Care Home: Sutton Beeches Community Support Centre

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What the care home does well Sutton Beeches reviews its practice on an ongoing basis and provides a very flexible service to the people that are there at any one time. This helps to ensure that the home is able to respond to changing needs, which in turn enables people to maintain as much independence as possible. There is a strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to an excellent standard. Clients are treated with respect and dignity and we found that the staff members were able to demonstrate an awareness of the diverse needs of the people they were supporting. Positive, relaxed and warm relationships were seen to exist between clients, visitors and staff members, those people that commented all said that the home and staff members were very good. Comments from residents included; "Staff members are very good; they treat me with respect”, “There has been an excellent standard of care and the food is also excellent”. The comments on the survey forms received from clients are also positive; one person has written, “Makes me feel safe and secure”. Routines within the home are flexible; this gives people some control over their lives and enables them to maintain their independence. A wide choice of meals is offered e standard of catering is very good; this has been confirmed by comments made on the day and within the survey forms received. The quality of record keeping within the home is being maintained to a good standard; this helps to ensure that people`s needs are identified and addressed quickly. What has improved since the last inspection? There have been improvements to the care planning system; these are more “person centred” [this means they focus on the specific needs of each Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 individual] and provide staff members with very good information about the person they are supporting. The admissions process has been changed; the process is now less formal and is conducted in a more dignified manner. This has been achieved by spending less time on practical tasks such as making an inventory of possessions upon arrival. Staff members now “meet and greet” clients and explain what can be provided to them whilst they are there. What the care home could do better: We consider that Sutton Beeches is an excellent service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very high standard of care provided to the clients at the present time is maintained and where possible improved upon. Key inspection report CARE HOMES FOR OLDER PEOPLE Sutton Beeches Community Support Centre Sutton Beeches Alvanley Road Great Sutton Cheshire CH66 3JZ Lead Inspector Paul Ramsden Key Unannounced Inspection 27th November 2009 10:00 am Sutton Beeches.doc Version 5.3 Page 1 This report is a review of the 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. 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. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Beeches Community Support Centre Address Sutton Beeches Alvanley Road Great Sutton Cheshire CH66 3JZ 0151 337 6370 0151 348 0950 jackie.black@cheshire.gov.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cheshire West and Chester Council Care Home 30 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (30), Physical disability (5) of places Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Physical disability: Code PD (maximum number of places: 5). Old age, not falling within any other category: Code OP (maximum number of places: 30). Dementia: Code DE (maximum number of places: 10). The maximum number of people who can be accommodated is: 30. Date of last inspection 19th February 2007 Brief Description of the Service: Sutton Beeches is a community support centre providing personal care and accommodation on a short stay/rehabilitation basis for up to 30 older people. Included in this number are: 8 intermediate care places, which are located in a separate area of the building and used for rehabilitation. Five places within the home are available for adults aged between 55 and 65 years of age who have a physical disability. Cheshire West and Chester Council own and run Sutton Beeches. The centre also has a 20-place day centre providing care seven days a week and a separate self-contained day care unit with 10 places for older people who have Alzheimer’s disease. The main aim of the centre is to enable people to regain and retain independence and continue living independently in the community. This is achieved by offering respite care, rehabilitation, short stays and day care support. The home is situated in Great Sutton, just over a mile from Ellesmere Port town centre and close to a small range of local shops and a public house. Individual bedrooms are provided along with a choice of lounge and dining areas. The services of an occupational therapist and a physiotherapist are Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 5 employed as part of the rehabilitation team, including facilities for treatment and rehabilitation. The fees payable in this home are based on a financial assessment of the individual. A copy of this report can be obtained from the home or via the Commissions website. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 Star. This means that the people who use this service experience excellent quality outcomes. This unannounced visit took place on the 27 November 2009 and lasted for a total of seven hours. Paul Ramsden and Hayley Moore undertook the visit on behalf of the Care Quality Commission [The replacement body for the Commission for Social Care Inspection, CSCI, since 1 April 2009]. Any references to we or us in the report refer to the Commission. All of the key standards for older people were looked at. Feedback on the findings of the inspection was given to the acting home manager as the inspection progressed. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before we go to the home. We looked at the random inspection report that was carried out on the 27 February 2009. This inspection was undertaken as part of a national sample of excellent and good services to check whether the Commissions quality ratings were robust. We found that the excellent rating awarded at the previous key inspection was correct and the home was still providing an excellent service. We also looked at the Annual Service Review [ASR] that was carried out shortly after the random inspection [This is a review of good and excellent services that takes place between key inspections, good services only have an inspection every two years and excellent services every three years]. Following the completion of the review we found no evidence to suggest that we needed to bring the key inspection forward. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans] we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of clients, family members and staff were spoken with; they gave their views about the home and the service provided. Survey forms were sent to a random sample of clients and staff members prior to the inspection. To date we have received completed forms from five clients and five staff Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 7 members. Some of the comments from the people spoken with and the survey forms received have been quoted in the report. Since the ASR was undertaken there has been some Local Government reorganisation and ownership of the home has passed from Cheshire County Council to the new authority; Cheshire West and Chester Council. In addition, the centre has been managed on a temporary basis by the home’s care coordinator. She explained that she was leaving on the Monday after the inspection and that a new management structure was being introduced shortly after her departure. In the new structure there would be a unit manager supported by five senior carers. What the service does well: Sutton Beeches reviews its practice on an ongoing basis and provides a very flexible service to the people that are there at any one time. This helps to ensure that the home is able to respond to changing needs, which in turn enables people to maintain as much independence as possible. There is a strong commitment from everyone working at the home that helps to ensure that the quality of care is provided to an excellent standard. Clients are treated with respect and dignity and we found that the staff members were able to demonstrate an awareness of the diverse needs of the people they were supporting. Positive, relaxed and warm relationships were seen to exist between clients, visitors and staff members, those people that commented all said that the home and staff members were very good. Comments from residents included; Staff members are very good; they treat me with respect”, “There has been an excellent standard of care and the food is also excellent”. The comments on the survey forms received from clients are also positive; one person has written, “Makes me feel safe and secure”. Routines within the home are flexible; this gives people some control over their lives and enables them to maintain their independence. A wide choice of meals is offered e standard of catering is very good; this has been confirmed by comments made on the day and within the survey forms received. The quality of record keeping within the home is being maintained to a good standard; this helps to ensure that peoples needs are identified and addressed quickly. What has improved since the last inspection? There have been improvements to the care planning system; these are more “person centred” [this means they focus on the specific needs of each Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 8 individual] and provide staff members with very good information about the person they are supporting. The admissions process has been changed; the process is now less formal and is conducted in a more dignified manner. This has been achieved by spending less time on practical tasks such as making an inventory of possessions upon arrival. Staff members now “meet and greet” clients and explain what can be provided to them whilst they are there. 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. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.2 Page 9 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information and opportunities to visit before moving in are available and clients are assessed before moving in to ensure their needs can be met at the home. EVIDENCE: Sutton Beeches achieves its aims and objectives of helping and enabling older people to remain living in their own home independently by regaining and retaining their independence. A range of facilities is available for rehabilitation following a stay in hospital or difficulties at home. Short stays provide regular breaks for older people or their carers, and are much appreciated by those spoken with. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 11 Cheshire West and Chester Council provide leaflets and other documentation so that wherever possible people and their families are given sufficient information about the home to help them decide if their needs can be met there. A copy of the service user guide, called the “bedroom brochure” is in each room. This is a comprehensive document and we think it gives people enough information about the home and what can be provided. Some of the documents that we looked at need to be updated to reflect the recent changes, these include, the Commission’s change of name and also the management changes within the home. The administrators said that this was in hand and the amended “bedroom brochure” was being changed over in the bedrooms. Prior to moving into Sutton Beeches for a short stay or period of rehabilitation, each client undergoes an assessment of their needs. This is usually completed either by social work or health staff, according to individual circumstances. A copy of the assessment document is forwarded to the centre, which is then used as the basis to write a care programme [now called the “enablement programme”] for the person during their stay. The assessments seen during the visit contained enough information for staff to be able to meet individual needs. Clients, relatives and other healthcare professionals are usually involved with the pre-admission assessment. Sutton Beeches has changed its admission procedures since the previous key inspection took place; the process is now less formal and is conducted in a more dignified manner. This has been achieved by spending less time on practical tasks such as making an inventory of possessions upon arrival. Staff members now “meet and greet” clients and spend time explaining the service provided at the home and what the individual can expect during their stay; this seems to work well. Sutton Beeches provides eight beds for intermediate [rehabilitation] care in dedicated accommodation. This unit can be used for ‘rapid response’ which means that the service can respond to emergencies. The staffing levels have been increased to accommodate the extra dependency of the clients, and the rehabilitative nature of their stay at the home. There are a number of hours per week of specialist staff allocated, such as occupational therapists and physiotherapists, who provide treatment according to the assessed needs of residents. Specialist equipment is provided, where necessary. The aim of the unit is to return people to their own home following a period of rehabilitation. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the 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 client enablement plans seen were very well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. EVIDENCE: The care co-ordinator develops a care plan, known as an enablement programme from the assessment carried out before someone moves into the home for his or her short stay. The programmes seen during the visit were all up to date and were written in a style that would enable someone reading it to have a good idea of what help and assistance someone needed at that time. Care folders are kept in individual residents’ bedrooms, for easy reference for the resident and the staff. Care staff work to a high standard in order to ensure that residents receive the care they need. They monitor a client’s health and other needs on an ongoing Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 13 basis and there was evidence to show that people were receiving the appropriate support from district nurses, GPs etc; this means that changing needs are recognised and managed promptly. A multi-disciplinary team meeting is held weekly for the clients staying in the rehabilitation unit, this includes social workers, GP’s, therapists and care staff. People staying at the home usually keep their own GP because they are not going to live permanently at Sutton Beeches, however if they are out of area the home registers the person temporarily at one of the local practises. All personal care is carried out in the privacy of a client’s bedroom or one of the bathrooms. The clients and family members spoken with during the inspection all said that the standards of care provided were very good and that they had been able to express their opinions and wishes about their daily routines. We saw the staff behaving in a sensitive and calm manner with clients and they showed by their actions that they understood the individual needs of each person they were working with and were able to meet their diverse needs. This means that care is person centred and that people staying at Sutton Beeches are receiving good support. Feedback from clients and visitors confirmed that staff treated them with dignity and respected their privacy. A visiting relative told us; “The staff members are wonderful, this is a good home that was recommended”. Cheshire West and Chester Council have a written policy on the receipt, administration [including self-administration] safekeeping, handling, recording and disposal of medication within its homes. Peoples’ medication is kept in a lockable cabinet in each bedroom. Senior care staff members have received appropriate training to administer medicines. All medicines received into the home are checked upon arrival and if anyone wishes to self-medicate an assessment is carried out. The arrangements for the administration of medication during the inspection were considered to be considered to be good and the clients were being given their medication as prescribed. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clients using the service are able to maintain contact with family and friends and those spoken with were positive about the home and the support they received. EVIDENCE: People were able to move around freely within the home and a choice of sitting areas was available. Clients spoken with were pleased with the support they received from the staff members and everyone said that they were enjoying their stay. Some people said that they were being helped to regain some skills of daily living that may have been lost following a spell in hospital. Other clients explained that they visited the home on a regular basis to give their carers a break. Everyone said they were able to choose how they spent their time during the day; this included, times of rising and retiring, where to spend their time and with whom and participation in planned activities. Staff members were seen to knock on the door and to await permission before entering a client’s bedroom. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 15 An activities co-ordinator is employed to work with people both individually and in groups. A variety of social and other activities are organised. We were told; “There is always something going on here”. Links with the local community are maintained and people are able to come and go from the building. Visitors are free to visit the home at any reasonable time. Personal mail was delivered unopened, or given to relatives if appropriate. Various religious denominations conduct services in the home and residents are free to attend if they wish to do so. They are also able to attend their own church if they are able to. Meals can be taken in the dining areas or in the privacy of a person’s own room. There is a menu that has the flexibility to meet individual needs and choices. All of the people that commented said the food was good and that choices were available. Special diets are prepared where necessary. Hot and cold drinks are made in the kitchenette areas whenever people want them and biscuits are always available. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clients and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. EVIDENCE: The clients are given a copy of Cheshire West and Chester Council’s complaint procedures leaflet in the folder that contains their enablement programme when they come to stay at the home. A printed complaints/compliments form is used to record and monitor complaints and receive comment about services. Information about complaints and the procedure that will be followed is also available in the entrance area and in the bedroom brochure. The clients and visitors spoken with during the visit confirmed that they knew what to do if they were unhappy or wanted to make a complaint. The home has an Adult Protection procedure (now called Safeguarding) that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. Staff members undertake training in this area. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22, 25 and 26 People using the 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 clients using the service are staying in a safe, homely, clean and comfortable home. EVIDENCE: A tour of the premises was undertaken; this included the lounges, communal areas and a number of bedrooms. Furnishings, fittings and lighting in the lounges and communal areas are of a good quality and are domestic in character. Although the home is generally being well maintained we did think that the Intermediate Care unit was in need of refurbishment because the bedrooms and corridors were looked “tired”. A visiting relative said that they were very happy with the service being provided to their relative but that the decoration could be improved. We asked the acting manager about this and she told us that this was the last area in the home that needed attention and Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 18 that it was due to be done shortly. As this matter is already in hand we have not made a requirement for it to be done. Sutton Beeches is kept very clean, tidy and provides people with a pleasant environment in which to stay. Bedrooms are well furnished and comfortable. As people only stay at the home for a relatively short time there are limited opportunities for them to personalise their bedrooms. However it was seen that some people had brought in some small items such as a TV or radio. The home has a passenger lift to allow access between floors. The specialist staff members employed at the home provides a range of mobility equipment; these include bathing and toileting aids, hoists, grab rails and wheelchairs. There are well-maintained fully accessible garden areas for people to use The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members work positively with residents and families to improve the quality of life of residents living in the home and a robust staff recruitment process is in place to protect them from possible harm. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff is adequate to meet the needs of the people staying at Sutton Beeches. Staff members were seen to be cheerful and friendly and were treating people with respect and dignity. They had a good understanding of the diverse needs of the people they were caring for. In addition to the acting manager and care co-ordinator, there is usually one senior and four [five on some days] care staff on duty throughout the day and evening. Two care staff members work in the intermediate care unit and two in the short stay unit. The staff members spoken with said they enjoyed working at Sutton Beeches and that they thought the quality of care being provided was of a very good standard. One staff member has written on a survey form; “The staff members are friendly and put the service users first, we work well together”. Staff recruitment procedures are thorough, providing protection for the clients using the service. The files for the two most recently appointed members of Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 20 staff seen contained all of the required information and a robust recruitment procedure was in place for the protection of clients. Prospective staff members are checked against the POVA list before employment commences and CRB disclosures are obtained. The council and the management team at Sutton Beeches consider that the recruitment of good quality staff members is an integral component in delivering an excellent service. The result of this is that the current team have the skills, knowledge and experience to meet the diverse needs of the people they are supporting. Cheshire West and Chester Council have a thorough induction procedure in order to ensure that all new staff members are suitably trained when starting work. This meets the Skills for Care Induction Standards. The staff group at Sutton Beeches have been continuing with their NVQ training. Currently 85 of the 56 care staff members employed holds an NVQ level 2 or 3 in care [a recognised qualification for people working in the care profession]. Sutton Beeches provides a range of training courses for staff members; these include, safer manual handling, first aid, adult protection and fire safety. The staff members spoken with confirmed that regular training was readily available. Whilst we did not find any evidence to indicate that there was an issue with staff training we did find the records being maintained confusing. There were a number of different systems in place to record training, as a consequence the acting manager was unable to confirm via the records maintained whether or not everyone’s training was up to date. It was agreed that she would pass on this concern to her line manager so that it could be addressed. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being very well run and managed on a day to day basis, this helps to ensure that the needs of the clients are met and that there are appropriate procedures in place to maintain their safety. EVIDENCE: Due to the registered manager’s promotion the centre has been managed on a temporary basis by the care co-ordinator. She explained that she was leaving on the Monday after the inspection and that a new management structure was being introduced shortly after her departure. In the new structure there would be a unit manager supported by five senior carers. The new unit manager will need to register with the Commission. Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 22 There is a strong and committed staff team within the home who work hard to ensure that the quality of care provided is maintained at as high a level as possible. Everyone staying at Sutton Beeches is given a quality assurance form at the end of his or her stay. These are then collated centrally by social services and the findings are then passed to the home. This is an ongoing process. Clients’ personal allowances are being handled appropriately. Personal monies were being kept securely and those inspected had correct balances and accurate records. The home has a comprehensive range of policies and procedures to promote and protect both clients and staff members’ health and safety. The maintenance records seen demonstrated that the appropriate service contracts were in place; these included, the passenger lift, bathing aids, the fire alarm system and the gas and electrical installations. The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals and that drills and training were also up to date. . Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sutton Beeches Community Support Centre Sutton Beeches.doc Version 5.3 Page 25 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. 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