Care Home: Oldfield House

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The good assessment process ensured people who used the service were suitably placed. Plans of care contained good details for staff to deliver effective care. People were able to access specialists to help meet their health care needs. The administration of medication was safe for people who use the service. One person who used the services said, "I look after myself. They help me bath and they treat me privately". People who used the service were treated privately to help preserve their dignity. One person who used the service said, "The entertainment is good". The good entertainments program helped people who used the service lead fulfilling lives. Two visitors said visiting was unrestricted. One person who used the service said, "I get visitors. My brother comes to see me. They can come when they like". Visiting was encouraged for the benefit of people who used the service. One person who used the service said, "We get a choice in what we do here. You can just go and get a member of staff to help you". Plans of care showed evidence that choice of the individual was well recorded to maximise peoples contentment at this care service. People who used the service said food was "good" and "We are fed well. The food is excellent. You can get drinks and a cup of coffee when you like". The food served at the care service met peoples expectations. One person who used the service said, "If I have any complaints, which I don`t, I could talk to the manager. They look after us very well". The accessible complaints procedure and safeguarding systems allowed people who used the service to voice their concerns. One person said, " have a nice room. I have what I want". In general the home was suitable and provided a homely atmosphere for people who were accommodated there. One person said, "I enjoy life here. I try to make my life enjoyable. I have a nice room. I have what I want. The staff are brilliant. I have a good relationship with the manager. They look after us as a person not a number". This person who was involved in the case tracking process was satisfied with the care he received. There were sufficient numbers of well trained staff to meet the needs of people who used the service. The registered manager updated her knowledge by attending courses for the benefit of staff and people who used the service.The health and safety policies, procedures and maintenance of equipment helped protect the health and welfare of staff and people who used the service. Two family members said, "The home write down everything that happens to her and we can read it. They communicate all of her problems to us. We cannot fault her care. She gets good food and although its blended they make it nice. She had been in bed due to her condition and they really look after her. They dress her and put her hair band and earing`s in even though she is in bed. They keep her clean and she looks good. They did her nails today. She has a nice room. Staff are welcoming and I come every day. We are very happy with her care here and have no problems. Staff are generally very nice". The visitors of this person were very satisfied with the care and personal way their family member was treated. Staff said, "I like working here and enjoy my job. I like interacting with the residents and helping them. I feel supported here. I think there is a good staff team and I get on with everybody" and "I have worked here 20 years and like working here. We get well supported and well trained. I like it because we can get involved with people and we can treat them as individuals. I like 1 - 1 with people". Staff spoken to were motivated and felt well supported by management. What has improved since the last inspection? There was a record of meals taken to ensure staff were aware of the preferred choices of people who used the service. What the care home could do better: The registered person should ensure care plan reviews are dated to demonstrate each persons care needs are up to date. The registered person should ensure the complaints procedure is updated to include the address of the Care Quality Commission should people who use the service wish to contact us. The registered person must ensure the hot water outlets do not pose a scalding threat to people who use the service. Key inspection report Care homes for older people Name: Address: Oldfield House Oldfield House 15 Hawkshaw Avenue Darwen Lancs BB3 1QY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Graham Oldham     Date: 1 8 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Oldfield House Oldfield House 15 Hawkshaw Avenue Darwen Lancs BB3 1QY 01254702920 01254707418 K.Kumar985@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dr Govindon Asoka Kumar,Mrs Kathleen Kumar care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 19 Date of last inspection Brief description of the care home Oldfield House is part of a small local group of three homes. It is a converted two-story building set within is own grounds. There is car parking space at the front of the building. At the time of the inspection it provided personal care for 19 older people. The home is situated about 200 metres from the main Blackburn to Darwen road where there are a variety of shops and retail premises. Darwen town centre is approximately one mile away. Care Homes for Older People Page 4 of 25 Over 65 19 0 Brief description of the care home Accommodation is provided on two floors. There are 17 single bedrooms and 1 double bedroom that is presently used for single occupancy. There are bathrooms and toilet facilities upon each floor. The home has one lounge and a separate dining room. Both are situated on the ground floor. Both stairs and a passenger lift are available for access to the first floor. Gardens are accessible to residents via a ramp. The fees at the time of the inspection were a standard £368. 00p per week. There were additional charges for hairdressing. Information about Oldfield House can be obtained from the home in the form of the Statement of Purpose and the Service Users Guide. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection, which included a visit to the home, took place on the 18th November 2009. Much of the information gained was obtained from talking to people who used the service and staff members. The views of people who used the service were obtained on a variety of topics. Two people were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members were questioned about the care of the residents case tracked. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment Care Homes for Older People Page 6 of 25 documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted. The service returned a self assessment questionnaire which told us of the current and projected standard for the home. Notifications, which are events the home tell us about were also used to influence the inspection. Four staff returned survey forms to the Care Quality Commission. All four thought they were always given up to date information about people who used the service. All four thought recruitment was thorough. All four thought the induction program was very good. All four thought they were given training relevant to their role. All four thought they were supported by management. All four were aware of the complaints procedure. All four thought communication was good. All four thought there were sufficient staff to meet the needs of people who used the service. All four thought they met th diverse needs of residents. Staff commented, We have a very good team and we meet everyones needs, I think we are flexible and homely. We always want to improve, We care for all residents well and All staff are very flexible with caring and looking after clients. Staff surveys demonstrate a committed and well supported team to look after people who use the service. Two relatives returned survey forms to the Care Quality Commission. Both relatives were satisfied the home passed on important information. Both thought the needs of their relative were being met at the care service. Both thought the care service encouraged them to keep in touch with their family member. Both thought they were kept up to date with important issues. Both thought the care service gave the support and care needed. Both thought staff were suitably trained. Both thought people were treated as individuals. Both thought the care service supported people to live the life they chose. Both knew how to complain and that the home would respond appropriately. Care Homes for Older People Page 7 of 25 Relatives commented, I could not wish for my mother to be in better hands. The degree of care she gets is excellent. I have only admiration and heartfelt gratitude for the management and staff at Oldfield House and The service does well in personal care and hygiene. They provide outings, entertainment and celebrate birthdays. I dont think the service could be a lot better. Relatives were very satisfied with the care provided to their families. Care Homes for Older People Page 8 of 25 What the care home does well: The good assessment process ensured people who used the service were suitably placed. Plans of care contained good details for staff to deliver effective care. People were able to access specialists to help meet their health care needs. The administration of medication was safe for people who use the service. One person who used the services said, I look after myself. They help me bath and they treat me privately. People who used the service were treated privately to help preserve their dignity. One person who used the service said, The entertainment is good. The good entertainments program helped people who used the service lead fulfilling lives. Two visitors said visiting was unrestricted. One person who used the service said, I get visitors. My brother comes to see me. They can come when they like. Visiting was encouraged for the benefit of people who used the service. One person who used the service said, We get a choice in what we do here. You can just go and get a member of staff to help you. Plans of care showed evidence that choice of the individual was well recorded to maximise peoples contentment at this care service. People who used the service said food was good and We are fed well. The food is excellent. You can get drinks and a cup of coffee when you like. The food served at the care service met peoples expectations. One person who used the service said, If I have any complaints, which I dont, I could talk to the manager. They look after us very well. The accessible complaints procedure and safeguarding systems allowed people who used the service to voice their concerns. One person said, have a nice room. I have what I want. In general the home was suitable and provided a homely atmosphere for people who were accommodated there. One person said, I enjoy life here. I try to make my life enjoyable. I have a nice room. I have what I want. The staff are brilliant. I have a good relationship with the manager. They look after us as a person not a number. This person who was involved in the case tracking process was satisfied with the care he received. There were sufficient numbers of well trained staff to meet the needs of people who used the service. The registered manager updated her knowledge by attending courses for the benefit of staff and people who used the service. Care Homes for Older People Page 9 of 25 The health and safety policies, procedures and maintenance of equipment helped protect the health and welfare of staff and people who used the service. Two family members said, The home write down everything that happens to her and we can read it. They communicate all of her problems to us. We cannot fault her care. She gets good food and although its blended they make it nice. She had been in bed due to her condition and they really look after her. They dress her and put her hair band and earings in even though she is in bed. They keep her clean and she looks good. They did her nails today. She has a nice room. Staff are welcoming and I come every day. We are very happy with her care here and have no problems. Staff are generally very nice. The visitors of this person were very satisfied with the care and personal way their family member was treated. Staff said, I like working here and enjoy my job. I like interacting with the residents and helping them. I feel supported here. I think there is a good staff team and I get on with everybody and I have worked here 20 years and like working here. We get well supported and well trained. I like it because we can get involved with people and we can treat them as individuals. I like 1 - 1 with people. Staff spoken to were motivated and felt well supported by management. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 10 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 25 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. A good assessment was undertaken to ensure the needs of each person could be mat at the care service. Evidence: Two plans of care were examined during the case tracking process. An assessment had been made by social services prior to admission to judge the suitability of the care service to meet each persons needs. A suitably experienced person at the home had assessed each person to gain further knowledge and develop a plan of care. This care home did not provide intermediate care. Care Homes for Older People Page 12 of 25 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. Plans of care contained good details for staff to read and deliver effective care. People who used the service attended specialists and professionals to help keep their health care needs up to date. The good systems for the administration of medication helped protect the health and welfare of people who used the service. The professional way staff delivered care ensured people who used the service were treated with dignity. Evidence: Two plans of care were examined during the case tracking process. Plans of care contained sufficient detail for staff to deliver good care. The plans of care had been devised using a computer and were revised on a regular basis. However, parts of the plan appeared to have not been updated because of the system used. This should be amended to include the date of review of the whole plan to avoid confusion and ensure staff are fully aware of the needs of people whop use the service. Staff questioned were fully aware of the care of the people case tracked and people who used the service were satisfied with the care they received. Plans of care contained evidence of visits to hospital specialists, doctors, district Care Homes for Older People Page 13 of 25 Evidence: nurses and other allied health care professionals to keep peoples treatments up to date. Risk assessments for tissue viability, nutrition and falls had been undertaken and any action to safeguard people who used the service had been implemented. There were medication policies and procedures for staff to follow good practice. Staff had access to the Royal Pharmaceutical Guidelines and other literature to further supplement their knowledge. Medication including controlled drugs were stored securely. The medication recording system was examined and contained no errors or omissions. All staff who administer medication had been trained to do so safely. Medication was stored at the recommended temperatures. There was a good system for ordering, administering and disposing of medication. The registered manager said they had a good rapport with our pharmacist and can get advice when we need it. Staff training and secure systems ensured people who used the service received their medication when required. People who used the service said care was given in a private manner. Staff were indirectly observed going about their tasks. Staff treated each person in a pleasant way and ensured people who used the service were comfortable with any personal care they needed. Care Homes for Older People Page 14 of 25 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 good activities program helped people who used the service to lead more fulfilling lives. Visiting was unrestricted to enable people who used the service to remain socially active. People were able to exercise personal choice within the routines of the care service to help maximise their independence. The food served at the care service met the nutritional and taste needs of people who used the service. Evidence: There was a planned series of activities and people who wished could attend. Some of the people were enjoying a pamper session as entertainment on the day of the inspection. There was a record kept of the activities people attended to judge what people who used the service liked. People were given the opportunity to go out to town for shopping trips. Other activities included completing jigsaws, listening to music, watching television and other games. The mobile laundry called and people exchanged books on a regular basis to follow their reading hobby. One person had bible study to help maintain her religious needs. Activities were provided to help keep people who used the service entertained. Two visitors and the registered manager said visitors were made welcome so people who used the service could remain in touch with their family and friends. Care Homes for Older People Page 15 of 25 Evidence: There was a good record of the choices people could make for themselves in the plans of care. Choices were recorded about if a person could choose how to dress, preferences for times of getting up and going to bed. The likes and dislikes and food preferences were recorded and taken into consideration to help people have control over their lives. Two visitors gave a good account of how staff gave their dependent relative her wishes upon how she looked to help her feel good about herself. There was an alternative to the meal on offer. The days menu was recorded on a notice board to aid people in making a choice. People had a choice of a hot meal at every setting. People were given hot drinks at a set time but were observed offering hot or cold drinks in between. Visitors were offered a drink when they arrived as part of the welcoming process. The meal taken on the day of the inspection was hot, nutritionally balanced and tasty. The dining room was nicely set to present a homely atmosphere for people who used the service. The tables and chairs were of a good quality with sufficient seating for all to enjoy meals as a social occasion. There was salt, pepper, vinegar and sauces on each table to help people who used the service season their food. The cook undertook environmental health checks and recorded meals taken to help protect the health and welfare of people who used the service. Each persons needs were recorded and special diets such as soft or diabetic were provided. People who were asked said the food served at the care service was good and met their expectations. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was an accessible complaints procedure for people who used the service to voice their concerns. The good safeguarding systems helped protect people who used the service from harm. Evidence: No complaint had been made to the Care Quality Commission (CQC) since the last key inspection. The complaints procedure was located in the hallway for easy access and contained the timescales people could expect the care service to respond. The latest address change of the CQC in this area had not been amended and could be misleading for people who wanted to contact us. People who used the service said they were comfortable approaching management if they had any concerns. There were policies and procedures for the protection of adults for staff to follow good practice. There was a copy of the No Secrets document and a whistle blowing policy for staff to take advice from. The care service used the Blackburn with Darwen safeguarding policies to follow a local initiative, All staff had attended safeguarding training. No allegations of abuse have been made to the CQC since the last key inspection. Some staff had undertaken dementia training which gave them the know;ledge to care for people with challenging behaviour. Staff were aware of the complaints procedure, safeguarding procedure and the whistle blowing policy which helped protect people who used the service from harm. Care Homes for Older People Page 17 of 25 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. The facilities and services at the care service met the environmental expectations of people who used the service. The home was warm, clean and suitably furnished to provide a homely atmosphere. Infection control measures protected the health and welfare of staff and people who used the service. Evidence: A tour of the building was conducted on the day of the inspection. The home was warm, clean and did not contain any bad odours. The communal areas were bright and contained good levels of domestic type furniture for people who used the service to sit in comfort. There were assisted type baths and disability equipment situated around the home such as hand and grab rails to aid people with mobility problems. There was a lift to access the upper floor and hoists and slings were seen for the safe handling of people who used the service. Bedrooms visited had been personalised to each persons tastes to help people retain some independence. Each door could be locked and had a lockable cupboard to store personal belongings to keep people possessions private. There was sufficient furniture Care Homes for Older People Page 18 of 25 Evidence: to keep people in comfort in their rooms if that was their preference. Outside space was accessible for people to enjoy in good weather. There was a system to repair faults and upgrade the home to keep the care service nice. Radiators were guarded and windows had a suitable device fitted to prevent people from falling out. Two taps were tested how hot the water was and were safe. However, one bath tested would pose a scalding risk to people who use the service and needed regulating to be safe. There were policies and procedures for the control of infection for staff to follow good practice. The laundry was sited well away from food preparation areas to prevent cross infection. The equipment met current specifications and was in good working order to provide a good service. All staff have been trained in infection control to help protect the health and welfare of people who used the service. Care Homes for Older People Page 19 of 25 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. There were sufficient numbers of well trained staff to meet the needs of people who used the service. The recruitment of staff was robust and helped protect people who used the service from possible abuse. New staff received a thorough induction to prepare them for their role. Evidence: On the day of the inspection there were sufficient staff on duty to meet the needs of people who used the service. The off duty rota demonstrated that this care service was normally covered with similar numbers of staff. Two staff files examined during the inspection showed staff had undertaken a good amount of training, including National Vocational Qualifications in care to give them the base knowledge to look after the group of people who lived at the home. Two staff files examined contained all the key documentation such as a criminal records check, two written references, application form and proof of identity. Staff were issued with a job description and contract so they understood the terms and conditions of employment. Each applicant was given an equal opportunities type interview to ensure the care service employed people who were suitable. The files contained evidence new staff had undergone a recognised induction program to help them gain the confidence and knowledge to work with older people. Care Homes for Older People Page 20 of 25 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. There was a suitably qualified, registered and experienced person to manage the care service. Good quality assurance systems demonstrated how the views of people helped improve the care service. Evidence: The registered manager had updated her knowledge by attending courses on health and safety, fire awareness, medication administration, safeguarding, food hygiene and infection control which helped to demonstrate her ability to support staff and people who used the service. The registered manager had conducted quality assurance surveys for relatives, families, staff and stakeholders views of the home to respond to their views. The registered manager held formal staff and residents meetings to help gain their views on a regular basis.. Staff was September and residents September. A summary of the survey results was available to inform interested parties of the results. Care Homes for Older People Page 21 of 25 Evidence: The registered manager said the home did not currently handle any persons finances. There was a health and safety policy for staff to follow good practice. The electrical and gas equipment and supply was maintained for the safety of staff and people who used the service. The registered manager carried out a room audit and fire related checks to keep people safe. The registered manager was aware of health and safety legislation to keep abreast of current issues. Staff had received training in health and safety related topics to help protect the health and welfare of people who used the service. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 13 The registered manager must ensure all parts of the home are as reasonably practical free from hazards. The hot water outlet to a bath was not regulated sufficiently to prevent people whop used the service from possible scalding. 18/12/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 The registered manager should ensure that each section of the care plan shows the date of the last review to be able to demonstrate this has been completed. The registered manager should ensure the complaints procedure contains an up to date address of the CQC to ensure people who use the service can contact us if they wish. 2 16 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!