Inspection on 28/10/08 for Sutton Oaks Care Centre

This inspection was carried out on 28th October 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sutton Oaks Care Centre 20/05/08

Sutton Oaks Care Centre 20/11/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sutton Oaks Care Centre Sutton Oaks London Road Oak Grove Macclesfield Cheshire SK11 0JG     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: June Shimmin     Date: 2 9 1 0 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 © (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 30 Information about the care home Name of care home: Address: Sutton Oaks Care Centre London Road Sutton Oaks Oak Grove Macclesfield Cheshire SK11 0JG 01260253374 01260253319 suttonoaks@canterbury-care.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Canterbury Leased Homes Limited Type of registration: Number of places registered: care home 55 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home with nursing: Code N, to people 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 (maximum number of places: 55). Physical disability: Code PD (maximum number of places: 10). Dementia over 65 years of age: Code DE(E) (maximum number of places: 10). The maximum number of people who can be accommodated is: 55. Date of last inspection 0 0 10 Over 65 10 55 0 Care Homes for Older People Page 4 of 30 Brief description of the care home Sutton Oaks was built in 1875 as a private house for a local mill owner. The original house is a listed stone building that has been used at various times in its history as a convalescent home for war victims and a local authority residential home. The previous owners converted it into a care home providing nursing care in 1992. It is now run by Canterbury Care Homes Limited, which took over as the new owner in June 2007. Sutton Oaks is approximately three miles from Macclesfield town centre and is on a local bus route. It is a three-storey building, with an extension to the older building, surrounded by gardens and woodlands. There are a number of communal living areas, including lounges and dining rooms, over all three floors. There are 27 single bedrooms and 13 shared rooms. All but three of these have en suite facilities. Access for people who use wheelchairs is generally good. There are two passenger lifts, four internal staircases and an external fire escape. The home is registered to care for people who require nursing care or who have dementia. It is staffed with registered nurses at all times. They are supported by care staff and there are staff for catering and cleaning. Room prices range from 521.66 pounds to 800 pounds per week, depending on the size of the room and whether it is a single or double and the type of en-suite facilities. Sutton Oaks can provide respite care if beds are available. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. We carried out an unannounced visit to the home on 28 and 29 October 2008. The visit lasted 8 and a half hours over the 2 days and was done by two inspectors. During the inspection, one inspector carried out a short observational framework for inspection (SOFI) on the unit for people with dementia. This is a tool that is used by inspectors to record their observations where people have dementia or communication and understanding difficulties. It is designed to provide first hand experience of sitting alongside people for a couple of hours and gives insight into those peoples well being and staff interaction with them during this time. Care Homes for Older People Page 6 of 30 Before the visit the manager was asked to provide information about the home as part of this inspection process. CSCI questionnaires were also sent out to people who live in the home and staff working at the home in order to find out their views. Other information we have received since our last main (key) inspection of the home was also reviewed. During our visit, we looked at various records including care plans to check what care people are receiving at the home. We walked round the building. We talked to a number of people living in the home and we also spoke to relatives visiting the home. We gained their views about the care and services that are provided. We spoke to a number of staff and their views are incorporated into this report. What the care home does well: What has improved since the last inspection? A new manager has been appointed and overall management of the home has improved so that people living in the home experience better outcomes. Staff monitor people who are at risk of weight loss closely so that further weight loss is prevented and health maintained. Medication is better managed so people receive the medication they need in a timely way. The privacy and dignity of people living in the home is respected to make sure they receive care in a sensitive and professional manner. Staffing levels have improved so that the home is kept clean and people are protected from possible infection. Records of training carried out at the home are maintained so it is possible to evidence what training staff have undertaken. We are kept informed of events happening at the home that they are legally required to tell us about. Care Homes for Older People Page 8 of 30 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 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 10 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 who are thinking about moving into Sutton Oaks have their needs assessed by staff from the home before they move in so they know their needs can be met there. Evidence: We looked at the assessments of seven people who had recently moved into Sutton Oaks. The former manager and the new manager had done these assessments and they had been completed to a good standard. They also included assessments on any risks to the persons health. There was usually good information in the assessments about the social, leisure and spiritual interests of people before they moved in. The manager told us that peoples families are asked to complete a brief life history of their relative for the home. This helps to make sure that staff know peoples individual needs and interests so they can provide care that is centred on the individual person, their preferences, needs and interests. One visitor said that his relative had settled well and the staff were superb. Care Homes for Older People Page 11 of 30 Evidence: Sutton Oaks does not currently provide intermediate care. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Sutton Oaks have their needs met and their care is provided in a manner that protects their privacy and dignity. Evidence: We looked at the care plans of eight people living at Sutton Oaks, including four people living in the dementia unit, to check what care they were receiving. Every resident had a detailed care plan, which included details of any risks to them. In some cases the care plans and risk assessments had not been drawn up within 48 hours of the person moving into the home so care staff would not be aware of the care needs and risks relating to residents when they first moved in. Some of the care plans were pre printed and staff had tried to personalise these so that they related to the specific care needs of the individual. Other care plans had been written by nurses and showed that they understood the individual care needs of the people they were caring for. The content of these care plans was good and the care plans had been evaluated at least monthly to show that changing needs had been recorded and the care plan amended accordingly. Care Homes for Older People Page 13 of 30 Evidence: Records we saw also showed that people who were at risk of losing weight were monitored and referred to a dietician where necessary. Although several people living in the home had pressure ulcers, appropriate actions were being taken to make sure that there was no further deterioration in the health of the people affected. The care plans needed to include accurate information about how these pressure ulcers were being monitored. The health care needs of people living in the home appeared to be well met. Information was available on the care plans that showed visits from GPs, optician and chiropodist were made when people needed them. Care plans referred to ensuring that the dignity and privacy of people living in the home was respected. During our visit, we saw that staff were calm, friendly and showed a caring nature towards the people observed. We looked at medication records being kept on the ground floor. These showed that medication was well managed so people received their prescribed medication in a timely and safe way. Care Homes for Older People Page 14 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the quality of food at Sutton Oaks is good people living in the home receive little social stimulation so their social needs may not be met and they could become isolated. Evidence: We carried out a short observational framework for inspection (SOFI) during the inspection. This is a tool that is used by inspectors to record their observations where people have dementia or difficulty with communication. It involves sitting alongside people for a couple of hours and gives insight into their well being and staff interaction with them during this time. The conclusion of this observation was that staff worked well with the people we were observing and in general the outcomes for these people was good. There were enough staff available to help people at lunch. Other areas of good practice we saw were; staff encouraged people to eat independently and only helped them when necessary; staff sat next to people when helping them to eat; different sized meals were given to people, reflecting individual choice and preference. Care Homes for Older People Page 15 of 30 Evidence: Some things we saw during the SOFI were pointed out to management as being areas to improve upon. For instance the TV and radio were on in the room at the same time, which can be confusing for people with dementia or communication and understanding difficulties. Also people who were sitting at the table were not served their meal at the same time, meaning one person sat watching the others eat; and a drink of tea was brought to people, all in plastic feeding beakers and all with milk etc in them, not showing choice to people. We looked at samples of menus which were displayed on the notice board on the corridor. These showed that there is a varied diet, mostly of popular traditional dishes, at the home. During our visit we saw lunch being served. There was a choice of food and drinks available during the mealtime and the dining area was a pleasant area to eat in. After the meal people who use the service told us they had enjoyed their meal. Drinks are available in between meals and at supper time. Staff find out each persons choice of meal before it is served to make sure they receive the food they prefer. Various diets are catered for including diabetic, soft diets, finger foods and pureed meals to make sure that peoples particular dietary needs are met and they receive the level of nutrition they need to stay healthy. During our visit, we watched staff at lunchtime chatting and working with the people who live in the home. The staff were attentive to peoples needs and helped them when they needed it. The general atmosphere within the home was warm and friendly. We saw that the meals served varied in size according to what people preferred. The management team told us that a new person has recently been recruited to provide activities at Sutton Oaks. During our visit, we found little evidence that people in the home have their social needs met. If care staff have time they will do an activity with people living in the home and one carer was doing a painting session with a group of people. During our observation, staff helped some people with writing their name, drawing and reading the newspaper. The deputy manager told us that a fireworks display was being organised for the week following our visit but there was nothing about this or other activities displayed on notice boards in the home. There was also little documented in care plans about peoples interests either before they came into the care home or currently. One relative said she had not been asked to provide a life history about her relative. Information like this is useful as it helps care staff to understand the background of a person and to provide care that is appropriate to their needs. Another relative told us that the new manager had held a meeting during which it was confirmed that a new staff member had been appointed to provide activities and that trips out of the home would be arranged. Care Homes for Older People Page 16 of 30 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. Complaints are well managed and good systems are in place so vulnerable people living in the home are protected from possible abuse. Evidence: Sutton Oaks has a complaints procedure which was being revised to reflect the change of management at the home. Relatives told us they would know who to speak to if they had any concerns. The home has only received one complaint since the last key inspection and records showed that this was handled well so that people know their complaints are taken seriously and acted upon. There is a policy and procedure for the home about safeguarding adults as well as policies and procedures provided by the local authority and updates of the No Secrets policy from the Department of Health. Several parts of the homes own policy and procedure were misleading and as a result staff might not know what actions to take if they suspected someone was being abused. Most staff have recently undertaken training in safeguarding adults but those who have not done this training should do so in the near future so they are aware of their role and responsibilities and how to recognise potential abuse. Care Homes for Older People Page 18 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. Sutton Oaks is well maintained and clean so people accommodated in the home live in pleasant, safe and comfortable surroundings. Evidence: During our visit, we walked round the home and saw that significant improvements had been made to the environment. The ground and first floors had been redecorated and were much improved. Also all corridor carpets had been replaced and many furnishings had been renewed. A significant improvement was that a clear panel that had been installed to enclose the top of the main stairwell, making the first floor landing a safe area for anyone who might have any degree of confusion. The home was warm and inviting. There were no unpleasant odours noted during this visit. The deputy manager showed us a vacant room and the standard of furnishings and fittings was good. As rooms become vacant they are refurbished. Several relatives told us that they were satisfied with the standard of cleanliness and that this had improved during the last few months. There are plans to reorganise the lounge and dining room on the first floor so that these areas will be separate. We noticed that three safety gates were being used to prevent people living in the home from going into the rooms of people who were asleep in bed. When we returned Care Homes for Older People Page 19 of 30 Evidence: on the second day of our visit, one of these gates had been removed so that people asleep in bed could sleep undisturbed with their doors kept mainly shut and their privacy preserved. The operations director for the company said that doors were now alarmed to warn staff if someone was entering another residents room. There are large gardens surrounding the home and the operation director told us there are plans to improve the garden at the back of the home to make it safe and accessible for people living in the home to use. We visited the kitchen and found it was clean, serviceable and tidy. The temperature records for fridges and freezers were up to date and foods were appropriately stored with dates of opening recorded. The laundry was seen and a member of staff confirmed that the machines could cope with the amount of laundry produced by the home so that there was always a supply of clean linen and clothing for people living at the home. Care Homes for Older People Page 20 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. Staffing levels appear adequate and staff undertake training relevant to their role so have the competence to carry out their jobs. Recruitment processes are not thorough to check properly that new staff are suitable to work at the home so people living there may be put at risk of poor practice. Evidence: We looked at the files of two members of staff to check how they had been recruited to work at the home. There was only one reference on file for a nurse but the reference did not relate to the nurses previous nursing competence or work history. The referee had only employed the nurse for a period of three months, which was not a long enough period to have gained knowledge about the nurses abilities and suitability for a nursing role. Although a preliminary security check had been received the full enhanced disclosure from the Criminal Records Bureau [CRB] was not received until after the nurse had started work in an unsupervised capacity. The manager had not kept any records of the interview to explain if any of these issues had been raised or discussed. There was also only one reference on file for the second person recruited to work at the home and this again did not come from a previous employer. There was an explanation for this but a second reference from a suitable person had not been sought. There were no interview notes for this person. The deputy manager said that this person had worked in a supervised capacity until the full enhanced disclosure had Care Homes for Older People Page 21 of 30 Evidence: been received from the CRB. Records indicated that the nurse had received training in various subjects such as fire safety during the first few weeks of employment. The deputy manager had conducted supervision with both staff members after three months so their practice was being monitored to make sure they were providing good quality care for the people living in the home. During our visit, staffing levels appeared to be adequate to meet the needs of the people living in the home. However, one relative and one staff member felt that these were not always sufficient. Feedback from relatives indicated that they have a high regard for the staff. The deputy manager said that although fewer than 50 per cent of staff have an NVQ2 in care, more staff are working towards this award. Canterbury Care, that runs the home, now has a training manager so that training will be delivered in a timely way to make sure that staff are always be up to date with their training. Care Homes for Older People Page 22 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. Sutton Oaks is now better managed so that people know the home is being run in their best interests. Evidence: Sutton Oaks has a new manager, who has been in post for just under a month. The new manager was not available during our visit but Canterbury Cares operations manager told us that the new manager has previously managed a care home, is a registered nurse and has a diploma in management. There is also a deputy manager for the home who is also a registered nurse and has shown a sound knowledge of the principles of good management. The deputy manager told us there had been a very consistent team effort to improve standards at Sutton Oaks. Since starting in her role the new manager has held residents meetings, staff meetings and meetings for relatives to discuss ways in which improvements can be introduced in the home. Staff and relatives confirmed this to us. The operations Care Homes for Older People Page 23 of 30 Evidence: director visits the home each month and produces a written report about how the home is being run so the manager receives support and guidance from a senior manager. Managers at the home have also been carrying out regular checks on various aspects of the homes management such as medication to check whether standards are satisfactory. Some of these have not been done since March 2008 but the operations director confirmed that these would continue so that standards are being continuously monitored. The home has kept us informed of issues arising in the home that they are legally required to notrify us about as part of checking that the home is being run in the best interests of the people who live there and they are being adequately protected. The small sums of money held for people living in the home were checked and found to be correct. This means that people know their money is kept safe. Before the inspection the manager gave us information about maintenance in the home. This showed that equipment and installations in the home are serviced regularly so people living and working in the home are safe. During a recent visit the environmental health officer wrote, excellent standard of hygiene and procedural control. Training sessions in moving and handling have been carried out and a small number of staff still need to do this training so they can carry out these task safely. We noted that the staff working in the kitchen appeared not to have basic food hygiene certificates so they may be unaware of good practice. We looked at the fire safety records. A fire risk assessment was carried out by contractors in April 2008 but there was no record about actions that had been taken to carry out the requirements and recommendations in the report. Most staff had taken part in either a fire awareness training session or fire drill in the last six months and this training should continue until all staff have completed this training so that people living and working in the home are safe if a fire breaks out at the home. Care Homes for Older People Page 24 of 30 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 12(1) (a) & (b) Thorough systems must be 20/07/2008 put into place to monitor people who are at risk of weight loss so further weight loss is prevented and their health is not compromised. 2 9 13(2) Medication must be administered as prescribed and disposed of in a safe manner so that people receive their medication and unused medication is disposed of safely. 20/07/2008 3 9 13(2) Prescribed medication must 20/07/2008 be obtained and restocked in good time so that people receive their medicines as prescribed, without any gaps and their needs are met. 4 10 12(4)(a) Care must be provided in line 20/07/2008 with current good practice so that the privacy and dignity of people living in the home is respected at all times. 5 18 13(6) All staff must undertake 20/07/2008 training in adult protection so Care Homes for Older People Page 25 of 30 that they know how to recognise abuse and what to do if they suspect abuse has taken place. 6 27 18(1)(a) Sufficient numbers of 20/07/2008 cleaning staff must be employed and deployed effectively to ensure that the home is kept clean at all times and that the people living at the home are safe from the risk of infection. 7 27 18(1)(a) There must be sufficient care 20/07/2008 staff in duty at all times to meet the dependency levels of the people who live in the home so their needs can be fully met. 8 29 19(1)(ac)Schedule 2 (3 & 9) Two references must be 20/07/2008 obtained for all staff working in the home before they start work there. The PIN numbers of nurses working at the home must be checked to ensure that these are up to date. This is so that people who live at the home know that staff have been checked thoroughly to make sure they are suitable to work with vulnerable people. 9 30 17(2) Schedule 4 (6)(g) Records of all training undertaken by staff must be kept, including induction training, to show that they have received the training they need for the work they perform. 20/07/2008 Care Homes for Older People Page 26 of 30 10 31 8(1)(a) A suitably qualified person 20/08/2008 must be appointed to manage the care home so that it is well run and in the best interests of people living there. 11 38 13(4)(c) All staff who carry out 20/07/2008 moving and handling procedures must undertake up to date training, and this must be recorded to show that they have done the training so that they and the people they are moving are safe. 12 38 23(4) (d & e) All staff must undertake suitable training in fire prevention and take part in fire drills. Records of this training must be kept to show that staff have done this training so that all people in the home are protected in the event of a fire. 20/07/2008 13 38 37 CSCI must be informed without delay of any notifiable event as specified under this regulation and confirm it in writing. 20/07/2008 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 29 19 Two written references must 27/12/2008 be obtained for all staff including a reference relating to the persons last period of employment of not less than 3 months. This is to make sure that the person is suitable to work with the people who live at the home. 2 29 19 New staff must not work 27/12/2008 unsupervised until a satisfactory enhanced disclosure for them has been obtained from the Criminal Records Bureau. This is to make sure that until the evidence that the person is suitable to work with vulnerable people has been obtained, people who live in the home are not put at risk of harm or poor practice. Care Homes for Older People Page 28 of 30 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 7 Care plans and risk assessments should be written within 48 hours of people moving into the home so staff are aware of the care that should be provided to meet peoples needs. Information about peoples social interests and preferences should be recorded to help staff provide appropriate care and activities so people are not at risk of becoming socially isolated. Those staff who have not undertaken training in safeguarding adults should do this training in the near future so they know what actions to take if they suspect someone is being abused. The homes policy about safeguarding adults should be amended to give staff clear guidance about how to recognise abuse and what actions to take if they suspect someone is being abused. 50 per cent of care staff should attain NVQ2 in care so they are fully competent and knowledgeable in their roles. Notes should be kept on file of discussions held with potential employees at interview so the management can demonstrate that any contentious issues have been discussed and resolved. All staff involved in handling food should undertake training in basic food hygiene so they are aware of safe practices. All staff who have not undertaken fire awareness training and fire drills should complete this training so they know what to do in the event of fire. Records of this training should be made to show that it has been carried out. The fire risk assessment should be completed to show that actions have been taken to put right any issues raised in the assessment. 2 12 3 18 4 18 5 6 28 29 7 8 38 38 9 38 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. 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