Inspection on 11/12/08 for The Sidcup Nursing And Residential Centre

This inspection was carried out on 11th December 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Sidcup Nursing And... 12/02/08

The Sidcup Nursing And... 13/03/07

The Sidcup Nursing And... 29/11/05

The Sidcup Nursing And... 12/05/05

The Sidcup Nursing And... 24/11/04

The Sidcup Nursing And... 13/05/04

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Ashlong House

Henry Nihill House

Birchwood

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Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Sidcup Nursing And Residential Centre 2-8 Hatherley Rd Sidcup Kent DA14 4BG     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: Lorraine Pumford     Date: 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 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: The Sidcup Nursing And Residential Centre 2-8 Hatherley Rd Sidcup Kent DA14 4BG 02083007711 02083007799 matthbev@bupa.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: BUPA Care Homes (ANS) Ltd care home 100 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 100 The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 90) Physical disability - Code PD (maximum number of places: 10) Date of last inspection Brief description of the care home The Sidcup Nursing and Residential Centre is owned by BUPA. The ground and first floors are for the general nursing care of 71 residents. The second floor provides care for 29 older people who have been assessed as requiring residential care as apposed to nursing. All the bedrooms in the home have en-suite facilities and there are assisted bathrooms on each floor. There are communal sitting and dining areas and an enclosed garden. The home is very close to Sidcup High Street where there are a variety of shops and access to local buses. Care Homes for Older People Page 4 of 28 Over 65 90 0 0 10 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 inspection took place over one day. We met with a number of people who live in the home and with the manager and staff on duty on the day we visited. In addition surveys were sent to staff, residents advocates and health care professionals that meet with people living and working in the home and some of their comments have been included in this report. We looked at the Annual Quality Assurance Assessment (AQAA) sent in by the provider. This self-assessment document focused on the outcomes for people using the service and plans the provider is making for the future operation of the service over the forth coming months. The last inspection report was also viewed. We looked at what the provider had told us about events that have happened in the service these are called notifications and are a legal requirement. During the time we spent at Sicup Nursing and Residential Centre we also examined a number of policies, Care Homes for Older People Page 6 of 28 procedures and documents and undertook a tour of the buildings. What the care home does well: What has improved since the last inspection? What they could do better: Residents would benefit from accessible call points. The complaints procedure must be improved. The responsible person must ensure that care plans provide clear guidance for staff on how to meet residents health and well being needs. Residents would benefit from accessible call points. Care Homes for Older People Page 8 of 28 The complaints procedure must be improved. The responsible person must ensure that care plans provide clear guidance for staff on how to meet residents health and well being needs. 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 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 10 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. Standards 3,5. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from being admitted to the home following a comprehensive assessment, which ensures the home will be able to meet their needs. Evidence: A requirement was made at the time of a previous inspection that the home must be able to provide evidence that a comprehensive assessment of peoples needs is undertaken prior to admission and action has been taken to address this. We examined four pre admission assessments. The nformation recorded in the assessment record was well laid out and easy to follow. It covered all aspects of the residents needs and included information about the residents preferences, likes and dislikes. In the instances where the Primary Care Trust, PCT, was responsible for funding the residents care, staff also received a copy of the Health Authority assessment. The Care Homes for Older People Page 11 of 28 Evidence: assessment format used by staff complies with The National Minimum Standards and in all instances had been completed to a good standard. It was apparent that this requirement had been met. Residents records viewed showed they had received written confirmation that based on assessment the home was suited to meet their needs. One of the residents spoken with said she visited the home with her son and stayed for lunch, before moving in. Care Homes for Older People Page 12 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. Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sound medication practices and procedures help safeguard residents from harm. Care planning continues to improve however further action is still required. Residents would benefit from accessible call points. Residents were satisfied with the way staff respected their privacy. Evidence: We looked at care plans for four people. The format is comprehensive. Of the care plans examined there was evidence that three people and their relatives had been involved in preparing and reviewing the care plan. In the fourth instance a resident on the residential unit had not been involved even though it was apparent from talking with the person that they are able to express their views. The manager stated that since the last inspection people who were displaying Care Homes for Older People Page 13 of 28 Evidence: aggressive behaviour have been re assessed and moved on to residential or nursing homes providing specialised care for people with dementia. Records for one person indicated they have a history of depression the care plan stated that staff are keeping an eye on the person, this term is open to individual staff members interpretation and does not provide them with sufficient guidance. Staff should discuss the matter with the resident, advocate and relevant health care professionals and detail in the care plan the behaviour the person demonstrates when they feel depressed and detail action required by staff to help the person. Wound care plans and records were satisfactory and provided adequate guidance for staff on how to manage wounds. All residents are registered with a GP and may remain registered with the GP they had prior to admission. Staff said they had good working relationships with the GP and community nursing service. From the care records seen it was evident that staff supported residents to access other healthcare such as optician, dentist, chiropody, dietician and tissue viability advisors. A physiotherapist visits the home regularly to assess new residents and help people with mobility problems. One resident said she really values this service. A number of requirements had been made in relation to the storage recording and administration of medication following the previous two inspections. We looked at these areas again on this occasion and in addition the medication records for five people in the home. A policy and procedure in relation to medicine management is provided for staff. Each floor has satisfactory storage facilities, a medicine fridge, medicine trolleys and safe storage for controlled medicines. Daily records are maintained for medicine fridge temperatures. Records are kept for receipt, administration and disposal of medicines. Medicines are mainly supplied in blister packs but some are supplied in individual containers. The pharmacist provides pre printed administration charts and medicines are supplied on a 4 weekly cycle. A list of staff signatures and a copy of the homely remedy policy was seen on each unit. On Grandville unit hand written entries were checked and countersigned by a second member of staff to reduce the risk of errors. There was a gap on one medication chart where a medicine was given but was not signed for. On Knoll unit a cupboard was found to contain a large number of bottles of liquid medication. Staff had hand written peoples room number on the bottles. Staff were asked to discontinue this practise as people can move bedrooms and a person could be given medication in error. One resident manages some of their medication for Care Homes for Older People Page 14 of 28 Evidence: themselves and the GP had signed to say this was satisfactory.Overall records of administration were good and there was evidence action had been taken to address the requirements made at the time of the last inspection. Residents and relatives seen and those who provided written feedback were complimentary about staff and how staff respected residents privacy. All of the residents seen were appropriately dressed in clean well laundered clothes. All bedrooms are for single occupancy and have en suite facilities, staff were observed knocking on doors before entering rooms. Two people spoken with stated staff were very good and put up with some residents who are rude. One resident was concerned that that the buzzer in the lounge is inaccessible and residents have to call until a member of staff responds. This was witnessed by an inspector who had to press the buzzer for two residents in the lounge who wanted assistance to the toilet. There is a buzzer plate on the wall but no lead and it is not positioned where any of the residents can reach it. We discussed this issue with the manager. She was concerned that a long lead could be a trip hazard but agreed to consider other options such as pendant alarms or a small bell. Care Homes for Older People Page 15 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. Standards 12,13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having access to a range of suitable activities, are enabled to maintain contact with family and friends and are involved with decisions about their lifestyle. People benefit from a nutritious menu with individual preferences catered for. Evidence: We met with the two activities coordinators. They are employed five days a week nine to five, however both stated that their hours are flexible and they work evenings and weekends when specific activities have been arranged. Colourful notices displayed on each unit detailed forthcoming events for the month. These included film shows, quizzes and crafts, as well as outside professional performers coming into the home. The activity coordinators arrange activities to reflect the time of year. In addition to Christmas activities the home had also hosted a fireworks party in November. Residents spoken with stated they enjoyed the activities, however a number of people who completed surveys and relatives of people living in the home thought that more activities should be provided. The manager stated they had acknowledged the need to look towards increasing the number of activity hours and two volunteers have been Care Homes for Older People Page 16 of 28 Evidence: recruited to work alongside the coordinators. The activity coordinators stated they undertook statutory health and safety training such as moving and handling courses and felt they received appropriate training opportunities in relation to their work. Both Activity coordinators stated they had a sufficient budget made available to them to purchase both items needed and entertainment. Some residents said they did not like joining in organised activities and that staff respected their decision. The activity coordinators also made time to spend on a one to one basis with residents who stayed in their rooms. The service has an open visiting policy. Relatives seen said they were made to feel welcome, were kept informed about their relatives well being and could have refreshments with their relative if they wished. A resident spoken with stated that visitors were able to come at any time. Residents that we met had individually personalise rooms and said they had been able to bring in small personal belonging and mementos to help make their rooms feel homely. People spoken with said staff supported them to get up and go to bed when they wanted to. We observed lunch being served on two units. Residents were able to select what they wanted to eat from the menu and some residents had chosen an alternative dish i.e. jacket potato. Food was well presented and looked appetising and tables were nicely laid with flowers, napkins and condiments. On Grandville unit the wrong days menu was on display. Food taken to residents rooms to be eaten was covered to keep it warm. However on Knoll staff had balanced plates upside down as lids which could be potentially hazardous. Staff assisted some residents to eat and provided prompting and encouragement if necessary. Opinions in relation to the food provided varied considerably. When we spoke with people in the home and people who completed surveys several people commented on the fact that the food provided was very repetitive. On knoll unit staff cleared away some residents plates with food uneaten but did not ask why the food had been left. This information could help assess peoples satisfaction with the meal for future reference. The provider has put together a suitable menu that is available to residents overnight consisting of hot and cold refreshments and light snacks. One person spoken with stated that when he wakes during the night staff made him a hot drink which helps him to get back to sleep. 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. Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has made improvements to the way complaints are recorded and investigated within the home however the provider must ensure that people can be confident that their is an effective system in place for investigating complaints brought to their attention. Evidence: A requirement was made at the time of the last inspection regarding the need to keep a comprehensive record of any complaints received by the home and action taken by them to investigate these. Since the last inspection a new manager has been appointed to work in the home and has formulated a new complaints log. Information provided at the time of the inspection indicated that 14 complaints had been received by the home, 86 of these had been addressed within 28 days of the manager being informed. Each concern the manager has received since being appointed to the post had been logged and all relevant correspondence to the issue was attached and available for inspection. Since the last inspection we were contacted by one person who expressed concerns about the care their relative received whilst in the home. This complaint was made Care Homes for Older People Page 18 of 28 Evidence: directly to the Regional Manager in post at the time and further changes to this post resulted in the matter not being fully investigated until the third and current regional manager was recruited. Records seen indicate at this point a thorough investigation of the persons concerns was undertaken, however it remains unsatisfactory that the matter was not investigated in accordance with the organisations own complaints procedure and within the timescale they specify. The manager stated that BUPA are currently undertaking a review of their complaints procedure and discussion took place regarding the need for the organisation to implement a complaints procedure that enables people to be confident their concerns will be taken seriously and addressed appropriately. The majority of people who completed surveys stated they knew how to make a complaint if they were unhappy with the care or service provided. One person who said they did not know the complaints procedure stated they felt able to talk to staff directly if they had any concerns. A policy and procedure is in place relevant to safeguarding adults. The manager is aware of her responsibility to report allegations or concerns of abuse to the local authority and relevant agencies and where appropriate issues that have arisen had been referred to the local authority to be addressed under the joint working safeguarding adults protocol. The person responsible for overseeing training within the home stated that all staff have received safeguarding adults training since the last inspection and that this issue is also addressed at the time staff undertake their induction. 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. Standards 19, 26.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a pleasant and comfortable environment for people living in the home. Evidence: The home is purpose built and provides people with a large comfortable bedroom with ensuite facilities. The home is divided into units each with its own lounge, dining and bathroom facilities. Furnishings and fittings are to a good standard and the premises were clean, tidy, odour free and well maintained. The manager was asked to arrange for some additional cleaning time in the small satellite Kitchen where screens to the window had become particularly dirty and in need of cleaning. One person told us that hot water on their unit feels cold when they want to wash. The manager stated that historically staff assisted residents with bathing in the afternoon. More recently this has been changed and some people now have baths in the morning and some in the evening which has addressed the problem. Adequate and suitable bathing and toilet facilities are provided with appropriate aids and adaptations. Bathrooms, shower rooms and toilets are spacious and clean. Residents bedrooms seen were nicely personalised with photos and mementos. Care Homes for Older People Page 20 of 28 Evidence: All of the people spoken with and people who completed surveys stated they were happy with the standard of accommodation provided as well as the standard of cleanliness in the home. One person stated the unit is always clean and said the laundry service is excellent. Sluice facilities are provided on all floors and staff have access to appropriate hand washing facilities and adequate supplies of protective clothing. Sluice areas seen were clean and well organised with a good system in place for storage and disposal of clinical waste. A requirement was made at the time of the last inspection regarding the need for sufficient storage to be provided to accommodate equipment required by staff and residents. Since her appointment the manager has taken action to review the use of all rooms in the home and action taken has ensured that equipment is no longer stored in residents bathrooms. 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from being cared for by suitably qualified and competent staff. Recruitment procedures in place helped safeguard residents from harm. Evidence: The staff team comprises of a full time manager, unit managers, registered nurses, care assistants, domestic and ancillary staff. Staff and residents also benefit from the home having a dedicated person responsible for training and a full-time person responsible for maintenance within the home. Staffing levels are based on resident dependency and the manager stated that she had increased the staffing levels by one carer on units providing nursing care. A number of residents and staff who completed surveys said they felt more healthcare assistants were needed. This was also reflected in the organisations resident customer satisfaction survey 2007. One person stated healthcare assistants are very kind and helpful but there are not enough staff. The activity coordinators were seen to be undertaking care tasks which impacts on the time they have available. One member of staff spoken with had worked in the home for a number of years and thought that Care Homes for Older People Page 22 of 28 Evidence: staffing levels had hardly increased in spite of the fact that people being admitted to the home now have much higher care needs. Apart from one person everybody who completed a survey stated that staff listened to them and acted on what they had to say. Generally residents and relatives spoken with were complimentary. Copies of the worked rosters were kept and included the names and designation of the staff on duty at all times. Information provided in the AQAA states the home employs 55 health care assistants. The manager has now employed an additional health care assistant. 66 of care staff hold an NVQ 2 and a further nine have recently completed this course and are awaiting their certificates. Records in relation to recruitment were inspected for two nurses and two carers. Records seen showed that the homes recruitment procedures were implemented and complied with regulation. There was evidence to show that checks were made with the nursing and midwifery council to ensure that all nurses employed were registered. The staff training matrix was inspected and provided evidence of training courses arranged and the names of staff that attended. Some staff training was provided inhouse and where needed training was purchased from external trainers. Staff spoken with felt they were provided with good training opportunities. From the records seen it was evident that staff received mandatory training such as fire safety, food hygiene, moving & handling and safeguarding adults with more specialist training provided where needed i.e. on the use of syringe drivers, skin and wound care and end of life care. 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. Standards 31, 33, 35, 36 and 38.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living and working in the home benefit from a stable management team. There are quality assurance systems in place to monitor and improve service being provided. Good health and safety policies, procedures and practice help safeguard people living and working in the home. Evidence: From evidence seen the service is well managed and the manager has the skills, experience and support needed to fulfil her role. The manager is registered with the Commission and has a number of years experience and relevant qualifications. Staff and residents said the manager was approachable and regularly spent time on the units. Records seen indicated that systems are in place to obtain the views of the residents, Care Homes for Older People Page 24 of 28 Evidence: relatives and other stakeholders about the service. A copy of the survey results were seen for 2007. Regular meetings are held with staff, residents and relatives and minutes from these were seen. Reports were seen for regulation 26 visits made by the provider to monitor the care and service they provide. Records seen indicate the provider has procedures in place for handing residents money and personal effects given to them for safe keeping. Based on records seen and from talking to care staff it was evident that steps had been taken to provide care staff with regular supervision both in practice and on a one to one basis. Safety records seen were up to date. Records viewed included fire safety; lift service, hoisting and bathing equipment service, gas and electricity. A full time maintenance technician is employed and carries out routine repairs and safety checks. This person also completes routine checks on areas such as hot water temperatures, bedrail fittings, fire safety equipment and wheelchairs. Fire drills are held at times to include all staff and since the last inspection a number of staff had received training on fire safety. Bedrail risk assessments are completed prior to fitting this equipment. A requirement was made at the time of the last inspection regarding the need to keep more comprehensive records in relation to any accidents that occur in the home. Accident records seen were well completed and were reviewed by the manager. Records seen included the follow up action taken in relation to accidents sustained by residents. Records seen show that all staff receive moving and handling training with regular updates to this. We observed staff transferring a number of residents from their wheelchairs into comfortable chairs in the lounge. Staff told residents what they were doing and residents were asked where they wanted to sit. The transfers were well managed and staff used equipment such as hoists and standing aids with confidence. 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 10 12 The responsible person must 02/03/2009 ensure residents can attract staff attention when needed. To enhance residents dignity and saftey 2 16 22 The responsible person must 02/03/2009 ensure that there is a complaints procedure in place that processes effectively any concerns brought to the providers attention. To ensure that residents, relatives and other stakeholders can be confident their concerns will be taken seriously. 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 15 Staff should ascertain residents views in relation to the meals provided, to help improve overall resident satisfaction. Page 27 of 28 Care Homes for Older People 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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