Care Home: Whiteoaks

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well The home has good information available on the services it provides and ensures the latest inspection report form the Commission is available. Assessments and care plans reflect individual needs and record how the home is meeting people`s changing needs. One relative wrote, `Provides individual care for residents, understanding of each person as an individual`. The home has very clear medication policies, procedures and the practice follows these. Routines in the home are flexible to ensure individuals choices and needs are met. The whole staff group work as one team. One relative wrote, `I have been overwhelmed by the true caring nature of this establishement. They work as a team to provide a happy, homely atmoshpere`. What has improved since the last inspection? The home is now ensuring all staff undergo a thorough recruitment procedure. What the care home could do better: The details of the Commission need to be updated on the complaints procedure. Training records need to be available and up to date. Supervision needs to be formalised and records maintained of these sessions. Quality assurance monitoring needs to be kept up to date. Key inspection report Care homes for older people Name: Address: Whiteoaks 56-58 The Avenue Fareham Hampshire PO14 1NZ     The quality rating for this care home is:   three star excellent 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: Michelle Presdee     Date: 1 8 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 27 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 27 Information about the care home Name of care home: Address: Whiteoaks 56-58 The Avenue Fareham Hampshire PO14 1NZ 01329232860 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Panchalingathurai,Mrs Panchalingathurai care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 25. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Whiteoaks is a large detached property in Fareham. The home is registered to provide residential accommodation for up to twenty-five older people. Mr and Mrs Panchalingathurai (known as Mr and Mrs Panch) own the home. Mrs Panchalingathurai is also the registered manager. The home has fifteen single bedrooms and five double rooms, all of which are en suite. Service users share the use of a lounge, dining room and sun lounge. To the front of the property a driveway provides parking and gardens provide privacy from the road. To the rear is a large well maintained garden. The home Care Homes for Older People Page 4 of 27 Over 65 25 0 Brief description of the care home is situated near Fareham shopping area and is close to public transport links. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced inspection took place on 11th January 2010 between 09:35AM and 4:35PM. The Commission (we) were assisted by the manager and management team. One of the owners of the home also called in during the inspection. All staff on duty were part of the inspection. Twenty four people are currently living in the home, one person is occupying a double room as a single room. The majority of people were involved with the inspection. Surveys prior to the inspection were sent to some people living in the home, health, social care professionals and staff members. At the time of writing this report two surveys had been received from people living in the home, five had been completed by relatives and three social, health care professionals had returned surveys. In parts of the surveys people are asked to tick boxes with judgements ranging form always, usually, sometimes and never. These are referred to in this report. The home sent us their Annual Quality Assurance Assessment (AQAA) back on time, Care Homes for Older People Page 6 of 27 which, detailed information on the home. The home has sent us notifications appropriately regarding the welfare of people. Paperwork including assessments, care plans, menus, staffing records and safety checks were seen. A tour of the home including all communal areas, the kitchen and some bedrooms chosen at random was undertaken. All this information has helped form judgements in this report. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 9 of 27 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 can be assured the assessment process will reflect all their needs, ensuring staff have all the information to care for them. People will be given enough information to help them decide if the home is the right one for them. Evidence: In the AQAA we were advised All potential service users are encouraged to visit the home before they make a decision as to whether they would like to move into Whiteoaks or not. We encourage trial visits where people can come for lunch or dinner and experience a mealtime with the other residents so that they can get a real feel for the home. During this time the manager will conduct a thorough pre-admission assessment of the client. If, however the client is unable to visit the home then we will go out and visit them to conduct the assessment and give them all the information about the home so they could make a choice about whether to move in. If the potential resident is linked to Social Services, then we always request a copy of the social services assessment and the social services care planning notes. Care Homes for Older People Page 10 of 27 Evidence: The assessments of two residents were viewed. One assessment seen belonged to a resident who had come into the home on a short stay and was unsure whether to stay or go back to their own home. The assessment gave a very clear account of the persons current needs. It reflected why the person needed residential care. Information from other professionals involved in their care had been recorded. The second assessment seen belonged to a resident who had been in the home for many years. We were advised assessments are carried out annually or more regularly if needed. It could be seen from this persons file assessments had been carried out on an annual basis. The assessment reflected the changing needs of this person. It was noticed the service user guide, the last inspection report and the homes brochures were available in the main entrance lobby and in residents rooms. We were advised these can be sent out to clients at their own address as requested. Visitors spoken to on the day reported they had been very satisfied with the admission process and felt they had been very well informed on the home. The home does not provide intermediate care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have care plans which reflect all their needs and demonstrate how these needs are met and show how to respect peoples privacy. Medication procedures are followed and managed in a way which enusres peoples safety. Evidence: In the AQAA we were advised, Once the pre-admission needs assessment is completed, this provides the management with the necessary information to complete the clients own individual care plan, based on the needs identified during this assessment. The care plan is developed according to the service users own individual strengths weaknesses, needs and personal preferences, aiming to create a person centered care plan. All this information for every service user is passed on to the care staff at structured handover meeting, to enable the staff to provide the care, personal to their own needs. The two care plans belonging to the two assessments were viewed. It was found these contained extensive information and gave a very accurate and up to date account of the persons needs. Information was detailed on how care staff should meet these Care Homes for Older People Page 12 of 27 Evidence: identified needs and on a daily basis care staff recorded how these needs had been met. It was possible to establish care plans were reviewed daily with all necessary changes being recorded. Associated risk plans had been completed and were also reviewed on a regular basis. Visitors on the day confirmed they were always kept up to date with any changes relating to their relatives care. Care plans recorded a persons health needs and stated how these needs were to be met. All visits by all health and social care professionals were recorded in the care plan. The details of these visits and the outcomes were recorded. In surveys health and social care professionals reflected they were satisfied with the service. All had ticked always to the question, Are peoples social and health care need properly monitored, reviewed and met by the care service? One professional wrote, The staff are conscientious, have no problems asking advise and support, notes are well written. In the AQAA we were informed, Our large metal medication cupboard is bolted to the wall in line with the royal pharmaceutical guidelines and there is a metal controlled drugs cupboard inside the large metal medication cupboard for controlled drugs. As well as the new medication risk assessments put into place last year, we have also introduced a medication review system with our local doctors. We now insist that at least once a year, each service user has their medication reviewed by their doctor, who must come out to Whiteoaks in person and review their medication on site, record it in each individuals care plan and plan a date for when the next medication review should be dependant on each residents needs. Information on the homes medication procedures were kept with the medical administration records. The home uses a nomad system. The medication of two people were checked against the records held and all found to be correct. The records of two people on controlled medication, which was stored appropriately, were checked. It was found these were accurate and being signed by two people. One member of staff was observed giving out the lunch time medication. It was observed they followed the homes procedure. It was suggested they only took one nomad box out at once rather than take a few and leave them on top of the medication trolley, although this was never left unsupervised. The home has a very clear system for recording all medication coming into the home, knowing exactly how much of any persons medication they have at one time. Records are maintained when anyones medication is changed, recording why is has been changed and who authorised the change. The home has a small fridge to store any medication which needs to be stored at a specific temperature. The temperature was recorded on a daily basis. All care staff in the home have been trained to be involved with the medication. One member of staff Care Homes for Older People Page 13 of 27 Evidence: reported the training was good and only when they felt competent would staff be involved with the administration of medication. From observations on the day it was clear staff had a great respect for residents privacy and dignity. No one entered a persons room without knocking and waiting for them to answer. If no answer came they would try again and then pop their head around the door and ask if they could come in. Details were recorded in care plans how to protect someones privacy whilst giving personal care. All double rooms had screens. Each resident spoke to confirmed staff did respect their privacy. One professional wrote, The residents are treated with the up most respect. A relative wrote, A real interest in my relatives welfare and wellbeing. Care Homes for Older People Page 14 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated as an individual and supported to follow personal interests, and encouraged to keep in touch with family and friends. People have meals they enjoy at a time and place to suit them. Evidence: In the AQAA we were advised Service users are encouraged and assisted to make their own daily choices, such as what time they like to wake in the morning and go to bed in the evening, what they would like to wear, what they would like to eat, whether they wish to socialise in the communal areas or remain in their own rooms, whether or not they wish to participate in the activities. Examples of how choices are supported include, one person now peeling the potatoes every afternoon under the supervision of the cook, in preparation for the following days lunch. One person keeps their own room clean. People spoken to were very clear they had choices through out the day and enjoyed the social activities ofered by the home. We were advised people have the opportunity to exercise choice in relation to leisure and social activities, meals and mealtimes, the routines of daily living, and personal and social relationships. There is an activities notice board in the main lounge for residents to read which updates them on forthcoming activities and events. People Care Homes for Older People Page 15 of 27 Evidence: advised they are able to have visitors at any reasonable time. We were advised links with the local community have been developed and maintained in accordance with peoples preferences. Visitors spoken to on the day reported they could visit at any time and were always made welcome with the offer of a drink. One relative wrote, Understand each person as an individual, good humour and rapport. Another relative wrote, They take a genuine interest in the people and the relatives. People we spoke to were happy with the choices they had in the home. One person reported how they enjoyed going out most days but was aware they had to alert staff before leaving the home. We were advised people have a selection of four different meals at mealtimes consisting of a choice between two hot options, a salad option and a vegetarian option. Diabetics are also catered for separately with sugar free desserts and diabetic jams etc. On the day the menu was displayed and people were aware what they had ordered for their lunch time meal. At lunchtime we had dinner with the residents. Lunchtime was a relaxed and social time. People reported they liked to have a chat over lunch. People stated everyone in the home got on and there was a lot of light banter. The majority of people enjoyed their meals and reported there was always a choice. One person stated the meals were not up to the standard they expected but could not be specific as to why. Fresh fruit was availalbe in large bowls on every dining table for the service users to enjoy at any time of the day. As a result of listening to people at the residents meetings menus have been changed to include a fry up, bacon sandwiches and sardines on toast. Care Homes for Older People Page 16 of 27 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 know how to complain and know their concerns will be looked into. The home safeguards people from abuse and neglect. Evidence: In the AQAA we were advised, We welcome complaints, comments and suggestions about our service and use these to our advantage to learn from and improve the care that we deliver. We have a copy of the homes complaints procedure on display in the main entrance lobby. There are also copies of the complaints procedure in every service user guide in each service users room as well as a copy in both policies and procedures manual, one in the staff area and one in the office. There is also a complaints book out in the main entrance reception for visitors. Copies of the homes complaints procedure were displayed around the home. It was noticed the address of the Commission had not been updated. We were informed this would be changed. Residents spoken to confirmed they would always speak to the manager or a member of staff if they had any concerns. All felt there concern or complaint would be taken seriously and actioned. Visitors spoken to also confirmed if the had any concerns they would speak to the manager or a member of the management team. Staff confirmed the manager always had an open door policy and they knew if they did not want to speak to the manager they could speak to the owner. We were advised the home had received no complaints in the last twelve months. Care Homes for Older People Page 17 of 27 Evidence: In the AQAA we were advised Staff are trained so they have knowledge in the area of complaints and protection. Staff are also given comprehensive training on abuse, aggression and whistle blowing. Records demonstrated staff had received training on the differing types of abuse and adult protection. Care Homes for Older People Page 18 of 27 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 home is clean, well maintained and residents have made the home their own. Evidence: All communal areas, the laundry, kitchen and twelve bedrooms chosen at random were seen during the day. Some residents were spoken to in their own bedroom. All people including residents, visitors and staff commented on how clean the home always is. On the day all areas of the home were clean with no unpleasant odours detected. Staff spoken to were aware of health and safety policies and procedures and were aware these were always followed. Residents had personalised their rooms and brought items of their own furniture in. All spoken to confirmed their bedding was always kept clean and their own clothes were well laundered. The main television lounge is on the ground floor and residents also made use of the conservatory where they were chatting and watching the garden scenery. Bird feeders have been placed around the gardens and residents enjoyed saying which birds they had seen. The home has a separate dining area where tables are set each day. Some residents enjoyed helping with this activity and helping at the end of the meal. The home is continually refurbished. We were advised four bedrooms had been freshly Care Homes for Older People Page 19 of 27 Evidence: painted, with new wall hangings, new curtains and matching bed linen. One bedroom had been fitted with a new carpet. The flooring in one en suite en-suite had been replaced with a new non-slip vinyl floor. Whilst walking around the home it was noted some first floor windows did not have window restictors fitted. We were advised these would be risk assessed immediately. it was also noticed a small amount of hot water pipes were exposed. We were advised again these would be risk assessed and covered or blocked in. The home has two assisted baths and a bath seat has been purchased for one of the bath hoists. All bedrooms have en-suite facilities. Residents spoken to confirmed they enjoyed having a bath and there was a choice with this. One person explained they had a bath daily, whilst another resident stated once a week, which was down to choice. The home has made adoptions to the home to ease access for residents to access the conservatory. Two downstairs toilets have had the doors removed and re-positioned so that they open out wards and away from them, to create easier access and maneuverability when using the toilets. Care Homes for Older People Page 20 of 27 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 have their needs met by well trained staff members who have undertaken a rigorous recruitment process to ensure people are kept safe. Evidence: In the AQAA we were advised Our staff team consists of four senior members of management, fifteen care staff including one care co-ordinator, ten senior carers and four care assistants and four domestic staff including the cook, the housekeeper and two kitchen assistants. On the day it was clear there was adequate staff on duty to meet peoples needs. People spoken to confirmed there was always enough staff on duty in the home to meet their needs. Residents knew staff individually and it was clear staff knew residents as individuals from the banter and conversations with them. This was confirmed by statements in surveys. One health professional wrote, Excellent and attentive staff. A relative wrote, All the staff are very caring and kind. One resident wrote, The care staff night and day are outstanding nothing is too much trouble. Staff spoken to on the day stated if peoples need change more staff are put on the duty rota to ensure everyones needs are met. The manager explained the morning duty rota had just been changed to ensure the choices made by people as to when they want breakfast is supported. Care Homes for Older People Page 21 of 27 Evidence: In the AQAA we were informed, Two members of staff have NVQ (National Vocational Qualification) Level 3 in care. Two of have a NVQ Level 2 in care. One care assistant has a NVQ Level 2 and two other care assistants are currently enrolled on the NVQ 2 in care programme which they hope to achieve by summer next year. Thus approximately 60 of our full time care staff have NVQ 2 or above qualifications. The staffing records of two members of staff were viewed. it was found all the necessary checks, references, application forms, evidence of personal identification had been sought before they started work in the home. Staff spoken to stated they were a very supportive group and staff only left through retirement or ill health. All staff could remember the necessary checks being carried out on them before they started work. Some staff reported they had worked in the home before some checks were necessary but confirmed these checks have been carried out with their present employer. In the AQAA we were informed, Our staff are well trained, above and beyond the minimum requirements. We see training as a vital part of a good staff team, we believe by educating our staff, we empower them with greater knowledge which gives them a better understanding of their job and so allows them to provide higher quality care to the service users. Staff spoken to on the day felt they received good quality training at regular intervals. All felt they received the training they needed to enable them to carry out their roles efficiently. A programme of monthly training was displayed outside the office and we were advised all staff would be expected to complete this training. Training is provided by the management team who have completed train the trainer courses and kept these annually refreshed and outside trainers where necessary. Training certificates were kept on individual files and we were advised the home keeps a training matrix demonstrating when training has taken place and when it is due. On one persons file it was noted the training certificates in three areas were dated 2008. We were advised the person would have completed the training in these areas in 2009 but the certificates and training matrix could not be found on the day. Care Homes for Older People Page 22 of 27 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 have confidence in the care home because it is well managed. The environment is safe for people and appropriate health and safety practices are carried out ensuring safety for people. Evidence: The manager of the home has an NVQ Level 4 in care and management, and an assessors award and is part of a management team that run the home. Feedback from residents, relatives, professionals and staff were full of praise for the management. All stated the manager and the management team have an open door policy and could be contacted at any time. One relative wrote, Management and all staff are kind and attentive. In the AQAA we were advised The ethos of care in this home is based on ensuring excellent quality of life outcomes for service users and support for their families. As a management team, we are committed to a high standard of care and we place valuing people as our main priority. This shows through out the policies and practices within Care Homes for Older People Page 23 of 27 Evidence: our home. It was clear the home is run in the best interests of the people who live there. The home has a friendly open atmosphere. All surveys received from residents, professionals and relatives praised the home and the management of the home. Relatives confirmed they were always kept in touch with developments regarding their relative and the home. We were advised the home has regular staff and service user meetings which are minuted. It was noted during the day changes had been made in the home as a result of suggestions from residents including menu choices and the time people got up in the morning. It was noted surveys asking for views on the home had not been sent out form sometime. The manager informed us this was an oversight and would be attending to this in the very near future. We were advised the home does not become involved with any of the finances of the residents. Records seen demonstrated formal supervision had not taken place 6 times in the last twelve months. The manager reported more on-going informal supervision takes place but a timetable has been put in place to start regular formal supervision. Staff spoken to confirmed they received regular support and knew the management team were always available. The AQAA advised us the home has clear policies on health and safety. Regular checks are made on the equipment in the home and professionals service these. Staff reported they all have the equipment and training they need and there is always a supply of appropriate gloves and aprons. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Care Homes for Older People Page 26 of 27 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). 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!