Inspection on 21/11/08 for Stanton Manor

This inspection was carried out on 21st November 2008.

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

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

Other inspections for this house

Stanton Manor 03/12/07

Stanton Manor 13/06/07

Stanton Manor 06/06/06

Stanton Manor 10/10/05

Stanton Manor 23/06/05

Stanton Manor 28/09/04

Stanton Manor 13/05/04

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

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stanton Manor Piddocks Road Stanton Burton On Trent Staffordshire DE15 9TG     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: Angela Kennedy     Date: 2 1 1 1 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Stanton Manor Piddocks Road Stanton Burton On Trent Staffordshire DE15 9TG (01283)565447 01283565447 stantonmanor@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Pamela Mary Mycroft Name of registered manager (if applicable) Mrs Pamela Mary Mycroft Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 28 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 is within the following category:- Dementia - Code DE Date of last inspection Brief description of the care home Stanton Manor is a care home registered to provide personal care and accommodation for up to 28 people in the category of older persons with dementia. The home is situated in its own extensive and well maintained grounds. The nearest town is Burton on Trent, which is about 10 minutes drive from the home. Stanton Manor has both single and shared rooms, some of which have ensuite facilities. The home consists of two separate units, the main house and The Mews, which is located across the court yard. Bedrooms are situated on the ground and first floor. Information about the service is provided through the Statement of Purpose and Service User Guide. A note Care Homes for Older People Page 4 of 28 care home 28 Over 65 0 28 Brief description of the care home in the statement of purpose for the home says that the Inspection reports are kept in the Managers office if anyone wants to read them. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection visit that took place over one day. The last key inspection undertaken at this home was on the 3rd December 2007. An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a selfassessment for providers, which is a legal requirement. This assessment gives the provider an opportunity to let us know about their service and how well they think they are performing. The information provided in the AQAA is reflected within this report. At this inspection visit two people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, Care Homes for Older People Page 6 of 28 talking to staff regarding the care they provide and if possible talking to the individual. Both people case tracked were spoken with however due to their mental health condition neither were able to express their views of the service and the support it provided. Both of the people case tracked were visited by their relatives on the day of this inspection visit, therefore their relatives were spoken with and gave their opinion of the care and services provided. Their views are included within this report. Two members of staff were spoken with at some length and their views and opinions of the care provided, the support and training given to them is included within this report. The comments provided within six surveys received from the people living at the home, six relatives surveys and two staff surveys are also reflected throughout this report. The registered manager was on duty on the day of this inspection and provided the relevant information requested. The fees at the time of this inspection visit were 455 pounds per week for privately funded individuals and the Local Authority rate for individuals funded through Social Services. Additional fees included personal toiletries, chiropody, dentist and hairdressing services. 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need to decide if the home is right for them and the assessments done before admission ensures their needs are met. Evidence: In her completed pre-inspection self-assessment, the manager stated that prior to admission she acquired a care plan from the care management team of individuals that were funded. The manager also confirmed that she is a registered nurse and undertakes her own assessment for each person before admission is agreed. Both of the people case tracked had needs assessments in place that had been undertaken by their care management team and an assessment that had been undertaken by the manager prior to admission. These assessments addressed all areas of support required, such as their mobility needs, their personal care needs,their physical health care needs including eye sight, hearing, oral health care,mental health Care Homes for Older People Page 10 of 28 Evidence: care, their diet and the support they required with eating and drinking and their prescribed medication. This information was used to generate the care plans in place to ensure each person was supported appropriately. The pre admission assessment also contained relevant information about the reason for admission and the personal details of the individual, including relevant contact details, such as next of kin, supporting professionals, such as doctors and other health care professional and care managers. This ensured appropriate support, advice and contact could be made with everyone involved the care of that person. Comments within one survey completed by a relative included, Ive never had any important issues that affect me as yet, but Im sure the manager would keep me informed Other information gathered included information regarding the history of each persons life such as their family, their past employment, their religious beliefs and practice, their likes and dislikes and hobbies and interests. This information enabled the development of care plans to be written in a more person centered way that would allow staff the opportunity to understand and get to know individuals better. The visitors spoken with were able to confirm that the above process was followed prior to their relatives moving into the home. They were also able to confirm that they had received sufficient information about the home to enable them to make a decision about whether the home was right for their relative. Comments within surveys completed by relatives also confirmed this, one person wrote Yes, well planned, lots of information about the home. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals health and personal care needs were met and they were supported to take their medicines in a safe way. Evidence: Improvements were seen within the support files of the people case tracked. In her completed pre-inspection self-assessment, the manager stated that care plans had been worked on intensely and have been reviewed by senior staff who mentor the other staffs care plans and risk assessments. The manager used a cardex system that provided a summary of the support needs of each person. This information was then provided in more detail within a care plan folder that was in place for each person. The care plans seen covered all areas of individuals personal, health and social care needs and the level of support they required from staff to ensure their needs were met. In general the risk assessments seen were completed and contained detailed Care Homes for Older People Page 12 of 28 Evidence: information. However there was some incomplete risk assessments seen in one persons support file. The manager confirmed that the key worker for this person was due to complete these assessments on the afternoon of this inspection. From discussions with this persons next of kin and the member of staff that was supporting this individual, it was evident that this person was supported approriately and that the staff had a good understanding of the support they required to keep them safe. Evidence was in place to support that individuals care plans were reviewed each month to ensure any changing needs could be identified. The care plans seen demonstrated that they had been devised in consultation with the individuals family, as the individuals due to their mental health needs were unable to this. The manager confirmed that although this was not yet in place within everyones support plans this was an ongoing process. Comments from relatives that were spoken to on the day of this inspection visit were very positive about the care and support that was provided by the staff team. Comments included, my mum is very well looked after, I think the staff do a very good job, mum always seems quite comfortable and content and the staff are very good here, mum always looks clean and she always seems happy Comments recieved in surveys returned by relatives, aslo reflected this. Comments included, the care home always puts residents first and also the residents needs come first The comments in surveys completed by people living at the home was also positive about the support they recieved from the staff team and included, I am very happy at the care home, this is my home which I thought I would not say about anywhere. Staff also felt that the standard provided was good. Comments included, The service meets the needs and support of all residents as individuals and we follow the homes equal opportunities policy Another practice that had commenced was the request for visitors to provide a detailed life history of their relatives and this had been provided in the support files seen. This gave staff the relevant information about each person, such as the names of family members, such as siblings, partners, childern,pets they had, the type of work they did, war time experiences and their life experiences in general. All of this information gave staff a much more personalised understanding of individuals, and helped them to develop care plans in a more person centred way, enabling individuals emotional and social needs and interests to be met. This information linked well with the records held regarding individuals hobbies and interests and provided a greater understanding for Care Homes for Older People Page 13 of 28 Evidence: staff as to why some individuals preferred the company of others and why some people liked to spend time alone. Records were held within the support files seen that demonstrated individuals health care needs were met as required. This included information on the services provided by G.Ps, district nurses, optician, dentist and chiropodist as well as specialist mental health services and health professionals. Comments within surveys completed by relatives also confirmed this, one person wrote they are usually very good with any medical problems. People were supported to take their medication by competent staff, as the records demonstrated that staff had recieved medication training from a suitably qualified person. Medication records had been completed correctly and no gaps were found.Controlled drugs were recorded and stored appropriately.This indicates that individuals took their medication as prescribed.Locks were fitted to cupboards in bedrooms so people were able to store their medicines, such as creams safely. These measures were effective in ensuring medicines were managed in a safe way. The manager confirmed that no one at the home was able to self adminster their medication. Relatives spoken with felt that staff were respectful towards the people living at the home. From observations throughout the day the staff demonstrated a positive rapport towards the people living at the home, which was friendly and relaxed. The comments from one relative indicated that this was usual practice, its nice to have a good laugh with residents and staff. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements to the variety of activities available ensure the social needs of all individuals are enhanced. Evidence: In her completed pre-inspection self-assessment, the manager stated that the physical,social,cultural and religious needs of the people living at the home were met. She stated that the home had certain routines that were followed as the people living at the home benefited from them. Such as set times for meals (with half an hour either way), regular days for the hairdresser and the same day communion. The manager also stated within her completed pre-inspection self-assessment that she had now appointed an activities co ordinator, whom she felt had made a really good start with getting people living at the home motivated. Some examples were given such as seasonal craft work, baking and playing games. On the day of this inspection visit the activities coordinator was spoken with to discuss the types of activities that were provided, both within a group setting and on a more Care Homes for Older People Page 15 of 28 Evidence: personal one to one basis for those people that were unable to participate in group activities.The activities coordinator confirmed that she provided a variety of activities. This included one to one activities, such as pampering sessions where nails were painted and hand massages were provided. This enabled people that were unable to join in group activities to have some one to one time, which the activities coordinator said was very popular. In her completed pre-inspection self-assessment, the manager stated that one person had resumed playing the organ and painting. The activities coordinator also confirmed this.She also talked about group activities that were undertaken which included table top games, potting plants for the green house and growing vegetables, flower arranging and indoor and outdoor bowls. All of the visitors spoken with confirmed that activities took place at the home but said that their relatives would find it hard to join in with group activities. In her completed pre-inspection self-assessment, the manager stated that most of the people living at the home enjoyed music and with this in mind events were held such as coffee mornings where relatives were invited and an organist/ singer provided the musical entertainment. She also stated that due to many peoples mental health their attention span is often limited and said that some of these people receive the services of a professional masseur who provided hands, knees and foot massages to individuals on a monthly basis. In her completed pre-inspection self-assessment, the manager stated that holy communion was provided on a monthly basis by the local vicar and another person received regular visits from their vicar. It was confirmed that the service given did not included hymn singing, and as it had already been stated that most of the people living at the home enjoyed music, it was suggested that hymns would probably be enjoyed by the majority of people.The activities coordinator stated that she would look into this. The home also organised fund raising activities such as a summer fete and a Christmas Fayre and in the warmer months trips out were organised to places of interest. The comments within one surveys received by a person that lived at the home confirmed that they went out with their family on a regular basis. Several visitors were at the home on the day of this inspection and some were spoken to. The visitors spoken with in the main house were seated in the dining area. One Care Homes for Older People Page 16 of 28 Evidence: group of visitors, when asked if they were happy with the bedroom provided for their relative said they had never seen it but confirmed that other members of their family had. They said they were always asked to wait in the dining room when visiting and assumed this was a policy of the home. They did however state that the staff team were always welcoming and always offered them refreshments.Discussions with the manager confirmed that visitors were restricted to the dining room (when not used for meals) or individuals own private bedrooms. She stated that this was to ensure that the privacy of the other people living at the home was maintained. However as stated above one group of visitors did not seem to realise that they were able to visit their relative within their private accommodation and the comments made in a surveys returned by a relative also indicate this, as they wrote visiting in the main house is in the dining room, so little privacy and no easy chairs, not the same cosy feeling as in the Mews. At the last inspection visit it was observed that staff in the main house had started to assist individuals to the dining table for up to one hour before lunch was served. This led to complaints and people getting up and wandering away from the table. In her completed pre-inspection self-assessment, the manager stated that times have now been coordinated so that people are not escorted into the dining room before meals are served so that waiting times are kept to a minimum. This practice was noted on the day of this inspection visit.The comments made regarding the meals were positive, such as All the meals are very nice. Since the last inspection visit the manager confirmed that the dining room had been rearranged, spring cleaned and that new table cloths and a television had been purchased for this room, as some people enjoyed watching television away from the lounge area. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are kept safe and their rights to make a complaint are upheld by the homes complaints policy. Evidence: In her completed pre-inspection self-assessment, the manager stated that the home had a clear complaints policy in place and this was seen on the day of the inspection visit. We have not recieved any complaints about the service since the last Inspection. The manager confirmed that she had received no complaints. The manager had purchased a complaints ledger that would enable any complaints recieved to be recorded in detail, including the actions and the outcome of each complaint. Comments from relatives spoken with and in surveys recieved confirmed that they were confident that the manager would sort out any concerns they had. One person spoken with said, shes a lovely lady, shes always got time for a chat if anything is worrying me she will listen and is always very helpful. Comments in one survey said I have always found the home very helpful if I have any concerns about my mother. In her completed pre-inspection self-assessment, the manager stated that there were clear policies in place regarding the Mental Capacity Act and that staff had recieved Care Homes for Older People Page 18 of 28 Evidence: training on this. The training records seen demonstrated that training on the Mental Capacity Act and safeguarding adults training had been undertaken. Staff spoken with were also able to confirm that they had recieved this training and were able to demonstrate a good understanding of the procedure they should follow in the event of any safeguarding concerns or disclosures. No safeguarding referrals or investigations have been made regarding any person at the service since the last inspection Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe well maintained home that meets their needs. Evidence: In her completed pre-inspection self-assessment, the manager stated that staff are employed to keep the premises clean. The rotas demonstrated that two domestic staff were employed to undertake this role. The home appeared clean on the day of this inspection visit. Relatives spoken with said that the home always appeared clean. Comments within surveys also reflected this, one person wrote, rooms are cleaned daily, domestics work very well indeed to clean the rooms. At the last inspection visit the dining room was noticeably cold and draughty. The manager confirmed that new radiators had been purchased for the dining room and no cold or draught was noted at this inspection visit. The Mews Bungalow accommodated eight people and was well furnished with large windows. There was dining kitchen and a living area with soft seating. One member of staff was on duty at the Mews but confirmed that this was usually sufficient to meet the needs of the people living at the Mews. They confirmed that if they did require support they were able to ring through to the main building for additional help. Care Homes for Older People Page 20 of 28 Evidence: Since the last inspection visit the manager confirmed that some refurbishment and redecoration of the home had taken place. This included, some redecorating, the roof being retiled, the purchase of specialist beds, new arm chairs, a new washing machine, a new freezer and a new medicines fridge. She also confirmed that an order had been placed for two , two seater leather sofas. Relatives spoken with confirmed they were happy with the laundry service provided at the home and from observation it was noted that people living at the home wore clean and well ironed clothes, this ensured their dignity was enhanced. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient numbers of trained staff ensure that peoples needs are met appropriately. Evidence: The staffing rotas were seen and demonstrated that there was a sufficient number and skill mix of staff on duty to meet the needs of the people using the service. Comments from staff both at this inspection visit and in surveys returned confirmed that there was enough staff to meet individuals needs. People were supported by a competent staff team. In her completed pre-inspection self-assessment, the manager stated that the staff percentage for NVQ training had increased significantly as the home now had a better retainment of staff. Out of twenty three care staff seven had achieved a National Vocational Qualification (NVQ) in Care at level 2 or above and fourteen were working towards NVQ 2 or above. This means that a total of 91 of the staff team had or were working towards this qualification. The manager confirmed that the deputy manager was now qualified at NVQ level 4 and the assistant manager was currently undertaking this training. The recruitment records held for two members of staff were looked at and demonstrated that the appropriate checks had been done prior to employment. This indicated that staff were suitable to care for the people living at the home. Care Homes for Older People Page 22 of 28 Evidence: Training records seen demonstrated that staff were provided with training on an ongoing basis to enable them to undertake their work effectively.Records were seen to demonstrate that mandatory training was kept up to date and training relevant to the needs of the people living at the home was also provided such as training on the Mental Capacity Act. Comments from staff regarding the training they received were positive and confirmed that training was updated as required. Satisfactory records were in place to demonstrate that new staff were supported appropriately and provided with the training they needed to ensure they were competent to meet peoples needs. From discussions with visitors and from comments within surveys it was confirmed that staff supported people appropriately in meeting their needs. Comments included, I cant fault them, I think they do an excellent job, my mum is very well cared for and the staff are always around if you need them. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe environment which is managed in their best interests. Evidence: In her completed pre-inspection self-assessment, the manager stated that she was a registered nurse and a qualified NVQ assessor, who had been qualified for forty two years and working with elderly people in a care setting for twenty years. She confirmed that she keeps herself up to date in all statutory training and any other training relevant to the needs of the people living at the home. As stated earlier in this report visitors comments indicated that the manager was approachable and available to them when required. Staff spoken with confirmed that the manager was supportive to them and indicated that the home was well managed. Care Homes for Older People Page 24 of 28 Evidence: As stated in the staffing section of this report the deputy manager was now qualified at NVQ level 4 and the assistant manager was currently undertaking this training. In her completed pre-inspection self-assessment, the manager stated that records were held at the home regarding questionnaires completed by people living at the home and their relatives/ representatives and minutes of meetings for people living at the home and their visitors was also in place. There was evidence to demonstrate that written reports were provided following the audit of questionnaires and meetings held. These reports identified any actions that were taken on points that had been raised. This demonstrates that the views of the people living at the home and their representatives are listened to and acted upon as required. In her completed pre-inspection self-assessment, the manager stated that she had written to relatives to state that from the 1st February 2008 all of the people living at the home would be provided with an itemised account of their expenditure every three months. This was discussed at the inspection and the manager confirmed that she no longer holds any money on behalf of the people living at the home. Records were seen that demonstrated that a structured and regular supervision network was in place for the staff team. The manager provided supervision for senior staff and the senior staff supervised junior staff. This ensured that staff supervision was provided to all staff on an ongoing basis The environment was safe for the people living at the home, staff and visitors to the home.In her completed pre-inspection self-assessment, the manager stated that all equipment at the home was serviced or tested by the manufacturer or other regulatory body as required. A sample of service certificates seen confirmed this and the manager confirmed that issues raised at the last fire officers inspection had been addressed. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 Staff should ensure that all written information regarding risks identified is completed thoroughly. This is to demonstrate that all areas of risk have been identified and appropriate action taken. 05/03/2009 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 13 All visitors should be made aware/ reminded that they are able to visit their relatives in private if they choose to do so. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. 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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