Care Home: Pinehurst Resource Centre

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What the care home does well The home continues to provide excellent service to the service users living at the home. Contact with family and friends are encouraged and service users are able to entertain their visitors in the privacy of their bedroom if they so wish. The documentation of individual care plans is easy to read, gives the reader a full picture of the service users` likes and dislikes, communication needs and risk assessments and care needs and exactly what the carers did with and for the service user over any twenty-four hour period. Observations of care staff interaction with service users indicated that service users are treated with dignity and respect. It was also observed that great care was taken in respect of service users personal belongings and standard of cleanliness in bedrooms and toilets ensured service users lived in a well-maintained environment. The home has demonstrated its preparation to cater for residents from ethnic minority and from different cultures by ensuring each member of staff gets the opportunity to attend the Equality and Diversity course. Currently, all carers undertaking National Vocational Qualification have Equality and Diversity as part of their course work. What has improved since the last inspection? The AQAA informs us personal care is delivered according to each service user`s plan of care and this was evidenced by the signing of the care plans by the service user or relative to demonstrate their involvement. Purchase of domestic type washing machines for service users to use themselves. They have changed the menu to include more choice options as a result of consultation with service users. The home has also upgraded main TVs in the lounges to Digital provision. The home has constructed a secure Sensory Garden within the grounds of the home for the use of service users diagnosed with dementia. What the care home could do better: The home continues to provide a high standard of care to the service users. However the following shortfalls needs to be rectified. The registered manager must ensure that all prospective care workers comply with the care Homes regulations 2001 (Amended) Schedule 2 requirements, especially in relation to obtaining a full work history and to have on record a statement of health and mental fitness to practise as a carer. The registered manager must ensure a complaints log is kept of all complaints received into the home and this must be made available for inspection by CSCI officer. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pinehurst Resource Centre 141 Park Road Camberley Surrey GU15 2LL     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: Mavis Clahar     Date: 0 5 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 29 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 29 Information about the care home Name of care home: Address: Pinehurst Resource Centre 141 Park Road Camberley Surrey GU15 2LL 01276686778 01276676092 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Linda Amero Type of registration: Number of places registered: Surrey County Council - Adult & Community Care care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: Amber Unit will provide intermediate care for up to 10 service users. The home may provide day care for 7 persons. Date of last inspection Brief description of the care home Pinehurst Resource Centre is a single storey property accommodating up to 50 older people, some of whom have dementia. It is managed by Surrey County Council and is close to Camberley town centre, giving easy access to local facilities. All rooms are single occupancy and the home is divided into smaller units to give a more homely arrangement. Each unit has its own kitchen/dining room and lounge area and there are Care Homes for Older People Page 4 of 29 Over 65 20 30 0 0 0 0 2 6 Brief description of the care home additional quiet areas throughout the home. The home hosts a day care facility which operates five days a week, with residents free to join the activities if they wish. The home is situated in its own grounds with good-sized gardens and ample parking. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 for this service was completed on 5th January 2007. Fees charged at this home are 602 pounds and 86 pence per week and does not include the costs for hairdressing, chiropody and personal toiletries. Outings are funded by the Fund raising Team at the home. This unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on the 5th January 2009 and lasted for six hours and ten minutes; commencing at 09:40 hours and concluding at 15:50 hours. Care Homes for Older People Page 6 of 29 The CSCI Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service, which includes information from a variety of sources. This initially helps us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by CSCI (us) and is referred to throughout the report. CSCI (we) received five completed service users surveys and spoken to seven service users and their responses and views are also incorporated into the report. The registered manager of the home and the deputy manager assisted on this inspection. The majority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with a number of service users, with the deputy manager and Registered manager and with care staff. Further information was gathered from records kept at the home and from service users surveys. The first part of the inspection was spent discussing and agreeing the inspection process with the manager and her deputy, followed by a tour of the home, which included time spent in discussion with service users and care workers . The manager and staff are aware of the Laws regarding equality and diversity and this was reflected in the staff mix. All service users in this home are Caucasian and reflect the population of the area in which the home is situated. First impression of the home was it was clean and tidy, it felt peaceful and no malodours were present. Comments made by service users were very positive about the care they receive at the home such as The treatment is excellent has been in private care but it was nothing like this. My wife has been here 8-10 times. This is my third time. The staff are excellent. another told us I sleep better here than at home. I do not have to worry about things like is the gas turned off or the water tap turned off. The staff are wonderful they are very very helpful. They fall over themselves to help you. All service users records sampled were up to date with care plans being signed by the service users or by relatives. Three requirements and one recommendation of good practise were made on this visit. Please see sections under headings Staffing and Complaints for full information. The final part of the inspection was spent giving feedback to the registered manager and deputy manager about the findings of this visit. We would like to thank all the service users and care staff and management that made the visit so productive and pleasant on the day. 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 Care Homes for Older People Page 8 of 29 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs and service users are being assessed to ensure the home is capable to meet the needs of the service users prior to being admitted into the home. Evidence: Review of service users documents demonstrated the home has a policy and procedure on admission and discharge of service users. Within the admission policy all service users must have an assessment prior to being admitted into the home. The Registered Manager, and in her absence, the deputy manager who is trained in the principles of assessment of service users needs based on what the care the home says it will provide carries out pre admission assessments of service users prior to them being admitted into the home. Re admission assessment following discharge from hospital is also carried out to ensure the home is still able to meet the needs of the service users. Care Homes for Older People Page 11 of 29 Evidence: Review of a random sample of service users files including two recently admitted service users, demonstrated that pre admission assessments are being carried out and relatives were being involved in the assessment process. The home provides for respite care in the Rehab unit where service users have input from a multidisciplinary team including Physiotherapist and Occupational Therapist. Rehab clients are encouraged to return home as soon as possible with a maximum stay on the scheme of 6 weeks. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users receive effective personal and health care support using a person centred approach with support provided based on the rights of dignity, equality, fairness, autonomy and respect. The home fully respects the rights of the individual in the areas of health care and medication. Staff members are very alert to changes in mood, behaviour and general wellbeing and fully understand how they should respond and take action. Evidence: The randomly selected care plans were clear, identifying potential and actual risks to service users and detailing how these risks would be managed. The daily work sheet along with discussion with service users and care workers demonstrated that service users care needs are fully met. The service user or relative signed the care plans to indicate their involvement in deciding what care they received. It was evidenced that care staff undertaking the development and monthly review of the care plans also signed and dated them. Information contained in the homes Annual Quality Assurance Care Homes for Older People Page 13 of 29 Evidence: Assessment (AQAA) informs each care plan is written in a manner which each client and staff member can understand and follow to ensure the needs of the service users are met. Personal discussions on the day of the visit with service users revealed that they were involved in the assessment of their care needs. All service users are registered with a local General Practitioner (GP) of their choice and visits are recorded, with access to specialist health care professionals through their GP practise as required and these visits are also recorded in the service users folder. Service users are offered access to chiropody service and weekly hairdressing facilities are available at a cost to the service users. In discussion with the Registered manager, the deputy manager of the home and care workers they were extremely proud of the high standard of care they provided to all service users in the home. This was supported by the service users spoken to and by the review of the many letters of thanks received by the home. Care staff identified as capable to administer medication are requested to leave a sample of their signature, which is dated in the medication trolley. All service users have a recent photograph included in their personal folder and medication record, to reduce the risk of mistakes happening during medication administration. We were told by care workers that many service users on the day of the site visit were assessed as capable to self medicate. This aspect of medication management was supported in discussion with the service user, and we reviewed the homes policy on selfmedication. Medication records were checked and found to be correct as documented on the Medication Administration Record (MAR) sheet. No Control Drugs were at the home on the day of the site visit. Review of the homes record of receipt and disposal of medication was satisfactory, dated and signed. We saw no relatives on the day of the visit. We observed that care workers wore name badges to enable visitors and service users with memory impairment to be sure of whom they are speaking with. We observed Service users being treated in a friendly but respectful manner by care workers. Service users spoken to rate the personal care they receive as excellent. Service users unanimously said, We are treated with respect. They said the staff team are friendly and they attend all appointments accompanied either by staff or if their relative decides to accompany them. In discussion with service users they told us that they are treated with respect and dignity, and that they are able to make their own choice. One service user told us I am very happy here. Everything is so nice. I have my own room; I can have as much privacy as I want. Another service user said We have good staff here; they do not ill treat me. I have help to choose my own clothing every day. Another service user said its hard moving from my own home to live in one room, but I am settling well into the home and the staff are so kind and this is a friendly home. My family made a good Care Homes for Older People Page 14 of 29 Evidence: choice. Another service user said my wife has been here about eight times and this is my third time. We are treated so well we have asked to stay on for another fortnight. We know we have made an excellent choice in here Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community.Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. Evidence: The home employs an activities co-ordinator to manage the activities programme for the service users. The co-ordinator in agreement with the service users and their relatives provide a range of activities based on the individual assessed and agreed needs, including their preferences, cultural beliefs and customs. The AQAA informs us that wherever possible relatives are encouraged to participate in the planning and carrying out of service users activities. Activities provided include board game,various crafts,knitting, reminiscence therapy, scrabble, pub quiz afternoons, bingo and a wide range of board games. The home also provides outside visiting entertainers to the home to provide extra activities for the service users. We were told the home has good contact with religious denominations and Holy Communion is provided for all service users who would like to participate. In Care Homes for Older People Page 16 of 29 Evidence: discussion with service users we were told the home respects those service users who wish not to participate in an activity on any given day. A record of each service users daily activity is recorded in their care plans and their files demonstrated activities undertaken and refused. Service users told us visiting is open, and that they can entertain their guests in their bedrooms in private or in the spacious communal areas of the home. We observed that a variety of fresh fruits were made available for service users and their visitors in the home. Six of the service users spoken to said they had choice in their clothing and sometimes they receive help from their key worker. On the day of inspection all service users were dressed appropriately for the weather.We were told the Chef who has been at the home for a long time operates from a four-week menu and there is always a choice of three hot meals per day at mid-day, or salad at midday or the service user can choose their own food e.g. omelet etc. One service user told us there is always a choice of two hot dishes for the evening meal, or we can choose to have sandwiches filled with our own choice. Morning coffee and afternoon tea is served daily and our visitors and also our guests are served the same as us. We observed jugs of fruit juices and squash with glasses were placed in the lounges whilst service users were present, and staff was seen offering drinks to service users. There were ample amount of fresh fruit, available in the home in the lounges and dining rooms so that service users could help themselves if they wished. The inspector did not sample the lunch, but service users said the food was very good, tasty and the right amount. The inspector observed the presentation of the food was done in a way to stimulate appetite. A choice of squash or fruit juices were served with lunch, which was served in the dinning room unless a service user requested to have their meal in their bedroom. We observed care workers interacting in a friendly but dignified manner with service users. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory complaints policy and procedure and training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding adults policies are in place to protect the service users from abuse. Evidence: CSCI received no complaints about the home. No complaints were logged at the home, and the deputy manager informed us that both her and the registered manager of the home are in touch with service users on a daily basis and issues raised are dealt with immediately; this prevents any need for service users to complain. Service users spoken to said they have no need to complain, as they are able to discuss everything with the manager or deputy. In discussion with the manager we were told no records of service users minor complaints were logged . A requirement was made to log all complaints made by or on behalf of service users, as this would demonstrate the management of the home is open and transparent. The care workers were aware of the homes policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure they would be supported. It was observed that the homes guest information notice board situated in reception contained a complaints procedure and policy, whistle blowing policy, statement of purpose and a recent copy of the last CSCI Care Homes for Older People Page 18 of 29 Evidence: inspection report for the benefit of all visitors to the home. The home has received a number of complimentary letters and cards from relatives of service users, commenting in a positive way about the care their relatives received at the home. A random sample of care workers training records demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well- maintained and comfortable environment, which encourages independence, and protect their privacy and dignity. Evidence: The management and staff encourage service users to see the home as their own home. It presents as a comfortable, attractive home, which has all the specialist adaptations, needed to meet the service users needs. We observed that call bells were left within reach of each service users and service users said the bells are answered promptly. We also observed service users safety is promoted and there is suitable protection for the part of the home that is being used for service users diagnosed with dementia. The home has attractive, secure secluded gardens, including a newly erected sensory garden which are well maintained and there is good access to the gardens from various parts of the home. Some service users told the inspectors that they try to go out daily weather permitting to enjoy the gardens. The inspector observed that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was noted that service users were able to personalise their bedrooms with small items of personal furniture, paintings on the wall and many family photographs. Care Homes for Older People Page 20 of 29 Evidence: Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offencive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. The AQAA informs us staff are trained on the safe disposal of clinical waste and are provided with protective clothing to minimise the risk of spreading infection. We observed staff wearing disposable gloves and aprons whilst undertaking tasks during the visit. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. Evidence: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four hour period was suitable to meet the assessed care needs of the service user. The home has a programme of planned training in place and all members of staff have an individual training record. Over 50 of care workers have attained the National Vocation Qualification at Level 2 (NVQ L2) or above. Care workers are encouraged and enabled to undertake developmental training as well as the mandatory training. All newly appointed staff undertakes the Skills for Care Common Induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the care workers and review of carers training records. It was observed that staff turnover at the home is relatively low. All care workers are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment, as evidenced in their randomly selected files, which contained most of Care Homes for Older People Page 22 of 29 Evidence: the information required under care Homes Regulations 2001 Schedule 2. One recently employed carers file did not contain full work history and a requirement was made to rectify this. None of the staff files reviewed contained Clause 8 of Schedule 2; a requirement was made to rectify this. We observed supervision records were up to date during random sampling of care workers files. Documented evidence indicated that the home ensures that care workers receives the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with care workers. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought.Service users financial interests are safeguarded and the health, safety and welfare of service users and staff are protected and promoted by the homes policies and procedures. Evidence: The AQAA informs us that the manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award and also the National Vocational Qualification Level 4 in care. In discussion with the registered manager she confirmed this. In discussion with the deputy manager it was evident both the registered manager and the deputy manager are knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. Care Homes for Older People Page 24 of 29 Evidence: There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. We were told that the majority of the service users are capable to be fully involved in the running of the home, and their relatives are encouraged to be as involved as their time allows them to be. The service users of the home are treated as part of a large family and meetings are held at regular intervals to allow service users, their relatives, carers, registered manager and the deputy manager to discuss issues pertaining to the smooth running of the home. Every one is then able to contribute to the running of the home, whether it is to change the four weekly menus or to replace major items in the home. One service user explained that this approach is preferable by all concern parties as any occurrence in the home affects us all. The home does not become involved in service users finance. The relatives manages all their finance. Good records are kept with receipts for any expenditure incurs on behalf of the service users. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. The AQAA informs that fire drills, fire alarm, and water temperature were regularly checked and records kept verifying this. Random sample of care workers training files demonstrated that up to date and relevant training were carried out by care workers to protect service users health, welfare and safety. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current service users are all Caucasians. The AQAA informs policies renewal dated were not included. Random checking of policies revealed that the homespolicies are out of date. A recommendation of good practice was made to get the policies updated to fall in line with current practises and legislation. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 29 19(4)(b)(i) The registered person(s) 05/02/2007 must ensure that all the information required in Schedule 2 of the Care Homes Regulations 2001 (as amended) is obtained for each employee; in particular a full employment history and exploration of any gaps for all those who commenced employment since July 2004. Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 17 22 A record of all complaints 09/03/2009 received by the home must be maintained, demonstrating actions taken in response. This should be available to the commission and to ensure service users views are taken seriously and suitable actions taken. 2 29 19 Obtain full work histories for 09/03/2009 people working in the care home. Subject to Schedule 2 of the care homes regulations 2001 (amended) paragraph (6) To protect and maintain the welfare and safety of the service users 3 29 19 Ensure care workers 09/03/2009 employed at the home sign a fitness to practice declaration attesting to their mental and physical fitness to work as a carer. Subject to Care Homes regulations Care Homes for Older People Page 27 of 29 2001 (Amended) Schedule 2 paragraph (8) To protect and maintain safety and welfare of the service users. 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 38 The current policies underpinning the running of the home are out of date. it is recommended these be updated to reflect current good practices and legislation. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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