Inspection on 28/08/08 for The White House

This inspection was carried out on 28th August 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The White House 30/10/07

The White House 29/06/06

The White House 27/01/06

The White House 21/06/05

The White House 01/02/05

The White House 25/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 02/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The White House 1 Chichester Drive West Saltdean Brighton East Sussex BN2 8SH     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judy Gossedge     Date: 2 8 0 8 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 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 31 Information about the care home Name of care home: Address: The White House Saltdean 1 Chichester Drive West Brighton East Sussex BN2 8SH 01273302465 Telephone number: Fax number: Email address: Provider web address: Info@thewhitehouseuk.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Carolyn Hall Type of registration: Number of places registered: Mrs C Hall,Mr J Hall care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Service users must be older people aged sixty-five (65) years or over on admission. The maximum number of service users to be accommodated is fourteen (14). Date of last inspection Brief description of the care home The White House is a residential care home for up to fourteen older people. The current providers have owned and managed the home since 2000 as a family business. The home is located on the main coast road close to the village of Rottingdean and to bus routes into Brighton and Eastbourne. The home is in an elevated position overlooking Saltdean Bay with many of the bedrooms providing sea views. The home is presented on four floors with service users accommodation in the basement, ground and first floor. Stairs or a chair lift provides access to the first floor. Care Homes for Older People Page 4 of 31 Over 65 14 0 Brief description of the care home Two bedrooms in the basement are only accessible by a flight of stairs. There are ten single and two double bedrooms, all have a toilet and wash-hand-basin en-suite facilities. Currently all shared bedrooms are used as single occupancy, giving a capacity of twelve. Some bedrooms have their own balconies overlooking the bay and one bedroom has a small garden area. There is a combined lounge/dining room and curved sun lounge. The garden is terraced and has various patio and decking areas. The homes mission statement is to provide a haven for older people combining a carefree and comfortable retirement with maximum independence without fuss or intrusion into privacy. A copy of the Statement of Purpose and Service Users Guide is available to view in the home. At the time of the Inspection fees were documented to be between £423.00 and £700.00. Care Homes for Older People Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at The White House will be referred to as residents. The provider had been asked to completed an Annual Quality Assurance Assessment (AQAA), information from which is quoted in this report. This unannounced Inspection took place over four and a half hours on 28 August 2008. A tour of the premises took place to look at communal areas and a selection of Care Homes for Older People Page 6 of 31 residents bedrooms and care records were inspected. Eleven people were resident , four were spoken with individually in their bedroom, one in a communal area and a number were spoken with as part of the Inspection process. The care that four residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. No residents or care workers surveys were sent out on this occasion. Two care workers, a domestic/care worker, the proprietor and the proprietor/Manager were all spoken with on the day. 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 Care Homes for Older People Page 8 of 31 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 31 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 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is detailed information about the home for prospective residents and their representatives to view. The admissions process ensures that staff are provided with adequate information in advance of admission and that their care needs can be met in the home, but the assessment information should be fully completed and evidence the areas considered within the process. Intermediate care is not provided in the home. Evidence: The AQAA details there is a Statement of Purpose and Service Users Guide available for residents and or their representatives to reference. The Manager stated the documents have been improved and reviewed since the last Inspection and both were read during the Inspection and were detailed and informative. The AQAA details that an electronic brochure is also being worked on as part of the planned developments in the home over the next twelve months. One new resident spoken with confirmed they had received this information and that they and their relative had had the opportunity Care Homes for Older People Page 11 of 31 Evidence: to view the home in advance of the admission. The AQAA details that potential new residents are visited prior to any admission, to ensure that individual care needs can be met in the home and provide staff with the necessary information on the care to be provided. The documentation for two new residents was viewed and for both a detailed assessment undertaken by a care manager from a local authority had been received to reference. There was limited recording of the assessment completed by staff from the home. A Requirement has been made to ensure that assessments are fully recorded and clearly evidence the care needs of the prospective resident. Intermediate care is not provided in the home. Care Homes for Older People Page 12 of 31 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have a detailed individual plan of care in place, where their personal, health and social care needs are identified at the start of their stay to ensure staff are informed of the care to be provided. But all the care plans must be regularly reviewed to ensure the residents care needs continue to be met . Supporting risk assessments are in place and should be further developed where residents go out from the home independently. Medication policies and procedures are in place to protect residents, but should be reviewed to ensure all the required risk assessments are in place. Evidence: The AQAA detailed that there is ongoing work to improve the format of the residents individual care plans. For better accessibility documentation would benefit from being more organized in the folder. This was discussed with the Manager who stated that this is already be looked as for the best way to store this information. Four care plans were viewed, which were detailed. One had a record of a review and one had a detailed update of the residents changing care needs. For another a review was not applicable and the fourth care plan had not been reviewed since May 2008. Care Homes for Older People Page 13 of 31 Evidence: Discussions with the Manager and staff evidenced that the care currently provided did not in all areas match what was documented in the care plan. This was discussed with the Manager during the Inspection, who stated this would be updated with immediate effect. So a Requirement was not made on this occasion. Detailed daily diary notes are completed for each resident. Risk assessments had been completed and should continue to be developed to detail how any risks highlighted will be managed. A number of residents go out from the home independently and supporting risk assessments were not in place. Again a photograph of each resident was not in place for all residents as part of the documentation kept for each resident and where photographs were in place, some were out of date. The AQAA detailed that residents have a choice of a General Practitioner (GP) and access to district nurses, dental, chiropody, audiology, optician and therapeutic services according to their needs. Records viewed evidenced residents are registered with a local GP, and of appointments made or visits by health care professionals. The one new resident spoken with had not yet accessed these services, but the other three residents spoken with stated that they received the medical support that they needed. The AQAA detailed that medication policies and procedures are in place and that regular visits to the home are made by a pharmacist. Medication is stored in a locked cupboard in a locked room. Changes in the requirements for the storage of control drugs was discussed with the Manager and a Requirement made for the necessary changes to be implemented. Staff stated that where medication is ordered this is directly through the residents GP and a record is kept of when the medication is received in the home and regular checks are undertaken. A sample of the recording of medication administration was viewed. The AQAA details that there are policies and procedures in place for where residents wish to self medicate and that a risk assessment to ensure their safe administration will be undertaken. None of the residents were recorded as self administering their medication at the time of the Inspection. Advice should be sought from the pharmacist regarding the current pracitice of dispensing of medication to residents who then take the medication later when they wish. This needs to be supported by appropriate risk assessments to ensure the safety of the residents is not compromised. The two care workers spoken with who administers medication stated they had received medication training from an external provider, but the training records viewed did not detail when the training had been completed. All the residents spoken with stated they were happy with the arrangements for the administration if their medication and always received this at the agreed time. The AQAA details that there is a Residents Charter of Rights in operation in the home, which details that staff should respect residents privacy and dignity. The staff team Care Homes for Older People Page 14 of 31 Evidence: were observed to ensure that the privacy and dignity of residents is respected at all times. The four residents spoken with were also able to confirm this and stated that they receive the care and support that they need. Care Homes for Older People Page 15 of 31 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. Where possible residents are enabled to exercise choice in their lives whilst resident in the home, there are some opportunities to participate in social and recreational activities provided, residents maintain contact with family and friends as they wish and a varied diet is provided. Evidence: The AQAA details that there are opportunities for residents to participate in activities in the home. A structured programme of activities is not in place, but on hand is a supply of on site leisure activities which residents can access at any time, this ranges from the homes library (some in large print) of books, CD and DVDs, jigsaws and craft items. Music sessions and sing-a-longs are arranged throughout the year. A selection of daily papers are available to read in the lounge and one resident was observed reading one of the papers. The Manager stated that the range of activities provided depends on the social care needs of the residents in residence at the time and that currently there has not been a great deal of interest for activities to be provided. Three of the residents spoken with stated they did not always want to join in activities and two either went out with relatives or independently to access local amenities. One would have liked more activities but stated that recently there has been limited Care Homes for Older People Page 16 of 31 Evidence: interest when activities had been offered. The AQAA detailed that this will be kept under review to ensure residents social care needs are met. Residents have been bought DVD players to have in their bedrooms. One resident spoke of the parties which are provided to celebrate a residents birthday. The AQAA details that there is an open house policy on visiting the home, that refreshments are offered or residents have facilities in their bedrooms to make refreshments. Feedback from the residents spoken with and observations on the day confirmed that there is flexible visiting, that staff are always welcoming and it is possible to go to a residents bedroom if a private meeting is required. The care and support was observed to enable residents where possible to exercise choice whilst at The White House. The four residents care plans viewed and residents spoken with confirmed this. The home has a cordless telephone so that residents can make and receive telephone calls in private. Residents spoken with stated they had choices in all areas of their daily living, including how they spend their time and what time to get up and go to bed. The AQAA details that a varied and appealing quality of food is provided with an emphasis on traditional home cooking. The cook was not on duty during the Inspection and the Manager was cooking the lunch for the day. There is a menu in place and all the residents spoken with had a copy of the weeks menu to refer to. Alternatives to the meal provided are not detailed, but that alternatives can be provided. Feedback from four of the residents spoken with, and staff confirmed that a range of alternatives are be provided if required. Special diets are catered for. There is a dining room/lounge where meals are served and staff were observed to be available to offer assistance with their meals if required. The majority of residents on the day had chosen to eat their meals in their bedroom. Residents were observed to be asked during the afternoon what they would like for tea. Fresh fruit was also available to meet individual residents requests. All of the residents spoke well of the food provided. Several comments were made that the vegetables could be cooked more, which was passed on to the Manager on the day and who stated she would look in to this. Care Homes for Older People Page 17 of 31 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. Procedures are in place to enable residents and their representatives to raise any concerns about the care being provided and to ensure that residents are protected from abuse. Evidence: There is a complaints policy and procedure in place and this was available to view in the home. The AQAA detailed that no complaints have been received since the last Inspection and the CSCI has not received any concerns in relation to The White House. All of the residents spoken with knew who to speak to if they had any concerns and would feel comfortable in doing so if they needed to. But none had had to raise any concerns. The AQAA details that there is a policy and procedure in place in relation to safeguarding adults. A copy of the new East and West Sussex, Brighton and Hove procedures for the safeguarding of vulnerables adults was not in the home to reference. This was discussed with the Manager who agreed to ascertain a copy. Training records did not detail when staff had received training/guidance and staff spoke with on the day could not confirm when they had undertaken the training. This was discussed with the Manager, who stated this would be rectified and further training/guidance provided as required. So a Requirement was not made on this occassion. Care Homes for Older People Page 18 of 31 Care Homes for Older People Page 19 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is decorated and furnished in a homely style, and there is ongoing work to refurbish and improve the facilities in the home to ensure the standard of the environment continues to be maintained and improved. Evidence: The AQAA detailed that a structure of improvements to improve the exterior of the building and a twelve month programme of maintenance work is being produced. A tour of the building was made. The home is decorated and furnished in a homely style. There is still evidence of wear and tear in the corridor areas and the Manager confirmed that work is due to address this, but that currently work is in progress to repair the exterior of the building. Some of the easy chairs in the home had been replaced and that there continues to be a rolling programme to update and replace as required. The dining room furniture has not been replaced as highlighted following the last Inspection, but the Manager stated that she was still looking at different options and to replace the furniture shortly. Heating in the home is provided by a central heating system with radiators guarded in the home. There were records of three monthly checks of the hot water temperature to ensure that hot water is delivered to outlets accessed by residents close to the recommended safe temperature of 43 C. The frequency of the checks should be kept Care Homes for Older People Page 20 of 31 Evidence: under review to ensure the residents health and safety is protected. Four of the residents spoken with confirmed there was adequate hot water and heating in the home. All twelve bedrooms were being used for single occupancy at the time of the Inspection, and the bedrooms are situated on all floors in the home. Bedrooms have been decorated and furnished to a good standard. Some bedrooms have their own balcony or veranda and one has their own small garden and pond. All the residents spoken with said how much they liked their bedroom and one resident was due to move to a bigger bedroom in the home which was vacant. In the bedrooms are tea and coffee making facilities and a small refrigerator. All bedrooms have an emergency call system and the Manager has previously stated that extension cords are available to the call points if a resident became bed bound. A number of the bedrooms viewed displayed residents individual styles and interests. All the bedrooms have en-suite facilities, with a wash-hand-basin and toilet. There is one communal assisted bath in the home the door to which is not fitted with a suitable lock. The Manager has previously stated that all residents are assisted with bathing and should this change following a risk assessment being completed a suitable lock will be fitted. The second bathroom has been refurbished to provide a walk-in shower facility. There is a garden at the front of the home, which is sloping, and work has been completed to landscape this and provides decking areas and pathways with seating areas and has attractive views over Saltdean Bay. The Manager stated that there has been further planting of shrubs and work was in progress to provide an area to grow vegetables. Two of the residents spoken with confirmed that they liked to sit in the garden, weather permitting. There is not a passenger lift in the home and a stair lift enables residents to move between the ground to first floor. Two bedrooms in the basement are only accessible by a flight of stairs. There is a large lounge/dining area and a large sun lounge for residents to use on the ground floor. The home was clean and odour free at the time of the Inspection and feedback from the four residents spoken with was that the home is always fresh and clean. The AQAA details that the Department of Health guidance has been used to assess infection control management in the home. A domestic/care worker was spoken with who stated she had received training/guidance in infection control, which has included Care Homes for Older People Page 21 of 31 Evidence: guidance on the Control of Substances Hazardous to Health regulations (COSSH) and there was good access to protective clothing. Recording of routine fire checks carried out in the home were viewed. The book to record the checks has been renewed and now also details checks on the emergency lighting and the automatic doorstops. Care Homes for Older People Page 22 of 31 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. There are recruitment policies and procedures in place to protect residents, staff are provided with opportunities for training to develop their skills and ensure that the individual care needs of the residents can be met. Training records should be further developed to evidence when the required training/updates have been provided. Evidence: Staff spoken with and rotas viewed confirmed that two members of staff are deployed to work in the home during the day, one of whom was the Manager on the day of the Inspection. A domestic assistant who also covers some care duties was also working in the home. The Manager was cooking as the cook was not present on the day. At night the home deploys one sleeping in member of care staff, and staff confirmed that emergency on call arrangements are also in place if required. This should be kept under review to ensure the care needs of the residents continues to be met. The five residents spoken with all spoke well of the staff team and felt they had a quick response when staff assistance was requested. The AQAA details that all five of the care workers who assist residents with their personal care hold NVQ Level 2 in care and this equates to 100 of the care staff who support residents with their personal care. Care Homes for Older People Page 23 of 31 Evidence: A thorough recruitment process was not demonstrated to be in place following the last Inspection. The Manager stated that there have been no new staff working in the home since the last Inspection. But that one new care worker was in the process of being recruited and demonstrated the completion of an application form, that two written references had been requested, included a reference from the last employer and a Criminal Records Bureau check had been requested. The Manager also stated that this member of staff would not commence working in the home until all the required checks were received and these were satisfactory. The Manager has previously confirmed that staff working in the home have had a CRB check and the three staff spoken with also confirmed this. The Manager has previously stated that induction training is in place for new care workers meets the requirements of the General Skills for Care induction standards. As there were no new care workers it was not possible to evidence this had been completed. Care Homes for Older People Page 24 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home benefits from a Manager who ensure that an open, supportive, homely and caring environment. Quality assurance systems should continue to be developed and the outcome collated and work undertaken to improve the care provided available to view. Staff have benefited from the introduction of individual supervision. Evidence: Responsibility for the home rests with the joint owners, one of whom is also the Registered Manager and the other undertakes the building and maintenance work in the home and the training of staff. The Manager has many years experience in working with older people and is still undertaking a diploma in social care having taken time out from completing this qualification. The Manager stated that she will have completed this qualification by January 2009. Feedback received was that the running of the home is open and transparent, and there were opportunities for staff, residents and their representatives to affect the way in which the service is delivered. Care Homes for Older People Page 25 of 31 Evidence: Prior to the Inspection an AQAA was sent to the home to be completed. The information detailed in the AQAA was limited. This was discussed with the Manager as the previous AQAA supplied was very detailed and the need to ensure that the AQAA returns are fully completed. The AQAA details that a quality assurance system has been developed and implemented in the home and that views have been sought from staff, residents, and visiting professionals. The Manager stated that there has not been a residents meeting this year and is overdue to be facilitated. This was discussed with the Manager the need to ensure that residents have regular opportunities to participate in this forum. Feedback from the outcome of the quality assurance process in the home has not been collated and should be and available to view in the home. The AQAA details that there are policies and procedures are in place in the home and these have been reviewed and updated. Where one resident is assisted with their finances there were financial records to support this activity and was adequate. Discussions with the Manager and the staff and a sample of record viewed evidenced that individual supervision is being introduced and it was discussed with the Manager to ensure that this occurs at least six times a year. The Manager stated that the staff training records had been updated. The records for the three staff on duty during the day were viewed and detailed that they had undertaken moving and handling, basic food hygiene, first aid, infection control. Staff spoken with also stated they had undertaken this training, but could not in all cases state when, nor did the records in all instances detail when the training had been completed, but when it was due to be updated. The records need to be further developed to evidence when the training was undertaken and copies of the training certificates kept as part of the evidence. This was discussed with the Manager who stated this would be addressed. The staff spoken with confirmed good access to training. A fire risk assessment has been completed, which detailed it had been reviewed in 2008. The three staff spoken with stated they had attended a fire drill this year and fire training. Records of a detailed check of the environment was viewed and the AQAA detailed that the maintenance of equipment and services has been carried out. Recording was viewed of incidents and accidents. Care Homes for Older People Page 26 of 31 Care Homes for Older People Page 27 of 31 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 28 of 31 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 3 1 That assessment documentation is fully completed and demonstrates the areas covered in the assessment. To protect residents. 30/09/2008 2 7 13 That risk assessments are undertaken and recorded when residents go out independently from the home. To protect residents 30/09/2008 3 7 17 That an up-to-date photograph of each resident is kept in the home. To protect residents 30/09/2008 4 9 13 That administartion of medication practices are reviewed and it is ensured that appropriate supporting risk assessments are in place where required. To protect residents 30/09/2008 Care Homes for Older People Page 29 of 31 5 9 13 That storage and recording is in place for control drugs to meet the new requirements. To protect residents 30/11/2008 6 33 24 That the information gathered from the quality monitoring is collated and made available to interested parties with recorded evidence of action taken in response to evidence continuous improvement to the quality of care and service provided. Residents have regular opportunities to be consulted with as to the care and service provided. To ensure prospective residents have enough information to base their decision on prior to admission and demonstrate continuous improvement. 31/10/2008 7 38 18 That staff training records are further developed to evidence when the training has been completed. To protect residents and staff. 31/10/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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