Inspection on 11/02/09 for Torr Home

This inspection was carried out on 11th February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Torr Home 13/03/08

Torr Home 07/06/07

Torr Home 15/02/06

Torr Home 23/06/05

Torr Home 18/01/05

Torr Home 12/08/04

Torr Home 03/02/04

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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: Torr Home The Drive Hartley Plymouth Devon PL3 5SY     The quality rating for this care home is:   three star excellent 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: Kim Fowler     Date: 1 1 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 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 29 Information about the care home Name of care home: Address: Torr Home The Drive Hartley Plymouth Devon PL3 5SY 01752771710 01752782300 info@torrhome.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Torr Home Ltd Name of registered manager (if applicable) Mrs Suzanne Eloise Marsh Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability sensory impairment Additional conditions: Rooms 4, 8, 10, 14, 20, 21, 22, 23, 26 and 30 may not be used to provide nursing care. The maximum number of service users who may be accommodated is 44 The maximum number of service users who may receive nursing care is 34 The registered person may provide the following category of care only: Care Home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Sensory Impairment (SI) Physical Disability (Code PD) maximum of 30 places Date of last inspection Care Homes for Older People Page 4 of 29 care home 44 Over 65 44 0 0 0 30 44 Brief description of the care home Torr Home is a care home registered for up to forty-four people who may need nursing care. Torr Home is owned by Torr Home Ltd, and overseen by a board of trustees. It is a large home developed in 1926 from a former large country house that has been successfully modified over the years to provide residential care. Torr Home is located in the Hartley area of Plymouth, close to Mutley Plain and Hyde Park shopping areas. There is easy access to the city centre and other parts of Plymouth by bus. Torr Home also offers respite care for older people to have a short break; convalescent care for older people recuperating from hospital admission; and day care three days per week for older people living in the local community. The current scale of residential fees range from 400 pounds for residentail care to 650 pounds for nursing care. These may varied depending on individual needs. This information was given to the Commission for Social Care Inspection (CSCI) in Januarary 2009. Care Homes for Older People Page 5 of 29 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: three star excellent 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 quality rating for this service is 3 star. This means the people who use this service experience excellent outcomes. The unannounced inspection took place over 1 day and started at 09:30am and finished at 4:30pm. The homes Registered Manager, Mrs Suzanne Marsh and Mr David Davies, the Chief Executive, were both available throughout the inspection. An Expert by Experience accompanied us during this inspection. An Expert by Experience is a person who because of their shared experience of using services and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. Care Homes for Older People Page 6 of 29 An Annual Quality Assurance Assessment (AQAA) was completed by the home prior to the inspection. The AQAA is a self-assessment that focuses on how well outcomes are met for the people who live in the home. We made a tour of the building and spoke to most the people living at the home, and the staff on duty. Documentation relating to the care planning process and the management of the home were examined. Any comments people made are in the relevant section of the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering admission to the home either under residential or nursing care can be confident that a full assessment will be completed before admission to ensure the home can meet their individual needs. Evidence: Files examined held individuals contracts and included the terms and conditions of occupancy and the services the home provides. These contracts were supported by the placing authoritys contracts. Five files were examined including 2 nursing admissions and 3 residential care admissions. All files contained a pre-admission assessment and that all people admitted to the home have been assessed. A fuller detailed comprehensive preadmission assessment was completed and held for each nursing care admission. The Registered Manager talked through the admission process and this showed a clear Care Homes for Older People Page 10 of 29 Evidence: process to ensure that the home is able to meet the needs of individuals admitted to the home. Also in place were the placing authoritys detailed care plans. The Manager will visit any prospective new admission to gather information to completed the preadmission assessments. The homes AQAA returned to the Commission stated, We carry out a comprehensive pre-admission assessment prior to admission. Trial visits are always offered to people as part of the pre-admission process and many people have used the service either by the day care facility offered or have been in for respite care. Several people were able to confirm they had visited the home before moving in and one day care visitor said they had stay for short respite stay. Torr Home does not offer intermediate care. Care Homes for Older People Page 11 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff and manager provide excellent personal and health care support to people who live at the home. They also ensure the promotion of privacy and dignity at all times. Evidence: All files examined held a detailed and comprehensive care plan. Evidence was recorded which showed that regular reviews were undertaken and recorded into individual care plans were the dates and times of these reviews. Some care plans were supported by the placing authorities care plans. The files held for nursing admission held extra information and included continence assessments, food intake and fluid charts and additional risk assessments were needed including the use of pressure reliving mattress. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with peoples approval. This is particularly Care Homes for Older People Page 12 of 29 Evidence: important, as some people living at the home have limited communication skills. All peoples assessment and daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. These risk assessments are provided to meet the needs of people living in the home and include information on Manual Handling and Falls. All people living at the home have access to all health care services and information was recorded onto a medical visit record sheet in each persons file that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. The home has also made use of the McMillian nurse care scheme. The home employs a qualified nurse for each shift and is available to monitor and assist people living in the home either under nursing or residential care. One person stated that when they had attended a hospital appointment the home provided a care staff to support them. This person said, The staff always come with me when I go to the hospital. Another person said, I see the GP when if want. The homes AQAA states, We have recently registered with the Liverpool Care Pathways for care of dying residents. Most people living in the home were spoken with and some were able to confirm that their health care needs were met and one person said, I have seen the District Nurse recently. The District Nurse visits the home to see to people admitted under the residential care placement. The medication round was observed and one of the qualified staff talked through the medication procedure for the home. This nurse confirmed that other staff , mainly duty officers, had attended medication training. This is to be the second signature on controlled drug medication being administered. It was evident from these discussions that this qualified nurse and other staff spoken with that they understood the medication procedure that included administration, storage and disposal of medication. The controlled drugs were checked and showed a clear audit trail of medication received and date and time of administration. Any changes in medication were recorded, signed and dated onto the medication recording sheets. One staff file examined held a medication training course certificate. Most people living at the home were spoken with during this inspection and all confirmed that the staff respects their privacy and dignity at all times. Observed Care Homes for Older People Page 13 of 29 Evidence: during the inspection were staff knocking on peoples doors to promote privacy and shutting the bedroom door when attending to a person personal care needs. One person living in the home said, my door is always shut when staff help me and another stated,All the help I have is done in private. One person spoke to the Expert by Experience and said, the staff know my medical history. The home uses the Liverpool Care Pathways for any people living in the home who require end of life care. The manager confirmed that all staff have received training with this professional body and the home have used this care process three times recently and have found the experience helpful and supportive to staff and people needing this care. Care Homes for Older People Page 14 of 29 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. People living at Torr Home can be confident that the home offers good wholesome meals. However not all people were satisfied with the quality of the food offered recently. The home welcomes and encourages families and friends to visit. Evidence: People were observed moving freely around the home. Some people remained in their individual bedrooms and one person said, I like to sit here most of the time. Staff were seen interacting with people and discussing everyday topics and included assisting individuals when needed showing staff were aware of the needs of people living in the home. The home employs a activities co-ordinate to assisted people living in the home with a varied and variety of activities. Several people attend for day care and a separate lounge is available to use for the day care admissions and any activities arranged. Care Homes for Older People Page 15 of 29 Evidence: The home discusses all activities at the regular Residents Meeting and the last meeting minutes showed a discussion on planning future activities including a Summer Fete. The activities programme was displayed in the home and this included trips on the mini-bus when the weather is warmer. The activities co-ordinate was observed during the inspection and people spoken with confirmed that a variety of activities are carried out. Part of their job was to arrange trips out, entertainment in the home and organising a recent 100th birthday party. An activities session was observed and showed the lounge area to have a mix of day care people and people living in the home all participating and people enjoying themselves. The homes quality assurance surveys returned to the home ticked excellent or good when asked about the activities provided. The home AQAA when asked what had improved over the last 12 months wrote, Employed a full time Activity Co-ordinator. All family visits and contact is recorded into individual files, and daily records examined showed recent family visits for several people living in the home. Several family members were spoken with during the inspection. All bedrooms visited contained personal possessions and items, one person living at the home said that the home encouraged them to bring in items from home. The Expert by Experience also commented in their report that, One person volunteered, we live our own lives here as we please. People were confident that they rose and retired at a time of their choosing. One person who described themselves as a late riser said, they wake me a poached egg for my breakfast and that gets me out of bed at 8.30am which is very agreeable. The Expert By Experience spoke to people about the food in the home and also sat and ate a meal with people living in the home at lunchtime. The report from the Expert by Experience said, Generally people said that the food was of a good standard saying, food fairly good, food very good, good quality, and food varies. Several people said that the quality and variety of the salads had gone down in the recent past and that they no longer take this as an alternative to the main meal. One person said when I first came here I thought that the servings were not sufficiently large but on reflection found they met my needs now I am not so active. One person was confident that light snacks would be provided in the evening if wanted. Towards the end of the midday meal service users were invited to make a choice for teatime and the following days lunch, which was a choice of roast lamb, jacket potato or salad. Care Homes for Older People Page 16 of 29 Evidence: The Expert by Experience also observed the food being served and commented that the plated meal taken by most diners was beef cobbler with leeks, cauliflower and potato followed by a choice of rice pudding, yogurt and ice-cream with or without clotted cream. The Manager offered and served diners a choice of sherry, red or white wine (both alcoholic and non-alcoholic), a good quality soft drink and/or water to have with the meal. The Expert by Experience was requested to observe the interaction with the staff and their availability of assistance to people. The Experts by Experience report stated that, suitably attired carers served the meals from the kitchen hatch addressing the diners by their preferred names. One person was seen to receive assistance in a sensitive manner from a carer sitting alongside. Few diners actually ate all the meal. Before removing plates carers asked if the diner was finished. The staff were busy but found time to exchange pleasantries and light banter as they went about their duties. A resident said about a meal not hot after a meal was brought to their room for them to eat. This was discussed with the manager who reported that the home had been without a permanent employed cook for sometime, however this position was due to be filled shortly.The manager confirmed that this resident would be spoken with and this concern raised with the kitchen staff to resolve this matter. The agency cook and a kitchen assistance were spoken with during the inspection and were able to confirm that the home provided plenty of provisions and additional provision could be obtained locally if needed. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The homes complaints procedure was displayed for all to access and the complaints file was available in the main office. The home complaint file showed one complaint received by the home. Also recorded were the date, time and outcome of this complaint. The Commission recently received a anonymous complaint about several issues in the home including the food. A discussion was held with the Manager and it was agreed that none of the issues raised would be upheld. Most of the people living at the home were spoken with and some were aware of the homes complaints procedure and a few stated that they had never had any need to use it.The regular residents meeting held would raise some issues but these would be dealt with straight away. The minutes displayed showed any issues raised and the outcome of these issues. Some of the staff members on duty were interviewed during this inspection. The discussion with these staff members confirmed that all had completed the Adult Safeguarding training. This training was carried out by the local authority and it was Care Homes for Older People Page 18 of 29 Evidence: clear from the information given to the inspector from some staff they had a clear knowledge and understanding of the Adult Safeguarding process. Therefore provided evidence that the Requirement made at the last inspection has been completed. Some staff are also booked onto a Deprivation of Liberty course for later this year. Care Homes for Older People Page 19 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Torr Home maintains a clean and suitable environment for its stated purpose and the people who live at the home can be assured that they will live in an attractive and comfortable home that is regularly maintained. The recent upgrade to the interior of the home has been completed to a excellent standard. Evidence: A tour of the premises showed that the building work has been completed to a very high standard. This included new furniture, new carpets and curtains for each bedroom. The home now takes nursing care and specialist beds are provided were needed. The large grounds are assessable for all and have hand rails and slopes provided for the comfort of people. The home has completed the Fire service Requirements made at the last Fire service inspection. The home has also competed the Infection control issues highlighted in a Infection control Audit carried out by the Health Protection Agency early in 2008. The home has a sluice available and clinical waste was discussed and being dealt with satisfactory. Care Homes for Older People Page 20 of 29 Evidence: All the bathrooms in the home have undergone a major refurbishment to include adapted bath showers and hoists, one for each floor, to meet the needs of all the people living in the home. The Expert by Experience commented in their report, Everyone was content with the bathing regime although one service user said, it would be nice to actually lie down full length in the bath. Enquiries revealed that all bathrooms are fitted with a chair hoist but the bather is said to remain in the chair. The home has provided ramps to access parts of the house and the gardens and a shaft lift is available. The Expert by Experience was requested to talk to people about their rooms and if they are cleaned regularly and is the environment generally clean. The Expert by Experince reported that, Every resident spoken with advised that their rooms were cleaned daily and this appeared to be the case in the rooms visited and in the common areas. There were no unpleasant odours or stains on view. The building has recently received the benefit of major renovation and is in a very good state of repair, well lit and carpeted, and is warm and homely. Two of the homes domestic staff were spoken with and both were able to confirm they had completed Infection control training and were fully aware of infection control issues and how best to manage them. The Expert by Experience wrote in their report, Cleaning staff were seen to be wearing protective clothes and gloves. The homes AQAA states, Robust Infection control policy and procedures. Care Homes for Older People Page 21 of 29 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. Staff training is encouraged and this enables people who live at the home to receive the best possible service. The staffing levels ensure peoples needs are being met at all times. Evidence: The staff interviewed felt that the home had sufficient staff on duty and observation of staff throughout the inspection showed them to be relaxed, patient and helpful when assisting the people. There was 43 people living in the home including 3 nursing care and 40 residential care. There was the Registered Manager, one qualified nurse, a duty officer, 3 Care staff, 2 cleaner, 3 kitchen staff, 1 laundry staff as well as a administrator to assist. Thus providing evidence that the home had sufficient staff to support people currently living in the home. Many of the care staff employed at the home are long serving staff members having worked at the home for a number of years therefore have a great deal of experience working with older people. Some of the people living at the home were able to state that the care received is very good. The homes rotas and the staff confirmed that there is sufficient staff employed to care for the number of people currently living at the home. Care Homes for Older People Page 22 of 29 Evidence: Most of the staff on duty during the inspection was spoken with and some confirming they hold an NVQ qualification and some staff working towards it. This is a nationally recognised care qualification for which staff have had their work performance and knowledge evaluated by an external training organisation. The Manager provided a list of staff holding an NVQ qualification and this showed that 10 staff hold an NVQ certificate and employs a qualified nurse for each shift. The homes AQAA states, Over 50 of our care staff have gained or are working towards their NVQ qualification. Examination of staff files showed that most staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Staff spoken with confirmed that the home holds staff meetings and supervision sessions. The staff interviewed felt that they were able to express their view at these meetings. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. The staff-training files provided further evidence that regular training was carried out. All staff interviewed confirmed that they receive regular and updated training. This included First Aid, Manual Handling, Food Hygiene and Equality and Diversity training. The training booked for further dates include, Mental Capacity Act and Deprivation of Liberty. One staff member said I love it here. Another said, Really nice place to work. The Expert by Experience was requested to talk to people living in the home about the staff and the care they receive and do they have to wait a long time for assistance. The Expert by Experience recorded in their report, Without exception everyone spoken with was very pleased with the care received saying, the staff know my medical history, staff very good, I get on with staff very well, they go out of their way to help you, they work to your convenience, girls generally fine, they know what they are doing, and the girls are very good at spotting when someone is upset. Service users were pleased with the call bell response times, one person said, they come so quick I think they must be standing outside the door. Most people said the carer arrived within a couple of minutes. No one could recall waiting more than 5 minutes for a response.. Care Homes for Older People Page 23 of 29 Evidence: The Manager stated that the home is currently looking at a new Induction package through Skills for Care. The old Induction package was available and one staff confirmed they had shadowed experience staff when they started at the home. One relative comment, The staff are excellent. Care Homes for Older People Page 24 of 29 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. The manager and the staff team strive to provide a homely, stimulating environment that respects and protects people who live at the home. Evidence: The Registered Manager, Mrs Suzanne Marsh has worked at the home for about one year and is now registered with the Commission. Mrs Marsh is a qualified Nurse and has many years experience working in the care profession. The manager holds a Registered Managers Award and has recently completed the POVA training with the local authority. One staff member interviewed said, The new manager is very good. And the Expert by Experience reported that, The current Manager has been in post since March 2008 and appears to have earned a very good relationship with both staff and residents. A quality assurance survey was carried out last year and the manager will continue to Care Homes for Older People Page 25 of 29 Evidence: carry these out yearly. A Residents and Family meeting was held in January and any issues raised were dealt with straight away and the minutes from this meeting are available in the home for people to read. Supervision is routinely carried out. And the staff felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. Either family members or the people living in the home hold their own money. The home will purchase items required and then bill who ever is holding the money for individuals. The home holds a small amount of money for a few people. The money was checked with the home administrator and was found to have a clear audit trial with expenditure and income recorded. One person had information recorded that a relative held power of attorney for their affairs. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and records examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into peoples daily records with appropriate action taken when needed. The AQAA states, Appropriate procedures are also in place for reporting accidents and incidents. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 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 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 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!