Care Home: Heather Vale

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What the care home does well People are well informed and assisted throughout their admission process and their needs are effectively accounted for. People`s personal and healthcare needs are well accounted for in consultation with them and their rights to make decisions about these are consistently well promoted. Opportunities for stimulation through leisure, recreational and occupational activities are well promoted people, who receive good quality food in accordance with their choices and needs. People can be assured that any complaints they raise will be taken seriously and acted upon and that they will be protected from harm and abuse. People benefit from living in a safe, homely and well-maintained environment, which suits their needs. People`s needs are met and they are supported and protected from staff that is effectrively recruited, inducted, trained and deployed. The home is well managed and run in people`s best interests and their health, safety and welfare is promoted and protected. What has improved since the last inspection? The management ethos at the home is one of seeking continual improvement and during our visit we saw the improvements that the home had told us about in their annual quality assurance questionnaire. These are referred to under the relevant outcome sections of our report. At our last inspection we made one requirement about recruitment practises, which is achieved at this inspection. We also made two recommendations at that time, about people`s involvement in their care plans and providing a clear timescale within the home`s complaints procedure for advising people of the outcome of any investigation following a complaint. These are also achieved at this inspection. What the care home could do better: As stated above the home demonstrates that it continously strives to improve its facilities and services in consultation with people. They have told us about some of the improvements they are aiming to make over the coming twelve months and these are referred to in each outcome section of our report. As a result of this inspection we have asked the home to review their storage arrangements for cleaning mops and buckets and to consider developing their policy guidance in respect of staff that might be employed at the home who are closely related to each other. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Heather Vale Heathervale Road Hasland Chesterfield Derbyshire S41 0HZ     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 Richards     Date: 1 8 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 © (2008) 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: Heather Vale Heathervale Road Hasland Chesterfield Derbyshire S41 0HZ (01246)221569 01246554760 debbie.clayton@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Deborah Clayton Type of registration: Number of places registered: Anchor Trust care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Plus Three (3) Day Care Places Date of last inspection Brief description of the care home Heather Vale is a purpose built care home, which opened in 1989. It is located on the outskirts of the village of Hasland, which lies approximately 2 miles to the north east of Chesterfield town centre. The home provides personal care and accommodation for up to thirty-nine older people in thirty-seven single rooms and one double room, all with en-suite facilities. There are two communal lounges and four dining rooms and level access to pleasant accessible gardens and a separate car parking area. A range of environmental aids and adaptations are provided to assist those who may have mobility problems, including an emergency call system throughout. Care and support is provided for people from a team of care and hotel services staff led by a registered manager and with external management support. Care Homes for Older People Page 4 of 29 Over 65 39 0 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 quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. For the purposes of this inspection we have taken account of all the information we hold about this service. This includes our annual quality assurance assessment questionnaire (AQAA), which we ask the home to complete on an annual basis in order to provide us with key information about the service. We also received survey returns from six people who use the service out of a total of ten that we sent out and also three staff who work there out of a total of five surveys that we sent out. At this inspection there were thirty-eight people accommodated. We used case tracking in our methodology, where we looked more closely at the care and services that three of Care Homes for Older People Page 6 of 29 those people receive. We did this by talking with them, observation of staff interactions with them, looking at their written care plans and associated health and personal care records and by looking at their private and communal accommodation. We spoke with staff about the arrangements for their recruitment, induction, training, deployment and supervision and we examined related records. We also spoke with the registered manager about the arrangements for the management and administration of the home and we examined associated records. All of the above was undertaken with consideration to any diversity in need for people who live at the home. At the time of our visit all people accommodated are of British white backgrounds and of Christian religion. As at the date of this inspection, the range of fees charged per week is: 345.52 - 364.31 Pounds (plus a 25.00 Pounds top up fee) for people who are eligible to funding assistance via their local authority. 384.30 - 405.30 Pounds for people whose funding arrangements are by way of private contractual agreement with the home. Fees charged are determined in accordance with individuals assessed needs. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 29 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. People are well informed and assisted throughout the admission process and their needs are effectively accounted for. Evidence: At our last key inspection we judged that peoples needs are assessed prior to moving into the home to ensure their needs can be met. In our annual quality assurance questionnaire completed by the home, the information they have provided there tells us that people are effectively supported and informed during their admission process and their needs fuly assessed before they move into the home. They have also told us that they have reviewed and updated their statement of purpose and service guide and provide key service information in compact disc format as well as large print., which we noted at this inspection. Care Homes for Older People Page 11 of 29 Evidence: At this inspection the manager told us that they aim to also make that service information available in other languages and to provide written detail of this. Service users accommodated were of British white background. All people told us that they received a written contract and enough information about the home to help them to choose to live there and we observed that all key service information was displayed in the reception area, along with a copy of the most recent inspection report. People also told us that they could bring their personal possessions with them into the home and have the choice to furnish their own rooms themselves or for the home to provide furnishings. They said that their choose the decor, carpet and curtains and the manager confirmed that this is routinely renewed whenever anyone moves into the home. People case tracked had chosen to furnish their own rooms with personal items and this was detailed and agreed with them within their written contracts. The recorded needs assessment information for each person case tracked was comprehensive and in accordance with a recognised assessment model, with recorded reviews. People had signed their consent to their care and they told us that they felt their needs were well met. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are effectively accounted for in consultation with them and their rights to make decisions about these are consistently well promoted. Evidence: At our last key inspection of this service we judged that peoples health, personal and social care needs were well met in consultaiton with people and that medicines practises were safe, in peoples best interests. We made one recommendation, that people sign their agreement with their care plans as able. This is achieved at this inspection. In our annual quality assurance questionnaire (AQAA) completed by the home they told us that people are involved in their written care plans and reviews and that individual plans are up to date and accord with peoples risk assessed needs. They say that peoples rights to privacy and dignity and to be treated with respect are upheld, along with safe and suitable medicines practises, including suitable storage Care Homes for Older People Page 13 of 29 Evidence: arrangements for people who wish to retain their own. They told us about improvements they have made over the last twelve months, which include the recent introduction of a quality audit for their medicines systems and ensuring that staff responsible for administering medicines have received accredited training, which they intend to roll out to all staff who work at the home. At this inspection people told us that they always or usually receive the care and support they need, including medical support and that staff always treat them with the utmost respect and uphold their rights to dignity and privacy. We also observed the latter during our inspection visit. We observed the arrangements for the laundering of peoples personal items, which are all done individually as opposed to collectively. Two of the people we case tracked had telephone in their own rooms and there is also a communal mobile payphone unit for residents use. One staff survey referred to needing more height adjustable beds to meet with increased dependencies and moving and handling needs of residents and a further four commented on the increase in resident dependency levels. At our visit the we were provided with satisfactory information about individual dependency needs and the provision of adjustable height beds, including in respect of one person whose needs had recently changed resulting in such a bed being ordered and due for delivery. Staff spoken with told us they have the equipment (and training) they need to do their job, including in respect of moving and handling people. The written care plans that we looked at were formulated in accordance with peoples risk assessed needs, were person centred, included details as to peoples choices and consent to their care and had regularly recorded reviews. They were also reflective of recognised practise concerned with the care of older people and individuals preferred daily living routines and lifestyle choices, including as to their stated end of life choices and instructions and their financial arrangements. Two people that we case tracked told us that their care plans were discussed with them and via their care reviews. Questionnaires are provided for each person before their indivdual care reviews to assist them with this process and copies of these were retained on their individual care files. Inputs from outside healthcare professionals were well accounted for, including for the purposes of routine health care screening and accorded with what people case tracked told us. Care Homes for Older People Page 14 of 29 Evidence: One person who was too poorly to discuss matters with us had a comprehensive written care plan in place detailing their known wishes and choices in respect of their care, which was formulated in conjunction with relevant outside health/care professionals and advocates and accorded with the principles of the Mental Capacity Act 2005. All care staff responsible for their care had signed to say they had read and understood this. We observed that all people case tracked were provided with special equipment where required and in accordance with their recorded needs assessment information. The arrangements for the ordering, receipt, adminstration and disposal of medicines at the home were satisfactory and in accordance with recognised guidance and the homes policies and procedures. One person that we case tracked chose to retain and self adminster their own prescribed creams and also to self administer their medicines and were provided with suitable storage facilities in their own room for these. A standardised risk assessment recording format for this was placed in their care planning records, although was not completed. However, the recently introduced medicines systems audit record showed that this was required and was in place for threre other service users who self medicate. The team leader and manager advised that this was also to be fully completed for the person we case tracked in accordance with the audit action plan. All staff responsible had signed to say they have read and understood the medicines policy and procedures and staff on duty responsible for administering medicines told us they had received suitable trainining, with certificates provided in their individual training files. 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. Opportunities for stimulation through leisure, recreational and occupational activities are well promoted for people in accordance with their individual lifestyle preferences, choices and capacities and they receive good quality food. Evidence: At our last key inspection of this service we judged that peoples social and recreational needs were being met and meals at the home were balanced and catered for in accordance with peoples nutritional requirements and preferences. In our annual quality assurance questionnaire (AQAA) completed by the home they told us that peoples daily living choices are upheld and that they can choose from a range of activities, both within and outside the home. That their access to advocacy services is well promoted and that they provide a safe banking system to assist people to independantly manage their own monies. They also tell us that people are provided with a varied, nutritious and well balanced diet with a choice of what to eat and where. And that they have made improvements over the last twelve months by provding staff with food servcie and presentation training, reviewing menus with people who use the service and by installing dishwashers in each dining room/kitchenette area to enable Care Homes for Older People Page 16 of 29 Evidence: more staff time for people. The improvements that they identified in their AQAA for the coming months, include rolling out dining with dignity training for staff and increasing activity co-ordinator hours. At this inspection all people told us that they always or usually like the meals at the home. Comments received include: Menus and meals are different to what I am used to but the kitchen staff always oblige me with what I want. Food is very good, you can choose to eat in one of the dining rooms or your own room. People also told us that there are always activities they can join. Some spoke about the previous evenings event of a formal three course evening meal with wine, which people chose whether to attend and invited their families and friends. This was described as a first class event and many people left feedback cards, all with postive comments. Discussions with people accommodated and also the activities co-ordinator informed us that a wide variety of social, leisure and occupational activities are regularly provided, with clear information about these posted in the main reception area, along with an activities brochure. These include crafts, games, gentle exercise, videos, quiz group, visiting library service, a book club, card making and poetry readings, PAT dog, church and themed events. Two people go out to a listening group. for those with significant sight impairments and there is a knitting circle every Friday. There are also regular entertainments and trips out and talking newpapers and books are provided. One the people we case tracked accessed the latter. There is also a weekly shops and spontaneous activities, with a recent cherry picking event. Plans were in hand to celebrate British Food Fortnight, with a variety of events, including Sunday Harvest market, Great British breakfast morning and last night at the proms with flags and platter supper, local cheese tasting event and victorian tea party. People also told us that Saturday night is social night. One group go out to bingo and there are monthly outings, the most recent being to Chesterfield Canal with tea on the boat. Seasonal activities are also always celebrated. There is a dedicated telephone service for residents use as they wish to acccess Care Line advocacy services. At our visit we observed the serving of mid morning drinks with home made Eccles Cakes and biscuits and also lunch. People chose whether to take lunch in the dedicated Care Homes for Older People Page 17 of 29 Evidence: dining rooms or in their own room. The food was well presented and staff assistance and eating and drinking aids were provided. Individual daily menus are provided on each dining table and weekly menus are also displayed. Peoples preferred daily living routines and lifestyle choices were well accounted for within their needs assessement and care planning records and accorded with what people told us. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured that any concerns or complaints they raised will be taken seriously and acted upon and that they will be protected from harm and abuse. Evidence: At our last key inspection of this service we judged that the home operated a robust complaints procedure and that people could be confident that their concerns would be listened to and acted upon and they were protected from abuse. We made a recommendation that the timescale for response to any complaint should be clearly stated in their complaints procedure. This is achieved at this inspection. In our annual quality assurance questionnaire (AQAA) completed by the home the information they have given us tell us that they continue to meet with the required standards in relation to complaints and protection. This included giving us information about any complaints they have received, inlcuding those which they referred for investigation via agree joint agency safeguarding vulnerable adults procedures. In that AQAA they told us about some of the improvements they have made over the last twelve months to ensure that all concerns or issues raised, that are not formal complaints are effectively accounted for. They also identified improvements they would like to make over the coming months which should ensure that staff continue to be Care Homes for Older People Page 19 of 29 Evidence: suitably informed about recognised guidance and procedures concerned with making complaints and protecting people from harm and abuse. At this inspection people told us that they know who to speak with if they are unhappy and how to complain. The manager told us that their revised approach to ensuring that all issues raised that are not formal complaints is working well and has meant that these are acted on to peoples satisfaction. We observed that clear information is provided for people about how to complain. This is displayed on the reception area and is also provided individually for people in the service guide. The homes complaints records provide clear details as to complaints received, action taken and outcomes, including those referred for investigation via joint agency safeguarding adults proceedures and the information we hold about the service shows us that they have always notified us in writing of all significant matters relating to complaints and allegations. This shows us that they have taken suitable action in respect of complaints received. Staff that we spoke with at our visit were conversant with their roles and responsibilities in dealing with concerns and complaints and also in protecting people from harm and/or abuse in accordance with the homes policies and procedures, which are reflective of recognised national and local guidance. 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. People benefit from living in a safe, homely and well maintained environment, which suits their needs. Evidence: At our last key inspection of this service we judged that people live in a wellmaintained environment, that we clean and fresh and pleasant in decor. In our annual quality assurance questionnaire (AQAA) completed by the home they told us that they continue to provide people with a purpose built environment with single room, en suite accommodation, which is always redecorated, recarpeted and furnished in consultation with each person before they move into the home. And, which is safe, clean, well maintained and suitably furnished and equipped. In the AQAA they told us about some of the improvment they have made over the last twelve months and some which they would like to make. This information tells us that they strive to ensure that the environment is well maintained, furnished and equipped and fit for purpose. At this inspection, people told us that they are satisfied with their environment. That the home is always kept fresh and clean and that they chose the decor and carpet for Care Homes for Older People Page 21 of 29 Evidence: their own room before they moved in there. They also told us they were given the choice as to whether to furnish the room with their own items or for the home to provide these. All had chosen to bring some of the their own furnishings and we observed that equipment was also provided for people by the home in accordance with their assessed needs, such as special beds and mattresses. During our tour of the building we observed all areas of the home to be well maintained, clean, furnished and equipped to a high standard, although we did observe cleaning mops and buckets that were stored in bathrooms. We discussed this with the manager who advised that this was routine practise and advised of the need to identify alternative suitable storage area(s). The layout of the home promotes small group living with dedicated facilities in each area, including dining rooms and kitchenetts and many had drinks making facilities in their own rooms in accordance with their risk assessed needs and choices. There is level access to outside, well kept garden areas with seating and tables provided, which some people chose to access during our visit. 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. Peoples needs are met and they are supported and protected from staff that is overall effectively recruited, inducted, trained and deployed. Evidence: At our last key inspection of this service we judged that staff was suitably trained and deployed, although the homes recruitment practises required further development. We made a requirement relating to this. This is achieved at this inspection. In our annual quality assurance questionnaire completed by the home (AQAA) the information they gave us told us that there are suitable arrangements in place for staff recruitment, induction training and deployment within a framework of equal opportunities. They also told us about some of the improvements they have made over the last twelve months and improvements they would like to make over the coming months. These focus on the development of a flexible workforce and the information they have provided tells us that they are continually striving to review develop their staffing arrangements. At this inspection most people told us that staff always or usually listen and act on Care Homes for Older People Page 23 of 29 Evidence: what they say and are always or usually available when the need them, atlhough there were some comments raised about staff being very busy. Staff told us that there are always enough staff to meet people;s needs, although comments were received relating to increasing dependancies, which sometimes meant there was less quality time to spend with people. The manager told us about their plans to create further flexibility in terms staff availability which she had referred to in the AQAA, which are satisfactory. We also discussed recruitment of staff who may be closely related to each other, which was raised in one of our survey returns. The manager demonstrated a good awareness of some of the issues that could potentially arise in this situation and also clear management strategies in the event of difficulities or issues that may arise, although we were not made aware of any related formal written policies being in place to assist her. Staff that we spoke with also described satisfactory arrangements for their recruitment, induction and training and records that we examined in respect of these reflected this. There are currently 60 of care staff that have at least NVQ level 2 and all others are enrolled to commence their NVQ 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 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 well managed and run in peoples best interests and their health, safety and welfare effectively promoted and protected. Evidence: At our last key inspection we judged that the home was effectively mangaed and run in peoples best interests by a competent manager. We also judged that peoples health and welfare was effectively protected and promoted and their financial interests safeguarded. In our annual quality assurance questionnaire completed by the home they told us that the home is managed and run in peoples best interests and in consultation with them. They also told us about the improvements they have made over the last twelve months and improvement they would like to make in the coming months. These include matters relating to the quality assurance and monitoring systems and individual staff supervision and again show us that they home continually seeks to Care Homes for Older People Page 25 of 29 Evidence: improve and develop its services. At this inspection survey returns and discussions with people told us that the home is well managed with suitable arrangements in place for staff supervision and support. We looked at the revised quality assurance and monitoring system now in operation. This is comprehensive and targeted in its method of measuring the success of how the home meets with its own aims and objectives and national government standards. And also in the way it triggers, where necessary any review and action plan that may be required relating to service delivery, care and practise It also includes formal consultation with people use use the service and their representatives. Systems and arrangements for the management and handling of peoples monies have been reviewed since our last key inspection and these are effective in promoting peoples choices and best interests. Staff told us about the arrangements for safe working practises, including the provision of equipment, which are satisfactory and we observed the same. We discussed an issue arising from staff surveys relating to the use of equipment at the home with the manager who agreed to investigate this further. We also evidenced via individual case tracking that there are suitable systems and arrangements in place for the reporting and recording of any accidents or incidents at the home and staff spoken with were conversant with the roles and responsibilities in respect of these. 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 26 Cleaning mops and buckets should not be stored in residents communal bathrooms. Alternative suitable storage areas(s) should be used in accordance with recognised infection control principles. Consideration should be given to the development of (good practise) staffing/management policy guidance in respect of staff that may be employed at the home who are closely related to each other. 2 29 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 © (2008) 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. 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