Care Home: Aslockton Hall Care Home

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What the care home does well People we spoke with told us that they are very satisfied with the quality of service provided at Aslockton Hall and that they have confidence in the managers abilities to maintain a high standard of care. People said they feel involved in the decision making processes and that their opinions are listened to and acted upon wherever possible. People are treated with respect and their dignity and privacy is maintained. People are also enabled to be as independent as possible within the safe environment of the service. The provision of extra staff at key times of day to undertake tasks such as, bed making and ensuring that people have drinks enables care staff to dedicate more time to assisting people with personal care. What has improved since the last inspection? The home has benefitted from an extension which provides extra bedrooms with walk in shower facilities, a further lounge/dining area and outside patio area. The home also benefits from having an on going maintenance programme which ensures that all areas are decorated and maintained at a high standard. New furniture has been purchased for lounge and dining rooms and the laundry has been re-fitted with new equipment. What the care home could do better: People we spoke with told us they would like to be able to enjoy more baths and spend time relaxing in the bath. People also told us they would like the opportunity to go out on more organised outings. Key inspection report Care homes for older people Name: Address: Aslockton Hall Care Home New Lane Aslockton Nottingham NG13 9AH     The quality rating for this care home is:   three star excellent 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: Angela Starr     Date: 2 4 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 29 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 29 Information about the care home Name of care home: Address: Aslockton Hall Care Home New Lane Aslockton Nottingham NG13 9AH 01949850233 01949851660 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Clare Grange Limited care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability terminally ill Additional conditions: Old age, not falling within any other category (OP) - 62 Physical disability (PD) - 1 Terminally ill (TI) - 1 Date of last inspection Brief description of the care home The current fee levels at the time of this inspection range from £474.00 to a maximum of £671.00 according to assessed need and the room that is chosen. This does not include hairdressing, newspapers, chiropody and manicures. The latest inspection report is available in the office. Aslockton Hall provides personal and /or nursing care for up to sixty-two older people. The registration includes 1 bed for a person with a physical disability. The premises are located in a rural setting comprising a period building adapted and extended to offer spacious and attractive accommodation. There are seven lounges including a Care Homes for Older People Page 4 of 29 0 1 1 Over 65 62 0 0 Brief description of the care home conservatory and a dining room on each floor, as well as various seating areas around the home, which offer different views of the gardens. There are extensive grounds and gardens maintained to a very high standard, which are made use of during the warmer months when parties and garden fetes are held. There are a number of fruit trees in the grounds and the fruit is picked and used by the cook to provide fresh and homebaked products. The home has been up-graded and adapted to meet specialist needs and there is a range of equipment available to support peoples personal requirements. The bedrooms are large and spacious with many having en-suite facilities including walk-in showers. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three star excellent service. This means that the people who use this service experience good quality outcomes. The focus of Inspections undertaken by the Care Quality Commission is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We ask managers to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing us with information to assist in planning our visit and deciding what areas to look at. Care Homes for Older People Page 6 of 29 We also reviewed all the information we have received about the service since we last visited and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, seven people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 8 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who want to live at the service have their needs assessed and can be assured these will be met. They receive good quality information about the service to enable them to make an informed choice about living there. There is suitable provision for people who stay at the service for a period of Intermediate Care. Evidence: Care files we looked at told us that people considering living at the service are seen by the manager or a deputy and a full pre admission assessment is completed to ensure that each persons needs can be met. Where it is appropriate, a persons relatives are involved in this process and as much information as possible is gathered to enable staff to ensure that Aslockton Hall can provide the required support. We saw a copy of the statement of purpose and service user guide and both were very comprehensive and included a lot of useful and relevant information. Upon enquiry, Care Homes for Older People Page 10 of 29 Evidence: people are given copies of these and a copy of the services latest news letter. The complaints procedure, terms and conditions of residence and other information is also provided at this time. This provides people with information to assist their decision making. People we spoke with told us that they were seen by a member of staff prior to moving to the service and that they felt they had been given all the information they needed. We received six completed surveys from people living at Aslockton Hall and where we asked Did you receive enough information to help you decide if this home was the right place for you? Three people replied No and three replied Yes Some people we spoke with said they did feel they had been provided with information but some people told us their family had chosen the home for them. As part of our case tracking process, we looked at files for four people living at the service. All four files contained pre-admission assessments including relevant information about the persons feelings on moving into a care home. There were also copies of contracts and terms and conditions of residency in the files. We discussed the provision for Intermediate Care with the manager who told us that they have not been required to provide this service for a considerable time as the local authority appear to have reduced their referrals. However, she did inform us that if someone was admitted on that basis, dedicated accommodation, equipment and staff would be provided to enable the persons rehabilitation and return to their own home. Care Homes for Older People Page 11 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: As part of our case tracking process we looked at files for four people and all contained thorough and up to date care plans that had been regularly reviewed with the persons involvement. These plans were signed and agreed by the person they related to or by a relative where the person was unable to sign. One person told us The nurse sat with me and we talked about the help I need and she wrote it down. The staff do help me the way I want them to. These plans all included an initial assessment that identified areas of support needed including mobility, personal care, health care support etc. Risk assessments were in place and addressed a wide area of identified risks, Care Homes for Older People Page 12 of 29 Evidence: including nutrition, self administration of medication and moving and handling. Files also contained evidence of visits from Doctors, District Nurses, Opticians, Dentist, Chiropodist etc. and the relating records were clear and comprehensive. Peoples blood pressure, pulse and weight were recorded and monitored. People we spoke with told us that they see a Doctor whenever necessary and only have to ask staff for this to be arranged. They said it was the same for other appointments out of the home. Staff accompany people for hospital visits etc where necessary but relatives with spoke with said they prefer to do this whenever possible. Peoples participation in this process was also clearly recorded and included the persons comments. People we spoke with told us that they felt they had actively contributed to this process and that their care plans accurately reflected their needs. The files contained daily report sheets outlining each persons daily activities and well being and information about the persons medication. We looked at the Medication Administration Records for the people we case tracked and found these to be completed correctly. We looked at the dedicated room for the storage of medication. This room is kept locked at all times except when staff are working in there. Two lockable trolleys are used, one for each floor and the medication rounds are completed by two members of staff. Again, one for each floor. We saw that the storage of controlled drugs was also suitable and the records correct. Records are kept of the room and fridge temperatures and were seen to be within the correct range. We observed staff doing part of the medication round and saw that it is conducted in a safe and organised manner. Staff we spoke with told us that they have recieved training for handling medication and this is regularly refreshed. We looked at staff training records and saw that the relevant staff have had training in administration of medication and that this was up to date. People are assessed to see if self administration would be safe but there are currently Care Homes for Older People Page 13 of 29 Evidence: no people undertaking this at the service. One person told us I prefer the staff to do this as I used to forget to take my tablets. The care plans we saw all made reference to peoples privacy and dignity and we observed staff treating people with respect throughout our visit. People told us that the staff always knock on doors before entering a persons room and said they believe the staff to be respectful at all times. Relatives we spoke with echoed this and said I have never seen people being treated with anything other than kindness and respect. People we spoke with told us They are lovely. They always treat me properly. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a range of activities and a flexible menu that meets their needs and wishes. Evidence: The information provided to us by the manager tells us We provide individualised care which emphasises the importance of choice and independence for the residents. This is written into our philosophy of care and residents charter and forms a major part in the induction of new staff. Residents have an extensive programme of social activities, many of which have been suggested by residents themselves. These range from in house craft sessions, knitting groups, games, quizzes, and bingo etc. to visits from professional entertainers, theatre groups, film shows and many more. We saw evidence that confirmed regular services are held by the local Church of England vicar as well as pastoral visits and a monthly evensong with the Methodist minister. The Catholic Priest is also a regular vsitor. People we spoke with told us that they decide what activities they would like and Care Homes for Older People Page 15 of 29 Evidence: these are usually facilitated. People also said that they like to join in with some things but not others. They said they like to have this choice and as there are a number of rooms that can be used for activities it is always possible to find somewhere quiet if preferred. Records showed us that there are weekly exercise classes for people who are wheelchair users as well as those who are more able and some people told us they really look forward to these. There are organised clothing and shoe sales on a regular basis. Social occasions such as coffee mornings are popular. People we spoke with told us that they were to be having a coffee morning the day following this inspection. There is a mini-bus that can be used for outings and it is accessible to people using wheelchairs but people did tell us that they would like to go out more often. A monthly news letter is produced and advertises the months activities that are planned. It includes details of any visiting entertainers or special events such as the Harvest Festival or shopping evenings. We observed one of the care staff organising a shopping trolley providing a variety of toiletries, sweets and chocolate and other sundry items for people to buy. People had ordered items and asked for particular things which we saw being provided. Visitors are always welcome and relatives we spoke with confirmed this and told us that they are offered refreshments and would be able to have a meal if they wished. I visit very frequently and always feel welcome. Meal times are considered to be an important part of the day and a varied and nutritional menu is provided. On arrival at the service we observed some people having breakfast in their rooms and people told us that there is always a good choice offered to them. As well as fruit, cereals, porridge, toast etc, there is a cooked option. People told us they are asked on a daily basis what their preference is. Orange and cranberry juice are freely available. Lunch is a cooked meal with a salad option available. The cook visits all new residents and others on a regular basis to ascertain likes and dislikes. People we spoke with were very complimentary about the food and told us that it is Excellent Lots of home baked things, cakes and biscuits. Ive put on weight since being here and I needed to. Care Homes for Older People Page 16 of 29 Evidence: We observed people having lunch and saw that they were relaxed and enjoying the pleasant surroundings. Extra staff were available to assist the care staff at meal times. Relatives we spoke with said they thought the food was very good. People we spoke with on the day of the inspection visit all said that there is always something to do and that the standard and choice of food is excellent. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and are confident that any concerns would be acted upon and responded to. The people living at the service are safeguarded from harm and abuse by staff who adhere to robust policies and procedures. Evidence: The information provided to us by the manager tells us All Staff are aware of the complaints policy. It is included as part of new staff induction, and is displayed in the entrance hall of the Home for all visitors to see. It is also included in the residents guide. On arrival at the service we saw the complaints procedure clearly displayed in the entrance. The care files we saw all contained copies of the complaints procedure and some people we spoke with could recall seeing it. We spoke with seven people who live at the service and all told us that they did know how to complain and who to complain to. They also said that they would feel confident to complain and would expect to be listened to and the complaint responded to. One person told us that they had gone to the manager about something they were unhappy with and that it had been sorted out straight away. Care Homes for Older People Page 18 of 29 Evidence: A relative told us that they had gone to the manager with an issue and felt that it was dealt with appropriately without having to be put forward as a formal complaint. They added that they would not have hesitated to make it formal if it had not been resolved. We looked at the records of complaints and saw that two had been recorded since the last key inspection. The evidence we saw told us that both of these had been investigated within the policy and procedures of the service, the outcomes recorded and shared with the complainant. We also observed that many compliments were also recorded. The questionnaires that were returned to us told us that people do know who to speak to if they are unhappy about anything. Relatives we spoke with confirmed that they would feel confident to complain and some added I have never had anything to complain about We looked at training records with regard to staff attending Safeguarding Adults training and saw that all staff receive this training during their induction period and it is frequently raised in staff meetings. Staff we spoke with demonstrated a good level of knowledge and understanding and said they would not hesitate to report anything of concern. Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. 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. People live in a clean, safe and comfortable home which is well maintained and equipped to meet their needs. Evidence: The information provided to us by the manager tells us The Home and grounds are maintained to a high standard. There are seven lounges, a mix of quiet ones, television ones and more sociable areas. All are furnished with suitable chairs etc. but in a domestic character. One dining room has been extended and refurbished this year. Both dining rooms have had new dining tables and chairs. Residents have their own rooms and are encouraged to bring their own items of furniture and personal effects. We do have double rooms available but these are only ever occupied by partners or close family members at their request. We conducted a partial tour of the home where we looked at some bedrooms, bathrooms, communal areas, the kitchen and laundry. We observed the home to be clean and comfortable throughout providing a safe and homely environment. We looked at some peoples bedrooms and saw that they were furnished in a suitable and comfortable manner that suited the size and style of the room. Personal items, such as pictures, small items of furniture and ornaments were present in the rooms. The majority of the rooms are en-suite with some having a large walk-in shower. Care Homes for Older People Page 20 of 29 Evidence: The building has been adapted in a manner which provides extensive and appropriate accommodation for people whilst maintaining the period features of the original house. This has provided a variety of bedroom sizes and outlooks over the grounds. The numerous lounges and seating areas offer people a wide choice of places to sit quietly, join in with activities, chat or watch television. Necessary equipment is provided to assist people and enable access to all areas of the service. This includes hoists, stand aids, and rotundas, all of which we observed to have been regularly serviced and maintained in good order. The laundry area was very well organsied and we saw measures were in place to manage infection control. The service has recently purchased new ironing equipment which enables the laundry staff to keep peoples clothes and bedding looking at there best. People we spoke with said they are generally very happy with the standard of the laundry and a new system is being trialled that identifies peoples clothing by the addition of a button, discreetly attached to a garment. This contains a micro chip that can be read and provide details of whom the item belongs to. We spoke with a member of staff who is responsible for the laundry and she told us The new equipment is excellent and makes the whole process much better. The button identification is also very good as I can quickly identify who things belong to. 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. People are supported and protected from harm by trained staff in sufficient numbers to meet their needs. Evidence: The information provided to us by the manager tells us The Home provides good staffing levels and does not have to rely on agency staff to maintain these. There is a good domestic team which acts as a support to the nursing and care staff, housekeeper and cleaning staff. We employ bed makers who also deliver fresh drinks daily and take meal orders, tea domestics who assist at mealtimes, cook and kitchen staff, laundry staff. This ensures that the nurses and carers spend their time caring for the residents and not having to do domestic jobs as well. We looked at files for four members of staff as part of our case tracking process and we saw that they all have a clear job description. All four files contained the necessary paperwork and information to tell us that the recruitment policies and procedures are safe and are being strictly adhered to. We saw that staff had provided a minimum of two written references and the required Criminal Record Bureau and Protection of Vulnerable Adults checks had been completed. We also saw evidence that staff receive a thorough induction when they commence employment and staff we spoke with confirmed this. The manager told us that all new Care Homes for Older People Page 22 of 29 Evidence: staff follow the homes orientation/induction programme and the qualified nursing staff are supported in their professional development. We saw evidence that recent courses attended by qualified staff included Mental Capacity Act, Deprivation of Liberty and Safeguarding Adults, as well as a number of training courses relating to specific medical conditions and procedures. Care staff we spoke with told us that they are encouraged and supported to attend external training in addition to in house training. Records showed us that recent courses attended by care staff include Mental Capacity Act, communicating with sensory impaired residents, tissue viability, infection control, first aid, basic food hygiene, dementia awareness, and respecting peoples dignity & privacy. Kitchen staff have completed food handling and hygiene training and domestic staff have received COSSH training and infection control updates. All mandatory training has been completed by all current staff members. We spoke with three members of staff, one of whom told us The training is very good. We are a good team and share tasks throughout each shift. Staff we spoke with demonstrated a good level of knowledge and understanding of their training and told us I would always report anything of concern, even if it involved my friends. The residents come first. I know the people who live here are safe. 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 well managed and is being run in the best interests of the people who live there. Evidence: The manager returned the Annual Quality Assurance Assessment within the required timescale and it was completed in a manner which provided us with a lot of useful information. The manager is a qualified nurse and has the relevant qualifications and many years experience of managing a care home. She has demonstrated her committment to her role by continuing her professional development, including undertaking training in employment law. We spoke with the manager and she was able to demonstrate her awareness of her responsibilities and the importance of maintaining her level of knowledge. This means that people who live at the service benefit from a knowledgable manager Care Homes for Older People Page 24 of 29 Evidence: who understands the needs of older people. People who live at the service, relatives and staff we spoke with all told us that the manager is very approachable and that she actively seeks their views about the service provided. One staff member said The manager is always open to new ideas. A relative said She is amazing. A fantastic manager. The service has an internal Quality Assurance system in place whereby people are asked to complete questionnaires to provide feedback about their experience of living at Aslockton Hall. This ensures that the manager and provider are able to respond to peoples needs and provide a good level of service. We saw that the evidence gathered through the questionnaires is used to improve the service provided and the questionnaires are adapted to seek the most relevant feedback. Monthly newsletters are produced for staff and people who live at the service and this ensures that people have access to the latest information about any planned activities or changes that may be happening both within the home and any regulatory activity. People we spoke with said they felt their opinions were listened to and taken into account. The manager does not manage any persons finances and actively discourages people from having large amounts of money on the premises. Family, friends or representatives are sought to assist people in this area. Health and safety measures are in place to ensure the Health and Safety of staff and people living at Aslockton Hall. This is evidenced by the implementation of a Health & Safety Policy, which clearly identifies the responsibilities of management and staff. We looked at the records of accidents and incidents that had been recorded since the last Key Inspection three years ago. There were one hundred and two entries and these included accidents that staff had and the most minor incidents to ensure best practice. The recording provided accurate descriptions of the events and all were dated and signed. The information from the reports had been collated in a manner which helped to identify the type of incident or accident and the frequency. Ninety two of these related to slips, trips and falls and when we discussed this with the manager she informed us that they are currently working with the falls prevention team to develop a prevention strategy. Care Homes for Older People Page 25 of 29 Evidence: As part of our inspection process we looked at the relevant safety certificates for servicing and maintenance of equipment and services. All were in place and up to date. The fire safety equipment and testing was also seen to be up to date. Staff we spoke with told us that any maintenance tasks are reported and recorded for the benefit of the handyman, who completes the task and then signs to say this has been done. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 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). 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