Care Home: Branksome Care Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well People living at the home are cared for in a well maintained, comfortable and, in spite of its size, homely environment, and they are encouraged to personalise their rooms with their own possessions and furniture. A lot of the staff have worked at the home for a long time and they have established patterns of care that are individual to the people concerned and they are knowledgeable about them and are responsive to their needs. Leisure and recreational needs are identified by the activities organisers, who work at the home every day, and people living at the home are encouraged to join in. The importance of maintaining contact with family, friends and the community is also recognised and the home has a good reputation in the Buxton area, with good links continuing with local health and social care professionals. Everybody was positive about the meals provided at the home, and they told us that they were provided with choice and variety, and a style to suit most people`s preferences. There is also an attention to the details of life at the home and people suit themselves if they want to spend time in their rooms. Everybody was very positive about the standards of cleanliness and hygiene around the home and we noted this to be high. Relationships between staff and the people living at the home are warm and positive and feedback and the care given by staff is highly regarded. The staff group has good morale and are committed to giving a good standard of care. Staff work in planned ways and have clear documentation to help them care for and support people in their day to day needs. People`s needs are properly assessed and their healthcare needs are effectively met. Staff have a good understanding of older people and they have received a good amount of training in the past year, which helps them do their jobs more professonally and consistently. Staff were observed to be warm, friendly, and relaxed in the way they communicate and help people retain dignity and individuality. What has improved since the last inspection? The home`s management have continued to maintain a good standard of service and individual care. Improvements have been made in the documents that support care activities and the physical environment of the home has continued to be improved and there are plans for further improvements. Staff training has been continued to a good standard and staff are able to demonstrate how this has improved the quality of their work. What the care home could do better: One statutory requirement have been made as a result of this inspection which relates to the way medicines are managed. There are also good practice recommendations that relate to indirect aspects of care and people`s lives. In comparison to the quality of service seen throught the home, these are not major areas for concern. Whilst the quality rating arising from this inspection remains at Two Stars, the home is not far from progressing to the higher level and will do so if it can demonstrate that the care it is providing is truly `person centred`. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Branksome Care Home 56 St John`s Road Buxton Derbyshire SK17 6XB     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: Brian Marks     Date: 2 8 0 7 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 26 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Branksome Care Home 56 St John`s Road Buxton Derbyshire SK17 6XB 0129826230 0129872194 the.branksome@fshc.co.uk 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) : Tamaris Healthcare (England) Ltd care home 34 Number of places (if applicable): Under 65 Over 65 34 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 The Home, which is located close to Buxton town centre and a wide range of local amenities, provides nursing and residential care for up to 34 elderly service users. All accommodation is in single rooms and spread over 2 floors. The Home has extensive garden areas. There are 2 lounges and a dining room situated on the ground floor and a sitting area close to the main entrance. The Home is suitably resourced with bathroom and toilet facilities and 4 bedrooms are en suite. Support services are in place with a choice of G.P. and links are established with other community health professionals. The Home employs qualified nursing staff together with care workers. At the time of this inspection charges for accommodation ranged from 430 to 1040 pounds per week, depending on the size and quality of the room. Care Homes for Older People Page 4 of 26 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: This was a Key Unannounced Inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us, the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection, and surveys that had been previously sent out to the homes staff and the people living there. All of the above material assisted with the preparation of a structured plan for the inspection. From the surveys that were returned before the inspection, information supplied was analysed and the outcomes included in the inspection process and reflected in this written report. At the home, apart from examining documents, files and records, time Care Homes for Older People Page 5 of 26 was spent speaking to the manager, who was in charge of the home during the visit, and the operations manager who was there throughout the visit. We also spoke to staff working on the two day shifts. The care records of three people who live at the home were examined in detail and these people were interviewed along with a number of others. The relatives or friends of two more were also spoken to. No other inspection visits have been made to the home since the last Key Unannounced Inspection on 2nd August 2007 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant. 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 set out on page 4. Care Homes for Older People Page 7 of 26 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 26 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 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not come to live at the home without the care they need being properly identified but not enough attention is being paid to their social world and background history, which would help staff provide person centred care for everybody. Evidence: In the AQAA we were told how the companys standard assessment document, CHAP, is now being used for everybody who wishes to live at the home and that this is used when they are still in their own homes or at hospital. It helps the homes staff obtain a clearer picture of the individual and their needs. We were also told that the document Life History is now being introduced so that a better understanding of the whole person is achieved and a picture of their past life is obtaineed. Information, contained in the homes brochure and Statement of Purpose, is given to people and their families, which also helps them make an informed decision about moving in. Care Homes for Older People Page 10 of 26 Evidence: For the purpose of this inspection we looked at the care records of three people living at the home, including somebody who had moved in a week before the inspection and somebody who had lived there for some years. Within all of these records, the CHAP assessment document had been completed and there were clear assessments of the physical care needs of the person concerned including details of health and medical issues, communication problems and all the other key areas that will help staff care properly. The information had been obtained from the person concerned, from their family, or from outside professionals such as the family doctor, hospital ward staff, social worker/care manager or healthcare therapists. Apart from those of the new resident, all of care records looked at contained a recent photograph of the person concerned, as well as satisfactory amounts of personal information and signed consent forms; these all indicate personalisation of peoples records. Only one of the records contained a completed Life History, which does not indicate that person centred care is being developed for everybody living at the home. All of the care records looked at contained a set of assessments of the general and specific areas of risk that are relevant to the individual concerned, such as safe manual handling, skin breakdown and pressure areas, falls and nutrition. Some, but not all, indicated high areas of risk and these were directly linked to actions for staff to take when providing care and described the detail of how staff work safely and consistently. These risk assessments had been looked at regularly to make sure that the information being used by staff is current and that the level of risk has not changed. The home does not provide intermediate care. Care Homes for Older People Page 11 of 26 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. The people living at the home have care and risk assessment records that promote safety and consistency, and staff work in ways that respect individuality, privacy and dignity. Evidence: In the AQAA we were told that each resident has an individual care plan which is reviewed monthly and changed where necessary, and also how risks in peoples lives are assessed, managed and monitored so that everybody is safe. We were also told how standards of good practice are maintained by regular management audits and that this includes the systems for managing medications. The care records that we looked at contained clear descriptions of the areas where people need help or where they experience risk, and these are linked to the care and nursing activities to be carried out by staff in key areas; the latter vary according to the individuals assessment. In all of the records we looked at the various elements of the care plans had been reviewed on a monthly basis, apart from one whose care plan Care Homes for Older People Page 12 of 26 Evidence: documents had not been evealuated since May. As referred to above, only one care file we looked at contained any descriptions of social interests and life background in a completed Life Hitory and, although the care plans were comprehensive and well laid out, they were traditional in style and much of the activities of staff were described in terms of problems and needs rather than in ways that promote a person centred approach to care. The observations made by us around the home during the inspection, the comments received from staff, people living at the home and relatives and information given to us before the inspection indicate that the staff work in ways that deliver a high standard of health and personal care. We were told that although Im in my room all the time they respond well to the buzzer and do everything I ask, Im not eating well at the present but theyre doing all they can to get me better, the doctor is called promptly when I need him and shes only been here a week but has improved already, much better than hospital. Staff told us that we support each other to do the job properly, the nurses are very professional and we work hard as a twenty four hour care team and we work as a team and all the staff do their very best to attain a high level of care that the residents need. The care files we looked at contained clear records of the medical and health needs of people living at the home being regularly monitored, and also of visits by outside professionals such as G.P, chiropodist, optician and dentist. Additionally in the written records and from the direct comments from people, it was clear that the staff at the home work hard to care in sensitive and dignified ways, and to keep people as independent as possible. We were told that personal care is done very well, theyre sensitive and respectful. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these were satisfactory and that all entries in the written records (MAR) had been made properly. Medication is stored securely and the home uses a Monitored Dosage System for organising administration. The arrangements for managing controlled drugs was generally satisfactory, although records in the controlled drugs book had not been completed properly for one person on three occasions during the week before the inspection. A full audit of medicines practice had recently been carried out by the homes pharmacist and this produced a positive report. We also saw the reports from the monthly audit of medicines carried out by the homes senior staff, which identifies any issues for the nursing staff to put right. Care Homes for Older People Page 13 of 26 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 at the home enjoy lifestyles and routines that suit them and have good opportunities to take part in organised leisure and social activities. Evidence: In the AQAA we were told about the completion of a Life History for everyone and that daily routines and activities at the home are flexible and varied to suit the expectations and preferences of people living there. The home now has an activities organiser every day of the week and a minibus has been provided to support outings and outside activities. We spoke to the activities organiser who was present during the inspection and she showed us the weeks plan which included a monthly church service, weekly library, indoor ganes and musical activities and the popular domino league. We had noted that a high number of people spend most of their time in their rooms and were told that this does present difficulties in getting people involved but that she and her colleague make time for individual sessions. We were also told about the regular visits by the hairdresser and someone who does a weekly manicure and pamper session. We also received written feedback from our own surveys and were told that there are always Care Homes for Older People Page 14 of 26 Evidence: or usually activities for people to take part in. The people we spoke to confirmed that they are happy with their lives and that I have my own routine that I set out for myself. As noted above a high proprtion of residents spend time in their rooms and we were told that this didnt affect the service they receive and the staffs ability to meet care needs. We saw a good number of people visiting the home throughout the inspection and they were observed to receive a warm welcome from all the staff, who were very attentive to any enquiries that were made. We also spoke individually to people around the home and to some of their visitors: The staff are all very nice and helpful and there is nothing I would change. Im quite independent but starting to slow down now. Staff, including the manager, are always available and any problems are sorted out. Ive made some nice friends here. I knew the home before I came in so the choice was easy as I was very impressed; Ive settled in very quickly and staff make me feel very secure. Its a great feeling of relief for me to be here. Ive never seen the staff vexed by anything, they are so skilled and caring. I am very satisfied, there is nothing they could do better. A brief visit was made to the kitchen and the assistant cook described current arrangements. Good standards in the homes catering have continued, and a 4 week menu is being followed, recently changed to reflect the summer season. The menu indicated that a choice at the main meals of the day is available and that a hot option is regularly available for breakfast and at teatime. People were positive in their feedback about the standard of food at the home with several mentioning good quality and quantity: Meals are as good as home cooked with an option every day at lunchtime. Meals are brought up to my room and are always hot with very good quantity and quality. The way the meals are served is done very nicely and the dining room is a pleasant place to eat. Arrangements for purchase, storage and stock control were satisfactory. We saw written records indicating personal preferences and also for those people on special diets; these included diabetic and softened, the arrangements for which indicated a careful approach to individual needs. There have been recent changes within the dining room by the employment of waitresses, who are responsible for serving arrangements; this leaves care staff to look after people with higher needs and staff told us that this was a positive change. Care Homes for Older People Page 15 of 26 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. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. Evidence: In the AQAA we were told that the homes policies and procedures in relation to complaints are simple, clear and accessible, and how any complaints are dealt with promptly and effectively, with full records being maintained. The AQAA indicated that there had been no formal complaints since the last inspection and this was born out by our examination of the homes records. These indicated that there had also been four informal verbal complaints made and these had all been properly investigated and responded to. In the written feedback that we received everybody said that they knew about getting their problems resolved and were confident that they would be listened to: The manager makes himself available and communication is good; problems are sorted out straight away. The manager and senior nurses are very approachable and questions get answered. No cause for complaint so far. A copy of the homes complaints procedure is on display and given to people when they move in. The AQAA we were told that there have been no situations at the home that have required investigation under statutory safeguarding procedures since the last inspection, although we had had previous discussions with the manager about allegations that had been made but which did not require reporting. Staff have Care Homes for Older People Page 16 of 26 Evidence: received regular refresher training in their responsibilities to recognise and alert others to suspected abuse, and this subject has also been covered for those who have completed a National Vocational Qulaification (NVQ). The companys policies and procedures in place at the home are in line with the statutory procedures on safeguarding vulnerable adults and the manager told us about plans to extend the homes recruitment systems to include people living at the home, which is good practice for increasing safety. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical aspect of the home has been maintained to a high standard so that people living there can enjoy an environment suited to their physical needs and comfort requirements. Evidence: In the AQAA we were told how the recent refurbishment of the home had raised standards with good quality of decor and furnishing, but still retaining the homely atmosphere and original features. We were also told about regular maintenance checks and audits of the homes facilities to make sure that all Health and Safety matters are properly dealt with. From a tour of the building with the homes administrator, and visits to some of the bedrooms, we saw how good standards of decoration and furnishing have been maintained and that tasteful management of improvements have resulted in high standards throughout both the old and new parts of the building. Although the communal bathrooms and toilets currently meet the required standards for facility and safety, we were told about plans for an imminent complete refurbishment to bring them up to the same high standards of the rest of the building. This indicates a continued high priority on the part of the owners to invest further in the home. Since the last inspection a ramp has been built from the communal rooms in the front of the Care Homes for Older People Page 18 of 26 Evidence: building to give access to the gardens for everybody. We also noted that bedrooms had good levels of personalisation to suit individual residents and which create a sense of personal space, and that there was a good range of equipment for staff to help people with mobility difficulties. Standards of cleanliness throughout the home were very high and the housekeeper commented that we work hard to keep it spotless. Comments from people living at the home and relatives were positive about the standards of comfort and cleanliness offered: Maintenance and cleanliness is very good. Its so clean everywhere and the homes atmosphere is pleasant and relaxed. All the recommendations made at the last visits by the Fire and Environmental Health Officers have been carried out, and the latter gave the home the highest rating possible. On the day of the inspection the home was tidy and free from odours and everybody spoken to was complimentary about the service provided by the laundry, with clothes usually returned on the same day, or the next day at the latest. All residents observed in the home were seen wearing clean and well-presented clothing. Care Homes for Older People Page 19 of 26 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. The home has adequate numbers of staff to carry out the physical care needs of the people living there, and they have been recruited and trained to do their jobs properly and in a professional way. Evidence: In the AQAA we were told that staff turnover has remained low for a number of years and about improvements in staff conditions of employment that have been made to attract new staff. We were also told about training activities at the home and how the company encourages staff to attend training and get an approroate qualification. During the inspection we interviewed staff on duty during the morning and afternoon shifts, including a carer who was one of the last to be appointed during 2009. She described how she had been recruited and the systematoc approach she described was supported by the sample of the records of newly appointed staff. Those files supported that their recruitment had been carried out properly with the right checks being made, and they had not started work until their references and checks with the Criminial Records Bureau (CRB) had been completed and received. The staff member identified above told us about the basic training she had received at the start of working at the home, and how she had worked alongside experienced members of staff. Additionally other staff told us that we have had a lot a training in the past year, including in Care Homes for Older People Page 20 of 26 Evidence: house safe moving and handling, which we have every year. Training in helping with palliative care is also planned for us. We were able to confirm from the records of staff training that good levels of achievement have been made in all the key health and safety subjects for all but the most recently appointed staff. We were also able to establish that updates were planned during the month after the inspection to bring things up to date. Records also indicated that there is a fully trained first aider on duty on all shifts and that almost two thirds of all care staff have completed the National Vocational Qualification to at least level 2, which is in excess of the nationally set target. Examination of the duty roster and discussion with staff indicated satisfactory levels of staff on duty with six carers on both day shifts. There were also two nurses on the early shift but one on the late shift, and we were told that sometimes this is not enough if there are higher numbers of people needing the nurses support. In the written feedback we received, we were told that there is always or usually enough care staff on hand to meet peoples needs and the people we spoke to confirmed this: Staff are always available and things work like clockwork. Theres always staff around to help out. The staff spoken echoed these views and told us that they did not feel that the carers workload was excessive. They told us that: Carers work flexibly between the two floors and help each other out as part of a good team. Its sometimes a big physical workload but we help each other out and take off the pressure. Its a nice place to work, like a big happy family. Because we are happy with our work Im sure that gets across to the residents. Care Homes for Older People Page 21 of 26 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 a well-managed and safe environment in which to live and work. Evidence: The AQAA told us that the homes manager is approachable to help out with problems and that he operates an open door policy. We were also told about the extensive systems put in place that tell the company and local managers how well the home is doing and identifies for any areas that need to be put right. The manager has been at the home for nine years and is properly qualified to run a nursing home with many years of experience behind him. He described his style as democratic and aims to fully involve everyone in decisions about the home through regular meetings and discussions. He is supported by regular visits from the companys regional operations manager, who carries out formal responsibilities on behalf of the company that are required by law. We were told by people at the home that they are well known to everybody living there and that the manager makes Care Homes for Older People Page 22 of 26 Evidence: himself available and we can approach him at any time. Although there have been regular formal meetings for different groups of staff as well as the whole staff group, planned meetings between senior and individual staff, supervision, are not occurring regularly enough to meet the National Standard. However, the staff we spoke to were positive about the way the home is run and how the management team supports them if they have any problems: Overall management is good and there is always someone to go to, even available out of hours. He is good to work for, very conscientous and we can go to him with any problems, which will get sorted out. The manager is very supportve and will do hands on work in an emergency if its needed to get things done. We saw written evidence about the systems in place that the company has introduced to see how well the home is working and to ensure that standards of quality service are continued. These include a range of internal audits carried out by the manager,, comprehensive reviews carried out by the operations manager every 3 months and an annual survey of people living at the home carried out by staff at company HQ. The latter produced a Total Quality Score for the home of 83 percent at the end 2008, which indicates that the home is doing very well. The manager has prepared a business plan for the home which summarises the key aims for the next 12 months. The systems in place for looking after residents money were found to be satisfactory at the last inspection and remain unchanged. The AQAA told us about good standards of health and safety activity at the home and about the regular servicing of equipment, and we examined records of the latter as part of this inspection, which supported this. Additionally observations made around the building and examination of fire safety activity and equipment records indicate that the home was hazard free at the time of the inspection. Care Homes for Older People Page 23 of 26 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 24 of 26 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 9 13 The recording of administration must be carried out at all times according to legal procedures. so that the system is safe for all people living at the home. 31/08/2009 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 3 Assessments of the needs of people living at the home should contain more information about their social world and background history so that a more person centred style of care can be developed. The care plans of people living at the home should contain more information about their social world and background history so that a more person centred style of care can be developed. All staff should receive formal individual supervision from their line manager, at intervals of every two months. This will ensure the opportunity for regular consultation about and monitoring of their work. Page 25 of 26 2 7 3 36 Care Homes for Older People Helpline: Telephone: 03000 616161 or Textphone: or 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) 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. Care Homes for Older People Page 26 of 26 - 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!