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Inspection on 19/03/09 for Rosewood Lodge

Also see our care home review for Rosewood Lodge for more information

This inspection was carried out on 19th March 2009.

CSCI found this care home to be providing an Excellent 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the staff are very aware that Rosewood Lodge is the home of the residents and try to make this as pleasant as possible. There was a good response from surveys and all commented positively about the quality of care being provided in the home. Comments included:" The home is really really excellent, all the staff are very caring and attentive and I would recommend my friends to place their elderly relatives there. It is very spacious and spotlessly clean and all the staff take a personal interest in the residents. Well done indeed." " Your staff are very kind and very understanding. I thank them all." Positive staff interaction and good care was observed with all the residents and this resulted in a high level of motivation for people living in the home. The routines of daily living are flexible to suit the differing needs and preferences of people living in the home.

What has improved since the last inspection?

The care plans are more detailed and give a real sense of the individual resident. There have been a number of improvements to the environment including the replacement of furniture and flooring (non-slip) in all the communal areas. Some bedrooms have been refurbished including the replacement of mattresses. This has improved the odour control in the home. The standard of record-keeping and accessibility of records has greatly improved. All staff continue to receive relevant training which has helped them to meet the needs of people with dementia. The level of activities provided in the home have improved, following consultation with the residents and many of the activities provided are individualised. All requirements from the last inspection have been met.

What the care home could do better:

The manager and staff at Rosewood Lodge continue to strive to improve the outcomes for people who are living in the home. The manager is aware that they need to ensure that the views of people who use their services are promoted and incorporated into each aspect of the service. The service have made good improvements in order to meet the needs of people from diverse backgrounds. The manager states in the AQAA that further effort needs to be made to promote equality and diversity by celebrating more of the cultural events throughout the year. The manager is also planning to send staff on diversity training to ensure that they are aware of and can further meet the needs of the service users.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rosewood Lodge 45-47 Valentines Road Ilford Essex IG1 4RZ     The quality rating for this care home is:   three star excellent 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: Harina Morzeria     Date: 1 9 0 3 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Rosewood Lodge 45-47 Valentines Road Ilford Essex IG1 4RZ 02085544343 Telephone number: Fax number: Email address: Provider web address: permjit.mann@btinternet.com Name of registered provider(s): Type of registration: Number of places registered: Kulwant Singh Mann care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 19 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 Dementia - Code DE Date of last inspection Brief description of the care home Rosewood Lodge is a care home providing personal care and accommodation for 19 older people. It was first registered in 1995. The home is situated in a residential area in the London Borough of Redbridge, overlooking a park. It is within easy reach of the town centre and other local facilities, such as small shops, pubs, a post office and other amenities. All bedrooms are situated on the ground and first floors, which are Care Homes for Older People Page 4 of 26 Over 65 0 19 19 0 Brief description of the care home served by a lift and stairs. There are three lounges and a separate dining area downstairs plus a garden, for the residents enjoyment. All the bedrooms occupied by the residents are single and two have en-suite facilities. Various in-house activities are provided, such as exercise class, art and craft, floor basket ball, bingo and outings, including cinema trips, pub lunches, walks in the park, theatre trips, shopping and weekly visits to church. The residents are able to have their meals flexibly, or in their rooms if they are unwell. A hairdresser visits the home weekly, as well as a reflexologist and a manicurist. Staff showed a caring and sensitive attitude towards the residents, which was confirmed by the residents spoken to on the day of the inspection. The Statement of Purpose and the Service User Guide are issued to every prospective resident and both of these documents are displayed in the entrance hall of the home. A copy of the most recent inspection report is also available. A resident or relative/representative could ask for his or her own copy, which the manager would make available. The fees for the home are #500-#570 a week. Care Homes for Older People Page 5 of 26 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection which took place over seven hours. The inspection was undertaken by the lead inspector, Harina Morzeria. The registered manager was available throughout the visit to aid the inspection process. Discussions took place with the manager and care staff. We spoke to residents if possible and asked them to give their views on the service and their experience of living in the home. Care staff were asked about the care that residents receive and were also observed carrying out their duties. A tour of the premises, including all communal areas, the hairdressing room, some bedrooms (with residents permission) and the kitchen was carried out. The files of several residents were case tracked, together with examination of staff and home records. This included medication administration, staff training and recruitment procedures and files, maintenance records and management of complaints. Care Homes for Older People Page 6 of 26 Information was also taken from an Annual Quality Assurance and Assessment(AQAA), which was completed and returned to us prior to the inspection. This is a self assessment process, which all providers are required to complete once a year. Additional information was also obtained from Regulation 37, notification of events. Surveys were sent out prior to the inspection for completion by residents. Staff, relatives and visiting professionals such as the chiropodist and refelxologist were spoken to during the inspection to seek their views about the service. We would like to thank the manager, residents and staff for their input during the inspection. What the care home does well: What has improved since the last inspection? 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their relatives have detailed information about the home to enable them to make an informed choice. Comprehensive pre-admission assessments are undertaken for all residents. This means that staff have detailed information to enable them to determine whether or not the home can meet a prospective residents needs. Prospective residents and their relatives are able to visit the homework prior to the admission and obtain a copy of the Service User Guide. The home does not offer intermediate care. Evidence: A comprehensive Statement of Purpose and Service User Guide are available. These documents are clear and up to date. They are specific to the resident group and outline the facilities available to meet the needs of people who use the service. The information can be available in different formats for example, appropriate language, pictures or Braille, upon request. From evidence seen, we are satisfied that the home Care Homes for Older People Page 10 of 26 Evidence: undertakes a comprehensive pre-admission assessment from which a care plan is developed in consultation with the resident, family members and health and social care professionals where possible. Prospective residents and their families have the opportunity to visit the home prior to admission, talk to staff and assess the homes facilities. An individual member of staff is allocated to them to give them information and help people understand how the home is organised and the facilities and services available to them. Before agreeing admission the service carefully considers the needs assessment for each individual prospective resident and the capacity of the home to meet their needs. All residents receive a contract which gives clear information about fees and extra charges which is reviewed and kept up-to-date as individual circumstances change. Care Homes for Older People Page 11 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health, social support and personal care needs are set out in individual care plans and provide staff with the information they need to satisfactorily identify and meet residents needs. There are clear medication policies and procedures for staff to follow, so as to ensure that residents are safeguarded with regard to medication. Residents are treated with respect and arrangements for their personal care ensures that their right to privacy is upheld. Evidence: Residents receive effective personal and health care support using a person centered approach. Staff ensured that care is person led, personal support is flexible, consistent and is able to meet the changing needs of the residents. Staff respond appropriately and sensitively in all situations involving personal care, ensuring that it is conducted in private and at a time and pace directed by the person receiving the care. Care plans seen were comprehensive and focus on the peoples strengths to enable them are to remain independant and maintain their dignity. The care plans covered health, social and personal care needs and focus on how to assist service users with various degrees Care Homes for Older People Page 12 of 26 Evidence: of cognitive impairment. It was evident from the care plans seen and through discussion with residents and staff that their health care needs were being understood and met on a daily basis. The AQAA states that staff monitor service users changing moods, behaviour and well-being and take necessary action especially for those service users who are severely cognitively impaired. Records indicate that health professionals such as chiropodists, dentists, opticion, GP and community nurses have seen the residents when required and staff support residents to attend any outpatient appointments. Some service users have been able to maintain their previous GP as they are still within the catchment area. The inspector had an opportunity to speak to the chiropodist on the day of the inspection. Residents are being weighed weekly and fluid, bowel and shaving charts are in place for those residents who require close monitoring. Aids and equipment are provided to encourage maximum independence for people using the services. Specialist advice is sought to ensure effective use of equipment. Staff are trained and competent in health care matters particularly in the care of people with dementia. Staff were observed to communicate with people with dementia in their own reality and not continually bring a person back to the present all the time as this may add to their confusion and distress. Policies and procedures for the handling and recording of medicines are in place to support and inform practice. The inspector observed a monthly medication audit carried out by the pharmacist on the day of the inspection which was thorough. She stated that staff follow the medication procedures and the manager ensures that staff are trained and competent to administer medication. Any issues raised are promptly followed up by the manager. Staff were seen to treat residents in respectful and sensitive manner. Staff understand the need to respect residents dignity and were seen to knock on bathroom doors before entering. Residents spoken to said that care staff were respectful when attending to their personal care needs. As part of the care planning process the home uses a variety of risk assessments. These were seen to cover the required range of risk areas and were completed appropriately, linked to care plans and showed evidence of regular review. Care Homes for Older People Page 13 of 26 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. The lifestyle within the home matches the expectations and preferences of residents. The attitude and practice of the service and that of the staff working in the home promotes opportunities for residents to remain independent, exercise choice and express their wishes and needs. The nutritional needs of residents are well considered so that food and mealtimes are seen as being important for all residents. Evidence: Residents are able to enjoy a stimulating lifestyle with a variety of options to choose from. The staff have sought the views of the residents and considered their varied interests when planning their routines of daily living and arranging activities both in the home and the community. Routines for daily living are flexible and residents can make choices in the major areas of their life. The service has effective methods which focus on involving residents in all areas of their life, and actively promote the rights of individuals to make informed choices, providing links to specialist support when needed. This includes developing and maintaining family and personal relationships. There is a planned general programme of activities for all residents and staff give a great deal of consideration and time, in consultation with residents in planning and undertaking a variety of activities in the home. The routines of daily living are flexible Care Homes for Older People Page 14 of 26 Evidence: to suit the preferences and capacities of residents. Staff allow time for residents to express their wishes and support individuals to make choices in their everyday lives. A number of photographs were displayed in the home showing the outings and activities that residents have participated in. There is a purpose built hairdressing room available for residents use. The hairdresser spoken to on the day of the inspection stated that, staff interaction with residents Ive seen are excellent, they have great fun and stimulation, which are so important. The reflexologist present on the day of inspection stated, this is a very caring home and people have plenty to do if they want to. There is a separate dining area where most residents have their lunch with some choosing to sit in the lounge. Mealtimes are flexible and relaxed. Residents confirmed that the food is good and they have a choice of food at mealtimes. The chef was observed asking residents to choose from the menu they planned. The menus seen were nutritionally balanced and well presented. Care Homes for Older People Page 15 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and staff team make every effort to sort out any problems or concerns. Residents and their relatives can be confident that their complaints and concerns will be listened to, taken seriously and acted upon. All staff working in the home have received training in safeguarding adults to ensure that there is a proper response to any suspicion or allegation of abuse. Evidence: The home has a written policy and procedure for dealing with complaints, and staff spoken to were aware of the complaints procedure and how to deal with complaints or concerns made to them. Individuals and their representatives have a clear understanding of how to make a complaint and when they will get a final response. The home also makes sure that individuals are regularly updated on the progress of any investigation into their complaint. Those residents spoken to were aware of how to complain if they needed to. Residents also have access to external agencies and professionals through advocacy and details are prominently displayed in the public areas of the home. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding safeguarding adults are available to staff and give them clear guidance about what action should be taken. People using the service are made aware of what abuse is and the safeguards which exist for their protection. Access to external agencies or advocacy services is actively promoted. The manager is clear when an incident needs Care Homes for Older People Page 16 of 26 Evidence: to be referred to the Local Authority as part of the local safeguarding procedures. It is open and transparent when discussing incidents with external bodies. All staff working within the home were fully trained in safeguarding adults and know how to respond in the event of an alert. Knowledge and understanding in this area is constantly checked at team meetings and during supervision sessions. The AQAA states that all staff understand what restraint is and alternatives to its use in any form are always looked for. The manager states that care plans include details of any service user who may need physical restraint, equipment such as bedrails and sensor mats and outline how individual assessments were completed involving the individual where possible, their representative and any other professionals such as GP or social worker. Risk assessments are also added and evidence was seen of such an assessment process followed for four service users. Service users are closely monitored and re-assessed in respect of this. The manager also stated that staff training and understanding of caring for people with dementia has helped them understand peoples behaviours and how to achieve the best results for them by understanding service users realities. Care Homes for Older People Page 17 of 26 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. The overall atmosphere in the home is very welcoming and provides a physical environment that is appropriate to the specific needs and lifestyle of the people who live there. Evidence: The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. The standard of the decor, furnishings and fittings are well maintained. The home is clean and tidy and odour control is good. The home has single rooms available for all people who wish to have one and two bedrooms have en-suite facilities. Bedrooms are well maintained and residents and their families are encouraged to personalise rooms so that they are reflective of the occupants culture, religious and personal interests. There are aids and equipment at various points around the home which are capable of meeting the needs of all residents. There are a number of shared communal areas where residents have a choice of place to sit quietly, can meet their relatives and friends or alternatively meet privately in their bedrooms. The environment is fully able to meet the changing needs of people, along with their Care Homes for Older People Page 18 of 26 Evidence: cultural and specialist care needs. There is a separate, specially adapted hairdressing room for the residents use. The following comments were received by the manager in a quality assurance questionnaire, it is very spacious and spotlessly clean.. I am very pleased with the homely atmosphere and with the care given to my aunt. Rosewood lodge possesses a very pleasant, friendly and relaxed environment.. The home has a proactive infection control policy and they work closely with external specialists, such as NHS infection control staff , to ensure that infections are minimised. Staff in the home work to this policy in order to reduce risk of infection. The kitchen is designed to enable and promote the involvement of people in domestic tasks as part of maintaining independence and this was evident during lunchtime. The bathrooms are homely and include aids and adaptations to meet the needs of the people using the service. There are sufficient toilets to enable immediate access. Care Homes for Older People Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are satisfactory and in a sufficient trained staff on duty to meet the individual assessed needs of the residents. The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. Evidence: There is a good recruitment procedure that clearly defines the process to be followed. This procedure was followed in practice with the home recognising the importance of effective recruitment procedures in the delivery of good quality services and the protection of individuals. Staff recruited confirmed that the home was clear about what was involved at all stages and was robust in following its procedure. This was evidenced in the staff files checked of two newly recruited staff. There is a wide diversity in the staff team and its composition and reflects the diversity of people in line with the six strands of diversity. Residents spoken to stated that their needs are well met by the staff team. Staff meetings take place regularly and are used for consultation and training and staff including night staff are involved in the development of the service. Agendas are developed, minutes taken and relevant information is made available to staff . Staff spoken to confirmed that individual supervision sessions take place regularly and staff say that they find them useful for their development. Evidence of this was seen on the staff files checked, notes are taken which include action plans. Care Homes for Older People Page 20 of 26 Evidence: The staffing levels reflect the needs of people using the service, and rotas are flexible to support the needs, activities and aspirations of residents in an individualised and Person centred way. On the day of inspection, sufficient numbers of staff were available to meet the residents needs and the rota reflected this. All staff receive training that is relevant to meeting the individual assessed needs of the residents in a Person centred way. Training is accessed from external providers such as the Primary Care Trust, London Borough of Redbridge as well as other private training providers. In-house training is also provided. The result of this is a diverse staff team that has a balance of skills, knowledge and experience to meet peoples needs. There is evidence that they demonstrate a thorough understanding of the particular needs of individuals and can deliver highly effective person centred care. This was evidenced in the individualised care plans seen for the residents tracked during the inspection. The staff team support each other and share skills and knowledge with colleagues. The AQAA states that the service make full use of the individual abilities of the staff to deliver effective care and staff are appointed to take individual lead responsibility in key areas. Residents and their representatives state that staff are skilled in their role and are able to meet the needs of individuals in a person centred way. The following comments were received by the manager in their quality assurance questionnaire , Your staff are very kind and understanding. I thank them all. Staff interaction with the residents Ive seen is excellent. We wanted to thank you and particularly your senior member of staff-- for the care and consideration shown for mum when she went with her to hospital at the end of the shift. We were grateful that she showed initiative and kindness -- and staying way beyond her hours. We are very lucky to have such dedicated staff. Care Homes for Older People Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team work well together and are appropriately supervised to make sure that residents are safe and secure whilst living at the home. Residents rights and best interest are safeguarded by the homes record-keeping policies and procedures. Residents and staffs health and safety and welfare are promoted and protected. The registered manager is qualified and has the necessary experience to manage the home. Evidence: The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. She communicates a clear sense of direction, and the inspector and was able to observe a sound understanding and application of best practice operational systems, particularly in relation to continuous improvement, customer satisfaction and quality assurance. The manager completed the Registered Managers Award in 2007 and undertakes Care Homes for Older People Page 22 of 26 Evidence: regular training for continuing professional development. This knowledge is cascaded to staff to further improve practice. The manager ensures that staff follow the policies and procedures of the home. Practice and performance are discussed during supervision, staff training and team meetings. Spot checks on quality monitoring are undertaken by the manager and monitoring systems provide management evidence that practice reflects the homes policies and procedures. Equality and diversity, human rights and person centred thinking are given priority by the manager and this was demonstrated in the areas inspected. There are a comprehensive range of policies and procedures. There are clear written records of all safety checks and accidents/ incidents. Such records were found to be maintained in good order. The registered person monitors the quality of the service being provided in the home through monthly regulation 26 monitoring visits. Quality assurance is also undertaken by the annual quality questionnaires which are sent to residents, relatives and other stakeholders. A number of comments received are included in this report. Residents are supported to manage their own finances where possible or by the relatives/representatives. The manager has responsibility for the personal allowances of several residents. Secure facilities are provided for their safekeeping, with records being maintained. The AQAA contains good information that is fully supported by appropriate evidence and the manager recognises the importance of continual self assessment and improvement. Record-keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. Residents can gain access to their records. The home has a comprehensive range of policies and procedures to promote and protect residents and employees health and safety. The manager ensures that staff are trained in health and safety matters and understand and consistently follow these. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!