Care Home: Fairfield View Care Home

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What the care home does well The home benefits from the strong leadership of the registered manager who has been employed at the home for over ten years, is a registered nurse and has the Registered Managers Award. The people living in the home and relatives, spoke highly of the care and services provided and the attentiveness of the manager and all staff. Staff are clear about their roles and have been encouraged to attend training. All staff are either registered nurses or have obtained a National Vocational Qualification in Care. There are high numbers of ancilliary staff, this allows the care and nursing staff to have more time for their caring role and providing for the physical needs of the people living in the home. Staff, the people being cared for and relatives commented on the welcoming atmosphere of the home. The manager strongly believes that the daily routines of the home should be provided according to the individual concerned and that it is a home for the people living there. Activities are provided on a daily basis and are varied according to the individual and their wishes and capabilities. Outings have taken place in in the home`s mini bus and entertainers attend the home on a regular basis as well as singing provided by local school children. Religous needs are catered for with various local church people attending the home and those that are able to attend church are assisted to do so. Staff are recruited appropriately with various security checks including the Criminal Records Bureau and the Protection of Vulnerable Adults Register. The induction training is thorough and includes the importance of privacy and dignity. Safeguarding training has been provided to staff to ensure the protection of vulnerable adults and good liaison takes place with Local Authority staff and the Police. The home has Investors in People status which is a recognised award for quality. Comments from the people living in the home included: `They listen to what I have to say, there all very good, I would not stay here if they weren`t.` `I only have to ask and I`m helped or got what I want.` `I enjoy the bingo, I never played it until I came here but, I enjoy it.` `I am given a choice if I don`t like the day`s meals.` Comments from staff included: `The service works very well. It helps promote independence among the service users as well as provide quality standards of care and help the staff to develop and acquirenew skills.` `All members of staff regularly receive feedback and learning needs are discussed on a regular basis.` What has improved since the last inspection? The home has changed its name from Trough House to Fairfield View and both the Statement of Purpose and Service User Guide have been updated and are `user friendly`. Staff have received training on the Mental Capacity Act and are to shortly attend training on the Deprivation of Liberty. Each person cared for in the home now has two care plans, one is described as Person Centered, both records are very similar but have been devised in order to meet the requirements of the Local Authority. There are now more detailed records of the activities provided. As part of ensuring good communication with some of the people in the home with communication difficulties, a Visual Communication Tool has been purchased. This is in the form of large pictures and also allows the person to inform staff if they have any concerns. Staff have attended Safeguarding training and local police, who are part of the Safeguarding Team in Tameside, have given a lecture on the subject to staff. The Mental Health Team have attended the home and given a talk on the management of challenging behaviour. The home has been undergoing major renovation work. A new shower room has been installed and there are now ten en-suite bedrooms with more planned. Bedrooms have been decorated with new bedding, curtains and blinds. The number of trained staff has increased, there are currently 28 staff, 6 nurses plus the manager and 22 care staff. 19 out of the 22 care staff have a National Vocational Qualification (NVQ) at level 2 in Care and 3 staff have completed NVQ 3 in Care and the Institute of Leadership and Management. A deputy manager has been employed who is also a registered nurse. In order to ensure that the service overnight is appropriately managed, the deputy manager is going to commence working at nights and a further two registered nurses are to be employed to assist the registered manager during the day. What the care home could do better: The home consistently provides a very good service and the manager is constantly seeking how the services provided by the home can be improved. A recommendation was made to ensure that when a new person is assessed, if the home is able to meet their requirements, it should be put in writing. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fairfield View Care Home 88 Manchester Road Audenshaw Tameside M34 5GB     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: Susan Dale     Date: 0 4 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Fairfield View Care Home 88 Manchester Road Audenshaw Tameside M34 5GB 01613706719 01613708429 christine@fairfieldview.co.uk 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) : Fairfield View Care Ltd care home 29 Number of places (if applicable): Under 65 Over 65 0 29 29 dementia old age, not falling within any other category physical disability Additional conditions: 27 0 29 A minimum of 1 registered nurse must be on duty throughout the 24 hour period. No service user to be admitted to the establishment who is under the age of 55 years. The home is registered for a maximum of 29 services users to include: *up to 27 service users in the category of DE (Dementia under 65 years of age). *up to 29 service users in the category of OP (Old age not falling within any other category). *up to 29 service users in the category of PD (Physical disability under 65 years of age). *up to 29 service users in the category of PD(E) (Physical disability over 65 years of age). The manager must be supernumerary to the above stated staffing levels for a minimum of 20 hours per week. Date of last inspection Brief description of the care home Fairfield View is a care home that provides 24 hour residential and nursing care. The home is situated on Manchester Road, with bus routes close by for Droylsden, Ashton, Care Homes for Older People Page 4 of 29 Brief description of the care home Denton and Manchester. Local shops and amenities are close by. The Victorian front of the home faces onto Manchester Road. A purpose built extension has been added at the rear. Many of the rooms have en-suite facilities. Each floor has bathing and toilet facilities with specialist equipment to assist with their use. There is a large car park and disabled access at the side of the house. Bedroom accommodation is provided on three levels, including lower ground floor, ground floor and first floor and a passenger lift is available to assist mobility between floors. There are two lounges and a dining room to provide areas for social activities and any events taking place within the home. Outside the home there is an area laid to lawn which is partly covered by a gazebo during the summer months. The current weekly fees range from 377:00 pounds to 526:00 pounds dependent on the package of care required. Further details regarding fees are available from the manager. Additional charges may also be made for hairdressing, chiropody and other personal requirements. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 site visit was unannounced and took place over four hours. Prior to the site visit, information had been obtained via an Annual Quality Assurance Assessment (AQAA), which is a self assessment completed by the home that focuses on how well the outcomes are being met for the people using the service. It also gives some numerical information about the service. Surveys are provided to both the staff and a selection of the people receiving the service who, can respond anonymously if they wish. Ten surveys were returned from the people cared for in the home and six were from staff, all the responses were positive. Care Homes for Older People Page 6 of 29 A tour of the home took place and various documents and a selection of records were examined including the records belonging to the people living in the home and staff records. Various people were spoken with including the registered manager, people living in the home, relatives and staff. The last Key Inspection was on the 13th December 2006 and the last Annual Service Review was on the 15th January 2008. What the care home does well: The home benefits from the strong leadership of the registered manager who has been employed at the home for over ten years, is a registered nurse and has the Registered Managers Award. The people living in the home and relatives, spoke highly of the care and services provided and the attentiveness of the manager and all staff. Staff are clear about their roles and have been encouraged to attend training. All staff are either registered nurses or have obtained a National Vocational Qualification in Care. There are high numbers of ancilliary staff, this allows the care and nursing staff to have more time for their caring role and providing for the physical needs of the people living in the home. Staff, the people being cared for and relatives commented on the welcoming atmosphere of the home. The manager strongly believes that the daily routines of the home should be provided according to the individual concerned and that it is a home for the people living there. Activities are provided on a daily basis and are varied according to the individual and their wishes and capabilities. Outings have taken place in in the homes mini bus and entertainers attend the home on a regular basis as well as singing provided by local school children. Religous needs are catered for with various local church people attending the home and those that are able to attend church are assisted to do so. Staff are recruited appropriately with various security checks including the Criminal Records Bureau and the Protection of Vulnerable Adults Register. The induction training is thorough and includes the importance of privacy and dignity. Safeguarding training has been provided to staff to ensure the protection of vulnerable adults and good liaison takes place with Local Authority staff and the Police. The home has Investors in People status which is a recognised award for quality. Comments from the people living in the home included: They listen to what I have to say, there all very good, I would not stay here if they werent. I only have to ask and Im helped or got what I want. I enjoy the bingo, I never played it until I came here but, I enjoy it. I am given a choice if I dont like the days meals. Comments from staff included: The service works very well. It helps promote independence among the service users as well as provide quality standards of care and help the staff to develop and acquire Care Homes for Older People Page 8 of 29 new skills. All members of staff regularly receive feedback and learning needs are discussed on a regular basis. What has improved since the last inspection? What they could do better: The home consistently provides a very good service and the manager is constantly seeking how the services provided by the home can be improved. A recommendation was made to ensure that when a new person is assessed, if the home is able to meet their requirements, it should be put in writing. Care Homes for Older People Page 9 of 29 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is available about the services provided by the home and the assessment process ensures that the home is suitable for the person concerned and their individual requirements. The home does not provide intermediate care. Evidence: Information about the services provided by the home is available within the Statement of Purpose and a Service Users Guide. The home has changed its name from Trough House to Fairfield View and both the Statement of Purpose and Service User Guide have been updated with any new information including staffing and are user friendly. Any new person entering the home is assessed to ensure that the home is able to meet the individual needs. An assessment takes place either at the persons own home or hospital. An informal visit to the home can be arranged and a meal provided accompanied by any family members. Some of the people living at the home, received Care Homes for Older People Page 12 of 29 Evidence: respite care before making the decision to live at the home on a permanent basis. Equality and Diversity are taken into account and staff have attended training on the subject. The home recognises the importance of individual care. The Statement of Purpose includes reference to the homes support for any person from within the community regardless of their age, race, disability, cultural background, sexual orientation, religous faith or belief. There was evidence of a contract following an assessment; it was recommended that the home should formally put in writing that they are able to meet the needs of the individual concerned. Staff have received training on the Mental Capacity Act and are to shortly attend training on the Deprivation of Liberty. Comments included: My family visited the home and told me about it. The manager visited me in hospital before I came to the home. My family received all the information and made decisions because I was not fully with it at the time. Family dealt with it and kept renewing respite contract every 2 weeks until they got a permanent contract. The home is well known locally and everyone says it is good. Care Homes for Older People Page 13 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care requirements of the people being cared for are met by the policies and procedures operating in the home. Staff treat the people living in the home with respect and their right to privacy is respected. Evidence: The care plans belonging to six persons residing in the home were examined, three required nursing care. The details seen included risk assessments, a social history and liaison with other health professionals. There was evidence of choice and individual wishes with regard to personal care. Signatures had been obtained where possible and there was evidence of reviews as well as a key worker review. The key worker obtains as much detail as possible about the background and social history of the individual concerned. The assessment and care plans provide clear information about how to care for the person in accordance with their preferences, wishes or known routines. Care Homes for Older People Page 14 of 29 Evidence: Separate files contained the daily records and the current care plan. A record of weight had been maintained and a record of nutrition and fluid intake is maintained for those persons at risk of weight loss and also for those requiring positional turns. Each person has two care plans, one is described as Person Centered, both records are very similar but have been devised in order to meet the requirements of the Local Authority. The medication records and storage were examined and found to be suitable and up to date. The medication is administered by seven nursing staff. The deputy manager regularly audits the medication records and there is an annual review carried out by the local Primary Care Trust pharmacist. A monitored dosage system is dispensed by the pharmacist and checked by staff. A controlled drugs cupboard is used to store any controlled drugs and there is a dedicated fridge for medication that needs refrigerated storage. Staff are taught the importance of privacy and dignity at induction and were observed to be respectful and gentle with the persons cared for. The surveys returned from the people living in the home showed they are very happy with the care provided and comments included the following: There is always someone there when I need them; I do not have to wait long. When I had Flu, I got a Doctor straight away and cough linctus. Staff comments included: All staff are given daily reports and told of any changes. All members of staff are aware that they must report any concerns immediately to the nurse in charge. Provides holistic care to all service users, which meet their needs and provides optimum quality of life. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The daily life, social activities and meals are provided according to the individual requirements, wishes and abilities of the people cared for in the home. Evidence: The home employs an activities co-ordinator five afternoons a week but, she was unavailable on the day of the site visit. At the last key inspection there was a recommendation that the activities co-ordinator should keep more detailed records of the activities provided and this has been put into place. At the initial assessment a record is kept of any hobbies or interests and activities are planned around the capabilities of the individuals concerned. Activities include bingo, quizzes, gentle exercise, film afternoons, plate painting. The home has the facilities of a mini bus and there have been outings to a pantomime, Blackpool Illuminations, Buxton tea rooms, shopping and the nearby waterfront which has displays with regard to bygone times. Entertainment is also provided with an over 60s choir four times a year and local school children visit the home to sing; an entertainer also attends the home on a Care Homes for Older People Page 16 of 29 Evidence: regular basis. A Roman Catholic priest conducts communion once a week and a minister from the Church of England occasionally. One of the people living at the home is taken by a local taxi driver to the Catholic Church services. A hairdresser attends the home and the ladies were having their nails painted on the day of the visit. A chiropodist attends every six weeks, dental or optical services are annual or as required. Two visitors spoken with commented that they are made to feel welcome and are very satisfied with the care provided to their relative. Visitors are welcome at any time but are asked to avoid mealtimes. There are residents meetings on a regular basis in order to ascertain whether the food and facilities provided by the home are suitable and a record is kept of who attended and the topics discussed. Meals are provided within a pleasant dining room. A choice is provided as to where the meals are to be provided; some persons prefer to eat in the lounge in front of the TV and have a table to facilitate this, others prefer to eat in their bedrooms. There are two chefs and four kitchen assistants; both chefs have a National Vocational Qualification in Catering. A number of people living in the home were spoken with and all confirmed that the meals provided are excellent and if they do not like what is on the menu a choice will be provided. Special diets are catered for and as previously mentioned records are kept for any person who is in danger of losing weight. Staff were seen to provide assistance with meals in a discreet manner. A survey is conducted annually on the quality of the food provided. Comments from people living in the home included: I am given a choice if I dont like the days meals. I only have to ask and Im helped or got what I want. They listen to what I have to say, there all very good, I would not stay here if they werent. I enjoy the bingo, I never played it until I came here but, I enjoy it. Care Homes for Older People Page 17 of 29 Evidence: Meals are always excellent, never anything wrong with them. Im very happy here and would move if I wasnt. Ive been moved about a lot in my life and right now being settled here, Im as happy as a pig in muck. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The policies, procedures and staff training ensure that the people residing in the home are protected from harm and any concerns they have will be investigated. Evidence: The complaints procedure is friendly, clear and available to the people being cared for, their relatives and friends as well as staff. Those spoken with appeared to know who to talk to in the event of any concerns. A record on complaints is kept there have been no formal complaints made about the home in the last twelve months and there have been no concerns raised with the Commission for Social Care Inspection. As part of ensuring good communication with some of the people in the home with communication difficulties, a Visual Communication Tool has been purchased. This is in the form of large pictures and allows the person to inform staff if they have any concerns. With regard to the protection of vulnerable adults, staff have attended Safeguarding training and local police, who are part of the Safeguarding Team in Tameside, have given a lecture on the subject to the staff. All new staff are subject to a security check including the Protection of Vulnerable Adults (POVA) Register. Care Homes for Older People Page 19 of 29 Evidence: The Mental Health Team have attended the home and given a talk to staff on the management of challenging behaviour. There was evidence on the care plans of risk assessments on persons with challenging behaviour and strategies of how to deal with it. A record is kept of all accidents and incidents. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe well maintained environment for the people living in the home as well as staff. Evidence: The home has been undergoing major renovation work. A new shower room has been installed and there are now ten en-suite bedrooms with more planned. Bedrooms have been decorated with new bedding, curtains and blinds; all bedrooms are single. A tour of the home took place and all parts of the home were clean, well maintained with good quality fittings and fixtures; there were no unpleasant smells. Each floor has bathing and toilet facilities fitted with specialist equipment to assist with their use. There are two lifts and various ramps which provide access to all parts of the home as well as outside. There are a choice of lounges and a large pleasant garden with covered outside seating. There was evidence of personal possessions and own furniture within the bedrooms. A record is kept of all maintenance that has taken place and staff have training in Fire Safety. A member of staff is employed to carry out any maintenance. Care Homes for Older People Page 21 of 29 Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are cared for by staff who have been recruited and trained appropriately to protect their health and safety. Evidence: Staff spoken with confirmed that the staffing levels are good and that they never feel rushed or unable to meet the needs of the people being cared for. All the staff commented on the lovely atmosphere of the home and that they enjoyed their job, were supported by management and had lots of training. There are good levels of ancillary staff that ensure care and nursing staff are able to dedicate their time to providing a high quality of care. A number of staff files were examined and staff had been suitably recruited with checks undertaken with the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) Register. Written references had been obtained one from the last employer. The application form has been redesigned and now has far more detail. The number of trained staff is excellent, there are currently 28 staff, 6 nurses plus the manager and 22 care staff. 19 out of the 22 care staff have a National Vocational Qualification (NVQ) at level 2 in Care and 3 staff have completed NVQ 3 in Care and the Institute of Leadership and Management. Care Homes for Older People Page 23 of 29 Evidence: Mandatory training for staff includes, Manual Handling, Health and Safety, Fire Safety, Infection Control and Food Hygiene. Staff had also received training in Dementia and the Mental Capacity Act. The staff spoken with were enthusiastic about the training they had received. All staff are subject to annual appraisals and have one to one supervision. Comments from staff include: All staff are required to complete an induction booklet within 12 weeks of start date. Training is given constantly and is ongoing. No member of staff starts work before relevant checks are undertaken ie CRB. The induction process was very useful and covered all aspects of the job. All members of staff are kept up to date with training which is offered through Tameside Training Consortium. All members of staff regularly receive feedback and learning needs are discussed on a regular basis. The induction took me a long time to do but, gave me the opportunity to think about what I was doing and it linked into my NVQ. Occasional unplanned staff absences can compromise staffing numbers. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 run for the benefit of the people living there and is well managed ensuring the protection of staff as well as the people cared for. Evidence: The registered manager is the driving force within the home and ensures that the service provided is of a very high standard and that the staff are always aware that it is a home first and foremost. The approach taken places the people who live there at the centre; all their individual wishes about how the care is to be delivered are taken into account at all times. The registered manager is also a registered nurse and has obtained the registered managers award. A deputy manager has been employed who is also a registered nurse. In order to ensure that the service overnight is appropriately managed, the deputy manager is going to commence working at nights and a further two registered nurses are to be employed to assist the registered manager during the day. Care Homes for Older People Page 25 of 29 Evidence: All staff spoken with commented on how well supported they feel by the manager and the people living in the home were full of praise for the staff and the manager and the care received. There was evidence of good liaison with other professionals including the Local Authority Social Services, Primary Care Trust, GPs and the Police. There are various methods for checking the quality of the service provided. There are meetings held for both the people living in the home and their relatives and their views, wishes and preferences are discussed. Staff meetings take place on a regular basis. Surveys are provided to both the people living in the home and to their relatives. Minutes are taken and action is taken on areas of concern or on ideas for improvement. The home has been awarded Investors in People status. The home does not hold any personal allowances or deal with the finances of the persons living in the home. Relatives are billed for additional services provided such as hairdressing. Risk assessments are undertaken and seen to be reviewed on all aspects of the care provided. Records are kept of fire instruction and any fire drills. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 4 Following an assessment a letter should be written confirming that the home is able to meet the needs of the individual concerned. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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). 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