Care Home: Abbottswood Lodge

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What the care home does well People living at Abbottswood Lodge and their families are very happy with the service offered and care given. They made comments such as,"The staff show great patience and kindness," "Always kind and helpful. Residents always look well cared for and are treated with respect and kindness from all members of staff," and, "The home treat every resident as an individual" The home is small and friendly and there is a low turnover of staff. This means that staff can get to know people well and offer them care that suits their individual needs. Staff working at Abbottswood Lodge are motivated and many have worked there for a number of years. This provides stability and continuity for people. Before people move in the manager carries out a detailed assessment to make sure that the home will be suitable for them. The home work well with families and other professionals involved with people`s care. Visitors are always made welcome, and are able to develop a rapport with management and staff. What has improved since the last inspection? Activities at the home have continued to develop. A church group now visit the home on a monthly basis so that people have the opportunity to fulfill their spiritual needs. Residents at Abbottswood Lodge are mostly living with dementia or have other mental health needs. Management have started to develop some signage to help people find their way around. Management at the home are committed to having skilled and well trained staff. Since the previous inspection staff training has been ongoing, with training in dementia care, moving and handling, and National Vocational Qualification courses being undertaken. People can now feel confident that staff understand local safeguarding procedures, and would react appropriately if an incident of concern should arise. Good information and procedures are now available. The home have updated their complaints procedure. This now gives people accurate information about how to raise any concerns. Policies and procedures have been reviewed so that staff are working with up to date information. Other records such as nutritional records have also been improved to support people`s care. Management are better at keeping us (CQC) informed about incidents occurring in the home. What the care home could do better: The service needs to develop a good and user friendly service users guide that can be given to people when they are thinking about moving into the home. This shouldprovide good and usable information about the home to assist peoples decision making. Management need to be more proactive and timely in addressing issues raised, and carrying out planned improvements. A number of things highlighted at the previous inspection, such as the need for basic staff induction to be recorded and cleaning schedules to be in place have not been addressed. Staff training in moving and handling was out of date at the previous inspection, but was left for nearly another year before being addressed by the manager. This could have put people at risk. The home had planned good developments to assist people living at the home such as pictorial menus. These have not been completed. The planned improvements to the premises have also not moved forward. This means that many areas of decor and carpets are tired, and would benefit from renewal so that people live in an improved environment. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbottswood Lodge 226 Southchurch Road Southend On Sea Essex SS1 2LS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Vicky Dutton     Date: 1 4 0 5 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Abbottswood Lodge 226 Southchurch Road Southend On Sea Essex SS1 2LS 01702462541 01702462541 kaminipeters@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Eversley Peters,Mrs Kamini Peters care home 12 Number of places (if applicable): Under 65 Over 65 12 12 dementia mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 0 0 Abbottswood Lodge provides accommodation and personal care for up to twelve older people who have care needs associated with a mental disorder or dementia. All bedrooms were single and fitted with a call bell system. Bedrooms are on two floors, which were accessed by a passenger lift. There is a lounge and dining room on the ground floor. The home is privately owned and managed. Abbottswood Lodge is situated in the Southchurch area of Southend on Sea and is close to the town centre, as well as local community facilities and amenities. The home has forecourt parking facilities for up to four cars at the front of the building. There is a pleasant garden with a patio area to the rear of the property. The current charges at the home are £550.00 to £600.00 per week. There are Care Homes for Older People Page 4 of 28 Brief description of the care home additional charges and costs for hairdressing, chiropody, transport and personal items such as toiletries, newspapers and magazines. People are also charged equally when outside entertainers are used in the home. The Homes Statement of Purpose and Service Users Guide are available and can be obtained from the home upon request. A copy of the last inspection report is also readily available. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key site visit. The previous site visit to the home took place on 14th May 2008. At this visit we (CQC) considered how well the home meets the needs of the people living there, how staff and management work to provide good outcomes for people, and how people are helped to have a lifestyle that is acceptable to them. The level of compliance with requirements made at the previous inspection was assessed. The site visit took place over a period of six hours. A partial tour of the premises was undertaken. Care records, staff records, medication records and other documentation was selected and various elements of these looked at to see how well these aspects of care and running the home are managed. Time was spent talking to, observing and Care Homes for Older People Page 6 of 28 interacting with people living at the home, and talking to staff. The homes Annual Quality Assurance Assessment (AQAA) was sent in to us. The AQAA was received by the due date, was fully completed, and outlined how management feel they are performing against the National Minimum Standards, and how they can evidence this. Before the site visit a selection of surveys with addressed return envelopes had been sent to the home for distribution to residents, relatives, involved professionals and staff. We received responses from five people living at Abbottswood Lodge, five relatives, two visiting professionals and four staff. The views expressed at the site visit and in survey responses have been incorporated into this report where appropriate. We were assisted at the site visit by the manager, co-owner and other members of the staff team. Feedback on findings was provided throughout the inspection. The opportunity for discussion or clarification was given. We would like to thank the staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: The service needs to develop a good and user friendly service users guide that can be given to people when they are thinking about moving into the home. This should Care Homes for Older People Page 8 of 28 provide good and usable information about the home to assist peoples decision making. Management need to be more proactive and timely in addressing issues raised, and carrying out planned improvements. A number of things highlighted at the previous inspection, such as the need for basic staff induction to be recorded and cleaning schedules to be in place have not been addressed. Staff training in moving and handling was out of date at the previous inspection, but was left for nearly another year before being addressed by the manager. This could have put people at risk. The home had planned good developments to assist people living at the home such as pictorial menus. These have not been completed. The planned improvements to the premises have also not moved forward. This means that many areas of decor and carpets are tired, and would benefit from renewal so that people live in an improved environment. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering using Abbotswood Lodge may not have sufficient written information to help them to make decisions. Assessments undertaken will however give people confidence that the home will be suitable for them. Evidence: We saw that there was a Statement of Purpose on display for people. A Service Users Guide was produced on request. The manager said that if people visit they are given a copy of the Statement of Purpose. The Service Users Guide had been updated in March 2009. It was quite brief and did not contain all the elements that it should. The manager said that people are mainly given verbal information. On surveys two people said that they had received enough information about the home before they had moved in and three that they did not. To ensure that people have access to good information to help them make decisions the Service Users Guide should be properly developed and given to people or their families before they move in. The guide should Care Homes for Older People Page 11 of 28 Evidence: be in a format suitable to meet the needs of people who might use the service. When we looked at files we saw that the manager had met with people to assess their needs before they moved into the home. This helps to ensure that the home will be suitable to meet peoples needs. Assessments were comprehensive and looked at all of peoples needs. A set format had been used for this, with information gathered then written up into a person centered appraisal of their initial needs. Good information was also available from other sources, such as hospital, psychiatric services and social services. This helps staff at the home to have a good picture of a persons needs. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive good personal care and health care support to meet their individual needs. Evidence: People spoken with and comments on surveys were very positive about the care offered at Abbottswood Lodge. People living at the home who were unable to express an opinion about the service looked relaxed and well cared for. The home is small with an established core group of care staff. Many staff have have worked there for a number of years and know the residents very well. People said: The family is very happy with the levels of care provided. The home is always clean and clothes well looked after, The home treats every resident as an individual, and, I have always been satisfied that my [relative] is treated with care and affection. When we looked are care records we saw that peoples individual assessments and care plans were clear and easy to Follow. They presented as person centered and would enable staff to deliver good care in ways that people prefer, and that supports their individual routines. Records of ongoing care were available, but as was the case last year these Care Homes for Older People Page 13 of 28 Evidence: are not always reliable and records relating to bathing had not been properly maintained. The manager said that they are trying to address this. Records viewed showed that peoples health is monitored and that they access a variety of health care professionals to meet their needs, and support their ongoing care. This includes doctors, district nurses, optician, continence adviser, community physiotherapists and community mental health teams. On surveys people felt that they always received the medical support that they needed. A relative said that the home were, Very attentive to any problems that might arise, especially health matters. We received surveys back from two health care professionals. Both made very positive comments about the service such as, The support when visiting is excellent. The staff are caring and supportive of their clients, The manager always telephones and asks for advice if/when it is needed, and, They support their clients individual needs as far as possible. Again records kept could perhaps better show how peoples health care needs are being met. For example we noticed that a number of residents appeared to have lost weight. The manager was able to identify in each case that this had been recognised and steps taken to investigate any causes. Care plans and records did not however identify this. No one currently living at the home is able to manage or administer their own medication. A visiting professional said Generally clients dont have the mental capacity to administer their own medication. Staff manage this correctly and keep excellent administration sheet records. We looked and systems and procedures in place to ensure that this aspect of peoples care is managed safely and well. We saw that good records are maintained. No anomalys were noted. Staff training records showed that staff have received training in managing medication. Some staff are currently updating their skills and knowledge through a distance learning course in managing medicines. Medication storage has still not been reviewed to ensure that it compiles with regulation relating to the safe storage of medicines. The manager said that this will be resolved as part of the planned refurbishment of the home. During the day staff were kind and caring in their approach to residents. Discussion with a member of the care team highlighted the fact that they had a good understanding of peoples rights and the need to preserve peoples privacy and dignity. People said: Staff are always kind and helpful. Residents always look well cared for and are treated with respect and kindness from all members of staff, and, The home has a kind and caring nature to all the residents. They always look clean and well dressed. A sense of dignity for people is very important. Staff said, The service respects the rights and privacy of the individual, and, The home provides quality care for the residents, preserves their dignity and promotes their independence. Care Homes for Older People Page 14 of 28 Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy opportunities for activity, good food and are able to welcome their families and friends. Evidence: Peoples individual needs in relation to likes and dislikes, and preferences for activity and occupation are recognised in care planning. A member of staff spoken with had a good understanding of peoples individual needs and preferences in relation to occupation. A weekly activity timetable is arranged which is flexible to to meet the wishes of people on any given day. Activities are recorded and we saw that things such as bingo, puzzles, armchair exercise, memory joggers and household chores are offered. The home also receives weekly talking newspapers. On the AQAA the manager said that they hoped to, implement a reminiscence programme. We saw that staff and management have time to give people one to one contact, and for example, spent time looking through individual photograph books, doing peoples nails and helping them with drawing. We saw that there is plenty of equipment available to support activity and stimulation. The needs of people living at Abbottswood are very diverse, and most are living with dementia or have other mental health needs. Some staff have had training in the provision of activities for people with these disabilities. There was Care Homes for Older People Page 16 of 28 Evidence: also plenty of information available to assist other staff. Further developments are planned. For example working on life story books and rummage boxes. Since the previous inspection a church group now visit the home once a month so that people have the opportunity to fulfill their spiritual needs. A member of staff said, We respect the choices people make. Individual care planning includes cultural, religious and dietary needs. Visiting at the home is very open and people can welcome their friends or family at any time. Families felt that, All staff make visitors welcome. A thank you letter seen at the home said, The home is a very friendly place to come and we were always welcome any time, day or night. One person said that it would be nice to, Have somewhere to bring other members of the family - to be able to have a little more privacy. The manager said that when the home is refurbished a smaller lounge area would be available that could be used by visitors. During the day staff were responsive to individual needs and assisted them in maintaining personal autonomy, for example assisting people to their rooms when they wished to go, and organising transport for someone when they wished to go out. One person said, Its marvelous here, I could not want for better. I can go where I want to when I want to. Information was available about advocacy services so that people can know where to go for independent support and advice. Leaflets were also available about the Mental Capacity Act and Deprivation of Liberties Safeguards. Given the needs of people living at Abbottswood Lodge these are relevant topics. People seemed happy with the food provided. On surveys four people said that they always enjoyed the meals and one that they usually did. A relative said, My [relative] eats and enjoys just about everything that is put in front of them and very often has second helpings. A four weekly menu plan is worked to and choice is offered. We saw that the days menu was on display for people. At the last inspection the manager said that they hoped to developed pictorial menus to assist less able people in making choices about what they want to eat. This work had not progressed. Lunch on the day of the site visit was unhurried and relaxed. People were assisted in a sensitive manner. For other people aids such as plate guards were available to assist them in maintaining their independence. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for safely through procedure and practice at the home. Evidence: We saw that since the previous inspection the manager had updated the homes complaints procedure. This now gives people good information about how they can raise any concerns. On surveys people said that they knew who to speak to if they were not happy, and knew how to make a complaint. Staff said that they knew what to do if someone raised a concern with them. The homes records showed us that one concern had been raised since the previous inspection. This was managed appropriately by staff. No concerns have been raised with us (CQC.) Since the previous inspection the manager has made sure that policies, procedures, information, appropriate forms and contact information are available in relation to safeguarding. Staff training information showed that for most people recent training in safeguarding had been undertaken. Staff spoken with confirmed this and demonstrated a good understanding. We saw through care plans and care records that some people living at Abbottswood Lodge can display behaviours that challenge staff. Individual care plans in most instances gave staff information about how to manage this. Training records showed that staff have undertaken, or are currently undertaking a dementia and challenging Care Homes for Older People Page 18 of 28 Evidence: behaviour course. Where incidents had occurred we saw that these had been properly recorded, and appropriate people such as social workers and community psychiatric nurses updated. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a pleasant home. Evidence: Abbottswood Lodge provides a small and comfortable home for people. The home is situated on a main road close to Southend on Sea town centre. As such it is close to public transport links and accessible for people. There is a pleasant garden for people to enjoy with wooden garden seats available. Apart from some signage now being provided to assist people with orientation, no changes have been made to the premises since the previous inspection. There are plans in hand to extend and refurbish the home. This would benefit residents as many areas of the home are looking tired. Some carpets are worn and lighting in some areas could be improved. A relative said, It would be nice if carpets/decoration could be refreshed. On the day of the site visit the home appeared clean and there were no unpleasant odours. Staff have undertaken training in managing infection control. For some though this was some time ago. The manager showed us that she had a DVD pack in place to use for training in house, and said that some staff are to be booked on to external training courses when they next become available. The homes laundry area is on the first floor. It was adequate to meet the needs of the home. On the day of the site visit a tumble drier was not working, but actions were Care Homes for Older People Page 20 of 28 Evidence: being taken to resolve this. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are looked after by safely recruited and well trained staff. Evidence: People all made positive comments about the staff team at Abbottswood lodge. They are very understanding and caring. There are always enough staff on duty, The staff show great kindness and patience and are ever watchful and helpful, and, I like all the staff here, they are all marvelous, were some of the comments made. People living at Abbottswood Lodge benefit from being looked after by people who know them well. Most staff have worked at the home for some time and agency staff are not used. Staff spoken with and on surveys were positive about their role and felt that they offered a very good service to people. We treat all service users and individuals making sure all their needs are met, and, The home is providing the highest standards of care in a happy safe and caring environment were two comments made. At the site visit there were always staff available to people to assist them with any needs. The manager and co-owner are very hands on in their approach. Both were also available at all times in helping to meet peoples needs. On five residents surveys people said that staff were always available when they needed them. People also said that staff listened and acted on what they said. Management at the home have done well in achieving a good number of staff who Care Homes for Older People Page 22 of 28 Evidence: have a National Vocational Qualification (NVQ) in care. The AQAA and staff training information identified that out of 17 staff 12 have an NVQ. Another member of staff is signed up to start. Some staff have completed NVQ at level two and are now starting level three courses. This shows that management have a commitment to maintaining a well trained and skilled workforce. We looked at the files of two staff who had been recently recruited. We saw that people living in the home are protected through robust recruitment procedures being in place. Checks such as Criminal Records Bureau (CRB), POVA first, references and peoples identification had been carried out. On staff surveys people said that their recruitment had been thorough and fair. Staff files showed that staff undertake a Skills for Care Induction programme. Those viewed had been well completed. As at the previous inspection however it was advised that peoples basic induction into the home be recorded so that it can be evidenced that things like fire procedures and basic routines had been covered. The manager said that any new staff are supernumerary for their first week so that they can get to know people and routines. Staff spoken with were happy with the levels of training provided and said that they, Were always doing something. A training matrix showed that training is undertaken by staff in appropriate areas. On five relatives surveys three people felt that care staff always had the right skills and experience to look after people properly and two that they usually did. Visiting professionals also felt that staff have the right skills to support people. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe and well managed home. Evidence: The owner/manager at Abbottswood Lodge is experienced and qualified. As well as having a nursing qualification they have also completed their Registered Managers Award. This is a recognised qualification for those managing care homes. A relative said, We feel that Abbottswood Lodge is a very well run family home. A survey was conducted in November last year to seek peoples views about the home and elements of the service provided. We saw that survey results had been analysed, and that they presented a high level of satisfaction. The AQAA was completed by the manager. It was briefly but fully completed and gave us the information that we had asked for. People can feel confident that if they or their families ask the home to help them look Care Homes for Older People Page 24 of 28 Evidence: after their personal monies, this will be done in a way that safeguards their interests. Monies checked were correct, with receipts in place for all transactions. We observed that there is an open culture in the home with management and staff working as a team to meet the needs of residents. Staff files showed that staff supervision is ongoing and that relevant topics such as person centered care and core values are discussed. On four staff surveys everyone said that they regularly met with the manager for support and discussion of working practice. The AQAA completed identified that systems and services are monitored and maintained. A sample of records looked at confirmed this. A partial tour of the premises showed that the home seemed well organised, and no particular health and safety issues were identified. The fire service visited the home in March this year and found everything to be in order. A fire risk assessment was seen to be in place. Fire records were maintained. Systems are tested weekly, and regular fire drills are carried out to ensure that staff know what to do in an emergency. The last environmental health officers visit found that satisfactory standards of food hygiene were being maintained. A training matrix and discussion with staff showed that training in core areas such as first aid and food hygiene is mostly kept up to date. Last years inspection highlighted that staff training in moving and handling was out of date. At the time the manager had just renewed their training to be able to train the carers but had not carried out any sessions. As it was a concern last year it was disappointing to see that staff training in moving and handling had not in fact taken place until March of this year, when a further inspection was expected. This could have potentially put people at risk through out of date practice. However all staff now have up to date training. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 1 A service users guide should be developed that is in a suitable format for people using the service. This should be given to people to help them have good information about the hoe before deciding to move in. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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