Care Home: Allerton Park

Similar services:

• Beeches The - North Yorkshire County Council
• Staveley Birk Leas Nursing Home
• Carentan House
• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor

What the care home does well When we spoke with staff they showed a good knowledge of people`s diagnosis and could verbally describe the health and personal care needs of the people they cared for. People`s comments included "The staff are lovely" "The staff really look after me" "It`s very nice here". Health care professionals said that they felt the care delivered at Allerton Park is generally "good"," staff communicate really well with us" and "we have confidence in this service". Throughout the day many friends and family were visiting the home and there seemed to be a very friendly and welcoming feel in Allerton Park. People living in the home and their representatives told us the home is always clean and it was clean when we visited. Staff, people and relatives spoke very highly of the manager. Comments included: "Ruth, the manager, is always about; she is always willing to listen and tries to resolve any problems we have". What has improved since the last inspection? The monitoring of people`s nutrition has improved. This will help people maintain their optimum health. Despite the requirement and recommendations there has been a continued improvement in the standard of people`s care plans. This means that the staff will know what to do for each person. The overall feedback from health care professionals and relatives was that the care delivered by staff at Allerton Park was good and had improved over the last two years. Work is continuing to improve the environment of Allerton Park. Staff said that training opportunities are good and have increased. This will help to ensure that people are cared for by a skilled and knowledgeable group of staff. What the care home could do better: People`s care plans still need further attention and more detail so that the staff know what support each person needs. A more individualized activity programme is needed. This would enable all people, including those with more physical frailties, the opportunity to exercise their choice in relation to social and leisure activities. The views of people, staff and relatives should be sought so that the management of the home can get a clearer picture over the quality of the meals and to see what, if any, improvements need to be made. Staff and people who use the service must be consulted to highlight any areas of concern over the levels of staff employed. Any shortfalls in staffing levels must be addressed. The work on improving the environment should continue and be completed as soon as possible. This will help to ensure the home is comfortable and suitably furnished to meet people`s needs. Key inspection report Care homes for older people Name: Address: Allerton Park 39-41 Oaks Lane Allerton Bradford BD15 7RT     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Mike ONeil     Date: 2 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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: Allerton Park 39-41 Oaks Lane Allerton Bradford BD15 7RT 01274496321 01274782841 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Park Homes (UK) Ltd care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia dementia old age, not falling within any other category physical disability physical disability Additional conditions: 1. The registered person may provide the following category of service only: Care home with nursing; Coce N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories. Dementia: Code DE, Old age, not falling within any other category: Code OP, Physical disability: Code PD. 2. The maximum number of service users who can be accommodated is: 50. The total of places for dementia care must not exceed 26 Date of last inspection 2 9 1 0 2 0 0 8 50 31 0 50 3 Over 65 0 0 50 0 0 Care Homes for Older People Page 4 of 28 Brief description of the care home Allerton Park is part of Park Homes UK Limited, a registered company with several care homes in the area. Allerton Park provides nursing and personal care for a maximum of fifty people. The building has been divided in order to provide two different types of care in designated areas. The William Forster suite is a 26-bedded nursing unit for people who have dementia and need nursing care and the Joseph Cartwright suite is a 24-bedded residential unit for people who need support with personal care only. Each unit provides mainly single room accommodation. All but two bedrooms are equipped with an en-suite toilet. Each unit provides shared lounges and dining rooms. There is ramped access to the main door and a passenger lift ensures easy access to both floors. The home is situated three miles from Bradford city centre and can be accessed by public transport. Parking is provided within the grounds. Fees are between 369.20 and 744.00 pounds per week. Hairdressing, toiletries and newspapers are not included in the weekly fee and are charged separately. This information was provided on 29 September 2009. The home should be contacted directly for up to date information about charges. 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: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection process included looking at the information we have received about the home since the last key inspection in October 2008. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the service was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. The AQAA also included data as to when utilities and equipment at the home were serviced. Information from the AQAA is included in the main body of the report. On this occasion we did not send out surveys to people before our visit. We made an unannounced visit to the home. This was carried out by two regulation inspectors on 29th September 2009 over a period of nearly seven hours. We talked to 9 staff about their work and the training they have completed. We checked some of the records, policies and procedures the home has to keep. Care Homes for Older People Page 6 of 28 We also looked at some parts of the home and observed staff as they carried out their duties. Ruth Kaluba Lumbwe, registered manager, was in charge of the home at the time of our visit. At the end of our visit we also provided feedback to Beverly Hogan, training and care standards monitoring manager with Park Homes UK Limited, Jackie Jackson unit manager and the registered manager. We spoke with 8 people who use the service, a visiting health care professional and 6 relatives during our visit, their views are included within this report. 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 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. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Peoples care plans still need further attention and more detail so that the staff know what support each person needs. A more individualized activity programme is needed. This would enable all people, Care Homes for Older People Page 8 of 28 including those with more physical frailties, the opportunity to exercise their choice in relation to social and leisure activities. The views of people, staff and relatives should be sought so that the management of the home can get a clearer picture over the quality of the meals and to see what, if any, improvements need to be made. Staff and people who use the service must be consulted to highlight any areas of concern over the levels of staff employed. Any shortfalls in staffing levels must be addressed. The work on improving the environment should continue and be completed as soon as possible. This will help to ensure the home is comfortable and suitably furnished to meet peoples needs. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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. Assessments were carried out to ensure that the home could meet peoples needs. This home does not provide intermediate care. Evidence: We checked three peoples files. Records show that pre admission assessments had been undertaken. This told us that prior to the admission taking place, staff from the home carried out an assessment of peoples needs. This confirmed that the service was appropriate for the person and provided staff with information to formulate an individual plan of care. We saw in the files, the home was consulting with, and requesting reviews from professionals when peoples needs were changing. The registered manager told us that people are invited to stay at the service for a trial visit. Peoples representatives all confirmed that the manager had visited the person in Care Homes for Older People Page 11 of 28 Evidence: hospital or at home to see whether the service could meet their needs. They added that sometimes people were too unwell to visit the service before their admission. However the representative had visited the home on their behalf and all said they were made to feel very welcome and were impressed with the homely feel of Allerton Park. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were treated with respect and said they were very happy with the care they received. Health and personal care needs were generally met and medication procedures ensured that people were protected. Care plans generally reflected peoples care needs. This will mean that staff know what care/support each person needs. Evidence: Three peoples care plans were checked. The care plans contained details about the persons biography, personality and their preferences and choices. Overall we felt that the plans were good and they did try to focus on the individual person. The care plans were concise and mainly clear. Staff said that they had been working hard to improve peoples care plans so they are comprehensive, clear and concise. Based on our findings over the past two years we can see that there has been an improvement in the standard of care plan documentation. Staff are monitoring peoples weight regularly and nutritional assessments have been Care Homes for Older People Page 13 of 28 Evidence: completed for people in all plans we checked. This will help people maintain their optimum health. People and their representatives said they are aware of care plans and that they are involved in discussions about their care. Evidence of these reviews are recorded in the care plans. This means that people can have a say in how they receive care or support. However some inadequacies were found in two peoples care plans we checked: A persons risk assessment identified that they were at risk of developing pressure sores. However despite this assessment staff failed to formulate a care plan which would offer guidance and instructions to staff of how to minimise the risk and monitor the skin condition of the person. Staff are failing to record times they made entries in the plans. It was also noted that a review of a care plan was dated 2 days in advance of the actual date the plan was reviewed. Staff must be reminded that peoples care plans are a legal document and must always be accurately dated and timed. Staff, when writing peoples daily notes, are not being reflective of the information actually recorded in the persons care plan. On one unit the peoples daily records are actually held in a separate file. This means that on occasions staff are recording information without the persons care plan in front of them. This seems to have contributed to staff recording blanket statements such as all care given, slept well etc. This type of entry in peoples notes is not sufficient or specific enough information. When we spoke with staff they showed a good knowledge of peoples diagnosis and could verbally describe the health and personal care needs of the people they cared for. The majority of people we saw had received a good standard of personal care. However we did observe that two ladies had dirt under their finger nails and two gentlemen were unshaven. Staff need to pay more attention to detail when providing care and support to people. The overall feedback from health professionals and relatives was that the care delivered by staff at Allerton Park was good and had improved over the last two years. Individually: Peoples comments included The staff are lovely Care Homes for Older People Page 14 of 28 Evidence: The staff really look after me Its very nice here. Health care professionals said that they felt the care delivered at Allerton Park is generally good, staff communicate really well with us and we have confidence in this service. Relatives said The staff at Allerton Park are lovely . Medication was securely stored in locked cupboards in a locked room. Medication Administration Records (MAR) were up to date with no gaps. The Controlled Drugs Register was checked and this had been completed correctly with two signatures and a diminishing total. Staff said they had received medication training. We saw records of this training.This training and other procedures that are in place will help protect people. People were treated with respect and dignity and addressed by their preferred name. We observed staff interacting in a friendly and pleasant way. Staff took time to explain what task or support they were about to offer people. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make some choices about daily living and be involved in social activities. People receive choice of a well balanced diet at times convenient to them. People are able to maintain contact with family and friends and feel part of the local community. Evidence: People said they were able to get up and go to bed when they chose and generally how they spent their day and evenings. Some said they went out with their families. Relatives said they were able to visit at any time and were made to feel very welcome. Throughout the day many friends and family were visiting the home and there seemed to be a very friendly and welcoming feel in Allerton Park. There were some activities taking place during the day and people were enjoying the time they were spending with each other and the staff. People said they did join in with some activities that were arranged such as baking, craft activities and games. People and staff said they had good links with the local school .They said recently children had helped people to plant up pots in the gardens of the home. Care Homes for Older People Page 16 of 28 Evidence: We spoke with the activities coordinator employed at Allerton Park. The coordinator showed enthusiasm about her role and was keen to include as many people as possible in different types of activities. She was able to tell us about recent trips out and forthcoming events which will be held in the home. People who are more physically able can participate in many more activities around the home and in the community. However, some people said they did get bored and wanted to do more. One person said they liked to join play bingo but said they dont do that here. We did observe that some less physically able people were sat in chairs and were taking very little notice of their surroundings or were asleep in front of the television. A more individualised activity programme and stimulation is needed which should encompass the likes and dislikes of people, this information could be discussed with people and their relatives. This would enable all people, including those with more physical frailties, the opportunity to exercise their choice in relation to social and leisure activities. Within one unit, where many people suffer with memory loss, there was not enough information displayed that may help people with orientation. The two clocks in the unit were small and difficult to see, one lounge and the corridors was dark, additional lighting is needed, and there was no information displayed such as the date the weather or a news item. It should also be said that there are some positive parts of the environment in the unit. Photographs and pictures of recent events are displayed and there are tactile surfaces attached to the wall which have proven benefits for people with dementia. The comments about the food were mixed. The majority of people said the quality and choice of food served is very good. Staff and some relatives said they felt the quality isnt very good. They felt people didnt always get what they would like. The views of people, staff and relatives should be sought so that the management of the home can get a clearer picture over the quality of the meals and to see what, if any, improvements need to be made. 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. There are appropriate systems in place to make sure that peoples concerns/complaints are taken seriously and acted on and to make sure that people are protected from abuse. Evidence: Information about the complaints procedure is available in the home. People told us they know how to make a complaint if they need to and know who to speak to if they are unhappy. The home told us they have had 3 complaints in the last year, no complaints have been referred to us. Records are kept of complaints made and action taken to resolve concerns. There are procedures in place to make sure that people are protected from abuse. There have been three referrals to the adult protection (safeguarding) unit in the last 12 months. These referrals were made by the service and were reported promptly and appropriately. Staff said they are aware of protection polices and procedures. Records were seen of recent adult safeguarding training staff had undertaken. This ensures people who use the service are safe and protected. Care Homes for Older People Page 18 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. The home is clean, pleasant and hygienic although some areas of the home are in need of redecorating and refurbishing. Evidence: People living in the home and their representatives told us the home is always clean and it was clean when we visited. Refurbishment of the home is required as an ongoing project. Some parts of the home look tired and in need of brightening up. However work is continuing to improve the environment. The manager was able to provide us with a major refurbishment plan for the home. This refurbishment should continue so that people can live in pleasant surroundings. The home has effective infection control measures in place and follows the correct procedures if an outbreak of an infection does occur. Staff were attending infection control training on the day of our visit. These measures will help to protect people. Care Homes for Older People Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected because all the required checks are done before new staff start work. Staff are supported in developing the skills and knowledge they need to meet peoples needs. There are insufficient staff on duty at some times to support people safely. Evidence: At the time of our visit the following numbers of staff were on duty: Joseph Cartwright Unit a 24 bedded residential unit for people who need support with personal care only. 1 unit manager 1 deputy manager 1 care assistant William Forster suite is a 26 bedded unit for people who have dementia and need nursing care. 1 qualified nurse 3 care assistants In addition other staff on duty included An activities coordinator, employed 5 hours a day Monday to Friday. The coordinator was working over both units on the day of our visit. The registered manager, an administrator, 3 catering staff and 3 domestic staff. On the day of our visit there were 9 unoccupied beds in the home. The information submitted by the service dated, 14th September 2009, identified that there were 10 Care Homes for Older People Page 20 of 28 Evidence: unoccupied beds in the home. Previous duty rotas and staff costing and clocking in cards were checked. These records show that the majority of time similar numbers of care staff were employed within the home. Records showed that on some occasions, staffing numbers on the Joseph Cartwright Unit had fallen to 2 care staff at weekends. The manager confirmed that over the previous weekend there had been staff shortages due to sickness and she had covered shifts on the unit. Prior to our visit we had received anonymous concerns relating to low staffing levels at the service. It was alleged that staff had to undertake domestic duties and resident care was suffering. This information was shared along with our other findings over staffing with the manager and area manager. The majority of staff we spoke with and some relatives said staffing levels are not adequate. People who live at Allerton Park said that staff were usually around they needed them,they raised no concerns over staffing levels. Relatives said I think the home is understaffed and I dont like it when the people are left unsupervised . Staff raised other concerns and made the following comments Some people need a lot of help and need feeding we dont have time to talk to people or do activities We dont have time to sit and talk to people, we are too busy, all people needed help to get up wash and dress and 8 people need help to eat their meals. Sometimes it is after 2 pm when we have time to do peoples nails and talk with people. No staff said they had to undertake domestic duties. In view of the comments made, and due to the possible changing needs of people, an audit of staffing levels must be undertaken. Staff, people who use the service and their representatives must be consulted to highlight any areas of concern over the levels of staff employed. Any shortfalls in staffing levels must be addressed. Every effort should also be made to cover staff sickness so that sufficient numbers of staff are on duty at all times. This will help to ensure that peoples needs can be met. The home told us that all the required checks are carried out before new staff start work. Three staff files were checked. The files contained a range of information including two references and a declaration of health and identification. The staff had Care Homes for Older People Page 21 of 28 Evidence: undertaken a criminal record bureau check, at the enhanced level. This confirmed thorough recruitment practises were in place, which was sufficient to safeguard people. Staff told us they received induction training when they started work and this covered most of what they needed to know. All staff said they get the training they need to keep them up to date and to help them meet peoples needs. Staff said the company is really good at providing training. Over the past 12 months training has taken place on a variety of subjects including person centred care and dementia care .Training has also been provided on safe working practises for example fire safety, moving and handling and infection control. Care Homes for Older People Page 22 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. Overall management of the home is good, with policies and procedures in place to protect and safeguard people who use the service. Evidence: The registered manager is a qualified nurse and has many years experience within the nursing and caring profession. She has completed her Registered Managers Award. Staff, people and relatives spoke very highly of the manager. Comments included: Ruth, the manager, is always about she is always willing to listen and tries to resolve any problems we have You can speak to her about anything and she is very supportive. The AQAA was received on time. This shows that the service works in a cooperative manner with us. The management team of Allerton Park have ways in which to check out the quality of the service that they are providing. Regular staff meetings are arranged. People who Care Homes for Older People Page 23 of 28 Evidence: use the service and their representatives meet with the management of the home on a regular basis. Minutes of meetings held were seen. Satisfaction surveys are regularly conducted. The registered manager, area managers and registered providers are available at the service on most days of the week. People, relatives and staff said they are able to talk to the managers at any time. There is evidence that the ethos of the home is open and transparent. Generally the views of both people who use the service and staff are being listened to, and valued. A sample of monies that was looked after on behalf of people living at the home was checked. Records and receipts are kept and money tallied with the records. The self-assessment form completed by the home indicated that the required maintenance and servicing of equipment is up to date, a sample of records we looked at confirmed this. Staff said they had received recent fire safety and other health and safety training. The fire risk assessment had been reviewed earlier this year. Beverly Hogan said that all fire safety work had been completed and signed off by West Yorkshire Fire and Rescue Service. These measures will help to promote the safety and welfare of people. Care Homes for Older People Page 24 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 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 The care plan must set out in detail the action, which staff need to take to minimize the risk of people developing pressure sores. To ensure peoples health care needs are met. 01/12/2009 2 27 18 An audit of staffing levels 01/12/2009 must be undertaken. Staff and people who use the service must be consulted to highlight any areas of concern over the levels of staff employed. Any shortfalls in staffing levels must be addressed. This will help to ensure that peoples needs can be met. Care Homes for Older People Page 26 of 28 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 3 4 5 6 7 7 8 12 12 15 The persons daily notes should reflect the information actually recorded in the persons care plan. Staff should ensure that all written entries they make in peoples care plans are dated, timed and signed. Staff should help people to maintain a good standard of personal hygiene. People should have the opportunity to exercise their choice in relation to social and leisure activities. The environment should be improved so that people can be orientated to date, time and place. The views of people, staff and relatives should be sought to ascertain if any improvements need to be made to the meals served at the home. The programme of renewal of the fabric and decoration to improve the environment should continue. Every effort should be made to cover staff sickness so that sufficient numbers of staff are on duty at all times. This will help to ensure that peoples needs can be met. 7 8 19 27 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC 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. 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!