Care Home: Sandon House

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What the care home does well Care plans are used well by the staff in the home, and where possible people living in the home and their relatives are encouraged to participate in developing them. The care plans are regularly reviewed so that any changes are noted and new plans are made to meet any changes in care and support needs. One person living in the home told us that she felt as though the staff encouraged her to be involved in developing her plan of care. She told us, "They ( the staff ) tell me what is in the care plan and what they have to do". There are good systems in place to make sure that people in the home receive support from healthcare professionals and to make sure that they receive medication and treatment safely. The manager carries out audits on a regular basis to make sure that the home is working in the best interests of the people living there. There is good and imaginative use of the skills and talents of staff in the activity programme,and this means that people in the home are offered a wide range of interests so that their social, cultural, religious and recreational interests are met. Quality of meals was good, and comments from people living in the home included: "The meals here are marvelous". "The meals are good and there`s always a choice". The accommodation both inside and outside ensure that people living in the home benefit from pleasant and homely surrounding. Furnishings and fittings are of a high standard, and although corporate colours and furniture is used, there is evidence of attempts to personalise the spaces in the home which gives a homely feel. The staff and management in the home have received training to make sure that they have the relevant skills and experience to meet the needs of the people living there. Comments from people in the home and their relatives and visitors were very positive about their experience of Sandon house. Comments included: "The staff here are so friendly, they don`t make you feel like a patient, they make you feel like a person, as though you belong". "Whoever is in charge, you always feel confident that they ( the staff) know what is going on and you know they really know the resident". "We have got a new manager, she is very good and she talks to us every day and asks us how we are". What has improved since the last inspection? This is a service that continually looks at ways to improve and maintain good standards in the home. there have been ongoing improvements to the decor in the home and to outside spaces.The manager is constantly developing systems and practices so that people living at Sandon House benefit from a home which is run in their best interest. What the care home could do better: There have been no requirements or recommendations been made as a result of this visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sandon House Market Street Mossley Tameside OL5 0JG     The quality rating for this care home is:   three star excellent 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: Ann Connolly     Date: 0 8 0 4 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. 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Sandon House Market Street Mossley Tameside OL5 0JG 01457834747 01457839996 sandon@tamesidecg.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Meridian Healthcare Ltd care home 42 Number of places (if applicable): Under 65 Over 65 0 42 dementia old age, not falling within any other category Additional conditions: 42 0 The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP Dementia - Code DE The maximum number of people who can be accommodated is: 42 Date of last inspection Brief description of the care home Sandon House is a two storey, detached, purpose built care home situated in the centre of Mossley, with easy access to the local shops and facilities, as well as public transport links to Ashton under Lyne. It offers accommodation to up to 38 older people, all in single rooms. Sandon house has three lounge/dining rooms, a dedicated smoke room and an outdoor garden area for communal use. The home is run by Meridian Care Limited, a not for profit organisation, which operates Care Homes for Older People Page 4 of 30 Brief description of the care home several other care homes. At the time of this report fees were reported as ranging from Three hundred and ninety eight pound and eleven pence to four hundred and thirty pounds and eleven pence. 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: 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: This was a key inspection that included a site visit to the home. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Care Quality Commission (CQC) about the service provided at the home since the last inspection. During the site visit a selection of records, care plans, policies and procedures were examined. Discussions took place with the manager, staff working in the home, and some relatives and visiting professionals. Discussion took place with them to find out what they thought about the home and what they felt about how the staff supported them. A tour of the building took place and people living in the home were asked for their comments and views about the environment. Before the inspection, we also asked the manager of the Care Homes for Older People Page 6 of 30 service to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways that we get information from the manager of the service about how they are meeting outcomes for people using the service. The information provided on this occasion was detailed and comprehensive and showed us that this was an organisation committed to the ongoing development of the service and staff team so that people in the home benefit from positive outcomes. Surveys were sent out to people in the home and staff and there was a good response which gave us more information about this service. Since the last inspection visit which took place on 11th April 2007, the Commission have not received any recent complaints about the service. There was evidence during this visit that the manger was handling complaints well and followed correct polices and procedures for manging complaints and safeguarding issues. The fees for this service range from three hundred and ninety eight pound and eleven pence to four hundred and thirty pounds and eleven pence per week. What the care home does well: What has improved since the last inspection? This is a service that continually looks at ways to improve and maintain good standards in the home. there have been ongoing improvements to the decor in the home and to outside spaces. Care Homes for Older People Page 8 of 30 The manager is constantly developing systems and practices so that people living at Sandon House benefit from a home which is run in their best interest. 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.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 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. The individual care needs of people considering a place in the home are assessed to ensure that staff are able to confirm they can meet any identified needs in an appropriate way. Information is provided to any prospective person to help them in making an informed choice about their future care and support arrangements. Evidence: A selection of care plan files was looked at. All files that were selected included a detailed assessment of care needs. The pre- admission assessment looked at all aspects of social and healthcare needs and showed that consultation had taken place with the individual person and their family about day to day lifestyle preferences. Sandon House had a written policy which encouraged any interested person to visit the home prior to making a lifestyle decision to move into the home. This means they are Care Homes for Older People Page 11 of 30 Evidence: able to obtain information and experience the home in order to help them in making an informed choice about their future care and support arrangements. Information in the Annual Quality Assurance (AQAA) document informed us that a senior representative from the home visited people in their own home in order to carry out the pre-admission assessment. Information from any assessments from care managers ( social services), is used to develop a comprehensive plan of care. One relative who we spoke to told us that the admission process was a pleasant and positive experience. She said, The staff were very welcoming when we came to look round. Everything was positive and they took time to explain things to us. 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. People are treated with dignity and respect in this home. Their health, personal and social care needs are taken seriously. Evidence: There was a written plan of care for each individual person living in the home. A selection of these care plans was looked at and found to be detailed and comprehensive. The information in the care plans looked at specific identified needs and provided staff with the relevant information to help them in supporting people safely and appropriately. There were good examples where changes in care needs had been identified. This was because there were good monitoring systems in place to spot and record changes on a day to day basis. When changes were identified, there was evidence to show that the care plan had been amended appropriately. One good example was when changes included the updating of risk assessments in supporting a person to move safely, whilst at the same time, listening to the feelings of the individual about how they wanted to be supported and about the risks they wanted to take in order to remain as independent as possible. This showed that the service is Care Homes for Older People Page 13 of 30 Evidence: pro-active in balancing risk with the wishes and needs of the individual. Information in the care plan included all aspects of health and social care. Relatives and people living in the home told us they had access to healthcare services. One person told us that when they attended hospital appointments they were supported by a member of their family or a member of staff from the home. In one file it was noted that there was a problem in maintaining weight. Appropriate medical intervention was sought and the advice fro a specialist nutritional assessment was incorporated into the care plan. One visiting helathcare professional told us that the staff were quick to respond appropriately to changes in care needs and that they were always very helpful. People living in the home told us that they felt involved in developing their care plans. One person said, They ( the staff) tell us what has to go in the care plan and what they have to do, they told me it was written down that I needed to use a hoist. Views from relatives were equally satisfied about the way individual healthcare needs were met. One relative said, This home prioritises the care. If someone is ill, a doctor is called straight away. We always feel confident that the staff know what is going on and you just know that they really know the resident really well. Daily recordings were made on each file and on some files they were not always relevant to the care plan. The manager was aware of this minor shortfall and told us that all staff were due to receive training in care plan recording methods. Policies and procedures were in place for the safe handling of medication. A sample of medication was looked at and records were well maintained and stock levels balanced accordingly. The staff responsible for the administration of medication had provided sample signatures for audit purposes. Medication Administration Records (MAR) were filled in appropriately by staff responsible for administering medication. There were good and monitoring systems in place and these included regular audits of medication records and practices. Evidence was seen of regular checks on the way medication was administered and the MAR sheets. The last audit was undertaken by the manager on the 23/03/09. This good practice means that people living in the home can be confident that procedures are in place to ensure that medication is given safely. During this visit staff were seen engaging in positive and meaningful exchanges with the people living in the home. The atmosphere was relaxed and there was evidence of positive relationships between staff and people in the home. Care Homes for Older People Page 14 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are able to experience a lifestyle that matches their expectations and preferences. Evidence: During this visit there were numerous visitors to the home. These included relatives of the people living at Sandon House, and visitors from the local community and nearby churches. All visitors were seen to be made welcome by the staff team and were warmly received by the people living in the home. The atmosphere during the day was calm and relaxed and was positively enhanced by the day to day business of people coming and going. There was an activity programme in place that included games, visiting entertainers, gentle exercises and visit from the local Methodist church minister. The manager told us that there was no formal activity organiser, but explained that existing care staff were provided with extra hours to support people in the home to access a range of activities. The manager told us that she looks at the existing interests, talents and skills of staff in an attempt to identify how they could input into the activity programme. Care Homes for Older People Page 16 of 30 Evidence: One member of staff was very involved with the Sonas programme. this is a range of activities used to communicate with people using a multi sensory approach. This involved using common everyday items from past and present to stimulate conversation and interaction among people. This activity has proved very popular and provides people living in the home with opportunities to develop social contacts and communication. Each care plan included a section which identified interests and activity preferences. People spoken to felt that there were plenty of activities available. Comments included: Theres always something to do here, the staff really help me to join in . There are a few thing planned on the notice board and we have people to come in and entertain us. Its very homely and friendly here and we feel part of the community. The manager does some activities with us and she is planning more. During this visit, the Sonas activity, gentle exercises and a visit from the local minister were available to people living in the home. The meals served in the home was sampled and was of a good standard. The meals served during this visit was roast beef and yorkshire pudding with roast and creamed potatoes and seasonal vegetables. The evening meal was liver and onions or macaroni cheese and jelly and ice cream. All menus were available on the notice board and were in picture and word format. All people spoken to said the meals were very good and they confirmed that there was always a range of choices available, for example, jacket potatoes, omelettes, etc. Staff told us that they spoke to people in the morning to inform them of the options and choices. During the mealtime, the whole occasion was pleasant and relaxing. Staff had time to provide discrete and sensitive support where it was needed. Tables were organised in small groups and were pleasantly arranged with place mats and serviettes. People were chatting about the weather and other social events. It was evident that the staff worked hard to ensure that meal arrangements were made into a pleasant social occasion. Care Homes for Older People Page 17 of 30 Evidence: One relative said, You can tell that the staff know the residents. At mealtimes, they dont leave the people, they support and help them. People in the home spoke about the meals, The meals are marvelous. Meals are very nice The meals are very nice and very substantial. Care Homes for Older People Page 18 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. There were good procedures so people who live in the home are able to express their concerns and be listenend to, their rights are protected and they are safeguarded from abuse. Evidence: Policies and procedures were in place to ensure the protection of people living in the home. The complaints procedure was displayed prominently throughout the building, in bedrooms, in the reception area, and was available in the homes information guide. The information was clear and detailed and provided information on the process of making a complaint and what the expected timescales were for receiving a response. A large number of people living in the home and their relatives were spoken to during this visit and all of them told us that they felt confident in raising concerns to the manager or staff team. One person living in the home said, If I had a problem, I would talk to someone in the office. One visitor said, I have never had a concern, but I know I could sit down with the manager or staff and discuss things with them if it was needed. A number of staff were spoken to during the day, and all of them demonstrated a good understanding of safeguarding procedures. Information in the Annual Quality Assurance document showed us that the manager was committed to making sure that Care Homes for Older People Page 19 of 30 Evidence: the staff have appropriate training and supervision so that they are familiar with important policies and procedures. There was a complaints record in place which provided information about the nature of the complaint and the action taken to resolve any issues of concern. In the last six months there have been three complaints made directly to the manager. The Commission has not received any recent complaints about this service. Care Homes for Older People Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sandon House provides a safe and comfortable home that is well maintained and decorated to a high standard. Evidence: During this visit a tour of the building took place. There were good standards of hygiene and cleanliness throughout the building and furnishings and fittings were of a good standard. The building had spacious lounge areas which benefited from large open aspect windows, this brought light into the room and provided pleasant views of local countryside and the local community. Individual rooms were personalised to reflect personal tastes and preferences. People in the home told us that they enjoyed their personal space, and took great pride in showing off their rooms. One resident said, They keep a decent standard here, everything is spotless and clean and thats a good thing and very important to me. There was evidence of ongoing improvements and refurbishment to the home. A new garden room had been added and this provided people with additional pleasant communal space to enjoy with their friends and visitors. A maintenance record was kept which was used as a monitoring tool to assist the manager in her regular audits of the building. Care Homes for Older People Page 21 of 30 Evidence: Information in the AQAA provided evidence that the manager had prioritised infection control. There was evidence that the manager was working with the Primary Heathcare Trust to promote good practice in infection control. Facilities in the home included a secure and pleasant external space which provided people with the opportunity to spend time outdoors in a relaxing environment. This area was maintained to an excellent standard. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Sandon House are supported by well trained, effective staff who have gone through a thorough recruitment process, so peoples needs are met and they are safe from possible harm or poor practice. Evidence: During this visit there were sufficient staff on duty to meet the needs of the people living in the home. The staff were seen to participate in meaningful conversations with people living in the home, and were observed supporting people in a caring and sensitive manner which promoted privacy and dignity for the individual. The approach used by staff was significant in promoting a calm and relaxed atmosphere in the home. Staff were seen being pro-active in supporting people to maintain their independence, whilst at the same time considering risks as part of the care planning process. The feedback from people living in the home was very positive about the support they received from staff. Comments included: Im very settled here. The senior staff are very good, I can tell them if Im not happy. Staff are very good, they look after you and I feel as though I can talk to them about Care Homes for Older People Page 23 of 30 Evidence: anything. Its a free and easy lifestyle. Comments from relatives included: Staff are wonderful and pleasant. They always keep me informed. The staff are very caring. We visit at different times and we can see they do a good job. The staff here dont just leave people, they support them at mealtimes. Theres a good mix of staff and you always feel that they know whats going on with your relative and you know they know the residents well. Three staff files were looked at and all of them contained the appropriate checks and relevant documentation. Information in the AQAA informs us that this service has exceeded the minimum requirement to have 50 of staff qualified to NVQ level 2 or above. There was evidence to show that training was prioritised in this home. Staff were very positive about training and told us that they were supported and encouraged to access training and development opportunities. The manager told us that there was a themed training topic every month, and that this month the focus was on safeguarding adults. The manager showed us her audit tool which is used to identify any training needs and highlights issues for discussion in supervision sessions with staff. This ensures that staff develop and improve their skills so that residents will benefit from a well trained staff team. There is a company audit system in place, and periodic surveys are sent out to people living in the home and their relatives. This is followed up by a report which is available to anyone using the service. A selection of records relating to money held by Sandon House on behalf of people living in the home was looked at. Records were appropriately maintained and receipts were in place for any purchases made. Documentary evidence was available to show that the organisation consistently and routinely undertook appropriate checks in relation to health and safety issues and maintenance of equipment. This ensures that people in the home are provided with a safe environment which protects their health and well being. Care Homes for Older People Page 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sandon House has an experienced management team who ensure the business is operating efficiently and effectively and in the best interest of the people who use the service. Evidence: The manager is new to the post of registered manager, but has worked in the home for as deputy manager. She has 14 years experience and 11 of those in a senior post and holds appropriate professional qualifications. Discussions with the manager throughout the day about the homes management systems provided evidence that she was committed to making sure that staff have the right support, supervision and training. This means that people who live in the home receive good care and support to enable them to live their daily lives in the way they prefer. Supervision records were in place to show that staff received regular formal supervision. Staff spoken to said that they received support formally and informally Care Homes for Older People Page 25 of 30 Evidence: and that they could approach the manager at any time with their concerns or training needs. Before the visit we had asked the manager to complete a questionnaire that we call an Annual Quality Assurance Assessment or AQAA for short. It gives us information about how the home is meeting the needs of the people who use the service and includes future plans for further development. The manager had completed a detailed and comprehensive assessment and the information demonstrated that there was a commitment to using management systems effectively to promote good practice in the home. The manager clearly identified the strengths of the service and outlined the plans to develop service and practice further. People living in the home, staff and relatives spoke highly of the management style and said that the manager was very approachable. There was evidence to show that the manager had a good overview of the service, and she balanced her managerial duties well and made sure that she had a good visible presence in the home. Comments about the management style included: I find the manager very approachable. We have regular supervision and I feel very supported by the manager. The manager always has something on the go like refresher courses. Weve got a new manager. Shes very good, she certainly attends to things. She talks to us every day and asks how we are doing. Also, she is arranging a lot of things to entertain us. If we need a doctor, she get one quickly. One visiting professional told us, This is a nice home, the staff are very helpful and they respond appropriately to the needs of the residents. The manager is very helpful, we work well with this home. Regular quality audits are carried out by the company and a report is produced and available to any interested individuals. Records were in place to of small amounts of money held by Sandon House on behalf of people living in the home. These were appropriately maintained and receipts were in place to reflect any transactions made. There was documentary evidence in place to show that the service consistently and Care Homes for Older People Page 26 of 30 Evidence: routinely carry out appropriate checks in relation to health and safety. This means that people living in the home can be confident that their health and safety is prioritised by the management. There was evidence to show that consultations were made with the people living in the home, so that their views and opinions were used in the development of the service. The manager did this by general day to day chats with people and in the formal resident meetings. There were systems in place to support the manager in auditing all aspects of care in the home. Evidence was seen of medication audits and checks on the quality of care plans. The regular checks means that people living in the home can be confident that all aspects of care practice are monitored and where shortfalls are identified these are improved by the development of an in house improvement plan. The manager told us that supervision sessions with staff are used as an opportunity to re-inforce good care practice and identify training needs. 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: 03000 616161 or Textphone: or 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) 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 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!