Care Home: Davenham Hall

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What the care home does well Davenham Hall reviews its practice regularly and is always trying to improve the service offered to the residents living there. The home tries to be responsive and flexible and the management and staff team have looked at where they are now and where they want to be in the future. This helps to ensure that the home is able to respond to changing needs quickly, which in turn enables people to maintain as much independence as possible. A resident has written on a survey form; "The home treats me as an individual". There is a strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to a consistently excellent standard. Residents are treated with respect and dignity and we found that the staff members were able to demonstrate an awareness of the diverse needs of the people they were supporting. Positive, relaxed and warm relationships were seen to exist between residents, visitors and staff members, those people that commented all said that the manager and staff members were very good. Comments on survey forms include; "All of the staff are wonderful and very caring", "I could not be happier with the care my relative receives", "Davenham Hall is as all nursing homes should be". Routines within the home are flexible, this gives people some control over their lives and enables them to maintain their independence. There are plenty of opportunities for people to participate in social and other activities. A varied choice of meals are offered and the standard of catering is very good. We received wholly positive comments about both the choices and quality of food provided. A relative of a resident has written on a survey form; "The food always looks well presented". The home both internally and externally provides excellent facilities to the people living there. There are very high hygiene and laundry standards in operation within the home. The record keeping within the agency is being maintained to a very good standard, this helps to ensure that people`s needs are identified and addressed quickly. What has improved since the last inspection? This is the first inspection since the homes registration was changed in January 2010. This was a purely administrative change [the legal name under which it was previously registered was amended] rather than a change of owner or management. Prior to the change the home was rated as an excellent service. A number of improvements have been made since the previous inspection visit took place, these include improvements to the building, garden, activities and the records that need to be maintained. All improvements have been made to further enhance the already excellent service provided. What the care home could do better: We consider that Davenham Hall is an excellent service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the high standard of care provided to the service users at the present time is maintained and where possible improved upon. Key inspection report Care homes for older people Name: Address: Davenham Hall London Road Davenham Northwich Cheshire CW9 8LL     The quality rating for this care home is:   three star excellent 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: Paul Ramsden     Date: 1 5 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Davenham Hall London Road Davenham Northwich Cheshire CW9 8LL 01606354320 01606354324 davenham.hall@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Springcare (Davenham) Ltd Name of registered manager (if applicable) Karen Hilditch Type of registration: Number of places registered: care home 68 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of number of service users who can be accommodated is: 68 The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE Date of last inspection Brief description of the care home Davenham Hall is a Georgian manor house situated in six and a half acres of grounds overlooking open countryside. It is approximately half a mile from Davenham village centre. The main house has 31 single bedrooms and four shared rooms. There are three spacious lounges and a dining room. There are two passenger lifts and two Care Homes for Older People Page 4 of 27 Over 65 0 41 27 0 Brief description of the care home staircases providing access between the ground and first floors. Outbuildings in the grounds have been converted into a seperate unit [The Barns] to provide care for people with dementia. This has 27 single bedrooms all with en-suite facilities. The Barns has a small sitting area, large conservatory and dining room. Information regarding the fees payable for this home are available from the manager. A copy of this inspection report is avaliable upon request from the home or via the CQC website. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit took place on the 15 June 2010 and lasted for a total of seven and a half hours. Paul Ramsden and Hayley Moore, undertook the visit on behalf of the Care Quality Commission. Any references to we or us in the report refer to the Commission. All of the key standards for older people were looked at. Feedback on the findings of the inspection was given to the home manager at the end of the inspection. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before we go to the home. Survey forms were also sent to the home for service users and staff members to complete in order to find out their views. Seven resident and four staff forms have been returned; the comments are generally very positive and some of them have been included in the report. Care Homes for Older People Page 6 of 27 During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans]we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of residents, visitors and staff members were spoken with; they gave their views about the home and the service provided. Some of these comments have been quoted in the report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? This is the first inspection since the homes registration was changed in January 2010. This was a purely administrative change [the legal name under which it was previously registered was amended] rather than a change of owner or management. Prior to the change the home was rated as an excellent service. A number of improvements have been made since the previous inspection visit took place, these include improvements to the building, garden, activities and the records that need to be maintained. All improvements have been made to further enhance the already excellent service provided. Care Homes for Older People Page 8 of 27 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information and opportunities to visit before moving in are available and peoples care needs are assessed before they go to live at Davenham Hall. Evidence: The home provides a range of information to prospective residents; these include a brochure and a combined service user guide and statement of purpose which are sent to people at the enquiry stage. This states; We fully appreciate that the decision to enter a residential care setting may have been a difficult decision for you and the purpose of this guide is to give you relevant information to enable you to make an informed choice. You should view more than one home and ask questions. No home should object to unannounced visits. The documents available are comprehensive and well thought out and should provide sufficient information for anybody who is thinking of moving into the home. As stated above a copy of the service user guide and statement of purpose is given to everyone prior to moving into the home so residents and their families can look at them whenever they want to. People are free to visit and Care Homes for Older People Page 11 of 27 Evidence: look around Davenham Hall prior to choosing to live there if they want to; they can also stay for a meal and have a trial visit before deciding. If they have any queries they can contact the manager, deputy or senior staff members. The home spends significant time and effort in planning that any admission to the home is personal and well managed; prospective residents are treated with dignity and respect for the life changing decisions they need to make. Pre-admission assessments demonstrating that the residents individual needs had been assessed in an accurate and consistent way had been carried out for the five people whose files were looked at. The homes deputy manager or the Barns unit manager usually carry out the assessments and will visit people in their own home, another care home or hospital to gather the necessary information before admitting someone. This provides an opportunity to make sure the home can accommodate the person and their individual needs. The assessments focus on achieving positive outcomes for people and prospective residents and their families are involved in this process. Where applicable copies of information provided by the Local Authority is also obtained prior to admission. This provides background information as to the reasons why a move to the home is needed and is very useful when combined with the homes own assessment. Intermediate care is not provided at Davenham Hall. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of residents are clearly identified in their care plans to make sure their needs are met in the way they prefer and there is a very good standard of record keeping to show that this is happening. Evidence: The Hallss deputy and the Barns team leader or deputy are responsible for drawing up a residents plan of care. The content of the care plans we looked at were of an excellent standard and provided staff members with detailed information about each persons needs and how these should be met whilst still promoting independence. The care plans are kept up to date with a review every month, or more often if required. Staff write a daily report about each person and in general these provided a good record about how the person had been that day and what care had been given. Appropriate risk assessments, for example, falls, were also in place so that staff members knew what to do to minimise risks to people. The care plans also showed that the health needs of residents are monitored, with input from health professionals being sought when needed. Good records are kept of Care Homes for Older People Page 13 of 27 Evidence: visits from doctors, dietician, chiropodist, continence adviser and others as required. Equipment is in place to help prevent people from developing pressure sores and to ensure that those who are not mobile can be moved safely. The manager told us that she is able to buy whatever equipment is needed for the care of residents. One of the family members we spoke to told us that following discharge from the hospital their relative needed the input of a speech therapist in order to help to start chewing food again. This was dealt with promptly and effectively. A small number of people required bed rails to protect them from the risk of falling out of bed. A full risk assessment was in place for each person, and this had been reviewed monthly. Bed rails were fitted safely and protected with padded covers to make sure that people did not become trapped in them. Nurses and care staff work to a high standard in order to ensure that residents receive the care they need. Those we spoke to had a good understanding of the people they were supporting and were able to meet their diverse needs. A key worker system is in place [This is a system used in the majority of homes and involves particular staff members working more closely with certain residents]. Some visitors told us that they were always made to feel welcome and that communication from the home about their family members was very good. The people who live at the home and their visitors we spoke with were very satisfied with the personal care provided at Davenham Hall, comments included; Carers are very good. It was seen throughout the visit that residents were being treated with courtesy, respect and good humour by staff. They were seen to be mixing with people in an appropriate way, knocking on bedroom doors before entering and addressing them according to their wishes recorded on the care plans. All personal care is carried out in the privacy of a residents bedroom or one of the bathrooms. Policies and procedures in relation to medication are in place. We looked at the arrangements for the ordering, storage, administration and disposal of medicines in both parts of the home. Medicines are administered using a blister pack system provided by a local pharmacist. The arrangements for the administration of medicines were looked at during this visit; we found that people were receiving their medication as prescribed. The home manager audits the medication system every two months. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are able to choose how they spend their day and regular activities are available so people can stay active. The food is of a high standard with plenty of choice so people can have a varied diet to keep them healthy. Evidence: Residents were able to move freely around the home and a choice of sitting areas was available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example, times of rising and retiring, whether or not to join in with planned activities and where to spend time and with whom. The residents and visitors spoken with made a number of positive comments during the inspection. One of the people we spoke to said; We would rather be at home. However, I couldnt manage anymore and as far as it goes this place is really good. Residents meetings are held on a regular basis. The home employs two activities co-ordinators for a total of fifty hours per week. Their roles are to work with residents both on an individual basis or in groups. We could see there was plenty of social stimulation for people who live at the home and there were various events advertised on noticeboards around the home. A summer fayre was due to be held on the Saturday following our visit. A new mini bus which Care Homes for Older People Page 15 of 27 Evidence: enables people to go out has been provided since the previous inspection. We received a number of positive comments from residents,visitors and staff members about the quality of the events organised. There is a monthly communion service in the home and some residents also have personal visits from other members of the clergy. Relatives are asked to help compile a personal profile for each person so that the staff know about their past lives and interests and can provide more personalised care for them. There is a hairdressing salon and a small shop in the newly opened part of the building, and residents are able to make appointments with the hairdresser. All bedrooms have television aerial and telephone connection points. Wall mounted televisions are provided for all residents of The Barns. The bedrooms we looked at had been personalised with peoples own belongings to make them look more homely. Links with the local community are maintained and people are free to come and go from the building if they are able to. Meals can be eaten in the main dining room or in the privacy of a residents own room. There is a menu that has the flexibility to meet individual needs and choices and the residents spoken with confirmed that the food they were eating was very good and that choices were available. One person told us; The food is excellent. Special diets can be provided if needed. There were relatives visiting the home throughout the day of our visit. The manager said that there are a number of visitors who come every day and have meals at the home. These are people who have a husband or wife living at the home. Hot drinks for visitors are available in large flasks The kitchen area was seen to be clean and well organised. Main meals are taken to The Barns in a heated trolley. There is also a small kitchen on the unit where drinks and snacks can be made or meals can be reheated for people who miss a mealtime. When they come to live at the home people are asked to complete a preference questionnaire and these were seen in the care plans. This gives the staff information about what time people like to get up and go to bed and what foods they like and dislike. The information about food preferences is shared with the kitchen staff to help make sure there is always a suitable meal choice for each person. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. Adult protection training is provided for staff in order to ensure the continued safety of residents.There is a clear complaints procedure for people to use to raise concerns about the home and there is a policy for safeguarding adults so that people living at the home are protected from abuse. Evidence: There is a written complaints procedure for the home; this is displayed in the entrance area and is also included in the combined service user guide and statement of purpose. The ethos of the home is that it will deal with any complaints/suggestions positively and will learn from them. The home has a safeguarding procedure in place that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. Training records showed that everyone working at the home has received training about safeguarding vulnerable people so they know what to do to make sure the people who live there are protected from abuse. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Davenham Hall is very well maintained and there is suitable equipment provided so that people live in safe, pleasant and very comfortable surroundings that suit their needs. Evidence: A tour of the premises was undertaken; this included communal [lounge/dining room]areas and a number of bedrooms. Davenham Hall both externally and internally is maintained to a high standard. The people living in the home told us that the standards of hygiene and cleanliness were good all of the time. The manager told us that she is able to purchase whatever equipment is needed for the care of residents. The home employs a full time maintenance person which helps to ensure any issues can be dealt with promptly and the high standards can be maintained. There is an on-going programme of refurbishment and a complete refit of the main kitchen is due to be undertaken in the near future. The bedrooms seen were personalised by the people living in them and a lot of people had brought in many personal items, including furniture to make their stay more comfortable. Profiling beds, which are specialist beds giving additional comfort to people who are Care Homes for Older People Page 18 of 27 Evidence: frail and which help to prevent pressure ulcers are provided where necessary. Further aids and equipment, for example, hoists in the bathrooms are provided for people who need assistance with personal care. The home has two passenger lifts to allow access between floors. The home is surrounded by open countryside and has a large duckpond. There are also well-tended gardens. This gives a very pleasing outlook for residents and some of the people we spoke with said how much they enjoy going out in the garden in the summer. Since the previous inspection visit the garden for The Barns has been completed, this includes a pitch and putt course. The home has a full time gardener which helps to ensure that the gardens are maintained to a high standard. The laundry within the home is well equipped and good systems are in place for the care of peoples clothes. It was clean, tidy and very well organised and we think it is a credit to the staff who work there. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members work positively with residents and families to improve the quality of life of residents living in the home and a robust staff recruitment process is in place to protect residents from possible harm. Evidence: Staffing levels at Davenham Hall are very good and few staff members leave to work elsewhere. As a result people living in the home receive continuity of care from people they know well. On the odd occasions that an agency has to be used then the same agency and same staff members are used. Any agency workers are taken through a checklist of procedures etc before they are allowed to work in the home. The staff members spoken with were very positive about the home and told us that they thought a high quality of care was being provided. A staff member has written on a survey form; The staff are very dedicated and class Davenham Hall as one big family, nothing is too much trouble. Another person has said, There is good communication and team work. We found the staff members to be cheerful and friendly and the residents/visitors spoken with were complimentary about their attitude and competence. A residents relative has written on a survey form; My family member is settled and happy and the staff are her friends. In addition, the home provides work placements for nursing students and care students. Care Homes for Older People Page 20 of 27 Evidence: The manager, activities co-ordinators and separate ancillary staff such as kitchen and laundry staff members are in addition to the nursing and care staff members on duty at any one time. This means that there are always plenty of staff on duty to meet the various needs of the people living in the home. The nursing staff members employed at the home were undertaking continuous training as part of the professional requirement for them to do so. According to the AQAA 16 of the 39 care staff members are either qualified to National Vocational Qualification [NVQ] level 2 or 3 in care, a recognised qualification for people working in the care profession or are working towards this. The staff files seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. The homes manager confirmed that all new staff are checked against the SOVA list and that a satisfactory CRB disclosure must be obtained before employment commences. The management team at Davenham Hall consider that the recruitment of good quality staff members is an integral component in delivering an excellent service. The result of this is that the current team have the skills, knowledge and experience to meet the diverse needs of the residents. New staff members undertake a thorough induction training programme which meets the Skills for Care Induction Standards. We were able to see the induction record used. A newly appointed staff member explained her induction to us; she said it was very thorough and had included her working a number of shifts on a supernumerary basis. She also told us that she was really enjoying her new job and could not ask for anything better. Some of the induction is completed with senior staff at the home; the rest is carried out with two trainers employed by the company that runs the home. These trainers are also responsible for delivering some of the mandatory training for existing staff. Davenham Hall provides a range of training courses for staff members; these include, safer manual handling, first aid, adult protection and fire safety. The staff members spoken with confirmed that regular training was readily available. The manager keeps a comprehensive training matrix so that she is fully aware of what training is due and who needs to undertake it. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being very well run and managed on a day to day basis, this helps to ensure that there is a happy and well-motivated staff team and residents receive a consistently high quality service. Evidence: The manager is a registered nurse with considerable previous experience of managing care homes. She has been in post for four years and said how much she enjoys working at Davenham Hall. The deputy [she has worked at the home for 19 years], plus the unit manager and deputy in the Barns are also qualified nurses; they support the manager in the running of the home. This is a very strong and committed team who work hard to ensure that the quality of care provided is maintained at as high a level as possible. Residents and family members that commented said that the homes management team were approachable and supportive. A staff member has written on a survey form; I think the homes management meets the needs of the residents and the staff as well. A resident has also written; The management are always friendly and always approachable. Care Homes for Older People Page 22 of 27 Evidence: The managers hours are supernumerary to the staffing rota but she but often works alongside the staff providing care for people who live at the home. This enables her to observe how staff are providing care and to make sure peoples needs are being met in the way they prefer. There is a good team spirit with quite a number of staff having worked at the home for several years. The manager is keen to maintain this ethos and new carers recruited to work in The Barns spend some time working in the main house during their induction period so that they get to know the other staff. The owners of the home fully recognise the importance of a quality assurance system in order to ascertain whether residents and families are happy with the standards of care being provided. As part of this process survey forms are sent to residents and their families by the Head Office. We were able to see the results of the most recent survey on the notice board within the Barns. There is a quarterly meeting for residents and their relatives. The home did hold some cash for the residents who had requested this service or who needed some help. We found there were efficient systems in place to ensure people were safeguarded and the management of peoples monies, including record keeping was of a consistently high standard. A random sample of these monies were checked, each had a correct balance and were being well managed. All records seen were being kept securely. All staff members are supervised on a continuous basis. This helps to ensure that the high quality of care provided to residents is maintained. Any accidents are recorded and the home manager regularly audits these in order to ensure that any trends, for example, a resident having a number of falls are identified and addressed. The home has a comprehensive range of policies and procedures to promote and protect both residents and staff members health and safety. The maintenance records seen demonstrated that the appropriate service contracts were in place. These are all kept in a single file and included, the passenger lift, bathing aids, the fire alarm system and the gas and electrical installations. The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals and that drills and training were Care Homes for Older People Page 23 of 27 Evidence: also up to date. The overall standard of record keeping is very good so there are clear records to show that the home is being run in the best interests of the people who live there. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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