities when external people visit the home. This provides the real choice for residents to participate in a structured session or to do something else, even if that is just spending quality 1-1 time with a staff member. One of the things that really struck the Inspector was the way in which activities are tailored to meet individual needs and preferences. A highlighted example of this is the home supporting one resident to attend a remembrance march in London, where he was able to meet up with old friends. Similarly, staff have worked with relatives to create memory boxes in peoples bedrooms - a box that contains items that are meaningful and important to the individual and which can trigger memories and topics of conversation for them. Residents are encouraged and supported to maintain contact with their family and friends. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the communal ares. Visitors were observed being welcomed into the home during the inspection and the visitors book evidenced that there are lots of regular visitors to Prideaux House. The Inspector met with three relatives during the two inspection days and all confirmed that they can just drop in at any time and that they are always made to feel welcome and offered refreshments. One relative told the Inspector I can visit at any time and always unannounced, I have even visited in the middle of the night and I am always treated the same. Care Homes for Older People Page 18 of 29 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 benefit from the systems in place to listen to their views and safeguard them from harm. Evidence: Prideaux House has a complaints policy which is accessible to both residents and visitors to the home. The CSCI has not received any complaints about the services provided at this home in the last 12 months. A review of the homes own record of complaints identifies that any issues that have been raised with them have been appropriately investigated and resolved to the satisfaction of all parties. The Registered Manager informed the Inspector that she has recently implemented a procedure of recording all comments and recording outcomes formally to ensure that people feel all their comments are treated seriously and valued. The feedback received from surveys and residents and relatives that were spoken with all confirmed that people know how to complain and stated that if they had any concerns they would not hesitate to speak with either the Registered Manager or the Owner. Prideaux House also maintains a collection of compliments that they have received and the Inspector saw that the home have received a great many letters and cards thanking the home for the support they provide to residents. Care Homes for Older People Page 19 of 29 Evidence: The staff spoken with were knowledgeable about the vulnerability of residents and the systems in place to protect them. Staff have received training in the protection of vulnerable adults and prevention of abuse. When reviewing daily records, the Registered Manager is reminded to consider whether any incidents that may occur within the home need to be appropriately referred using the safeguarding protocols. Care Homes for Older People Page 20 of 29 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 continue to benefit from the clean, accessible and homely environment provided at Prideaux House. Evidence: Prideaux House is an attractive, detached property located in a residential area of Eastbourne. The home is situated over three floors, with resident accommodation being provided on the ground and first floors. A chair lift provides access to the first floor. There are sixteen single bedrooms and two shared bedrooms, four rooms provide ensuite facilities and all rooms have a wash basin as a minimum. A partial tour of the home identified that rooms are well decorated and furnished to a high standard. Residents are encouraged and supported to personalise their rooms and relatives spoken with confirmed that residents are able to bring items of their own furniture to the home. Communal areas comprise of a large lounge that is laid out into two areas and a dining room. An attractive, accessible and secure garden is located to the rear of the home. The home have a raised flower bed which some residents have used to grow herbs. There are five communal toilets and three bathrooms all of which are assisted. The Care Homes for Older People Page 21 of 29 Evidence: ground floor bathroom, has been converted into a walk in shower facility and wet room since the last inspection, which provides residents with greater choice and opportunity for independence. It was evident that refurbishment and a rolling maintenance programme continues to be ongoing with a number of carpets having been replaced and bedrooms redecorated since the last inspection. The home employs domestic staff to ensure the home is kept clean and tidy. Laundry facilities are clean and hygienic. Systems are in place for the control of infection and all staff have been trained in this area and were observed to be working in ways that minimised the risk of infection, by wearing gloves and aprons when required. The home was found to be homely, clean, hygienic and free from any offensive odour. Conversation with residents and three visitors reflected that the home is always maintained at the standard witnessed by the Inspector. Care Homes for Older People Page 22 of 29 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. Residents benefit from being supported by an experienced and committed team of staff and are protected by the robust recruitment procedures in place. Evidence: The calm and relaxed atmosphere in the home on the day of the inspection, indicated that staffing levels are sufficient to meet the current needs of the residents. Any requests from residents were responded to promptly and the home was spotlessly clean. Discussion with the Registered Manager and a review of past and present rotas highlighted that the home is staffed during the day by four carers (one of which is a team leader) and a team of domestic and ancillary staff. In addition the Registered Manager and activity co-ordinator both work in a supernumerary capacity during the week. The feedback received from all residents spoken with confirmed that staffing levels were sufficient and the feedback from staff surveys and the two staff interviewed reiterated the same view. The interaction between residents and staff was observed to be positive and the Care Homes for Older People Page 23 of 29 Evidence: feedback about staff competences and kindness was unanimous. One relative told the Inspector they are amazing and another expressed I am really pleased with how the care is given, complete patience. The feedback recorded in the staff surveys was equally enthusiastic about their work at Prideaux House. One carer stated I feel very proud to work at Prideaux House and another confirmed our staff ratio is very good and we are always able to provide clients with a high standard of care. Staff training is ongoing and the Registered Manager reported in their Annual Quality Assurance Assessment dated 17/10/08, that 50 of the staff team have completed National Vocational Qualifications (NVQ) to at least Level 2 in Care. The Registered Manager also confirmed that all new staff complete an induction and that the new programme is in line with Skills for Care. The home has a system for updating training in place and a review of the training matrix identified that staff undertake regular mandatory training including moving and handling, first aid, infection control and fire safety. In addition they also have access to specialist training such as dementia awareness, risk assessment and diet and nutrition. The recruitment files for three new staff were inspected and there was documentary evidence of the required information and checks being place. Staff receive regular formal supervision sessions and appraisals are conducted annually. Care Homes for Older People Page 24 of 29 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 benefit from the commitment of a skilled and experienced Registered Manager who ensures that the home is well managed and run in the interests and safety of the people who live there. Evidence: The Registered Manager is a skilled and experienced practitioner who has worked at the home for many years and since the last inspection has been successfully registered with the Commission. She has completed a raft of relevant training and is dedicated to her position. She is available in the home five days each week and assumes on-call responsibility when not in the home. The Managers commitment to her work is reflected in the positive feedback gathered during the inspection process. Residents, relatives and staff spoken with were complimentary about the Registered Manager and comments included; Mandy is a very good Manager and approachable and always available. Throughout the inspection it was observed that the Registered Manager had a good relationship with both residents and staff. Care Homes for Older People Page 25 of 29 Evidence: The home has developed a number of systems to self-audit and review the services provided. Three-monthly relatives meetings have been introduced and the minutes of these evidenced that this would a useful forum for gathering feedback. A quarterly newsletter is also produced and visitors surveys are circulated at the same time. Regular staff meetings are held and minutes maintained. Satisfaction questionnaires that are sent out to residents and the Registered Manager produced evidence to show how the results of these had been collated and used to make improvements to the way the home is run. The Registered Provider visits the home three times each week and also conducts visits in accordance with Regulation 26. All stakeholders were complimentary about the Registered Provider, sating that he regularly makes himself available in the home and meets with residents and relatives. The Registered Manager informed the Inspector that the home does not hold money on behalf of residents, rather purchases are made that are then invoiced to the relevant person. The Registered Manager confirmed that the home has a number of systems in place to ensure the health and safety of the home is monitored and maintained. The Inspector viewed a limited number of records pertaining to the maintenance of equipment and routine testing which were found to be satisfactorily completed. Care Homes for Older People Page 26 of 29 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 29 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 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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 29 of 29 - 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!