Care Home: Carr Gate Nursing Home

Similar services:

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

What the care home does well To make sure peoples needs are met by the service these are assessed before moving into the home. People were observed being treated with dignity and having their wishes respected. Positive relationships were also observed being fostered between those living in the home and those caring for them. People were observed having the breakfast of their choice in a relaxed and pleasant environment. The manager says there are enough staff on duty to meet peoples` care and support needs. The staffing rota confirmed this, and on the day of the visit peoples` needs were observed to be met in a relaxed and unhurried manner. People are protected by the way medicines are dealt with. The records show medicines are checked regularly to make sure people are safe. People are also protected by the way staff are selected and recruited. Some staff records were checked and found to have references and police checks taken up before they are employed. Peoples` health and safety are promoted as the staff training records show they are trained in how to keep people safe and how to protect people from abuse. The record of activities show people have the opportunity to join in organised activities if they want. On the day of the visit some people were having their hair done by the visiting hairdresser. What has improved since the last inspection? Southern Cross has recently taken over the running of the home and have put an improvement plan in place to make the building a nicer and safer place for people to live. The improvements that have been completed at the time of this inspection include . What the care home could do better: The areas for improvement that are identified at this inspection are about making sure that the food is consistently of a high quality as people said that is sometimes better than others. Providing staff with training about the Mental Capacity Act and particularly about the Deprivation of Liberty safeguards. It is recommended that the schedule of maintenance and improvement works be completed as soon as possible to make the home a more pleasant place for people to live. Because it is in a particularly poor state, the registered person is required to replace the floor covering in the Dementia unit and in the Nursing unit and to make sure that the smell of urine in the carpets is properly controlled until they are replaced. Key inspection report Care homes for older people Name: Address: Carr Gate Nursing Home Lawns Lane Carr Gate Wakefield W Yorkshire WF2 0QU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Caroline Mitchell     Date: 0 3 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Carr Gate Nursing Home Lawns Lane Carr Gate Wakefield W Yorkshire WF2 0QU 019248228105 01924828990 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Modelfuture Limited Name of registered manager (if applicable) Maxine Ensor Type of registration: Number of places registered: care home 65 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 65. 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 Service users with Dementia - Code DE (maximum number of places 29). Service users with a Mental Disorder - Code MD (maximum number of places 29). Date of last inspection 29 29 0 Over 65 0 0 65 Care Homes for Older People Page 4 of 27 Brief description of the care home Carr Gate is a care home registered to provide residential care and Nursing care to older people, some of whom have dementia or suffer from a mental problems. It is situated on the outskirts of Wakefield with views of the local countryside from most of the bedrooms. The home can provide care for up to 70 older people on three separate units. Cherry provides general nursing care, Cliffe provides residential care, and Holly provides residential care for older people with dementia and/or mental health problems. There is a small, enclosed patio garden for the use of residents living in Holly with further garden facilities for the use of people living in Cliffe and Cherry units. The home provides parking and seating outside the main entrance. Carr Gate is close to a main bus route and to the M1/M62 link roads. At the visit in December 2009 the weekly fees for the home ranged from around £320 for basic residential care to £650 for nursing those with complex needs. The home provides a statement of purpose and a service user guide containing information about the home for prospective residents and their families. Previous inspection reports are also available in the reception area at the home. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was unannounced so the manager did not know we were coming. The inspection visit took one day to complete. As part of the visit we considered the previous inspection report, the service history and the Annual Quality Assurance Assessment sent in by the service providers. During the visit there was the opportunity to speak to the registered manager, nurses, agency staff, care workers, domestics, cook, kitchen staff and the handy man. There was also the opportunity to speak to lots of people using the service and observe. We looked at a sample of peoples records including assessments, care plans, reviews, daily and medical records. We also looked at a sample of staff records including references, police checks and training records. Some peoples medicines were checked and some peoples finances. We looked at the Safeguarding policies and practices and the record of complaints. The inspector would like to take the opportunity to thank the registered manager, the staff team and people living in the home for their hospitality throughout the visit. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 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. Evidence: In the AQAA the manager said, On display in reception we have a service user guide, statement of purpose, complaints procedure, CQC Inspection Report, philosophy of care, equality and diversity statement and quality assurance statement. There is a copy of the service user guide and statement of purpose in service users bedrooms. At this inspection we found this to be the case, and we were given a copy of the most recent statement of purpose for the home. It is specific to the home and the resident group they care for. It clearly sets out the objectives and philosophy of the service. Care Homes for Older People Page 10 of 27 Evidence: The guide tells prospective residents what they can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff and how to make a complaint. The manager said A suitable assessment time and date will be agreed with the person making the enquiry. A copy of the health and social services care plan is obtained. The manager or the unit managers then complete a full pre-admission assessment at an agreed address to ensure that we can meet all the needs of the prospective service user. Information for this assessment is gathered from all appropriate sources i.e. service users next of kin, nursing staff etc. At this inspection we saw the written records of two people living in the home and each had an assessment from their social worker, which had been given to the home before they moved in to tell the home about their needs and preferences. The unit manager had also done an assessment before each person moved in. The person and there family were involved and the assessment was comprehensive and gave the home a clear picture of the person, to help decide if the home could meet their needs. The unit manager told us that when people move in, they have reviews after six weeks and after three months, to make sure they are happy with the home and their needs are being met. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a plan of care that the person, or someone close to them, has been involved in making. If they cannot manage their medicine, the care home supports them with it, in a safe way. Peoples right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. Evidence: The people we spoke to who live in the home said that they were very satisfied with the care that they received. We saw the written records for two people and each had a detailed and up to date care plan. The plans were very well organised, clear and written in a person centred way. In the AQAA the manager said, Each service user in the home has a detailed care plan which is available on all units. All care plans are audited annually by the manager and the operations manager conducts regular unannounced audits of care plan documentation. At this inspection we saw lots of evidence to show that this was the case. Southern Cross has a format peoples records and staff were in the middle of Care Homes for Older People Page 12 of 27 Evidence: the task of transferring the written assessment and care plan information about each person to this format. People had good clear risk assessments. They were specific to the needs and lifestyle of each person and included how much risk each person was at from things like pressure sores and falls. There was good information for staff in the care plans about preventing falls. There were also good monitoring records about the health care visits and appointments that people had and this included things like the district nurse visiting to do flu jabs, and visits and appointment with the continence nurse, GP, and chiropodist. We looked at the medication in the medication room on the residential unit. The temperature in the room was very warm. This had been reported and action was being taken to address it. The medication fridge had temperature monitoring on the door and records showed that this was within reasonable limits. The home uses the Boots monitored dosage system. There were good records of the use of homely remedies, and good, clear records of all medication coming into the home and of that being returned or destroyed. There was also lots of clear written guidance available for staff. The staff member we spoke to on the residential unit said that staff get good training about medication and that the manager does regular audits of the medication. We dont know shes coming. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual. The care home supports people to be involved in activities. People are able to keep in touch with family, friends and representatives. enerally people have nutritious and attractive meals and snacks, but there is room to improve in this area. Evidence: We talked to one person who moved into the home a few weeks before the inspection. They said they felt happy with the service. They like to read so they were very happy with the quiet area where there are bookshelves full of books, including lots in large print. They told us that they have family members who visit most days and that they they go out with their family regularly. We saw several visitors coming and going during the day and several of the people we spoke to said they had family members who visited regularly. We spoke to one of the two activity coordinators employed in the home. This activity coordinator was very enthusiastic and creative in their ideas for what activities to do with the people. Especially people with dementia. They showed and described several projects that they are engaging people in. There are a good range of activities on Care Homes for Older People Page 14 of 27 Evidence: offer, including bingo, which the activity coordinator said goes down surprisingly well. Theyve started collecting things to create a reminiscence room. The activity coordinator said people can have light shoulder and hand massage and we saw people having their hair and nails done. Some of the people that we spoke to told us about the entertainment that had been done for Remembrance day and we noticed that Christmas decorations had been put up in different parts of the home. We saw the written records for two people and these included good monitoring records about peoples social needs and preferences, the activities they engage in and peoples Religious beliefs are recorded. One of the unit managers told us that a Catholic Communion and Church of England service are done regularly in the home. The activity coordinator said they plan to involve people in creating window boxes with herbs and flowers. They said that lots of people like singing and the keep fit sessions. Some people went to the garden centre recently and staff try to get people out in the community, sometimes they get to the local pub. We sat and chatted with three people at lunchtime. Most people had chosen steak pie, parsnips, mash and broccoli. There were mixed reactions when we asked about the quality of the food. Some people said The food is very nice. The girls who serves us are very nice as well. and I think the food is good here. But one or two other people didnt agree and said that the quality is sometimes better than others. A relative we spoke to also said that the food was better some days than it was on others. A recommendation is made about this. The manager explained that the home had adopted a new system of menu planning that helps to make sure that people get the a good balanced diet. The system is called the ACORN system. We saw the planned menu for the week and it was varied and provided people with choices. Staff were asking people what meal they wanted and giving choices, for instance if they wanted gravy. If people didnt like the meal or desert that they had chosen, an alternative was offered, although staff said there is not always enough to give people an alternative meal if they change their minds. Several people said that they would like a glass of wine with their meal now and again. Staff told us that people do have a glass of sherry now and again and some people like a snowball or a shandy. There was juice available for people to drink throughout the day, in the dining area. We noticed that during lunch, one person was using a plate guards to help them to maintain their independence. Care Homes for Older People Page 15 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. 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. Evidence: We spoke to several people, including someone who moved in recently. They said they feel confident to tell the staff if unhappy about something. One person said, I tell them. and added Its just the odd little thing. Nothings perfect. We looked at the record of complaints kept in the home. There were good, clear records of the concerns and complaints that people had raised and these showed that the home responds to peoples concerns in a timely manner. One complaint, about some areas smelling of urine is being dealt with by replacing a number of carpets, as part of the refurbishment of the home. A requirement and recommendation are made about this under standard 26 of this report. In October 2009 an anonymous caller contacted the Commission and expressed concerns about the numbers of staff on duty at night, and the staffs experience and competence. We asked the registered person to look into these concerns. The registered person investigated and responded to the Commission. Other, recent concerns raised by a persons relative about staffing levels and the quality of the food Care Homes for Older People Page 16 of 27 Evidence: were being addressed by the operations manager at the time of the inspection. The manager told us that there had been a recent investigation, undertaken under the Deprivation of Liberty safeguards (DOLs) concerning one person being kept in the home. The outcome was that the home was not at fault. The manager said that she is due to do some training about DOLs. It is recommended that the care staff also be provided with training about the Mental Capacity Act and in particular the Deprivation of Liberty safeguards. Most staff have had training in safeguarding people and there was evidence that other sessions are planned, so that all staff have this training as soon as possible after starting work in the home. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is work to do to improve the home to make it more pleasant and homely for people to live in. The new registered provider has an improvement plan and these improvements have been started. Although generally clean, there are some unpleasant smells because some floor coverings need to be replaced. Evidence: This outcome area is rated adequate although there are a number of improvements that are needed. This is because the provider is aware of the need to improve the state of the building, there is an improvement plan in place and some progress has been made. A recommendation is made for the home to continue with the planned schedule of works. Since taking over in April 2009 Southern Cross have undertaken remedial work to the alarm system, electric wiring and emergency lighting throughout the home and replaced the radiator covers. We were told that there are plans to redecorate the unit for people with dementia imminently. Something that really lets the home down is the state of the carpet in the shared areas and a recommendation is made to replace the carpet in the units for people with dementia and in the nursing unit. A further requirement is made for the registered person to find ways to eliminate the smell of urine until the carpets are replaced. Otherwise, the home was reasonably clean and has sluice and laundry facilities that are adequate for the needs of the people living Care Homes for Older People Page 18 of 27 Evidence: there. During the tour of the building we noticed that there is good wheelchair access throughout the parts of the home occupied by the residents. There is a nurse call system. The fire doors are linked to the fire system and there is a passenger lift and a goods lift. Several of the exits have coded keypads. There is a small lounge on the first floor that is quiet and has a kitchenette. This is often used for people to spend time with their visitors. There are nice fish tanks in a number of reception areas in various areas of the home. There are bathrooms with assisted baths and bathrooms with room for hoist under the bath on each unit. Most are in needs of redecorating, as they feel quite stark. There is a shower room on the first floor that is much nicer, because it is decorated and tiled more like an ordinary bathroom. The majority of the bedrooms have en-suite facilities. Some overlook an enclosed garden. Peoples bedrooms are being refurbished as part of the plan to improve the home and we saw some of the bedrooms that have been redecorated and new carpet, curtains and furniture had been provided. Most people had got ornaments, photos and pictures to make it more their own. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and appropriate support as there are generally enough competent staff on duty. People have confidence in the staff at the home because checks have been done to make sure that the staff are suitable to care for them and have suitable training. Evidence: We looked at the staffing rota and this showed that there are usually sufficient nursing and care staff on duty. There are activities coordinators and an administrator in the daytime and there is also ancillary support every day, including kitchen, laundry and domestic staff and a handyman. The manager told us that another part time handyman has recently been recruited. There was a complaint recently about staffing levels in one unit. This was discussed with the registered manager and area manager at the time of the inspection. It was clear that on the basis of peoples needs, more staff hours were authorised, although there was initially some difficulty about finding staff to cover. The manager told us that some staff have left and they have been actively managing sickness and lost some staff due to this. She also said that the care staff were previously doing too many extra hours. I spoke to a relative who visits regularly and they said theyd seen a lot of staff changes and is hoping that it will settle down now. Care Homes for Older People Page 20 of 27 Evidence: The manager said some staff have been recruited and more are being recruited and the staffing is now becoming more settled, with less need to use agency staff. The manager was undertaking recruitment interviews on the day of the inspection for permanent staff and so there are ore bank staff to call upon. We looked at the written personnel records for two staff. The proper checks had been done before they started work in the home. This includes completing a written application, attending interview, written references and having a Criminal Records Bureau (CRB) check. People had also provided sufficient evidence of their identities. We also saw that the policies about confidentiality, equal opportunities, whistle blowing and a staff handbook had been given to staff as part of their induction, and that they had written contracts of employment. Staff are provided with training in all the core areas of health and safety and safeguarding people from abuse. Two senior staff in the home are trained so that they can provide moving and handling training to the staff. Around 50 of staff have completed National Vocational Qualifications (NVQ) at level 2 and some have NVQ level 3. Several staff are due to start training at level 2 soon. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the care home because it is led and managed appropriately. 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 practises are carried out. Evidence: As part of quality assurance surveys are sent out to people on a regular basis, to ask their opinion of the home. We saw the feedback forms that residents had returned to the home recently and one person had said, Satisfied with care and attention and kindness shown to me, it sticks out a mile. Southern Cross took over ownership of the home only a few months ago. Prior to this the home had been through a challenging period whilst it was in the hands of the receivers. There have been a lot of changes and three management companies have Care Homes for Older People Page 22 of 27 Evidence: been involved in the running of the home in the last two years. The manager has worked in the home since 2005 and has been managing the home since 2007. The manager said that head office send out surveys periodically and the home is told of the results. This feedback influences the improvement plan for the home. There are regular managers surgeries and evidence that the manager talks to people and their relatives a lot. People we spoke to did say the manager was accessible, approachable and helpful. We looked at the systems in place for recording and monitoring peoples finances and looked at the records for one person. Theses records were kept in good order and the regional administrative manager and company audit team do audits regularly and at random to safeguard peoples best interests. The information in the AQAA, the staff training records, and maintenance records, show that the health, safety and wellbeing of people using the service and those caring for them is promoted and protected. Care Homes for Older People Page 23 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 24 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 26 23 The registered person must 07/03/2010 replace the floor covering in the Dementia unit and in the Nursing unit. To make sure that the home is a pleasant, clean and safe place for people to live. 2 26 23 The registered person must make sure that the smell of urine in the carpets is properly controlled until the carpets are replaced. To make sure that the home is a pleasant, clean and safe place for people to live. 16/01/2010 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 15 It is recommended that the manager continue to monitor and work with the cooks to make sure that the food is consistently of a high quality. Care Homes for Older People Page 25 of 27 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 2 18 It is recommended that staff to be provided with training about the Mental Capacity Act and in particular the Deprivation of Liberty safeguards. It is recommended that the schedule of maintenance and improvement works be completed as soon as possible to make the home a more pleasant place for people to live. 3 19 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!