Care Home: Bingley Wingfield Nursing Home

Similar services:

• Abbey The
• Snydale Care Home
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People told us the staff are friendly, kind and caring and during the visit we saw that staff were kind and respectful in their interactions with people. People told us that they know who to talk to if they have any concerns and said their concerns are taken seriously and acted on. The home encourages people to visit before making a decision about moving in. This helps people to decide if the home is the right one for them. People are encouraged to bring some of their personal belongings with them and this helps to create a more homely environment. The home does not have any restrictions on visiting and this helps people to keep in contact with their family and friends. We asked people what the home does well, one relative said "acknowledgement of special occasions/birthdays, provide spiritual support, allow people to being pets, try to provide entertainment to suit all tastes". Another person said "the owner and manager are friendly and approachable". One health care professional who completed a survey for us said the home "works well as team and with community teams GP etc." They said they have seen improvements in the service over the past six months and added "it is a pleasure working with such an organised and caring team". What has improved since the last inspection? All the requirements from the previous inspection have been dealt with. The home has made improvements to the way people`s nutritional needs are identified and met. Changes have also been made to the way meal times are organised. The home has started to use the dining room on the lower ground floor and this means that more people are able to go to the table for their meals. This helps to make meal times a more social occasion for people. Improvements have been made to the care records, this means there is accurate and up to date information about people`s needs and this reduces the risk of people`s needs being overlooked. The home has made improvements to the way people`s social care needs are addressed. They are continuing to develop this aspect of the service to make sure each person is given the right support to follow their personal interests and make the most of their abilities. The home has made improvements to the way they recruit new staff and this means they have reduced the risk to people. Work has also started on improving staff training. This must continue to make sure that staff have the skills and knowledge they need to care for people properly.Improvements have been made to the environment and more work is planned to make sure that home continues to provide people with a pleasant, comfortable and suitably equipped place to live. What the care home could do better: The home should continue to build on the work they have done in the past six months so that they can continue to improve quality outcomes for people using the service. We asked people what the home could improve, one person said they could have more staff and another said, "Sometimes it is difficult to locate a member of staff when needed in a hurry". One person said more attention should be given to helping people to clean up after meals so that they are not left with food or food stains on their clothes. Key inspection report Care homes for older people Name: Address: Bingley Wingfield Nursing Home Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED     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: Mary Bentley     Date: 0 2 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 27 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 27 Information about the care home Name of care home: Address: Bingley Wingfield Nursing Home Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED 01274567161 01274566809 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dr A T Ghoneim care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category of service only: Care Home with Nursing - Code N, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places 48 Date of last inspection Brief description of the care home Bingley Wingfield is registered to provide nursing and personal care for up to 48 people. The original Victorian building has been extended to incorporate a wing of single ensuite accommodation. The home offers both single and shared accommodation, ensuite facilities are provided in twenty-five of the single rooms. There are communal rooms on the lower ground floor, the ground floor, and the first floor. Care Homes for Older People Page 4 of 27 Over 65 48 0 0 4 0 3 2 0 0 9 Brief description of the care home The home is situated near Bingley and is close to local bus routes. The area has many shops and local amenities. The home has pleasant gardens that are accessible to people living in the home. Car parking is provided at the front of the building. The home has a second entrance via a ramp for wheelchair access. The home has a no smoking policy. In September 2009 the fees ranged from 408.00 to 622.00 pounds per week. Additional services such as hairdressing and chiropody are not included in the fees. Please contact the home for information about the current range of fees. Care Homes for Older People Page 5 of 27 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 last inspection of this service was carried out on 3 March 2009. Since then we have made two additional visits to the service. These visits were done in June and July 2009 and were to follow up specific concerns. One was that peoples nutritional needs were not being properly met. The second was that the home was putting people at risk because they were not completing all the required checks before new staff started work. During those visits we found that the home had taken action to address these concerns. The reports from these visits will be made available on our website, www.cqc.org.uk The purpose of this inspection was to look at how the needs of people living in the home are being met. To check if the improvements had been maintained and to follow up the remaining requirements made at the last inspection. Care Homes for Older People Page 6 of 27 This was an unannounced visit carried out by one inspector between the hours of 9:30 and 5:50. During the visit we spoke to people living in the home, visitors, staff and management. We looked at various records including care records and we looked at some parts of the building. On this occasion we did not ask the home to complete a self-assessment. We sent surveys to people using the service, staff and visiting health care professionals. In total 13 were returned and the information provided has been included in this report. We reviewed our practice when making requirements to improve national consistency. Some requirements from previous 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 enforcement action will be taken. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? All the requirements from the previous inspection have been dealt with. The home has made improvements to the way peoples nutritional needs are identified and met. Changes have also been made to the way meal times are organised. The home has started to use the dining room on the lower ground floor and this means that more people are able to go to the table for their meals. This helps to make meal times a more social occasion for people. Improvements have been made to the care records, this means there is accurate and up to date information about peoples needs and this reduces the risk of peoples needs being overlooked. The home has made improvements to the way peoples social care needs are addressed. They are continuing to develop this aspect of the service to make sure each person is given the right support to follow their personal interests and make the most of their abilities. The home has made improvements to the way they recruit new staff and this means they have reduced the risk to people. Work has also started on improving staff training. This must continue to make sure that staff have the skills and knowledge they need to care for people properly. Care Homes for Older People Page 8 of 27 Improvements have been made to the environment and more work is planned to make sure that home continues to provide people with a pleasant, comfortable and suitably equipped place to live. 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 9 of 27 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 27 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. Peoples needs are assessed and they are encouraged to visit before making a decision about moving in. This helps people to decide if the home is the right one for them. Evidence: The home told us that peoples needs are always assessed before they move in. This is to make sure the home will be able to meet the persons needs. The pre-admission assessments we looked at showed an improvement since our last visit, they contained detailed information about peoples needs. Staff confirmed that they are given information about peoples needs before the move in so that they have some knowledge about peoples needs when they arrive at the home. The home encourages people or those close to them to visit before making a decision about moving in. Visitors told us they had looked around the home before choosing it for their relatives. Care Homes for Older People Page 11 of 27 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. Peoples personal and health care needs are met. The home is continuing to make improvements to the care records to make sure they provide accurate and up to date information about peoples needs and preferences. This will help to make sure that people continue to receive the right care and support. Evidence: At the last key inspection in March 2009 we were concerned that peoples needs could be overlooked because the care records were not up to date and accurate. We were also concerned that peoples nutritional needs were not being fully met. Since then we visited the home in June and July 2009 to check what action they were taking to address these concerns. On both occasions we found that the home was making improvements and on this visit we found that those improvements have been maintained. Since March 2009 the home has introduced a new format for the care records. Information about peoples needs is clearly set out and is easy to find. The care records we looked at showed that peoples needs are assessed and the information Care Homes for Older People Page 12 of 27 Evidence: obtained during the assessment is used to develop a plan of care. The care plans provide information for staff on how peoples needs are to be met. We saw evidence that people or those close to them are involved in care planning. Relatives told us they are consulted and kept informed about changes in peoples conditions. The care plans are being checked by the home manager and by representatives of the management consultants employed by the home. We saw from these audits that the home is aware of how they need to continue to improve the care plans. For example by making sure that there is detailed information for staff on how to help and support people. There are risk assessments in place for areas of potential risk such as pressure sores, falls and nutrition. When people are identified as being at risk there are care plans to show how this risk will be managed. We looked at some peoples food charts. These charts are used to record what people are eating and drinking when they are identified as being at risk either because they are underweight or because they are losing weight. Overall the food charts are well completed however there were some gaps in the records and it was not always clear when people had been given snacks outside of set meal times. This was discussed with the manager. In one persons records the review of the care plan for eating and drinking said they were being offered smoothies every morning but there was no evidence of this in the food charts. The manager told us they had discussed plans to provide smoothies but had not yet started to do this. Peoples weights are recorded at least every month, more often if they are identified as being at risk. We looked at some of the records. We saw that most people are either maintaining a stable weight or have gained some weight. We identified three people who are continuing to lose weight. Staff had already identified this as a concern and were taking action to deal with it. We saw that people have access to a range of NHS services such as GPs, district nurses, physiotherapists and speech and language therapists. One health care professional who completed a survey for us said the home works well with community health care professionals. They said they have seen changes over the past six months, including updating the care records, which have improved the organisation of the home. When we visited the home was preparing the change over to a new system for managing medicines. They are introducing a monitored dosage system where each Care Homes for Older People Page 13 of 27 Evidence: medicine is an a pre packed individual blister pack. This should make the administration of medicines less time consuming and therefore give nurses more time to spend giving direct care to people. During the visit we saw that staff were kind and respectful to people. People told us their privacy and dignity are respected. Care Homes for Older People Page 14 of 27 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 are offered the opportunity to take part in a variety of social activities. The home is continuing to improve this aspect of the service to make sure that everyone is given the support they need to follow their personal interests and make the most of their abilities. Evidence: We spoke to one person who was having their breakfast at about 10:00AM, they told us they usually like to get up around 9:00AM and they have their breakfast when they come downstairs. We saw in the records that the times people get up and go to bed are varied according to their preferences. The home has an activities organiser who works 30 hours a week. When we visited in March we were concerned that she was not always available to organise activities because she had to cover other duties. This has been changed and she is able to dedicate all her working hours to arranging and co-ordinating social events. The home has started to use the dining room on the lower ground floor for group activities as well as at meal times. This means that people are offered a choice of where and how to spend their time. During the visit we saw group activities going on in the morning and afternoon. In the afternoon people were making greeting cards. People are able to Care Homes for Older People Page 15 of 27 Evidence: choose whether or not they take part in group activities. One person told us they enjoyed playing dominoes but said they were not interested in joining the card making. The activities organiser sets aside time to spend with people who prefer to stay in their rooms. The home has started to produce a weekly activities programme so that people know what is planned. As well as being displayed in the communal rooms a copy will be given to people who stay in their rooms so that they have information about what is going on. Organised activities include board games, crafts, quizzes and baking. Special occasions are celebrated and the home has visiting entertainers. One person said the home tries to provide entertainment to suit all tastes. The home is in the process of introducing a personal history book for everyone living there. This will include information on peoples social, cultural and religious interests and needs and will be used to develop individual social care plans. People told us they are able to see their visitors in private and at times that suit them. Visitors told us they are always welcomed by the home. When we visited in March 2009 we were concerned that peoples nutritional needs were not always being met. We visited to the home in June and July 2009 to check that the home was taking action to deal with this. On both of those visits we found that improvements had been made. During this visit we found that those improvements have been maintained and improved on. For example, people are now able to have their meals in the dining room if they choose to. This helps to make meal times a more social occasion for people. On the day we visited the lunch time meal was nicely presented. Staff were available and helped or prompted people discreetly. Where necessary aids were provided to help people eat independently, for example plate guards to stop food slipping off the plate. We saw some examples of good practice. For example, one person was difficulty saying which pudding they would prefer and staff showed them both puddings so that they could make a visual choice. We also observed staff asking people if they wanted to have a protective apron while they were eating. The home has introduced new menus and people are offered a choice at all meal Care Homes for Older People Page 16 of 27 Evidence: times. Care Homes for Older People Page 17 of 27 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 suitable systems in place to make sure that complaints are taken seriously and acted on and to protect people from harm. Evidence: People living in the home told us they know who to talk to if they have any concerns. Relatives who completed surveys for us said they know how to make a complaint if they need to. People who completed surveys and people we spoke to told us the home usually responds appropriately to any concerns raised. One person said they felt the home could be a bit more responsive when relatives raised concerns. The home keeps a record of all complaints which includes information on the outcome. We saw that the home has had 5 complaints since we last visited in March 2009 and they have dealt with them. The manager told us she is developing a complaints log to help audit complaints and identify areas where the service can be improved. There are policies and procedures in place to make sure people are protected from abuse. When we visited in March 2009 we were concerned that some of these policies were not being followed, specifically in relation to the employment of new staff. This has now been dealt with. All the staff in the home have either attended safeguarding (protection of vulnerable adults) training or are booked on courses over the coming months. Care Homes for Older People Page 18 of 27 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 and improvements are being made to make sure it provides a comfortable and pleasant place for people to live. Evidence: The home was clean when we visited and people told us it is usually clean and fresh. There is an ongoing programme of redecoration and refurbishment. The home provided us with information on the work they have done so far and their plans for future improvements. This year the home has redecorated between 2 and 3 bedrooms every month and where necessary bedroom carpets have been replaced. Since our last visit they have purchased new equipment including a new hoist and some specialist nursing beds and have deep cleaned some parts of the home. When we visited in March 2009 we were concerned that the hot water temperature in some of the bathrooms was too high and people were at risk of scalding. This has now been dealt with. During this visit we checked the hot water in two of the bathrooms and it was within the recommended safe limit. The home has started to use the dining room on the lower ground floor again. This means that more people are able to go to the table for their meals and this helps to make meal times a more social occasion for people. Care Homes for Older People Page 19 of 27 Evidence: There are suitable systems in place to reduce the risk of cross infection. Training on the control of infection had been organised and was scheduled to take place in the week following this visit. Care Homes for Older People Page 20 of 27 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. There are usually enough staff to meet peoples needs. People are protected because all the required checks are completed before new staff start work. The work that has started on training should continue to make sure staff are supported in gaining the knowledge and skills they need to meet peoples needs. Evidence: People told us that staff are usually available when they need them. They said staff usually listen to them and act on what they say. People said the staff are kind and friendly, one person said they look after you cheerfully. One person we asked about how the home could improve said they should have more staff. Another person said it is sometimes difficult to locate a member of staff when needed in a hurry. When we visited there were 34 people living in the home. There are usually 7 staff on duty in the morning, 6 in the afternoon and evening until 7:00PM and 5 until 9:00PM. Overnight there are 3 staff on duty. One of these is always a nurse. The manager is supernumerary and in addition the home employs separate staff for housekeeping, laundry, catering, maintenance and administration. The home has an activities organiser who works 30 hours a week. When we inspected in March 2009 we were concerned that the home was not doing all the required checks before new staff started work. We visited in June 2009 to check Care Homes for Older People Page 21 of 27 Evidence: what the home had done about this and found that all the required pre-employment checks were being done. During this visit we looked at the files of two newly recruited staff. In both cases the home had obtained written references and done a PoVA (Protection of Vulnerable Adults) First check. In both cases the home had requested a full CRB (Criminal Records Bureau) disclosure and was waiting for this to be returned. Both staff were working under supervision pending the return of their CRB checks. We talked to the manager about the fact that allowing staff to start work on the basis of a PoVA First check should not be routine practice. We also talked about the practical difficulties of having too many staff working under supervision at any one time. The manager assured us she is aware of these limitations and said the duty rota is organised so that the two people under supervision work at different times. The duty rota shows which staff are working under supervision and who is responsible for supervising them. The records showed that new staff have induction training when they start work. Staff who completed surveys for us said their induction training had covered what they needed to know to care for people. Staff told us one of the areas where the home has improved is that they are now offered more training. Over the past 6 months the home has concentrated on making sure all staff are up to date with mandatory training such as moving and handling and fire safety. More training is planned for the next year and this will include subjects such as food safety, nutrition, dementia, diabetes and caring for people with Parkinsons. The home has an ongoing NVQ (National Vocational Qualification) training programme. Twelve care staff (57 ) have achieved an NVQ at Level 2 or above and five staff are currently working to gain this qualification. Since the last inspection the majority of staff have had an appraisal. This had helped to identify areas where staff need more training and/or support and this information is being used to plan the training programme. Care Homes for Older People Page 22 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has worked hard over the past six months to improve outcomes for people using the service. They should continue to build on these improvements taking into account the views of people using the service. Evidence: When we visited in March 2009 the home had engaged the services of a management consultancy to help them make improvements to the service. Since then the management consultants have been working closely with the home manager and improvements have been made to all aspects of the service. A number of people who completed surveys for us said they have seen improvements in the service over the past six months. One person said they had noticed a certain lack of professionalism from the staff but said this has now improved. The management consultants carry out monthly visits to check the quality of the service and following these visits actions are agreed with the home manager to deal with any shortfalls. The report from the most recent visit was seen but reports from Care Homes for Older People Page 23 of 27 Evidence: previous visits were not available. Copies of the reports from all these visits should be available in the home. The home manager and deputy manager have done training on the Mental Capacity Act and Deprivation of Liberty legislation. The home is in the process of organising training for staff. The care records include an assessment of peoples mental capacity and at the time we visited no one was being deprived of their liberty. The home does not have a policy on the deprivation of liberty, the manager said she would deal with this. The home has meetings for people using the service which take place about every 4 months. The most recent was in May 2009. There is also a committee, Friend of Bingley Wingfield, which meets with the owner and activities organiser. The committee is mainly concerned with activities, fund raising and looking at ways in which relatives and/or friends can support the home. The management consultancy has sent questionnaire to people using the service. The responses will be analysed and the home and people using the service will be given feedback on the results and any actions that are needed as a result. The home holds small amounts of personal money for some people. Since the last inspection they have made changes to the way this is managed. Records are kept of all transactions and receipt are obtained for any money spent on peoples behalf. The owner carries out random checks to make sure peoples money is properly accounted for. We looked at a selection of maintenance records and they showed that equipment and installations are maintained and serviced at the required intervals. Care Homes for Older People Page 24 of 27 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 27 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 30 18 Staff must be provided with 11/12/2009 training related to the needs of people living in the home and training on the Mental Capacity Act and the Deprivation of Liberty. To make sure they have the skills and knowledge they need to meet peoples needs. 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 27 Staffing levels should be kept under review to take account of peoples changing needs and the layout of the home to make sure there are always enough suitably trained and competent staff on duty to meet peoples needs in a timely way. Reports from the Regulation 26 visits should be available in the home for inspection. 2 37 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!