Care Home: Searchlight Workshops - Webb House

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What the care home does well The home has a relaxed, homely and welcoming environment. Residents were complimentary about the staff working at the home and felt that their personal care needs were being met. Residents felt that their privacy and dignity are respected. Visitors are welcomed at the home and residents may receive visitors in private. Residents were complimentary about the provision of food at the home. Residents are provided with a number of regular activities. Residents are encouraged and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. There is a detailed complaints procedure in place for residents and their representatives to raise any concerns should they wish to. What has improved since the last inspection? No Requirements or Recommendations were made following the last inspection. The homes environment continues to be improved and facilities developed to enable residents more choice and independence. A new computer system is in the process of being implemented in the home to further improve the care planning and risk assessment process. It will also alert staff to due dates of reviews, staff supervision and training updates required etc. A wider range of indoor and outdoor activities continue to be developed and support for residents who wish to go on a holiday. What the care home could do better: The robust recruitment procedures should be followed and new members of staff should not commence working in the home until two written references have been received to protect residents. Work needs to be completed on the transferring of paper records of individual resident`s care needs to the new computer system to ensure staff continue to have upto-date information to reference and these are regularly reviewed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Searchlight Workshops - Webb House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ     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: Judy Gossedge     Date: 2 2 0 6 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Searchlight Workshops - Webb House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ 01273514007 01273611289 Webb@search-light.org.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) : Searchlight Workshops care home 22 Number of places (if applicable): Under 65 Over 65 22 0 old age, not falling within any other category physical disability Additional conditions: 0 22 The maximum number of service users to be accommodated is 22. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP Physical disability (PD). Date of last inspection Brief description of the care home Webb House is one of three homes within the Searchlight Workshop group located at the one site. The home is situated on the top of a hill on the outskirts of Newhaven. There are two mini buss available at the home. There are local amenities and access to bus routes at the bottom of the hill. All bedrooms are for single occupancy and are located over two floors. There is a passenger lift available to assist residents to access all areas of the home. Four bedrooms are provided with en-suite facilities. Communal bathing and toilet facilities Care Homes for Older People Page 4 of 29 Brief description of the care home are provided throughout the home. There is a large dining area on the first floor and a good-sized lounge room and a separate smoking room on the lower floor. Some communal facilities and individual rooms have overhead hoist tracking. Grab rails are located throughout the home to assist individuals when mobilising. Any specialist equipment that may be required for an individual will be accessed by the home as the needs arise. There is a workshop on the site available to residents and people within the community. A variety of crafts/activities are offered at the workshop. A social club is also run on site. At the time of the inspection weekly fees range from 600 through to 1000 pounds a week, with additional costs for hairdressing and chiropody. Depending on an individuals needs, there are additional cost for activities, papers, holidays, social transport and personalised toiletries. The Statement of Purpose and Service Users Guide is available to read in the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at Webb House will be referred to as residents. This unannounced key inspection took place between 9.50 am and 3.50 pm, over six hours on 22 June 2009. Since the last key inspection on 30 July 2007 an Annual Service Review (ASR) has been completed. It does not involve a visit to the service but is a summary of new information given to us, or collected by us since the last key inspection. Care Homes for Older People Page 6 of 29 Prior to the inspection an Annual Quality Assurance Assessment (AQAA) was sent to the home, which has been completed and returned. This was detailed and information from the AQAA is quoted in this report. The communal areas, a selection of residents bedrooms and a selection of care records were viewed, which are detailed in the report. Twenty residents were resident, three residents were spoken with individually in their bedroom or the homes office, and a number were spoken with as part of the inspection process. The care that four of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. TInformation was sought from two care workers, a domestic assistant, the health and safety officer, the deputy manager, Registered Manager and Responsible Individual. The training coordinator was subsequently spoken with over the telephone. Ten residents and six care workers surveys were sent out on this occasion and six residents and four care workers surveys were completed and returned. 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.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 8 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is detailed information available for residents and their representatives to view, but it should be ensured that this information is more regularly reviewed. Potential new residents are individually assessed prior to an admission to ensure that their care needs can be met in the home. Intermediate care is not provided in the home. Evidence: A copy of the Statement of Purpose and Service Users Guide with a copy of the last inspection report is available to read in the entrance of the home. The documents were read, are detailed and recorded they have been reviewed in 2007. This was discussed with the Responsible Individual and the Manager to ensure a more regular review of these documents is undertaken, so that potential residents and their representatives have up-to-date information to assist in their decision making. Some updating of the information is required, including detailing the care that is provided in the home and Care Homes for Older People Page 10 of 29 Evidence: the Manager stated that this was already in the process of being completed. Three of the residents surveys stated they had received enough information about the home, two did not know and one stated they had not received enough information. The AQAA detailed that a full and comprehensive pre-admission assessment is completed. The Manager stated that herself and another member of staff from the organisation visits all potential new residents prior to any admission, and that a preadmission and assessment format is completed. This is to ensure individual residents care needs can be met in the home and to provide staff with information on the care to be provided. A copy of the assessment undertaken by a local authority is also sometimes received and available to reference. The documentation for the one new resident admitted to the home since the last inspection was viewed and there was preadmission information in place. Intermediate care is not provided in the home. Care Homes for Older People Page 11 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Work should continue to ensure all residents are protected by a detailed and updated individual plan of care being in place. Where all their personal, social and health care needs are identified to inform staff of the care which needs to be provided and with supporting risk assessments. Medication policies and procedures are in place. Evidence: The AQAA detailed that a new computer system has been put in place to enable the further development of the care plans, risk assessments and medical needs and for improved monitoring and review. Five of the residents individual care plans were viewed. These were in a transition of being transferred on to the new system and due to this it was not possible to fully evidence that all the residents social and health care needs had been documented. Not all these documents had been regularly reviewed. This was discussed with the Responsible Individual and the Manager who stated that the progress for transferring information on to the new computer system would be reviewed and support given where required to ensure the completion of the transfer now takes place, and that staff have up-to-date information to reference of residents Care Homes for Older People Page 12 of 29 Evidence: care needs and this is reviewed. So a Requirement has not been made on this occasion. Three of the residents surveys stated they always received the care and support that they needed, two usually and one commented, most of the time. Webb House operates a key worker system and staff were observed working closely and sensitively with residents to meet their identified personal care and support needs. Four care workers surveys and the two care workers spoken with stated they were always given up-to-date information about residents care needs. Records viewed detailed that residents are registered with a local General Practitioner (GP) and have access to other health care professionals, including district nurses, via the surgeries. It was noted, in care plans that were examined, that appointments with or visits by health care professionals are recorded. But again these were not in all cases up-to-date with the change over of the records. Four of the residents surveys stated they always received the medical support needed and one stated usually. The atmosphere of the home was comfortable, open and relaxed and residents are encouraged to remain independent and to exercise choice over their daily lives. Staff was observed to deliver care with dignity and respect. The residents spoken with felt the care provided respected their privacy and dignity. Feedback from residents spoken with was that they were pleased with the overall care provided in the home. The AQAA details that policies and procedures relating to the control, storage, administration and recording of medication are in place and that these are in the process of being updated following new arrangements for the provision of medication in the home. Residents are provided with the opportunity to self medicate following a risk assessment being undertaken. There was no one choosing to self medicate at the time of the inspection. Medication storage and a sample of the recording were viewed. The deputy manager stated that a local pharmacist will carry out monitoring visits, but as this was a new arrangement there were no records to view during the inspection. Where medication is stored in a refrigerator regular checks of the temperature had been maintained and recorded. Only senior care workers administer medication and the two senior members of staff on duty confirmed that they administered medication and had received medication training. The training records viewed were not up-to-date as were in the process of being transferred to the new computer system. The Manager has undertaken training to review and evaluate staff competency to administer medication. Care Homes for Older People Page 13 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Where possible residents are enabled to exercise choice in their lives whist resident in the home, there are opportunities to participate in social and recreational activities provided, residents are encouraged to maintain contact with family and friends as they wish and a varied diet is provided. Evidence: The organisation has a day centre on site, which offers a range of activities and is open Monday to Friday. Residents of the home are able to use these facilities if they choose. People that live outside of the home environment may also use these facilities. The AQAA detailed that a wide range of activities and outings are facilitated in order to encourage personal choice and independence. That there are regular visits to the theatre, pubs, garden centres, shopping trips and access the community through fetes and local events. Events are advertised on the events notice board and residents are asked individually if they would be interested in attending. In-house entertainment is also offered and there is an activity calender so residents can see what is available. There is the option of request nights where a staff member is allocated to ask residents what they would like to do and run an activity accordingly. This has resulted in pool competitions, film and games nights. A regular music and movement group is Care Homes for Older People Page 14 of 29 Evidence: run in the home. The organisation also has a social club on site, which two residents confirmed they attended and one that they chose not to. All spoke of activities which they could access. Two residents surveys stated activities were always provided and two usually, and one did not answer the question. When asked what the home does well comments received were, interesting lectures, arrange outings, have worked my way in to a circle of very happy people. Activities in the workshop and in the house. One staff survey commented, lots of activities and trips out for the residents. Every year a holiday meeting is held for all residents who are interested in going on holiday. Brochures and ideas for accessible holidays are provided. The organisation has a client development co-ordinator who will then organise all aspects of the holiday and staff to accompany the resident. This year a trip is planned using two of the organisations minibuses to a hotel in Blackpool, which was a favorite last year and has been requested again. One resident spoken with was looking forward to their holiday which they had planned. The home has links with the local college and some courses are due to be run by the college in the home to improve access to courses for those residents who have difficulty in attending to the college. The AQAA details that transport is regularly provided for residents to attend the local church if they wish, and that residents will be assisted to meet their individual religious and spiritual needs if they wish. The AQAA details that residents are able to have visitors in private at any reasonable time, either in their own room or in any of the communal areas. Guests are made welcome. There is a visitors book at the home for visitors to sign. The residents spoken with who had visitors confirmed there was flexible visiting, that staff are very welcoming and they could see their relative or friend in private if they wished. Residents reviews include the opportunity for residents relatives or representatives to attend if the resident wishes. The care and support provided was observed to enable residents where possible to exercise choice whilst at Webb House. Residents files viewed, staff and the residents spoken with confirmed this. Residents spoken with confirmed that they choose their own daily routines. This was evident during the day of the inspection with residents moving freely in and out of the home environment. Staff were observed to have a good professional rapport with residents. Staff were observed to knock on residents bedroom doors prior to entering. Care workers use the kitchen facilities in the home to prepare and cook breakfast and Care Homes for Older People Page 15 of 29 Evidence: the evening meal, to enable residents have more individual meal choices. The AQAA stated that seventeen care workers hold a basic food hygiene certificate. The two care workers spoken with confirmed that they have undertaken this training. Lunch is produced by chef in the organisations main kitchen. There is a rotating menu in place, which residents choose from in advance. The AQAA details that residents individual likes and dislikes are taken into account when planning menus and there are regular opportunities for residents to comment on the meals provided. Records are kept of individual residents food consumption to ensure an adequate diet is provided. These were not viewed on this occasion. The lunch time meal during the inspection was beef burger, Boston pork and bean casserole, salad, chips, swede, turnip and broccoli followed by rhubarb pie and vanilla sauce. Fresh fruit is available in the home. Diets can be catered for. On the day residents were observed eating their lunch in the dining room. There is also seating on the balcony areas which residents can use to eat their meals. It was a relaxed environment, and staff were nearby to offer discreet assistance when needed, taking into account the different length of time that individual residents would need to finish their meal. Feedback from the residents spoken with was that the food was good. Two of the residents surveys stated they always liked the meals and two usually. Care Homes for Older People Page 16 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place to enable residents or their representatives to raise any concerns about the care being provided and staff have a good understanding of protecting vulnerable people. Evidence: The AQAA details that there is a complaints policy and procedure in place, which is also available to read in an easy read format. No complaints had been received during the last year. The CQC have not been made aware of any concerns in relation to the care provided at Webb House. A monthly residents council has been formed with two residents from each of the Searchlight homes attending, so that any concerns or complaints can be addressed for the residents, by the residents representing them. All of the residents surveys stated they knew who to speak to and how to make a complaint. All the care workers surveys stated they knew what to do if a resident has any concerns. During the inspection residents were confident to approach the Inspector and give feedback regarding their experiences at the home. The AQAA detailed that there are policies and procedures in place in relation to the protection of vulnerable adults. The Manager stated she is a trainer in safeguarding vulnerable adults and has recently provided training for all the staff in the home. The two care workers spoken with confirmed that they had received this training and Care Homes for Older People Page 17 of 29 Evidence: demonstrated an awareness of the procedures. Staff training records also recorded that staff had attended this training. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and homely environment. The home ensures that residents private accommodation is equipped to provide comfort and privacy and to meet the assessed needs of those people residing in the room. Evidence: The AQAA detailed that during the last twelve months the corridor hallway areas have been redecorated, a residents en-suite bathroom has been redesigned to better meet the needs of that resident, the tables and chairs in the dining room have been replaced in order to make the house look more homely and inviting, and the dining room floor has been re-varnished. The residents kitchen was in the process of being refurbished at the time of the inspection. Advice has been sought to make the kitchen more accessible and enable residents where they wish to prepare their own food and increase independence. There are twenty-two single bedrooms on both floors in the home. Four of the bedrooms have en-suite facilities. The AQAA detailed that the bedrooms are decorated to the residents taste. A number of bedrooms were viewed and displayed residents individual styles and interests. Residents are encouraged to personalise their rooms and many have with furniture, pictures and ornaments. All the residents spoken with were happy with their accommodation. Bathroom facilities are provided throughout the Care Homes for Older People Page 19 of 29 Evidence: home. Residents are able to control the temperature in their own bedrooms. The AQAA details that there is regular testing of the hot water temperatures at outlets accessed by residents to ensure it is maintained close to the recommended safe temperature of 43 degrees centigrade. The Responsible Individual confirmed this, but the records were not available to view on this occasion. All the residents spoken with confirmed there is adequate heating and hot water in the home. A pssenger lift enables residents to have access to all parts of the home, assisted baths and toilets are in place and hoists are available for staff to assist residents. There is a lounge, a smoking room and a separate dining room. There are large balconies to both floors, with seating and offering panoramic views. A small residents kitchen was in the process of being refurbished during the inspection. This is to make it more accessible to residents and enable them greater opportunities to prepare their own meals and refreshments and increase choice and independence. The AQAA details that there is a policy in place for managing infection control, and an action plan for infection control in the home is in place. That eighteen staff have received training in the prevention of infection. The domestic assistant on duty confirmed she has received training in the management of infection control and control of substances hazardous to health (COSHH) training. The two care workers also stated they have received infection control training and they are able to access protective clothing where required. The home was clean and free from offensive odours at the time of the inspection. Three residents surveys stated the home is always fresh and clean and two usually. The laundry facilities are sited outside of the home in another building within the organisation. The Manager stated that a washing machine and dryer are to be provided in the home for residents use and to increase their independence. Recording was viewed of routine fire checks that had been carried out in the home. There were some omissions in the routine testing of the fire alarms and no records of routine checks of the emergency lighting in between checks made by an external contractor. This was discussed with the health and safety co-ordinator who stated that this was an agenda item for the next health and safety group. The Responsible Individual and Manager stated that this would be addressed, so a Requirement has not been made on this occasion. Under the stairwell was being used for storage, which the Care Homes for Older People Page 20 of 29 Evidence: Manager stated would be addressed on the day. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust recruitment procedure needs to be in place to ensure residents are in safe hands at all times. Staff are provided with the required training or updates to ensure they have the skills to meet all the residents care needs. Evidence: The home was calm and relaxed on the day of the inspection, and the staffing in place on the day provided support for the residents to access a range of activities. The AQAA details that staffing levels vary in accordance with guidance on staffing levels to be provided and to ensure an appropriate staff mix and cover at all times. Care workers spoken with confirmed the staffing levels in place. All shifts are supervised by a senior member of staff and at the time of the inspection the Manager and deputy manager were on duty, with a senior care worker and three care workers. Ancillary staff were working in the home covering domestic and catering tasks. At night the home deploys one waking night, member of staff. This should be kept under review to ensure the care needs of individual residents continues to be met. All staff was found to have a good rapport with residents, which promoted a relaxed atmosphere in the home. Bank staff and agency staff are used to work in the home and the Manager stated that she requests agency care workers who had previously worked in the home and know the residents. Three care workers surveys stated there was usually enough staff to meets residents care needs and one sometimes. Staff spoken with spoke of a team that are Care Homes for Older People Page 22 of 29 Evidence: very supportive of each other and of good communication. The AQAA detailed that seven of the sixteen care workers working in the home holds an NVQ Level 2 in care. Five care workers are currently working towards either NVQ Level 3 or 4. The AQAA detailed that new staff working in the home had satisfactory preemployment checks. The documentation was viewed for the three new members of staff, who had been recruited since the last inspection. All demonstrated the completion of an application form, all had two written references in place, but for one member of staff the written references had not been received until after the member of staff had commenced working in the home. All had completed a Criminal Records Bureau (CRB)/and or a Pova First check. It was not possible to evidence that all staff working in the home have had a CRB check undertaken, but the training co-ordinator stated this information will be available to view when the information has been transfered on to the new computer system. A sample of staff documentation was viewed and all had had a CRB check completed. Both of the care workers surveys stated that recruitment checks were carried out before they started work. The AQAA detailed that induction training for new members of staff is in place and that this meets the requirements of the General Skills for Care induction standards. Fifteen care workers have completed the induction. The care workers surveys stated the induction covered everything very well. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manager has strived to create an atmosphere within the home, which is open, relaxed, homely and caring. Quality assurance systems in the home enable ongoing feedback about the care provided in the home and systems are in place to ensure a safe environment for staff and residents. Evidence: The Registered Manager for the home is Mrs Jacqueline Emmeline Joyce, who has completed the NVQ Level 4 in Care and is working towards the Leadership and Management for Care Services award. There have also been further training opportunities which the Registered Manager has attended. There is a deputy manager to support the Manager, who stated she had been able to attend a range of training opportunities. From discussions with residents and care workers, it is evident that the Manager demonstrates a clear sense of leadership and direction. Care Homes for Older People Page 24 of 29 Evidence: A quality assurance system has been developed. It was evidenced that feedback about the service provided is being sought from residents, relatives and representatives, and visiting health and social care professionals through surveys and regular residents meetings. The residents spoken with confirmed residents meetings occurred, but that not all had chosen to attend. There were no minutes to view from recent residents meetings. The Manager stated that the taking of minutes had recently ceased, but that these would be reinstated to ensure all residents are able to access a copy and be kept in touch with the outcome of the meetings. The Responsible Individual stated that the annual feedback was late in being sought on this occasion, but is currently in process of collecting this information and the outcome of the quality assurance process undertaken in the home will be collated, available to read and from which a development plan for the coming year will be drawn up. The AQAA detailed that policies and procedures are in place. The Manager stated that there is a policy group within the orgamisation which are in the process of reviewing and updating the organisations policies and procedures. Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then is supported by staff or another responsible person external to the home. A sample of the computerised recording was viewed. The Manager stated that a receipting system is also in place, but was not viewed on this occasion. The AQAA details that care workers receive supervision. Care workers spoken with and records viewed confirmed that staff supervision occurs to meet the requirements. Two care workers surveys stated they always have enough support and two usually. The AQAA detailed that all the care workers had undertaken the required mandatory training. A sample of staff training records was viewed but were not fully up-to-date as the information was in the process of being transferred on to the new computer system. Care workers spoken with and feedback from the care workers surveys was that staff had received the required training. The AQAA also detailed that the provision of in-house training is an area for continued development over the next twelve months. The AQAA details that Webb House has a staff and resident representative who are the designated people for health and safety within the house, they attend meetings with the Searchlight health and safety officer in order to bring up any issues that need to be dealt with within the organisation. It also detailed that the maintenance of equipment and services has been carried out. A fire risk assessment for the home is in place. Staff training records were not up-toCare Homes for Older People Page 25 of 29 Evidence: date as were in the process of being transfered to the new computor system. The deputy manager and the two care workers spoken with confirmed that they had attended fire training and participated in a fire drill. A sample of recording was viewed of incidents and accidents, which had occurred in the home. Care Homes for Older People Page 26 of 29 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 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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