Care Home: Newgate Lodge (EMI) Ltd

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well A pleasant and welcoming atmosphere was noted throughout the day of this visit. From the observations seen throughout the day the rapport between the staff and the people living at the home was good. Staff appeared caring and supportive to individuals needs, they were seen behaving in a professional manner and were friendly and very cheerful. The service ensured that an accurate assessment of individuals needs was undertaken with them or someone close to them before admission was agreed. This demonstrated that people could be confident that the home ensured they could meet their needs and support them appropriately before they agreed on admission. Staff had the relevant information they needed to support individuals as the records held showed that individuals support needs had been recorded. Comments from people living at the home included, "when I press the bell they come and "if I ever ask for anything my needs are met" and " I`m comfortable in this home and I look forward to coming for respite" and " everyone is kind caring and competent". Consideration was given to family/ next of kin to ensure they were involved and informed of any changes in health to their relative/ friend. What has improved since the last inspection? Since the last inspection the provider has ensured that any incidents that affect the well being of anyone living at the home are reported to us. This demonstrates that a transparent approach regarding the management of the home is maintained between the home and the commission. The provider has also demonstrated that they have followed the correct local safeguarding adults procedures to ensure all agencies are aware of potential issues relating to individuals care. What the care home could do better: The provider and manager need to develop a system to demonstrate that the views and opinions of people using the service are sought. This will ensure that people using the service and those considering using the service can evaluate how people are involved and consulted about their life in the home. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Newgate Lodge (EMI) Ltd Newgate Lane Mansfield Nottinghamshire NG18 2QB     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: Angela Kennedy     Date: 1 6 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 32 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 32 Information about the care home Name of care home: Address: Newgate Lodge (EMI) Ltd Newgate Lane Mansfield Nottinghamshire NG18 2QB 01623622322 01623621200 simone.wells@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Newgate Lodge (EMI) Ltd Type of registration: Number of places registered: care home 55 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 55. The registered persons 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 are within the following category: Old age, not falling within any other category - Code OP - maximum number of places: 23. Dementia - Code DE maximum number of places : 32. Date of last inspection Brief description of the care home Newgate Lodge is a new purpose built home for 55 service users in the older age and dementia categories. It is laid out in four sections with corresponding dining and seating facilities. All bedrooms are ensuite and well maintained and decorated. In addition to this there are 8 toilets, 4 bathrooms with assisted bathing facilities and 4 showers. Service users are able to bring in personal belongings and furniture within Care Homes for Older People Page 4 of 32 Over 65 0 23 32 0 Brief description of the care home reason. Lockable storage is available in bedrooms. There are 6 sitting rooms and a relatives room plus sufficient outside space for all service users. Grab rails are in corridors and radiators are low surface temperature with the exception of the reception area, which has covered radiators. Care Homes for Older People Page 5 of 32 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: The last key inspection of this service was undertaken on the 20th September 2007.This key inspection was unannounced and took place over one day. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. Care Homes for Older People Page 6 of 32 An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a self-assessment for providers that is a legal requirement. This assessment gives the provider an opportunity to let us know about their service and how well they think they are performing. At this inspection visit four people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. Two of the people case tracked were able to discuss their opinion of the service and support provided to them. Several other people that were using the service were also spoken with. Eight surveys were returned from people living at the home and the comments received in the surveys and on the day of the inspection visit are included within this report. One visitor was spoken with on the day of this inspection visit and four surveys were returned from relatives or friends of the people living at the home. The information provided in discussions and from the surveys are included in this report. Three members of the staff team were spoken with on the day of the inspection visit and three staff surveys were returned. The comments from discussions and within the surveys are reflected within this report. The fees per week at the time of this report were: General 294 pounds and Dementia care 348 pounds 62 pounds top up. The above fees do not included toiletries, chiropody fees, hairdresser fees and newspapers/magazines. 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 32 Care Homes for Older People Page 9 of 32 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 32 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 living at the home can be confident that their needs will be met. This is because an accurate assessment of their needs is undertaken with them or someone close to them before admission is agreed. Evidence: Pre admission assessments were in place in the records of the people case tracked. These assessments were detailed and provided the staff team with the relevant information needed to enable them to support these individuals. The information provided in the pre admission assessments seen covered all areas of health, social and personal care support needs.The pre admission assessments seen had consent to care plans in place that had either been signed by the individual or someone close to them, such as their next of kin.This demonstrates that individuals or people close to them are included in the assessment of their needs to ensure this is Care Homes for Older People Page 11 of 32 Evidence: done accurately and with their consent. Documents were also seen in individuals files of assessments that had been undertaken by external professionals that had assessed the needs of individuals prior to admission such as community care assessments undertaken by health care professionals and assessments undertaken by care managers/ social workers. Information was also gathered regarding each individuals life history this included family and friendships, work history, hobbies and interests, likes and dislikes and their daily preferred routines. This information was useful in providing the staff team with a more personalised picture of each individual. This enabled the staff to get to know each person better and ensure they were treated as individuals with their needs and preferences met. Information provided within the surveys returned indicated that people had received enough information about the home before they moved in so that they were able to decide if it was the right home for them. One person said, as soon as i walked through the door it was home from home Care Homes for Older People Page 12 of 32 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. Individuals health, personal and social care needs were met and they or someone close to them were involved in their plan of care and support. The home supported individuals to take their medicines in a safe way and people were treated respectfully by the staff team. Evidence: The front pages of each persons records seen provided personal information regarding the individual. This included a photograph for identification purposes and information on their next of kin, all relevant professionals involved in their care such as social workers, doctors and other health care professionals. This ensured that the staff team were provided with the relevant information to ensure communication with the relevant people could be maintained. The care plans seen had been generated from needs assessments undertaken prior to admission and covered all areas of health, personal and social care need. As with the needs assessments seen the individual or some one close to them, along with the individuals key worker had signed and dated their care plans to demonstrate their consent to them. Care Homes for Older People Page 13 of 32 Evidence: All care plans seen included the support required and the aims/ goals for that individual regarding each support area.They provided detailed information on each area of support and each area was broken down to identify in detail each task or area of support. For example personal care support was broken down in detail to address hygiene and laundry support, continence,bathing and showering support, dressing and appearance, personal grooming including hair, make-up and manicures. Comments in the surveys returned by the people living at the home included, when I press the bell they come and if i ever ask for anything my needs are met and Im comfortable in this home and i look forward to coming for respite and everyone is kind caring and competent. Individual care plans cross referenced to other care plans and risk assessments that also related to that particular area of care or support. This ensured that staff had all the required information to ensure that all areas of support for each activity or task could be met appropriately and in a safe way. Comments from people living at the home regarding the support provided included, staff are lovely, they are very kind and always around when you need them the staff are very good, they have a laugh and a joke but they are very kind and always there to help you Consideration was given to family/ next of kin to ensure they were involved and informed of any changes in health to their relative/ friend. Records were seen to demonstrate that peoples wishes regarding contact in the event of a fall, illness or any other accident or incident involving their relative/ friend was recorded within the individuals records seen. Discussions with the manager confirmed that new care plans were in the process of being developed which included capacity issues.This would ensure that if an individual was unable to consent to any area of support provided this would be addressed appropriately under the new mental capacity act law. The format for these care plans identified need/ best interests/ capacity/ how needs will be met. Risk assessments were in place within the care files seen that linked to support plans.As stated earlier this ensured that staff had all the required information to ensure that all areas of support for each activity or task could be met appropriately and in a safe way.The risk assessments seen covered all areas of physical and mental health care, including behavioural management and any areas identified, such as anxiety management, moving and handling assessments, pressure area care, social Care Homes for Older People Page 14 of 32 Evidence: and emotional needs and cultural needs. Evidence was in place that demonstrated that peoples health care needs were met. All health care visits were recorded in the care files seen and this included minutes of review meetings , records of visits and monthly reports and individuals consent to photo i.d for their medication administration recording sheets and personal file. The home supported people to take their medication in a safe way.The medications held and medication administration recording sheets for the people case tracked were looked at. All medications were correctly stored and records seen demonstrated that medications were administered as prescribed.No gaps were seen in the medication administration recording sheets, again demonstrating that medications were administered as prescribed. A pleasant and welcoming atmosphere was noted throughout the day of this visit.From the observations seen throughout the day the rapport between the staff and the people living at the home was good. Staff observed appeared caring and supportive to individuals needs, they were seen behaving in a professional manner but were friendly and very cheerful towards individuals. Care Homes for Older People Page 15 of 32 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The social, cultural and recreational activities provided met peoples needs, but not all individuals had been supported to follow their personal interests and activities. Evidence: Information was provided within the care plans seen regarding individuals interests and hobbies and likes and dislikes and the support they required from the staff to enable them to participate in their interests and hobbies. This included any encouragement that may be required for individuals to participate in social events/ activities. There was an activities co-ordinator in post that shared her time between the the people living on the ground floor and the people living on the first floor whose primary care need was dementia. The activities co-ordinator worked six hours each day over five days. She had been employed at the home since March 2008. She confirmed that she had undertaken training in dementia awareness. From the discussions held with the activities co-ordinator she demonstrated a good understanding of how to support people with dementia in their social needs.The activities co-ordinator stated that she was hoping to do an NVQ to be a fully qualified activities co-ordinator. Care Homes for Older People Page 16 of 32 Evidence: Records were seen to demonstrate that individuals participation in activities was recorded each day and this information was used to develop monthly activities reports for each person.The activities co-ordinator confirmed that staff were supportive in activities and encouraged and supported individuals to participate. The types of activities included craft work such as making book marks and cake decorating.Soft ball games, board games, sing a longs, nail painting, memory jogger games and activities, such as entertainers of the 1940s, old newspaper cuttings, war time posters and memorabilia. External entertainers also visited the home and the records demonstrated that the home had a tea dance booked and an external organist was providing the music for this. Sensory equipment was also available for people with Dementia on the first floor and this included a sensory room, sensory boards and sensory mirrors in corridors. A small gym was also provided on the ground floor that housed some gym equipment and it was stated that one person in particular was interested in using this equipment. However the activities co-ordinator stated that she was not trained in the use of this equipment or in assessing the suitability of this equipment for individuals who wished to use it. This was discussed with the manager, as to ensure individuals safety when using gym equipment there should be risk assessments undertaken to ensure they are physically able to use the equipment provided. Comments from one resident regarding activities confirmed that they would like some physical activity in the gym and would like to go swimming once a week.Discussions with the activities co-ordinator confirmed that she had discussed this with the individual and stated that she felt this individual may require some support and or supervision to go swimming that she would be unable to provide. For example in the changing room area. This was discussed with the manager, as the support required for this person to go swimming should be assessed to determine the appropriate actions and support required to enable this activity to take place. External activities included; trips out to local places of interest such as parks and tea rooms, these activities were confirmed by one relative spoken with, who said that she had gone along with her brother who lived at the home to several of the trips out and was made very welcome by the staff team. She also confirmed that she felt trips out were popular and enjoyed by the people living at the home. Discussions with activities co-ordinator confirmed that prior to community activities taking place risk assessments Care Homes for Older People Page 17 of 32 Evidence: were undertaken to ensure the venue and activity would be suitable for the people attending, such as the accessibility, the type of transport required and the staff support needed. Church services were provided at the home every month by the local vicar for anyone wishing to participate. A social activities list for each week was on display for both floors so that the people living at the home and their visitors were kept up to date with the social events and activities on offer. A daily orientation board was also on display that provided people living at the home with the date and day and the staff on duty that day. Comments from people living at the home included; I would like to go out more, but I need someone to take me, the staff do all they can and there is always someone to talk to and I like to play bingo and Ive had a game of bingo and dominoes but would sing and dance if I could. Comments from relatives and visitors included; I feel the staff are interested in the welfare of the residents and try to encourage them to take part in activities and If weather permits the staff should encourage people to sit out more in the garden. Visiting was open at the home and one visitor spoken with confirmed that they were able to visit their relative whenever they chose and said that they were always made to feel welcome. Information was also available advising relatives that if they wished to contact their loved one via the internet they could do, there was a web cam set up in a quiet part of the lounge for this. However discussions with the activities co-ordinator indicated that this was rarely used. People living at the home that were spoken with confirmed that they could personalise their bedrooms by bringing small items of furniture or ornaments from home.This enabled them to retain their own identity and make their rooms feel more like home. The menus were seen and ran over a four week period. Alternative dishes to the main meal on offer was provided and peoples preferences were catered for. One person talked about their vegetarian diet and said that they were always provided with a vegetarian option that met with their preferences and taste. Care Homes for Older People Page 18 of 32 Evidence: All of the people spoken with on the day of the inspection visit said that they enjoyed the meals and thought they were of a good quality, they also confirmed that they were offered a choices at meal times including the tea time choices.Comments within one surveys said I used to get asked what choice of sandwiches I wanted for tea but now it doesnt happen, unfortunately this person could not be identified from the survey and therefore this could not be discussed further with them at the inspection visit. Care Homes for Older People Page 19 of 32 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 are confident that any concerns they have will be addressed. The practices in place safeguards the people living at the home from abuse. Evidence: The service had received two written complaints since the last inspection and these had been addressed following the correct procedure. The records regarding one verbal complaint made also demonstrated that peoples concerns were listened to, taken seriously and acted upon. We have not received any complaints about this service since the last inspection. There was a detailed complaints procedure that was displayed in the reception area. A comments box was in the reception area to enable anyone to raise a concern or just make a comment about the service. Copies of the complaint forms were also available in this area. From the comments received in surveys and from discussions with those spoken with it was confirmed that the people living at the home and their representatives were confident that any concerns or issues they raised would be addressed promptly. Comments made included, I would speak to a senior member of staff if I had any complaints and Ive never raised any concerns because this home does everything Care Homes for Older People Page 20 of 32 Evidence: well. Comments from staff also demonstrated that they understood the procedure to follow if any concerns or complaints were made. These comments included, any concerns are reported to the manager and any problems or concerns are passed on to the manager, if it can’t be sorted out straight away it is reported and recorded The home had a copy of the local authorities safeguarding policy. As the local authority are the lead investigators in any allegations or suspicions of abuse this demonstrates that the home follows the correct procedures to ensure the people at the home were protected from abuse. They home sent us written notification regarding a referral they had made to social services earlier this year. This was investigated under the safeguarding procedures and an the outcome of this investigation was recorded. Staff comments demonstrated that they new the correct procedure to follow to ensure peoples safety was maintained. The staff training records seen also demonstrated that staff had undertaken training in the protection of vulnerable adults. Care Homes for Older People Page 21 of 32 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 stay in a home that has enough space and facilities to meet their needs and is safe and well maintained. Evidence: A partial tour of the home was undertaken and communal areas were seen on both floors. The home was decorated and maintained to a high standard in all areas seen. The communal areas provided a spacious accommodation in different areas and people were able to choose on both floors where they preferred to sit. For example on the first floor there was two rooms available one was a music room, where people could listen to music and the other was a television room. One person spoken to said, I prefer the TV room, as I like watching the daytime programmes and the soaps at night. The first floor where all of the people accommodated have a diagnosis of dementia was suitable to meet the needs of these people. The home had followed guidance from up to date research on working with people with dementia. The corridors were painted in different bright colours, which assisted people in identifying different areas. For example if someones bedroom was along the yellow corridor they would be better equipped to remember this than they would if all corridors were the same colour. Care Homes for Older People Page 22 of 32 Evidence: As stated earlier in this report there was sensory equipment available on the first floor and this included a sensory room, sensory boards and a sensory mirror in the corridors. As stated earlier in this report a daily orientation board was on display that provided people living at the home with the date and day and the staff on duty that day. A staff gallery with photographs of the staff team was also available in the corridor of the ground floor. This allowed staff to be identified easily by the people living at the home and visitors to the home. Individuals had their photograph on their bedroom doors to assist them in identifying their own bedrooms. The laundry area was seen and housed sufficient equipment to maintain disinfection standards and launder clothes effectively. People spoken with said they were happy with the laundry service provided and from observation the clothes seen on individuals looked clean and well ironed. The bathrooms and toilets were seen and provided sufficient space and facilities to meet the physical needs of the people living at the home. Comments from people living at the home and their visitors confirmed that the home was well maintained and good standards of hygiene were kept. Care Homes for Older People Page 23 of 32 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. A competent staff team provide safe and appropriate support to individuals. The recruitment practices in place ensure that the staff employed are suitable to care for the people living at the home. Evidence: Staffing rotas and discussions with the staff indicated that there was sufficient staff to meet the needs of the people using the service. Management support was provided at all times and this included on call support when neither the manager nor the deputy were on duty. One person using the service had been supported by the manager in an application for continuing care based on the level of support they required. This had resulted in this person being additionally supported on a one to one basis each day to ensure their support needs were met appropriately. Comments from people living at the home included, when I press the bell the staff come and if I ever ask for anything my needs are met. A sufficient number of qualified staff were employed at the home to ensure people received safe and appropriate support. Records showed that there was twenty-six care Care Homes for Older People Page 24 of 32 Evidence: staff employed at the home at the time of this inspection visit. Of these twenty two had achieved a National Vocational Qualification (NVQ) in care at level 2, five staff had an NVQ in care at level 3. All housekeeping staff with the exception of one had gained an NVQ in housekeeping. The manager stated that this one member of staff was due to commence NVQ training in housekeeping in November 2008. One of the cooks had achieved an NVQ in catering and hospitality and the other was undertaking this training at the time of this inspection visit. The recruitment records for two members of staff were looked at and all of the required documents were in place.This demonstrated that the correct checks were undertaken to ensure the staff employed were suitable to care for the people living at the home. The training records seen demonstrated that staff received the appropriate training to ensure that people are cared for and supported appropriately. The records showed that all mandatory courses and training that was specific to the needs of the individuals was undertaken as required. Comments from staff included, the home manager will always make sure that staff are fully competent from all the training offered to us and all training is given to a high standard. The observations undertaken throughout this inspection visit confirmed that staff were competent in their work role. They demonstrated a good understanding of individuals needs and were seen treating people with respect, patience and courtesy. Care Homes for Older People Page 25 of 32 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. People were confident that the home was led and managed appropriately. Individuals finances were safeguarded and the practices in place ensured peoples health and safety was maintained. Evidence: The manager has been in post since July 2008. She has previously been registered for other care services that are registered with the commission but has not yet applied for registration as the manager of this service. Members of staff spoken with were very complimentary about the managers abilities to run the service. Comments included, the manager is very nice, shes easy to talk to and always available if we have any problems or questions and weve had two staff meetings since the new manager has been here, she includes us in decision making regarding new admissions, the team work here is really good Care Homes for Older People Page 26 of 32 Evidence: Comments in staff surveys was also positive, such as the managers door is always open to us and any problems at night time the management are always available, whatever time I may need to phone them and they would come out if needed. Comments from people living at the home and their visitors also confirmed that they found the manager approachable and easy to talk to. The manager stated that as she had only been in post since July 2008 the quality assurance process were not fully up and running. The manager was able to provide four surveys that had been returned by relatives/ visitors to the home and stated that other surveys had not as yet been returned. The manager confirmed that she was in the process of initiating residents meetings as these had been undertaken previously. She confirmed that she had spoken with some of the relatives and people living at the home regarding this and it had been agreed that meetings would be held every month for people living at the home and their representatives. This would ensure that individuals are given an opportunity to voice their opinions and be involved and consulted about their life in the home. The manager and provider have ensured that all requirements set at the last inspection have been met. Of the four people case tracked only two had monies that were held in safe keeping for them by the home. These monies were counted and checked against the financial transaction records held. Both sets of monies corresponded with the records in place and all transactions were recorded and two signatures were recorded for each transaction. This is good practice and safeguards the finances of people that are unable to do so for themselves. Since the last inspection the provider has ensured that any incidents that affect the well being of anyone living at the home are reported to us. This demonstrates that a transparent approach regarding the management of the home is maintained between the home and the commission. As stated earlier in this report the staff are provided with all mandatory training as required. This included fire safety, moving and handling, health and safety and food hygiene training. Throughout the inspection visit staff were observed using the correct techniques and equipment to ensure people with mobility problems were supported in a way that maintained their safety and the safety of the staff supporting them. A sample of certificates that related to the maintenance and safety of equipment was Care Homes for Older People Page 27 of 32 Evidence: looked at during the inspection. The certificates and records seen demonstrated that the appropriate checks are carried out as required. This ensures the safety of the people living at the home, staff and visitors is maintained. Care Homes for Older People Page 28 of 32 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 29 of 32 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 31 9 The manager must apply for Registration with the CSCI To comply with Section 11(i) of the Care Standards Act 2000 16/03/2009 2 33 24 The views and opinions of 16/03/2009 people using the service and any actions taken should be published. This will ensure that people using the service and those considering using the service can evaluate how people are involved and consulted about their life in the home. 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 12 An assessment of the support needs that are required to enable the person identified within this report to access community leisure facilities should be undertaken and if appropriate the correct actions should be undertaken to enable this individual to access this facility. Care Homes for Older People Page 30 of 32 2 12 For individuals to access the gym facilities within the home an assessment of their physical ability to use this equipment should be undertaken by a suitably qualified person. Care Homes for Older People Page 31 of 32 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!