Care Home: Brancepeth Court

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Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brancepeth Court Brancepeth Court Hall Lane Estate Willington Durham DL15 0PW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Steve Tuck     Date: 0 3 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Brancepeth Court Brancepeth Court Hall Lane Estate Willington Durham DL15 0PW 01388747698 01388746219 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Southern Cross OPCO Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 49 Number of places (if applicable): Under 65 Over 65 0 0 41 0 dementia learning disability old age, not falling within any other category physical disability Additional conditions: 8 9 0 5 The maximum number of service users who can be accommodated is: 49 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 categories:Old age, not falling within any other category, Code OP - maximum number of places 41. Dementia - Code DE maximum number of places 8, Physical Disability, Code PD maximum number of places 5 Learning Disability Code LD maximum number of places 9. Date of last inspection Care Homes for Older People Page 4 of 30 Brief description of the care home Brancepeth Court is one of a number of care homes provided by Southern Cross OPCO Ltd on the same site.The home is situated on a small complex of services in the village of Willington, and is close to all local amenities.The home is registered to look after older people, some of whom may have dementia or a physical illness or disability and who may have nursing needs. The owners have also recently adapted part of the home to include domestic style accomodation for people with learning disabilities. This purpose built home is in a complex within a residential community away from the main road. It is in a quiet location with no through traffic. The corridors are wide and the communal areas and bathrooms are of generous proportions. The grounds are well kept. People living at the home enjoy the use of a south-facing secure garden in fine weather. And the home offers a pleasant, secure, purpose built environment.All bedrooms are single occupancy and have their own en suite toilet facility.There are a number of shared communal lounges and dining areas throughout the home. The Statement of Purpose and Service User Guide is available in the home. The Guide also includes information about how residents’ rights will be respected regardless of age, gender, sexual orientation, race and religion. The information is available in large print and also in pictures. This is the first inspection of the service since it was taken over by the present operators. The current fee levels are £455.00 - £603.00 per week. The costs of newspapers, hairdressing, and toiletries are not included in the fees. Fees vary depending on people’s circumstances, further details can be found in the homes Service User Guide. Payments for nursing care is set nationally and is added to the fee rate. Fees for private chiropody and hairdressing are in addition the these charges. Care Homes for Older People Page 5 of 30 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. This is the first inspection of this service since Southern Cross OPCO Limited purchased it. As this represents the first inspection since being registered in May 2008 there are no outstanding or previous requirements. The quality rating for this service is 2 stars. This means that the people who use this Care Homes for Older People Page 6 of 30 service experience good quality outcomes. Before the visit We looked at: Information we have received since the home was registered in May 2008. How the service dealt with any complaints and concerns. What management arrangements are in place. We looked at any changes to how the home is run, for example since the last inspection a new Provider has bought the home. We sent surveys to people who use the home, people who arrange for people to live there, those who visit the home to support people like doctors and therapists and the staff who work in the home to ask what they think about services there. The Visit: An unannounced visit was made on the 28th November 2008. During the visit we: Talked with a number of the people who live in the home and also staff who were on duty. Talked to visitors and family members. Held discussion with the acting manager, the area manager and also the project manager who were present during part of our visit. Observed staff working practices. Looked at information about the people who live in the home and how well their needs are met. Looked at other records, which must be kept in relation to health and safety and staffing. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it was well maintained, safe and free of any hazards. Had lunch with the people who live at the home. We also gathered information from looking at care records to assess how staff supports the peoples assessed needs. We also focused upon looking at care files for three people as a part of the inspection. We call this case tracking. And this involves looking at how all the records work for the care of one person. The owner also provided information to us in the Annual Quality Assurance Assessment confirming what improvements have been made since registration. And also what further improvements are planned over the following 12 months. The lead nurse is currently managing the service is referred to in the report as the acting manager. We told the manager what we had found. What the care home does well: What has improved since the last inspection? This visit represents the first inspection since being taken over by Southern Cross. The care records are being kept in a clearer way since the new provider took over. The new provider has plans to make the home easier for people to find their way around. Care Homes for Older People Page 8 of 30 The provider has plans to provide more training for staff so that they can update their skills and knowledge. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 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 30 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. Trained staff from the home find out and understand the needs of people who wish to live there before they move in. This information helps to make sure that peoples needs can be met at the home and agree the ways in which staff are to support them. Intermediate care is not provided so this area was not assessed. Evidence: A range of information is made available in the service users guide to people who are thinking about moving in the home. This has been fully updated to include information about the recent change of provider. By looking at the record kept at the home we could see that each persons needs are assessed before they move to the there, either by health services staff, local authority social workers and the manager. This is so that the acting manager has a good Care Homes for Older People Page 11 of 30 Evidence: understanding of peoples health and social care needs and can be sure that the home is going to be suitable for people who are going to live there. Where possible the person themselves or their representative is involved in the assessment process. The assessment includes mental health and dementia care needs as this is the primary care service that the home offers. The acting manager confirmed that the assessment is kept under review as part of the individual care plan and if persons needs change then a reassessment is carried out. This would then lead to the care plan being changed. The manager also finds out what cultural and lifestyle needs people have to make sure that these can be met. The manager and senior nursing staff have also had training which has given them the skills to find out what peoples needs are. It is good practice that the assessment forms include details of peoples spiritual and cultural needs. The home also uses social care assessments to get information about each persons individual preferences, hobbies, and interests. As a result of these measures, all of the people living at the home at present have been properly placed and the home is able to meet their needs. One relative said, It was reassuring that they asked lots of questions about my husband before he moved in, when they first talked to him it was like they knew him already. Care Homes for Older People Page 12 of 30 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. While clear improvements have been made to the care planning process, this needs further development to ensure that people receive care in a way that they prefer. Nevertheless, health and care needs are effectively met. The way that staff give out medication usually helps to make sure that they get the medical treatment that has been prescribed so that there general health and wellbeing are safeguarded and promoted. Evidence: Every person has an individual plan which records what the home will do to support them which is easy to follow, and are kept up to date on a monthly basis. Better planning arrangements have been put in place since the new owners have taken over and although some have more information in them than others, these give a description of the support that people need. Staff at the home know lots about the needs of people who use the service and how they prefer to be supported. Two staff were asked in detail about the ways that they support people and both could describe the needs of the people they care for in a lot of detail. While the main areas of their Care Homes for Older People Page 13 of 30 Evidence: care matched the descriptions that were written in their care plans, the acting manager and senior staff from the organisation are working with the care team to show how their plans can be expanded so that all of their social needs and information is included. The acting manager confirmed that at present the home is in the process of transferring all written information for each resident into the homes new records system. And while doing this they are taking the opportunity to update every persons individual plan of care. The care records also show that peoples health care needs are assessed and regularly checked. The home has clear assessment records of peoples mobility, nutrition, risk of falling, and risk of skin pressure. These are usually reviewed every month to check any changes. Brancepeth Court provides nursing care but is still able to access community health care services such as Doctors, community nursing services, and psychiatry services. Records are available to confirm when a visit has been made from a health professional. People who live at the home and their relatives made positive comments about the approach of staff and they stated they are treated with courtesy and that staff are always polite. Those asked said that staff upheld their privacy, which is promoted by a stable staff team who know the people they care for well. Staff were seen to knock on doors before entering, talk to people in a respectful way and call them by the names or titles they prefer, all of which are good practice. Staff are also trained and monitored to make sure that the homes policies on privacy and confidentiality are maintained. Observations made during the visit confirmed that staff address people by their chosen form of address and a good rapport was evident between staff and residents. All people who were asked made positive comments about the service they received and how staff and the support from the home helped them to remain as independent as possible. The home also helps people to exercise their rights by giving the details of other support available, for example advocacy services. Due to their levels of need, people who live at the home are not able to organise their Care Homes for Older People Page 14 of 30 Evidence: own medicines, and appointed staff therefore help in this area. The trained nurses take responsibility for managing medication. Medication is stored securely and safely, and records of the administration of medication were up to date although there were a number of minor mathematical errors. Fridge temperatures are taken twice daily and the nurses ensure that regular audits of the medicines records are carried out. In discussion with the nurses they confirmed that their accredited training in the safe administration of medicines had not yet been completed although this was planned. Staff at the home have good strategies in place which monitor the expressions and responses of people who live at the home to make sure that they are not experiencing pain. For example one persons mood changes dramatically when they are experiencing more pain than usual. These techniques carried out by senior staff and are recorded in the care plans. Care Homes for Older People Page 15 of 30 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 who live at the home are encouraged and supported by the staff to lead fulfilling lives with their rights as individuals being respected and to eat healthily which supports their physical and emotional wellbeing. Contact with family members and friends are supported where possible so that people keep up links with those outside the home. Evidence: Staff at the home welcome visits from friends and families they are good at encouraging people to talk, be included and feel comfortable. People living at the home and staff talked about the things that they do at the home. There is an activity coordinator at the home who helps to think up ideas, plan and support people to take part in meaningful pastimes. For example games sessions, social events, open days and celebrations, bingo, seasonal social events, performers and entertainment. Events are organised so that family members can attend and some people go out from the home with their friends or relatives which helps them to stay in touch. The acting manager is looking at ways to support the activities of people who have dementia type illness which may prevent them from taking part in group activitie. Care Homes for Older People Page 16 of 30 Evidence: Some people have chosen to live in a seperate smaller home which is attaced to the main building but has a seperate entrance and facilities to try to make it more homely like a donestic house. Although the people who live here had only been resident for a few days their care plans showed that they were already having their lifestyle needs planned and supported as individuals both at home and in the local community. The homes gardens are well planned and maintained by the handyman so that they can be used by people at the home and there is easy access to outside patio areas. A Christmas party was planned to take place in December and also a coffee morning with entertainment. The home are able to access transport that is shared with the other services on the complex and this enables outside activities and trips to take place. The home shares the site with two other care homes and a day centre. It is close to the centre of a local village and some people talked about going for occasional walks there. People living at the home have the opportunity to attend religious services and this offers residents some opportunities for continued contact with the local community. People living at the home are encouraged to make choices about their diet. Most said that they like the meals at the home and that they are asked what they would like to eat. Staff were seen asking people about their choice of meal and size of portion to make sure that people got what they wanted. People are verbally asked for their main meal choices and should they change their mind, which is likely considering that some people have dementia care needs. Then they can have the alternative dish that is provided. Comments from some of the people living at the home were, You cant fault the food. And, The meals are excellent five star. Staff are available during meals to offer support and assistance where needed.Several people need assistance at mealtimes, from full physical support to verbal prompts. And care staff did spend time sitting next to each person providing full physical support with their meals. This was carried out in a sensitive manner and at the persons own pace. The cook has a good knowledge of the meals which people living at the home prefer. She understands the benefit of using fresh ingredients to help people to remain healthy. Menus were available which confirmed that a range of meals are provided Care Homes for Older People Page 17 of 30 Evidence: which give people a balanced diet and refreshments are available throughout the day and night. People living at the home and their families are involved in choosing the meals that are included in the menu. Where people need it food supplements are available to help people to maintain their health for example if they have diabetes or have difficulty maintaining their weight. Care Homes for Older People Page 18 of 30 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 living at the home and their families can make a complaint if they are unhappy, have a grievance or dispute which helps them to have control over their lives and there are measures in place which protect people who live at the home from being harmed which helps to promote their safety and security Evidence: There is a complaints procedure which tells people what to do if they are not happy. This informs people about who they should make a complaint to and how much time that a complaint will take to look at. There is a record kept at the home of all complaints, which includes details of any investigation and the outcome. No one has approached the Commission for Social Care Inspection (CSCI) because they have been unhappy with the way that the home has managed their complaint. A relative said, I dont think that anyone will have any problems here, I have made complaints in the past and they are always dealt with quickly. They kow that they will have to keep everyone as happy as they can. Another said, I know how to sort any problems out. Whilst there have been no instances where abuse has taken place, the home has an adult protection procedure which can be used where necessary to protect people living Care Homes for Older People Page 19 of 30 Evidence: at the home. Staff have guidance and training about what to do if they see or suspect abuse is taking place and all staff spoken to showed that they knew what to do and what they expected to happen so that people remain protected. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely environment, which promotes their privacy, independence and comfort during their stay at the home. The home is clean, pleasant and hygienic which supports the health and lifestyles of people living there. Evidence: All communal areas and some of the bedrooms were viewed during the inspection. The home has had recent repairs and there is ongoing maintenance taking place. The home has been designed so that all the people who live there can have safe access to the areas where they live. Everyone is able to lock their bedroom doors so that they can have privacy and there are areas where people can meet and talk in private. There are garden areas which are accessible to everyone and popular when the weather is good. One area of the homehas rwecently been edapted so that people can live in a smaller domestic style property with its own front door and facilities. This work has been carried out to a good standard. The bedrooms are pleasant areas, which have a useful range of comfortable furniture and fittings. Most people have decorated their rooms with their items, photographs Care Homes for Older People Page 21 of 30 Evidence: and keepsakes. There are enough toilet and bathrooms available, all of which have been designed to help people who have mobility needs to use them. The home is kept clean by staff who take effective steps make sure that there are no unpleasant smells. There are laundry facilities are in place to make sure that that peoples clothing and linen is hygienically cleaned and the risks of passing on any infections is reduced. Arrangements are in place to make sure that clean clothing is always returned to their owner and mistakes are avoided. There is a large well equipped kitchen, which has good facilities for the storage of foodstuffs and the production of meals. The home is inspected by the Fire Prevention Authority and the Health and Safety Executive (HSE) to make sure that the building and safety systems are suitable for the protection of those who live and work there. Care Homes for Older People Page 22 of 30 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. There are sufficient staff working at the home to meet the needs of the number of people who presently live there and most staff have been trained to make sure that their care practice is good. Evidence: The acting manager and senior staff have organised the home so that overall there are sufficient staff available to meet the needs of the people who currently live there. Nursing and care staff support each other and their manager both in their practice and also in their willingness to remain flexible about their working hours so that people who live at the home will benefit. Staff show that they know a great deal about the needs of the people who live at the home and can describe these in detail; they get on well together and with people who live at the home and promote an inclusive and supportive structure at the home. Staff work in teams and they have structured ways of working so that people get consistent support. One person living at the home said, The staff are always there if you need them. Another said, Its nice to see a cheerful face. Care Homes for Older People Page 23 of 30 Evidence: Staff spend time with people who live at the home, listening to their opinions and experiences and taking part in discussions and laughing together which creates a happy atmosphere at the home. There are qualified nurses at the home who have taken further training over the years to improve and review their skills. As well as this almost over half of the care staff team have now achieved National Vocational Qualification awards in care at level 2 or above. The remaining staff are either working towards either Level 2 or higher levels. There is a plan in place which describes the training which staff are to undertake based on the needs of the home and their personal training requirements. Records showed that all staff have received fire, food hygiene, infection control, moving and assisting and COSSH training. The senior manager makes deliberate attempts to recruit staff from similar cultural backgrounds as the people living at the home. In some cases they share the same community and social links, which helps to ensure that people are confident with the way in which they are supported. Examination of files for staff newly appointed in the home confirm that rigorous checks are carried out before they are employed to work in there. This includes receiving appropriate references and completing the necessary criminal record check to make sure that staff are suitable to work with people who are vulnerable. Staff files contain employment history, records of training and any training certificates. Care Homes for Older People Page 24 of 30 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. The home is well managed, organised and efficient; and people are asked for their views about their care. All of which gives people who use this home the confidence that they will continue to have their needs met by staff who support their best interests. Evidence: The acting manager is a first level registered nurse.She is employed as the lead qualified nurse and has taken over day-to-day responsibility for the management of the home until a manager is appointed. The acting manager is supported and supervised in the management of the home by an Operations Manager and also a project manager of Southern Cross Healthcare so that she has the support she needs to be able to run the home properly. Discussion held with the operations manager confirmed that the post for registered Care Homes for Older People Page 25 of 30 Evidence: manager has been advertised. The acting manager has been instrumental in implementing the new documentation and forms used by Southern Cross and have played an active role in developing the written care plans. Southern Cross quality assurance processes include a number of audits of the home and at least monthly visits by a representative of the organisation to check on its operations and progress. The project manager is available on a daily basis and offers support to all of the managers on the site. If requested the home will support residents to keep their personal monies safely. Their monies are kept in a group bank account. Using computerised statements, the home can then debit their account for services and purchases, such as hairdressing, chiropody and toiletries. Receipts are kept for each transaction. An amount of cash is securely stored in the home so that any resident who wants to withdraw money for trips out can do so. This system also provides clear printed statements for residents or their representatives. Staff are well trained in health and safety matters, for example there were clear records of recent fire drills and fire safety training is arranged to take place in January. The maintenance staff carry out and record routine health and safety checks of the building and equipment, for example water temperatures and fire alarm systems. These were in good order and up to date. There were no health and safety issues noted during this inspection. The staff has completed training in moving and handling and the home have their own trainer. All catering staff have completed training in food awareness training. External contract certificates are up to date and the home is inspected by the Fire Authority and th Health and Safety Executive that the home is safe for people to live and work there. People living at the home said, You always know that there is someone in change if you want to speak to them. The new manager is easy to talk to. Care Homes for Older People Page 26 of 30 Evidence: The acting manager makes sure she is available if people living at the home or their families need to talk to her. Throughout the inspection numerous people came for advice, direction, comfort and support. Care Homes for Older People Page 27 of 30 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 28 of 30 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 care plans and life history documents should continue to be developed. This will ensure that staff has all of the information necessary to help them with the care process. Staff that are responsible for the administration, storage and administering of prescribed medicines should receive accredited training in the safe handling of medicines. This will ensure that they are kept up to date with current practice and are aware of the guidelines issued by the Royal Pharmaceutical Society. Menus should be available in a variety of formats and made accessible to people who live at the home. This will help to make sure are kept up to date of what is available at each mealtime and on which day. 2 9 3 15 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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