Care Home: Clapham Lodge

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What the care home does well The needs of prospective residents are thoroughly assessed before they are admitted. This means prospective residents know that their needs will be met by the care home. Care plans are drawn up for each resident using the information gathered by assessing residents needs. Care plans are also regularly reviewed. This means that up to date information is available to staff about residents ` needs. Routines in the care home are flexible and support residents in their daily life. This means residents can exercise choice and control over their lives. A programme of activities is provided each week for residents to enjoy. Staff are available in sufficient numbers to meet the needs of residents. Staff have received appropriate training which gives them the knowledge and skills to provide good quality care to residents. They have also been well supported by the manager. The care home has been well managed and has been run with the best interests of residents in mind. One resident we spoke to commented, "This is a happy home without a doubt." Another resident told us, "Everything is lovely, I have no complaints." A relative told us, "The manager is very friendly, helpful and professional." What has improved since the last inspection? The manager has developed a means of recording complaints which have been received. This means the manager can demonstrate that any complaints received are taken seriously and investigated. The record will also demonstrate what action has been taken to make improvements to the service where required. What the care home could do better: Care plans need to include more information and guidance to staff with regard to the level of care each resident requires. This will mean staff will know what action they should take to ensure residents` needs have been met. Risk assessments need to be carried out on heating equipment to ensure they are safe. Where risks are identified action must be taken to reduce them. This will mean residents are protected from scalding themselves when surface temperatures are excessively hot. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clapham Lodge Woodland Close Clapham Village Worthing West Sussex BN13 3XR     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: David Bannier     Date: 2 8 0 4 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 29 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 29 Information about the care home Name of care home: Address: Clapham Lodge Woodland Close Clapham Village Worthing West Sussex BN13 3XR 01903871326 Telephone number: Fax number: Email address: Provider web address: claphamlodge@btopenworld.com Name of registered provider(s): Type of registration: Number of places registered: Clapham Lodge Limited care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 26. The registered person may provide the following category of service only: Care home only - (PC) 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 - (OP) Date of last inspection Brief description of the care home Clapham Lodge is a care home registered to accommodate up to 26 people in the category of OP (Older Persons). Clapham Lodge is a large detached property, located in a rural setting, in Clapham Village. Accommodation is provided in single bedrooms located on the ground and first floors. Some of the accommodation consists of a bedroom, a sitting room/kitchenette and a bathroom. The communal areas, including a Care Homes for Older People Page 4 of 29 Over 65 26 0 Brief description of the care home dining room and a lounge area are located on the ground floor. A vertical lift provides access to all floors. There is an extensive garden that includes lawns and flowers that people can access. The service is privately owned by Clapham Lodge Ltd, and the registered manager is Christine Woods. The responsible person acting on behalf of the company is Ms Genevieve Reed. Current scale of fees is from #338.00 to #500.00 per week. Care Homes for Older People Page 5 of 29 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assurance Assessment prior to the inspection. The information received from this document will be referred to in the report. A visit to the care home was made on Tuesday 28th April 2009. As this was an unannounced inspection we gave the manager and provider no notification of our Care Homes for Older People Page 6 of 29 intention to visit. We spoke to some residents and observed care practices. This helped us to form an opinion of what it is like to live in this care home. We also spoke to some staff on duty in order to gain a sense of how it is like to work at the care home. We also viewed some of the accommodation and examined some records. The visit lasted approximately six hours. The manager was present during our visit and provided us with information about the the service. since our inspection the email address for the service has changed to claphamlodge@tiscalie.co.uk 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. 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 29 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 29 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 care needs of prospective residents have been assessed before they moved into Clapham Lodge. Clapham Lodge does not provide intermediate care. Evidence: During our last visit we formed a judgement that peoples needs are assessed prior to moving into the home to ensure the home can support them. During this visit we identified the names of two residents for case tracking purposes. Documents and records seen confirmed that the needs of the identified residents continue to be appropriately assessed before they have been admitted. Documentation examined included information about the reason for the admission, the residents medical history, their current medication, and details of their current physical care needs. Care Homes for Older People Page 10 of 29 Evidence: Residents we spoke to confirmed they felt well cared for. Staff on duty were able to clearly demonstrate they know about the needs of newly admitted residents. We could find no evidence that intermediate care is being provided at Clapham Lodge. They do offer respite or post operative care, although none of the residents currently living at the home receive these services. The AQAA confirmed that, All prospective residents are given the opportunity to visit the home prior to admission. They are welcome to join us for morning coffee or afternoon tea to get to know the other residents and also are welcome to ask any questions. Care Homes for Older People Page 11 of 29 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. Care plans have been drawn up for each resident. They set out the needs of each resident. Residents health care needs have also been met. Residents have been protected by the homes policies and procedures for dealing with medicines. Residents have been treated with respect and their right to privacy has been upheld. Evidence: Residents care records include care plans which have been drawn up from the information gathered at the pre admission assessment. However, whilst care plans include details of residents identified needs they do not routinely include clear information for staff to follow so they know the action they are expected to take to ensure they have been met. For example one care plan included information that a Care Homes for Older People Page 12 of 29 Evidence: resident uses a zimmer frame but does not always understand what it is for. There was no guidance for staff to follow to support the resident and to ensure the resident can use the walking aid safely. Whilst we could find no evidence of poor care practices it is our view that this information would support and underpin the good care provided. We discussed this with the manager during the course of our visit. She agreed to make the necessary amendments when care plans are next reviewed. There was evidence that confirmed care plans have also been routinely reviewed. This means that information about residents care needs is kept up to date. Care records also include details of appointments with residents doctors or district nurses including details of any treatment prescribed and provided. Residents we spoke to confirmed they were very happy with the care provide. One resident told us, The staff are very nice and understanding. It touches your heart! Another resident told us, This home is excellent, it has a very good name. We spoke to a relative who also confirmed they were satisfied with the care provided. They told us they find the staff to be very helpful. They also said, The manager keeps me up to date with any changes to my relatives condition. We also spoke to a local GP who visits regularly to provide medical treatment to some residents. We were informed, From a medical point of view this home is good. Staff have been here for some time. This is good because it means there is continuous approach to the care provided. I carry out formal rounds with the manager. She is good and knows the needs of her residents well. One exceptionally good point is that the manager will hurry me to ensure they get the treatment they need. The manager knows what could be done and what should be done. We have a very good relationship with Clapham Lodge. We do not get inappropriate calls from the staff. During our last visit we formed a judgement that people are supported to take their medicines, and medication practices carried out in the home ensure medicines are given, stored and handled safely. During this visit we looked at care records and medication records. We also noted that a secure facility had been provided to store all medication. We were satisfied that medication records had been well maintained and were up to date. We noted that staff who handle medication had been provided with appropriate training. We observed staff administering medication during the main meal of the day. Care Homes for Older People Page 13 of 29 Evidence: We were satisfied that medication has been handled safely and in accordance with best practice guidelines. During our last visit we found evidence that residents are treated with dignity and their right to privacy is respected. On this occasion we observed care practices and found that staff are respectful when speaking to residents and ensure residents are treated with dignity when personal care is being provided. Staff were seen to address residents using the name and title they prefer. Staff were seen to knock on the doors to residents private accommodation and wait for a response before entering. We spoke to several residents and a relative during our visit. They informed us they felt well treated by the staff. The AQAA confirmed. We have a highly competent team of staff who are caring and understand the needs of the residents. Our care plans are comprehensive and reviewed regularly. Care plans are signed by each resident as they are involved in the whole care plan process. Regular staff meetings and staff supervision ensure that any problems are identified and rectified early.We have scheduled fortnightly visits by a GP, and visits from other health professionals. These visits are documented in the care plans. Care Homes for Older People Page 14 of 29 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. Routines in the home are flexible, allowing residents to have control over their lives where possible and encourages residents to make choices about what they wish to do. Activities are offered by the home which take into account the hobbies and interests of residents. The home supports residents in maintaining contact with family and friends. Residents are given a wholesome, appealing and well balanced diet in pleasant surroundings. Evidence: We noted that care records include each residents interests and hobbies. We were informed that a member of staff is responsible for organising activities for residents to enjoy. Details of activities and outings which have been organised are included in an activity folder. This recorded the activity and who took part. We noted recent activities included bean bag games, hoops, armchair exercises, skittles, card games and music for health. There has also been an Easter quiz, photo frame designing and biscuit making sessions. Visiting musicians have regularly provided concerts and Care Homes for Older People Page 15 of 29 Evidence: entertainments. In addition outings have been organised to a local theatre to see a pantomime, to a local garden centre and several trips out for lunch. Residents we spoke to confirmed there are activities for them to enjoy. We were also told, I like to read and watch television in my room. I also like talking to people. There are occasional activities organised. There are not a lot, but it is enough for us. We have singers visit and musical entertainment. Staff also get the bean bags out or the skittles. I enjoy taking part or sometimes I enjoy watching others taking part. During this visit we noted that care records include details of residents families and next of kin, including telephone numbers, so that they may be contacted. We met a relative who was visiting their mother. They informed us, I live locally and I can come and visit as often as I want. I am always made welcome. We noted that residents were not expected to get up for breakfast. Some had chosen to have breakfast in their own room and then get up at a pace which suited them. We also noted that, during the morning, some residents had chosen to come into the lounge, whilst others were sitting in their rooms reading the paper, watching television or listening to the radio. We concluded that the routines of the care home supported residents in making their own decisions about how they wished to spend their day. During our last visit we were informed that food is supplied frozen and pre-packed from an external food company and delivered twice weekly to the home. Food is then heated and served on the day. Breakfast and tea are prepared and cooked in the home. During this visit the provider confirmed that the catering arrangements remain the same as before. We spoke to the catering staff during our visit who told us about the main meal of the day. This consisted of a choice of lasagne or beef stew with dumplings with boiled potatoes carrots and peas followed by a choice of strawberry cheesecake or ice cream. We were given copies of recent menus to look through. They demonstrated that a varied, wholesome and appealing diet has been provided. We observed the main meal of the day being served. We noted that tables in the dining room had been attractively presented with linen tablecloths, condiments, a choice of cold drinks and individual place settings. The meal was served out from a heated cabinet and was attractively presented to encourage residents appetite. Residents we spoke to confirmed the meal was tasty and appetising. We also noted residents were given plenty of time to enjoy their meal. Those residents who required help were provided it in manner which also allowed them to enjoy the meal. Care Homes for Older People Page 16 of 29 Evidence: The AQAA confirmed, We encourage residents to bring personal items into the home with them to make them feel more comfortable. As far as possible, we endeavour to assist them to maintain the lifestyle they previously had. The residents can have their meals in their rooms if they wish, or they can come to the bright spacious dining area. We have a varied menu choice and special diets are catered for. We often have buffet evenings and this gives the residents the opportunity to suggest what they would like to eat. We welcome visitors at any time and have good relationships with the local community. Care Homes for Older People Page 17 of 29 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. Residents know that any complaints they make will be listened to, taken seriously and acted upon. Residents are protected from abusive and neglectful practices Evidence: During our last visit the manager confirmed there have been no complaints received for over a year. However, there was no book accessible to staff to record complaints when received. The manager said that she would ensure a complaints log was set up and made available for this purpose. During this visit we noted that a clearly written complaint procedure was on display in the front hallway of the care home. We examined the record of complaints received that the manager has set up. We were informed that no complaints have been received. Following discussion it was not clear if all staff were aware of how they should record any complaints received. The manager agreed to ensure all staff are made of aware of this procedure. Residents we spoke to knew what to do if they were unhappy and wished to make a complaint. It was also clear that they were comfortable approaching the manager and the owner if they had concerns about how the home was being run. We also spoke to a relative who was visiting their mother. Whilst they confirmed they have had no Care Homes for Older People Page 18 of 29 Evidence: complaints, they told us, I would speak to the the manager if I have concerns. I find she is very approachable. During our visit we spoke to staff who were on duty. They confirmed they have received training with regard to identifying different types of abuse. Following discussion the staff were able to demonstrate they knew the different categories of abuse that they might encounter. They were also able to explain who they should notify if they witnessed an incident where a resident had been abused. We also sampled records of staff training. This confirmed that staff have received training in safeguarding vulnerable adult procedures. Since our last visit we have been notified of an allegation of abuse that was investigated by West Sussex Adult Services. We have also been informed that this investigation found no evidence to substantiate the allegation and no further action was required. The AQAA confirmed that, We have not received any complaints in the last twelve months. We maintain a high level of care, the staff are up to date with abuse training.Policies and procedures are accessible to all staff. Any concerns are dealt with immediately. Care Homes for Older People Page 19 of 29 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. Residents live in a well maintained environment. The care home is clean, pleasant and hygienic. Evidence: We looked at the private accommodation of several residents along with the communal areas, including the dining room and the lounges. These areas were clean, decorated and furnished in a comfortable manner that met the needs of the residents accommodated. Residents have been encouraged to bring personal effects and small items of furniture in order to make bedrooms as individual as possible. During our last visit we noted that some areas of the home internally and externally still require further maintenance work. We noted that, at the time of this visit, some workmen were present in one part of the care home. We were informed that this area was being refurbished and redecorated. Only two residents were being accommodated in this area. We were given assurances that their safety and wellbeing has been protected whilst refurbishment work takes place. During our visit we found no evidence that residents were at risk. We were also shown other areas of the home which had been refurbished and redecorated. Following discussion the provider informed us there was further work planned. This included repairing where necessary and redecorating the outside of the premises. Care Homes for Older People Page 20 of 29 Evidence: We identified a storage heater, located in a corridor, had not been fitted with a cover. This means there is a risk that residents may scald themselves on hot surfaces. We discussed this with the manager and provider who confirmed they would ensure an appropriate cover is fitted straight away. Residents we spoke to confirmed they were satisfied with the accommodation provided. One resident told us, When I was shown my room I thought this is it. I want to move in here. The view from my window is almost the same view as at home. A relative told us, My relative has a nice room and has been able to bring her own furniture. The layout for her is very easy. It is not too far to the dining room. We visited the kitchen and several bathrooms and toilets. We found that these areas had been maintained to a good standard of hygiene and cleanliness. Residents and a relative we spoke to also confirmed they were were very satisfied with the standard of cleanliness of the care home. One resident told us, My room is kept very clean by the the staff. They make a point of coming to clean when you are not here. During our last visit we noted that the laundry facilities in the home are suitable for the size and number of people. Whilst we did not visit the laundry on this occasion the manager informed us that the care home continues to send out linen and towels to be laundered and peoples personal washing is done in the home by the care staff. Residents we spoke to confirmed they were satisfied with the laundry arrangements provided. One resident told us, The laundry is done beautifully here. The AQAA confirmed that, We continue to maintain high levels of cleanliness.Health and safety issues are monitored and addressed straight away if any problems are found. We recently had a visit from environmental health and all other visits from other outside agencies are up to date. This information was sent to us in August 2008. Care Homes for Older People Page 21 of 29 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 needs of residents living at Clapham Lodge are met by a competent staff team. Staffing levels are also sufficient to meet residents current needs. Residents are protected by the homes recruitment procedures and practices. Staff have been trained so that they are competent to do the work expected of them. Evidence: During our last inspection we made a judgement that there were sufficient and competent staff on duty at all times to ensure people were safe and had the support they need. During this visit we looked through a selection of staff rotas which were on display in the managers office. They demonstrated that between 8am and 8pm each day there are two care assistants on duty supported by the manager. Each night there are two care assistants awake on duty to provide care to residents as needed. Residents we spoke to confirmed they feel well cared for. One resident informed us, The staff are lovely. A relative told us, All the staff are really friendly. They are very helpful and lovely. After speaking to residents and examining a selection of care records we concluded that there were sufficient staff on duty to meet the current care needs of residents. Care Homes for Older People Page 22 of 29 Evidence: We looked through records of training that staff have received. They confirmed that staff had received mandatory training covering such areas as what to do in the event of fire, moving people safely, food hygiene and infection control. We spoke to staff who were on duty at the time of our visit. They confirmed the training they had received. We spoke a group of staff who were on duty. Following discussion, they told us about their role in the care home, the training they have undertaken, their understanding of the needs of identified residents and the action they are expected to take to ensure residents needs have been met. We looked through the recruitment records of two staff who have been appointed since our last visit. These records demonstrated that the registered provider has obtained appropriate checks for staff, including criminal records checks and written references.The manager confirmed that she had seen each persons proof of identity on appointment. However, no record of this had been kept. Following discussion we recommended that this this is also recorded as a means of demonstrating that all appropriate checks had been obtained as evidence that staff who work in the care home are fit to work with vulnerable residents. The AQAA confirmed, We have a highly competent team, both male and female carers. Staff work well as a team and interact well with Residents. A high percentage of staff now have NVQ qualifications.We have three catering staff and two housekeepers. We rarely use agency staff as our staff are highly committed and motivated and are very seldom off sick. The AQAA also confirmed that, of the eleven permanent care staff employed at the care home, five hold the National Vocational Qualification in Care, or Health and Social Care, at Level 2 or above. Care Homes for Older People Page 23 of 29 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 has been run and managed by a person who is fit to be in charge. They are of good character and are able to discharge their responsibilities fully. The manager has demonstrated the care home has been run in the best interests of residents. The provider has ensured the health and safety of residents and staff have been promoted. Evidence: During our last visit we found evidence that the registered manager of the home is experienced and has the necessary skills and qualifications to manage the home. She has completed the National Vocational Qualification (NVQ 4) in care and the Registered Managers Award. Observations made during that visit showed the manager had an open door style of management welcoming comments and suggestions from people staff and relatives. She also has a close working relationship with staff and Care Homes for Older People Page 24 of 29 Evidence: supports them by working with them several days a week. Mrs Christine Woods continues to be the registered manager of this service. She was present during our visit and helped us with the information we needed. During this visit we noted that, whilst Mrs Woods has not arranged formal meetings recently with residents, it was clear from discussions with residents that she does find opportunities during her working day to speak to residents individually, in order to hear their views and opinions about the day to day running of the care home. Residents we spoke to told us they find Mrs Woods very approachable, and she does listen to what they have to say. One resident told us, This is an excellent home. It has always had a good name. The care is very good under Chris. The staff are very nice, every one of them. We noted that reports of monthly visits made by representatives of the registered provider were available in the care home. The reports we sampled confirmed they are used to speak to residents and staff and to monitor to the day to day management of the care home to ensure it is being run in the best interests of residents. The manager informed us that the last formal staff meeting took place about a year ago. We were also informed that she has been communicating with staff individually or via change over sessions at the beginning and the end of each shift. Mrs Woods also told us she is planning to arrange the next staff meeting in the near future. The manager also confirmed that the last formal supervision sessions afforded to individual staff took place about six months ago. We were shown documents and forms the care home uses to record the content of staff appraisal and supervision sessions. Mrs Woods informed us she was in the process of setting up sessions for all staff. The staff we spoke to confirmed that they feel well supported by the manager. They also find that Mrs Wood is very approachable. Residents and relatives we spoke to confirmed that either they or their relatives deal with their own financial affairs. Information supplied in the AQAA confirmed the registered provider has taken appropriate steps to ensure the premises and equipment within the care home is safe for use. For example, gas and electrical appliances have been checked and maintained Care Homes for Older People Page 25 of 29 Evidence: regularly. We found evidence that a programme of training provided to all staff includes fire prevention, moving and handling techniques and infection control. Care Homes for Older People Page 26 of 29 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 27 of 29 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 19 13 Heating equipment within the home must be assessed for the risk they present to the people that use the service and action taken to minimise any identified risk. This will ensure that people living in the care home are not risk of scalding themselves when surface temperatures of heating equipment becomes excessively hot. 08/06/2009 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 Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!