Care Home: Solent Cliffs Nursing & Residential Care Home

Similar services:

• Flint House
• St Vincents
• The Cotswold Home
• Fairways
• Winton House
• Treloar College
• Rush Court

What the care home does well The home carries out assessments of those referred for possible admission to the home. Prospective residents and their relatives are able to visit the home and have a look round to see if it meets their needs before making a decision about moving in. Each person has a care plan covering their care needs. Residents report that their health and personal care needs are met. Staff reported that the home meets the health and personal care needs of the residents, and that they receive training in areas related to the care of the residents. Residents are treated with respect and their privacy and dignity is promoted. The home offers a wide range of meaningful activities for the residents including staff taking residents out to places of interest. Residents report that they like the food. Cooked breakfasts are available. Food is well presented. Staff receive training in protecting vulnerable people from possible harm. Residents are aware of the home`s complaints procedure. The environment is well maintained and clean. Residents are able to bring their own furniture and personal possessions to the home. Sufficient staff are provided to meet the needs of the residents. A registered nurse is on duty at all times. There is a training programme for staff who are supported to attend National Vocational Qualifications (NVQ) in care. Staff recruitment procedures are of a good standard. The home is well managed with has a number of ways to check and monitor its own performance to ensure that residents receive the care they need and that health and safety is promoted. What has improved since the last inspection? The home has improved its process of assessing those referred for possible admission to the home by the development of written pro formas and the inclusion of guidance regarding the Mental Capacity Act 2005 and assessing people`s liberty and any restrictions on this. Staff have also received training in the Mental Capacity Act 2005. Potential residents and their families can now have a meal at the home to see if it meets their needs and wishes. Arrangements have been made so that residents can access transport to go out. The environment continues to be improved and renovated.This includes redecoration of bedrooms, new profile beds, clearance of some trees in the garden and new gardenfurniture. What the care home could do better: Records could be made to show that residents have been offered a key to their bedroom door, or that they have been assessed as not being able to have a key. Although residents and relatives are involved in the assessment and care planning a record of this is not made. Two people reported that the staff response when residents ask for help by using the call points could be improved. More detail is needed for one person`s care records to show show the circumstances when occassional medication should be given. Staff supervision needs to be developed so that the frequency of supervision meets the national minimum standards. There were no requirements made at this inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Solent Cliffs Nursing & Residential Care Home 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS     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: Ian Craig     Date: 0 8 0 5 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 28 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 28 Information about the care home Name of care home: Address: Solent Cliffs Nursing & Residential Care Home 2 Cliff Road Hill Head Fareham Hampshire PO14 3JS (01329)662047 01329665429 solentcliffs@brookvalehealthcare.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) : Solent Cliffs Nursing Home Limited care home 35 Number of places (if applicable): Under 65 Over 65 35 0 old age, not falling within any other category physical disability Additional conditions: 0 35 The maximum number of service users to be accommodated is 35. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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 Solent Cliffs is a care home that offers personal care and nursing care for up to thirtyfive older people and older people who have a physical disability. The home is not registered to provide care for older people with mental health care needs or dementia. The home is owned by Solent Cliffs Nursing Home Limited. The home is a large detached house in the small village of Hill Head, on the mainland shore between Portsmouth and Southampton, with views across to the Isle of Wight. It Care Homes for Older People Page 4 of 28 Brief description of the care home is located in a quiet residential area, close to the sea, local amenities, shops and public transport. Following recent refurbishments there are now thirty-three bedrooms, thirty single and three doubles, some with en-suite facilities. The bedrooms are located on two floors and can accessed by passenger lift. The communal areas in the home consist of two sitting rooms, a dining room and a conservatory. There are gardens to the front and side of the house with seating provided for residents use. There is a car park to the side of the property. Information provided at the time of the inspection indicates that the fees are currently #586.00 to #770.00 per week, based on accommodation and care needs. Items that residents are invoiced for separately include chiropody, hairdressing, newspapers and toiletries. Care Homes for Older People Page 5 of 28 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 inspection consisted of a site visit of approximately 6 hours, during which a tour of the home took place. Two staff were interviewed about their work at the home. Two residents relatives and three residents were also spoken to. Discussions took place with the manager. Surveys were sent by the Commission to residents, health and social care professionals and staff, asking for their views on the service provided by the home. These were returned by 5 staff and 12 residents. Some of the residents were helped to fill in the surveys by relatives and by a staff member from the home. Information contained in the surveys has been used for this report. Care Homes for Older People Page 6 of 28 Records, documents and policies and procedures were looked at. Staff were observed working with the residents. Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for this report. What the care home does well: What has improved since the last inspection? The home has improved its process of assessing those referred for possible admission to the home by the development of written pro formas and the inclusion of guidance regarding the Mental Capacity Act 2005 and assessing peoples liberty and any restrictions on this. Staff have also received training in the Mental Capacity Act 2005. Potential residents and their families can now have a meal at the home to see if it meets their needs and wishes. Arrangements have been made so that residents can access transport to go out. The environment continues to be improved and renovated.This includes redecoration of bedrooms, new profile beds, clearance of some trees in the garden and new garden Care Homes for Older People Page 8 of 28 furniture. 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are able to make an informed choice about whether or not to move into the home. The home has procedures to ensure that it accommodates only those whose needs it can meet. Evidence: The home has a document called Statement of Purpose and Service Users Guide, which gives details of the homes philosophy, its admission policy, the facilities, details of the staff including their qualifications, the menu plan, visiting arrangements as well as copies of the latest inspection report. The manager said that this document is supplied to each person who makes an enquiry about moving into the home. There is also a company website which gives information about the home. Care Homes for Older People Page 11 of 28 Evidence: 11 of the 12 people who returned a survey state that they received enough information to help them decide if it was the right place to move into. One person said, My wife and daughter were given lots of information to help me and we came to have a look around. Two surveys said that they did not receive enough information. Two residents and a residents relative also confirmed that they received information about the home and that they were able to have a look round the home before making a decision about whether to move in or not. The home has a pre admission assessment procedure. A Bed Enquiry Form is used to record details of the person being referred for possible admission. The assessment involves assessing residents needs prior to their admission to the home by visiting them at their home or in hospital. These procedures were looked at for 4 people admitted to the home since the last inspection visit and show that the home completed a pre admission assessment pro forma before the person moved in. The assessment is comprehensive and includes the following needs: medication, medical history, diet, personal care needs, physical well being, mood, sleep routine, personal hygiene and dressing, breathing, mobilisation, eating and drinking, continence, oral care, personal safety and risk, social contact and daily routines and personal history. Where the person is referred by social services copies of the care managers assessment and care plan are obtained. Records also show that the home obtains copies of any hospital discharge details where appropriate. Care Homes for Older People Page 12 of 28 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. Residents health and personal care needs are met and residents are treated with dignity and respect. Evidence: Assessments and care plans were looked at for 4 people. Assessments of need were found to be detailed and include waterlow assessments for pressure sore prevention, barthel assessment, assessment of abilities using the Mental Capacity Act 2005 and any actions that may restrict the persons freedom including the reasons why, falls risk assessment and falls care plan, assessment of risk for bed rails and assessment of activities of daily living with short term goals. Assessments and guidance are also recorded for maintaining a safe environment for individual residents. Care plans are structured according to the persons assessed need and include the following: communication, breathing and controlling body temperature, eating and drinking, elimination, hygiene, pressure area care, sleep and rest. End of life care is Care Homes for Older People Page 13 of 28 Evidence: also recorded where the resident agrees to this. Individual preferences are recorded such as times to go to bed and to get up in the morning. The manager stated that the assessments and care plans are devised with the involvement of family members and residents but this is not acknowledged in any recording or co signing of care plans. Each person has a moving and handling assessment with a moving and handling care plan. There are records of health care needs being addressed such as monitoring of body temperature, pulse and respiration as well as dental and general practitioner referrals. A registered nurse is on duty at all times. Staff state that the home meets the health and personal care needs of the residents, including those with higher needs. Of the 12 people who returned a survey, 7 said that they usually receive the care and support they need and 5 answered always to this question. One person said that he/she would like to have a bath or shower more than once a week. This was raised with the manager who said that residents can have more frequent baths or showers if they wish. 2 people said that the staff response when the call point is activated could be improved. One of these people said that this has improved in the last few months. Surveys from 9 people say that the home always provides the medical support they need, and 3 people answered usually to this. Residents described the staff as helpful and kind. A resident and a relative said that the staff are always cheerful and that nothing is too much trouble for the staff. Staff were seen to treat residents with respect. Residents said that the are able to spend their time as they wish. Two people were observed going out with relatives for the day or with staff. The manager stated that residents can have a lock to their bedroom door if they wish, but this is not recorded as being asked nor the response of the resident. None of the residents has a key to his or her bedroom door. Daily running records are maintained of significant events for each person. A screening assessment is used to assess each persons needs regarding food and fluid with instructions for staff to follow. Each persons weight is monitored and recorded. The homes medication procedures were looked at. Medication is supplied in either NOMAD cassettes or in containers. Records and stocks of medication show that medication is administered as prescribed. Staff sign a record each time medication is administered. Registered nurses have responsibility for handling and administering medication. Training is provided in the form of a one day Safe Handling of Medicines Care Homes for Older People Page 14 of 28 Evidence: course. A representative of the owner called a Group nursing Officer audits the medication on a regular basis and provides support to the home. Additional information is needed in the care procedures for one person who requires medication on an occassional basis so that staff have clear guidelines of the circumstances and symptoms prompting its use. The manager agreed to address this. Controlled medication is stored and administered in line with the guidelines of the Royal Pharmaceutical Society. Care Homes for Older People Page 15 of 28 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. Residents benefit from a range of activities and stimulation. Food is varied, nutritious and of a good standard. Evidence: The home employs an activities co ordinator for 40 hours a week. A profile and social history is compiled for each resident with the input of relatives. Activities include the following: one to one interaction, bingo, baking, trips to local facilities such as the theatre and cinema, flower show trips, visits to the pub, entertainment from visiting musicians, foot massages and nail care. Film and curry nights also take place. A record is made of the activities of each person. Residents confirmed in surveys and during the visit that there is a range of activities and that they can choose whether or not to join in. One person said how helpful the staff are and that there are trips out along the sea front and that he/she was going out to a flower show. Another person said that there are lots of activities provided every day. Residents were observed taking part in activities in the afternoon. Care Homes for Older People Page 16 of 28 Evidence: The home has flexible visiting arrangements and residents were seen receiving visits from family members. There is a 4 week menu plan showing varied and nutritious meals. Residents have a choice of food at each meal including breakfast when residents can have a full English breakfast if they wish. One resident said how much he/she enjoyed the poached egg on toast he/she had for breakfast. Another resident said how much he/she likes the food saying that the food is very good, that a choice is available and that the home made scones are especially good. The midday was seen and looked appetising. Residents were seen to have different types of fish with either chips or mashed potato with a sauce, green beans and carrots. Dessert was home made fruits of the forest with whipped cream and meringue. Where residents have pureed food the individual items are pureed individually so that the resident can taste the different foods and so that the food looks attractive. Residents are offered a glass of wine or sherry with their midday meal. A resident stated that he/she is able to ask for something different for the midday meal if he/she doesnt like it. The manager said that each person is asked what they would like to eat for the midday meal but a record of this is not made. A record is made of the choice of food for the early evening meal. Fresh fruit is available in bowls in the communal areas. Of the 12 people who returned a surveys 3 said that they always like the food, 5 usually and 4 sometimes. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an effective complaints procedure and takes steps to ensure that residents are protected from possible harm. Evidence: 10 of the 12 surveys returned by residents state that they know how how to make a complaint. 2 people said that they do not know how to make a complaint. Each resident who returned a surveys states that the staff listen and act on what they say. The complaints procedure is contained in the Statement of Purpose and is displayed in the hall. The AQAA states that the home has not had any complaints in the last 12 months. The home has policies and procedures regarding the protection of vulnerable adults. These include the local authority adult protection procedures. Records show that staff receive training in protecting residents from harm. Each staff member who completed a survey said that they know what to do if a resident or relative has concerns about the home. A staff member also confirmed that he/she is aware of the homes whistleblowing policy. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, well decorated and maintained to a good standard with facilities for residents health and social needs. Evidence: A tour of the home took place. A number of bedrooms and the communal areas were seen. The home has 29 single and 3 double bedrooms. 18 of these bedrooms have an en suite toilet. Bedrooms were noted to contain numerous items of personal belongings such as furniture, ornaments and pictures. A resident described how he/she chose his/her room and brought his/her own belongings. Each bedroom has a lockable cabinet for valuables. Bedroom doors have a lock which residents can lock form the inside. At the time of visit none of the residents used a key to lock their bedroom door when leaving the room. The manager stated that this is offered to residents when they move in. This is not recorded. It was explained that if an assessment indicates that a residents is not capable of safely handling a key then this assessment should be recorded. The AQAA states that as far as is practicable, residents and their families are involved in future planning and redecoration. Care Homes for Older People Page 19 of 28 Evidence: Residents said that they like their bedroom. Communal areas consist of two lounge areas with adjoining conservatories and a separate dining room. There is access to the garden from ramps and doors from the conservatories. The manager stated that residents can eat can outside in the summer if they wish, which was also confirmed from a resident. The garden area includes lawns, shrubs and flowers as well as seating for the residents. Communal areas have facilities for games and a large screen television. Residents were seen using these areas. Specialist equipment is provided such as profile beds in bedrooms, mobile hoists, pressure relieving air mattresses and assistance call points for residents to summon help. The home has a passenger lift. The home has 3 sluice rooms. Staff have infection control training and there is an infection control policy. The home has a laundry with 1 full time and 3 part time laundry staff. All areas of the home were found to be clean and free from any offensive odours. 8 of the 12 surveys returned by staff say that the home is always fresh and clean and 4 say this is usually the case. There are 5 bathrooms consisting of 3 bathrooms and 2 shower rooms with a walk in shower. The home employs a full time handyman for repairs and redecoration. Care Homes for Older People Page 20 of 28 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. Residents benefit from a well trained staff team supplied in sufficient numbers to meet their needs. A thorough staff recruitment procedure protects residents. Evidence: The home deploys the following care and nursing staff: 8am to 2pm 8 or 9 staff consisting of 2 registered general nurses and 6 or 7 care staff, 2pm to 8pm 6 or 7 staff consisting of 2 registered general nurses and 5 care staff, and, 8pm to 8am the next day 1 registered general nurse and 2 care staff. Staffing levels are adjusted according to the needs and numbers of residents. The home employs a total of 10 registered general nurses and 27 care staff. In addition to the above the home provides the following staff: 1 full time maintenance man and gardener, 4 part time domestic staff, 1 full time and 3 part time laundry staff, 2 full time and 1 part time cooks and 1 full time and 2 part time kitchen assistants. Of the 5 surveys returned by staff 4 state that there are usually enough staff on duty Care Homes for Older People Page 21 of 28 Evidence: to meet the residents needs. One person said there are always enough staff. The home has an induction procedure for preparing new staff for their work. This is based on nationally recognised standards and is comprehensively recorded. The home also completes a record to show that each new staff members competency has been assessed as sufficient to work in an unsupervised capacity. These records were seen for 3 staff. Staff confirmed that they received an induction. Staff have a training appraisal and a performance appraisal. The manager has a training matrix to monitor and record each staff members training. There is a training budget and a training programme. The manager says that the homes staff are supported by the homes owners to attend relevant training courses. Each of the staff who returned a survey said that relevant training is provided, which helps the staff understand and meet the individual needs of the residents and that they are kept up to date regarding new ways of working. One staff member added that more training could be provided. Staff spoken to on the day of the visit also confirmed that they have attended training courses. Training records were looked at for 3 staff. These show that the following training has been attended: moving and handling, Mental Capacity Act 2005, adult abuse, fire safety, tissue viability, medication, use of the hoists and induction. Training is also provided in nursing care such as wound dressing and in other subjects such as challenging behaviour. Staff confirmed that they have the right support, experience and knowledge to meet the different needs of the residents. Staff referred to attending staff team meetings and that the staff work together as a team. At the time of the visit, 42 per cent of the care staff had attained the National Vocational Qualification (NVQ) level 2 in care . Further staff were studying the course and more than half the care staff will be qualified at NVQ level 2 within 3 months. Seven staff also have NVQ level 3 in care and the deputy manager is studying NVQ level 4. Recruitment records were checked for 3 staff. These show that the home carries out the required checks before staff start work and this includes obtaining 2 references plus criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks. The home carries out a check that nurses employed by the home are currently registered with the Nursing and Midwifery Council (NMC). A record of this is maintained. Care Homes for Older People Page 22 of 28 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 home is well managed and run in the best interests of the people who live there. The health and safety of residents and staff are promoted. Evidence: The manager is qualified at NVQ level 4 and has the Registered Managers Award (RMA). Staff described the manager as supportive and helpful. The following comments were made about the manager: The manager is the best. We have an excellent head matron who is always ready and willing to help the carers. The manager has been very supportive. The manager states her commitment to having an open style of management to encourage residents, their families and staff to share any concerns. One staff member Care Homes for Older People Page 23 of 28 Evidence: did say that the process of communicating sensitive information could be improved. Surveys are distributed by the home to residents and staff to ask for their views on the service that is provided. The manager states that the homes staff also pass on to her the views of the residents. A number of audit tools are used to check and monitor the different aspects of the home operation including audits of care plans, health and safety, falls and accidents happening to residents, activities, medication and the environment. A member of the organisations management team also carries out an audit of nursing and medication procedures. This had recently occurred for medication where a report was compiled to address and improve procedures. Monthly visits to the home are also carried out by a representative of the organisation and a report compiled. Copies of these were seen. The manager states that she receives a good level of support from her own seniors and managers at the organisation. Staff supervision arrangements were looked at. This included looking at supervision records, discussions with staff and the manager as well as reference to staff surveys. One staff member said the home could improve by providing more supervision for young inexperienced staff members. Another staff member described his/her supervision as attendance at a monthly team meeting. Staff also said that they meet regularly, or often, with their manager for support and to discuss their work. Records of supervision were recorded as clinical supervision and do not meet the national minimum standard of 6 sessions a year. One person had one session for 2008. The manager stated that staff training is classed as supervision. The national minimum standards differentiate supervision from training. The home looks after some residents monies and valuables. These are securely stored and records are made of any amounts deposited or withdrawn plus a corresponding balance. The amount held was checked for one person and this tallied with the record. The AQAA confirms that the homes appliances and equipment are tested and serviced by suitably qualified persons. The manager said that the home has been recently inspected by the Environmental Health Services and a report issued with no requirements or recommendations. An inspection by the fire service has also been carried out again with no requirements or recommendations made according to the manager. An accident book is maintained which is checked by the manager. Care Homes for Older People Page 24 of 28 Evidence: Staff receive training in health and safety. The manager is a key trainer qualified to train staff in moving and handling. Staff receive basic life support first aid training. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 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 28 of 28 - 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!