Care Home: Hengoed Park

What the care home does well The registered manager, deputy and staff team strive to deliver a high standard of care and support for people using the service. It was evident through our observations, discussions with staff and people living at the home and examination of records that the home achieves excellent quality outcomes for people living at Hengoed Park. The key worker system in place not only offers the individual someone to monitor thier health and well-being, provide assistance with tasks such as shopping for them, escorting on trips but also reassurance that someone will be there for them to talk to, listen and act where required. The home must be commended not only on the day-to-day activities within the home but those that have been arranged for people to become involved in the community in group activities or on an individual basis. What has improved since the last inspection? There have been four semi independent units built within the grounds of the home. These provide close care and support but also provide those individuals who still have a degree of independence the opportunity to remain as independent as possible. The management team along with the commitment of the owners/registered providers have continued to review and improve all aspects of the service to achieve best practice and to keep the home well maintained. An annual development plan is in place, which identifies what the home prioritises in terms of development. The manager discussed some areas on the plan which included new flooring in the main lounge and new chairs, new paths to be laid in the back walled garden and trees to be planted. A number of internal decoration and refurbishment items are also contained in the plan. What the care home could do better: We made one requirement and one recommendation in relation to recruitment practice. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Hengoed Park Hengoed Park Hengoed Oswestry Shropshire SY10 7EE     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: Karen Powell     Date: 0 7 0 1 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. 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 28 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 28 Information about the care home Name of care home: Address: Hengoed Park Hengoed Park Hengoed Oswestry Shropshire SY10 7EE 01691650454 01691658411 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Maureen Elizabeth Turner Type of registration: Number of places registered: Hengoed Park Limited care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users to be accommodated is 31. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 31 Date of last inspection Brief description of the care home Hengoed Park is a care home providing residential care for people of varying age with dementia, and related mental health problems. Situated on the outskirts of the Shropshire hamlet of Hengoed, approximately five miles from the town of Oswestry, it benefits from a peaceful environment. Set in extensive grounds, with mature trees, lawned areas and a beautiful walled garden, the home was originally a Victorian country house, built around 1840, and converted to its present purpose during the 1980s. Accomodation comprises of single and double bedrooms on both ground and first floors, with spacious communal rooms, including a smoking room on the ground Care Homes for Older People Page 4 of 28 Over 65 0 31 Brief description of the care home floor. Four semi independant units have been built adjacant to the back of the home. The home can provide close care and support for people who still have a degree of independance. The gardens are accessible to people living at the home, with a safe secure area. The walled garden contains vegetables and fruit which are incorporated into the menu. Care Homes for Older People Page 5 of 28 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 inspection of the service was announced and took place on 7th January 2009 by one inspector over a period of 6 and three quarter hours. The reason for undertaking this inspection is that there have been changes to the legal entity of the organisation, as they have become a limited company. We have also registered four new semi independent rooms adjacent to the home. The home was last inspected on 15th June 2007. An expert by experience also visited the home during the inspection. An expert by experience is a person who, because of their shared experience of using services and ways of communicating, visits a service to help us get a picture of what it is like to live Care Homes for Older People Page 6 of 28 in or use the service. During the visit they met with a number of people living at the home, looked at some records and toured the home. A range of evidence was used to make judgements about this service to include discussions with people using the service the registered manager and some of the staff. We also examined a number of records to include care records of people living at the home, staff training, staff recruitment and health and safety records. Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Prior to the key inspection an Annual Quality Assurance Assessment (AQAA) document was posted to Hengoed Park for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. The registered manager completed this and some comments have been included within this inspection report. The purpose of the inspection was to assess all 22 Key National Minimum Standards for Care Homes for older people and any further standards necessary. Information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent, good, adequate or poor based on findings of the inspection. Fees vary depending on the assessed needs of the individual. Readers wishing to know more about this information should contact the service directly. 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 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 8 of 28 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 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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. Evidence: The home has an admissions procedure in place, which is documented in the statement of purpose and service user guide. This is information, which gives full, clear, accurate and up to date information about the home, which is given to people who may be considering moving into Hengoed Park. We talked to one person about their experience of the assessment and admission to the home. They told us that they were too unwell at the time to really take an active part but were aware this was being done on their behalf with the support of their relative and social worker. Individuals are encouraged to visit the home prior to their Care Homes for Older People Page 10 of 28 Evidence: admission to talk to the staff and meet the people living at the home. It was evident that the home put in considerable effort into planning admissions to ensure that people are supported when making life changing decisions about their future. A positive example of this was found relating to one person recently admitted who had been visiting the home one day a week over a period of three months. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, 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. Evidence: It was stated on the AQAA each person when they are admitted discuss with a senior member of staff their care plan, this is signed by the person as care they would like to receive whilst in the home. Families or friends are included and encouraged to have input. Each care plan is reviewed each month by the manager. Every three months each person completes a care plan with their key worker to discuss any problems, issues with care, social activities, accommodation and health care. Care plans we looked at for three people were detailed and explained to staff how people preferred their care to be given. Choices that people had made within their individual plans were seen to be put into practice. For example someones arrangement to receive the daily newspaper, someone freely using the smoking room. Two people going out horse riding. We talked to individuals who we case tracked about Care Homes for Older People Page 12 of 28 Evidence: their care plans. What was clear was that individuals liked the key worker system which operates within the home. This means that when a carer is a key worker to a person living at the home they become that individuals primary person who makes a special effort to become a companion to the individual. The key worker plays an important role when somebody moves into the home by spending some time with him or her to assist them to settle in and establish and maintain an appropriate relationship with them. One person told us I like my key worker, I can talk to him about anything I need to. In fact all the staff are like my key worker, I feel I can talk to all of them. Care records for one person we case tracked detailed how their diet and nutrition should be monitored, this included monthly weight monitoring. When we spoke to the individual they told us All the staff know my likes and dislikes, I am encouraged to eat as sometimes I forget. One person we spoke to through case tracking told us of their recent admission to hospital, which was initiated by the home following a deterioration in their health. Upon return to the home their medication had been changed and a discontinued drug had been sent home with the person to re commence. The home raised their concerns straight away and consulted with the individuals GP. It was stated on the completed AQAA that medication is the core responsibility of the deputy manager who monitors these areas of control with dedication and commitment and in the best interests of the individual person. All staff administering medication have a recognised medication certificate. Regular visits are made to the home by a number of health care professionals. Care records examined documented when visits had taken place. These included checkups with the dentist, optician and chiropodist to ensure peoples health needs are met. Pictures of each individual visiting health care professional with their name beside them are on view in the lounge for people to see. This is a good prompt particularly for some of the people living at the home. The home has good policies and procedures in place for the safe handling of medication. The home seeks the help of the local primary care trust to do this. Visit from a pharmacist are made to ensure that the homes systems in place protect the people living there. At the front of each persons medication administration record (MAR) there is a photo of the person so that new staff would know who to give medication to. MARs sampled had been signed when medication had been given indicating that medication had been given as prescribed. It was stated on the completed AQAA that medication is the core responsibility of the deputy manager who monitors these areas of control with dedication and commitment and in the best interests of the individual person. All staff administering medication have a recognised Care Homes for Older People Page 13 of 28 Evidence: medication certificate. We spoke to the deputy manager who was able to competently explain all procedures and practices relating to the safe handling of medication. She reported that the home has a good relationship with the local surgery, and regular reviews of medication are undertaken with the GPs. It was reported that medication has been significantly reduced in the last two years. We observed people to be treated with respect during the visit with their dignity and privacy being maintained. The staff group were patient, kind and caring throughout the day. People we spoke to confirmed this is the case at all times. One individual enjoyed a reflexology treatment in the privacy of their own room during the inspection. The expert by experience who spent time with people living at the home told us Hengoed Park is a credit to the staff and management. By hard work and careful thought they are achieving a real homely atmosphere. During the short time I was at the home I saw only kindness and consideration. Care Homes for Older People Page 14 of 28 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. People are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet peoples expectations. People who use the service receive a healthy, varied diet according to their assessed requirement and choice. Evidence: The expert by experience spent time talking to people living at the home and observing people going about their normal daily routines. This is what he told us. People who live at the home are regularly consulted as to what they would like to do with a three monthly activity programme being in place for every person. Participation will obviously vary. Some photographs showed the London weekend when some people who live at the home and key workers had visited the capital, this year a booking has already been made to visit the Edinburgh tattoo. Some months ago staff had seen an advert in the Shropshire Star newspaper seeking distributors in the area. An application had been made and had resulted in what I feel Care Homes for Older People Page 15 of 28 Evidence: is one of the most unusual yet brilliant ways of individuals engaging in the local community. All individuals are encouraged to take part in this distribution, those capable walk with their key workers to the local area. Another group go further on bicycles, whilst the final group are driven to the more rural areas. The home has received many favourable comments on this project and been featured in the paper. The income generated goes into the Comfort Fund . This Comfort Fund is used to assist people who live at the home to participate in the holidays and other activities, individuals themselves or relatives also provide some funding but the fund acts as a safety net for those who would otherwise be unable to afford to participate. This is an example of the careful thought that underlies all that is done by staff and management. This thought is also seen in the endeavours to involve individuals in everyday tasks around the home. Looking at the wall display chart on activities each person has an activity listed for am and pm of each day, sometimes an activity takes place in the evenings with individuals attending pottery, woodworking and history classes in Oswestry. Their key worker will usually accompany them to these activities. A large walled garden area contains some hens and a sheep. The daily feeding and egg collection are included in the individuals tasks. An allotment area grows vegetables that are used in the home and a greenhouse provides tomatoes. One individual works regularly in the kitchen where they are extremely happy while others have baking sessions on two or three afternoons a week. Some individuals regularly attend a church in Oswestry for communion and a monthly communion service is held at the home. The church also provides an opportunity for Keep Fit sessions and lunches one day a week. The overall impression is that people who live at the home are at home with the activities of any home going on around them. There does appear to be a high ratio of staff to people living at the home and this obviously allows people to receive full attention. This warm atmosphere that exists is due to hard work and careful thought and the staff are to be commended. The expert by experience was shown detailed records kept for each person living at the home. He told us these contain a wealth of information on the individuals background and allow the staff to be able to strike up a meaningful relationship. These records are constantly being updated. The home encourages people who live at the home to write to relatives on a regular Care Homes for Older People Page 16 of 28 Evidence: basis and if this is not possible the home undertakes to keep in touch by way of letters and photographs. The home has some innovative ideas of involving people living at the home. In preparing the pre inspection information one person read through the homes completed AQAA and spell checked the document. The expert by experience spent some time with one person who was resident within the home but is now living independently in the newly constructed unit next to the main home. He told us the unit the individual occupies consists of a bed sitting room, ensuite bathroom and a separate kitchen area. The persons unit had many family photographs on the walls and they also had a cat. During conversation with this person it became obvious that they were very contented with life at Hengoed Park. The person works two days a week at the Help the Aged shop in Oswestry. Their key worker drops them off in town and the individual makes their own way to the shop, the route has been carefully planned with familiar landmarks helping them to find their own way. This is another example of the care taken to encourage self reliance and to raise confidence levels. Individuals living in the new unit can either prepare their own meals or take those prepared for individuals in the main home. The expert by experience took lunch with people living at the home. He told us each table in the well appointed dining room had a clearly printed daily menu and there are alternatives available should the set menu not suit. Special diets are catered for and regular checks by a nutritionist ensure that all needs are met. I observed the kindness of staff in dealing with people. Those requiring encouragement or help to eat received assistance; one person who seemed unwilling to eat their meal was provided with toast and jam that they immediately ate. The food was excellent and generous portions were served; seconds were available. In addition to breakfast, lunch and tea there are two servings of supper at 6pm and 9pm. People can have a drink and snack at any time. The expert by experience spent time after lunch with another person, he told us this individual is very keen on history and attends an evening class with their key worker; they are very contented with life at Hengoed Park. The person told the expert by experience that they attend day trips out to local sites of interest. Care Homes for Older People Page 17 of 28 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 who use the service and their representatives are able to express their concerns and have access to a complaints procedure. Procedures are in place to safeguard people from potential abuse and staff receive training ensuring people who use the service are protected from abuse and have their legal rights protected. Evidence: There is a clear complaints policy in place, which is in the statement of purpose. This could be produced in large print if required. People who were able to contribute to discussion were aware of who they could speak to if they wished to make a complaint. We have not received any formal complaints about Hengoed Park since the last inspection. It was stated on the AQAA that there has been one complaint received. When we spoke to the manager we were made aware at the time of an allegation of abuse. The manager logged this as a complaint as a matter of good practice. We were satisfied at the time we were notified that the manager had taken appropriate action and referred the matter into the safeguarding of adults process. A decision was taken by social services that this matter did not require further investigation. All staff receive training in the topic of safeguarding adults for which we saw evidence on individual training files examined and confirmed with staff we spoke to. Both the Care Homes for Older People Page 18 of 28 Evidence: manager and deputy manager had attended adult protection training for managers. They have also attended deprivation of liberty training so that they understand how this new legislation could affect people living at the home and the need to assess a persons capacity if there is any doubt that they may not have the capacity to make a decision. One staff member spoken to was very clear about the action to be taken in the likelihood of an allegation being made. One person we case tracked told us I feel safe and well looked after here. Care Homes for Older People Page 19 of 28 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 living at Hengoed Park are provided with a clean, safe and well decorated home that meets their needs. Evidence: We took a tour of the home and found it to be clean, well maintained and in most areas decorated to a good standard. The home has implemented some key features to assist people living at home to find the things they may be looking for, for example all toilet doors are painted blue, people living at the home have their names on their doors. Each bedroom has a photograph of the persons key worker, their name and what they do. Pictures are displayed around the home of events that people who live at the home have taken part in. We looked at the bedrooms of the three people we case tracked. These were personalised with their own belongings. They told us I have everything I need here, my room is comfortable and I can lock it for privacy. Another told us I am happy with my room it is always clean and tidy. The home is set in extensive grounds. A gardener keeps the main gardens with assistance from those individuals who live at the home who wish to become involved Care Homes for Older People Page 20 of 28 Evidence: in this task. The home has a walled vegetable garden and greenhouse and is maintained by individuals who choose to along with staff support. There is an enclosed back garden which is wheelchair accessible and for all people to enjoy. The rear area to the house has been turfed, path laid, fenced and a patio area laid. Since the last inspection new chairs have been purchased for the dining room, new non slip flooring laid and the area painted. All first-floor hall and main areas have been redecorated. It is hoped that the main lounge chairs and flooring will be renewed before the end of March 2009. There are three bathrooms and three shower rooms in the house. Each of the new four semi independent units have their own wet room. All bedrooms have a toilet near to them and all rooms of less mobile people have come out in their bedroom, all bedrooms have a hand basin, five rooms have en suite facilities. The home is fitted with a lift to the first floor. An occupational therapist will undertake an assessment for any individual equipment thought to be required by people living at the home. Records showed and it was observed that these were provided where people needed them. Care Homes for Older People Page 21 of 28 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. Not all recruitment checks have been undertaken to check if new staff employed are suitable to work with the people living at Hengoed Park, potentially placing them at risk. Training opportunities for staff are good, with access to both internal and external training to support their development. Evidence: We looked at the files of two staff employed since our last inspection to make sure that pre employment checks are undertaken so that staff are checked as being suitable to work with vulnerable adults. Files were well organised but in both cases the manager had not obtained a new criminal records bureau check and had accepted the previous one in both case that had been carried out by their previous employers. We made one requirement to ensure these checks are carried out in order to protect people. One file did not contain two references and the reference obtained was not from the previous employer. We made one recommendation about this issue. The discussions we held with people told us that they like the staff. People told us that the staff treat them well and that they are happy with the care and support they receive. We observed staff supporting people throughout the day, they did this with Care Homes for Older People Page 22 of 28 Evidence: respect and were professional at all times. Staff told us that they are given regular updates about people living at the home during handover on each shift. Staffing levels are good for this home, we saw sufficient staff cover on the day of the inspection and staff told us the staff ratio is always good. Training for the staff is good. We looked at training completed by staff and saw the relevant training certificates on staff files. Training included dementia, moving and handling, palliative care, protection of vulnerable adults, first aid, health and safety, deprivation of liberty, food hygiene, first aid, mental capacity, fire safety, safe handling of medication and managing actual and potential aggression. A training matrix is in place to assist the manager in planning future training, identifies what training has been undertaken and when, and when training is in need of updating. All staff are formerly supervised, we saw records to support this. Although the deputy receives supervision on a regular basis it was acknowledged that it has not always been recorded. The homes induction process, consistent with Skills for Care expectations, is thorough and conducted over a period of time. We saw evidence of this on the file of the new carer appointed since the last inspection. Care Homes for Older People Page 23 of 28 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. People living at Hengoed Park benefit from having a manager who is committed to meet their care needs. 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 living at the home and staff because appropriate health and safety practices are carried out. Evidence: The registered manager has a number of years experience in the care sector. She is suitably qualified to fulfil her role. She is supported by an experienced and qualified deputy manager. This home is managed well by a committed management team. The staff receive clear guidance on how to perform their role and there is a clear Care Homes for Older People Page 24 of 28 Evidence: understanding from staff of what is expected of them. This ensures that people living at the home receive consistent care and support of a high standard. People living at the home are regularly consulted in what they think about the service and any improvements that could be made. We saw evidence of a weekly questionnaire given to people to seek their views. Examples of how the home has acted on this information includes, one person now having the facilities to make their own drinks in their room, evenings out arranged to local events, college courses being attended by individuals and people being able to choose their holiday destination. People who are unable to manage their finances are supported through the home. Where money is lodged with the home for safekeeping, this is well managed and accounted for with detailed records kept of money given out or spent on someones behalf. All checks required such as of the fire safety systems, hot water systems, lifting equipment, gas and electricity are in place. People are protected through regular maintenance of systems and equipment and records to show this are well organised. Accidents and incidents are logged, recorded and reported to the manager. Care Homes for Older People Page 25 of 28 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 26 of 28 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 29 19 Schedule 2 All pre 12/02/2009 employment checks must be undertaken before staff commence employment. This will ensurre that people living at Hengoed Park are protected by the homes recruitment policy and practice. 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 29 Two references should be obtained, one of which must be from the persons previous employer. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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