Inspection on 16/02/09 for Westerleigh

This inspection was carried out on 16th 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

Westerleigh 25/02/08

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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: Westerleigh Westerleigh Scott Street Stanley Durham DH9 8AD     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: Sam Doku     Date: 1 6 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: Westerleigh Scott Street Westerleigh Stanley Durham DH9 8AD 01207280431 01207281389 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Southern Cross BC OpCo Ltd Name of registered manager (if applicable) Patricia Mary Scott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 55 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 55 Dementia Code DE, maximum number of places 55 Date of last inspection Brief description of the care home Westerleigh is a well-established residential care home with beds for 55 older people, some of whom may have moderate dementia. It is one of a number of homes provided by the Southern Cross Group. Westerleigh was purpose built to a high standard (for example, each bedroom is spacious and fitted with an en suite toilet and wash hand Care Homes for Older People Page 4 of 29 care home 55 Over 65 0 55 55 0 Brief description of the care home basin) and is in a very good location in the centre of Stanley. It is convenient for shops and local facilities and close to buses and a car park. The home is very well equipped, clean and attractively decorated. There is a friendly, welcoming atmosphere. The manager and staff like to get to know the people who live in the home well. They let families know about what?s happening in the home and try to keep them involved in the lives of the residents. The home tries to provide a service that meets the needs of every resident in a person-centred way. It acknowledges people?s individuality and helps promote their rights, wishes and choices. The weekly fee is between 498.25 and 434.50 Pounds per week. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. 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 of this service is 3 Star. This means the people who use the service experience excellent quality outcomes. The inspection was unannounced and commenced on 16 February 2009 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last inspection visit on 30 November 2006. How the home dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. Care Homes for Older People Page 6 of 29 The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the service. The comments made by the residents in the five residents surveys that we received. The comments made by the staff in the two staff surveys that we received. During the visit the inspector did the following. Talked to the people who use the service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: A copy of the original medication prescriptions should be made before the prescriptions are sent to the chemist to be dispensed for the residents. This would allow the staff to checked medicines they receive against the photo-copied version to make sure that the medicines that they receive from the chemist matched what was ordered. The care plans should be reviewed to ensure that peoples social care needs are properly addressed. While other care plans identify peoples social care needs, others lack sufficient information to allow a good care plans to be formulated to address those care needs. The manager should ensure that the monthly quality audit truly reflect the activities Care Homes for Older People Page 8 of 29 that the home engages in. For example, the section on staff stated that nurses PIN numbers have been checked against the nurses professional register, but the home does not provide nursing care. Furthermore, some of the audit of social care plans did not match the actual care plans in operation. 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 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 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information to prospective residents which enable them to make informed decisions about whether they would like to live at Westerleigh Care Home. Furthermore, the needs of prospective residents are assessed before admission is arranged. Evidence: The home provides good information to prospective residents in the form of a service user guide and other relevant information. The reception area contains not just information for prospective residents but also for visitors to the home. A copy of the service use guide, statement of purpose and the recent copy of the key inspection report are available in the reception area. There are other useful information about Southern Cross Healthcare in the home. The manager indicated that if requested, the home would be able to supply the service user guide in large print, DVD or audio version. Care Homes for Older People Page 11 of 29 Evidence: It is the policy of the home that prospective residents are invited to visit the home and to meet with staff and other residents before admission is arranged. The feedback from residents and relatives was that they were offered the opportunity to visit the home and people indicated that they found the visits to the home extremely helpful. All the residents are assessed by a social worker before admission is arranged. It is also the homes policy to cary out their own assessment to make sure that they have the necessary skills and facilities to meet the persons needs. The residents files contain evidence of social work assessment and also of the assessments carried out by the home. These assessments are used to write up care plans for each resident. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of the residents are fully met. Evidence: Care plans are available for each resident and these set out their care needs and how individuals are to be supported. The care plans are generally good in supporting peoples healthcare needs but the information about social care is not as detailed. All aspects of the residents physical needs have been looked at, including falls risk assessment, dietary needs, weight chart where it is needed, eating and drinkng, bathing, mobility and presure area care. On the other hand, the care plans do not always fully address the social aspects of personal care. For example, the inspector spoke with a residents who described how she takes pride in her appearance, her hair, cloths and makeup. When the inspector checked the residents files, there was no mention of this in her care plan, although one staff member who was spoken with about the resident was fully aware of the residents needs. The daily report sheets provide information about the care that residents are recieiving Care Homes for Older People Page 13 of 29 Evidence: from the care staff. The daily report records show that staff have been following the plans as set by the senior staff. The plans are regularly reviewed and where necessary they are altered to reflect the current needs of the person. The manager stated that when reviewing the plans, the views of the relatives are taken into consideration where necessary. This is particularly the case where the resident is not able to contribute to the process due to mental health problems. Residents and relatives who were spoken with confirmed that the residents have access to healthcare facilities, including GP support and other healthcare professionals. The records show that people have received healthcare support from professionals including psychiatrist, tissue viability specialist nurse, optician, chiropodist, dentist, occupational therapist and dietician. Residents commented that having a GP practice next door to the home is reassuring because they feel that doctors are more likely to respond quickly to them. Five surveys were returned by residents and, all five residents said that their healthcare needs are met and that they are very happy with the care that they receive at Westerleigh Care Home. One residents comments on medical support was, The staff are very good at getting medical attention from either GP or paramedics. The home has details policies on the storage and administration of medicines. These are followed by all the senior staff who have responsibility for the administration of medicines in the home. A random check of the medicines administration system was undertaken and there were no discrepancies noted. All the drugs administration records were appropriately maintained. There are suitable storage facilities for the medicines, including a small fridge for keeping specific medication that need to be kept in cooler conditions. However, at the moment the home does not keep a photocopy of the original prescription sheet before it is sent to the chemist to be dispensed. The manager was asked by the inspector to consider making photo copies of the prescriptions as proof of what was sent to the chemist. At the time of the inspection the staff were noted to relate very well with the residents and there was obvious respect between staff and the residents. The residents confirmed that the staff treat them with respect and dignity. This was also reflected in the five residents surveys that were received. The staff were friendly and professional in the way they interacted with the residents. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents have the benefit of meaningful and fulfilling social activities which enhance their wellbeing. The home provides individuals with the opportunity to make decisions about their care, and where appropriate include relatives, thus promoting their choices and independence. The residents are provided with good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: The care plans that were viewed contained some information about the social and recreational care needs through the social history section of the plans. However, this information could be better, in order to meet peoples recreational and spritual needs. For example, one care plan that was viewed had little or no information about the residents social history. All the residents who were spoken with stated that activities are regularly orgnaised Care Homes for Older People Page 15 of 29 Evidence: for them by the staff. Some of the residents commented on the positive attitude of the staff and how they spend time to talk to them. Two residents commented that because the home is near the shopping centre, they are able to visit the town with support from their families. The manager and staff confirmed that there is mini-bus trips for the residents on a weekly basis. This enables the residents to visit local places of interests. One residents desribed such trips and stated that she and other residents do look forward to the trip when it comes to their turn for the trip out. There are other indoor recreaional activities that are available to the residents. These inlude various board games, quizz games, watching videos and DVDs, bingo and outside entertainers coming to provide entertainment for the residents. At th time of the inspection visit, two people from the local community called with their dog for the usual pat a dog therapy session. Two relatives were spoken with about visiting times. They all said that the flexible visiting times allow them to continue to visit at times that is convenient for them. Two residents confirmed that their relatives and friends visit regularly. One residents daughter described how she is able to visit regularly and she finds the staff helpful. She said she is kept informed about the condition of her mother and has great confidence in the staff and manager and she believes that her mothers care is excellent. The manager indicated that she tries to hold relatives meetings but although this can prove difficult for relatives to attend, she continues to encourage them to be involved in the home and to give her feedback on how they see the care that is provided in the home. The manager said that the families are very supportive of the home when they organise social activities for the residents and other fund-raising activities such as the forthcoming pie and pea super that is being organised by the staff. The daily routines are organised flexibly to take account of individual likes and dislikes. This allows individual residents to make choices about some aspects of their routines. For example, staff had good knowlegde of which residents like to have a lie-in in the morning and who like to go to bed late. Some residents confirmed that they like to have a lie-in and have breakfast in their rooms. The dining areas on each of the floors are pleasantly decorated and furnished to a very high standard. Dining tables were appropriately set and residents had their meals in pleasant and comfortable environment. A four-week rotational menu is in operation in the home. The residents and their relatives commented positively on the quality and Care Homes for Older People Page 16 of 29 Evidence: quantity of the meals provided. Examination of past menus show that the home provides choice of menu for the residents. Those residents with special dietary needs are catered for. 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. Residents and relatives have information about how to make a complaint and are confident that any concerns raised would be acted on by the home, thus promoting their right to express their views about the service. Staff are aware of safeguarding adults procedures and have received suitable training which helps to safeguard the safety and welfare of the residents. Evidence: Four residents were specifically spoken with about the homes complaints procedure. They all said that they have copies of the service user guide which gives information about how to make a complaint. They said they have no need to complain because the staff are very professional and they are always ready to listen to them and talk to them about any problems that they may have. One residents drew the inspectors attention to the complaints procedure that is posted in the reception area. All the residents confirmed that if they were not happy about anything they would know what to do about it. Five service user questionnaires were received and all five people said that they would know how to complain if the need arises. Details in the complaints record show that the home takes complaints seriously. Record show that the home had received two complaints since the last key inspection. These have been appropriately addressed to the satisfaction of the complainants and Care Homes for Older People Page 18 of 29 Evidence: the outcomes are clearly stated. Relatives were spoken with about the homes complaints procedure and they said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about something. Two relatives commented that they have never had the need to complain because they feel any concerns they have would be immediately addressed by the staff. Staff have had training in safeguarding adults. Staff who were spoken with were familiar with the homes policy on safeguarding vulnerable people. The staff showed understanding of the POVA procedures and also showed an awareness of the need to protect the residents from all forms of abuse. 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. The home provides safe, secure, clean, warm and pleasant environment for the residents to live in thus promoting their dignity and self esteem. Evidence: The home is clean and maintained to a good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. Residents have been encouraged to furnish their rooms with personal items which enhanced the homeliness of their rooms. All rooms are single occupancy with en-suite facility. Individual rooms have good ventilation and natural lighting. Residents and relatives described the bedrooms as comfortable and homely. There are a number of communal spaces in the home for the residents to choose from. The furnishing in the bedrooms and communal areas are of a very high standard and residents and visitors described the accommodation as excellent. Window restrictors have been fixed to all windows for safety, and all radiators have suitable covering to prevent any accidents to the residents. Checks of hot water at randomly selected bathing outlets confirmed that hot water did not exceed the safety level of 43 degrees centigrade. Care Homes for Older People Page 20 of 29 Evidence: There are good arrangements in place for regular maintenance work in the home. The maintenance book shows that the handyman has kept on top of any maintenance and safety work that is needed to maintain a safe environment. These include fire safety checks and fire drills. The home has suitable infection control policies in place. Staff have had training in infection control and records show that the home has adhered to effective infection control procedures. The kitchen was noted to be clean and maintained to a good standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Records relating to food temperatures and other food hygiene measures are maintained. The laundry was found to be well ordered, and appropriate COSSH notices are in place. The laundry machines are suitable for cleaning foul linen. The laundry staff were not aware that the two doors to the laundry had different functions, one for bringing in dirty items and the other for taking out clean laundry. Consequently, one of the doors was permanently closed and only one door was being used thereby not adhering to proper infection control procedures in the laundry. However, both the manager and the laundry staff took immediate action to address this as soon as it was brought to their attention. 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. The home provides good staffing numbers which promote the safety and welfare of the residents. Furthermore, the company adheres to good recruitment practices, which safeguards the welfare of the residents. Suitable arrangements for staff training and supervision are in place, which ensured that staff are equipped to provide good quality service that benefits the service users. Evidence: The staff rotas for the past four weeks were examined and they showed that the home employs sufficient numbers of staff to meet the needs of the residents. The inspector had discussions with staff about the staffing levels and they indicated that in general there are always sufficient staff on duty to meet the needs of the residents except in the few cases where in an emergency, a staff member had to accompany a resident to hospital. The two staff who responded to the staff surveys also confirmed that the staff levels are always adequate except in cases of an emergency when a resident had to go to hospital. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety Care Homes for Older People Page 22 of 29 Evidence: training. Information in the AQAA shows that 73 of the staff have achieved NVQ Level II or working towards it. Four staff files were examined to check on the recruitment process by the manager. The files show that the home has been following the company policy on recruitment. All the files contain completed job application forms, copy of job description, appropriate references, evidence of CRB checks and record of training. Care Homes for Older People Page 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, who runs the home for the benefit of the residents. The home has procedures in place to provide supervision for staff of all grades. This promotes the quality of the service that the residents receive. The safety and welfare of the residents are protected by the regular servicing of electrical and mechanical equipments and the safety arrangements that are in place. Evidence: The registered manager has long experience of managing a residential care home. Staff and relatives commented positively on her management qualities as being very good. Both staff and relatives feel that the manager is approachable and supportive of them. Relatives were particularly complimentary of her approach to them and the way she manages the day to day running of the home for the benefit of the residents. Care Homes for Older People Page 24 of 29 Evidence: People said she is always available to advice, inform and explain things to them. There is a quality assurance system in place for seeking the views of the residents and visitors to the home. The manager described the procedure for ensuring that the service is under constant review. The manager undertakes a monthly audit of the home covering all aspects of the running of the home. However, on careful examination of the audit, it was noticed that some parts of the audit may not have been done with due care. For example, the audit indicates that PIN numbers for nurses have been checked and up to date, but the home does not employ nurses. Another example is that some of the social assessments in the care plans did not reflect the statements made in the Monthly Care Centre Audit statements. Examination of the personal allowance records and receipts of transaction show that there is an excellent system in place for managing the residents monies. Receipts are available for all transactions that have been made on behalf of the residents. Relatives have the option of managing such monies for their relatives or agree for the home to manage this, using a single bank account. The manager confirmed that most relatives have agreed for residents monies to be placed in a pooled account, but the home has a system for ensuring that all the residents receive the appropriate interests that accrue to their account. There are suitable arrangements for care staff to receive one-to-one supervision from the manager and the senior staff. Staff records show that the manager and the senior staff have provided individual supervision to care staff on a regular basis. The staff commented that they find the supervision sessions useful. In addition to the supervisions, there is the individual Development Supervision which identifies individual training needs and work performance. Staff who were spoken with stated that they find the supervision sessions very helpful and it gives them the opportunity to discuss their personal and professional development. Staff also commented that the manager listens to the staff and manages the home well. Staff morale is very high and staff attributed this to the friendly and professional nature of the manager. The company Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH), protection of vulnerable adults, infection control, dealing with violence, disposal of clinical waste and record keeping. There is evidence that staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is Care Homes for Older People Page 25 of 29 Evidence: maintained of regular water temperature tests in the home. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Residents and relatives commented that the manager runs the home for the benefit of the residents. 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 1 2 7 9 The care plans should be imrpoved to include more details about individuals social, religious and recreational needs. A photo copy of the Doctors prescription should be made before the original prescriptions are sent to the chemist to be dispensed. This would serve as a proof against which to check the medicines against when they are received. The manager should ensure that the quality audits that are carried out on monthly basis reflect only the activities that the home engages in. 3 32 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!