Care Home: Coumes Brook

Similar services:

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

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, "Staff are very good at letting us know if there are any problems". "Some carers are exceptionally good. "Staff are very informed about peoples individual needs". We saw that people were well dressed in clean clothes and had received a 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. The homes provider/manager continues 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 seven requirements were issued. At this inspection, all 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. The information in peoples care plans had improved significantly, which ensured that peoples health and well being was protected and promoted. Further thought and consideration had been given to staff recruitment. Staff records seen were complete and up to date. The manager had carried out a quality assurance exercise, she said this had been very useful in looking at ways to improve the service. Certificates were seen that confirmed that gas, electrical and fire systems had been serviced. What the care home could do better: The service provided at Coumes Brook is of a good standard and everyone involved with the home should be proud of this. So that peoples health is maintained and promoted, there should be a record kept of peoples weight gain or loss. People should be administered their medications individually, so that there is no risk of people being given the incorrect medication. The manager should carry out a full audit of staff training so that any shortfalls are identified. Staff must be provided with training in adult safe guarding and other subjects that are relevant to their work role. People should not be moved around the home in wheelchairs that do not have foot plates fitted and in situ. We acknowledge that the provider/manager continues to evaluate and monitor theservice and make any changes necessary to ensure that the home continues to provide the good service that is presently offered. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Coumes Brook Cockshutts Lane Oughtibridge Sheffield South Yorkshire S35 0FX     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: Sue Turner     Date: 1 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 28 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 28 Information about the care home Name of care home: Address: Coumes Brook Cockshutts Lane Oughtibridge Sheffield South Yorkshire S35 0FX 01142862211 01142862211 none 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) : Coumes Brook Home Limited care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Coumes Brook is a purpose built care home providing personal care for up to 24 older people of both sexes. The home is located in the village of Oughtibridge. All of the accommodation provided is on the ground floor. A communal lounge, dining room and conservatory are provided. A central kitchen and laundry serve the home. Twenty one single and two double rooms are provided. All of the rooms have en suite toilet facilities. Seventeen bedrooms have en suite shower facilities. The entire home is accessible to residents. The gardens are landscaped and a patio area is provided. The home has a car park. A copy of the previous inspection report was 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. Care Homes for Older People Page 4 of 28 Brief description of the care home The manager confirmed that the range of fees from 1st April 2009 were 419 pounds to 478 pounds per week. Additional charges included newspapers, hairdressing and private chiropody. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was an unannounced key inspection carried out by Sue Turner, regulation inspector. This site visit took place between the hours of 7.40 am and 3.20 pm. The registered manager and provider is Jill Crookes who was present during the site visit. The registered manager was given verbal feedback during and at the end of the site visit. Care Homes for Older People Page 6 of 28 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 eight from staff. 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. Twelve people, one professional and four 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 2008. 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: The service provided at Coumes Brook is of a good standard and everyone involved with the home should be proud of this. So that peoples health is maintained and promoted, there should be a record kept of peoples weight gain or loss. People should be administered their medications individually, so that there is no risk of people being given the incorrect medication. The manager should carry out a full audit of staff training so that any shortfalls are identified. Staff must be provided with training in adult safe guarding and other subjects that are relevant to their work role. People should not be moved around the home in wheelchairs that do not have foot plates fitted and in situ. We acknowledge that the provider/manager continues to evaluate and monitor the Care Homes for Older People Page 8 of 28 service and make any changes necessary to ensure that the home continues to provide the good service that is presently offered. 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 9 of 28 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 28 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 following the last inspection. The information in the SUG was easy to read, informative and up to date. The AQAA said, Most people are private fee payers. The home carries out their own assessment of need prior to admission. People are invited to visit the home and have a meal prior to admission. Before people stayed in the home they were assessed by a social worker. The manager also carried out a pre assessment by visiting people in their own home or hospital. Any Care Homes for Older People Page 11 of 28 Evidence: 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. People said, I came to stay for a short holiday before I made the decision to live here. I came to look around with my family. Id heard about the home from other local people who all said it was very nice. Care Homes for Older People Page 12 of 28 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. Each person had a care plan that reflected their individual care and support needs and personal preferences. In the main, 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 three 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 to the care plans. Staff worked closely with external professionals and specialists for advice and support. Care Homes for Older People Page 13 of 28 Evidence: Access to dentists, chiropodists and opticians was available. Individual risk assessments were seen in peoples care plans. One person seen was very frail. They were being supported by the community nursing service. We asked to see the record of their weight. Their weight had been recorded in April 2009. Prior to this their weight was last recorded in September 2008. From this it was not possible to assess if the person was losing weight. There were gaps in the weight records for other people, even when the staff had acknowledged that the person was reluctant to eat. We talked to the manager about the importance of keeping a record of peoples weight, particularly when this had been identified as a risk. People seen looked well cared for and were dressed 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. A professional said, Staff take on board the advice we give to them. Some staff are better than others at carrying out our instructions. People are very well cared for. When people have returned from hospital with pressure wounds, the staff have cared for them well and the pressure areas have healed. 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. The manager said that medications were monitored each week. The manager administered medications during the site visit. We saw that she handed two people their medication at the same time. One persons medication was in one hand and the others in her other hand. We spoke to her about the risk of giving the wrong medication to people, if more than one persons medication was handed out at the same time. We also spoke to her about placing tablets in pots and not handling them. She said that the two tablets given to people were both the same and that was the reason she did this. She did however acknowledge that this was poor practise and must not continue. 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. One person said, Staff are very good at making sure we dont feel embarrassed when we are receiving personal care. Care Homes for Older People Page 14 of 28 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. In the main peoples recreational interests and needs were met. People were receiving a healthy, balanced diet in pleasant surroundings. Evidence: We arrived at the home at 7:40 am. Some people were already up and moving around, others were still in bed. People said they were able to get up and go to bed when they chose. They said there was enough staff on duty to give them help and support when they needed it. We spoke to one person who chose to spend their time in their room. They said staff respected their wishes and didnt mind bringing their meals to them each day. We saw that people 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, I choose not to participate in the activities. I enjoy doing the crossword and reading my newspaper. There are times when its really boring and nothing to do. I enjoy it when things are happening but thats not all the time. When the staff were Care Homes for Older People Page 15 of 28 Evidence: asked how the service could be improved, three people said that more outings and activities should be arranged, so that people were provided with more stimulas. When staff were asked how the service could be improved. Three staff said they didnt feel that they had enough time to spend with people individually. We observed breakfast and lunch being served in the dining room. Most people were served their breakfast on a tray in their rooms. The trays were nicely set up with individual tea pots and crockery. People said they liked having their breakfast in their rooms. They said that choices were available and staff were aware of their individual preferences. One person said that a cooked breakfast was available once a fortnight. They said they enjoyed this so much that they wished it was available once a week. We spoke to the manager about this who said that this was possible and she would arrange this. At lunchtime the dining room tables were set very nicely with tablecloths, flowers, 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. We saw one staff member assisting someone to eat, whilst stood over them. We spoke to them about the inappropriateness of this. People werent rushed making the ambience in the dining room pleasant and relaxed. People said Theres a good choice. I am very happy with the meals. Theres always plenty to eat. The food is very average. Care Homes for Older People Page 16 of 28 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. 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 was easy to understand. 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. The manager had dealt with the complaint. The issues raised in the complaint were substantiated and had been resolved to the complainants satisfaction. When people were asked Do you know how to make a complaint, they said, 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. Since the last inspection there had been no adult safe guarding referrals. The manager said that she did not have a copy of the revised South Yorkshire protocols for adult safeguarding. We advised that she obtained a copy immediately. The manager said that majority of staff had completed training in adult safe guarding. The kitchen staff, domestic staff and some new carers had not received adult safeguarding training. On Care Homes for Older People Page 17 of 28 Evidence: the day of the site visit the manager arranged for this to be completed within the following weeks.. 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 28 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 very good standard. Procedures for the control of infection were in place which promoted peoples health and welfare. Evidence: The AQAA stated, We have a refurbishment and redecoration programmme that is continual and on going. We saw that the home was maintained to a high standard. The outside grounds and gardens were pleasant sitting areas. Lounge and dining areas were clean, tidy and domestically furnished. Bedrooms were spacious and personalized. People had their own toilet facilities, some also had an en suite shower. 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 if they preferred a bath or shower. The home smelt fresh and clean. We checked the temperature of the water from the main bathroom. The water was very hot. The manager altered the thermostat, which reduced the water temperature. The manager said she would monitor the water temperature on a daily basis and also check out that the thermostat was not being altered manually. Controls of infection procedures were Care Homes for Older People Page 19 of 28 Evidence: in place. Staff were observed using protective aprons and gloves. The homes laundry was sited away from food preparation areas. The home had been awarded a 4 Star Very Good Standard of Hygiene from the last Environmental Health visit. People said, I love my room its so spacious. I was able to bring in my own furniture so its just like home. I have everything I need in my room. Care Homes for Older People Page 20 of 28 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 adequate 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 needed to complete updated and refresher training in some mandatory subjects. 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 adequate. 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 said that she was aware that staff training, in some areas, was overdue. Mandatory training in moving and handling, first aid and food hygiene had been booked for May, June and July. Staff were able to talk about the various training courses that they had attended which included fire training.They said they hadnt had any training in Dementia, which they would find valuble. The manager said she would arrange for training in Dementia to be provided. One health professional was asked Do the staff have the right skills and experience to support peoples social and health Care Homes for Older People Page 21 of 28 Evidence: care needs. They said usually. Eight staff were asked Did your induction cover everything you needed to know to do the job when you started. Three said very well and five said mostly. A number of care staff had completed the NVQ Level 2 in care and others had commenced the training. The number of staff trained fell just short of the required minimum of 50 per cent of the staff team trained to NVQ Level 2 in Care. 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 28 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 management of the home was based on openness and respect. There were effective quality assurance systems in place. Peoples finances were safe guarded. In the main peoples health and safety were protected and promoted. Evidence: The registered manager had completed the NVQ Level 4 qualification. She was also due to complete the Registered Managers Award (RMA) by September. She was 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. Staff said that they found the manager easy to talk to and they could go to her at any time to discuss issues or concerns. They said they also met with the managers formally for one to one supervision. The home owner is the registered manager. She works at the home full time and therefore she did not carry out Regulation 26 visits. People said that they and their relatives had recently been asked their opinions of the Care Homes for Older People Page 23 of 28 Evidence: home and the service provided, via a questionnaire. 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, The home is fantastic. We are very pleased with the care and attitude of all the staff at Coumes Brook. The quality of food at the home is excellent. The majority of surveys relating to resident care, management and staff and premises were scored at good or excellent. We spoke to the manager about publishing and making available a report so that people and their relatives could be assured that action was being taken as a result of their feedback. 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. 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. Whilst making observations at lunchtime we saw one person being moved around in a wheelchair that had no footplates fitted. Care Homes for Older People Page 24 of 28 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 28 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 8 12 A record of nutrition, including weight loss or gain must be kept. Any appropriate action must then be taken. To promote and maintain peoples health. 20/05/2009 2 9 13 Each persons medication must be administered individually. To ensure the safe administration of medications. 20/05/2009 3 18 18 All staff must undertake training in adult safe guarding. To keep people safe. 29/06/2009 4 25 23 The water in the main bathroom must be kept at a safe temperature. To protect peoples health, safety and welfare. 21/05/2009 Care Homes for Older People Page 26 of 28 5 30 18 Staff must be provided with training in subjects relevant to their job role. To ensure that suitably qualified and competent people are working at the home. 03/08/2009 6 38 13 People must not be moved around in wheelchairs without footplates in situ. To ensure peoples safety. 21/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 4 5 6 9 12 15 18 29 33 Medications should be handed to people from pots. A further programme of activities should be developed to include a wider and more frequent range of entertainment. Staff who are assisting people to eat should sit at the side of the person. There should be a copy of the revised South Yorkshire protocols for adult safeguarding at the home. 50 per cent of the staff team should be qualified to NVQ Level 2 or above. A report should be written detailing the results of the quality assurance survey. The report should highlight the actions that will be taken about any issues raised in the surveys. Care Homes for Older People Page 27 of 28 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 28 of 28 - 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!