Care Home: Fairhaven Residential Home

Similar services:

• Flint House
• St Vincents
• The Cotswold Home
• Fairways
• Winton House
• Treloar College
• Rush Court

What the care home does well The service has clear admission procedures that helps to ensure that only people whose needs can be met at the home are admitted. There are detailed plans of care for each residents and these were clear and easy to follow, they gave staff the information they need to provided the care that people need and in the way that residents preferred. Care plans contained detailed risk assessments, which help staff minimise any identified risks to residents. The home provides care and support to enable residents to live fulfilling and meaningful lives. Residents are given choice in their day-to-day lives as much as possible with appropriate support provided by staff at the home. There is a flexible staff team who support residents in their day-to-day lives and they are treated as individuals and with dignity and respect. Meals in the home are good and offer a choice at meal times and there is a varied diet. Residents told us that the food was good. What has improved since the last inspection? Since the last inspection there have been a number of improvements made, the lounge and hallways have been re decorated, a bathroom has been refurbished, new chairs have been purchased for the lounge, a new stair lift has been fitted, a new stand aid has been purchased, new hoists have been provided in bathrooms and a new drugs trolley has been provided. The manager explained that the new providers have further plans to improve the homes environment and are considering an extension in the future. What the care home could do better: There was 1 requirement made as a result of this visit and other points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report, general observations were; The general fabric of the home is satisfactory, however the manager acknowledged that there are certain areas of the home that would benefit from upgrading and decoration. There are no hand washing facilities in the laundry and there is a need for clear signs to be in place to direct staff to the nearest hand washing facilities. Recording in care plans provide information on care delivery, however the monthly review notes do not provide any evaluation on how the care plan is working for the individual resident and these would benefit from more information to provide information on progress of lack of it as the case may be. At the last visit the home was required to obtain a suitable controlled drugs cabinet and the home has purchased a cupboard for this purpose, however it was not clear if this new cupboard complies with the Misuse of Drugs (Safe Custody) Regulations 1973. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements and the registered persons must check that the cupboard meets these requirements. The registered manager informed us that the providers visit the home regularly, however she agreed that formal recording is not carried out on each visit. The registered persons must ensure that visits are carried out to comply with regulation 26 of the care home regulations 2001 and these visits must be recorded and appropriate records kept. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fairhaven Residential Home 3 High Park Road Ryde Isle Of Wight PO33 1BP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mick Gough     Date: 1 8 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: Fairhaven Residential Home 3 High Park Road Ryde Isle Of Wight PO33 1BP 01983568929 01983568929 tracey.sansom@fairhavencarehome.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: H & W Coastal Ltd care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 21. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Dementia (DE) Physical disability (PD). Date of last inspection Brief description of the care home Fairhaven is an extended detached house in a residential area of Ryde within reasonable walking distance of all amenities. Fairhaven is registered to provide care and accommodation for a total of twenty-one people over the age of sixty-five years. Care Homes for Older People Page 4 of 29 Over 65 0 21 0 21 0 21 Brief description of the care home The home is on two levels and stair lifts enable access to all areas. With the exception of three twin bedrooms all bedrooms are for single occupancy, some bedrooms have en-suite facilities. The home also provides day care up to five people per day and has two bedrooms designated for respite care arranged via social services. The home is owned by H and W Coastal Ltd and managed by the registered manager Mrs Tracy Sansom. At the time of the visit weekly fees range from 370 pounds to pounds 453 per week but this is depenant on the assessed needs of individuals and a full range of up to date fees are available from the home. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report details the evaluation of the quality of the service provided at Fairhaven Residential Home and takes into account the accumulated evidence of the activity at the home since the last Key inspection, which was carried out on 1 April 2008. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA) which was provided to us by the home prior to the visit. Included in the inspection was an unannounced site visit to the home, which took place on the 18 March 2009. For this visit the inspector was assisted for part of the inspection by an Expert by Experience (this is a person who, because of their shared experience of using services, and or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service). Evidence for this report was obtained from reading and inspecting records, touring the Care Homes for Older People Page 6 of 29 home and from observing the interaction between staff and users of the service. The expert by experience spent time talking to residents, staff and visitors to obtain their views on how the service was meeting the needs and expectations of residents. It was also possible to speak with 3 members of staff the homes manager. The home is registered to provide support for 21 residents and at the time of the inspection there were 19 people at the home. What the care home does well: What has improved since the last inspection? What they could do better: There was 1 requirement made as a result of this visit and other points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report, general observations were; The general fabric of the home is satisfactory, however the manager acknowledged that there are certain areas of the home that would benefit from upgrading and decoration. There are no hand washing facilities in the laundry and there is a need for clear signs to be in place to direct staff to the nearest hand washing facilities. Recording in care plans provide information on care delivery, however the monthly review notes do not provide any evaluation on how the care plan is working for the individual resident and these would benefit from more information to provide information on progress of lack of it as the case may be. At the last visit the home was required to obtain a suitable controlled drugs cabinet and the home has purchased a cupboard for this purpose, however it was not clear if Care Homes for Older People Page 8 of 29 this new cupboard complies with the Misuse of Drugs (Safe Custody) Regulations 1973. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements and the registered persons must check that the cupboard meets these requirements. The registered manager informed us that the providers visit the home regularly, however she agreed that formal recording is not carried out on each visit. The registered persons must ensure that visits are carried out to comply with regulation 26 of the care home regulations 2001 and these visits must be recorded and appropriate records kept. 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 9 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 10 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. No one moves into the home without having their needs assessed. The home does not provide intermediate care. Evidence: The home carries out an individual needs assessment prior to residents moving into the home and there is a clear admission process and assessments were on file at the home and were looked at for 3 users of the service; Assessments were made using a needs assessment form and residents were visited by the homes manager before they moved into the home. Care management assessments were also on file. Assessments included information on; Personal Details, brief life history, hobbies, interests, likes, dislikes, washing, bathing, dressing, care of hair and nails, oral health, eating and drinking, food preferences, communication, sight, hearing, mobility, continence, mental state and cognition, awareness, behaviour, sleep patterns, self esteem, medication, observation, any know risks, spiritual needs, Heath and physical abilities and any special requirements or needs. We were told that the initial assessment forms Care Homes for Older People Page 11 of 29 Evidence: the basis of the residents plan of care and the completed AQAA told us that a thorough assessment takes place and that the prospective resident, their family, friends and social worker are all involved in the assessment process. Intermediate care is not provided at the home. Care Homes for Older People Page 12 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. Residents health, personal and social care needs are set out in a plan of care and staff have the information they need to provide the support that residents need and in the way they prefer, however better recording of monthly reviews would benefit residents. Risk assessments in care plans provide clear information for staff on how identified risks can be minimised. The home has a satisfactory system for administering medication, however the home needs to confirm that the storage arrangements meet the legal requirements. The health care needs of service users are met and service users at the home are treated with dignity and respect. Evidence: Care plans were inspected for 3 residents and these had information on; Medical history, likes and dislikes,social and emotional needs, family support, social interests, hobbies and interests, cultural needs, preferred time of getting up and going to bed, monitoring required, behaviour, mobility, communication, personal care needs, sleep routines, eating and drinking, elimination and safety and awareness. Care plans were simple and easy to follow and each section was colour coded. The plans gave staff clear guidance on what care was needed and how care should be delivered, there was Care Homes for Older People Page 13 of 29 Evidence: information on any aids that may be required and staff spoken with told us that the manager had changed the care plans and the ones currently in use were much easier to follow and provided them with the information they needed. One care plan seen had good information on how the service users communicated and informed staff what different body language was used and how to interpret this. Daily recording takes place to provide details of care delivery and care plans were reviewed monthly, however, review notes did not always provide information on how the care plans were working. Review notes seen had very little information and they would benefit from more information and evaluation on how the care plan has been working and should provide information on progress of lack of it as the case may be. All of the care plans seen had risk assessments in place and provided good information for staff on the identified risk and also gave staff information on how any risk could be minimised. Residents at the home are registered with two different GP surgeries and they may keep their own GP if possible. Community Nurses are provided through GP surgeries and they call into the home on a regular basis. A visiting optician service calls at the home and there is also a visiting chiropodist. The manager informed us that she was having difficulty in finding a dentist who would visit the home but told us that any treatment could be obtained from a local NHS dentist or from the local hospital. Residents spoken with said that they were well treated at the home and the completed AQAA told us that residents health care needs were met and that individuals plans of care ensured that residents were well looked after. Medication procedure at the home have been reviewed and the home has purchased a new medication trolley and the keys are kept locked away when not in use. We found that all staff who are authorised to administer medication receive appropriate training. The home uses a monitored dose system provided by a local pharmacist and there are clear routines in place for the receipt storage and disposal of medication. Medication administration records were checked and these were in order with no gaps. At the last visit the home was required to obtain a suitable controlled drugs cabinet and the home had purchased a cupboard for this purpose, however it was not clear if this new cupboard complies with the Misuse of Drugs Safe Custody Regulations 1973. In brief, the requirements for CD storage are; Metal cupboard of specified gauge Specified double locking mechanism Fixed to a solid wall or a wall that has a steel plate mounted behind it Care Homes for Older People Page 14 of 29 Evidence: Fixed with either Rawl or Rag bolts Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements and the registered persons must check that the cupboard meets these requirements. Staff were observed interacting with residents appropriately and they were seen to treat them with dignity and respect. The staff at all times had positive social interaction with the residents. The Manager told us that the residents are treated as individuals and this was evident throughout the visit. Carers were seen to support residents in a discreet and friendly way and the residents seemed to be very well treated by caring staff. One resident said, Im quite happy another said Im happy as it is. One said the staff were pretty good. The atmosphere seemed homely despite the large lounge area, several were chatting at times and as a result of residents request there were two cats in the home and the manager told us that these were a very welcome addition which had proved popular with residents. Staff were heard to use residents preferred form of address when talking to them and staff were seen to knock on residents doors before entering. It was clear from observing staff supporting residents that they got on well together and their was a pleasant atmosphere in the home. 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 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 range of activities for residents and the religious and recreational interests of residents at the home are provided fo, however more activities for residents with dementia would be beneficial. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and they are provided with a balanced diet in pleasant surroundings at time convenient to them. Evidence: The home does not employ an activities co-ordinator and staff are responsible for the majority of activities provided at the home, however an independant arts company provide activities twice per week. There were no activities going on during the visit. The Manager explained that this is an area which the home wants to develop and she is already in touch with the Alzheimers Society to gain some ideas. We were told that the activities normally take place in the afternoon, when things are quieter. The manager told us that staff organise a range of different activities for residents, these include; board games, skittles, jigsaws, memory games, knitting, crosswords, manicures, and gentle exercise. We observed residents in the lounge watching TV with the sound on low and they seemed content. One day-care lady said she played the piano and would play if there were a keyboard. One lady said, I get a paper Care Homes for Older People Page 16 of 29 Evidence: occasionally. None of the residents could offer any suggestions for other activities. No residents at any time were agitated. One carer took the arm of a resident for a walk in the garden at an unrushed pace and the staff member told us that the resident loved his little walks. Another resident joined them later on the patio for a sit and a chat. The Manager told me that one resident liked to go shopping at a local supermarket once a week with a carer. A hairdresser comes in regularly and the carers do the manicures. Carers said that residents likes and dislikes were on their care plans and we were able to confirm this on the plans seen. The manager informed us that one resident has a nun who visits her once per week, but that other residents had not expressed any particular religious interests, however she told us that the home would arrange for residents to be supported to attend any religious services if they so wished. The homes completed AQAA told us that residents enjoyed the activities provided and that the majority of residents take part. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway. On the day of our visit there were no visitors apart from two Care Learning Support Training Advisers for NVQ training. They both said it is always all nice and calm at the home with good staff. Residents were observed to be free to choose where and how they spent their time and there were no restrictions imposed upon them. We observed staff supporting residents and they were able to make informed choices and are able to control their own lives as much as possible. Several residents said that they liked to stay up late, whereas others, went to bed at 6.30pm. A tour of the home showed us that a number of residents had bought some of their own possessions into the home and rooms had been personalised. The Cook was very much part of the home, as the kitchen is off the lounge and dining area. She was heard frequently singing a happy tune through the open door. There was a stair gate in the doorway to keep the cats out of the kitchen. The Cook showed us a book of well balanced homely four weekly menus. She told me that her pies were home made and in the main, fresh vegetables were used. The meal on the day of the visit was roast lamb, brussel sprouts, cauliflower and roast potatoes followed by a strawberry jelly sponge with ice-cream or pouring cream. Residents are asked on the day on a Main Choice Sheet what they prefer out of two alternatives and can even ask for something different for their supper like scrambled egg, ham or cheese on toast. Hot drinks were seen to be served in the morning and we were told that they are offered at other times of the day. The Cook showed us a sponge cake, which she was going to ice and fill for a residents oncoming birthday. All the residents who were asked said that they had enjoyed their lunch and had no other suggestions for other menus. One resident said the meal was lovely, another said, I enjoyed the lunch. One resident said to another, It was wonderful. One resident said, the meals have all been very good. Another said the meals were quite good. One mentioned when asked, we Care Homes for Older People Page 17 of 29 Evidence: dont really get much fresh fruit, although there was fresh fruit on the menus seen. Tables were laid up with cutlery, table mats, drink mats and beakers of orange squash or water. Meals were unhurried and staff were seen to provide suitable support for two or three residents who were helped with their meals on trays in the lounge area. The Manager and the cook mentioned one resident who didnt like to come out of his room and who liked to eat little and often. To encourage him to eat, they had provided him with a picnic box with cheese, grapes, biscuits etc so he could help himself to eat when he felt like it. 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. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures protect service users for any form of abuse. Evidence: The home has a clear complaints procedure, which contains all of the required information and there is a complains log where any complaints made to the home are recorded, together with the actions taken to investigate and the homes response. The manager told us that there is a copy of the homes complaints procedure in every residents room and that copies are also given to families. None of the residents spoken with had any complaints. One resident said, If I had a problem I would talk to one of the carers or the Manager, another said I am satisfied, there are no problems at all. Staff members spoken to were aware of the complaints procedure and said that they would support anyone to make a complaint if they wished to do so. The homes completed AQAA told us that there had been one complaints made since the last inspection and this was recorded in the complains log at the home. Staff receive training on adult protection and the home has a whistle blowing policy and also a copy of the Isle of Wight Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place. One carer said that if she saw any abuse she Care Homes for Older People Page 19 of 29 Evidence: would call the telephone number on a poster about Elderly Abuse inside the front door, and talk to the Manager if there were any problems. The manager was fully aware of her responsibilities in this area. 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. Residents live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities, they are provided with the specialist equipment they require and generally the home was clean, pleasant and hygienic and free from offensive odours. Evidence: We conducted a tour of the building and this included all communal areas of the home including bathrooms, toilets and lounges. The kitchen and some bedrooms were also seen. All areas of the home were clean and tidy and furniture was in a good state of repair. The atmosphere was homely, calm and friendly. Some areas of the home looked a bit jaded, but the part time maintenance man was seen painting the upstairs landing and said, there have been a lot of good changes since the new owners took over and the place is a lot brighter now. The manager told us that a great deal of work has been carried out in the home to improve the appearance and fabric of the home. Improvements have been made since the last inspection and items of furniture and carpets have been replaced and the lounge area was pleasantly arranged with 2 different sitting areas each with a TV. Residents told us that they liked living at the home and that it always looked nice. Infection control procedures were observed to be followed and there were alcohold gel dispensers situated around the home to help control the spread of infction and staff Care Homes for Older People Page 21 of 29 Evidence: were observed to be using these throughout the visit. The laundry at the home contains 2 washing machines and a tumble drier. Care staff at the home carry out laundry tasks and they told us that suitable protective equipment is provided. The laundry area did not contain any hand washing facilities, however there was alcohol gel available for staff, the manager agreed to put up a sign to indicate where the nearest hand washing facilities were situated. We observed that there was an odour in the laundry area which could be coming from the drains, we spoke with the manager and the handyman who told us that the smells come and goes and that they are currently investigating what is causing the problem and we were told that any action that may be needed to sort out the problem would be taken as soon as it was identified where the smell was coming from. 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. Staffing numbers and the mix of staff currently meets the needs of service users. Staff morale was good and there was a good rapport between service users and staff. Service users are protected by the homes recruitment procedures and the home provides training for staff to enable staff to support service users effectively Evidence: The homes staff rota was examined and this showed that the home aims to provide 4 members of care staff on duty between 8am to 2pm between 2pm and 8m there are 3 care staff on duty and between 8pm and 8am there are 2 members of care staff on duty who are both awake throughout the night. In addition to the care staff, there is a cleaner who works between 0730 to 1230 Monday to Friday, a cook who works 30 hours per week, Monday to Friday and also a handyman who works flexibly 16 hours a week. The manager works full time in addition to the care staff and is available in the home Monday to Friday and also at weekends when required. We observed residents using their call bells during the visit and these were answered promptly. Staffing numbers were discussed with the homes manager and we were told that at present she felt that staffing levels were sufficient. However she will continue to monitor staffing levels based on residents needs. The home employs a total of fifteen care staff, and of these ten already hold a minimum of NVQ level 2 and the other five are working to achieve National Vocational Care Homes for Older People Page 23 of 29 Evidence: Qualifications. The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 3 staff members and records seen for all staff members included; application form, references x 2, Criminal Record Bureau and Protection of Vulnerable Adults checks, Photo, medical questionnaire, birth certificate, passport interview notes and job description. The homes completed AQAA told us that recruitment records were robust and we were able to confirm this on the day of the visit. We discussed staff training with the manager and she stated that there is a comprehensive training programme for all staff, she showed us a training matrix which showed that staff had completed training in; adult protection, fire safety, moving and handling, first aid, dementia training, infection control, food hygiene, health and safety, challenging behaviour, introduction to mental health, mental capacity act training, care file training, personal care, continence management mobility and nutrition. Training is provided by a local training service who supply video training with questionnaires and these are then sent off to the trainers for marking and if successful a certificate is issued. Staff told us that the training provided was very good and that they were given the training they needed to carry out their roles effectively. Each staff member also had a training action plan which provided details of when any refresher training was needed. Moving and handling training is provided by the manager who has completed a train the trainer course to enable her to give this training to staff. Staff training records were inspected and these confirmed that staff are provided with suitable training. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements in place at the home are satisfactory and the home is operated in the best interests of residents. Quality assurance procedures are in place, however monthly visits by the registered provides are not recorded in accordance with Regulation 26 of the care home regulations 2001. Service users financial interests are protected by the homes policies and procedures and the health, safety and welfare of residents and staff are protected by the arrangements in the home. Evidence: The management arrangements in place at the home are satisfactory and the manager has been running the home for over 2 years, she has completed NVQ4 in care and also the registered managers award. She told us that she attends regular training to update her skills. There is a Visitors to the Home Questionnaire with seven different questions next to Care Homes for Older People Page 25 of 29 Evidence: the Visitors Book at the entrance to the home and the homes manager stated that satisfaction surveys are sent out to residents and relatives and she intends to send out surveys to GP surgeries, district nurses and care managers to obtain their views on how the home is meeting residents needs. Staff meetings are held and residents are spoken with on a one to one basis by the manager and staff to get their views about the home. One of these one to one sessions identified residents wishes to get a cat for the home and the home has subsequently got two cats which are very popular with residents. We were informed that the providers visit the home regularly, however Regulation 26 visits are not always recorded, the last recorded visit was in October 2008. The manager told us that visits take place but agreed that formal recording is not carried out on each visit. The registered persons must ensure that visits are carried out to comply with regulation 26 of the care home regulations 2001 and these visits must be recorded and appropriate records kept. The home does not manage any residents financies however the home does keep some personal spending money for residents. The manager keeps clear records of all monies held and all transactions are recorded to provide a clear audit trail. Money is kept separately in the safe at the home and we checked the balances of 3 residents and these were found to be correct. Health and Safety policies are in place and all staff members have undertaken training in health and safety. The homes completed AQAA told us that regular testing of equipment takes place and the fire log showed that all required training and testing takes place within the specified timescales. Certificates were seen for the testing of fire equipment in January 2009, Gas safety certificate in February 2009, hoists in March 2009, chair lift in February 2009 and fixed electrical wiring was due to be tested again in 2010. All staff spoken to were happy with the health and safety arrangements in the home. 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 1 33 26 The registered person must arrange for suitable visits to the home to be carried out in accordance with Regulation 26 of the Care Home Regulations 2001 and ensure that suitable records of these visit are kept This is to ensure that the home is being appropriately run. 30/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 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). 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!