Care Home: Standon House Care Home

Similar services:

• Maple Lodge
• Heathlands
• Inspirations
• Westmead
• Hopwood Court
• Coton Hill House
• Doddington Lodge
• Innage Grange

What the care home does well The management and staff make the people who use the service and their visitors welcome. There are frequent visitors to the home. Staff demonstrated great respect for the people who use the service, and people were addressed in an appropriate manner. Discussions with staff showed a clear determination that they belong to a committed team. People spoken with were very positive about the care that they were receiving. The home was clean, warm and comfortable. Staff recruitment records showed us that a good system of recruitment is in place, ensuring the safety of people using the service. Complaints are dealt with quickly and appropriately by the registered care manager, these are documented and recorded. What has improved since the last inspection? The Annual Quality Assurance Assessment (AQAA) completed by the registered care manager, told us about the following improvements: "We have restructured the job descriptions of our most senior staff. This has allowed them to concentrate their efforts on specific areas of work in order to avoid work duplication, maximise efficiency and assisting us in the delivery of a quality service. Office administration, training, care planning and risk assessing have all benefited." "We continue to implement the guidance offered by the inspector at the Dec 2008 inspection and trust that this will ensure best possible practice." "Last year we engaged the services of Joanne Hall as Activities Co-Ordinator but she has since moved into the role of Administration Manager. She was able to offer some really good opportunities for our residents. Now that the baton has been picked up by Sonia Parboo we are sure that we will see continued improvement. Our last two inspection reports bear out our ability to satisfy this set of standards." "Ongoing decoration and refurbishment. All remaining windows have been replaced with double glazed units." "We have purchased new training programmes for all key areas and these are being implemented. They are in a DVD format which suits our staff better than a traditional chalk and talk approach. All courses can be externally verified and are accepted towards NVQ training courses." "The introduction of an Administration Manager has given us the hours required to get the paperwork right." What the care home could do better: Regular organised and structured activities should be provided by a dedicated staff member. These should include organised trips out, and the use of local community facilities. Consideration should be given to the facilities in the garden area, to encourage people to sit outside and use the garden. Staff training should include Mental Capacity Act 2005 and Deprivation of Liberty guidance. Key inspection report Care homes for older people Name: Address: Standon House Care Home 12 Ashby Road Tamworth Staffs B79 8AG     The quality rating for this care home is:   two star good 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: Pam Grace     Date: 1 6 0 6 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 29 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 29 Information about the care home Name of care home: Address: Standon House Care Home 12 Ashby Road Tamworth Staffs B79 8AG 0182769952 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Standon House Ltd Name of registered manager (if applicable) Mr Robert Jefferies Type of registration: Number of places registered: care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The Maximum number that can be accommodated is 31. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender Either Whose primary care needs on admission to the home are within the following categories Older People (OP) 31 Dementia 65 and above DE(E) 10 Physical Disabilities 65 and above PD(E) 10 Date of last inspection Brief description of the care home Standon House is a care home offering 31 places, 10 of these places may be for people with dementia and 10 may be for older people with a physical disability. Care staff are trained to meet the needs of people who use the service and the inspection process confirmed the home is well equipped to meet individual requirements. The bathrooms Care Homes for Older People Page 4 of 29 0 0 0 Over 65 10 10 10 Brief description of the care home and toilets are well located and offer appropriate equipment and facilities. The conservatory opens onto a patio area, overlooking a landscaped area which is extremely well kept. The home is a large extended detached property located on the outskirts of Tamworth. Both the exterior and interior of the property are very well maintained; the home is exceptionally clean and the decor is set to a high standard. The people that live in the home are offered easy access to all areas of the home by the use of grab rails, ramps and a passenger lift. All bedrooms (two of which are double rooms) meet the required sizes set out by the national minimum standards and are equipped with suitable fixtures and fittings. 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 overall quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection was carried out over one day, by one inspector. The inspection had been planned using information gathered from the Care Quality Commission (CQC) database, the Annual Quality Assurance Assessment (AQAA) document that had been completed by the registered care manager, and comments and surveys received from people who use the service and their relatives. The key National Minimum Standards for Older People were identified for this inspection and the methods in which the information was gained for this report included case tracking, general observations, document reading, speaking with staff, people who use the service and their visiting relatives. Observation of the environment Care Homes for Older People Page 6 of 29 Care Homes for Older People Page 7 of 31 was also undertaken. At the end of our inspection feedback was given to the registered care manager, and the assistant manager, outlining the overall findings of the inspection, and giving information about the recommendations that we would make. People spoken with were mostly very positive about the care they were receiving. We observed people who were unable to communicate. Our observations showed that these people were well cared for, and were happy in their surroundings. There had been one complaint made to the home, since the previous inspection, this had been amicably resolved. Complaints had been dealt with in a timely way under the homes complaints procedure, by the registered care manager. There had been no referrals made or received about the service under the Safeguarding and Protection of Vulnerable Adults protocol since the previous inspection. Surveys returned to the Care Quality Commission (CQC) totalled five Have Your Say documents. Those surveys and comments have contributed to this report. There were no requirements, and three recommendations made as a result of this unannounced inspection. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? The Annual Quality Assurance Assessment (AQAA) completed by the registered care manager, told us about the following improvements: We have restructured the job descriptions of our most senior staff. This has allowed them to concentrate their efforts on specific areas of work in order to avoid work duplication, maximise efficiency and assisting us in the delivery of a quality service. Office administration, training, care planning and risk assessing have all benefited. We continue to implement the guidance offered by the inspector at the Dec 2008 inspection and trust that this will ensure best possible practice. Last year we engaged the services of Joanne Hall as Activities Co-Ordinator but she has since moved into the role of Administration Manager. She was able to offer some really good opportunities for our residents. Now that the baton has been picked up by Sonia Parboo we are sure that we will see continued improvement. Our last two inspection reports bear out our ability to satisfy this set of standards. Ongoing decoration and refurbishment. All remaining windows have been replaced with double glazed units. We have purchased new training programmes for all key areas and these are being implemented. They are in a DVD format which suits our staff better than a traditional chalk and talk approach. All courses can be externally verified and are accepted towards NVQ training courses. The introduction of an Administration Manager has given us the hours required to get the paperwork right. Care Homes for Older People Page 8 of 29 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 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 10 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. People who may use the service and their representatives have the information needed to choose a home that will meet their needs. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. We have a thorough service user admissions procedure where we seek to gather as much information about the prospective service user as is possible. This helps us in the first instance to ascertain if they fall within our registration categories. All senior staff are then consulted and a joint decision made as to whether a trial period will be offered. Where possible service users are encouraged to come to spend some time with us, a morning, an afternoon, a couple of hours, prior to them agreeing to a placement. This gives them a better insight into life in our home and it gives us better idea as to whether this will be an appropriate placement. When a service user does agree to a placement with us it is for a one month trial period. An initial care plan is Care Homes for Older People Page 11 of 29 Evidence: formulated, including appropriate risk asessments, on the basis of all the above and are in situ at the commencement of the placement. These are reviewed monthly or earlier should the need arise. 2. We have a clear Statement of Purpose and copies of the last three years inspection reports are made available to prospective service users. 3. All new service users are provided with a contract of residence which clearly outlines the terms and conditions of residing at Standon House. 4. All new service users are provided with a Regulation 14 letter which confirms that Standon House will be able to meet their needs. 5. All new service users receive a Service User Guide. 6. We provide a friendly, warm professional service. A real home from home. The Statement of Purpose and Service User Guide were available for us to view. We were told that this had been updated. We spoke with people using the service and their visiting friends and relatives. One person told us she had been made welcome by staff at the home, and was able to spend time in the home before she made her decision to move in. Other people told us how welcoming and homely the service is, and that staff were always pleasant and polite during their visits. We looked at three care plans, these evidenced that pre admission assessments are undertaken by the home for all prospective people wishing to use the service. We were told that these would be completed by the assistant managers for the home. Intermediate care is not provided by this service. Care Homes for Older People Page 12 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. We have a thorough service user admissions procedure where we seek to gather as much information about the prospective service user as is possible. This helps us in the first instance to ascertain if they fall within our registration categories. All senior staff are then consulted and a joint decision made as to whether a trial period will be offered. Where possible service users are encouraged to come to spend some time with us, a morning, an afternoon, a couple of hours, prior to them agreeing to a placement. This gives them a better insight into life in our home and it gives us better idea as to whether this will be an appropriate placement. When a service user does agree to a placement with us it is for a one month trial period. An initial care plan is formulated, including appropriate risk asessments, on the basis of all the above and are in situ at the commencement of the placement. These are reviewed monthly or Care Homes for Older People Page 13 of 29 Evidence: earlier should the need arise. 2. Where possible both the service user and family are involved in care plan reviews. 3. Each service user is registered with a local general practioner of their choice and receives all necessary support from their practice, e.g. district nurse visits. Where required the Equipment Loans Service is used to supply the home with any specialist equipment required to assist with the care of our service users. 4. The home receives a weekly visit from a CPN. The purpose of these visits is to review the care of those service users with mental frailty. 5. Part of the grounds have unfortunately been made temporarily out of bounds to our service users due to ongoing building development taking place. However adequate garden space is still available and is suitably tended. 6. We engage the services of domiciliary dentists, chiropodists, opticians, physiotherapists, hairdressers. Additionally we have visiting entertainers on a regular basis and reminiscence sessions. 7. Policies and procedures are in place and are adherred to with respect to the safe handling of medications. Risk assessments are carried out where residents are able to self medicate. Senior Carers are observed whilst administering medication and reminded of safe practices where necessary. 8. Together with the homes own policies on respecting the privacy and dignity of our service users, the continued use of the common induction standards ensures that all new staff are fully aware of these delicate issues. We looked at three care plans, these evidenced that all activities of daily living had been assessed on admission to the home, and following a pre admission assessment. Risk assessments were in place, these were clear and up to date. Weights had been recorded for individuals on admission to the home, but these had not been recently updated as the scales were broken. We highlighted and dicussed this during our visit, the care manager ordered a weighing scale to replace these. We recommended that where possible, care plans should always be signed for by the individual concerned, or with the assistance of their next of kin or representative. Visits by health professionals were documented and recorded, as well as clinic or Care Homes for Older People Page 14 of 29 Evidence: hospital appointments. Dressings and wound treatment would always be undertaken by the District Nurse. We discussed the need to keep information up to date in relation to arrangements made for people who are terminally ill, or have made explicit instructions as to how they wish to be cared for in the event of becoming terminally ill. Care plans will need to be checked to ensure that this information is up to date. We undertook a spot check of the homes medication administration systems. There were no anomalies. Medication was ordered, checked, administered and returned by an assistant manager responsible for this. Returned medication was signed for by the person responsible and the Pharmacist. Medication Administration Sheets evidenced that all medication was signed for by trained staff. We were told that staff had received appropriate and up to date medication training, and that the Pharmacist undertakes check visits to the home, approximately six monthly. The assistant managers are also responsible for daily audits and checks of medication. People told us they had received the health care and support they needed, and had been able to see their own General Practitioner if they wished. Comments received included, its a good home, the home does everything well, the staff are always there for me, they care for me. We observed staff interacting with people using the service, addressing them appropriately, and knocking on bedroom doors prior to entering. Care Homes for Older People Page 15 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. People who use services are able to make choices about their life style, and should be supported to develop their life skills. Social, educational, cultural and recreational activities should meet individuals expectations. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. We have an open door policy for residents, relatives and staff. We are always open to new ideas. 2. We hold two monthly reminiscence sessions. 3. We frequently have visiting entertainers. 4. We hold a fortnightly Christian ecumenical service 5. Ministers bring communion weekly to those who wish to receive it. 6. Residents are always free to participate or not, as they wish. Care Homes for Older People Page 16 of 29 Evidence: 7. Visitors are welcome to visit at anytime and, if required, may meet privately with the service user. 8. Service users are encouraged where possible to utilise local community facilities, eg Church groups. 9. Service user receive a wholesome balanced diet with plenty of choice at every meal. It is always pleasantly presented. Menus are rotated on a four weekly basis and regularly reviewed by catering staff and management. 10. Service users who require/request assistance with eating receive all help they need. We spoke with staff and people using the service about activities provided at the home. People told us they have Bingo, Music, card games and the use of library books, reminiscence box, and talking books. People told us they wanted more variety of activities, and to have trips out. We observed that there is an area for sitting out in the garden, but no one uses it because there is no shelter. We were told that there was no dedicated member of staff for activities, and staff did not have time to organise these, or to spend with people undertaking activities, due to their caring responsibilities. We highlighted and discussed this with the care manager during our visit. We observed that staff gave people choices, and flexibility in their routines. People told us that they could choose when to get up and go to bed, where they sat, and choices of meals. We saw that the lunchtime meal was either chicken or sausage, the meal was well presented, nutritionally balanced and hot. People told us it was very tasty. One person said, the meals are ok, there is plenty for everyone. Care Homes for Older People Page 17 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. People who use the service are confident that their complaints will be listened to and acted upon. People who use the service are protected from abuse. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. There is a copy of our complaints procedure located in Standon Hallway which fully complies with Standard 16. 2. All new service users receive a copy of the complaints procedure within the service user handbook given to them upon admission. 3. All staff receive training on Adult Abuse. The home has a policy for Whistle Blowing. Whistle Blowing is covered in the Common Induction Standards. We saw that the complaints procedure was placed in the entrance hall of the home, and we were told that the procedure is included in the Statement of Purpose and Service User Guide. There had been one resolved complaint made to the home, and no Safeguarding Protection of Vulnerable Adults referrals had been made or received by the Care Care Homes for Older People Page 18 of 29 Evidence: Quality Commission since the previous inspection. Staff spoken with said that they had received training about the homes Whistle Blowing policy procedure, and the protection of vulnerable adults (POVA). People spoken with told us that they knew how to make a complaint if they needed to, and knew that they could talk to any of the staff if they had a problem. One person said the staff are all very approachable and she would have no hesitation in speaking with staff or the manager of the home. We saw many positive comments contained in letters and thank you cards from people who had used the service, thanking staff for their kindness, consideration and good care. We looked at three staff recruitment records, these evidenced that appropriate safety checks had been undertaken for all new staff. Including Criminal Records Bureau (CRB), Protection of Vulnerable Adults (POVA and ISA), and identification checks. Staff spoken with also confirmed this. We spot checked personal monies held by the service on behalf of individuals. These showed no anomalies. Amounts held tallied with records kept. Receipts were kept for purchases made on behalf of people using the service. Care Homes for Older People Page 19 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. People who use the service live in a safe, well maintained environment that is clean, pleasant and hygienic. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. The home is exceptionally clean, warm and welcoming. 2. Although considerable building work has taken place and much of the grounds were destroyed during the construction of our Extra Care Apartments what remains of the existing garden is well tended. Additionally the new grounds has been re scaped to a very high standard and in time will flourish. The home continues to employ the services of a gardener who maintains the garden to a very high standard. 3. The home provides the equipment necessary to ensure the safety of our service users, e.g. various hoists, slide sheets, handling belts, glide boards, adapted furniture, hand rails, ramps, full fire system, 2 lifts. All are regularly serviced and maintained in accordance with relevent legislaton 4. All staff undergo training in Infection Control at the earliest opportunity. Appropriate equipment, eg gloves, aprons, surgical hand gels are readily available to Care Homes for Older People Page 20 of 29 Evidence: staff. 5. All residents rooms meet he space requirements laid out within standard 23. 6. Laundry facilities are sited appropriately avoiding the kitchen area. 7. Service Users are encouraged to bring their own items of furniture and to personalise their own rooms should they choose. People told us that the home was always fresh and clean, and we observed that there is a programme of ongoing decoration and refurbishment. Individual bedrooms seen evidenced that people can personalise their own room and can use their own furniture if they wish to. Communal areas including lounges and dining rooms were homely, comfortable and well furnished to a good standard. All areas were clean and tidy, with no malodours or hazards to the health, welfare and safety of the people using the service. The dining areas were all light and airy, with sleigh chairs in place for the more dependent people, and tables of suitable height. Bathrooms contained assisted baths, toilets had seat raisers and two hoists were available for those people less mobile. Communal lounges were bright and well used, appropriate seating was evident, thus promoting peoples independence and catering for their different needs. The home has a passenger lift and ramps, these ensure that people have access to all areas of the home. There is also level access to outside areas. 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. People who use the service are in safe hands and have their needs met by the numbers and skill mix of staff. The staff are safely recruited, trained and competent to do their jobs. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us 1. We have rigorous recruitment process. New staff are interviewed, references are sought, CRB and POVA checks are done. Each new member of staff receives a contract of employment and a code of conduct. 2. We utilise the Common Induction Standards and support it with quality in house training packages. 3. We actively encourage staff to undertake NVQ Training and our two senior members of staff who hold NVQ A1 Assessors awards support our staff through their NVQ training. 50 per cent of staff hold either NVQ2 or NVQ3. Five staff are currently working towards their NVQ2 and one is training towards her NVQ3. All will have completed their training by February 2010. 4. Each member of staff has an individual training schedule which enables Care Homes for Older People Page 22 of 29 Evidence: management to identify any gaps in their learning and also identifies when refresher training might be appropriate. 5. We always have more than sufficient numbers of staff on duty at any given time. 6. We provide continuity of staff. We have never used agency staff in 25 years. 7. Staff are supported by a series of staff meetings and supervision sessions. The management offer an open door policy and staff are encouraged to come and speak to the management team about issues that may be affecting their work. Staff spoken with told us that they had two references sent to the home and an interview, prior to the home obtaining a criminal record clearance (CRB). They then completed the induction process prior to being given a contract. We saw that people using the service were well supported by a staff team that recognizes and responds appropriately to their diverse needs and human rights. People have safe and appropriate support from competent staff that have been well recruited. Peoples needs are met and they are supported because the staff get the right training, supervision and support they need from their managers. Staff records evidenced that there is a safe and robust system in place for the recruitment of new staff. Security checks included 2 references, Identification, Criminal Records Bureau (CRB) and Protection of Vulnerable Adults(POVA and ISA). Staff spoken with confirmed the training they had received for the previous year, this information tallied with the homes staff training matrix. Training undertaken included, medication, fire, moving and handling, first aid, dementia and infection control. We recommended that staff should receive training on Mental Capacity Act 2005 and Deprivation of Liberty guidance. Staff supervision is happening regularly on an informal basis, and although this did not meet the National Minimum Standard, we noted that staff are supervised via staff handovers, staff meetings, appraisals, induction and on an ad hoc basis by seniors. This was highlighted and discussed with the care manager. Surveys and people spoken with during our visit confirmed that staffing levels are maintained, they told us that staff listen and act on what they say, and are always available when they need them. The staff rota for June 2010 confirmed that staffing levels had been maintained. 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 management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: The Annual Quality Assurance Assessment completed by the care manager told us Bob Jefferies, the Registered Manager continues in the post which he has held since 1991. As such he has acquired a lot of invaluable experience which enables him to head up a quality caring business. Supporting him are now three members of staff, two of whom have invested 14 years in the caring at Standon House, and the third has 11 years experience in the private sector, social services and the NHS. All have completed the NVQ Level 3 and two have passed the A1 NVQ Assessors Course. In 2005 we were joined by Mr Boyd Thompson who became Director of Finance. His responsibilties are mainly concerned with accounting, payroll and business development. This gives the registered manager and the senior team more time to concentrate on service users care matters. There is a clear staffing structure and each Care Homes for Older People Page 24 of 29 Evidence: member of staff knows exactly what their duties are for each shift. The system ensures that required work is completed and as such the service users receive the care they require. The home offers a warm, friendly environment. The comments book, the annual quality assurance audit and the open style of management encourages service users and relatives to raise any areas of concern that they may have. For those residents whose require some support with managing their weekly finances a transparent system has been established. Appropriate recordings and receipts are kept making this area very easly auditable. Service Users and their relatives can ask at anytime to view this documantation. Staff are given every opportunity to discuss their work with the management team and all feel comfortable in approaching management for support. As already stated they are encouraged to undertake relevent training which helps them to improve their skills and thus provide a better quality of care for our residents. The home continues to ensure that the health, safety and welfare of service users and staff is protected. The AQAA was well completed and returned on time. It contained good and useful information about the service, the improvements made, and how they intend to improve in the future. There is a clear staffing structure in place at the home, and each member of staff knows exactly what their duties are for each shift. The system ensures that required work is completed and individuals receive the care they need. Staff are safely recruited, ensuring the health, welfare and safety of the people using the service. We were told by staff and people using the service that they have confidence in the care home because it is run and managed appropriately. There was clear evidence that the home is run in the best interests of the people living there. Staff and management are pro active in promoting individual human rights and equality and diversity needs. However, there is a shortfall in relation to the provision of activities for people, we were told that people want organised trips out, and links with the community. Work needs to be done to improve this standard. We observed that the environment is safe for people and staff because health and safety practices, checks and procedures are carried out and fully documented. We saw that peoples finances are well managed and safeguarded should they be unable to manage their own affairs. One person visiting the service told us that she had seen many homes, but this home was the best because of the standard of cleanliness, approachability of the staff, and the good standard of care given to her relative. Care Homes for Older People Page 25 of 29 Evidence: 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 1 12 Regular organised and structured activities should be provided by a dedicated staff member. These should include organised trips out, and the use of local community facilities Consideration should be given to the facilities in the garden area, to encourage people to sit outside and use the garden. Staff training should include Mental Capacity Act 2005 and Deprivation of Liberty guidance. 2 12 3 30 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 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. © 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. 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. 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!