Care Home: Brampton Court

What the care home does well The home offers a very pleasant, well decorated and clean environment, which is safe and well maintained. The atmosphere in the home is good and there were examples of friendly but respectful exchanges between staff and residents. There are detailed pre-admission assessments carried out to ensure residents are able to make choices about moving into the home. Residents and their representatives are also encouraged to visit the home before deciding to live there on a permanent basis. The staff assist the residents to maintain their health care needs in a way that promotes their dignity and independence. The residents were very complimentary about the staff and the care they receive. Comments include "the staff are always kind and helpful", and "there is always staff around to make sure that I can do what I want". The residents are given good quality nutritious food that they enjoy in pleasant surroundings and recent improvements to this will be beneficial to making sure that they are stimulated into a good nutritional intake. The home is well managed in the best interest of the people who live there. The good leadership from both the regional manager, home manager and deputy supports the staff and allows them all to work well as a team. The new manager has started to introduce a number of improvements which, once they are fully implemented, will make significant improvements to the way that the service is delivered. What has improved since the last inspection? The decoration and furnishings in the home has been improved and the home is now well decorated and a pleasant place for the people living in the home. This also means that there is no odour anywhere in the building. What the care home could do better: No requirements have been identified at this inspection. Only one recommendation has been made. This is for the home to continue to improve the care plans to make them more person centered and reflect more fully the way that the care is being delivered to the individual people using the service. Key inspection report Care homes for older people Name: Address: Brampton Court Wharrier Street Walker Newcastle Upon Tyne NE6 3BR     The quality rating for this care home is:   two star good 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: Suzanne McKean     Date: 0 7 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: Brampton Court Wharrier Street Walker Newcastle Upon Tyne NE6 3BR 01912243679 01912243684 Brampton.Court@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd care home 48 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: Date of last inspection Brief description of the care home Brampton Court is a purpose built care home providing nursing and social care to older people over the age of 65 years with Dementia. The home is on the same site, and it attached to another care home with a shared entrance. The same company home owns the adjacent. The homes share both the laundry and kitchen. The building is on two floors with passenger lift access to the first floor. Within each floor there is level access to all parts of the home. The parking is to the front of the building. Brampton Court is situated in the Walker area of Newcastle, within easy reach of shops and other amenities, public transport access is good. The home charges fees of between £365 and £510 per week depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A Care Homes for Older People Page 4 of 27 Over 65 47 1 Brief description of the care home copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: 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. Summary: This is an overview of what the inspector found during the inspection. How the inspection we carried out:- Before the visit we looked at, the information we have received since the last visit on 12th December 2007. How the service dealt with any complaints and concerns or protection of vulnerable Care Homes for Older People Page 6 of 27 adult issues since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. Used surveys to find out the views of residents their relatives or representatives and professionals who visit the home. The visit: An unannounced visit was made on 3rd September 2009 and a second planned visit was carried out on 7th September 2009 , the total time of the visits was ten hours. During the visit we: Talked with people who use the service, the staff and the manager. A number of visitors were present during the visit and six were spoken to in private. Looked at information about the people who use the service and how well their needs are met. Looked at the records which must be kept. Checked the staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building and parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. We told the Manager and the Regional Manager the what we found. Care Homes for Older People Page 7 of 27 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 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 9 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. Comprehensive assessments carried out prior to admission, which makes sure that the resident and the home can be confident about the placement being a suitable one for the individual. The home does not offer intermediate care. Evidence: The home has a good brochure giving relevant information to people who are interested in moving into the home. All of the residents have access to a copy of the statement of purpose and service user guide for the home and these are also given to the relatives and representatives. The company have comprehensive documentation for all aspects of the care planning process and the admission record is particularly detailed and extensive. These assessments identify the needs of the potential residents and this means that the Care Homes for Older People Page 10 of 27 Evidence: place can be offered on the basis their needs and the category of care they require. The care files looked at all have a pre admission assessment which contain the necessary information to make sure that they can make the judgment to offer a place in the home. The care plans also contain supplementary information from other agencies who have been involved in the previous care packages, hospital or community care. There is also information from the residents themselves where possible and from families and representatives. 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. Good care planning and review processes make sure that staff are clear how to care for the needs of residents and the people living in the home are well looked after. Evidence: All residents have an individual care plan, and these are completed to a good standard and show how the care that was being given to the residents. There are relevant risk assessments for the prevention of falls, nutrition, wound care, moving and assisting, continence promotion and mental health status. The plans showed that they are regularly reviewed and updated. The care staff are involved in making sure that the necessary information is in the care plans by keeping the nursing staff informed. This includes the welfare of the residents and their activities and events on a day to day basis. Food and fluid balance records were generally up to date and detailed. There have been recent changes to the care to make them more person centered and are in line with the organisations most recent documentation guidance, and this is ongoing as there are still some improvements that could be made to answer the how question. Care Homes for Older People Page 12 of 27 Evidence: A number of assessment tools are in use, and they were reviewed monthly, and were dated and signed by the author. Daily reporting of residents care was generally satisfactory, and the changing health care and mental health care of residents was reviewed and changes to the plan made as necessary. The care plans showed that the residents have access to all NHS services and facilities. There was a good range of pressure relieving mattresses in use for the prevention of pressure sores although there are currently no residents in the home who have pressure ulcers. The staff have a good knowledge of residents psychological health care needs with evidence of good partnership workings with other professionals. Personal care was given in privacy, and staff used residents preferred name at all times. A number of the staff have recently completed a training course in dementia care mapping and they were very motivated to use what they have learned to improve the care they give. Residents were complementary about the staff in the home and felt that they were able to have privacy in their own rooms and the staff respects that this. A relative said that they felt that the care staff always tried to do their best for the residents and that they knew their relative well. The medicines in the home are well managed and safely disposed of as necessary. The treatment room was very tidy and was well organised. The medicines are not given at meal times. This improves the mealtime experience for the residents and prevents the residents from being distracted during this important time. Care Homes for Older People Page 13 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. There is a flexible routine and people living in the home are supported to live active and meaningful lives taking into account their individual wishes, abilities and interests. Evidence: There is an PAL (Personal Activities Leader) employed in the home and each person living in the home has his or her social care needs assessed. A care plan is then developed to identify the way they can be met. It is acknowledged that providing effective social opportunities for this client group presents a challenge for all of the staff. However, the staff in the home are aware of the need to be flexible in this. A relative said that they felt that the way the staff deal with their relative makes their life better and spontaneous conversations and everyday activities such as looking at a magazine or the television gives them the opportunity to enjoy each others company. The residents are encouraged to go to places in the local area such as the Public houses and arrangements have been made for them to get discount for meals when they use the Bistro in Byker and the Lightfoot stadium (which has a cafe). Families are also encouraged and supported to take residents out and about. Some of the residents also attend day centres, which is quite unusual for people living in residential care. Care Homes for Older People Page 14 of 27 Evidence: Resident are also offered opportunities to go to local attractions and recently a number of residents (9) went to Alnwick Garden for the day. This appears to have been a very enjoyable day for both staff and residents, and photographs were on display to remind people of the pleasant time they had. Generally through the day the residents were choosing where they spent their time. A resident described how he chose the things he did like the time he gets up, what and when he eats although he acknowledged that the meal times were set within some limits. A relative said that the staff would keep meals back if the resident was out at meal times and that they would always make sure that they had something when they returned. It was noted that because the activity being offered on one of the visits was a coffee morning the residents did not leave the dining room from having their breakfast to the end of the lunch. This was not the case on both floors as on the ground floor they were supported to spend some time in the morning in the lounge. This only occurs on one day per week but did result in residents sitting for a long time in one place. The manager agreed to review this. Although most residents could not have a conversation about how they felt about the home they appeared to be happy as they were smiling with the staff or were enjoying spending time with other residents. Some of the residents were moving around the home and were being supported to do so even when they were at some risk of falling. The lunchtime meal looked well prepared and the residents appeared to be enjoying it. The table setting has been improved since the last inspection and were very nicely set with crockery, condiments and cutlery on the table. This is relatively new and it was unclear if all of the crockery was to remain during the meal time so it differed on the two floors. The residents were being given assistance on a 1 to 1 basis if they needed it. There was a positive atmosphere in the dining rooms and the staff were very vigilant about the residents getting choices. Lots of comments could be heard during the lunchtime of which would you like and why dont you try it and see what you think. The residents were observed to clear their plates and some were offered alternatives if they did not seem to eat much. Some were offered second helpings. The residents bedrooms were personalised reflecting individual choices and preferences. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Relatives are given Care Homes for Older People Page 15 of 27 Evidence: information about visiting in the service user guide. Care Homes for Older People Page 16 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. Good management of complaints and safeguarding helps protect the vulnerable adults living i the home from harm. Evidence: The complaints procedure is in the service users guide and copies are displayed in the home. The records of the complaints made to the home were examined and were kept in line with the homes policies and procedures including the level of satisfaction of the complainant and any action that had been taken as a result of the issue being raised. One of the residents said that they knew problems were dealt with and how this would be done. A relative visiting the home was aware of the complaints procedure but had not needed to use it. There have been five complaints made in 2009 and the records of these were complete. The home has been involved in one protection of vulnerable adult procedure this year and this was dealt with in partnership with the Social Services department. This showed the managers commitment to ensuring the safety of the residents in his care. Care Homes for Older People Page 17 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 residents live in a safe environment with good communal areas, and bedrooms that are personalised and comfortable. Evidence: Brampton Court is a purpose built home located in a residential area. It is a two story building with a shared entrance with another home of the same company. It has a large car park to the front of the building and good level access or lifts to all areas of the home. It is near to a number of local amenities. The location and layout is suitable for the residents who live there. There are pleasant lounges and dining rooms on each floor. Residents were able to use the entire home as the ground floor has wide corridors and doors and there is lift access to the first floor. There is a range of television and audio equipment available for people living in the home to use including very large televisions in the lounges which are wall mounted. Resident were watching a popular programme and two spent some time talking about the programme they were watching. These also have information showing on them that residents will find useful, for example staff on duty, the weather and a quiz question. The corridor are nicely decorated and there is now a number of items to make them more suitable for the client group. These rummage boxes are in place to Care Homes for Older People Page 18 of 27 Evidence: offer them stimulation as they move around the home and give staff points of interest to engage the residents in. There is no odour evident anywhere in the home. The furnishings are suitable and of good quality and a number of residents were in seating which would assist support and encourage them to maintain effective posture. There are bathrooms, shower facilities and toilets near to all communal areas and residents bedrooms. These were suitably decorated and pleasant rooms for the residents to use. The residents have been encouraged and supported to bring personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. Several of the bedrooms have been refurbished, and some of the bedroom furniture has been replaced. There is a plan in place to continue the refurbishment of the bedrooms as they need it. The only entrance to the secure garden area is via a stairwell and two fire doors. This courtyard garden is secure and offers residents a safe place to spend their time. It is well maintained and enjoyed by the residents especially in the warmer months. There is another large garden area, which is secure and has been provided with a five hole mini golf putting green which is used and enjoyed by the people living in the home. The laundry was generally tidy, and there are suitable laundry baskets and laundry rails to take clean linen and clothing back to residents rooms and linen cupboards. There are sluices on each floor, which are locked when not in use. Sluice disinfectors were in working order. The sluice rooms were clean, tidy and odour free. Care Homes for Older People Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff working in the home are employed using effective recruitment and selection practices, and they are given good training and supervision to make sure that they can carry out the work they are being asked to do. Evidence: On both of the days of the inspection there were enough staff on duty to provide the care to the residents. On the first visit this was two nurses, one of which was the deputy manager. Four care staff an activities co-ordinator and a handyman. The administrator was also on duty. There were sufficient catering and domestic staff on duty to carry out the tasks necessary to make sure that the home was clean and that the meals were safely prepared. The staffing rotas show that there are sufficient staff identified for each shift period. When sickness and staff holidays occur the Manager usually covers these periods by offering additional shifts to the staff. However, when this is not possible agency staff are being used, late reporting does occasionally result in fewer staff being on duty for short periods. An additional nurse works on the nights that the medication is delivered to make sure that they have sufficient time to undertake this task safely and the other nurses are not taken away from their normal duties. There is also an additional carer on duty for Care Homes for Older People Page 20 of 27 Evidence: the lunch time when the residents require a high level of assistance. This is achieved by a carer who is working a late shift starting two hours early. The staff are being offered both statutory training for moving and assisting, fire, health and safety and first aid as well as opportunities to undertake more specific training. The records for training have been improved and the manager is now able to identify where any gaps occur and can identify additional training needed. Staff are undertaking NVQ level 2 or 3 and the home has an induction and training programme for all staff. The staff were very enthusiastic about the recent training they had received dementia care mapping. They were keen to discuss what they had learned and were very motivated to use their new knowledge to improve the care they provide. This training has created an atmosphere where the routines and normal practices can be looked at and the manager confirmed that carers have already begun to challenge some of the ways things are done to make them more individual and person centred. The new manager has introduced a new way of organisiing how the residents are supported. This is by having care teams, consisting of a nurse, two care staff, and a night carer these are responsible for six residents. Although all staff will continue to provide care to all residents these teams will be more focused on the planning an review of the named people. This fits with the homes ethos of person centred care and will be further enhanced by the use of the dementia care mapping that has started. The company has very comprehensive policies and procedures for recruitment and selection of staff. The manager has recently recruited nurses to the team and another addition to the team is expected soon. The new staff are recruited using equal opportunities practices and no staff begins work until the necessary checks have been made on them. References are sought from their previous employers and there work record is looked at to make sure that they are suitable for the work they will be asked to carry out. The manager has introduced an informal process of introducing any potential new staff to the residents. This gives them the opportunity to meet with them and the manager can assess the way that they interact with the people they are going to be supporting and giving care to. Care Homes for Older People Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to make sure that the home is run effectively taking into account the views of the residents and ensuring safe working practices in line with the company policies and procedures. Evidence: The home has a new manager who has been in post since February 2009 He is, as a result, not yet registered with the Care Quality Commission. He is an experienced manager and with a long history of working with older people. There is an extensive quality assurance programme in place. This is a formal process and includes a number of different strategies. The company has a system of audit of all of the areas of provision including care plans, environment, catering, care, and health and safety. There are a number of reports that are sent to the Regional Manager on a regular basis. A weekly report is sent by the manager identifying a number of significant Care Homes for Older People Page 22 of 27 Evidence: issues such as if people loose weight, residents with wounds, accidents and complaints or concerns. These and other issues are monitored by the regional manager who also undertakes the Regulation 26 monitoring visits. There are regular meetings with the residents and relatives the last of which was in July 2009 and before then was in May 2009. These may take the form of a special night for example a Chinese night when food is served. The home is also working toward the PEARL Award which is an extensive set of criteria which looks at the way that specialist dementia care element of the care is being delivered as well as general quality issues are addressed. There are regular meetings with staff. The records of these contain a wide selection of appropriate topics. These meetings are generally on a monthly basis but vary according to the issues in the home. The attendance is good. Meetings are also held for areas such as Clinical Governance, Health and Safety and nurse meetings. The outcomes of these feed into the homes general action plans. Staff supervision records indicated that staff are receiving supervising at the appropriate timescales of six per year, the contents of these were not examined on this occasion. However the Manager confirmed that he is satisfied that he is able to use them to make sure that the staff are able to carry out their work safely and effectively. The manager takes the necessary action to ensure the health and safety of the service users through regular tours of the building, risk assessments and recording of action taken to respond to hazards. The staff are aware of the need to maintain a safe environment in the home. This is supported by the policies and procedures examined and by discussion with the Manager. Accidents are recorded effectively, accident analysis is completed and the Manager is records separate analysis of specific incidents in the home. Records for safe working practices in relation to first aid, food hygiene, moving and handling and infection control were in place and were satisfactory. There are records in place to show the way people living in the home receive support to manager their finances. The records are held electronically and on examination they were detailed. Individual records support these with receipts being kept for purchases Care Homes for Older People Page 23 of 27 Evidence: made and money received into the home from relatives. The administrator had a very good understanding of the processes and confirmed that there are a number of audits carried out on an unannounced basis. 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 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 7 The home should continue to improve the care plans to make them more person centered and reflect more fully the way that the care is being delivered to the individual people using the service. 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. 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