Care Home: Granville Court Care Home

What the care home does well Every new person who comes to Granville Court is given the opportunity to visit the home and meet other residents. In turn the manager goes out to visit them and makes sure she understands all their needs and wishes. This makes sure that new people will fit in with the existing residents and that all their care needs will be met by the staff team. People in the home get good levels of care and this includes both personal and health care. One person told us that: " You only need to say you don`t feel well or you want something different and something is done about it." Residents told us that they had regular visits from the GP and the district nurse. We saw in files that people had received care from physiotherapists, opticians and chiropodists. We observed the staff working with residents and we could see that residents felt comfortable and happy with the staff team. We saw a number of very pleasant interactions where staff used humour or sensitivity or empathy. Surveys were very complimentary about staff: " The carers are always available when I visit and appear to treat the residents with patience and kindness." " My relative is extremely well cared for and staff always do the utmost best." " The staff are highly trained and dedicated. They do everything well." People were also very complimentary about the standard of food provided in the home. " Cooking is excellent." " The food is of a good standard, varied and plentiful." Staff in this home understand their responsibilities in protecting and listening to older adults. Residents told us that they felt respected, any issues were listened to and that there was nothing abusive going on in the home. Granville Court provides a well maintained and comfortable home for older people. They told us they were happy with the way the staff kept their rooms and possessions clean and orderly. On the day of the visit we could see that good hygiene levels were in place and that the staff were aware of health and safety issues. "Everything is kept clean and tidy and I feel very comfortable here." We checked on four weeks worth of rostered hours and we found that there were sufficient staff available to give residents good levels of care. A high proportion of staffin this home have a National Vocational Qualification in care. This home has a suitably skilled and qualified person as the manager. She is also one of the owners of the home. Residents, visitors and staff spoke highly of her and it was obvious that she was respected and trusted. The owners of the home have started to look at different ways of measuring quality and we saw a number of documents on the day showing that this was underway. People who live in the home felt they were consulted about quality issues on a regular basis. Systems for ensuring that health and safety matters are attended to were in place. We also saw lots of evidence as we walked around that showed us that the home was clean, orderly and well maintained. We saw nothing hazardous on the day and we heard about future plans to improve the environment and the management systems. What has improved since the last inspection? Since the last inspection the manager and staff team have worked hard to update the written plans of care. These care plans now have sufficient detail to help staff make sure that people always get the care and attention they need. People told us that they had been asked about their needs and wishes and several people said they had signed their own care plan. People who live in the home told us that they had a much more flexible lifestyle and they were encouraged to choose things like times of getting up or going to bed, what and where they were going to eat and they have been involved in choosing new furniture and decor. The manager said she was working with staff so that the care in the home became much more centred around the person. Staff told us that the manager encouraged them to spend as much time as possible with residents and to always consider that Granville Court was the individual`s home. A new programme of activities and entertainment has been carried out in the past year and residents were enthusiastic about future plans for outings and different activities. The manager now only allows new staff to work with vulnerable older people once all the necessary checks and references have been completed. The manager has now devised a simple, yet comprehensive training plan and staff and residents know that the staff team have the right kind of training so that they will always deliver good levels of care. The entire staff team have had updates to their manual handling training and staff spoken to felt very confident that they were helping people in the correct manner whilst also keeping themselves safe at work. The manager has also improved systems for supporting people with medication and has made sure that staff have training on these systems before they give out medicines.The owners of the home have invested in the building both inside and out and have made improvements to the main kitchen, lounge and dining area and individual bedrooms. Several pieces of new furniture have been bought including new dining tables and chairs. People who live in the home said: "We have had a lot of improvements made to our bedrooms and the lounge. Everything looks fresher and the new furniture is very comfortable." What the care home could do better: There was nothing of major significance that we judged needed improvement. We do, however recommend that the manager complete a quality assurance audit and write a simple action plan so that people who live and work in the home share in the future planning for the service. The management of fire safety was being done well but we would now like the manager to make sure that the fire risk assessment and action plan is updated. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Granville Court Care Home 19 Station Road Maryport Cumbria CA15 6LT     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: Nancy Saich     Date: 2 3 0 6 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: Granville Court Care Home 19 Station Road Maryport Cumbria CA15 6LT 01900818513 01900818513 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) : Granville Court Care Home Ltd care home 12 Number of places (if applicable): Under 65 Over 65 0 10 dementia old age, not falling within any other category Additional conditions: 2 0 The registered person may provide the following categories of service only. Care home only - code PC, to people 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,maximum number of places: 10) Dementia - Code DE (maximum number of places: 2) The maximum number of people who can be accommodated is: 12 Date of last inspection Brief description of the care home Granville Court is an older terraced property set in a residential area of Maryport. It is near to the railway station and to all the amenities of this small coastal town. The home has been in existence for a number of years but has had new owners since January 2008. There are four people in this partnership and one of them - Mrs Helen Stevens - is the registered manager. The home can take up to 12 older people and two of them may also have dementia. Residents accommodation is on the ground and first floor with access to the first-floor by a stair lift. All rooms are presently single occupation and have ensuite toilet Care Homes for Older People Page 4 of 27 Brief description of the care home facilities. Charges range from £347 to £462 per week. Further information can be accessed by contacting the manager at the service. 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: 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: We asked the manager to fill out the Annual Quality Assurance Assessment (the AQAA). This is a document required under the law where we ask for details of what has improved in the last year and their plans for the future. We also ask for some statistics about the service. The AQAA was returned within timescales and in plenty of detail. We then sent surveys to people who live in the home, to the staff team and to other people who visit the service. We had a high level of response to these and the comments were generally positive. We also checked on other information that home is required, by law, to send us throughout the year. This includes any notifications of accidents or incidents or matters Care Homes for Older People Page 6 of 27 of adult protection or any complaints. We had received no significant notifications during the year. We then completed an unannounced inspection of the home. We arrived just after lunch and stayed until early evening. We spoke to people who live in the home, some of their relatives, some of the staff team, the manager and one of the other owners. We walked around the building, sat with residents at teatime and spend some time in the lounge with them. We spoke to some people in the privacy of their own room. We read all of the care files, some of the homes policy and procedure documents and a number of files relating to health and safety. These were up-to-date as were the staff files we checked on. This paperwork confirmed what we observed and the things that people told us on the day or in surveys. What the care home does well: Every new person who comes to Granville Court is given the opportunity to visit the home and meet other residents. In turn the manager goes out to visit them and makes sure she understands all their needs and wishes. This makes sure that new people will fit in with the existing residents and that all their care needs will be met by the staff team. People in the home get good levels of care and this includes both personal and health care. One person told us that: You only need to say you dont feel well or you want something different and something is done about it. Residents told us that they had regular visits from the GP and the district nurse. We saw in files that people had received care from physiotherapists, opticians and chiropodists. We observed the staff working with residents and we could see that residents felt comfortable and happy with the staff team. We saw a number of very pleasant interactions where staff used humour or sensitivity or empathy. Surveys were very complimentary about staff: The carers are always available when I visit and appear to treat the residents with patience and kindness. My relative is extremely well cared for and staff always do the utmost best. The staff are highly trained and dedicated. They do everything well. People were also very complimentary about the standard of food provided in the home. Cooking is excellent. The food is of a good standard, varied and plentiful. Staff in this home understand their responsibilities in protecting and listening to older adults. Residents told us that they felt respected, any issues were listened to and that there was nothing abusive going on in the home. Granville Court provides a well maintained and comfortable home for older people. They told us they were happy with the way the staff kept their rooms and possessions clean and orderly. On the day of the visit we could see that good hygiene levels were in place and that the staff were aware of health and safety issues. Everything is kept clean and tidy and I feel very comfortable here. We checked on four weeks worth of rostered hours and we found that there were sufficient staff available to give residents good levels of care. A high proportion of staff Care Homes for Older People Page 8 of 27 in this home have a National Vocational Qualification in care. This home has a suitably skilled and qualified person as the manager. She is also one of the owners of the home. Residents, visitors and staff spoke highly of her and it was obvious that she was respected and trusted. The owners of the home have started to look at different ways of measuring quality and we saw a number of documents on the day showing that this was underway. People who live in the home felt they were consulted about quality issues on a regular basis. Systems for ensuring that health and safety matters are attended to were in place. We also saw lots of evidence as we walked around that showed us that the home was clean, orderly and well maintained. We saw nothing hazardous on the day and we heard about future plans to improve the environment and the management systems. What has improved since the last inspection? Since the last inspection the manager and staff team have worked hard to update the written plans of care. These care plans now have sufficient detail to help staff make sure that people always get the care and attention they need. People told us that they had been asked about their needs and wishes and several people said they had signed their own care plan. People who live in the home told us that they had a much more flexible lifestyle and they were encouraged to choose things like times of getting up or going to bed, what and where they were going to eat and they have been involved in choosing new furniture and decor. The manager said she was working with staff so that the care in the home became much more centred around the person. Staff told us that the manager encouraged them to spend as much time as possible with residents and to always consider that Granville Court was the individuals home. A new programme of activities and entertainment has been carried out in the past year and residents were enthusiastic about future plans for outings and different activities. The manager now only allows new staff to work with vulnerable older people once all the necessary checks and references have been completed. The manager has now devised a simple, yet comprehensive training plan and staff and residents know that the staff team have the right kind of training so that they will always deliver good levels of care. The entire staff team have had updates to their manual handling training and staff spoken to felt very confident that they were helping people in the correct manner whilst also keeping themselves safe at work. The manager has also improved systems for supporting people with medication and has made sure that staff have training on these systems before they give out medicines. Care Homes for Older People Page 9 of 27 The owners of the home have invested in the building both inside and out and have made improvements to the main kitchen, lounge and dining area and individual bedrooms. Several pieces of new furniture have been bought including new dining tables and chairs. People who live in the home said: We have had a lot of improvements made to our bedrooms and the lounge. Everything looks fresher and the new furniture is very comfortable. 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 10 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 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People only come to Granville Court once they are sure they will fit in with others in the house and that their needs can be met. Evidence: We read the files of the last two people to come to the home and we discovered that the manager had gone out to visit them and they had come to the home. We saw good assessments of need on file. We also confirmed this by talking to these two people. We found out that this service gives new people opportunities to make the right decisions, that they are careful to only admit people who will fit in with the rest of the group and they consider whether they can give people the right kind of care. One file showed that this work had been completed with a lot of thought and consideration to the welfare of everyone in the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home received good levels of care and services and this allows them to live a relaxed and happy life. Evidence: We read a number of the written plans of care in the home. We found these to be much more detailed than they were on our last visit. The manager discussed how she hopes to continue to refine these so that they would cover all the things that people in the home want and need. We spoke to a number of residents who understood what the care plan was and who told us that they had a large part in developing their own plan. The plans included information about health care and general well-being. People in the home told us that they had regular access to opticians and chiropodists as well as having visits from their doctor or nurse. One person said If you say you have a pain or dont feel well the doctor arrives shortly afterwards. The daily notes showed that this happens and that staff monitor peoples health very well. We had some surveys Care Homes for Older People Page 13 of 27 Evidence: from healthcare professionals who said that their instructions were followed correctly by staff. We also checked on the medication kept on behalf of people in the home. We discovered that people have regular reviews of their medicines and that sedative drugs are kept to a minimum. The home has recently changed to a different system of administration and this was working well on the day. The staff team deal with controlled drugs correctly and people are encouraged to self administer where possible. We spoke to everyone who lived in the home and they were very satisfied with the care and attention they received from the manager and staff team. We also had a number of surveys from them and from relatives. These were also very positive about the standards of care and the attention given to people by staff. On the day we observed staff interacting very well with residents. They treated people with respect and allowed them to maintain their dignity at all times; they used humour and sensitivity appropriately and residents responded to them warmly. We noted some people enjoyed the privacy of their own rooms and this choice was respected by everyone in the home. The care plans reflected peoples preferences and choices. They also showed that the staff team respected their rights. We judged that people in this service are treated appropriately. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home now have a flexible lifestyle that allows them to have options and choices about their daily lives. Evidence: People who live in the home told us that they got up and went to bed more or less as they wished. Some people said they like to get up early and this was written into their care plans. They told us that they chose how they spent their day, with some people enjoying the company in the lounge and others preferring to spend time in their own room. They told us that their wishes were respected and the staff were flexible about how they spent their time. The manager showed us a programme of activities and events that had taken place in the previous year. This included entertainments, trips out and activities in the home. People told us that they enjoyed the musical activities where they were encouraged to make music and exercise. One or two people also said that staff would take them out into Maryport to shop. One of the owners of the home goes out to the library for residents and keeps a list of preferred authors and books already read. The manager discussed plans for future outings based on peoples preferences that had been Care Homes for Older People Page 15 of 27 Evidence: discussed in residents meetings. We were invited to sit with the residents at teatime and this was a relaxed and sociable event. Some people took tea in their own rooms so they could watch television but a number of people enjoyed the meal together. There was a good variety of sandwiches, home baking and fresh fruit on offer. Residents told us that the food was very good, plentiful and they thought that there was now more choice than ever. The manager told us that she used fresh, local food whenever possible and there was a good range of food available in the kitchen. The staff team had identified one or two people who had some nutritional needs and these were written into the care plans. One person explained how staff help them to get a balanced diet and said that they were offered suitable alternatives when they couldnt eat what was on the menu. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to make their wishes known and are protected from harm and abuse. Evidence: We asked people who live in the home about whether they felt comfortable about making complaints.They were very positive about their right to complain but no one had any complaint on the day. We also met with a number of relatives and they had no complaints but felt confident that anything of concern would be dealt with correctly by the manager. Each bedroom has a copy of the complaints procedure and this tells people how to complain in the home and who to go to if the issue is not resolved by the owners of the service. We also asked some people confidentially about whether they felt they and other people in the home were protected from harm and abuse. People confirmed for us that there was nothing untoward happening in the service. On the contrary people felt they were well protected from any potential or actual abuse. We also asked staff about this and they too said that that was nothing of concern happening in the home. They explained to us how they would manage any allegation of this kind. Both relatively new and more established staff were able to answer well and were confident that they could deal with anything of this kind by referring it to the Care Homes for Older People Page 17 of 27 Evidence: manager. They also knew how to contact outside agencies if necessary. They confirmed that they had received up-to-date training on recognising, preventing and reporting abuse of vulnerable people. We checked on staff files and discovered that the entire staff group had received this training. We also checked in the records and there were no allegations of abuse seen. Social Services had no concerns about what was happening in the home. We had received no complaints and no allegations about the home in the last year. 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. Granville Court provides residents with a safe and comfortable home where they can feel relaxed. Evidence: Granville Court is a period property situated in a residential part of Maryport but is within walking distance of all the amenities of this small town. The home is near to shops, the library, cafes and other community resources. People told us that staff will take them out to local shops or a little further to the harbour when the weather is fine. They also told us that staff would go out and do shopping for them or collect library books. We walked around all areas of the house and we could see several bedrooms had been redecorated and new carpets laid, some furniture had been replaced and furnishing fabrics and bed linens updated. Residents bedrooms were personalised and the number of people had their own televisions. The main lounge and dining area had been redecorated and new curtains purchased. The owners have bought new smaller dining tables and matching chairs. This area now looks much brighter and residents were relaxed and comfortable in this shared space. Care Homes for Older People Page 19 of 27 Evidence: We were told that the owners are planning further upgrades to all to all parts of the property. They have already done some work on the outside of the building and continue to maintain this to a good standard. They have made several improvements to the main kitchen area and are considering further building work and upgrades. This home has a small assisted bathroom and shower room. These are quite suitable and residents are happy with these facilities. The manager did discuss some ideas she had about upgrading these at a later stage. All areas of the home were clean, neat and orderly. There were no unpleasant odours in the building and residents were happy with the way their individual bedrooms were kept clean. All bed linens were clean and fresh and people who live in the home told us that they were happy with the way the staff look after their clothing. There were suitable arrangements in place to prevent the spread of infection. We spoke to staff who were away of how to stop cross infection and we saw evidence of good practice in all areas of the home to make sure that everything was safe and hygienic. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing arrangements in this home allow people to have a good standard of care and services. Evidence: We looked at the last four weeks worth of rostered hours for the home and we found that there were always two members of the care team on duty by both day and night. In addition there are housekeeping and catering staff. The manager and one of the other owners work in the home and they too deliver care and other services. We judged that this home is suitably staffed given the dependency levels of the residents. Staff told us that extra people would be brought in if residents dependency levels changed. We looked at staff files and spoke to staff on duty and we discovered that almost all of the staff already had National Vocational Qualifications at level II. New staff have been registered for this award. The manager told us that she was hoping to register some of the long established staff to do level III of this award. The staff team has been quite stable for some time but there have been some recent new recruits. We spoke to one of these members of the team and also checked on several staff files. We discovered that people are suitably recruited and the manager Care Homes for Older People Page 21 of 27 Evidence: checks on references and does thorough background checks so that she is sure that the new member of staff is the right kind of person to work with vulnerable adults. We spoke to staff about their training and we had a number of comments in staff surveys about this. Staff are happy with the training they received and are eager to continue to improve their knowledge. We saw the records of training completed and a new training plan. We judged these to be suitable for the work staff had to undertake. We looked at some staff files in depth and we discovered that people have received training in the Protection of Vulnerable Adults, Equality and Diversity, person centred care, end of life care and in medication management. We checked on the files for more senior carers and discovered that they had also undertaken more comprehensive training on legislation and on some management issues. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is suitably managed so that people get good quality care and services. Evidence: The manager of this home is also one of the partners in the small company who own the service. She has a background in nursing and has had some management experience. She has suitable skills and knowledge to care for older people and has developed her management skills since taking over this home. She is now considering further qualifications that will consolidate all of her learning. She has attended the same training as her staff during the year and has also completed some other short courses to bring her up to date with legislation. Staff and residents confirmed that she was in the home almost every day and was approachable and knowledgeable about the care of the residents. Another partner also works in the home and he deals with some of the non-care tasks. Both of these people were in the home during the inspection to answer any questions about the general Care Homes for Older People Page 23 of 27 Evidence: management and future planning for Granville Court. The management team had sent out surveys to residents and their relatives and had devised a number of checking systems to ensure that a good quality service was being delivered. During the inspection we saw a number of examples of how regular checks of quality were completed. We could see that care plans were regularly updated, things like staff supervision were being kept up to date and that maintenance and repair work in the home is closely monitored. The management team now need to analyse all of these quality checking systems and produce a new plan so that everyone in the home knows where this service is going. We checked on money kept on behalf of residents and we discovered that this was being accounted for correctly. Some residents told us that they kept all of their own money and they had support outside of the home to help them to do this. We looked at all the systems in the home designed to keep things running smoothly and reduce the risk of accidents. There was nothing hazardous to be seen on the day, there were good records in place showing that routine repair and maintenance is undertaken and staff understand health and safety in practice. All staff now have upto-date training in manual handling and we saw this in action during the day. We did not check on food safety matters in depth because there had been a recent environmental health agency visit and they had rated the kitchen as Excellent. We checked the fire log book and this was in order with all of the fire system checks, drills and instructions for staff being up-to-date. The home has a fire warden and he now needs to complete a more up-to-date fire risk assessment and fire management plan. 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 1 33 It is recommended that the manager completes a quality assurance audit and writes a short action plan so that residents and other people involved in the home know the kind of changes and developments planned for the future. It is recommended that the fire risk assessment and fire action plan be updated. 2 38 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. 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