Care Home: Cairn Home For The Elderly Blind

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What the care home does well People living in the home said that the care they were receiving was very good. They made comments such as, "I like it here its excellent". "Everyone is kind" "The staff are all marvelous". "I feel very safe living here". "I couldn`t wish for a better place". Health professionals said, "The home is clean and hygienic". "Staff always talk and explain to people what is happening in a polite and understanding way". "Staff are very informed about peoples individual needs". "Staff are helpful and understanding, they really do seem to care". "Staff are kind and enthusiastic even when stretched". We saw that people were well dressed in clean clothes and had received a very good standard of personal care. People`s health care was monitored and access to health specialists was available. People said that they had a choice of food and that the quality of food served was "very good" and "plenty of it". The provider had continued to carry out decoration and refurbishment work, which had improved the aesthetics of the home and helped to make the home very welcoming and homely. Training took place, to equip staff with the essential skills needed. The homes provider and manager continue to be open to suggestions for any improvements to the care offered at the home. There was evidence of internal auditing of the homes environment, services and records. The manager had recently sent questionnaires to people and their relatives to ask for their views of the home. What has improved since the last inspection? At the previous inspection three requirements were issued. At this inspection these had all been fully actioned. The manager was clearly committed to ensuring that the new requirements issued in this report were fully actioned in a timely manner. Medication systems had been improved, which ensured that peoples health and well being was protected and promoted. Further thought and consideration had been given to mealtimes. Mealtimes were less rushed and suited peoples personal choices and preferences. Records kept at the home were signed, dated and securely stored. What the care home could do better: The service provided at Cairn Home is of a very high standard and everyone involved with the home should be proud of this. We acknowledge that the provider and manager continue to evaluate and monitor the service and make any changes necessary to ensure that the home continues to provide the excellent service that is presently offered. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cairn Home For The Elderly Blind 58 Selborne Road Crosspool Sheffield South Yorkshire S10 5ND     The quality rating for this care home is:   three star excellent 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: Sue Turner     Date: 0 8 0 5 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 27 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 27 Information about the care home Name of care home: Address: Cairn Home For The Elderly Blind 58 Selborne Road Crosspool Sheffield South Yorkshire S10 5ND 01142661536 01142676863 kevin@cairnhome.org.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) : The Sheffield Royal Society for the Blind care home 30 Number of places (if applicable): Under 65 Over 65 0 sensory impairment Additional conditions: 30 The maximum number of service users who can be accommodated is: 30 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Sensory Impairment - Code SI, maximum number of places 30 Date of last inspection Brief description of the care home Cairn Home for the Elderly Blind is a large purpose built building situated in the Crosspool area of Sheffield. It is close to local amenities and bus routes. Accommodation is provided on two floors, accessed by a talking lift. The majority of bedrooms are single, one room is designated as double. All bedrooms have en-suite facilities. Three lounges and a dining room are provided for communal use. Sufficient bathing facilities are available. The home is served by a central laundry and kitchen. Care Homes for Older People Page 4 of 27 Brief description of the care home Aids and adaptations to help those with partial sight are provided throughout the home. To the rear of the home is a pleasant landscaped scented garden provided with seating. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall and in each bedroom. The manager confirmed that the range of monthly fees from 1st April 2009 were 425 pounds to 495 pounds per week. Additional charges included hairdressing, private chiropody and holidays. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: 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 was an unannounced key inspection carried out by Sue Turner, regulation inspector. This site visit took place between the hours of 7.45 am and 2.50 pm. The registered manager is Kevin McGrath who was present during the site visit. The registered manager and deputy manager were given verbal feedback during and at the end of the site visit. Care Homes for Older People Page 6 of 27 Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, their relatives and any professionals involved in peoples care. We received ten from people, nine from staff and three from professionals. Comments and feedback from these have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. Time was spent observing and interacting with staff and people. Ten people and eight staff were spoken to. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection in June 2007. The progress made has been reported on under the relevant standard in this report. We wish to thank the people living in the home, staff, and professionals for their time, friendliness and co-operation throughout the inspection process. 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 Care Homes for Older People Page 8 of 27 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided information to inform people about their rights and choices. People were assessed by the home prior to their admission. Evidence: The home had a Statement of Purpose (SOP) and Service User Guide (SUG). These were available for people living in the home and anyone who may be considering living in the home. Copies of the SUG were seen in peoples bedrooms. The SOP and SUG had been reviewed and kept up to date. The SOP and SUG were easy to understand and were available in large print and on audio cassette. The AQAA said, we strongly encourage each individual referral to spend at least a full day at the home with their family if they wish to do so giving them the opportunity that they can gain and witness an understanding and feeling of how the home functions on a daily basis. Before people stayed in the home they were assessed by a social worker. The manager Care Homes for Older People Page 11 of 27 Evidence: or deputy manager also carried out a pre assessment by visiting people in their own home or hospital. Any information collated from the needs assessment would then form the basis for the care plan. This meant that everyone could be assured that the home could meet the persons needs. Ten people were asked Did you receive enough information about this home before you moved in so you could decide if it was the right place for you. All ten people said Yes. People said, I came to stay on respite before a made the decision to live here. I came to look around with my friend. I used to come here for a meal, got to know the home and decided I liked it very much. I received some information through the post and then came to look around with my family. Care Homes for Older People Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person had a care plan that reflected their individual care and support needs and personal preferences. Medication procedures protected peoples health and welfare. The health and personal care needs of people were met in a way that maintained their privacy and dignity. Evidence: Each person that lived in the home had an individualised plan of care. These were checked for four people. Care plans contained information about peoples health and personal needs. Staff had attempted to write care plans in a person centred way. There was information about what the person themself felt their needs were and how they would prefer these needs to be met. Care plans had been updated as necessary. When we checked the information in the care plans, against what people told us, it corresponded. This made it easy to establish peoples present care needs and requirements. Staff completed daily records at the end of each shift. Those seen related well to the care plans. Staff worked closely with external professionals and specialists for advice and support. Care Homes for Older People Page 13 of 27 Evidence: Access to dentists, chiropodists and opticians was available. Individual risk assessments were seen in peoples care plans. One person who had been recently admitted to the home, smoked a pipe. Staff had taken the necessary actions to ensure that the person and others were not put at risk from their smoking. These safeguards had not been recorded in a risk assessment. The manager was advised to record this information in a risk assessment and keep the risk assessment under review. People seen looked well cared for and were dressed appropriately. One persons health was deteriorating. Staff were very alert to changes in the persons mood, behaviour and general well being. Daily records reflected this and staff had made suggestions about what they needed to do to ensure the person was being cared for appropriately. People said, Staff are good and help me if I need it. Staff are very supportive and helpful. Staff are available to assist me if I need help. I couldnt be happier, Im very well looked after. Professionals said, Staff meet all the needs of individuals and offer an holistic approach, considering peoples physical and psychological requirements. Staff have appropriate concerns for peoples health. The service could improve by looking at the management of people with dementia. Staff respect people. Ten people were asked Do you receive the care and medical support you need. Nine people said always and one said usually. There was a medication policy and procedure that staff were familiar with. Carers that had undertaken training, administered medications. Medicines were securely stored in locked trolleys and kept in a medical room. Medication Administration Records (MAR) sheets seen had been signed by the staff. Controlled Drugs (CD) were kept securely stored. Staff recorded CDs in a CD register. This was checked and found correct. The manager said that medications were monitored each week. If staff had not signed the MAR sheets this was brought to their attention and recorded in their supervision notes. A separate record was also kept of any discrepancies found. During the site visit we observed that people were cared for in a friendly and professional way. Staff were skillful in ensuring that people maintained their privacy and dignity when receiving personal care. Staff respected peoples preferences and were well aware of peoples intimate care needs.Three health professional was asked Does the service respect individuals privacy and dignity. They said always. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples recreational interests and needs were met. People were receiving a healthy, balanced diet in pleasant surroundings. Evidence: We arrived at the home at 7:45 am. Some people were already up and moving around, others were in bed. People said they were able to get up and go to bed when they chose. They said there was always enough staff on duty to give them help and support when they needed it. We spoke to one person who chose to spend all their time in their room. They said staff respected their wishes and didnt mind bringing their meals to them each day. We saw that peoples coming into the home, including ourselves, were made to feel very welcome. The home didnt employ an activities co ordinator. They preferred to use people external to the home to come in and provide a variety of activities and entertainments. Staff also involved people in games, quizzes and crosswords. People said they particularly enjoyed the massage sessions and the trips outside the home. The home had their own mini bus which made it easier to arrange outings to the seaside and local places of interest. Ten people were asked Are there activities arranged by the home that you can take part in. Ten people said always. People said, Care Homes for Older People Page 15 of 27 Evidence: I choose not to participate in the activities. I enjoy going to crossword and go on most trips out of the home. Theres always something to do if you want to. I love it when the massage lady comes, we sit and have a good chat whilst I have a leg massage. Im always kept very busy. We observed breakfast and lunch being served in the dining room. Choices were available and staff were aware of peoples meal preferences. At breakfast people had a choice of cereals, grapefruit or porridge followed by bread or toast with preserves. People said that cooked breakfasts were available each day, if requested. At lunchtime the dining room tables were set very nicely with tablecloths, condiments, cutlery and matching crockery. We observed that people were given as much independence as possible at meal times. Some people used plates with raised edges, others drink from cups that assisted their disability. Where necessary staff assisted people, for example, cutting up their food, however people were encouraged to exercise choice and control. People werent rushed making the ambiance in the dining room pleasant and relaxed. Ten people were asked Do you like the meals at the home. Five people said always and five said usually. People said Theres a good choice. I am very happy with the meals. I like the new menu because there are more options. Theres always plenty to eat. 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. Complaints were dealt with effectively. The policies and practices for referring adult safeguarding concerns assisted in keeping people safe. Evidence: People and their families had been provided with a copy of the homes complaints procedure, which was also on display in the entrance hall and on the main notice board. This detailed who to speak to at the home or, if preferred, external to the home to make a complaint, should they wish to do so. The complaints procedure directed people to the manager to deal with any complaints. If the manager was unable to resolve complaints then people were directed to the provider of the service. The complaints procedure was easy to understand and was available in large print and on audio cassette. The home kept a record of complaints, this detailed any action that had been taken and the outcome of the complaint. Since the last inspection the home had received one complaint, which we had also been made aware of. The provider of the service dealt with the complaint, which was resolved. Ten people were asked Do you know how to make a complaint. All ten people said Yes. People said, I would go to the team leader if I had any complaints. I would go to the manager. If I had any worries or concerns I could go to any of the staff and they would help me. Care Homes for Older People Page 17 of 27 Evidence: Since the last inspection there had been no adult safe guarding referrals. The manager said that he did not have a copy of the revised South Yorkshire protocols for adult safeguarding. We advised that he obtained a copy immediately. The manager said that majority of staff had completed training in adult safe guarding. The kitchen staff and domestic staff had not received adult safeguarding training. The manager arranged for this to be completed on the day of the site visit. The manager also arranged for all the staff to have refresher training in adult safeguarding. Staff spoken to were aware of their role and responsibilities in dealing with any alleged safeguarding incidents. People spoken to said they felt safe living in the home. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was maintained to a good standard. In the main procedures for the control of infection were in place which promoted peoples health and welfare. Evidence: The AQAA stated, Cairn home is decorated furnished and maintained to a very high standard.Our management team carry out a detailed assessment of all areas of the home every three months to ensure the home is suitable for its stated purpose. We are fortunate that our senior management team which holds committee meetings every two months impose no unreasonable financial restrictions that hinder our maintenance and redecoration programme. We saw that the lounge and dining areas were domestically furnished and bedrooms were spacious and personalized. Since the last inspection some refurbishment of the home had been completed and some carpets and furniture had been replaced and bedrooms redecorated. The layout of the home meant that people and their friends and relatives could choose to sit in a number of communal areas. The environment promoted the privacy, dignity and autonomy of people. Bathrooms and toilets were fitted with appropriate aids and adaptations. People said they could choose to have either a bath or shower, whichever they preferred. The home smelt fresh and clean. Controls of infection procedures were in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. Care Homes for Older People Page 19 of 27 Evidence: The home had been awarded a 5 Star Excellent Standard of Hygiene from the last Environmental Health visit. On the day of the site visit staff were seen entering the main kitchen and walking through from the outside car park. This should stop as there could be a risk of cross infection. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing numbers were appropriate to meet the assessed needs of people. Recruitment information obtained protected the welfare of people. Staff had completed relevant and appropriate training. Evidence: Staff interviewed said that they enjoyed working at the home and got a lot of job satisfaction. The majority of the staff have worked at the home for a number of years. People said they knew the staff very well and were happy that staff turnover was low. The diversity of the staff team matched the diversity of the people living in the home. On the day of the site visit staffing numbers were good. Ten people were asked, Are the staff available when you need them. Eight people said always and two said usually. People said, The staff are very good and always available when I need them to assist me. If I need somebody, I ring the buzzer and staff come to help me. Staff are always willing to help you. The manager kept staff training under constant review. When shortfalls were identified, appropriate training was made available. Mandatory training had been booked and further training in specialized topics for example, visual impairment awareness and diabetes was being delivered. Staff were able to talk about the various training courses that they had attended which included, Moving and Handling, Food Care Homes for Older People Page 21 of 27 Evidence: Hygiene, First Aid and Fire.They said they hadnt had any training in Dementia, which they would find valuable. The manager said he would arrange for training in Dementia to be provided. Three health professional were asked Do the staff have the right skills and experience to support peoples social and health care needs. One person said always and two said usually. Nine staff were asked Did your induction cover everything you needed to know to do the job when you started. Eight said very well and one said mostly. One staff said, I found the induction very interesting and it helped me alot with the job. A number of care staff had completed the NVQ Level 2 in care and others had commenced the training. The number of staff trained met the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. Carers worked as key workers to one or two people. People were aware of who their key worker was and what the key workers responsibilities were. Three records of employment were checked. These included the required references, certificates of training, health checks and evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. Prior to their employment people were required to provide a detailed employment history. If there was any gaps in their employment history then at interview they were asked about this and this was recorded on their recruitment file. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home was based on openness and respect. There were effective quality assurance systems in place. Peoples finances and their health and safety were protected and promoted. Evidence: The registered manager had completed the NVQ Level 4 and the Registered Managers Award (RMA). He was highly competent to run the home and meet its stated aims and objectives. The registered manager had sound knowledge of the financial planning of the home. He was an excellent role model for other employees. Staff said that they found the manager and deputy manager easy to talk to and they could go to either of them at any time to discuss issues or concerns. They said they also met with the managers formally for one to one supervision. The home was visited on a regular basis by the responsible individual. She was nominated to carry out Regulation 26 visits. Following her visits a report was completed which highlighted any action that needed to be taken to improve the Care Homes for Older People Page 23 of 27 Evidence: service. Staff said she was available for them to speak to should they wish. The manager confirmed that Regulation 26 visits were carried out each month, however the last report at the home was for 30/12/08. The manager said that the reports were held with the board for discussion at each board meeting. We informed the manager that a copy of each monthly report should be available on site for inspection. People said that they and their relatives were often asked their opinions of the home and the service provided. They said they received questionnaires from the manager which they completed and returned. The information returned following the recent quality assurance audit was seen. People had said very positive things about the home and staff and were very pleased with the service they were receiving. Relatives had said, All the staff are friendly and helpful and the managers are always available if you have any worries or concerns. The home is clean and homely. All the surveys relating to resident care, management and staff and premises were scored at either very good or quite good. No one had rated anything as not very good or poor. Regular staff, resident and relative meetings were arranged. Minutes from these were seen. The home handled money on behalf of some people. This was checked for three people. Account sheets were kept, receipts were seen for all transactions and monies kept balanced with what was recorded on the account sheet. Record keeping was of a high standard and records were kept safely and securely. Fire records evidenced that fire alarm checks and fire drills took place. A fire risk assessment had been completed and updated. We asked to see the electrical certificate for periodic inspection and the gas safety certificate, these had been completed. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 18 All staff must undertake training in adult safe guarding. To keep people safe. 01/06/2009 2 26 16 Staff must not walk from 18/05/2009 outside the building, through the main kitchen. So that people are not put at risk of cross infection. 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 safeguards put in place regarding the person who smokes should be recorded in a risk assessment. This risk assessment should then be kept under review. There should be a copy of the revised South Yorkshire protocols for adult safeguarding at the home. Staff would benefit from receiving training in dealing with people with Dementia. Copies of the Regulation 26 reports should be available on site. Page 26 of 27 2 3 4 18 30 33 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!