Care Home: Templecroft

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What the care home does well People living in the home are provided with a warm, safe and comfortable place to live that is clean and odour free. Visitors are made welcome in the home. The home has a relaxed atmosphere and people living there said that they were happy with their bedrooms and were able to bring their own possessions into the home, making it feel more like home. Good access is available to professional medical staff and other external services such as dentists, opticians, physiotherapists, chiropody and dieticians, so their health needs can be met. People living in the home said that they are offered a choice of good quality meals, which they enjoyed. They are involved in the development of menus through individual discussion and through the use of `taster nights` where people have the opportunity to try new dishes and decide whether they would like them introduced to the menu or not. A variety of activities are available, both within the home and the local community. People said that they had plenty to do and they were able to choose what they preferred. A mobile library, church groups, external entertainers and a `pat a dog` scheme, all visit the home regularly. A hairdresser comes to the home twice a week. What has improved since the last inspection? Written confirmation is now provided by the home prior to admission, to demonstrate that based on the individuals assessment of needs, the home is able to meet these. The staff have had the opportunity to attend training on more specialist training in dementia and conditions of old age. The home has a quality assurance system in place, which seeks the views of people living and involved with the home and measures the outcomes of this. Where action may be required in relation to this, a plan is developed to address this What the care home could do better: The space in the manager`s office is limited, making it difficult to store all records that need to be maintained as well as offering enough space to meet with visitors and other professionals in private. The sheets provided by the home do not always match the individual coordination of the bedroom decor, the registered provider should consider involving individuals in choosing these and other soft furnishings within the home. Some of the windows in the home are in need of repair or replacement. This had already been identified through the homes maintenance audit and is due to be completed. Although a specific date had not been agreed for this, a copy of the confirmation for new windows was available.Staff confirmed that formal supervision takes place regularly, however, one staff member`s records were found to be less frequent than others seen. The manager should ensure that all of the staff team receives a minimum of at least six formal supervision sessions a year. The registered provider and manager must ensure that all care plans are evaluated on a monthly basis and when changes are identified, the care plan is updated to reflect these changes in order that individual`s needs can be met. Key inspection report Care homes for older people Name: Address: Templecroft 42 Scartho Road Grimsby North East Lincs DN33 2AD     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: Wilma Crawford     Date: 1 1 0 1 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 28 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) 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 Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Templecroft 42 Scartho Road Grimsby North East Lincs DN33 2AD 01472752684 014727500143 surinder.khurana3@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dryband One Limited care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Templecroft Care Home is situated in the town of Grimsby on a regular bus route and within walking distance of the main shopping areas. The home provides accommodation and care for up to forty people over the age of sixty-five, and up to fifteen of these people may have dementia. District nurses provide any element of nursing care that may be required. There are two floors with a passenger lift and stair access. There are three lounge areas, a conservatory and a large dining room with individual tables set out. Patio doors open from the dining room onto a paved courtyard that has a raised pond and an area for tables and chairs. The home has seven shared bedrooms and twenty-six single rooms, eight of which have en-suite facilities. The home has two bathrooms with bath hoists fitted, a shower room for more able service users and an unassisted bathroom that is rarely used. All Care Homes for Older People Page 4 of 28 Over 65 15 40 0 0 Brief description of the care home these rooms have toilets in them. The home has further single toilets throughout, near the lounge and dining areas. There is a good-sized car park at the front of the building. The environment is homely, clean and well presented. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home, and copies are on display in the entrance hall of the home. The latest inspection report for the home is available from the manager on request. Information given by the manager on 11/01/2010 indicates the home charges a fee of £369.00 to £419.00 per week depending on a persons care needs and the type of accommodation chosen. There are no additional charges other that those for hairdressing, private chiropody treatment, toiletries and newspapers/magazines. A full list of prices for these additional services is available from the manager. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendation, but only when it is considered people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection report is based on information received by the Care Quality Commission since its last key inspection, which took place on 15th January 2008 and includes information gathered during a visit to the home. The site visit was unannounced and took place over seven hours. Care Homes for Older People Page 6 of 28 The main method of inspection used was called case tracking involved selecting four people living in the home and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and records of four staff were inspected. Four staff and four people living in the home were also spoken with. The comments and views of people spoken with are included in this report. An AQAA document asking for information about the home was sent out before the visit and information from this was included as part of the inspection process of this service. Surveys were sent out, completed and returned by five staff and twelve people living in the home. The comments from these are also included within the report. Two safeguarding of adults allegations (abuse) have been made since the last key visit on 15th January 2008. These were referred to North East Lincolnshire Social Services Team. Their investigation and the homes own, concluded that there was no evidence of wrong doing and the issues were resolved. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The space in the managers office is limited, making it difficult to store all records that need to be maintained as well as offering enough space to meet with visitors and other professionals in private. The sheets provided by the home do not always match the individual coordination of the bedroom decor, the registered provider should consider involving individuals in choosing these and other soft furnishings within the home. Some of the windows in the home are in need of repair or replacement. This had already been identified through the homes maintenance audit and is due to be completed. Although a specific date had not been agreed for this, a copy of the confirmation for new windows was available. Care Homes for Older People Page 8 of 28 Staff confirmed that formal supervision takes place regularly, however, one staff members records were found to be less frequent than others seen. The manager should ensure that all of the staff team receives a minimum of at least six formal supervision sessions a year. The registered provider and manager must ensure that all care plans are evaluated on a monthly basis and when changes are identified, the care plan is updated to reflect these changes in order that individuals needs can be 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides detailed information to enable people to make an informed choice about the services they provide. People are properly assessed prior to moving into the home to ensure that their needs can be met. Evidence: Information about the service is provided in the statement of purpose and service user guide and a contract of terms and conditions are in place for prospective persons wishing to access the service. The Annual Quality Assurance Assessment document, completed by the manager prior to the site visit indicates that people are able to visit the home at any time, have a day visit, participate in activities, have lunch or afternoon tea so that they can get a feel for the home before they make any decision, about the service. Care Homes for Older People Page 11 of 28 Evidence: Five care plans were seen and demonstrated that people had had their needs assessed prior to a place being offered. Pre admission assessments are carried out by the manager, visiting the person in their own home or in hospital. During discussion with people in the home this process was confirmed. Feed back from surveys showed that people felt that they had been given enough information about the home before making the decision to move in. When people are funded by a local authority, a copy of their community care assessment and care plan is obtained, along with as much information as possible from the individual, their family, friends and health and social care professionals. In doing so the home has as much information about the individual, prior to them being offered a place. At the last key inspection a requirement was made requesting, once the assessment process has been completed the home formally writes to the individual to confirm that they are able to meet their needs. This is now in place. A second requirement identified the need for the Registered Person to ensure the staff individually and collectively, have the skills to deliver the services and care which the home offers to provide. This is also considered to have been met, through the specialist training staff have been offered. The home does not provide intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal and social care needs of people using the service are being met by the service and the staff. Overall medication is well managed within the home. Evidence: Information from the surveys returned indicates that the majority of the people who responded are satisfied, that the staff offer appropriate support and care to those living in the home. People said that they are able to make their own decisions about their daily lives, that staff treat them with respect and listen and act on what they say. Four care plans were examined and found to be comprehensive and well documented, providing a variety of information about peoples care needs, support and communication with relatives and outside agencies. Each individuals care plan is developed from a detailed assessment and offer staff clear guidance on the level of support needed for each area of need. Admission sheets were found to be fully completed, including peoples wishes after death and their Care Homes for Older People Page 13 of 28 Evidence: marital status, which had been raised with the home manager at the previous key inspection visit January 15th 2008. Daily records give details of how each person has been supported with personal and health care needs and their personal well being. Additional information is also kept about how people have spent their day and activities they have been involved in. Risk assessments were available for lifting and handling, nutrition, tissue viability, falls, bed rails and other areas of daily living, these were all found to be completed and to have been reviewed on a regular basis, as well as when peoples needs had changed for example; due to a deterioration, in their health or hospital admission. Care plans are also evaluated on a monthly basis and any identified changes are incorporated into support plans to ensure that peoples changing needs can be met. One care plan was found to have not been evaluated for the last three months; a recommendation was made in respect of this. People spoken with during the visit said that they had good access to their GPs, chiropody, dentist and optician services, with records of their visits being written into their care plans. This was further evidenced in their personal records and demonstrated that are able to be accompanied by a relative or an escort can be provided by the home to facilitate this. Similarly life histories had been completed for each individual, and their wishes, needs and life choices recorded, making care plans more person centred. Records of peoples weights are maintained on a monthly basis or in line with their individual support plan. Any concerns about individuals nutritional needs are referred to the dietician, for further advice and support. Where this had occurred, recommendations made by them, had been clearly identified within individuals care plans. Checks of the medication records showed that overall these were well maintained and kept up to date and the controlled drugs and register monitored, stored correctly and records are accurate. However, one entry in the controlled medicines record had been entered and then crossed out. When this was raised with the home manager they had identified this entry promptly in a medication audit, through the regulation 26 visit process with the area manager and had taken appropriate action with the staff member concerned. The Care Homes for Older People Page 14 of 28 Evidence: stock levels of the medication involved were found to be correct when checked. All staff that are responsible for the administration of medicines have had accredited training. Evidence from observation during the visit, discussion with staff and people living in the home indicated that peoples privacy and dignity were well respected. Staff were seen to be kind use peoples preferred form of address and knock on bedroom doors before entering. Comments from relatives and people living in the home included; I dont think they can do anything better. Im very happy with the home. The staff are always willing to help. Everything about the home is good. The staff and care are very good, I have no complaints whatsoever. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with choice and diversity in the meals and activities provided by the home. Individual wishes and needs are catered for and people have the option of where, when and how they participate in both eating and leisure activities. Evidence: Observations and discussions during the visit indicates the home routines are based around the individual needs and preferences of the people living in the home. People spoken with living in the home said that they were able to make choices about activities, food, how they spent their time and when to get up and go to bed. The atmosphere was friendly and relaxed. The information in care plans around individuals hobbies, likes and dislikes and previous leisure pursuits has been considered when planning activities within the home. This has been further developed with the input from people living in the home via the residents meetings. In addition to this relatives are also invited to any activities and are sent bi monthly newsletters of all events planned in the home. The home has an activities coordinator, but all staff are involved in ensuring that Care Homes for Older People Page 16 of 28 Evidence: suitable activities are available for anyone wishing to participate in this. There are a range of activities available in the home and local community in order to cater for each persons needs and preferences. Two people choose to and are supported to attend a local community centre two afternoons a week. As well as structured activities, a Pat a dog scheme visits the home on a weekly basis, the mobile library visits six weekly, outside entertainers are brought in on a monthly basis, regular visitors from church groups and outings to the coast and for shopping are also available. People told us that they had enough to do and that they were able to join in when they wanted to. Within the home the activity plan offers activities such as; bingo, keep fit, musical quizzes, ball exercises, water colours, foil etching, conversational DVDs, reminiscence groups, singalongs, board games, keep fit and dancing. Other people prefer to use the large print books in the library, engage in light domestic tasks, grow their own flowers and vegetables or listen to music. People living in the home also benefit from an annual show from the staff, fund raising fetes, barbeques, birthday parties and other celebrations. A hairdresser also visits the home twice a week. Taster nights are held regulary, allowing people to sample a variety of different foods and decide whether they would like these to be be included within the menu. Discussion with people living in the home indicates that they have good contact with their families and friends. Visitors were seen to come and go throughout the day and were seen to be made welcome. Comments from the people living in the home were very positive about the the meals and services provided by the kitchen including the meals are all very good, we have a good choice and it is very tasty. A menu is displayed and people are asked what they would like from this. The lunchtime meal was well presented and people were supported with eating and drinking in a relaxed, well paced manner. The home has recently been awarded a four star rating from the local environmental health agency. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory complaints system with evidence that peoples views are listened to and acted upon. Evidence: The home has a complaints policy and procedure that is included in the statement of purpose and service user guide. Staff and people living in the home spoken with said that people using the service and their relatives are given a copy of the complaints procedure on admission. Further copies are displayed throughout the home on notice boards, to encourage people to make complaints if they are unhappy about any aspect of the home and provides information of who they should raise their concerns with. Each of the seventeen surveys returned from people using the service showed individuals have a clear understanding of how to make their views and opinions heard. People spoken with during the visit said that they would fell confident in talking to staff or the Manager should they have any problems. Checks of the records in the home showed that there have been no formal complaints made to the home. Two referrals have been made by the home to the safeguarding of adults team. These were investigated both by the home and the local authority, neither of these incidents were upheld. Care Homes for Older People Page 18 of 28 Evidence: The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint, and management of residents money and financial affairs. The staff spoken with displayed a good understanding of both the complaints process and the safeguarding of adults procedure. They were confident about reporting any concerns and certain that any allegations would be followed up and appropriate action taken. Staff have received training in safeguarding of adults. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment is good, providing people with a clean, comfortable and homely place to live Evidence: The decor and furnishings throughout the home are of a good quality and present a homely, comfortable environment for the people living there. Accommodation is provided in both single and double bedrooms. There are only two double bedrooms being shared at this time, with both parties having requested that they share a bedroom. The remaining double rooms are being used for single occupancy. Currently the owners are considering building an extension to provide further rooms in order that single accommodation can be provided throughout without reducing the number of beds in the home. A tour of the building was done and found the home to be clean and free from odours. Bedrooms were seen to be personalised and some people had brought in items of their own furniture, which they said made their rooms feel more homely. The sheets provided in the home are not always in keeping with the colour themes in the bedrooms or other bedding, detracting from the effect that the home is working to Care Homes for Older People Page 20 of 28 Evidence: achieve, similarly towels provided in the home were found to be quite thin. A recommendation was made in respect of these, that people living in the home could be involved in choosing the colours of their sheets and the quality of their towels. There are a variety of bathrooms and shower facilities available in the home in the home with hoists, grab rails and other aid and appliances available. A range of spacious seating areas is available throughout the home, offering people a choice of where they sit, including the two lounges, the library, the dining room and the conservatory, which overlooks the enclosed garden. On the day of the site visit a decorator was in the home, repainting the paintwork to the entrance hall and corridors. The home was found to be clean, warm, comfortable and free from odour. Comments from surveys and discussions with people using the service indicated that they were very happy with the cleanliness of the home and the laundry service provided. The home has an ongoing maintenance plan for repairs, redecoration, maintenance checks, health and safety checks and refurbishment. Many of the windows within the home are double glazed, however, there are still some that are wooden framed. These were found to be in need of repainting/repair or replacement. When this was raised with the manager she was aware of this and explained that it had been identified from a maintenance audit and new windows had been ordered, for their replacement (confirmed in writing), although a date for the refitting had not been made available. A recommendation was made that the owners inform the CQC of the date that this work will be completed by. The managers office is small and has limited space for all of the documents that need to be stored by the home in order to comply with CQC regulations. The provider should consider how storage facilities can be provided in an other area of the home or the managers office re provided where they will have the space and facilities to meet with families and visiting professionals in private, store essential paperwork and carry out their duties. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive good levels of staff support in sufficient numbers and with the right training, skills and qualifications to meet their needs People are well protected by robust recruitment systems in place. Evidence: At the last inspection visit in January 2008 a requirement was made that the registered provider must ensure that a training programme is in place that ensures staff fulfil the aims of the home and meet the changing needs of the people using the service. Also that specialist training relating to the old age and dementia must be included in the progamme. The manager provided the inspector with a training plan and an up to date record of the training that staff had completed since this time.This record indicated that staff had attended updates of mandatory training, but also a number of more specialist training courses including; Dementia, the Mental Capacity Act, Palliative Care, Distressed Behaviour with people who have Dementia and Eating and Swallowing Difficulties. 69 of the staff team have now completed a National Vocational Qualification at level 2 or above. This requirement is now considered to have been met. Training is provided in a variety of different ways including in house (the manager is a trained moving and handling instructor), DVDs and questionnairres, distance learning, external specialist facilitators and North East Lincs training courses. Care Homes for Older People Page 22 of 28 Evidence: Comments from staff and people living in the home were positive about the staffing levels within the home. Two staff said in their surveys that they would like to have more time to sit and speak with people. When this was raised with people living in the home they felt that there was a good standard of care being offered and that the staff always had time for them. Three staff files were looked at and these showed that they contain the appropriate information and all required checks are completed prior to new staff starting in post. All the surveys returned by staff indicated that proper checks were carried out before they began working in the home.These checks are necessary to help protect people from potentially unsuitable staff. The manager explained that all new staff receive induction training in accordance with Skills for Care, the National Training Organisation for care staff. Records of inductions were maintained. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is good and uses quality monitoring systems to allow people to to contribute to the way in which the service is operated. The homes maintenance systems and health and safety management protects the safety of people living in the home. Evidence: The registered manager has worked at Templecroft for 19 years. She has achieved her Registered Managers Award and regularly attends training updates through the companys manager development programme and outside agency training courses. Staff and residents meetings are held and offer individuals an opportunity to voice their opinions and ideas about the service and its development. Staff spoken with said that they felt supported by the manager and that they could go to her at any time for advice. The area manager completes regular regulation 26 visits and completes reports which Care Homes for Older People Page 24 of 28 Evidence: are available within the home for inspection by the appropriate authorities. A quality assurance system is in place where surveys are sent out to people using the service and their representatives. The feedback from these is collated and action taken is recorded and displayed on the notice board. Maintenance certificates were found to be in place and corresponded to the information submitted in the Annual Quality Assurance Assessment. Accident books were found to be completed appropriately and regulation 37 reports completed and sent to the commission when required. Risk assessments were available in relation to fire, moving and handling, bed rails and activities of daily living Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 The registered provider must ensure that all care plans are evaluated on a monthly basis and when changes are identified, the care plan is updated to reflect these changes in order that individuals needs can be met. The registered Provider should ensure that the Care Quality Comission are informed when thework to the wooden windows identified for repair/repainting or replacement has been completed. The Registered Provider should give people living in the home the opportunity to be involved in choosing bedding, so they are offered a choice of colours to coordinate with their rooms. Consultation should also be made with people about their preferences regarding the quality of towels provided in the home. The registered provider should ensure that all staff receive a minimum of formal supervision at least six times a year. 2 19 3 24 4 36 Care Homes for Older People Page 27 of 28 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. Copyright © (2009) Care Quality Commission (CQC). 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