Care Home: Ecclesfold

What the care home does well Clear, detailed information is provided about the service, in alternative formats if required. People`s needs are fully assessed before they are admitted to the service for shortterm care. The managers and staff ensure that people`s independence is encouraged, with the use of re enablement plans if necessary, to support people to return home. Peoples health needs are well met with the use of health professionals visiting the service as and when required as well as a registered mental nurse visiting on a weekly basis to support people with their mental health needs. The people staying for short-term care have the benefit of being able to use the facilities of the attached day resource centre. There are activities on a daily basis as well as outings several times per week. The service has their own transport and driver. The premises are safe, clean well maintained and decorated. All areas are fully accessible for wheelchair users. There is a good supply of specialist equipment to maximise people`s independence, as well as liaison with the rehabilitation team. All staff have undertaken NVQ 2 Care and some staff have completed NVQ 3 Care. There is an excellent training programme, with the use of external professionals to give talks to staff on relevant training issues. There is a low turnover of staff. All staff spoken with were very positive about working at the home. They felt supported and well-trained. All staff said that staff and managers work well together as a team. One staff member wrote in our survey, "Ecclesfold is a good place to work", and another person said, "we have a good staff team and always work well together".There were 11 surveys returned by service users that had used the service. They were all positive. Comments included, "they are lovely staff who I can have a laugh with and they make me feel at home" and "everything is well organised, staff are always available , it needs no improvement". The manager is experienced, organised and has an open, positive and inclusive approach. There is an excellent quality assurance and quality monitoring system, involving service users throughout the process. Service users are consulted about all aspects of the day-to-day running of the service. What has improved since the last inspection? Ecclesfold has been fitted with Telecare in two bedrooms. This allows people to trial equipment that may help with their independence when they return home. Medication cabinets had been fitted in individual bedrooms to promote independence. There is a weekly medication check that the manager use to monitor the standard of medication administration. The bathroom and toilets have been re decorated with the service users choosing the colour scheme. A large flat screen TV has been purchased for the day centre which can be used by people staying for short-term care. New flooring has been fitted in several areas. A new profiling bed has been purchased. Staff have received re enablement training and additional training is planned on falls prevention. An extension of partnership working with the community psychiatric nurse has enabled service users to have additional health checks and assessments. Several deputy managers have completed a four day dementia course and staff have also attended dementia care training and had a presentation on the National DementiaStrategy by the Alzheimer Society. What the care home could do better: During the last inspection in 2006 the service was assessed as excellent. There has been further improvements since that time. The manager and staff continue to strive to develop the service in any way that they can. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ecclesfold Manchester Road Chapel en le Frith High Peak Derbyshire SK23 9TJ     The quality rating for this care home is:   three star excellent 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: Jill Wells     Date: 2 6 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 27 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 27 Information about the care home Name of care home: Address: Ecclesfold Manchester Road Chapel en le Frith High Peak Derbyshire SK23 9TJ 01629531013 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) : eccles.fold@derbyshire.gov.uk Derbyshire County Council care home 6 Number of places (if applicable): Under 65 Over 65 6 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Ecclesfold provides respite care in a six-bed unit as part of a Resource Centre, which includes day care provision and support to a housing complex. The six-bedded respite care unit can be independent of the day centre, however service users usually prefer to spend the day in the centre and eat with day care service users. Ecclesfold is situated on the outskirts of Chapel en le Frith and the home provides transport to local amenities. Charges for respite care range between £108.10-£344.82 depending on a persons capital. Care Homes for Older People Page 4 of 27 Brief description of the care home There is a range of prices for short term care service users. 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: The quality rating for the service is three star. This means the people who use the service experience excellent quality outcomes. The inspection visit was unannounced and took place over 6 hours. There were 4 people staying at the home on the day of the inspection. 2 service users, 3 staff, and the manager were spoken with during the visit. We also looked at all the information that we have received, or asked for, since the last key inspection on the 4 July 2006. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. Care Homes for Older People Page 6 of 27 The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection report. Completed surveys from people living at the home, staff, relatives and professionals that visit. Case tracking was used during the inspection visit to look at the quality of care received by people staying at the service. 2 people were selected and the quality of the care they received was assessed by speaking to them, observation, reading their records, and talking to staff. What the care home does well: What has improved since the last inspection? Ecclesfold has been fitted with Telecare in two bedrooms. This allows people to trial equipment that may help with their independence when they return home. Medication cabinets had been fitted in individual bedrooms to promote independence. There is a weekly medication check that the manager use to monitor the standard of medication administration. The bathroom and toilets have been re decorated with the service users choosing the colour scheme. A large flat screen TV has been purchased for the day centre which can be used by people staying for short-term care. New flooring has been fitted in several areas. A new profiling bed has been purchased. Staff have received re enablement training and additional training is planned on falls prevention. An extension of partnership working with the community psychiatric nurse has enabled service users to have additional health checks and assessments. Several deputy managers have completed a four day dementia course and staff have also attended dementia care training and had a presentation on the National Dementia Care Homes for Older People Page 8 of 27 Strategy by the Alzheimer Society. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 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. Peoples needs are fully assessed prior to admission so the individual and the home can be sure the placement is appropriate. People were given information and choice to ensure that their needs and preferences were catered for. Evidence: The annual quality assurance assessment completed by the manager said that each person that stays at the service has an assessment of their needs completed before being admitted. The person visits the service and their needs are further discussed during the visit. Staff identify any re-enablement tasks that can promote the persons independence. Staff consider with the person whether any aspects of Telecare, a system to promote independence when they return home, could be used on a trial basis during their stay that they could then have fitted at home. Each person receives a letter confirming that the service can meet the persons individual needs. An end of stay review is completed to check how the stay has gone and to consider whether any Care Homes for Older People Page 11 of 27 Evidence: referrals are required for equipment to assist the person at home. Information about the service was accessible in different languages and could be written in braille if required and a translation service can be used. During the inspection visit a service file was seen in the lounge for people to read. This was in large print and had photographs of the service. The file was very informative, giving a history of the site, services provided and a list of items that could be made available on request for example a radio, tea making facilities, extra pillows and blankets. There was a visitors policy explained. The file said that all documents were available on tape. There were also magnifying glasses available. It stated that people could have a glass of alcohol if they wished. Three peoples files were seen. Each person had a detailed assessment of their needs and a care plan written by the care manager from Social Services. A person was due to be admitted that day as an emergency and the service had already obtained a written assessment of their needs. A person spoken with said that when they first came they visited for the day, and then had a trial visits overnight. They said that they were made to feel very welcome and given a lot of information about the facilities. The deputy manager was spoken with who was responsible for admitting new people. She explained that on arrival people were asked if they wanted a key to their bedroom, and their food likes, dislikes and preferences were discussed. They were asked how they would like the layout of their bedroom and whether they wanted a lamp, additional chair and commode. They were also offered the option of blankets rather than a quilt. 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. Peoples health and personal care needs are well met and the principles of respect, dignity and privacy are put into practice. Evidence: The annual quality assurance assessment completed by the manager said that each person had a personal service plan, taking into account maximising their independence and giving them choice and dignity. The service user had signed the personal service plan that they agreed with the content and that it would meet their needs. Each person was allocated a key worker. People were asked whether they would prefer assistance from a male or female carer, giving them choice and dignity. People were encouraged to self-medicate. They had increased their partnership working with the mental health services to enable the service to move with the National Dementia Strategy. It also said that staff were broadening their skills and knowledge around reenablement tasks, working closely with the community rehabilitation team. During the inspection visit every file that was seen had a personal service plan in Care Homes for Older People Page 13 of 27 Evidence: place. These were very detailed and individualised. They highlighted each persons abilities as well as the areas that they required assistance. They also recorded peoples preferences concerning personal care and routines. The manager said that as well as all the relevant equipment to promote peoples independence, people were asked if they had other equipment at home, for example a perching stool to help them wash at the sink, and if so this was provided. Records showed that people were regularly offered support to have a bath. A resident spoken with said that they liked a bath every evening and had been assisted with this whilst at Ecclesfold. There were records of contact with GPs and other health professionals. A resident spoken with said that they had been feeling poorly and had been given a lot of attention from staff. Whilst they were in bed they were checked every hour. After a fall staff had suggested an ambulance but this was declined and their wishes were respected. They were encouraged to see a GP, and one had been called for them. They said that when they pressed the call bell, staff came quickly. A chiropodist visited the service on a fortnightly basis to see people in the day service, and anyone staying for short-term care could also see the chiropodist during this visit. There was a registered mental nurse who was at the service for one day per week. The nurse was present during the inspection visit. He said that he worked with people with a diagnosis or potential for a dementia type illness. He worked with staff to support them to meet the needs of people with any behavioural issues. He felt that staff were open to new ideas and approaches and the managers were approachable. He felt that the staff team used his knowledge and skills well. Each person had a nutritional assessment. A person spoken with could not eat a number of food items due to a health condition. They were very pleased with the alternatives that had been provided. Peoples weight was recorded on admission and discharge. There were records of action taken if there was concern regarding a persons weight. The manager explained that one staff member was particularly skilled and took responsibility for peoples hearing aids. Since the last inspection visit the service has provided medication cupboards in each persons bedroom. They were assessed on admission as to whether they can self medicate, or need support with their medication. Independence in this area is encouraged where possible as people needed to return home. The manager also believed that this promoted individuals dignity. A Telecare aid was made available to individuals that may find this useful at home, to promote their independence with self medication. Medication administration records were completed by staff for service users that needed assistance. The temperature of the medication storage was monitored. All managers had completed the NVQ medication unit. Staff spoken with were very aware of the importance of promoting privacy and dignity and placed a high emphasis on respect. Care Homes for Older People Page 14 of 27 Evidence: Care Homes for Older People Page 15 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. The range of activities and outings was excellent, which met the needs and wishes of people living at the home. People were encouraged to exercise choice and control over all aspects of the service provided. Evidence: The manager said that service users needs, choices and preferences were at the forefront of Ecclesfolds philosophy. There was a quarterly Ecclesfold bulletin giving news, information and keeping service users informed of changes and coming events. Ecclesfold was a member of NAPA, an organisation to support care services in providing activities. A deputy manager had completed the Active in Age course, and two people were competent in chair-based exercises. There was a wii console to promote more interactive activities. Residents staying at the service for short-term care benefited from being offered the activities and outings that were taking place as part of the day care facilities within the service. The service had their own transport and driver. People were offered the opportunity of several trips per week. On the day of the inspection visit people went out to a country park, whilst others preferred to stay at the service. There were also regular shopping trips to the local town. There were activities taking place throughout Care Homes for Older People Page 16 of 27 Evidence: the day. People could choose to take part if they wished to. One person said that they would rather spend time in the quiet room and staff respected this. Another person spoken with said that they very much enjoyed the opportunity for shopping and other trips, and missed this when they returned home. The staff team worked hard to maximise peoples capacity to exercise choice. People were encouraged to request alternative ways of doing things, for example eating their meals in another area. Local papers were provided on tape as well as a large print TV guide and book tapes. There was a quiet room, and this had various religious text available. This area could be used for people to have visitors. One person like to see the local priest in this room. Drinks facilities were available and there was a do not disturb notice that could be used. People spoke highly of the food. One person said that, the food is excellent and another person said that, nothing was too much trouble for staff at mealtimes. The service was presently promoting a healthy eating campaign and there was information displayed about this. There were also activities linked to the campaign including fruit tasting from around the world and reminiscence about food that they used to eat. There was a meals comment book that could be completed after each meal time if people wished to. There were some very positive comments in this book and evidence that ideas made had been taken up. Care Homes for Older People Page 17 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. People who use the service are able to express their concerns and are protected from abuse. Evidence: The annual quality assurance assessment completed by the manager said that everyone was given a short-term care information pack and the complaints procedure was in this pack. There was information displayed at the home on how to make a complaint. This included the address and telephone number of the Care Quality Commission. There were three low-level complaints recorded at the home. These records showed that all complaints were taken seriously and dealt with appropriately. The safeguarding adult policy was displayed at the home. Staff spoken with were aware of the content of this policy as well as there responsibilities under the whistleblowing policy. Managers had received training Mental Capacity Act and Freedom of Information Act and were in the process of raising awareness in these areas for care staff. One person wrote in our survey that, I dont feel the need to ever complain. Care Homes for Older People Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well-maintained and comfortable environment, which encourages independence. Evidence: The annual quality assurance assessment completed by the manager said that improvements in the last 12 months include redecorating the bathrooms and new pictures and mirrors, new non slip flooring in the toilets, small kitchen, laundry and hairdressing room. The main office is now sited at the entrance of the service as a first contact for service users and visitors. The room previously used as an office is being changed into a room for meetings, one to one work, training and resource area for staff. The environmental health officer visited the service in February 2009. Their report stated, high standards well done. A sensory audit of the environment has taken place, involving a specialist as well as service users with a sensory loss. The bedroom clocks have been upgraded, menu display changed and coloured borders around mirrors in bathrooms to assist people with sight impairment. A similar audit for people with hearing loss is planned. After seeking advice from a dementia specialist they had changed some flooring colours to minimise confusion. During the inspection visit the service was seen to be very clean, well maintained and decorated. Every month a staff member and service user completes a housekeeping Care Homes for Older People Page 19 of 27 Evidence: audit with a record of their findings reported to the manager. People staying for shortterm care can use the day care resource centre seven days per week if they choose to. They can choose to eat in the large dining area with daycare visitors, or in the smaller lounge on the short-term care side of the building. There was an wheel chair accessible garden area. Risk assessments had been completed concerning this area. The service was entering the Derbyshire County Council gardening competition. A reminiscence garden was planned. There was a greenhouse for any service users wishing to use this with support. New furniture was delivered on the day of the inspection visit. The manager said that these had been chosen by service users. There was a hairdressing room. This room was also used by the chiropodist. The hairdresser was available five days per week. There was an information board on display giving a great deal of information concerning the service, health advice and community services. There was a comments and suggestions box. There was an assisted bath as well as a domestic bath for people that preferred this. Although there was not shower facilities within the service, a shower was available within the connected warden service next door if someone preferred this. There were grab rails and other aids in corridors, bathrooms and toilets. They have purchased a third profiling bed. There was also a hospital bed available. As discussed previously Telecare could be used as a trial for people during their stay. Two bedrooms had been fitted with this equipment as a pilot. It had proven so successful that fitting the equipment In an additional bedroom was planned. Everyone stated in our surveys that the home was always fresh and clean. One person spoken with said that their bedroom was very comfortable Care Homes for Older People Page 20 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. The recruitment practices and staff training programme were very good and ensured that people were protected by competent, well-trained staff. There were sufficient numbers of staff to support the people who use the service. Evidence: The annual quality assurance assessment completed by the manager said that there was a low staff turnover and all staff apart from new starters had completed NVQ 2 Care which should be commended. Three staff had completed NVQ 3 Care and two staff were in the process of completing this award. Staff rotas showed that there were two staff on duty to support short-term care service users and 3-4 staff on duty for the rest of the day depending on the needs of service users. There were two staff on duty in the evening when daycare residents left. At night there was one night care worker and a manager available. There had recently been given an additional admin post of 20 hours per week which would free managers to further support staff and service users. Three staff were spoken with during the inspection visit. They all felt that there were sufficient staff on duty to meet peoples needs. They confirmed that they had undertaken all mandatory training as well as additional training, including end of life care and a dementia course run by the Alzheimer Society. All new starters completed the Skills For Care induction. A staff member said that this was very good for new Care Homes for Older People Page 21 of 27 Evidence: starters. A new worker said that they did three weeks of training in total and then they were shadowing an experienced worker for three weeks in total before they could work on their own. There was a morning meeting which included all staff. This meeting was to discuss the needs of people within the service, any changes, and information about the service users that were due to be admitted. A staff member said that this meeting was excellent and they were always encouraged to read care plans as well as attend the meeting to ensure that they had all the information that they required to meet someones needs. Two staff files were seen. These showed that safe recruitment practices were being followed. Staff had been given copies of the Gen Social Care Council code of practice, and this was also displayed at the home. Several comments were received from staff in our surveys. These included, staff and managers work well together, I dont think we can improve anything and we have regular staff meetings to keep staff up-to-date and a comprehensive range of training available for all staff. Another person said that Ecclesfold is a good place to work. All staff communicate well and we try to make sure that people enjoy their stay. Service users spoken with were very positive about staff. One person said, its excellent here, it is run very well, staff are patient and come quickly. Another person said, I cant speak too highly of the staff, nothing is too much trouble. Care Homes for Older People Page 22 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 very well managed, with effective quality assurance systems, ensuring that people are listened to, fully included and involved. This ensures that the service continues to develop and improve. Evidence: The registered manager had worked at the home for a number of years. She had the Registered Managers Award as well as the Higher National Certificate in Social Care. She undertook regular training to update her knowledge and had recently attended training in the Mental Capacity Act and Deprivation of Liberty. She had also completed a Springboard course for her own personal development. Other courses recently attended included, Providing Effective Supervision and General Risk Assessments For Managers. She also encouraged deputy managers to attend relevant training. There were clear lines of accountability and every deputy manager had a specific responsibility within the service. The managers approach was open, positive and inclusive. She ensured strategies were in place for enabling staff and service users to Care Homes for Older People Page 23 of 27 Evidence: influence the way in which the service was delivered. As well as a daily meeting there were also monthly staff meetings and consultation meetings with service users. The manager places a high emphasis on equal opportunities ensuring that outside professionals are used for advice and guidance when required. There were effective quality assurance and quality monitoring systems in place. These were based on consulting and fully including service users in day-to-day decisions about the service. There was a monthly meeting with service users. This was used as a consultation exercise. Several National Minimum Standards were highlighted during each meeting and service users were asked their views as to how the service met the standards, and how they could improve. Any comments were acted upon where possible. The manager had good systems to ensure that all servicing was up-to-date. All accidents were recorded and reported. Risk assessments were carried out for all safe working practice topics and regularly reviewed. Record showed and staff confirmed that they received supervision on a monthly basis. This was more than the minimum standard recommended. Staff spoken with said that they found these useful. A staff member commented in our survey that, all staff are treated fairly and teamwork is good. Records were well organised and in good order. The service manager was completing reports after an unannounced visit, however these were not always on a monthly basis. However the manager confirmed that the service manager visited regularly and was supportive. 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 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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