Inspection on 10/09/08 for Solent Mead

This inspection was carried out on 10th September 2008.

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

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

Other inspections for this house

Solent Mead 07/11/06

Solent Mead 25/10/05

Solent Mead 25/05/05

Solent Mead 02/11/04

Solent Mead 29/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Solent Mead Church Lane Lymington Hampshire SO41 3RA     The quality rating for this care home is:   one star adequate 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: Michelle Presdee     Date: 1 0 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 30 Information about the care home Name of care home: Address: Solent Mead Church Lane Lymington Hampshire SO41 3RA 01590674687 01590678616 ssnfjm@hants.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Budd Type of registration: Number of places registered: Hampshire County Council care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: One service user may be accommodated in the category MD(E), whose date of birth is 13/04/31 Date of last inspection Brief description of the care home Solent Mead is a Hampshire County Council run home, providing accommodation and support for thirty- six residents who are over the age of sixty- five and people over the age of sixty- five with dementia or mental disorder. Only two residents with mental disorder are to be accommodated at any one time. Accommodation in the home is provided over two floors with access via a passenger lift or stairs. The home is separated into small units, each with bedrooms, lounge, dining room with small kitchen area, assisted bathrooms and toilets. There is a large enclosed garden to the rear of Care Homes for Older People Page 4 of 30 Over 65 36 1 36 0 0 0 Brief description of the care home the property. Solent Mead is located within the town of Lymington, on the edge of the New Forest. The fees charged ranged from #395-#430 per week. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate 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: During this inspection The Commission (we) were assisted by members of the management team of the home. The registered manager of the home is currently on secondment, managing a new county council home but is due back in the home at the end of the month. We were able to speak to a lot of people living in the home, some in more depth than others. Members of staff on duty were also spoken with. All feedback was of a positive nature. Surveys were received from staff, residents and health professionals. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, which had detailed information. Care Homes for Older People Page 6 of 30 A tour of the home including all communal areas, the kitchen, and some of the bedrooms was taken on the day. Paperwork including assessments, service user plans, menus, staffing records and health and safety checks were seen. All this information has helped form the judgments included in this report. The fees charged ranged from 395-430 pounds per week. 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.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 8 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have accurate assessments of their needs and are confident the home can support them. Evidence: In the AQAA we were advised All new residents are admitted by referral from a Care Manager whether funded or self funding. The Registered Manager receives a copy of the pre-admission assessment. A full day assessment is undertaken in the unit to which the individual will be admitted. New residents are provided with a Residents Information Pack, including information on complaining about the service, facilities available, which are kept in residents bedrooms. All new residents have a designated key worker who develops their care plan in consultation with the resident and their representative / advocate. The care plan includes risk assessments for the individual, including a falls Assessment, aimed at proactive prevention of falls. Care Homes for Older People Page 10 of 30 Evidence: The assessments of two people who had been in the home for some time and the assessment of one person who had been in the home for two days were viewed. It was noted these were all of the same quality and detailed the perceived needs of people at this time. Where appropriate the views of other professionals involved had been recorded. Family members and friends had also been involved in this process. It was also noted where possible the views of the person had been recorded and they had signed the assessment. Staff spoken to on the day felt the key worker system worked well and allowed them to get to know the person in a more detailed way. They confirmed they would always be involved in any reviews or planning meetings. One member of staff did comment they did find it difficult to perform all the tasks in the time they worked but felt it was a good system. Residents spoken with could not remember the admission process. None had any information on the home in their rooms. A member of staff explained most residents had been given information but it had got lost. Information on the home and the facilities it offers and the complaints process were available in the homes foyer. Residents spoken to stated they were happy in the home and felt it had lived up to what they were expecting. The home does not provide intermedate care. Care Homes for Older People Page 11 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a plan of care to meet each persons health, personal and social care needs. Some medication is not managed in a safe way and could pose a risk to people. Peoples right to privacy is respected and support is given in a way that maintains dignity. Evidence: In the AQAA we were advised All residents are allocated a key worker. In consultation with the resident and with contribution from carers where appropriate, key workers prepare care plans for each new resident on admission. We ensure that residents are in agreement with the plan, that they understand it is a living document and they sign their agreement. Care plans are reviewed and, where necessary, updated on a monthly basis. A named member of the management team is responsible for checking the relevance and suitability of the current care plan, and does this in consultation with the designated key worker. All staff are encouraged to respond to residents requests, aspirations and needs by modification of the care plan as required. Care Homes for Older People Page 12 of 30 Evidence: Falls assessments have been undertaken for all residents and these are carried out by trained staff. Assessments are regularly reviewed and updated. The home has a designated Occupational Therapist, who carries out assessments on request, where a need is identified, appropriate and suitable equipment is provided. Three care plans were seen, which were all of the same standard. The plans focused on the persons strengths/ wishes special requirements and risk assessments in seventeen separate areas. A daily living plan had also been developed for each person. People with their friends and relatives had produced a personal history. An individual action plan had been developed for each person. It was clear each person had been involved in creating their own care plan and most residents had signed them. Those viewed had been reviewed on a regular basis and changes made and recorded as necessary. Some people spoken to were aware of their care plans. One person spoken to explained how he enjoyed his own company and the privacy of this own room. He stated carers were very aware of this and always respected his wishes. Instructions relating to this were recorded in his care plan. Care staff were very aware of the need to keep care plans up to date. One member of staff who had returned to work spent time catching up on residents care plans. Another member of staff explained how a resident had rapidly detiorated and how important for her care that all details were recorded in her care plan. It was noted the persons care plan had been updated with all the changes taking place. In the AQAA we were advised the home has a corporate medication policy, which was seen on the day. All relevant staff receive specific training in the storage, administration, recording and disposal of medications. Residents may undertake self medication where appropriate and they wish to do so, following a suitable risk assessment. Assistant Managers and Night Care Coordinators who Administer Medication have received departmental training and training Managing Medication through Brockenhurst College. Medication is line managed by a designated member of the management team. Medication records and storage of medication were viewed both upstairs and downstairs. The home uses a monitored dosage system, which is delivered. Records viewed that used the monitored dosage system were accurate and recordings matched the stock held. When the controlled medication was checked it was noted there were errors. In one example the name of the medication in the controlled register book had been recorded as a totally different medication, which another resident was taking. Despite the error staff had signed to say the person had taken the prescribed Care Homes for Older People Page 13 of 30 Evidence: medication on 16 occasions and the mistake had not been noticed. The amount of the medication was checked, which matched the records, suggesting the person concerned had been given the correct medication. It was also noticed one person who was prescribed two controlled medications, which should have been administered every three days was being administered every four days. Staff spoken to said they could not explain why these errors had occurred. In one controlled medication cupboard the inspector was advised there was no medication inside. When it was checked a bottle of temezapam was stored inside, which had been in the home for five months.We were advised the person had not needed the medication. When talking to people in their own rooms and looking at bedrooms it was noted prescribed creams were in left out in bedrooms. Staff spoken to stated this was for convenience but they knew they should be stored in a lockable space. In the AQAA we were advised, The registered person promotes and maintains the residents health and ensures access to health care services to meet assessed needs. Residents have a choice of a GP when they take up residence. Some may wish to change their GP and this will be facilitated by the home and the family informed of changes. We record health issues the duty manager records why the health professional has been requested and what was the outcome/treatment of the visit. In cases were a residents health deteriorates to such an extent they require palliative care, we endeavor to ensure they are cared for in the home. We have excellent support from the community nurses and GP’s. Specialist equipment such as pressure relieving mattresses are also provided where there are special needs for pressure area care. We maintain turning charts, mouth care and food/fluid charts as a standard part of palliative care. Care plans viewed included information on a persons medical needs. Evidence was seen on care plans that a range of health professional visit the service including, dentist, optician, chiropodist, community psychiatric nurse, district nurse and doctor. It was clear professionals are called into the home as necessary and details of visits are recorded in care plans. One survey received from a health professional stated, the home is very good at informing GPs of worries regarding patients. On the day of the inspection the management team were trying to get extra staff in to be able to provide one to one care with a person who had detiorated rapidly. The home in the AQAA advised us The arrangements for health and personal care ensure that the residents privacy and dignity are respected at all times. Residents spoken to confirmed they felt their privacy and dignity was respected at all times. One member of staff spoken to explained it was not convenient to talk as she was helping a person get dressed. Staff were observed to always knock on a door Care Homes for Older People Page 14 of 30 Evidence: before entering. Staff spoke to people in a respectful manner, when they were asked the same question on a repeated basis due to the persons short term memory loss. Three health surveys received all stated the care service always respected the persons privacy and dignity. One health professional stated, From my experience staff are very aware of the importance of respecting privacy and dignity. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities are arranged and offered to all resdients, with records maintained of who joins in. People keep in touch with family and friends. People have nutritious meals at a time and place to suit them. Evidence: In the AQAA we were advised We develop individual care plans and provide programmes of activities, internal and external e.g. residents attending day services. Events and items of interest are posted on the residents notice board. All work produced is held in the activities room. Activities are recorded. When walking around the home it was noted all noticeboards detailed information on social activities and of outside entertainers coming into the home. On the day the activity which was detailed for the morning did not take place, which caused confusion for some people as they had not been informed it was not taking place. In the afternoon some residents played bingo, which was enjoyed by those taking part. Some residents spoken to stated they did not enjoy the social activities of the home but were pleased they were not forced to join in and stated they enjoyed reading in their own room or going out with family and friends. Staff spoken to were enthusiastic about the Care Homes for Older People Page 16 of 30 Evidence: social activities provided and felt it improved residents mood. In the AQAA we were advised Visitors are encouraged and residents are supported when they choose not to meet visitors. Choice is recorded in the daily diary or care plan as appropriate. Community involvement is encouraged. When talking to residents it was clear their visitors can call at any time and are always made welcome. Residents spoke of their delight when they are taken out or when their family members come to visit. One resident on the day went out for some fresh air and took her dog. Another resident spoken to stated he regularly went out for a walk to get some exercise and fresh air. It was clear peoples choices are recorded and promoted. Two residents who moved into the home from another home both made requests about the type of room they wanted, the home had managed to accommodate both of their choices. Another person had brought their pet into the home and adoptions had been made to their room in order to give the person more independence and to be able to care for their pet. In the AQAA we were advised We provide three full and three snack meals per day, with seasonal menu planning and rotation. Fluids of choice are available on demand and residents may keep drinks and snacks in their rooms if they wish to do so. (Small refrigerators, provided by residents can be accommodated in most rooms.) All meals provide a choice, with provision for specific dietary needs. Nutritional assessments are made as appropriate. Whilst meals may be taken in individual rooms, residents are encouraged to socialize at meal times and friendship groups are actively promoted. The chef was spoken to and showed a four week rotating menu. The chef explained menus are planned and discussed with the residents and she sometimes attends residents meetings. As a result of a recent meeting more traditional puddings with custard had just been put on the menu. Residents spoken to had mixed feelings about the meals but none wanted to complain, stating they knew it was difficult to please everyone. All confirmed there was a choice at meal times. Residents were observed at lunch time where meals are served in the dining areas of each of the five suites. It was noted meals looked attractive and residents were given assistance in discreet manner. Food and fluid intake charts were maintained if where there was concern for a resident these areas. Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and know their concerns will be looked into. The home safeguards people from abuse and neglect. Evidence: In the AQAA we were advised We provide all new residents with written information on how to make a complaint. We provide easy access to written information on the complaints procedure for family and other visitors. Compliments and comments from relatives and residents are displayed in the staff room and a copy is sent to the service manager. A letter of response from the registered manager is always sent to those making compliments or comments. Details of the complaints procedure was seen around the home, which detailed all the necessary names, addresses, telephone numbers and timescales. People spoken to on the day stated they would have no concerns telling any of the staff their concerns or complaints. All surveys received from people living in the home stated they would know how to make a complaint. All staff in surveys received stated they would know what to do if someone reported a concern to them. The home keeps a log of all complaints and in the last year has received two complaints. It was possible to see these had been dealt within the timescales and satisfactorily. In the AQAA we were advised We have a robust Adult Protection Procedure which Care Homes for Older People Page 18 of 30 Evidence: encompasses all service users and is shared with adjacent local authority services. All staff are trained on the issues relating to adult protection. All staff spoken to stated they had received training in adult protection. Those asked were able to describe the correct procedure if an allegation of abuse was made. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. Evidence: In the AQAA we were advised We have refurbished the home to provide individual accommodation for all residents. The home has dedicated domestic and laundry facilities with trained staff. (Control of substances harmful to health) COSHH assessments are in place and appropriate staff have been trained in COSHH, with a named lead within the management team. We have a dedicated room in which residents may smoke. Staff and visitors are not permitted to smoke on the premises. We have a lovely enclosed garden area, and we have raised funds to buy plants, some money has being donated by families. The residents thoroughly enjoy sitting out in the garden, when the weather is good. On the day a tour of the home was undertaken and some people were spoken to in their bedrooms. All areas seen were clean and no unpleasant odours were detected. It was noted some substances were in a residents room, whose door had been wedged open. These items included deodorant, shower gel, shaving foam and razors. These items were brought to staffs attention. Residents had personalised their rooms and stated their rooms were kept clean, their bed linen was changed on a regular basis and Care Homes for Older People Page 20 of 30 Evidence: their clothes were well looked after by the laundress. All residents in the surveys we received stated the home was fresh and clean. Some staff in staff surveys had made comments about the cleanliness of the home and the following statement from a member of staff is representative of those made, Cleaning is being overlooked to cover care shifts. Two residents stated they were cold and often felt draughts from their windows. The windows had metal frames, with the paint peeling on most. Of those seen all were in working order. Radiators are either covered or made safe to ensure residents are not at risk from burns. Adaptation and equipment were available to maintain and support the service users in maintaining their independence. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People most of the time have appropriate support by competent, experienced and trained staff. They have confidence in the staff but the home needs to make appropriate checks on staff to ensure they are suitable to care for people and do not a pose a risk to them. Evidence: In the AQAA we were advised We inform the planning of our staffing rota with a combination of needs assessment and forum hours. Experienced carer or night cocoordinator is on duty throughout the night. We mix staff skills dependent on the needs of the residents. On the day it was clear from observations and discussions with staff they work well as a team and are supportive of each other. Some staff did comment that at times it was difficult to meet all residents needs due to staff being either on long term sick or due to holiday leave. In staff surveys staff were asked Are there enough staff to meet the individual needs of all people who use the service? Of the nine staff surveys returned seven had ticked sometimes out of a choice of always, usually, sometimes and never. The other two had ticked usually. Comments included I personally feel that we need more staff. With increasing age, frailty and dementia more one-to-one time would benefit our residents. We are often short staffed and I find it hard to get everything Care Homes for Older People Page 22 of 30 Evidence: done. The management team were aware of this and agreed at times it would be beneficial to have more staff. However they stated it was difficult to recruit staff and agencies found it difficult to provide staff with the correct skills. All people living in the home made very positive comments about the staff and how hard they worked. It was clear from observations and listening to the banter staff had a good relationship with people living in the home. All people living in the home stated staff listen and act on what they say. Five surveys were returned from people who live in the home three stated staff are always available when you need them, with one comment being very good. One had stated sometimes and the last had stated sometimes stating I ring my bell for assistance and it seems like i am ringing for a while. The home has 39 permanent care staff, 77 have a National Vocational Qualification Level 2 or above. The staffing files of four members of staff who had recently started to work in the home were viewed. Three of these members of staff had worked for Hampshire county council in the home care department and transferred over the other had been recruited from outside of the county council. It was noted for the person who had been newly recruited all relevant checks, references valid identification were available. For the other three staff members part of the information required was missing or out of date. For one person the application form for the job of home carer dated back to 1993 as did the references. A check with the criminal reference bureau (CRB) was carried out in 2004. For another person the application form related to a job in home care in 1999 and the references were dated of the same year. No CRB or check against the protection of vulnerable adult (POVA) list had been completed. For the fourth person an application form was on file, which had been completed in 1987, in her maiden name. There was no CRB or POVA check. For the three people who had transferred over from home care no birth certificate or passport identification were available. A member of the management team explained because they had transferred over they thought all the necessary checks would have been completed. All staff spoken to felt the training was of a good standard and always available. Records were available demonstrating staff had in date training in all the key areas. In the AQAA we were advised A central, standardized training programme is available. The manager ensures that all staff access the required training, with personal and professional development incorporated in individual performance planning and annual performance development reviews. All staff in surveys received stated they were given training which is relevant, up to date and helps understand the individual needs of people. Care Homes for Older People Page 23 of 30 Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the care home because it is well managed. The environment is safe for people and appropriate health and safety practices are carried out. Evidence: The home has a registered manager who has completed her NVQ 4 and the registered managers award. All persons spoken to including residents and staff were full of praise for the manager and were looking forward to her returning. All stated she had an open door policy and could be contacted at any time. It was clear the home is run in the best interests of the people who live there. The home has a friendly open atmosphere and residents are consulted on decisions affecting the home. Residents meetings are held on a regular basis and minutes are taken. Questionnaires are sent to family and friends an an annual basis and the results are collated. This had recently been done in June 2008 with most responses being of a positive nature it was noted an overall comment was some issues would be resolved Care Homes for Older People Page 25 of 30 Evidence: by increased staffing levels. The personal allowance of some people who have a diagnosis of dementia is managed by the home. The records of two people were checked against the balance of money held. It was noted both of these were correct and records detailed all monies in and out. Receipts had been maintained for all money spent. When talking to care staff in the home it was clear formal supervision was not happening on a regular basis for most staff. Records seen on the day were unable to demonstrate any staff had received a minimum of six supervision sessions in a twelve month period. When asked in staff surveys Does your manager meet with you to give support and discuss how you are working? four staff ticked never, two ticked often and two ticked regularly, one did not comment or tick any box. Staff spoken to did state they knew the management had an open door policy. The AQAA advised us the home has clear policies on health and safety. Regular checks are made on the equipment in the home and professionals service these. Staff reported they all have the equipment and training they need and there is always a supply of appropriate gloves and aprons. Alcohol dispensers have been placed around the home. A sample of food and temperature record seen showed that the chef was aware of food safety and appropriate checks are undertaken and temperatures of food and fridge freezers were recorded. It was noted some fire doors were wedged open; this was brought to the managers attention who agreed to check with the fire authority if it was safe to leave open certain doors in the home. Care Homes for Older People Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Controlled drugs must be administered as prescribed and instructed by the doctor. Prescribed creams left in residents room must be placed in a lockable storage. This will ensure the safety of people living in the home and avoid the irsk of any mistakes being made. 03/11/2008 2 29 19 All staff must have available 03/12/2008 all the necessary checks and references and proof of identification to ensure all staff are fit to work in the care home. Ensuring all the checks and references have been completed and are in a reasonable date offers people in the care home more protection. Care Homes for Older People Page 28 of 30 3 36 18 Staff must receive a minimum of six supervision sessions in a twelve month period. Staff have the chance to learn and also have a chance to raise any concerns of learning needs they may have. 12/12/2008 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 29 of 30 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 © (2008) 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. 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