Care Home: Stocks Hall Nursing Home

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What the care home does well The needs of people were thoroughly assessed before they moved into the home, to ensure that the staff team could provide the care and support required. Once admitted to the home people`s needs were well recorded on the plans of care, showing clearly how they were to be met. This enabled staff to be fully aware of what each individual required so that their health, personal and social care needs could be appropriately met. Those living at the home were treated with respect, their privacy and dignity being maintained at all times. Good nutritional, pressure and incontinence care was provided, which involved a range of external professionals, ensuring that people living at the home received appropriate health care. The daily routines within the home were flexible and people living there were offered a variety of choices throughout the day. Visitors were made very welcome to the home and people were able to access an independent person to act on their behalf, if they so wished. Complaints were well managed and robust policies, procedures and practices adopted by the home safeguarded the people living there from abusive situations. The environment was warm, comfortable and homely, providing pleasant surroundings for people to live in. The control of infection was good, so that those living at the home were protected from infectious diseases. When asked what the service does well, the registered manager wrote on the home`s self assessment, `People living at the home and their reperesentatives are encouraged to personalise their own bedrooms. We have an open door policy. Our Chefs interact with people about their likes and dislikes. Religious needs are met and we encourage interaction of the community into the home`. When asked what the home does well one member of staff told us, `continuity across shifts. Good communication between staff, clients and relatives`. What has improved since the last inspection? The management of medications and the care planning process was better on this occasion and it was pleasing to see that both requirements and four out of the five recommendations made at the last key inspection had been appropriately addressed, showing an improvement in the standards of service provided. People living at the home were consistently treated with respect during our visit to the service and their privacy and dignity was always protected. What the care home could do better: Any hand written transcriptions on the Medication Administration Records could have been signed, witnessed and countersigned in order to avoid any transcription errors. Due to mixed responses from those who sent in comment cards in relation to leisureinterests and menus, we suggest that the home ask the people currently living there about their preferred activities and food preferences, including views on occasional `take aways` to ensure that everyone`s needs are being met. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stocks Hall Nursing Home Stocks Hall 249-251 Liverpool Road South Burscough Ormskirk Lancashire L40 7TD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Vivienne Morris     Date: 0 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Stocks Hall Nursing Home 249-251 Liverpool Road South Stocks Hall Burscough Ormskirk Lancashire L40 7TD 01704895667 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): sammimolyneux@stockshall-care.co.uk Stocks Hall Care Homes Limited Name of registered manager (if applicable) Mrs Janet Molyneux Type of registration: Number of places registered: 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 registered person may provide the following category of service only: Care home with Nursing - Code 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 - Code OP (maximum number of places: 52) Dementia - Code DE (maximum number of places: 7) Physical disability - Code PD (maximum number of places: 4) The maximum number of service users who can be accommodated is: 52 Date of last inspection 7 0 4 Over 65 0 52 0 care home 52 Care Homes for Older People Page 4 of 29 Brief description of the care home Stocks Hall Care Home is located in a residential area of Burscough, within walking distance of the village centre. The home is registered to accommodate up to 52 elderly people requiring personal or nursing care. There are also a number of places available for those who have care needs associated with a diagnosis of Dementia. Accommodation is situated on two floors, serviced by a passenger lift, enabling access to all areas of the home for those who are less mobile. A four bedded rehabilitation unit is located on the first floor. Lounge areas and dining facilities are provided on both floors of the home. Private accommodation is provided mainly in single bedrooms. However, two shared rooms are available for married couples, companions or those who prefer to share. Although en-suite facilities are not provided at Stocks Hall, toilets and bathrooms are located at convenient intervals throughout the home. The fees as at 4th February 2009 ranged from £434.00 to £643.00 per week. Extra charges were being incurred for hairdressing, newspapers and magazines. 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: 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: The quality rating for this service is three star. This means that the people who use this service experience excellent quality outcomes. The site visit to Stocks Hall formed part of the inspection process and was conducted over one day in February 2009. It was unannounced, which means that the managers, staff and people living at the home did not know it was going to take place. During the course of the site visit, discussions took place with those living at the home, as well as relatives and staff. Relevant records and documents were examined and a tour of the premises took place, when a random selection of private accommodation was viewed and all communal areas were seen. Care Homes for Older People Page 6 of 29 Comment cards were received from six people who were living at the home and their feedback is reflected throughout this report. Every year the provider completes a selfassessment, known as an AQAA, which gives information to the Commission about how the home is meeting outcomes for the people using the service and how the quality of service provided is monitored. We also ask for some numerical information to be forwarded to us with this assessment. Five staff members sent us comment cards and their remarks are incorporated within this report. We observed the activity within the home and tracked the care of four people, not to the exclusion of others living at Stocks Hall. The total key inspection process focused on the outcomes for people living at the home and involved gathering information about the service over a period of time. No complaints have been received by the Commission about this service since the last key inspection. What the care home does well: What has improved since the last inspection? What they could do better: Any hand written transcriptions on the Medication Administration Records could have been signed, witnessed and countersigned in order to avoid any transcription errors. Due to mixed responses from those who sent in comment cards in relation to leisure Care Homes for Older People Page 8 of 29 interests and menus, we suggest that the home ask the people currently living there about their preferred activities and food preferences, including views on occasional take aways to ensure that everyones needs are being met. 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 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. Peoples needs are thoroughly assessed before they are admitted to the home to ensure that the staff team can deliver the appropriate care. Evidence: The care records of four people living at the home were examined during this visit to the service. Enough information had been gathered from a variety of sources about the needs of people before they moved in to Stocks Hall, so that the staff team were confident that they could meet all the assessed needs of people admitted to the home. There was good evidence of a multi-disciplinary approach to care, particularly for people staying on the rehabilitation unit to ensure that they received the care which they required. The Rehabilitation Unit, which has four beds has its own multi disciplinary team, who had reviewed the individual care packages with the people staying on this unit, to help them to reach maximum independence or semi Care Homes for Older People Page 11 of 29 Evidence: independent living. We received comment cards from six people who use the service and five of these people said that they had received enough information about Stock Hall before they moved in so that they could decide if it was the right place for them to live. The relative of the sixth person wrote, my relative was placed in Stocks Hall as an emergency, but from day one we have been very happy with the care she receives and a person using the service commented, I heard it was a lovely place. When asked what the service does well, the registered manager told us, To ensure that we meet the needs of the individual service user, during the pre assessment, we arrange to meet them and their representatives, and discuss their likes and dislikes. We also discuss the caring of the individual, ensuring that all their needs can be met, and that their needs are reflected in the care plan in a individualistic manner. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal and social care needs of people living at the home were met, with their privacy and dignity being respected at all times and the management of medications was good. Evidence: We tracked the care of four people living at the home at the time of this inspection. The plans of care were very well written, person centered documents, which covered peoples assessed needs well. Clear guidance was provided for staff about how these needs were to be met, so that people living at the home received the care they required. A lot of detailed information was also available, so that staff were aware of everyones specific, individual needs. Any changes in the needs of people were shown well in the care plans, which had been reviewed every month or in accordance with the individuals wishes. People had been given the opportunity to be involved in planning Care Homes for Older People Page 13 of 29 Evidence: the care delivered, if they wished to do so. A wide range of external professionals had been involved with the care of people living at the home to ensure that individual health care needs were being consistently met. A lot of risk assessments had been conducted with strategies implemented in order to protect people from harm. Staff were seen to be treating people with respect and speaking to them in a kind manner. Privacy and dignity were evidently a very important aspect of life at Stocks Hall. A lot of documents, policies and procedures incorporated the importance of respecting people and one person living at the home said, the carers are absolutely wonderful - all of them. They are lovely and treat me with respect. The manager, Sami, is a lovely person. They (the staff) will do anything for us. Induction records showed that new staff were trained to respect people as individuals and to protect their privacy and dignity at all times. Staff spoken to were able to discuss the needs of people well and how they supported individuals to receive the health, personal and social care, which they required. The management of medications was good. so that people were safeguarded against any medication errors or drug misuse. However, hand written entries on Medication Administration Records had not always been signed, witnessed and countersigned in order to reduce the possibility of any transcription errors. When asked what they do well the registered manager wrote on the self-assessment, the service users individual care plans reflect the health and care needs, taking into account respect, dignity, privacy and their rights at all times, they are also agreed with the service user or their representative. Advice and support can be sought if needed within the company or from health care professionals. The service users needs are assessed regularly, and risk assessments are carried out if required. A comprehensive policy and procedure is in place, for the administration, storage and disposal of medication. Staff training is given to ensure procedures are carried out professionally. Comment cards were received from five members of staff. All felt that, in general, they have the right support, experience and knowledge to meet the differing needs of people who use the service. One person wrote on the comment card, support is excellent from both my manager and my employers. All these staff members indicated that the way information is passed between staff about people in their care generally works well. Care Homes for Older People Page 14 of 29 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. The daily routines of the home were flexible and people were encouraged to maintain their leisure interests and activities whilst living there. The management of meals was good and visitors were made welcome to the home. Evidence: Care records examined showed that the interests and hobbies of people living at the home were recorded in detail, so that staff were aware of what individuals liked to do. Four activity co-coordinators were employed, who were responsible for planning and organising activities within the home and within the community, so that people could maintain their interests and keep in touch with community life. The activity cocoordinators were also responsible for supporting people to maintain their individual hobbies whilst living at the home. We noted that some people were participating in their chosen activity in accordance with their plans of care. We saw notices clearly displayed of planned events and a programme of activities was in place, so that people could chose which activities to participate in. The company had a minibus which was being used to take people on trips out. One person living at the Care Homes for Older People Page 16 of 29 Evidence: home said, we go out regularly in the minibus. I went on a barge trip recently, which was very nice and another told us, there is always something to do, we dont have time to get bored, at which several other people agreed with this comment. Participation in events and activities had been recorded within the plans of care, so that staff could identify if any isolation was evident and so that an audit trail of activities could be traced to identify those events which had been enjoyed most by the people living at the home. One person living at Stocks Hall had recently applied to enroll on a course at University and was currently awaiting a decision. The care records of another person showed that they wanted to continue to follow their religion whilst living at the home and it was confirmed that staff supported this persons spiritual needs by enabling attendance at their choice of church each week. A wide range of reading material was available in the communal areas and a variety of entertainment systems were provided for the people living at the home, such as DVDs, wide screen televisions and CD players. Staff were seen providing small group activities and interacting with people on an individual basis for those requiring more complex support. The hairdresser was on site at the time of our visit to the service and some people were enjoying visiting the salon. The environment was very friendly and people looked relaxed and happy in their surroundings. Visitors to the home told us that they were made to feel most welcome by the staff, one relative said, it is like one big happy family. The service users guide included information about visiting arrangements and access to advocacy services, so that people were aware of when they could visit the home and how they could access an independent person to act on their behalf, should they wish to do so. We noted that some people living at the home had used this service so that they could have someone to help them with decision making. The menu offered a choice of meals and we saw lunch being served, which looked appetising. Staff were seen supporting people with their meal in an appropriate manner and were allowing them to eat at their own pace so that they could enjoy their food. People were able to eat within the privacy of their own rooms if they preferred. One person living at the home said, they (the staff) come round each day and ask us to choose what we want from the following days menu. The food is always very good. I always eat everything and another commented, the food is variable. We get a lot of mashed potato. I would prefer a baked potato sometimes. On examination of the Care Homes for Older People Page 17 of 29 Evidence: menu we noted that quite a lot of meals included mashed potato, but sometimes an alternative of chips was offered. We spoke to the cook who told us that she was looking at the possibility of providing finger foods for those with needs associated with dementia to ensure that they received sufficient dietary intake. When asked if there were suitable activities provided by the home, all those who submitted comment cards said that there were, although some said that they preferred not to join in. The people living at the home showed on the comment cards that they usually enjoyed the meals served. One person wrote, I filled in a questionnaire saying that I liked the food here. When asked what the service could do better one person told us, more stimulation for clients, such as, extra trips out on the bus. Old films, DVDs and musicals of the clients era. An alternative meal, possibly once a month, such as, fish and chips from the chip shop or a Chinese take away perhaps. Care Homes for Older People Page 18 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. Complaints were managed well and people living at Stocks Hall were safeguarded by the robust policies and procedures adopted by the home. Evidence: A complaints procedure was in place, which was clearly displayed throughout the home and which was included within the service users guide, so that people were aware of how to make a complaint, should they wish to do so. A system was in place for the recording of complaints, although none had been received in the past twelve months. All six people who submitted comment cards and who used the service said that staff listen and act on what they say and that they would know how to make a complaint, should they need to do so. One person told us, I would go straight to the manager. Policies and procedures were in place in relation to safeguarding vulnerable adults, so that staff were aware of what they should do if they were concerned about the treatment of anyone living at Stocks Hall. All five staff members who submitted comment cards said that they would know what to do if a person living at the home, their relative, friend or advocate had any concerns about the home. One of these people wrote, I would sit with them so that they could discuss their concerns and then I would report it to my superiors for immediate action. The service users guide showed that the homes philosophy statement included the six Care Homes for Older People Page 19 of 29 Evidence: principals of care to ensure that people were protected, respected and their rights were upheld. Staff spoken to said that they received training in the Protection Of Vulnerable Adults and training records seen supported this information. Care Homes for Older People Page 20 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. Stocks Hall provided a safe and comfortable environment for the people living there. Evidence: During the course of our inspection we toured the premises and found that the environment was clean and tidy with no unpleasant smells noted. The decoration of the home was of a high standard and the furnishings were of good quality, providing people living there with a pleasant and comfortable place in which to live. One person said, they decorated my room before I came in and it was lovely. We were told that all vacant rooms were repainted and redecorated before people moved in to them so that they were maintained to a good standard and this was confirmed by the handyman who we saw painting a vacant bedroom before someone moved in. We were told that people living at the home were able to choose their own colour scheme, if they wished to do so to enable them to have some input into how their bedroom was decorated and furnished. A wide range of environmental risk assessments had been conducted so that people living at the home were kept safe. All those spoken to said that they were very happy with their private accommodation. The bedrooms we viewed were personalised and provided a homely feel to them with a variety of literature about the home being available. The care records of one person, whose care was tracked showed that he Care Homes for Older People Page 21 of 29 Evidence: enjoyed reading and evidence was available to demonstrate that the home supported this pastime by the provision of a book case, which sported a wide range of reading material. Policies and procedures were in place at the home in relation to infection control and clinical waste was being disposed of in the correct manner to ensure that the possibility of cross infection was reduced. Staff told us that they had received training in the control of infection and records supported this information. We visited the laundry department, which was found to be well organised and fit for the purposes of the home so that infection control was maintained and so that peoples personal clothing and bedding was laundered appropriately. All six people who submitted comment cards and who used the service said that the home is always fresh and clean and these comments were supported by all the people we spoke to on the day of our inspection. The registered manager wrote on the homes self assessment, the home is a pleasant, safe environment, and it is well maintained. The housekeeper ensures that repairs, decor and cleaning of the home are of a high standard. Risk assessments are in place to support non provision of minimum furnishings. Having accreditation in quality assurance through Investors in people and Work Life Balance. Care Homes for Older People Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The number and skill mix of staff on duty met peoples needs and the recruitment practices protected those living at Stocks Hall. Evidence: At the time of our visit there were 51 people living at the home. The duty rota clearly showed which staff were allocated to each unit at any one time, so that the skill mix of staff could be easily identified. Staffing levels were calculated in accordance with the needs of people living at the home to ensure that the number of staff on duty was sufficient to meet everyones assessed needs. The needs of people were reassessed every week so that staffing levels could be adjusted accordingly. Six people who submitted comment cards and who lived at the home said that there were, in general, staff available when they were needed. All staff members who sent us comments indicated that there were in general enough staff to meet the individual needs of all the people who use the service. One person wrote, staff are very busy and over worked. The files of three staff members were examined, which showed that very detailed Care Homes for Older People Page 23 of 29 Evidence: induction programmes had been completed covering a broad range of topics, so that new staff were provided with enough information to enable them to do the job properly. Individual development and training programmes were in place for each member of staff as well as an overall training matrix, which together showed that a very wide range of training was provided, including a variety of compulsory courses and training associated with the specific needs of those living at the home to ensure that staff were kept up to date with new ways of working. Staff training certificates were retained at the home and it was established that 83 of care staff had achieved a recognised qualification in care, demonstrating a collectively well trained staff team, which is commendable. All five staff members who sent comment cards to us indicated that their induction period in general, covered everything that they needed to know to allow them to do the job. All five said that training is provided, which is relevant to their role and helps them understand and meet individual needs. They said it also helps them keep up to date with new ways of working. One wrote, the training provided covers my role more than adequately. The company are more than happy to fund any additional training that will improve my understanding and performance and another commented, the home manager meets with me regularly in meetings and individually. She is always supportive and understanding. She will go out of her way to consider any requests. Appropriate checks had been conducted for staff before they started work at the home to ensure that those living there were safeguarded from abusive situations. Care Homes for Older People Page 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was managed well so that the health, welfare and safety of the people living and working there was protected. Evidence: The home was effectively and efficiently run by a competent, well established management team. The manager of Stocks Hall is appropriately qualified and has been in post for many years. She has completed a recognised qualification in management at level 5 and continues to update her knowledge and skills whilst managing the home, so that those living there and the staff working at Stocks Hall benefit from her expertise. There was a thorough system in place to closely monitor the quality of service provided to ensure that positive outcomes were achieved for people using the service. A variety of meetings were held with minutes retained so that those concerned could share information about the service and discuss any relevant issues. Care Homes for Older People Page 25 of 29 Evidence: The home had achieved external accreditations showing that the service was monitored by external professional organisations. A representative from the company had conducted unannounced inspections each month, following which reports were written, showing any identified strengths or weaknesses, so that any issues could be appropriately addressed. A wide range of risk assessments and audits had been conducted, so that people living at the home were kept safe and so that any shortfalls could be sorted out quickly. A variety of surveys had been conducted to give people the opportunity to provide feedback about the quality of service provided and how the home was meeting goals for the people living there. The finances of people living at the home were protected by the robust policies, procedures and practices adopted by the home. Those able to manage their own finances were supported to do so in order to allow them some independence and control over their lives. A random selection of service certificates were examined, which showed that systems and equipment within the home had been appropriately checked to ensure that they were safe for use. Accident and incident records had been completed accurately and clear audits had been conducted, so that any recurring patterns could be easily identified. We found the home to be free from hazards at the time of our visit and that staff had received appropriate training in Health and Safety issues to ensure that they were aware of safe working practices. When asked if there was anything else they would like to tell us one staff member said, I enjoy working at Stocks Hall in Burscough and for Stocks Hall as a company. From the Managing Director down they always try to help if a problem arises. I am well supported by my manager and we seem to have struck a good balance of staff. It is nice to have compliments made about the care we provide and if a friend or relative of a client has a concern we deal with it effectively and efficiently. 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 9 Hand written entries on Medication Administration Records should always be signed, witnessed and countersigned in order to reduce the possibility of any transcription errors. It is recommended that the home ask the people currently living there about their preferred activities to ensure that everyones needs are being met. It is recommended that the home ask people currently living there about the menu and variety of food provided and what there views are in relation to an occassional take away. 2 12 3 15 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!