Inspection on 05/12/08 for Rathside Rest Home

This inspection was carried out on 5th December 2008.

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

Rathside Rest Home 17/12/07

Rathside Rest Home 20/03/07

Similar services:

Abbey The

Snydale Care Home

Hawkhills

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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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rathside Rest Home Gainsborough Lane Scawby North Lincolnshire DN20 9BY     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: Jane Lyons     Date: 0 5 1 2 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 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: Rathside Rest Home Gainsborough Lane Scawby North Lincolnshire DN20 9BY 01652652139 01652652139 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) : Mr Sukhuinder Marjara care home 30 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 30 0 Rathside is well established home, which provides residential care support for up to thirty service users in the category of older people and people who have needs associated with dementia. It is situated on the outskirts of Scawby a small village three miles from the town of Brigg and close to local amenities. The accommodation is over two floors, and there is a passenger lift available to the first floor. There are 26 single rooms in the home, and 2 shared rooms; 22 of the bedrooms have en- suite facilities. A garden room was provided to the front of the building in 2005, which has significantly improved the range of communal areas the home provides. There are three further sitting rooms and a dining room in the home. The home has a good range of bath and shower facilities. The front garden has been improved with a large paved area with plenty of seating and shade; a ramp with rails has been provided for access from the garden room. There is a pleasant, well maintained rear garden and ample parking space to the side of the home. It is a privately owned home, and the proprietor is Mr S Marjara. The home has recruited a new manager, Mrs Lisa Jevic. Weekly fees Care Homes for Older People Page 4 of 29 Brief description of the care home are: Three hundred pounds and ten pence - three hundred and sixty six pounds and fifteen pence. The home operates a system whereby the fees include a third party contribution. Additional charges are made for the following: toiletries, newspapers/ magazines, hairdressing and chiropody. Information about the home can be found in the statement of purpose and service user guide, both these documents are available in the entrance hall and from the owner at the home. 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: 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. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection included an unannounced site visit carried out by Mrs Jane Lyons on the 5th December 2008. During the visit we spoke with some of the people who live at the home, a number of relatives, care staff, the cook, visiting health care professional, the manager, the Care Homes for Older People Page 6 of 29 administrator and the registered provider. We looked round the home to see if it was kept clean and tidy. Some of the records kept in the home were checked. This was to see how the people who live in the home were being cared for, that the staff were safe to work in the home and that they had been trained to do their job safely. We also checked records to make sure that the home and the things used in it were safe and were checked regularly. The manager at the home also completed an annual quality assurance assessment that was requested by CSCI )Commission for Social Care Inspection), which includes information about people who live at the home, the staff who work there, the services provided, complaints and any incidents or accidents that have occurred. Prior to this visit, surveys were sent out to obtain the views of people who live at the home, staff who work there and health and social care professionals who visit the home regularly. Twelve surveys were returned from people who live in the home and five from the staff. Comments from surveys have been included in the main body of this report. We would like to take this opportunity to thank everyone who participated in the inspection process. What the care home does well: What has improved since the last inspection? There is more effective management of the home which has meant that the quality of the care has improved. A survey returned by one of the people who use the service commented This home is becoming a showpiece on how nursing/ residential care homes should be run.They care! Peoples care plans have been improved upon.They are much moreperson centred and contain detailed care tasks and more information about their wishes and interests so that staff are clearer about what care is needed and how it should be provided. This also helps the people using the service to have a choice in how they are cared for and helps them stay as independent as possible. The home has provided specialist diabetic diet provision for those individuals who have an identified need which makes sure their nutritional needs are met. Care Homes for Older People Page 8 of 29 They make sure that recruitment processes protect people who use the service.They obtain references before staff are employed. The provider now understands the safeguarding reporting procedures so people are protected against harm. They have improved the systems and made sure that medications are given as prescribed, recorded appropriately and stored at correct temperatures. 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 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. People are provided with detailed information about the home to assist them to make an informed choice about the service. People have had their needs properly assessed before moving into the home. Evidence: The home has a detailed statement of purpose and service user guide, which gives information about the services provided. They have reviewed the documents to make sure the information was correct in respect of the management changes in the home. Information provided by the manager prior to this visit taking place indicates that people are able to visit the home without the need for an appointment prior to them or their relative moving in. Pre- admission assessments are carried out by the manager who visits the person at their own home or in hospital which ever is applicable at the time. Community care assessments are obtained from the funding authority, these Care Homes for Older People Page 11 of 29 Evidence: outline the persons current health and personal care needs. The information collated from visiting people and that supplied by the funding authority is taken into consideration when making a decision as to whether the home is able to meet the persons needs. Since the last inspection visit the home has varied their registration to accommodate persons with needs associated with dementia. The manager confirmed that this means the home can still accommodate individuals whose needs have changed since their admission to the home and that they now take new individuals with mild to moderate needs associated with dementia. The majority of care staff have received training in dementia and confirmed in discussions that they felt confident in managing people with these needs. Three peoples records confirmed this and showed that people are fully involved in their assessments and have a say in what happens to them. One person wrote in their survey The family were most impressed with the professionalism, quantity of information and complete transparency, all questions were answered to everyones satisfaction. The home does not provide intermediate care. 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. People who use the service benefit from the provision of accurate care plans and are satisfied with the care and service being delivered. Medication systems are well managed. Peoples rights to privacy and dignity are supported by caring staff. Evidence: Three peoples care plans were looked at in order to obtain a picture of what their needs are and how staff support them.Improvements had been made to the quality of recording in the care plans and they provide a good level of detail and enable staff to deliver the right level of care to each person. It is positive to see how they include a lot of information about peoples preferred routines and how they like to spend their time, this helps in making sure that care is person centered to suit the persons individual needs. The care plans are regularly reviewed to keep the information up to date. People did say that staff sit down and talk to them and records support this. A key worker system Care Homes for Older People Page 13 of 29 Evidence: is in place to enable people to receive one- to -one support. The daily records were up to date, they contain a lot of information about how peoples physical needs are met and also staff had recorded how people spend their time and things they have enjoyed. Annual reviews take place to discuss peoples care with their family and others who are involved in their care. The provider said how this is is useful opportunity to discuss any concerns and make sure everyone is happy with the care provided. A range of risk assessments are now carried out so that where risk is identified a care plan is put in place to inform staff about what actions to take to meet the persons needs; improvements have been made to the quality of the recording and review of many of the assessments, nutritional assessments have now been completed for all people following admission. Advice was given to look at the format for some of the risk assessments to make sure the level of risk is easily identifiable for staff. There was good evidence in peoples care records to indicate that they are able to access health care services, such as the dentist, chiropody, opticians and everyone living in the home is registered with a doctor. Health care information is recorded in the care plans about why people are attending appointments and outcomes from these. The records are well maintained, this helps in making sure that everyone is aware of the persons health needs and how these are to be met. During the visit we spoke to a Community Nursing Sister who visits the home regularly, she told us The new manager and staff work very well with us. Communication is good and the manager has developed a very good rapport with the clients and their families. The staff had provided excellent standards of end of life care for an individual recently. Details regarding peoples dietary needs are recorded on assessment and the information provided to the cooks. The care records show that people have been weighed monthly, appropriate scales are available for people who are unable to weight bear. There was evidence that where a person had experienced weight loss this had been recorded and referred to the G.P. in a timely manner. People were observed being treated with dignity and having their wishes respected throughout the visit. Staff spoke to people in a respectful way and showed patience when providing care to them. Comments received in surveys and during the visit from people and their relatives show that they are very satisfied with the care and support offered by the staff. Comments included: The staff and management are always aware of the needs of the residents and create a supportive and feel safe atmosphere and All the staff are very good to me and listen to me. Care Homes for Older People Page 14 of 29 Evidence: A sample of three peoples medication was checked during the visit. This showed there to be good systems in place for the recording, storing, administration and disposal of medications. Controlled drugs are stored and administered properly. There was evidence that the manager is auditing medication administration procedures regularly. Staff said they had completed and in depth training programme, this gained them the competencies to administer medications. The manager told us she is continuing to work with the local dispensing practice to improve their services to the home and is hoping to have a more streamlined monitored dosage system in place soon. A local community pharmacist visits the home periodically to provide advice and support with the medication systems in place. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to take part in recreational activities, access the local community and live a lifestyle to suit their needs. Evidence: All people spoken to were very satisfied with the level of activities, trips out and entertainment provided at the home. During the day people were observed to be participating in a range of activities such as reading, listening to Christmas Carols, enjoying manicures and playing Scrabble. An activities co-ordinator is employed at the home and provides support for two and a half days per week. She has developed a varied programe and the calendar for December showed a very good range of activities such as parties, visits by local school choirs, trips out for shopping and a Christmas meal at one of the local community centres which many people told us they were looking forward to. Peoples social needs are recording in their care plans and the activity co-ordinator maintains records of peoples participation in any social events or one- to one support. Families have helped the staff complete life histories and this information is beneficial Care Homes for Older People Page 16 of 29 Evidence: in terms of getting an insight into the kind of interests and significant events that make up this persons life. One person said that they enjoy the Church services held at the home. Another person said that she has always been a keen football fan and often stays up to watch Match of the Day on television, she also said that she would appreciate some more activities in the evenings which was passed on to the manager. People were able to choose daily routines and how care was to be delivered. Staff were observed to have a good understanding of peoples likes and dislikes and how they liked to spend their day. Staff were observed spending time with people, sitting talking to them. The home has a very good range of communal facilities and people were observed to be making good use of all the lounge space available. One person said I like to spend my mornings in the conservatory chatting with the other ladies and then after lunch I like to go to my room to read and watch the television. People can see family and friends whenever they want. Relatives said they were always made to feel welcome when visiting the home which was observed during the visit. One individual was seen to be enjoying a visit from her friend who had brought in her dog. People who live in the home said that they enjoyed the meals provided, comments during the visit and from surveys included Meals are varied, plentiful, well cooked and presented and The meals are lovely. People can choose where they take their meals and the majority choose to eat in the attractive dining room. The atmosphere in the dining room during lunch was positive, with people sitting at small tables and enjoying conversation with staff and each other. New menus have been developed in consultation with people who live in the home and show there are choices at breakfast, lunch and tea. Individuals told us that they could also request an alternative to the menu if required. The cook told us that crackers and cheese for tea have been a popular request recently. Improvements have been made to the diabetic diets provided; the cook confirmed that she had accessed a training course and has more understanding about providing balanced meals for people who have Diabetes, specific puddings and home baking are now provided daily. Meals observed were well presented and appropriate for the peoples dietary needs. Differing portion sizes were provided. Aids were available to encourage people to maintain independence where possible and staff assisted people where required in a sensitive and discreet manner. Care Homes for Older People Page 17 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. If people have concerns with their care, they or people close to them know how to complain. People living at the home know that they are safe. Evidence: People who completed surveys responded yes when asked if they knew how to make a complaint. Those people spoken with during the day also confirmed they knew who to go to if they were unhappy about something. The home had received one complaint within the last twelve months, records evidenced that the concerns had been fully looked into by North Lincolnshire Council and investigation findings were that the complaint was not substantiated. The complaints procedure is displayed in the front entrance of the home and is also contained within information about the home. Staff were observed throughout the inspection visit listening to what people said, treating them with dignity and respecting their wishes. The home also has detailed policies and procedures to support practice to protect people from abuse and these are made available to staff when they start work at the home. Care Homes for Older People Page 18 of 29 Evidence: There have been no safeguarding referrals made at the home within the last twelve months. The manager and provider are now fully aware of how and when to report any incidents within the home that may constitute abuse of vulnerable people. Records seen showed that staff have accessed safeguarding training the previous year and more sessions have been arranged for all new staff. This training provides information on how to protect people from abuse. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment at the home is very good, people are provided with a very safe, comfortable and homely place to live. Specialist equipment is provided to promote peoples independence. Evidence: The home provides and maintains very comfortable and safe facilities. All areas of the home are decorated and furbished to a high standard. There is a maintenance programme in place; redecoration and refurbishment is carried out where needed, new flooring has recently been provided in one of the bathrooms and redecoration in the dining area and ground floor corridor is underway. There is a good variety of communal space in the home, people were observed relaxing and spending time in the sitting rooms, they commented how happy and comfortable they were at the home. The home was decorated very festively and many of the people spoken to said how nice the Christmas trees and decorations were. Bedrooms checked were comfortable, homely and reflected peoples personal tastes. A walk round the home found it to be well lit, clean , tidy and smelling fresh. One person wrote in a survey The cleanliness of the home is very good. The laundry room is sited at the rear of the home, this area was visited and appeared adequately Care Homes for Older People Page 20 of 29 Evidence: equipped and well managed. The toilets and bathrooms are all close to the communal and bedroom areas, they are fitted with appropriate aids and adaptions to meet the needs of the people who use the service. The exterior of the home is well maintained and all garden areas were tidy. Care Homes for Older People Page 21 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. 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 manager. Evidence: The staff duty rota shows that there are sufficient numbers of staff on duty at all times to meet peoples needs. Surveys returned by people living at the home all commented that they thought there were always enough staff on duty and that staff were always available when needed. The management have now put in place The Residential Forum staffing guidance and information provided by the home before the visit and checks of records evidenced that this is regularly updated and the home is meeting the recommended staffing levels. Comments from staff received in surveys and during the visit confirmed that they had enough time to carry out their tasks and spend time with people and that they enjoyed their work at the home. Some of the comments included We like to work as a team and provide a happy caring, friendly atmosphere and I think that the care is generally to a high standard, individuals are well cared for, they always come first. Care Homes for Older People Page 22 of 29 Evidence: The home employs an administrator, cleaners, cooks, kitchen assistants, a handyman and a laundry assistant in addition to the care staff. This means that care staff have time to spend with people and are not diverted from this by having to do other duties. There was good evidence at this visit that previously identified issues around some of the care staffs over reliance on leadership and guidance has continued to improve with further training and improved management support. A visiting health care professional said The staff are much more competent, the standards of care are very good. Three staff files were checked at this visit. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level.This confirmed thorough recruitment practices were in place, which was sufficient to safeguard people. The majority of staff have either completed or are doing the National Vocational Qualification (NVQ). This helps to ensure that people are receiving care from staff with the right skills and knowledge. Staff spoken to said they felt they received good training to support them in providing care to people. The records show that induction processes are in place and that new staff receive the new induction in common standards in line with The Skills for Care Council. The home has a training matrix, which identifies mandatory, general and service specific courses for staff. Staff records confirmed they were up to date with moving/handling, fire safety and the kitchen staff held basic food hygiene certificates. Staff turnover in the last twelve months has meant that few of the current staff now hold first aid certificates however the manager confirmed that training in this area and also food hygiene courses for all the care staff were currently being arranged. Records also showed that staff had completed courses in Diabetes, dementia, safeguarding, medication, bereavement, catheter care and falls prevention. The provider confirmed that the home had employed a new training person who would be working with the manager to develop a new training programme early in the new year. Care Homes for Older People Page 23 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. People have confidence in the management at the home. Quality monitoring systems allow individuals and their families to comment on and in part affect the way in which the service is operated.The environment is safe for people and staff because appropriate health and safety practices are carried out. Evidence: A manager Lisa Jevic has been appointed to the service, she has been in post since October. Lisa has previously held management positions in care homes. She has her NVQ level 4 Award in care and has almost completed her Registered Managers Award , she told us that she will be submitting an application for registration to become the registered manager early in the new year. It was very positive to see that the new manager had received a thorough handover of the service from the departing manager, they had worked alongside for three weeks which gave the new manager the opportunity to familiarize herself with the management and administration systems and also to be able to work with staff and spend time with people who use the service Care Homes for Older People Page 24 of 29 Evidence: and their families. People, staff and relatives said they were all happy to approach the manager at any time for advice, guidance or to look at any issues. It is clear that the new manager has settled into the home very well, she has the confidence of those she works with and that she wants to build on the improvements made to the management systems in the home. A visiting health care professional said Lisa is very good and doing really well, staff morale appears settled, they are all happy with the new manager. The home has a comprehensive quality assurance system. There is evidence of internal auditing of the homes environment, services and records. Staff meetings are held and minutes of these meetings were seen. The responsible individual visits the home on a regular basis, a report is written following the visits. People who use the service and their relatives meet with the management of the home. These quality assurance systems will help ensure that the service is operating in the best interests of the people who live there. The returned service and CSCI surveys show that people are more than happy with the service. Certificates on the wall of the home and discussion with the provider and manager indicate that the North Lincolnshire Council awarded the home its Gold Standard for Quality Assurance earlier in the year. The home is also accredited with Investors in People status. Staff told us that the management of the home are very helpful and approachable and that they have regular meetings and supervision sessions with their manager where they can discuss aspects of their work and any training they want to do. Checks of staff supervision records show that some staff had accessed more regular sessions than others. The manager confirmed that she had identified this issue and drawn up a new supervision calendar, which identifies dates every two months for individuals to formally meet with their supervisor. The home holds small amounts of personal monies on behalf of people. Records are made of any incoming and outgoing monies. Records and receipts are kept of all transactions so that money can be easily accounted for. To keep pole safe the information provided before the visit shows there are regular health and safety checks carried out through out the home including fire and emergency equipment. The fire safety records and discussion with the manager confirmed this. Staff have accessed mandatory training courses in moving/ handling, fire safety, food hygiene and first aid. Discussions with the manager confirmed that the home has safe systems to support Care Homes for Older People Page 25 of 29 Evidence: the use of bed rails, this equipment was not in use at the time of the visit. 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 1 36 The registered person should ensure that all care staff access formal supervision sessions at least six times per year. 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). 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