Care Home: St Euphrasia`s

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What the care home does well Our time at the home found routines relaxed, sisters who live at the home are allowed unrestricted access to communal areas and outside gardens, people were watching the television and staff chatting to residents. One person who lives at the home said, "It the nicest place to be". A person visiting the home spoken to said, "Its so relaxed and welcoming from the moment you arrive". Training opportunities and development of staff skills continue to be good, so that people have the confidence and competencies to provide the care and support people who live at the home need. Some members of staff have exceeded the required qualifications to work in a care home to ensure they have the skills. One member of staff said, "Training opportunities are excellent". In the AQAA the manager explains how each staff member has a development training record to progress and acquire the skills to provide support and care the sisters who live at the home need. A staff member wrote in a survey, "Opportunities are available for staff to develop with the amount of courses we can go on". Comments from people who live and work at the home highly recommended the quality of food provided, with varied meals and choices available if people don`t like the main meal on offer. People are allowed meals in their own room if they choose to this was confirmed by speaking to residents. The cook prepares home baked food and all cooks have received training in `Food and hygiene`. Comments included, "The meals are very good". Also, "Plenty of choice if you don`t like the food on offer". We found from talking to staff, visitors and the sisters who live here that privacy and dignity is based on how the home is run. One staff member wrote in a survey "No where else can compare how the staff treat the sisters with respect". One visitor spoken to said, "The staff treat each person as an individual and nothing is to much trouble". Before any person comes to live at the home, the manager carries out a pre admission assessment to ensure their needs can be met. Prospective residents are the sisters who live at the convent which is attached to the home. They visit daily and the staff get to know them very well before they come to live at the here. One staff member spoken to said, "The assessment stage is so thorough because we know all the sisters before it comes time when they need residential care". The building is well maintained and has an excellent system and machinery in place for laundry processes to prevent the spread of infections. The manager tells us in the AQAA about how when laundry is being washed the machinery (Otex ozone disinfection system) `guarantees to destroy serious infections` ensuring residents are protected from the spread of infections. Activities are centred around each individual choices and the sisters religious beliefs. The chaplain visits daily to see each resident and offer support and guidance, One sister living at the home said, "He is a wonderful person and I look forward to see him every day". What has improved since the last inspection? Further redecoration of rooms has been completed and new carpets in the lounge area to ensure people are kept in comfortable pleasant surroundings. One member of staff spoken to said, "Its home from home". One of the sisters spoken to about the decoration and cleanliness said, "Its kept clean and tidy all the time". The manager tells us in the AQAA staff now have completed qualifications over and above the required standard so the sisters who live at the home are cared for competent skilled staff. A member of staff wrote in a survey, "I now have completed my higher qualification". What the care home could do better: The application form for people to complete who wish to work at St Euphrasia`s should ask for a full employment history to ensure suitable people only are employed. Key inspection report Care homes for older people Name: Address: St Euphrasia`s Chain Road Blackley Manchester M9 6GN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 1 7 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: St Euphrasia`s Chain Road Blackley Manchester M9 6GN 01616532010 01616538564 st.euphrasias@unicombox.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Trustees of the Congregation of our Lady of Charity of the Good Shepherd Name of registered manager (if applicable) Sister Rosemary Kean R G S Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home with nursing: Code N, to people of the following gender: Female. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP. The maximum number of people who can be accommodated is: 14. Date of last inspection Brief description of the care home St Euphrasias is a purpose built single storey building situated in the extensive grounds of the convent with ample car parking facilities. The home is situated in Blackley in the North of the City and provides care for the older Sisters of the Good Shepherd. Care Homes for Older People Page 4 of 26 Over 65 14 0 Brief description of the care home The home is close to local amenities and transport links into Manchester City Centre. Admission to the home is restricted to the Sisters who belong to the Order of The Good Shepherd. The home provides accommodation for up to 14 Sisters. Accommodation is offered in single bedrooms. Three bedrooms have en-suite facilities. A variety of bathing facilities are available. Toilets and bathrooms are located close to bedrooms and communal areas. There is a main lounge and a separate dining room. A conservatory is situated off the main lounge. The need for privacy and the facilities for prayer are important for the Sisters and a small chapel is available within the home, alternatively the Sisters can access the chapel in the convent via a corridor from the home. The fees for home start at £415 and upwards. Care Homes for Older People Page 5 of 26 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 unannounced visit was part of the key inspection process and took place on the 17/03/10. We spoke to people who live at the home who are refered to as sister, staff, the manager, relatives visiting and a group of residents in the lounge. Care, maintenance, previous inspection reports and other records were looked at, as well as a walk around the building. As part of the inspection process we talked to people using the service and asked staff about those people needs. We also looked at their rooms, care plans and daily notes, this is called case tracking. Other people who live at the home were invited to pass their opinions to us if they wish. We received responses from surveys/ questionnaires sent to staff for their views on how the home is run. Comments we did receive were very positive and some are included in this report. Care Homes for Older People Page 6 of 26 Every year the person in charge or manager is asked to provide us with written information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. Care Homes for Older People Page 7 of 26 What the care home does well: Our time at the home found routines relaxed, sisters who live at the home are allowed unrestricted access to communal areas and outside gardens, people were watching the television and staff chatting to residents. One person who lives at the home said, It the nicest place to be. A person visiting the home spoken to said, Its so relaxed and welcoming from the moment you arrive. Training opportunities and development of staff skills continue to be good, so that people have the confidence and competencies to provide the care and support people who live at the home need. Some members of staff have exceeded the required qualifications to work in a care home to ensure they have the skills. One member of staff said, Training opportunities are excellent. In the AQAA the manager explains how each staff member has a development training record to progress and acquire the skills to provide support and care the sisters who live at the home need. A staff member wrote in a survey, Opportunities are available for staff to develop with the amount of courses we can go on. Comments from people who live and work at the home highly recommended the quality of food provided, with varied meals and choices available if people dont like the main meal on offer. People are allowed meals in their own room if they choose to this was confirmed by speaking to residents. The cook prepares home baked food and all cooks have received training in Food and hygiene. Comments included, The meals are very good. Also, Plenty of choice if you dont like the food on offer. We found from talking to staff, visitors and the sisters who live here that privacy and dignity is based on how the home is run. One staff member wrote in a survey No where else can compare how the staff treat the sisters with respect. One visitor spoken to said, The staff treat each person as an individual and nothing is to much trouble. Before any person comes to live at the home, the manager carries out a pre admission assessment to ensure their needs can be met. Prospective residents are the sisters who live at the convent which is attached to the home. They visit daily and the staff get to know them very well before they come to live at the here. One staff member spoken to said, The assessment stage is so thorough because we know all the sisters before it comes time when they need residential care. The building is well maintained and has an excellent system and machinery in place for laundry processes to prevent the spread of infections. The manager tells us in the AQAA about how when laundry is being washed the machinery (Otex ozone disinfection system) guarantees to destroy serious infections ensuring residents are protected from the spread of infections. Activities are centred around each individual choices and the sisters religious beliefs. The chaplain visits daily to see each resident and offer support and guidance, One sister living at the home said, He is a wonderful person and I look forward to see him every day. Care Homes for Older People Page 8 of 26 What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 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 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures are excellent with clear and precise ways of ensuring people are suitable and their needs can be met. Evidence: All the people who live at the home are sisters from the adjoining convent who have been assessed as needing residential care. We looked at assessment information for people who live at St Euphrasias which showed that, comprehensive information was obtained by the manager and from social services. We spoke to a person who lives at the home about the time she moved in and she said, I did not want to go anywhere else. A staff member spoken to about the assessment process said, The sisters are all familiar with the home having visited many times. A care plan had been developed from the information to ensure health, social and welfare needs are identified and the care and support needed can be met. There was evidence of involvement from the person admitted to gather information so that all Care Homes for Older People Page 11 of 26 Evidence: needs of people who come to live here are looked at. One member of staff spoken to about the assessment process said, All the sisters who come to stay have visited many many times. As a course of good practice the sister (manager) in charge tells us in the AQAA, as all the residents are from their own religious communities they ensure there is plenty of time before they move in to get to know the residents already living at the home. One member of staff spoken to said, When a sister moves in she will have had plenty of experience of the home . Standard 6 was not assessed as the home does not provide intermediate care. Care Homes for Older People Page 12 of 26 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 who live at the home have their health and personal care needs met by staff who are caring and well trained to give respect, dignity,and privacy. Evidence: Care records looked at for people living in the home are comprehensive and set out a plan of care monitoring all health,welfare and interests. People have a say in the care they receive and in the way they are supported, This was evidenced by staff and residents spoken to, also residents signing they agreed with the care provided. Comments from staff and residents about the standard of care included, This is the most caring home I have worked in. Also, Wonderful people, all of them. One staff member wrote in a survey, We care for all the sisters in all we do for them. We discussed with staff the needs of people we case tracked they had a very good awareness of peoples needs and were able to discuss all aspects of the persons support and what care was required. One member of staff spoken to said, I encourage all the staff to spend time with the sisters and they come first before anything else. Care Homes for Older People Page 13 of 26 Evidence: Each person has risk assessments in place to ensure their safety. looking at records of care we confirmed these are updated monthly more than what is required, and when necessary to reflect any changes that may have occurred in the building or individually ensuring people are protected and safe. Evidence in the AQAA tells us the manager has identified 13 risk assessments and what action to be taken to reduce risk to ensure residents are protected and safe. We looked at the medication procedures with a senior carer, medication of people we case tracked had safe practices in place to ensure people receive the right medicine at the right time and they are protected by the procedures in place. One member of staff spoken to said, The training to understand medication issues is very good. A senior staff member explained to us they have good a good relationship with the pharmacist who visits the home to instruct staff on medication issues. One staff member said, The pharmacist is very helpful and visits the home anytime we wish. We looked around the storage area where medication is kept and found everything in order and extremely clean and tidy. We looked at records and confirmed nutritional screening of people who live at the home is monitored so that any health issues are noticed and acted upon. This was confirmed by information contained in the AQAA. Records of people who live at St Euphrasias show they have access to health professionals and where possible a doctor (GP) of their choice. During our visit we talked to people who live here in the lounge, individually and watched staff caring for people and helping them in a sensitive, dignified way. One person who lives at the home said to us, Always willing to help and spend time with you individually. The manager tells us in the AQAA how it is important for staff to care for residents with respect, dignity and equality. They are given instruction so they are aware of how to treat people to ensure respect is shown at all times, this was confirmed by talking to staff. One member of staff spoken to said, Dignity, respect and equality is our foremost principles. A survey returned from a member of staff said, Dignity and privacy is the sisters most important thing, we treat everyone with respect. Care Homes for Older People Page 14 of 26 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. Social activities and meals are well managed, creative and provide daily variation and interest for people living at the home. Evidence: We had a talk to the cook and a look around the kitchen area which we found clean and tidy. Meals are brought a short distance from the Convent and served hot to the sisters in the dining room. We asked about training and the cook said, I have completed my Food and Hygiene course. Comments about the quality and quantity of food and meals prepared were good, they included, I enjoy baking, also, The food is very good. The cook confirmed they provide food for a diabetic resident and are aware of ingredients needed to ensure she has the right food intake. We looked around and found evidence of fresh fruit and vegetables stored in the kitchen and plenty of stocks in the fridge and cupboards, to ensure people who live here receive a healthy diet with plenty of choice. A sister who lives at the home spoken to about meals and set times said, A choice of what you want if you dont like something. Records looked at show staff monitor the intake of food and liquid of people living at the home to ensure any concerns are identified and appropriate action taken. Routines watched during the day looked relaxed, some people were sat in the lounge Care Homes for Older People Page 15 of 26 Evidence: area, staff were carrying on with their daily routines and we noticed staff chatting to residents and generally supporting people in a dignified way. Records show at the assessment stage hobbies and interests of people who live at the home are written down. Staff spoken to said they try and help residents individually follow their hobbies and interests. We spoke to people who live and work at the home about activities and social events, comments included, I enjoy the exercise class in the morning. The chaplain visits daily and is a joy. Activities are displayed daily and the manager tells us in the AQAA volunteers visit weekly and spend time with the sisters. In addition special celebrations are made of religious events and residents participate as much as they are able. One visitor spoken to said, Every effort is made to spend time individually with the sisters so they can enjoy their chosen interests. One resident spoken to said, In summer I love the trips out. Visiting times have no restrictions. All people who live and work at the home spoken to confirmed friends and families are welcome any time. One person living at the home spoken to said, Visiting times have no restrictions. All people who live and work at the home spoken to confirmed friends and relatives are welcome any time. One person who lives at the home said, People come and see me anytime and are made very welcome. People we spoke to who live here confirmed they were able to bring personal items into the home which was agreed during the admission. One sister we case tracked spoken to said, Its nice to have my personal items around me. Rooms we were invited into had personal possessions around so that people who live here felt it was home. Care Homes for Older People Page 16 of 26 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. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: Information the manager gave us in the AQAA tells us of how they provide safeguarding adults training for staff to ensure they are aware of any signs of abuse taking place and are able to take the appropriate action. Staff spoken to confirm they have attended training, one said, I have recently completed safeguarding adults training. The manager tells us in the AQAA any concerns or complaints would be taken seriously and they have a procedure for dealing with any issues or concerns. All potential residents are provided with a complaints procedure in their room. One of the sisters who lives at the home spoken to said, Never complained and I know I never will. There has been no complaints since the last inspection. Care Homes for Older People Page 17 of 26 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 premises are safe, clean and maintained to a very high standard providing comfortable, pleasant surroundings for the sisters who live at the home. Evidence: We had a walk around the premises and outside areas, we found it clean, tidy and maintained to a high standard ensuring people live in comfortable surroundings. One of the sisters living at the home spoken to said, Its a lovely clean home. We also spoke to a member of staff who was responsible for the upkeep and repairs of the building who said, Any repairs I do as soon as possible. We confirmed records of maintenance work carried out are kept. The manager tells us in the AQAA of improvements to the premises such as, new dining room flooring and furniture, a new carpet chosen by the residents in the lounge and also some bedrooms redecorated as part of an ongoing programme. Comments about the building included from a visitor, Its decorated to a high standard. One staff member wrote in a survey, We work hard to keep it clean and fresh. There are policies in place for laundry processes and for the control of infection ensuring the home is kept clean and hygienic. Information in the AQAA informs us of how staff are trained in infection control, this was confirmed through talking to staff. One domestic staff member said, We have a lot of pride in our work. A sister who Care Homes for Older People Page 18 of 26 Evidence: lives at the home spoken to said, The girls keep it spotless. We had a look at the new machinery in the laundry called Otex ozone disinfection system which is guaranteed to destroy serious infections such as MRSA. One staff member spoken to said, Its really good. We checked hot water temperatures and were shown records of regular temperature checks to ensure residents safety. Water was found to be delivered at a safe temperature in line with health and safety guidelines. Care Homes for Older People Page 19 of 26 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. Access to training and staff development is good, this helps to develop skills and competencies. Systems for recruitment procedures are in place to ensure suitable staff are employed. Evidence: From talking to staff and information in the AQAA its clear access to and training of staff is very good which ensures people are cared for by a competent skilled workforce. One staff member spoken about training said, Any training is encouraged by sister R..... We looked at training records and each staff member has a separate training programme to ensure they complete necessary courses to enhance their skills. One relative visiting when asked about staff attitudes and caring ability said, I know the staff are all well trained. Information in the AQAA confirms a commitment to staff training and tells us how all staff have completed a recognised qualification in care which is the National Vocational Qualification (NVQ) to level 2 or above, some staff are now doing NVQ level 3 and have completed it. One staff member said, I have now completed NVQ level 3. We looked at recruitment records of staff, and found all records were available for inspection and the proper checks have been completed and all are in place before people start to work at the home. However the application form for employment should be amended to ask for a full employment history to ensure suitable people are Care Homes for Older People Page 20 of 26 Evidence: employed. We did speak to staff about the process for recruitment and comments included, I went a thorough checking process and training before I started. Staff rotas looked at and observation during the day confirm staffing levels were enough to care for the people who live at the home and provide a good service. Comments from staff and residents included, There is plenty of people around to spend time individually. And, Truly wonderful kind people. It was evident from watching staff react to people during the day and speaking to staff they are clear about their role and work well as a team to ensure the individual and collective needs of people who live at the home are being met . One person who lives at the home spoken to said, Nothing is to much trouble. Care Homes for Older People Page 21 of 26 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. The home is managed well and excellent systems are in place for the protection and safety of staff and people who live at the home. Evidence: The manager (Sister in charge) of the home as a wealth of experience in running care homes and has completed all the necessary qualifications required to run a care home to ensure it runs smoothly and provide excellent support for people living here. Some comments from staff and residents were extremely complimentary of the attitude of the sister in charge and how the home is run. They included, The sister in charge is an amazing person. Also, Nothing is more important to sister than the residents. One visitor spoken to said, Her whole life is dedicated to care for these people its wonderful. One staff member wrote in a survey, She is a mother to all of us. We checked records of health and safety looked at information in the AQAA and confirm regular tests are carried out to emergency lighting, fire procedures, gas appliances and electrical equipment, ensuring the safety of people living at the home Care Homes for Older People Page 22 of 26 Evidence: is maintained. Financial records looked at were in good order, systems are in place for people to control their own money where possible and ensure safeguards are in place for their protection. Records of finances for people who live at the home were accurate and up to date. Care Homes for Older People Page 23 of 26 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 24 of 26 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 1 29 The application form for employment of staff should ask for a full employment history to ensure suitable people are employed. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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