Care Home: Weald Hall

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What the care home does well People are happy living at Weald Hall. Comments included `everybody is so friendly`. `The staff are extremely good and very kind`. `X and X (members of staff) are fantastic, staff have a good sense of humour you can have a good laugh`. `I`m quite happy`, `on the whole arrangements are satisfactory anything we ask for we receive`. `They look after us well they really do`. `The staff are terrific`. `Its alright`. `I like it here and the staff are very good`. Relatives were extremely complimentary about the home. Their comments included `Its absolutely lovely great, can`t fault the staff and they keep me informed`. `Its very good`. `The staff are good and very kind, there is more company for Mum, they keep me informed and there is never a problem`. Professionals are satisfied with the service provided. Their comments included `They are caring, careful and attentive, good relationships in the home`. `Provide a high quality service`. `Excellent`. Staff feedback was also very good. Their comments included `Weald Hall does very well at listening to service users and their needs`. `It deals with residents individual needs very well, there is a level of individuality that allows residents to be individuals. The quality of service that is undertaken is very good. The quality of activities available is very good. The residents have a lot of choice`. `The service always puts the service users first`. `They care for people`. People are encouraged to view the home prior to admission and their needs are assessed. There are dedicated staff Monday to Friday to provide activities both within groups and on an individual basis. The environment is pleasant and well maintained. The large gardens, grounds and views are enjoyed by all. There is a commitment to good recruitment and staff training, which helps support staff in providing the most appropriate care to people. What has improved since the last inspection? Peoples care plans have generally improved and now mainly reflect their care and health needs. They also now reflect peoples spiritual and cultural needs and wishes in respect of death and dying. Medications prescribed `as required` are now clearly detailed. Some further work to care plans is still needed. A wash handbasin has been installed in the sluice room to aid good hygiene and infection control. A dedicated room has been given over to the storage of medication. Temperatures of this room are tested to ensure medicines are stored safely. Where people manage their own medicines a risk assessment has been undertaken. Recruitment procedures are now more robust to safeguard people.Information has been added to the statement of purpose making it more informative for people. However further work is still required. What the care home could do better: To ensure people have full information the statement of purpose must be reviewed. Consultation with people and/or their representatives regarding their care needs to be developed. The home must comply with fire safety legislation to ensure people are safe and protected. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Weald Hall Mayfield Lane Wadhurst East Sussex TN5 6HX     The quality rating for this care home is:   two star good 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: Sally Gill     Date: 1 2 0 1 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 30 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Weald Hall Mayfield Lane Wadhurst East Sussex TN5 6HX 01892782011 01892785274 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Careways Trust Ltd Name of registered manager (if applicable) Louise Coppard 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 Additional conditions: The maximum number of service users to be accommodated is thirty-one (31) The registered provider may provide the following category of service only: Care home only - (PC) 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 - (OP) Dementia - (DE(E)) Date of last inspection Brief description of the care home Weald Hall is registered to provide accommodation to older people that may or may not have dementia. Miss Louise Coppard, registered manager is in day-to-day control of the home. The premise is an older detached property (the Hall) accommodating 26 people with a separate modern purpose built unit (the Lodge) for six people. The property has two acres of mature well-maintained gardens with walkways. The Lodge has it own secure garden, which is currently being developed. Both have level south Care Homes for Older People Page 4 of 30 care home 31 Over 65 31 31 0 0 Brief description of the care home facing patio areas with seating and tables. Many of the rooms have panoramic views. Accommodation in the Hall is on three floors. All bedrooms are singles and ensuite and are situated on the first and second floors. People have the use of two assisted bathrooms, a spacious hallway with seating, a separate library and a dining room. Accommodation in the Lodge is on two floors. All bedrooms are singles with ensuite. People also have access to an assisted bathroom, lounge/diner and quiet room. The home is non-smoking. Both the Hall and Lodge have a passenger lift and are suitable for wheelchair access (some bedrooms in the Hall cannot be reached by a wheelchair). There is car parking available. The home is situated approximately a mile from the centre of Wadhurst village with its shops, banks, library, church, pubs and railway station. A bus stop is a 10-minute walk, which will take you into Wadhurst or the nearby town of Tunbridge Wells. At the time of the visit the Hall fees ranged from 580 pounds to 800 pounds per week. The Lodge fees were 950 pounds per week. Additional costs would include toiletries, chiropody, hairdressing, newspapers and magazines. Previous inspection reports are available from the home or can be viewed and downloaded from www.csci.org.uk Care Homes for Older People Page 5 of 30 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 previous inspection took place on 4th February 2008. This inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.10am and 5.35pm. The manager and staff assisted during the visit. People that live in the home, relatives and staff were spoken to. Observations were made throughout the day. Twenty three people were living at the home on the day of the visit (five at the Lodge and 18 at the Hall). Surveys were sent to the manager to distribute to people living at the home, staff and health and social care professionals. Eight were returned from services users, eight from staff and four from health and social care professionals all of whom were Care Homes for Older People Page 6 of 30 generally positive about the care and support received. The care of four people was tracked to help gain evidence as to what its like to live at Weald Hall. Various records were viewed during the inspection and a part tour of the home undertaken. The home sent their annual quality assurance assessment (AQAA) to the Commission within the required timescale. The AQAA is a self-assessment picture of how the manager thinks they are doing against the national minimum standards. What the care home does well: What has improved since the last inspection? Peoples care plans have generally improved and now mainly reflect their care and health needs. They also now reflect peoples spiritual and cultural needs and wishes in respect of death and dying. Medications prescribed as required are now clearly detailed. Some further work to care plans is still needed. A wash handbasin has been installed in the sluice room to aid good hygiene and infection control. A dedicated room has been given over to the storage of medication. Temperatures of this room are tested to ensure medicines are stored safely. Where people manage their own medicines a risk assessment has been undertaken. Recruitment procedures are now more robust to safeguard people. Care Homes for Older People Page 8 of 30 Information has been added to the statement of purpose making it more informative for people. However further work is still required. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 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 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to most information to inform a decision as to whether this home is right for them and can meet their assessed needs. Evidence: New and prospective individuals are given a welcome pack, which contains information about the home and what people can expect. Most people surveyed said they did receive enough information about the home before moving in. One person commented they did not ask enough questions before deciding to move in. Another felt they had sufficient information but said was expecting to find more people with the same mental capabilities as myself. The welcome pack contains the service user guide and brochure and is displayed in the front hall of the home. The manager advised it is planned to produce the welcome pack in Braille and audiotape formats and also use more pictures. The home sent the Commission a copy of their up dated statement of purpose. This does not contain sufficient information as required under regulations. Care Homes for Older People Page 11 of 30 Evidence: Shortfalls were discussed with the manager. A requirement is made to address this. The AQAA advised that each person is protected by a contract of terms and conditions. People surveyed, that answered the question regarding contracts all confirmed these are in place. Peoples needs are assessed prior to them moving in. The manager advised that she visits people within their own home or hospital to undertake an assessment and also speaks to relatives and any ward staff. A copy of an assessment was seen on file. The manager confirmed that copies of social services assessments are obtain where they are funding the care. A letter is sent to confirm whether or not a persons needs can be met. Individuals or their relatives confirmed they had looked round the home prior to the person moving in. Some people advised that they had looked round on the recommendation of others including professionals. The manager advised that people are encouraged to look round and stay for a meal. Following an assessment a trial overnight stay or couple of days can also be arranged. Intermediate care is not provided at the home. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that a person receives is based on their individual needs. The principles of privacy and dignity are generally put into practice. Evidence: The manager advised that work has gone into improving care plans since the last inspection. Peoples wishes regarding spiritual and culture needs in respect of death and dying are now recorded. Administration instructions for medication prescribed as required are detailed. Management of health related concerns are detailed such as diabetes. Four care plans were examined. Two were signed as confirmation of peoples involvement/agreement. Three care plans and associated risk assessments on examination were up to date although there was no evidence of any monthly reviews, which is good practice. The details of assistance required by staff due to poor sight were not correct for one person. Care Homes for Older People Page 13 of 30 Evidence: The fourth care plan lacked any information in the persons history section. A chart was maintained for appointments and contact with health professionals. However outcomes or actions following these were not recorded either in the daily notes or followed through into the care plan. Examples of these were an assessment by the continence nurse and discussions with the CPN (Community Psychiatric Nurse). This meant reading the care plan staff would be unaware if there was a change in how a person should be supported. It is acknowledged that this is a very small staff team and a member of staff was able to give a verbal account. Therefore a further requirement regarding care plans is not made at this time but work must continue to have robust care plans which evidence review in place. Care plans should also inform staff what are safe blood sugar readings for individuals and when action must be taken. The home needs to develop ways of involving people and/or their representatives in reviews of peoples care which is good practice. Records and discussions confirmed that people have access to health care services including doctors, nurses, chiropodist, dentist, hospital appointments and opticians. Any concerns are monitored and referred appropriately. Professionals surveyed confirmed individuals health care is always or usually met and that staff seek advice and act on this to manage and improve peoples health. People are able to manage their own medication where they wish and are able. Risk assessments are in place for people that administer their own medication. These should detail the actual safe storage. A robust audit trail was in place for medicines handed over for self-administration. Medication is supplied in a monitored dosage system (MDS) by a local chemist. They also carry out a six monthly audit, which is due shortly. Medication administration was observed and confirmed good practice. Staff that administer medication have received training which the manager advised is updated annually. Medication Administration Records (MAR) charts appeared in good order. The home now has a room dedicated to medication storage. The manager advised that daily temperature checks are taken and recorded. People feel they are treated with respect and sensitivity. Observations confirmed that interactions with staff were calm and caring. People spoken to confirmed staff are caring and sensitive when assisting with personal care. A relative confirmed at the Lodge toiletries are held centrally and was not sure this was necessary. This should be risk assessed and recorded on an individual basis to ensure restrictions are not in place unnecessarily. Professionals surveyed indicated that peoples privacy and dignity is always or usually maintained. Care Homes for Older People Page 14 of 30 Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle. Opportunities for social, cultural and recreational activities are available. Evidence: People have opportunities to a variety of activities. An activities organiser is employed Monday to Friday and spreads their time between the Hall and the Lodge. People surveyed indicated that there are always, usually or sometimes activities arranged by the home which they can take part in. One commented would like to see more of these but due to disability I cannot take part much anymore. Records and discussions confirmed activities include quizzes, scrabble, bridge, manicures, crosswords, films, reminiscence and art and craft. Several people have daily newspapers delivered. Bird feeders some made in activity sessions were in situ around the grounds to enable people to watch the birds feeding which people confirmed gives a lot of enjoyment. Special events were organised for the Christmas period including a magician, a harpist, visit from schools, a brass band, fireworks, fancy dress and various parties. Some people are able to go out into the community regularly to the pub, a club or church. Relatives also confirmed that they regularly take their family member out. A Care Homes for Older People Page 16 of 30 Evidence: priest visits the home weekly and a vicar holds a service and gives communion monthly. An aroma therapist visits fortnightly and people can also book this service privately. A hairdresser visits twice weekly. Organised outings this last year have included a visit to Merriments garden centre and a trip to Hastings. A number of relatives were visiting on the day of the inspection. All were extremely complimentary about the home. All confirmed that the home keeps them well informed about their relative. One said there are no rules about when I can come. All rooms have a telephone point and most people have activated this facility keeping them in contact with family and friends. People are able to choose to join in activities or spend time as they wish. People confirmed routines are flexible and they are able to get up, go to bed and have a bath or hair wash when they please. People confirmed they were able to bring in their own personal possessions and many had making their rooms personal and homely. People were observed to be offered choices such a drinks at lunchtime and joining in activities. Peoples comments about the food were generally positive. People surveyed indicated they always or usually liked the meals. Comments included they are surprisingly good and well presented. Personally I could do with a little less of everything. The standard of the main meal can be varied. It is not possible to please all the people all of the time, but an alternative is always available. People spoken to said of the food its pretty good and Im a fussy eater, its wonderful, generally very good, I enjoy it, its plain and plenty of it and its not so good, menu choices could be better too many processed meat dishes together (sausages, pies) very good fish though and choices in the evening are better. A company contracted by the home undertakes most catering services. A four weekly menu is in place. Breakfast can be cooked, cereals or toast. The main meal is at lunchtime. This is a three-course meal with a choice for the main dish. Supper is also three courses homemade soup, a light meal or sandwiches as an alternative followed by a desert. The dining room at the Hall is pleasant overlooking the garden and tables are nicely laid. Some people choose to have their meals in their rooms. The main meal on the day of the visit was smoked mackerel for starter followed by liver and bacon with broccoli, beans, carrots and mashed potato or spinach cannelloni. Desert was fruity steamed sponge pudding. The smoked mackerel was changed without giving people notice. The reason given was that the previous days starter had also been fish. Given that these menus had been in place for sometime this is not really acceptable. The replacement was fruit juice, which does not appear to be as appetising especially as people already had fruit squashes on their tables. Better planning could have achieved a better outcome for people. A liver and bacon meal was viewed which looked hot and appetising. People were aware menus are displayed and Care Homes for Older People Page 17 of 30 Evidence: they are asked about choices. The format of the menus displayed in the Lodge should be more user friendly. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a robust complaints procedure and are protected from abuse. Evidence: People confirmed that they were happy living in the home. They were also confident if they had any concerns these would be resolved. One person spoken said I would talk to X (member of staff), I am confident she would sort any problem. People surveyed indicated they knew how to make a complaint although not all were always sure who to speak to if they were not happy. Staff surveyed indicated they knew what to do should someone have a concern about the home. One staff member recorded the procedure. The AQAA indicated that two complaints had been received by the home in the last 12 months. These were both upheld. Records confirmed that these had been investigated. One has been resolved and the other relates to the hot water system in the home where work should start shortly to resolve ongoing issues. A comments books is also in use. People feel safe living in the home. The AQAA indicated that the home has polices and procedures in place to protect people from abuse. The manager advised that staff have received training in safeguarding adults, which is updated every three years. The manager is also a trained trainer in safeguarding. Care Homes for Older People Page 19 of 30 Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a pleasant, comfortable, homely and well maintained home. Evidence: A tour of parts of the home was undertaken. In the Hall this included several bedrooms and ensuites, a toilet, medication room, a bathroom, the library, hallway and dining room. In the Lodge a bedroom, the lounge/diner, kitchen and quiet room were viewed. Work was being carried out in one bedroom to box in pipes. The manager advised since the last inspection several carpets have been replaced including the stairs and some bedrooms, more appropriate flooring has been laid in some bathrooms/toilets/ensuites and the sluice room, medicines are now stored in a designated room, a wash hand basin has been installed in the sluice room, a window has been replaced, both gardens are currently being developed to provide walkways and a sensory garden and a new fire panel and system has been installed. Work should start shortly to improve hot water supplies particularly to bedrooms. Bedrooms are personalised and some people have brought in pieces of furniture, pictures and ornaments. People confirmed that they are happy with their rooms. In the Hall bedrooms do vary in size greatly. Some people have taken advantage of this and Care Homes for Older People Page 21 of 30 Evidence: have a bedroom area and sitting area. At the rear of the Hall bedrooms have wonderful views across the gardens and countryside which people said gives a great deal of pleasure. One person said they had problems with their curtains and track, which did appear very stiff to pull. Some people said they had chosen to change rooms which was their choice. People make use of a variety of communal areas. In the Hall the main hallway is generally used to sit and relax. In addition there is a library, which has a television, seating and door leading to the garden. The landing areas also have seating, which can be used. The Lodge has a main lounge/diner with views and an additional quiet room. The home is set in large grounds with a large, well maintained and pleasant garden. The Hall has a large south facing terrace with seating, which is used weather permitting. The Lodge has two secure patio areas with seating. The home was clean, tidy and hygienic throughout. People spoken to and surveyed confirmed the home is always clean. Care Homes for Older People Page 22 of 30 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. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Evidence: A caring staff team support people. The manager advised that the normal staffing for the Hall is three staff on duty during the day and one wake and one sleeper at night. In the Lodge two staff are on duty during the day with one wake and one sleeper at night. As well as care staff, staff are employed Monday to Friday for administration, activities, cleaning, laundry and maintenance/gardening. On site catering contractors are used for meal preparation. Staff were observed to be carrying out their work in a calm and caring way. People surveyed felt they always or usually received the care and support they need. One commented nearly always - staff are very kind and helpful. Most indicated that staff listen and act on what they say. However negative comments included some staff do not listen I feel they are not trained enough. Staff do not have the time to stay and talk. Surveys also indicated staff are always or usually available when they need them. One commented when I ring the bell in my room it is invariably answered though sometimes takes longer than expected. People spoken were all complimentary about the staff although one comment was no complaints about the staff just want more of them. We do get agency staff particularly at weekends some are very good and having been coming a long time and then some Care Homes for Older People Page 23 of 30 Evidence: have not been here before and are only coming for two nights. Most staff surveyed indicated that there is usually enough staff on duty to meet the individual needs of people. The manager advised that she continues to have problems recruiting the right calibre of staff, which means using agency staff for some shifts each week. She explained this entails using only a small team of regular staff from the agency to cover shifts. This helps reduced the implications of using agency as far as possible. Professionals surveyed indicated staff usually have the right skills and experience to support individuals. Seven staff have completed a National Vocational Qualification (NVQ) level 2 or above. The manager advised that another three are currently undertaking NVQ and when completed the home will meet the recommended 50 of staff qualified. Robust recruitment processes protect people. Three staff recruitment files were examined. These all showed that all appropriate checks are in place prior to people being employed. Staff spoken to feel they receive training appropriate to their role. The manager advised of training content and numbers. All staff undertake an induction which is to Skills for Care specification. This will include a computerised workbook and also shadowing experienced staff. Staff surveyed indicated that their induction covered everything they needed to know very well or mostly. Staff are trained in mandatory subjects (fire, first aid, moving and handling, infection control and food hygiene). This training is regularly updated. They also receive other training related to people conditions such as dementia, health eating, dying and bereavement, the aging process and aggression and conflict management. Staff surveyed indicated training is given relevant to their role. Care Homes for Older People Page 24 of 30 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. People live in a home, which is well managed. Peoples health, safety and welfare is generally protected but one area requires improvement. Evidence: The manager is committed to improving outcomes for people. She has obtained relevant qualification and is currently undertaking an Open University degree in Health and Social Care. She demonstrated a good knowledge of people living in the home and their care needs. One person surveyed said would be nice to see management occasionally. The manager advised she has an open door policy and ensures she does see everyone regularly. At times she will undertake the medication round to this aim. The atmosphere within the home was relaxed and calm. The manager advised that resident and staff meetings take place regularly. Meetings are also held to discuss the food. The home also endeavours to obtain views and opinions of the service by sending out questionnaires to people who live in the home Care Homes for Older People Page 25 of 30 Evidence: and their relatives. Regular visits required by legislation are made by the Directors to assess the quality of care provided. Appropriate records are maintained of these visits. The Commission received the homes AQAA within the required timescale. Within the main body it could have better reflected the service provided covering all of the National Minimum Standards. The home is not involved in the peoples finances. Staff receive supervision. The manager advised staff receive supervision every two months which is recorded. Staff surveyed said they receive supervision regularly or often. Peoples health, safety and welfare could be better protected. The AQAA indicates that the maintenance of the homes equipment has been serviced as recommended by the manufacturer or other regulatory bodies. Accidents are recorded appropriately. The manager advised these are monitored for any trends. The fire safety logbook was examined. This showed all servicing was carried out to the required frequencies but regular checks on extinguishers and emergency lighting are not carried out as required. A requirement is made. Care Homes for Older People Page 26 of 30 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 30 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 1 1 4 The registered person shall produce a statement of purpose which contains all the information as required by the regualtions and schedule To ensure people have sufficient information they need to make an informed choice about where to live. 23/02/2009 2 38 13 The registered person shall demostrate that they are compling with the Regulatory Reform (Fire Safety) Order 2005 To ensure people are safe and unnecessary risks are as far as possible eliminated 12/02/2009 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 Care Homes for Older People Page 28 of 30 1 7 The home should develop ways of involving service users and/or their representatives in care reviews. Care Homes for Older People Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. 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