Care Home: Prestbury Beaumont

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What the care home does well The senior staff visit people wherever possible to carry out an assessment of their care needs before they move in to the home to ensure that their needs can be met there. Good information is given to prospective residents so that they can make an informed choice. of whether the home is the right place for them to live. Individualised care and attention is provided and there is a welcoming cheerful environment so that people who are cared for feel comfortable and at home. Surveys received by said " On arrival at the home there is always a cheery welcome" People`s plans of care were well documented and reflected each person`s individual needs. The home has an established staff team who were keen for standards to be maintained. We found people receive care and support that matches their expectations. Staff are quick to respond to changes in people`s health care needs and have an excellent understanding of the importance of treating people as individuals and promoting their privacy and dignity. Survey forms stated " "all the staff are caring and helpful" " The residents are treated with respect and allowed to keep their dignity at all times" Meals were varied and offered choice and variety. A survey form included the comment that, "the meals are excellent". " happy with catering facilities" People who live at Prestbury Beaumont have choices about how and where they spend their time and the home provides a varied range of activities so that people have enough to do. A comment from our survey form says" The home provides an environment which is homely, relaxed, clean and fresh with plenty of stimulus. The gardens are very well kept and a picture in the summer." A good standard of hygiene was seen throughout the home and the standard of decor was excellent. Staff were seen to treat people they cared for with respect and had an easy friendly manner. Staff were seen to provide support in a sensitive and caring way. The home is very well managed by a well qualified and experienced management team. Staff, residents, and their visitors are given opportunities to express their views about the home. This helps to make sure the home is run in a way that suits residents` needs and preferences. Relatives commented "As the daughter of a resident I didn`t think the home could be improved but the appointment of the manager has brought subtle changes for the better. A lovely atmosphere. The staff are approachable and always have time to give information" " The manager has created a very happy family atmosphere with an ethos of care and respect for all the residents" Good recruitment procedures are followed to make sure new staff are suitable to work with vulnerable older people. All new staff complete a thorough induction programme to make sure they know how they should provide care for the people who live at the home. Most of the care staff have an national vocational qualification (NVQ) in care so they have the knowledge and skills to provide care for the people who live there. These are nationally recognised qualifications for people working in care and show they have been assessed as competent to provide good quality care. Staff have regular one to one meetings with their manager or a senior staff member to ensure that they have the opportunity to discuss any concerns they have and are given the support they need. Regular auditing shows where staff are not achieving the required standard so that the managers can address this with them to make sure that residents receive good quality care. What has improved since the last inspection? The AQAA stated that the management continuously listens to the residents and relatives and acts accordingly to improve the lives of the people living in the home. The home has maintained its hygiene and environmental standards. The staff team continue to strive for high standards to be maintained. What the care home could do better: Prestbury Beaumont provides an excellent service to the people who live there. This is confirmed by the people themselves and the staff. The home has a good reputation in the local community and it is important for them to maintain the high standards that they are currently achieving.No requirements or recommendations have been made as a result of this inspection. We saw evidence that the management are always looking at ways to improve the service they provide. Key inspection report Care homes for older people Name: Address: Prestbury Beaumont Collar House Drive Prestbury Cheshire SK10 4AP     The quality rating for this care home is:   three star excellent 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: Joan Adam     Date: 0 1 0 4 2 0 1 0 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Prestbury Beaumont Collar House Drive Prestbury Cheshire SK10 4AP 01625827151 01625827336 mark.shockledge@barchester.com www.barchester.com Barchester Healthcare Homes Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Mark Shockledge Type of registration: Number of places registered: care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Within the maximum of 35, 3 PD places only under 65 years of age. Date of last inspection Brief description of the care home The Prestbury Beaumont care home is located approximately one mile from the centre of Prestbury village. The care home is part of a close care complex set in its own grounds, comprising privately rented bungalows and apartments and a care home. Bedroom accommodation for the care home is situated on the first floor of the main building and consists of 29 bedrooms, 23 of which have en-suite facilities. Six of the rooms are large enough to be used as double rooms to accommodate any residents who may wish to share a room, for example married couples. In addition to three lounges and conservatory on the ground floor the home provides two lounges and an informal sitting area on the first floor. There is a dining room and licensed bar adjacent Care Homes for Older People Page 4 of 25 Over 65 35 0 0 3 Brief description of the care home to the conservatory. Access to the first floor is by two passenger lifts and two staircases. A hairdressing salon, pool for hydrotherapy, recreation and physiotherapy rooms are also provided within the home. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We carried out an unannounced visit to the home on 1st April 2010 and the visit lasted four and a half hours. It was done by two inspectors. The report will say we when referring to what was done and found at the visit, as it is written on behalf of the Care Quality Commission. This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to the people who live in the home and the staff team to find out their views about Prestbury Beaumont. Other information about the home was also reviewed. During our visit we looked at various records and the premises. We looked at the care records of four people who live at the home, to see how their needs were being met. We also looked at four staff files to ensure that thorough recruitment processes had Care Homes for Older People Page 6 of 25 taken place and that people who live in the home were safeguarded from harm and supported safely. We spoke with some of the people who live at Prestbury Beaumont and the manager and other staff who were on duty at the time of this visit. They all gave their views about the home. Care Homes for Older People Page 7 of 25 What the care home does well: The senior staff visit people wherever possible to carry out an assessment of their care needs before they move in to the home to ensure that their needs can be met there. Good information is given to prospective residents so that they can make an informed choice. of whether the home is the right place for them to live. Individualised care and attention is provided and there is a welcoming cheerful environment so that people who are cared for feel comfortable and at home. Surveys received by said On arrival at the home there is always a cheery welcome Peoples plans of care were well documented and reflected each persons individual needs. The home has an established staff team who were keen for standards to be maintained. We found people receive care and support that matches their expectations. Staff are quick to respond to changes in peoples health care needs and have an excellent understanding of the importance of treating people as individuals and promoting their privacy and dignity. Survey forms stated all the staff are caring and helpful The residents are treated with respect and allowed to keep their dignity at all times Meals were varied and offered choice and variety. A survey form included the comment that, the meals are excellent. happy with catering facilities People who live at Prestbury Beaumont have choices about how and where they spend their time and the home provides a varied range of activities so that people have enough to do. A comment from our survey form says The home provides an environment which is homely, relaxed, clean and fresh with plenty of stimulus. The gardens are very well kept and a picture in the summer. A good standard of hygiene was seen throughout the home and the standard of decor was excellent. Staff were seen to treat people they cared for with respect and had an easy friendly manner. Staff were seen to provide support in a sensitive and caring way. The home is very well managed by a well qualified and experienced management team. Staff, residents, and their visitors are given opportunities to express their views about the home. This helps to make sure the home is run in a way that suits residents needs and preferences. Relatives commented As the daughter of a resident I didnt think the home could be improved but the appointment of the manager has brought subtle changes for the better. A lovely atmosphere. The staff are approachable and always have time to give information The manager has created a very happy family atmosphere with an ethos of care and respect for all the residents Good recruitment procedures are followed to make sure new staff are suitable to work with vulnerable older people. All new staff complete a thorough induction programme to make sure they know how they should provide care for the people who live at the home. Most of the care staff have an national vocational qualification (NVQ) in care so they have the knowledge and skills to provide care for the people who live there. These are nationally recognised qualifications for people working in care and show they have been assessed as competent to provide good quality care. Care Homes for Older People Page 8 of 25 Staff have regular one to one meetings with their manager or a senior staff member to ensure that they have the opportunity to discuss any concerns they have and are given the support they need. Regular auditing shows where staff are not achieving the required standard so that the managers can address this with them to make sure that residents receive good quality care. 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 9 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 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home can be sure their needs can be met Evidence: We looked at the AQAA and this told us that each person and their family are given good information about the home before they move in. A welcome booklet which gives information about the daily life at the home and the statement of purpose which tells people about the range of needs which can be met at Prestbury Beaumont along with information about the manager and staff who work there is given to people in the form of a welcome pack. This also contains an activities programme , menus, complaints procedure and gives the name of a senior person to contact if they wish to discuss any aspects of the home. The AQAA told us that All prospective residents are assessed prior to admission by the manager or a senior trained staff member along with the input from the service users themselves and existing care agencies or providers. Families are actively encouraged to be part of this process subject to the consent of the prospective resident. The documented assessment ensures that we can Care Homes for Older People Page 11 of 25 Evidence: meet the needs of the individual both in terms of expertise, knowledge, equipment and staffing requirements. A pre admission assessment also allows us to ensure that all aspects of a the prospective residents life will be fulfilled. Pre admission assessment generate the care plan by which we can provide the appropriate care, service and support required by the individual. A Total Care Assessment completed indicates the dependency of the individual and confirms the level of care and cost. Staff have been trained in dealing with initial enquries via the telephone and also when people call at the home to view during and outside of office hours. During the visit to the home we were able to confirm that this was being carried out. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are well kept records that show people who live at Prestbury Beaumont have their health, personal and social needs met in a way that respects their dignity and individuality. Evidence: The AQAA showed us the the people who live at Prestbury Beaumont should expect to receive care in a way that they choose. We saw that each person had a plan of care, which gave staff clear instructions on how to provide care in a way which people preferred. The care plans were written in a person centred way which reflected the individuals needs. All plans of care were reviewed each month so that any changes were up dated and all staff would know what changes if any had been made. A moving and handling assessment had been completed on each resident so that staff would know how to move them safely. A nutritional assessment had been filled in so that staff would know if the residents were at risk of losing weight. Weights were recorded on a weekly or monthly basis to make sure that people were staying at an appropriate weight for them. Peoples choices about their daily routines were recorded in their care files, including Care Homes for Older People Page 13 of 25 Evidence: when they liked to get up, where they spent their day and how their spiritual needs were met. This helped staff to make sure that people were able to follow the daily routines of their own choice. Visits from other health care professionals such as GPs, nursing home co-ordinators and district nurses were recorded so staff would know when these visits had taken place and why. The daily records were detailed so that all staff would know what had taken place during the shift. Care plans had evidence that the person living at the home or their family had been involved in drawing up the care plan. A full handover sheet is completed at the change of each shift so that staff are aware of what has been happening. The manager and trained staff audit the care plans on a weekly basis so that areas of concern can be acted upon quickly. We saw staff that had the skills to care for people properly by providing them with specialised equipment to reduce the risk of their health deteriorating and by consulting with doctors and other health care professionals when their condition deteriorated. Staff spoken with were aware of the needs of each person living at the home and how to meet them. The AQAA stated As the needs of residents change staff need to be equipped with the skill and knowledge to enable them to provide personalised care, through the Home Trainer staff are regularly in receipt of in house and external training. Prestbury Beaumont has a warm and welcoming atmosphere and all staff were seen to be friendly and appeared to have good relationships with the people in their care. Comments made by people who live at the home and their relatives were staff are very professional good standard of care here. Completed survey forms we received had comments such as everyone is helpful and friendly. A calm caring environment, committed staff, , attentive and patient. All the staff are very caring, helpful and provide an excellent environment for people in their care. Medicines were managed well. Policies and procedures were in place for the safe management of medications and staff training had taken place so that staff were aware of their responsibilities regarding the safety of medicines in the home. Medication that was in the home had been accounted for. All medication administration sheets had been completed properly. We looked at the management of controlled drugs and found these had been checked and recorded properly. Items with a short shelf life in the drug fridge had been dated and signed so that staff would know when these had been opened. The medication management was audited every month so that any errors were identified and dealt with quickly. All this helped to make sure that the medicines were properly managed in the home so that people received them as their doctors had prescribed, safely and without errors. The home cares for people who are at the end of their life and are working toward the achievement of a gold standard framework for end of life care. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Prestbury Beaumont.were able to take part in a range of activities so they can stay active and staff help people so they could stay in touch with their family and friends. Evidence: The home employs two activity co-ordinators who work flexible hours so that activities can take place at varied times. A programme of activities on offer is displayed in the main entrance hall and each person living at the home has a copy in their bedroom so that they are aware of what is happpening and if thye would like to join in. Things such as shopping trips or trips to local pubs for meals in the minibus, dominoes, baking club, quizzes, Wii sports, and trips out to local pubs for meals are the type of item that the home offers. Entertainers are also booked to visit the home on a regular basis. Visiting is open so relatives and friends can visit the home when they can. The home has a therapy pool which is used regularly. The AQAA said that The Activities Programme has been extended and now operates from Monday until Saturday, the range of activities has also been extended as a result of service user comments.Links with Age Concern have been developed and a weekly exercise class is now held and a short term computer class has been facilitated. The menus are varied and the home has a five star dining award which means that Care Homes for Older People Page 15 of 25 Evidence: the home has a high standard of food and service . people spoken with said the food is lovely there is an excellent varity and choice of food you never feel hungry a good variety of food happy with catering facilities The AQAA statesThe Restaraunt now opens in a evening, staffing rotas for the kitchen have been amended to provide later cover in the evening.Menus have been reviewed and as a result of feedback from residents, several new dishes have been incorporated, the range of choices has also increased. Visual choices are provided to the more dependent residents. The dining room is a lovely environment and overlooks the garden. Extra staff are employed to serve meals and drinks throughout the day. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes procedures for complaints and safeguarding are effective so that the concerns of people who live at Prestbury Beaumont are listened to and they are protected from abuse or harm. Evidence: The information in the AQAA showed us that no complaints had been made to the home. It also told us that staff have received training in how to protect people rights and the complaints procedure. The AQAA said that As the General Manager I ensure that I develop a good relationship with the people who chose to live at Prestbury Beaumont and their families so that people feel that I am approachbale if they have any concerns, so issues can be resolved quickly if they occur.Information is available to all residents and their representatives regarding Advocacy Services, this includes Cheshire Advocacy Services, Age Concern and Care Aware. This information is located in the main reception area.A Fast Response feedback questionnaire is located near the visitors book which people are free to complete and leave in the postbox outside the Managers office. Supervision is provided for all staff Staff have received training about safeguarding people from abuse so that they know how to deal with any incident or suspicion of abuse. People spoken with said that they knew how to make a complaint and that they could be confidentthat their complaints would be listened to. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prestbury Beaumont is very well maintained and decorated and furnished to an excellent standard so that people living there do so in comfortable, safe surroundings that suit their needs. Evidence: Prestbury Beaumont has a high standard of decor and furnishings. The home is well maintained and was very clean. A robust cleaning schedule is in place which is recorded and audited by the housekeeper and manager. The AQAA saidInfection Control policies and procedures are adhered to, training is for all grades of staff is commenced during induction then annually. Training for all staff is seen as paramount in preventing the spread of infection, this includes hand washing techniques and correct disposal of clinical waste. Infection control audits are completed and issues actioned if required. One of our nurses has lead responsibility for Infection Control. Protective clothing is available for all staff. Care Homes for Older People Page 18 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Prestbury Beaumont are supported by trained, effective staff who have gone through a thorough recruitment process, so that peoples needs are met and they are safe from possible harm or poor practice. Evidence: The information we received in the AQAA showed us that a variety of staff are employed to provide care and support for the people who live in the home and that the staff were recruited correctly. The records we saw at the home confirmed this. We found that there are enough staff on duty to meet peoples needs and people who live in the home said they thought that there was enough staff on duty on each shift. People said that if they needed help this was supplied quickly. The told us, All the staff are very helpful. We saw that most of the staff working in the home had achieved a national vocational qualification in care. This is a nationally recognised qualification for people working in care and shows they have been assessed as competent to provide good quality care. The AQAA told us that Our staff levels are high to reflect the dependency of service users. Written duty rotas identify the various staffing levels, contracted hours and the grade of staff on duty at any given time. These are kept as legal documents.Barchester Healthcare believe in the development of all grades of staff, this is reflected in our training programme which is generated by the service & care needs of our residents along with personal development plan of Care Homes for Older People Page 19 of 25 Evidence: each staff member which is identified during the annual appraisal. During induction period staff members are buddied up with more experienced members of staff to supervise their work practice and to allow the new staff member to gain confidence in their job role.Good skill mix of staff encourage high standards, use of knowledge and expertise to practice good care and to be competent to undertake their role. We saw staff training is on-going and that all staff have received mandatory training in key subjects. This means that staff have been given the skills to promote peoples health and welfare. The home is working toward the achievement of a gold standard framework for end of life care. Staff are recruited using thorough procedures to check them out and receive training so people living at Prestbury Beaumont receive care and support from skilled staff that they like. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prestbury Beaumont has management systems in place to ensure that that the home is run in the best interest of the people who live there. Evidence: The manager is a qualified social worker with over thirty years experience in the care sector and he has been registered with CQC. He is supported in his role by two unit managers who are experienced trained nurses. He has updated his knowledge and skills as required throughout his time as manager. During discussions with him it was evident that he keeps up to date with changes in legislation and was aware of the forthcoming changes following the Health and Social Care Act 2008. He knows the people who live at Prestbury Beaumont and the staff team well and had completed the information about the home we ask for each year, the annual quality assurance assessment that gave us information about the home and what had been happening there during the twelve months before our visit. This information gave us a good overview of how the home was being run. The manager is well thought of by the people who live in the home and the staff team. Staff commented, The manager is Care Homes for Older People Page 21 of 25 Evidence: very supportive he is always available and The management team are very good and professional. People who live at the home told us, I would speak to the manager if I was unhappy, The manager is very good and comes to talk to us, it is nice to feel he cares and is interested. Surveys sent to CQC had comments such as The home is excellent and this is reflected by the leadership of Mark and the support he has of the senior team excellent value for money my relative is well cared for. There is a quality assurance process for the home which includes staff meetings, anonymous questionnaires for people who live there, the compliments file, monthly visits from the a representative of the organisation that runs the home and annual questionnaires to relatives and visiting professionals. Anonymous survey forms are given out to people who live at the home on a monthly basis. Care plans, medication records and mangement are audited regularly so that any areas of concern are highlighted and can be acted upon quickly. A representative from Barchester visits the home each month to check on how it is running. The most recent visit before our visit was in March 2010, and the report of the visit covered meeting with people who live in the home and staff and inspection of the premises and of records. No issues of concern were raised on the last report. Good records were kept of these visits. Day to day supervision of staff was good and regular formal supervision was being undertaken with records kept. Annual appraisals are also undertaken with records kept and these were up to date. This ensures staff have a chance to discuss their work with their manager, so they can provide good quality care of the people who live at Prestbury Beaumont. Safe working practices were in place in the home. There were up to date safety checks on the homes electrical wiring and gas installation. All checks with regard to fire safety were up to date and checks were also completed on the emergency lights, hot water system and call system. 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 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 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. 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