Care Home: Darsdale

Similar services:

• Applegarth
• Thornham Grove
• Hunter`s Lodge
• Conifer Lodge
• Manor Court
• 92 Black Prince Avenue
• Agnes House
• The Manor House

What the care home does well A tour of the home showed that the place is clean and homely. The home has areas decorated in different colours with contrasting hand rails, and has tactile floor changes to help with orientation. The home has a beautiful sensory garden that is accessible to the people to use in the summer months. The people and their relatives are given information about the home. One relative told us when they visited the home, `it looked clean` and `I was very pleased with the room` and `staff were nice`. The families say that they are `happy with the care provided` for their relatives. It was also said that the staff keeps them informed of any changes in their relatives needs. All the people tell us that `food is nice`. We were told that `we have two options to choose from` and `we can choose something else to eat if we do not like what is on the menu`. We were also told that `the staff are very kind and helpful`. The people say that they like their bedrooms and the rooms seen were individualised to meet the needs of that person. The people do activities in the home and enjoy this. The staff tell us that they enjoy working at the home and it was said `I like working with the residents`. The staff tell us that they work very hard to meet the needs of the people and say that they get very good care. They say they get lots of training to help them meet the people`s needs. They were observed talking and listening to the people in a kind manner. We were told that they get good support from the manager. What has improved since the last inspection? The requirements from the last inspection had been met. The medication of management had been improved. The lounge floor carpet had been relayed and fitted better to keep the people safe. A new carpet had been replaced in the red corridor. Care plans were being reviewed and the people and their families were being involved where this was possible. The sensory garden was officially opened on the 21st of May 09. Risk assessments were also being reviewed regularly and all the documents were being signed and dated by staff. What the care home could do better: Ensure that the information about residential and day care fees is recorded in the Statement of Purpose. This is so the people know what the charges are for staying at the home. The audio announcement system should be installed in the lift. This is so the people know what floor they are on. Provide cooling fans that meets the peoples needs when the weather is hot. Provide more stimulating activities to meet all the people`s needs. Provide regular `residents meeting` to listen to their views about how the service is meeting their needs and any other issues that they need to know about the home. Ensure that a staff member is available in the communal area to assist the people with their needs. Provide staff at least supervision 6 times per year to monitor their practice in how they are looking after the needs of the people. Key inspection report Care homes for older people Name: Address: Darsdale Chelveston Road Raunds Northants NN9 6DA     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: Ansuya Chudasama     Date: 0 9 0 7 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 30 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) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Darsdale Chelveston Road Raunds Northants NN9 6DA 01933622457 01933389399 Sue@nab.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Northamptonshire Association for the Blind care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 30 The registered provider may provide the following categories of service only: Care home - (PC) To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Sensory Impairment (SI) Date of last inspection Brief description of the care home Darsdale is a residential care home providing personal care for 30 older people over the age of 65 years. The home is registered for people who have a diagnosis of sensory impairment. Northamptonshire Association for the Blind is a charitable organisation that owns Darsdale Home for the Blind. The home is set in large and pleasant grounds on the outskirts of the small town of Raunds.There are bedrooms on both the ground and first floors of the building. A lift provides access to the first floor bedrooms. All the people have accommodation provided in single rooms and twenty four of the Care Homes for Older People Page 4 of 30 Over 65 27 3 1 2 0 2 2 0 0 9 Brief description of the care home rooms have en-suite facilities with a toilet and hand basin. There are different specialist baths on both floors that the people use with support from staff. The home operates a mobile shop service every Friday when day to day products can be purchased. A portable telephone that the people can use in privacy is available upon request. The home has its own vehicle for the use of outpatients appointments and social excurisions. There are no restrictions on visitors but they are asked to sign the register upon entering and leaving the building. The fees for residential care range from three hundred and ninety six pounds per week. Nineteen pounds per day is charged for day care. The cost of dry cleaning, using taxis, hairdressing, chiropody, telephone lines, newspapers, some social excursions, personal items and toiletries are not included in the weekly fee. The latest inspection report and the Statement of Purpose and other information about activities and events are displayed on the notice board near the front entrance of the home. Care Homes for Older People Page 5 of 30 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 carried out in accordance with the Care Quality Commission policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. At this inspection we had an Expert by Experience person. This is a person who, because of their shared experience of using services and or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. Their feed back is also used in this report. The report refers to we this is because the report is written on behalf of the Care Quality Commission. Care Homes for Older People Page 6 of 30 We last inspected this service on the 12th of February 09. This key unannounced inspection was carried out on the 9th of July 09. The registered manager assisted with the inspection process. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them wherever possible to obtain their views on the service. We also spoke to some of the other people who live in the home. Documentation relating to staff recruitment, training and supervision, medication administration, complaints and health and safety were also examined. We had the opportunity to talk to some of the staff who were on duty. We also spoke to some relatives, and friends of the people living at the home to find out their views on how the home was meeting the needs of the people. A full tour of the home was also conducted. The fees for residential care range from three hundred and ninety six pounds per week. Nineteen pounds per day is charged for day care. The cost of dry cleaning, using taxis, hairdressing, chiropody, telephone lines, newspapers, some social excursions, personal items and toiletries are not included in the weekly fee. Information on the cost for these services can be obtained from the home. The homes Statement of Purpose, the last inspection report, forth coming activities and other information are displayed in the reception area for people to access. Care Homes for Older People Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: Ensure that the information about residential and day care fees is recorded in the Statement of Purpose. This is so the people know what the charges are for staying at the home. The audio announcement system should be installed in the lift. This is so the people Care Homes for Older People Page 8 of 30 know what floor they are on. Provide cooling fans that meets the peoples needs when the weather is hot. Provide more stimulating activities to meet all the peoples needs. Provide regular residents meeting to listen to their views about how the service is meeting their needs and any other issues that they need to know about the home. Ensure that a staff member is available in the communal area to assist the people with their needs. Provide staff at least supervision 6 times per year to monitor their practice in how they are looking after the needs of the people. 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 9 of 30 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 30 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. Needs assessments are carried out for all the people admitted to the home to ensure that the home will be able to meet their needs. Evidence: The homes Statement of Purpose, the last inspection report and other information is displayed in the reception area for people and their relatives to access. Information about the charges for residential and day care service needs to be included in the Statement of Purpose. The people spoken to tell us that their family had chosen the home for them to live in. Families spoken to told us that they were given information about the home when they visited the place. One relative told us when they visited the home, it looked clean and they were very pleased with the room and staff were nice. One person told us that they had visited the place and liked it. We were told that they had heard Care Homes for Older People Page 11 of 30 Evidence: about the home and wanted to live at this home. The peoples files looked at showed that needs assessments had been carried out by the home before a person came to live at the home. This was to find out if the home was able to meet their needs. The people have a contract, which gives them information about their rights and responsibilities with the home. Some of the people signed their own contracts. Families spoken to confirmed that they had signed the contract on behalf of their relative as they were not able to do this. Care Homes for Older People Page 12 of 30 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 peoples personal and health care needs are met by the home. Evidence: We looked at two peoples care plans in detail and discussed the peoples care needs with staff on duty. The staff showed that they had very good understanding of the care needs of the people. Evidence showed that these plans were being reviewed on a monthly basis. One of the plans seen had the relatives signature to confirm that they agreed with the care provided. The peoples questionnaires completed by families stated that they were aware of their relatives care plans. The care plans we saw clearly set out peoples support needs and preferences in receiving personal care. We observed staff interaction and noticed that they talked to people in a respectful manner and were careful to preserve their dignity. The people we spoke to informed us that the staff knocked on their doors and maintained their privacy and dignity when doing personal care. We observed one staff closing a persons door whilst they were getting changed. We were also told that the Care Homes for Older People Page 13 of 30 Evidence: hairdresser comes to the home and they have their hair done, which they enjoy. All the people we spoke to informed us that they would tell staff if they are not feeling well. One visitor we spoke to informed us that they visit their relative regularly. It was said that the staff looks after my relative well and said that their health and medical needs were being met. It was also said that the staff kept them informed of any changes that took place in the persons health needs. This was confirmed by talking to other relatives. Evidence in the care records showed that people are offered support for their physical and emotional health needs. There were records of general practitioner, and hospital appointments, and people have access to the opticians, dentists, and other health care professionals. Compliment letters read showed that families were happy with the care provided at the home. The senior staff at the home gave out medication and had received the accredited training. We were told before a staff member gives out medication, they shadow a member of staff until they feel confident to carry out this activity. We observed staff giving out medication and this was given by talking to the people. They also wore a yellow band when giving out medication. This was so they would not be disturbed or asked to help out with other chores, and to minimise them from making a mistake with medication. We were told by staff that this was working well. There were medication profiles for each person and these had been updated. One person in the home self medicated and a risk assessment was carried for this activity. The home had controlled drugs and these were kept in the controlled drugs cupboard. The medication records seen were being signed by staff and medication checked was satisfactory. The medication cream when opened had the date and signature of staff. The fridge temperatures were being recorded. Advice was sought from the GP for home remedies used by the people and this was kept in their rooms. There was PRN medication guidelines. When this was given the information was being recorded and signed and dated at the back of the persons medication record. The home had procedures in place for returning medication not taken by the people to the pharmacist. This was good. Most of the staff spoken to had done the training on dying and death. We were told that experienced staff on duty would support new care staff to carry out this task. There was information recorded in the peoples files about their last wishes so the home knows what to do. A range of risk assessments are in place that enables the people to take risks as part Care Homes for Older People Page 14 of 30 Evidence: of an independent lifestyle. Care Homes for Older People Page 15 of 30 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. Meals served are nutritious and plentiful with a menu which changes each week so that the people have a balanced diet with choices Evidence: The expert by experience person interviewed five people living in the home to see how they are being looked after by staff, and how they were being involved in the running of the home. They also looked at meal times and activities that are carried out to provide stimulation for the people. Below is a summary of those interviews: The first 2 people interviewed said that the staff were very helpful and they were well looked after, the food was nice and they liked their rooms. They said the staff leads you to where you want to go or you can use the handrails if you want. They did say that the hand rails are used a lot by the people. It was also said the staff are very busy but will help you when it is needed they take you to bed, give you a wash and then sort out your clothes for you. They help you have a bath twice a week and if you ask they will shave you everyday. Overall they thought that Care Homes for Older People Page 16 of 30 Evidence: they were well looked after. One of the people said that they had a care plan but they were not sure what was in it. When asked about residents meetings and being involved in the running of the home, one person said that in the 2 years that they had lived at Darsdale there had only been 2 meetings. We were told that there was a part time entertainment officer who would soon be going full time, and all activities were communicated verbally to the people and also displayed on a notice board. There are plenty of activities if you want to take part including board games, card games, bingo, dominos, quizzes, singers come in sometimes and also a one man band. There is also an option of having a TV and radio in your room if you want and you can have audio books from the library every 3 weeks. They told us you are unable to go out of the premises without assistance but both people were happy as there was a mini bus belonging to the home and they sometimes go on day trips. They have been to the garden centre and even on a boat trip. They said meal times were ok, and they were happy with the choice of food available and said that you always got dessert. The staff helped at mealtimes by cutting up the food, and getting drinks. The people were aware of how to make a complaint if they were not happy with any aspect of their care. Both people seemed very happy with their care and felt that they had the choice over what they did and how they do it. We were then guided to a lounge and introduced to the next 2 people. One person said that most of the staff were very helpful, kind, considerate and had a lot of patience. However they did feel that there was times when the home is short staffed, particularly at night when there were only 2 staff members on duty. They also felt that there should be a staff member in all communal rooms at all times to assist the people rather than them having to call out for help. The person has lived at Darsdale for a year and there has only ever been one residents meeting where they were able to discuss their issues and concerns. Both people felt that there werent enough activities and that they were not being Care Homes for Older People Page 17 of 30 Evidence: done on a regular basis. They sometimes had a quiz or played games. They are able to get audio books from the library and if they receive letters the staff will offer to read them out to them. One person wanted to stress that this is one of the best homes in the area and that they had fought to get a place. Their aunt had lived at Darsdale and they used to visit her. They had seen the home from both a residents perspective and also as a visitor. If was felt that the food was very good quality and served at the right times but they would sometimes like more of an option for dessert. They said that if you needed assistance at meal times you only had to ask the staff and they would be happy to help. They were aware of what was in their care plan and were happy that it was reviewed on a regular basis. They were also aware how to make a complaint if they were not happy. They found the building easy to get around but said that they would prefer the signs on the notice board to be in large print so that they could read them for themselves. The last interviewee has lived at Darsdale for many years. The person is deaf and blind the manager helped us interview the person by using touch sign language. The person told us that they found the staff very caring and loving. Due to their age they no longer take part in group activities but did tell us that if they wanted to then they could. When they were younger they would go out into the garden by themselves, play card games and do crosswords. They told us that they would much rather have some company than do activities. The person no longer attends the residents meeting as they are unable to participate but has a key worker who helps out with any problems, and also has regular reviews to discuss their care plan. The person is happy with the choice and quality of the food and if they dont like it then they will have a salad instead. They said that she didnt need any assistance with their food but if they did then one of the staff would help. We sat with the people at meal time and sampled the meal which was very tasty. One relative spoken to said that they too have had meals at the home and said the food was very nice. The meal was eaten in a relaxed atmosphere with staff talking to the Care Homes for Older People Page 18 of 30 Evidence: people and encouraging them to eat in a kind manner. It was good to see a member of staff having their lunch sitting with the people on most tables. All the people spoken to said that the food cooked is lovely. One person told us if they dont like what is on the menu and, if I want something different I only have to ask. We were told that two options are offered at meal times. The meals recorded were healthy and staff had good understanding of the peoples likes and dislikes of food and this information was recorded in their files. The people also had the choice to have the meals in the dinning rooms or in their own room. The people told us that they liked their bedroom, and each persons bedroom seen was individualised to their taste. Some people enjoyed spending time in their rooms as they preferred this. Most of the people in the home maintain contact with their families and friends. The families spoken to say they are happy with the home and with the care provided to their relatives. It was said that the staff were very nice and caring. The home has an activity person and they worked 3 days a week. We were told by the manager that this was going to increase to five days a week. On the day of the inspection a group of people were observed playing a board game in the morning. The home bought a new water machine. This was because in the hot weather they are able to have cold water for the people as and when required. Care Homes for Older People Page 19 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff have good understanding of the peoples behaviours to ensure they are protected from any potential harm. Evidence: The home has a complaints policy, and the procedures for making a complaint is recorded in the service user guide and displayed on the notice board. The homes records were inspected and evidence showed that no complaints have been received since the last inspection. Most of the people spoken to were aware of how to make a complaint. They told us that they would tell the manager, staff or their family if they had any concerns. Families spoken to informed us that they would tell the staff or the manager if they had any concerns. However it was said by the people and families spoken to that they had none to make as they were happy with the care provided. The staff spoken to informed us that they had completed the safe guarding of vulnerable adults procedures training. One new staff had not done this training but they had good understanding of this and understood the peoples behaviours to know if they were unhappy or not feeling well. They were due to carry out this training. The home has not made any referrals to the safe guarding team of social services. Care Homes for Older People Page 20 of 30 Evidence: The peoples finances inspected showed that the balance was correct and this was managed well. Care Homes for Older People Page 21 of 30 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 provides specialist aids and equipment to meet the needs of the people. Evidence: The inspector and the Expert by Experience person were given a tour of the building and the grounds. The people and relatives spoken to said that the place is always clean and homely. The handrails along all walls are in a contrasting colour to the wall, and there is a change of carpet texture when approaching corners and fire doors to help with orientation. Some signs are in Braille but most people do not read Braille and prefer verbal communication. The red route had new carpet put in and looked very plesant. The flooring in the green unit needed replacing as this was showing signs of wear and tear. The blue unit was also showing signs of needing to be decorated. This was confirmed by talking to staff and the people. This was discussed with the manager and it was stated that they would discuss this with management. We were told that the bedrooms were decorated when they became empty. The carpet in the lounge was relayed and was safe for the people to use. We were told Care Homes for Older People Page 22 of 30 Evidence: that in the summer months it gets very hot in the lounge areas. The standing fans were not safe to use due to people tripping over them. The people all have their own chairs that they sit on in the lounge to make it easier for them to find a chair to sit in as well as ensuring that the right people are using the chair that best suits their need. The toilets are unisex with the signs in Braille, one of which is wheelchair accessible. This room used to have a bath but this was taken out and now the toilet meets the peoples needs. All the peoples doors have embossed numbers on them, making it easier for them to identify if they are at their own door or not. The building is in a square layout, which makes it more difficult for the people to get lost. Most of the peoples rooms have en-suites (with a toilet and a basin), which are fitted with alarms and rails. There are only communal special baths fitted as all current people require assistance during bathing. There is a lift installed to take a person to the 1st floor, once the doors open an alarm sounds to advise the person that it is safe to enter/ exit. Inside the lift the ground floor button has a raised surface on it to help the people to identify the correct floor to select. At the top of the stairs there is a gate on a spring that shuts automatically so that there is no risk of any people falling down the stairs. A new sensory garden was recently opened and currently has no handrails; the manager is currently getting feedback from the people to ascertain whether or not they want the handrails installed. The sensory garden has raised flowerbeds, scented plants, a safe water feature and a tactile floor that is in contrasting colours to divide the seating areas from the walkways. The rest of the garden has handrails all around the perimeter and is wheelchair accessible. All the bedrooms seen were individualised to the people and those spoken to tell us that they like their rooms. Care Homes for Older People Page 23 of 30 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 staff have good understanding of the needs of the people to ensure their care needs are met. Evidence: The staff recruitment files were looked at in detail. Evidence showed that the home was obtaining all the relevant information required to safe guard the people in the home. This was also confirmed by talking to new staff that had started work at the home. Staff files inspected and staff spoken to said that they had received an induction at the home when they started work. They also completed the skills in care induction training. The staff told us that training was very good. Over 50 of staff had NVQ level 2, 0r 3 training in care and 5 staff had started this training in care. We were told that the deputy manager also had the Registered Managers Award certificate. The staff spoken to had also completed training in medication, safe guarding of vulnerable adults procedures, manual handling, first aide, infection control, dementia care, and food hygiene. All the senior staff had completed palliative care through distant learning. All staff had received fire awareness training in November 08 and a refresher training was taking place on the 3rd and 9th of November 09. We were told Care Homes for Older People Page 24 of 30 Evidence: that training on sensory impairment was taking place on the 26th and 27th of October for all the staff. The manager informed us that training for staff was on going and this was observed in the training sessions list for 2009. Care Homes for Older People Page 25 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of the people to ensure their needs are met. Evidence: The manager of the home is experienced and competent to run the home well. She has NVQ training in level 4 in health and social care. She also has the Registered Managers Award. The manager informed us that they enjoyed working at the home. The people spoken to informed us that the manager was very good. The staff spoken to said that the manager was very supportive and listens to them. The comments received from relatives stated that the staff were very nice and very caring. It was said that the manager was very professional and has moved the home forward and modernised it. They also found her to be approachable and very good for the home. Full marks were given for the way she had managed the home. The home had recently sent out satisfaction questionnaires to the people to find out their views about how they viewed the home was meeting their needs. A few Care Homes for Older People Page 26 of 30 Evidence: questionnaires had been returned but the home was still waiting for the rest to come back. The comments received were very positive about the care being provided by the home and there were areas that needed improving. The home also needs to undertake a questionnaire survey of the staff, families, and other professionals involved with the home to find out their views of how the home is meeting the needs of the people living at the home. Discussion with staff and staff records showed that they were receiving supervision but it was not happening at least six times a year. The accident and incident records show that these were being recorded appropriately. CQC were being notified of incidents that adversely affects the health and wellbeing of the person under regulation 37 notifications. The finances of two people were looked at in detail. This was well managed by the home and the balances checked were correct. The fire alarm system was being tested on a weekly basis. The emergency lighting was done on a monthly basis. We were told that fire drill practice was also happening and they had one recently. All staff except the new ones had received fire training in November 08. The Environmental Health Officer had visited the home and gave the home three stars, which is good. Care Homes for Older People Page 27 of 30 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 28 of 30 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 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 1 Ensure that the information about residential and day care fees is recorded in the Statement of Purpose. This is so the people know what the charges are for staying at the home. Provide more stimulating activities to meet the needs of all the people Provide regular residents meeting to listen to their views and to inform them what is happening in the home. The minutes from the meeting should be displayed for all to see. Ensure that there is a staff member available in the communal room to assist the people with their needs. Provide information in large print so the people can read the information. Provide cooling fans that meet the needs of the people in the hot weather. The audio announcement system should be installed in the lift. This is so the people know what floor they are on. 2 3 12 12 4 5 6 7 12 12 19 19 Care Homes for Older People Page 29 of 30 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 30 of 30 - 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!