Care Home: Rotherbank

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well The service provides a person carrier to enable the residents to access the local community and to enjoy trips to places of interest. The transport is also used to support residents to maintain contact with their relatives and to enable healthcare appointments to be made. A driver is always available and residents are able to make spontaneous decisions because the home responds flexibly to their wishes to use the transport. The residents benefit from being cared for by a staff team, which has been wellinducted and well trained to support them with their care needs. The stable and loyal staff team provide the residents with consistency and continuity of care because they are happy in their work and the home has not needed to recruit new staff. The home provides a clean, safe, pleasant and well-maintained environment for the enjoyment of the residents. What has improved since the last inspection? A good practise recommendation had been made at the previous site visit that all controlled medication should be stored and recorded as controlled medication. The schedule 3 drug identified at the time, had already been stored appropriately, the manger stated, and, although the guidance had not been published until well after the site visit, it was immediately added to the controlled drugs register. All the medication sampled at this site visit was stored, recorded and handled appropriately. A requirement had been made at the last site visit that all necessary checks must be completed before staff work in the home. Since that time, recruitment procedures had improved, and records sampled, confirmed that safe systems were in place to ensure that only those suitable to work with vulnerable adults, would be offered a post. The home continues to invest in the environment and many areas had been redecorated, recarpeted and refurbished and some ensuites had been updated. A new walk-in shower, stair lift, wheelchairs, adjustable beds and widescreen television had been purchased for the comfort and enjoyment of the residents. What the care home could do better: No requirements or recommendations were made at this site visit. This home has shown it is committed to the continuous improvement of the service for the benefit of its residents. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rotherbank Rotherbank Farm Lane Liss Forest Hampshire GU33 7BJ     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: Christine Bowman     Date: 2 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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. 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 30 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 30 Information about the care home Name of care home: Address: Rotherbank Rotherbank Farm Lane Liss Forest Hampshire GU33 7BJ 01730892081 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Christine Ann Hillyer Name of registered manager (if applicable) Mrs Christine Ann Hillyer Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Four service users only in the category DE to be admitted over the age of 55 years Date of last inspection Brief description of the care home Rotherbank is a privately owned and managed care home offering accommodation and support for up to 21 older persons in the categories OP (older persons) DE (dementia between 55 and 65 years of age) and DE (E) (dementia over 65 years of age). The home is located in a residential area in Liss Forest village, a short distance from local amenities. Residents are accommodated over two floors, with the majority of service users accommodated in single rooms, some fitted with ensuite toilet and washing facilities. Two shared double rooms are also available. This service has one bed designated for respite care. The fees for the home range from #415.00 to #550.00 per week. Care Homes for Older People Page 4 of 30 care home 21 Over 65 21 21 4 0 Care Homes for Older People Page 5 of 30 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 inspection report includes information gathered about the service since the previous site visit in October 2006 under the Commissions Inspecting for Better Lives (ILB) process. The registered manager, Mrs Christine Hillyer, completed an Annual Quality Assurance Assessment (AQAA) giving some up-to-date factual evidence about the running of the home and informing us of what they think they are doing well, how they have improved the service and of their plans for further improvements. Residents completed four service user surveys, with support from relatives, giving their views on the running of the home. Four staff and one healthcare professional also returned surveys, giving their views on the care and support given to the residents. Care Homes for Older People Page 6 of 30 An unannounced site visit was conducted on 23rd December 2008, to assess the outcomes of the key inspection standards for older people with respect to the residents living at the home. The registered manager and the assistant manager were interviewed and provided support for the inspection process by making residents and staff files and other documents available to be sampled. A partial tour of the premises was undertaken and some of the residents bedrooms and communal areas were viewed. A number of staff, residents and visitors were spoken with throughout the day and observations were made of the residents and of staff as they carried out their duties. Residents and staff records, maintenance certificates and complaints and compliments records and the homes own quality assurance results were sampled. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 30 Care Homes for Older People Page 9 of 30 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 30 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 full needs assessment is carried out to ensure individuals needs and aspirations are taken into consideration and planned for and that they can be met at the home. Evidence: The home was in the process of reviewing the Service User Guide and the Statement of Purpose and had commissioned a glossy brochure to be printed to give prospective residents initial information about the home to help them to decide if it was the right place for them and there were plans in place to update the website over the next twelve months. In the meantime, the current Service User Guide and Statement of Purpose were available for prospective and current residents to view and located by the front door. The manager stated that every effort was made ensure that a visit was made to the home prior to deciding to move in and that transport could be provided by the home to enable prospective residents to visit. The four residents, who completed surveys with support from relatives, confirmed that they had received enough Care Homes for Older People Page 11 of 30 Evidence: information about the home before they moved in to decide if it was the right place for them and one relative commented, we visited about six homes in the area and feel sure we have made the right decision on behalf of our aunt. The files of two residents, admitted since the previous site visit, were viewed with respect to assessment documentation. Important information about the religious, social and cultural needs of prospective residents had been collected to ensure an individual care plan could be compiled. Full personal histories had been gathered with the help of relatives including social contacts, schools attended, work and social interests to build up a full picture of the individuals life. Health information including medication was recorded. Moving and handling and nutritional assessments had been completed to ensure safety in movement and that individual dietary needs could be catered for. Care Homes for Older People Page 12 of 30 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. Care plans addressed the residents health, personal and social care needs and residents had been involved in compiling them. Safe arrangements were in place for the handling of medication to protect the residents and the staff and the residents right to privacy was upheld and their dignity maintained. Evidence: The care plans of two residents were sampled. These had been signed by the residents or a member of their family to confirm agreement and regular review dates had been recorded to make sure the staff had up to date information on the residents needs. The home was in the process of compiling full life history books, well illustrated with photographs and pictures for reminiscence purposes. A life history book viewed contained photographs of the area of the country the resident spent their youth in, the church they got married in, their place of work, favourite holiday haunts, and family and pet portraits. The manager stated that where possible, and if desired, residents were taken in the homes transport to locations where they had spent happy times to revive happy memories. Care Homes for Older People Page 13 of 30 Evidence: Care plans included named key workers and described the level of support required to enable the resident to maintain as much independence as they were able. Residents wishes and preferences were included. Each care need was risk assessed and actions to reduce identified risks were recorded. The four residents, who completed surveys, with support from their relatives, recorded that they always receive the care and support they need and the four staff, who completed surveys, confirmed that they were always given up-to-date information about the residents needs. Visits from healthcare professionals had been recorded to ensure the information resulting from consultations was available to the staff team. A healthcare professional, who completed a survey, confirmed that the home always sought advice and acted upon it to manage and improve individuals health care needs. The records of one resident confirmed they had had appointments with a General Practitioner, a chiropodist, a dentist and an optician. Another resident had a hospital dental check report and the manager stated that all new residents are registered locally and she ensures they have access to community healthcare resources if required. The home transport residents in their own vehicle when making hospital visits and support and accompany residents if relatives or representatives are not available. Three residents wrote in the surveys they completed that they always receive the medical support they need and one that they usually did. Medication administration records inspected had been completed in a satisfactory manner, showing that residents had received the required dosage of their prescribed medication, as set out by their medical practitioners, and there were no unexplained gaps in the recordings. Medication was blister-packed at a local pharmacy and delivered to the home for safety and convenience. The staff training matrix confirmed that the staff, who took responsibility for administering medication had received training in the safe handling of medication. Controlled drugs were stored in a controlled drugs cabinet and recorded in a controlled drugs register to ensure that every one was accounted for, and a sample confirmed that the number recorded was correct. Records were kept of medication received and returned to the pharmacy to ensure it was all accounted for. The medication room contained hand washing facilities, liquid soap and paper towels for infection control purposes and a good supply of gloves and tunics were available for the protection of staff and residents when carrying out personal care. From observations of the staff interacting with the residents on the day of the site visit, it was clear that residents were treated with respect and as individuals. One of the two double bedrooms was viewed and a screen was available to afford a certain amount of privacy, should a resident need a medical examination by a healthcare Care Homes for Older People Page 14 of 30 Evidence: professional or for more intimate personal care. No room was set aside for visiting healthcare professional or for residents to meet with their relatives in private, where their confidentiality could be protected. However, the manager stated, that in these circumstances, the larger of the two offices, which is located on the ground floor, would be used. This room was fitted with blinds to protect the residents privacy and dignity when meeting with healthcare professionals. A healthcare professional confirmed that the care service always respect individuals privacy and dignity. Care Homes for Older People Page 15 of 30 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 residents are treated as individuals and are able to make choices about the personal interests they pursue and how they access the community in a flexible way. They are able to keep in touch with relatives and representatives and are supported by the service to do so. Well-balanced meals are served to residents in pleasant surroundings to enhance their enjoyment. Evidence: The home did not employ an activities organiser but the staff provided a range of activities when they were on duty including keep fit, art and craft, singing, dancing, music, and games such as bingo. Plans were made from day to day because residents were in the habit of changing their minds and the staff ratio allowed for flexibility in this area. A staff member commented, in the afternoon we spend quality time with the residents and we do activities with them that they choose and enjoy. One to one time spent with key workers was recorded and included time to chat and to support residents with card and letter-writing, nail care, checking glasses and hearing aids and helping the residents to organise their clothes. A project to complete life-history books with some of the residents had been initiated Care Homes for Older People Page 16 of 30 Evidence: to encourage reminiscence, to highlight the individual residents identities and to ensure recognition of their individuality. The home had purchased a people carrier, which was used to take residents on local trips for shopping, to garden centres and other places of local interest. Longer trips had also been taken to places such as Bosham, which has a pretty harbour and a teashop, and Old Portmouth where prawns had been purchased from the fish market for tea. The four residents, who completed surveys, with support from their relatives, recorded that there were usually activities arranged by the home that they could take part in and one residents relative commented, there are regular visits from outside entertainers, which are enjoyed by the residents. One resident, whose records were sampled, enjoyed taking communion when the local vicar comes to the home to conduct a service. The manager stated that the home had regular visits from Church of England and Catholic ministers and that if residents followed other faiths, the home would support them in this. Throughout the day residents relatives visited the home and those spoken with stated that they were, made most welcome and that nothing was too much trouble. Arrangements had been made for one residents husband to stay in the home with her over Christmas, due to transport difficulties. The homes transport was used to support relatives to visit. On the day of the site visit, visitors were in the lounges with their relatives and other residents. Most of the residents had single room accommodation to enable relatives, friends and visiting professionals to meet with them privately and to speak confidentially, should they wish to do so, but there was no separate visitors room for those sharing bedrooms. The dining room was set with circular tables, which were solid and of good quality and the chairs were comfortable and stable. Settings were for three to four residents to promote socialisation and tablecloths, place settings and small vases of silk flowers enhanced the dining experience for the enjoyment of the residents. There was a fourweek rotating menu, which was discussed in the monthly residents meetings and a pictorial version of the menu had been produced to aid choice. One of the four residents, who completed surveys, always liked the meals at the home and the other three usually did. Residents spoken with on the day of the site visit were enthusiastic about the meals describing them as good. A staff member commented, all the residents dietary needs are well catered for and discussed with them and with their relatives on their behalf. A relative commented, the chef seems to have the residents enjoyment of his cooking as a priority. Care Homes for Older People Page 17 of 30 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. Residents know how to raise concerns, are confident they will be listened to, and that action will be taken to put things right. The home protects its residents from abuse by raising staff awareness and making sure they know how to make referrals. Evidence: The complaints procedure was available to the residents in the service user guide and there was a suggestion box in the home to enable residents, their relatives and representatives and the staff to make anonymous comments, should they wish to do so. The four residents, who completed surveys, confirmed that they knew how to make a complaint and that they always knew who to speak to if they were not happy. The AQAA recorded that no complaints had been received within the last twelve months and the Commission for Social Care Inspection had received no complaints on behalf of this home. A copy of the local authority safeguarding policy and procedure and the No Secrets guidance was available in the home to inform the staff. The staff handbook also included a whistle-blowing policy to inform the staff that they could report bad practice without fear of reprisals. The assistant manager had attended the local authority train the trainer training and the staff training matrix recorded that all the staff had received training in the prevention of abuse. No referrals had been made over the previous twelve months. Care Homes for Older People Page 18 of 30 Care Homes for Older People Page 19 of 30 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. Residents benefit from living in a pleasant, safe and well-maintained environment, which meets their needs by providing specialist equipment to promote independence, comfortable personalised bedrooms and attractive communal accommodation. The home is clean and hygienic and free from unpleasant odours. Evidence: The home was located in a village close to local amenities and surrounded by pleasant countryside. It was situated in a quiet street alongside other large detached properties and had an off road parking area. The entrance was to the side of the building, which was a two story, brick, purpose-built and relatively modern home. On a notice board, just inside the front door, was a welcome display of the photographs of the full complement of the homes staff confirming that the majority had achieved either a National Vocational Qualification at level 2 or 3, or both, in care. Also proudly displayed was the homes award presented by the borough council for excellent standards of environmental health. A partial tour of the premises was undertaken and all the communal rooms and some of the residents bedrooms were viewed. The dining room was at the centre of the home, close to the kitchen, the medical room, the office and the smaller of the two lounges through which, the second, larger lounge was accessed. Leading on from the Care Homes for Older People Page 20 of 30 Evidence: larger of the lounges was a conservatory, which was not used in the winter months and outside was a pleasant and secure garden, which could be viewed from the lounge windows. The manager stated that some of the residents enjoyed helping in the garden and raised boxes had been purchased to enable them to assist with planting without bending too much. They also enjoyed selecting plants from the local garden centre both for the garden and to display in the home. Tomatoes were grown every year and runner beans had been piloted this year with success. Other residents liked to walk and sit in the garden when the weather was pleasant. The communal rooms were furnished with domestic furniture of good quality and the soft furnishings were well coordinated. There were framed pictures and mirrors on the walls. The lighting was domestic and the temperature was pleasantly warm. Objects, which the residents had created in art and craft sessions, were displayed, as were the potted plants, which the residents had chosen at the local garden centre. There were objects of reminiscence, including musical boxes, an old camera and a bookshelf containing large print books for those with limited vision. The manager stated that the mobile library called every six weeks to change the books. Christmas music was playing softly and some of the residents were singing. All the communal rooms were decorated for Christmas and the owners small dog was entertaining everyone by running off with the baubles from the Christmas tree. In the larger of the two lounges, was a widescreen television and music centre for the residents entertainment. The residents bedrooms viewed were personalised and it was clear that residents could bring small pieces of their own furniture and other personal items with them to make their own space more familiar and homely. One of the two double bedrooms sampled, was provided with a screen to afford some privacy to the residents and the manager stated that the two residents were inseparable friends and had chosen to be together. The home was well maintained throughout and a bedroom, which had recently been refurbished, had been provided new furniture with rounded edges to protect the resident, should they fall. Other improvements made over the previous twelve months included the provision of a new stair lift and a walk-in shower on the ground floor. A bathroom on the first floor had been completely refurbished and some ensuites had also been updated. Adjustable beds, wheelchairs and a new carpet cleaner had been purchased to improve the life experience and environment for the comfort and enjoyment of the residents. The laundry room was suitably equipped and hand-washing facilities were available to promote good hygiene. The staff-training matrix confirmed that all the staff had received infection control training. Three of the four residents, who completed surveys, Care Homes for Older People Page 21 of 30 Evidence: thought the home was always clean and fresh and one that it usually was. No unpleasant odours were experienced on the day of the site visit. Care Homes for Older People Page 22 of 30 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. A stable team of well-inducted and trained staff, who had been safely recruited to protect the residents, provide appropriate support to meet their needs. Evidence: The AQAA workforce report for the home recorded that there were ten full time and eight part time care staff working at the home and that three other staff were employed to support them in the kitchen and in maintaining the environment. The manager stated that there is always a shift leader and that, when she had needed to step in to provide care for any reason, she had taken the lead from the shift senior, and was prepared to complete any task her staff would be expected to carry out. The manager and the assistant manager were supernumerary on the day of the site visit and the manager stated that it was possible to flexibly cater for residents wishes with respect to access to the community, as both were drivers of the homes people carrier. Overnight arrangements included two waking night staff and a local on-call senior, who could be called in an emergency. Surveys returned by four residents confirmed that the staff listen and act on what they say, and that the staff were always available when they needed them. One relative noted that when they had raised questions about an item of equipment, it was replaced the same day. The home had a good record of staff retention ensuring consistency and continuity for Care Homes for Older People Page 23 of 30 Evidence: the residents. The AQAA workforce report confirmed that thirteen of the eighteen permanent staff had achieved a National Vocational Qualification (NVQ) at level 2 or 3 (or both) in Care or Health and Social Care, which is well above the 50 target for 2008. There was an expectation at the home that, after completing the induction, all staff register to complete an NVQ course, and the majority of staff, who had not already done so, were in the process of working towards a qualification. All the staff working at the home had been recruited locally, and due to good staff retention, there had been no newly recruited staff over the previous twelve months. Personnel files sampled demonstrated improved recruitment procedures in that all the necessary checks had been carried out including Criminal Record Bureau, Protection of Vulnerable Adults First, and two written references, confirming safe practise for the protection of the residents. Since the previous site visit, an audit sheet had been added to the personnel files, recording important information such as the receipt of references and checks, information such as the date of commencing employment and the new employees receipt of the staff handbook, the Code of Practise, a job description and important policies such as whistle blowing. The home was in the process of updating the application form for future applicants to include a full employment history with gaps explained and written verification of reasons for leaving employment, which included caring for children or vulnerable adults. Good practice, such as the involvement of the residents in the recruitment process, and the completion of equal opportunities forms to show that the process was fair, were included. The AQAA workforce report confirmed that 100 of the staff working at the home had received an induction described and recommended by TOPSS England to prepare new staff for the caring role. Staff training and development files sampled, confirmed that this had been well documented and signed off as completed. The four staff, who completed surveys, recorded that the induction covered everything they needed to know to do the job when they started, very well. The manager and the assistant manager had both attended train the trainer courses from an accredited trainer including Health and Safety, Infection Control, Moving and Handling, Food Safety, Medication Administration, Dementia and the Prevention of Abuse. Staff training and development logs sampled, included certificates for this training and included other courses such as Fire Safety, First Aid, and Palliative Care. The manager stated that the home offered flexible times to attend training to suit the staff and the staff training matrix confirmed that training for all the staff was up to date. The four staff, who completed surveys, recorded that the home provides training, which is relevant to their role, helps them to understand the individual needs of the residents, with respect to equality and diversity issues, and keeps them up to date with new ways of working. Care Homes for Older People Page 24 of 30 Care Homes for Older People Page 25 of 30 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. Residents benefit form living in a well managed home, in which their opinions and those of their representatives are sought, for the improvement of the service. The home has effective systems in place to promote the residents health, safety and welfare. Evidence: The manager was well qualified and experienced, having worked in a management position for more than twenty-five years, and having achieved a National Vocational Award (NVQ) at level 4 in Care and the Registered Managers Award. The deputy and assistant managers had also completed the NVQ 4 in Care and the deputy manager had completed the Registered Managers Award, confirming the commitment of this service to training and development. As previously mentioned, under the staffing section of the report, the manager and the assistant manager had both attended Train the Trainer courses in a number of subjects and were able to offer flexibility to the staff with respect to completing these training courses. The senior staff had recently Care Homes for Older People Page 26 of 30 Evidence: attended the Mental Capacity Act training and were in the process of implementing this into the homes care practice. The results of the most recent quality assurance questionnaires were available to be sampled, demonstrating satisfaction from stakeholders. Some comments included, we are really happy with the way you run the home and how the residents well-being is cared for and thank you for the care and security given to my relative, which helps to give me peace of mind. Regular meetings were also held to seek feedback from residents. The manager stated that residents finances were managed by their relatives or someone with the Power of Attorney. Small amounts of cash were held in safekeeping for residents. Receipts were retained and records were kept of all transactions. A sample confirmed that balances were correct. The health, safety and welfare of the residents were promoted by regular staff training in moving and handling, fire safety, first aid, food hygiene and infection control. The staff training matrix and certificates on staff training and development files sampled, confirmed this. The AQAA recorded that policies with respect to health and safety were in place and that equipment had been serviced or tested as recommended by the manufacturer or other regulatory body in a timely way to protect the residents and the staff. A sample of certificates seen on the day of the site visit confirmed this. Accidents had been recorded appropriately with records kept of actions to reduce risks. Care Homes for Older People Page 27 of 30 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 28 of 30 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 29 of 30 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. 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