Care Home: Willow Grange

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well People`s needs are assessed before moving in to the home so that they can be confident their needs will be met. People`s have information about the home and opportunities to visit, before they move in so that they can make an informed choice about whether to live there. The records that explain how people like and need to be cared for are well written and staff understand people`s needs. People are supported to make choices and decisions so that they experience a meaningful lifestyle. Medicines are being well managed so that people receive their medication safely and as prescribed. People are offered an excellent range of activities both in the home and as part of their local community. People are offered a range of food which meets their specific needs. People enjoy their meals and mealtimes. There are procedures in place to make sure that complaints are listened to and acted upon and to protect the well being and safety of people who live in the home. The home is being well managed so that people`s health and safety is protected. What has improved since the last inspection? There has been considerable work done to improve the facilities available in the home. This work is ongoing. Benefits to people include adapted bathing equipment for people with mobility difficulties, new laminate floor coverings, new stair carpet, better facilities for cleaning and a new toilet with access for disabled people. People told us they were very pleased with the work that had taken place so far. What the care home could do better: Sometimes the dining room is noisy, which may make it difficult for people to enjoy their mealtimes and socialise with others. Parts of the kitchen are not clean, which may affect safe food storage and preparation. The risk assessments in place for assisting people to leave the building safely in the event of an emergency could place people at unreasonable risk of harm. Key inspection report Care homes for older people Name: Address: Willow Grange 119 St Bernard`s Road Olton Solihull West Midlands B92 7DH     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: Julie Preston     Date: 2 1 0 5 2 0 0 9 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 29 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 29 Information about the care home Name of care home: Address: Willow Grange 119 St Bernard`s Road Olton Solihull West Midlands B92 7DH 01217080804 01217080804 willowmanager@alphacarehomes.com www.alphacarehomes.com Alpha Care Homes care home 46 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: 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: 46 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 categories: Old age, not falling within any other category (OP) 46 Date of last inspection Brief description of the care home Willow Grange is a residential care home registered for forty-six older people, located in the Olton area of Solihull. Following assessment, the home is able to accommodate older people for both long stay and respite care. The home is located near to a bus route and places of worship. Willow Grange is a large Edwardian house that has a purpose-built single storey extension to the rear of the property. An adjoining coach house is also incorporated in to the property. The home is undergoing refurbishment to improve facilities for people who have mobility difficulties. All bedrooms, with the exception of four of the single rooms, have en suite facilities (shower, wash hand basin Care Homes for Older People Page 4 of 29 Over 65 46 0 Brief description of the care home and toilet). The home has five double bedrooms, thirty-six single bedrooms, kitchen, dining and seating areas, and laundry and hairdressing salon. The home has a passenger lift. There are car-parking facilities to the front of Willow Grange. Wheelchair users can access the gardens to the side and rear of the property and an inner courtyard. The home has a varied activities programme on offer. The scale of charges varies according to individuals needs. Further details can be obtained from the home. Items not included in the charges include hairdressing, chiropody, newspapers and private telephone. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: We spent one day at the home. The people who live there and the staff did not know that we were coming. Before our visit took place we looked at information from the homes Annual Quality Assurance Assessment (AQAA) and any notifications they had sent to us about events that affect the well being of the people who live there. The AQAA gives us important information about the way the home is meeting National Minimum Standards in care and the improvements planned to create better outcomes for the people who live there. We case tracked two people who live in the home. Case tracking includes meeting people and talking about the care they receive or watching staff supporting them, looking at their care records and medicines and the way that they are helped to make choices and decisions. This assists us to understand the experiences of people who live Care Homes for Older People Page 6 of 29 in the home. We looked at records of staff training and recruitment, health and safety records and the food people are offered. Time was spent talking to the staff team on duty during our visit and observing the way they interact with the people they care for. We spoke to six people who live in the home and three visitors to gather information about their experiences of living in and visiting the home. We looked around the building to make sure that it was clean, warm and comfortable. There were no immediate requirements made after our visit. This means that there was nothing urgent that needed to be done to protect people who live in the home. Care Homes for Older People Page 7 of 29 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 Care Homes for Older People Page 8 of 29 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 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples have information about the home and opportunities to visit, before they move in so that they can make an informed choice about whether to live there. Peoples needs are assessed before moving in to the home so that they can be confident their needs will be met there. Evidence: The home has a statement of purpose and service user guide which are made available to people who live at Willow Grange (and to their relatives) before they move in. These documents provide information about the services and facilities within the home to help people in the process of considering whether the home will be suitable for them. The service user guide is produced in large print to make it more accessible for people who may have impaired vision. Care Homes for Older People Page 11 of 29 Evidence: Two visitors and three people who live in the home told us that they had received information about Willow Granges services and facilities before making the decision to move in. We were told that this was helpful as although people had visited the home prior to admission it was difficult to remember all of the information they were given at that time. The home has a written procedure for assessing the needs of people before they take up residence so it can be established that their individual needs will be met there. We looked in detail at the assessment for one person who had moved in six weeks before our visit and sampled another two in less detail. Each persons file contained a copy of the assessment made by social workers from Solihull Care Trust as well as a copy of the homes assessment. The documents contained clear and comprehensive information about the care and support individuals need within their day to day lives. Two senior members of staff talked through the process and confirmed that people are offered opportunities to visit and to bring some of their own belongings with them where this is practical. The staff members commented that having familiar items in bedrooms helped people feel more comfortable when first moving in to the home. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems of care planning and risk assessment which should contribute to peoples individual needs being understood and met. Medicines are being well managed so that people receive their medication safely and as prescribed. Evidence: We looked at care plans and risk assessments for three people who live at the home. These records describe the support that people need in their day to day lives and the safeguards in place to protect them from possible harm. Each person had a care plan. Those that we looked at had been reviewed on a regular basis to make sure they reflected accurately the care and support that people need. Care plans contained information about the input of professionals to ensure that peoples health care needs are met. For example, staff had made a prompt referral where it was observed that a person was losing weight. As a result food and weight Care Homes for Older People Page 13 of 29 Evidence: charts were were being completed to monitor the persons health. The staff that we spoke to were able to describe and show us how they supported people to maintain good health and respond to any concerns that may arise. Nutritional care plans, continence assessments, food and fluid monitoring charts and skin care plans were in place for the people we case tracked, in accordance with their assessed needs. Moving and handling assessments had been completed. There was clear information to describe how to support the movement of people with mobility difficulties to reduce risks to their health and well being. From looking at records and talking to staff it was evident that people have regular appointments with health care professionals. The outcome of each contact had been recorded so that staff had accurate and up to date information about individuals health. Personal care plans were detailed, containing information about peoples preferences such as whether they liked a bath or shower, individual morning and night time routines and the support needed to choose clothing and hairstyles. Staff offered discreet support to people needing assistance with personal care. We were told by six people that the staff team were very good, friendly, dedicated and caring. A visitor commented that staff were always professional and competent. From observing staff and people during the course of our visit it was evident that friendly and respectful relationships had been formed. New bathrooms and toilets have been installed on the ground floor (close to the lounge)with facilities for people who have mobility difficulties. This means that peoples privacy is no longer compromised by lack of space as was the case at our last visit. We looked at the way medicines are managed to check that people were receiving their medicines safely and as prescribed. The home has secure storage for medicines and we were advised that only trained, senior staff handle medication. The homes rota showed that senior staff are on duty at each shift, including night shifts so that there would always be a trained member of staff available to give out medication. Care Homes for Older People Page 14 of 29 Evidence: The medication records we looked at showed that people had been given their medicines as prescribed. There were written protocols for giving out tablets that people may need from time to time, such as aspirin and paracetamol. Medicines are audited on a weekly basis and spot checks also take place each week. This should reduce the risk of errors and allow prompt investigation should there be any. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered an excellent range of activities both in the home and as part of their local community. People are offered a range of food which meets their specific needs. People enjoy their meals and mealtimes. Evidence: We spent time talking to the activities co ordinator who works during weekdays at the home. This person showed us the records kept which influenced how activities were planned for and reviewed. We looked at some of these. Each person had a list of their social and leisure preferences, which included things they had enjoyed doing before moving into the home. Residents meetings had taken place on a regular basis, records of which described activities that had been suggested and subsequently taken place. Review records showed that the activities co ordinator had evaluated the success of each activity so that she could determine whether or not people had enjoyed it. There are notice boards around the home advertising future events. People told us, Care Homes for Older People Page 16 of 29 Evidence: they had been out or were due to go to a local community centre for lunch, to garden centres and the Botanical Gardens. Several people were looking forward to a trip to Blackpool on a hired coach in September. One person told us she felt it was really important to get out and about and went on to say that many trips took place near to the area she grew up in, which bought back happy memories. The home uses the Ring and Ride service so that small groups have the opportunity to use public transport. The home has made good links with local entertainers, who visit on a regular basis. People told us they enjoyed these events particularly pet therapy (visiting dogs) and the Environmental Centre, who bring in animals such as chickens, hamsters and rabbits for people to talk about and pet. There is a large flat screen television in one part of the lounge and a range of large print books which people have free access to. Newspapers and magazines are available in the lounge and entrance hall. During our visit people joined in an old time music hall sing a long, had their nails varnished and were planning a bingo session. We were shown around the garden and saw that people had planted vegetables for harvesting later in the year. We spoke to five people who made positive comments about the activities on offer. One person said that she was busy from dawn until dusk. Peoples spiritual needs continue to be respected, with opportunities to either visit their place of worship or receive services in the home. Cultural events, such as St Georges, St Patricks and Shrove Tuesday had been celebrated. Many people received visitors throughout the day. We were told by three people visiting that they were always made to feel welcome and that the staff team were friendly and courteous. We had lunch with people during our visit. Dining tables were set with tablecloths, napkins and flowers; people told us this happened every day. The days menu was written on a board in the dining room and people told us that they had chosen from the two options available. A photo menu is also available for people who may have difficulty reading. Some people decided they didnt like the meal offered and were promptly offered an alternative. We spent time talking to the homes cook who showed us the weeks menus. Fresh Care Homes for Older People Page 17 of 29 Evidence: produce is used to prepare meals and specific dietary needs are catered for. This should ensure that people receive a well balanced and nutritious diet. The dining room has space to seat 28 people in comfort. We noted that many people chose to eat in their bedrooms or easy chairs in the lounge therefore the dining room did not feel crowded. The atmosphere, however was very noisy due to background noise from the kitchen. This made it difficult for some people to engage in conversation. Meal times had been planned to ensure that food is offered on a regular basis. Breakfast is available from 6.45am until 9am, with tea and biscuits at 10.30am. Lunch commences from 12.30pm followed by the evening meal at 4.30pm. Tea and cakes are offered at 6pm with supper later in the evening. People told us that they were well fed and enjoyed the home cooked meals. One person told us that nothing is too much trouble for the kitchen staff. Another said that she enjoyed a glass of wine with her lunch on occasions. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place to make sure that complaints are listened to and acted upon and to protect the well being and safety of people who live in the home. Evidence: The home has a complaints procedure, which is made available to people and their relatives when they move in. We spoke to five people and two visitors who confirmed that they would raise concerns and complaints with the manager or other staff should they need to. The complaints log showed that two complaints had been received since our last visit twelve months ago and that they had been resolved. The records we saw showed that investigations are initiated promptly upon the receipt of complaints and that complainants were satisfied with the action taken to address their concerns. There have been no safeguarding alerts raised on behalf of the people who live at Willow Grange since our last visit in May 2008. The home has policies and procedures in place that instruct staff of the action that must be taken should abuse be alleged or suspected. From looking at staff files and speaking to three members of staff it was evident that they had received training in safeguarding vulnerable people. Staff told us that safeguarding is covered during their induction to work within the home and were able to describe their role in reporting alleged or suspected abuse. Care Homes for Older People Page 19 of 29 Evidence: Five people who live in the home commented that they always feel safe and well looked after. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Planned refurbishment has created a pleasant and homely environment for people, with facilities that promote their Independence and meet their individual needs. Evidence: Willow Grange is an extended Edwardian house located in the Olton area of Solihull, close to public transport routes and places of worship. There are off road parking spaces for several cars at the front of the home and private gardens at the back. The home is undergoing major refurbishment. We saw in residents meeting minutes that people are very pleased with the progress so far. There is a sign in the entrance lobby of the building to advise visitors that refurbishment remains ongoing. Improvements have been made to bathroom facilities so that people have access to adapted equipment which is suitable for those with mobility difficulties. There is a new hydro bath, a wet room with shower chair and separate toilet which has good access for people who use a wheelchair. Four people told us that they really enjoyed the option of having a bath. The dining room has been fitted with laminate floor covering, making the area easier to clean and more accessible to people who use mobility aids. New stair carpet had been laid to replace old and worn carpets, making staircases look more pleasant and Care Homes for Older People Page 21 of 29 Evidence: reducing the risk of trips and falls. A sluice room has been installed which assists in the management of good hygiene practice. There are plans to extend part of the home to incorporate a new laundry area as the current space is small and cramped. We were told that plans have been submitted and a decision expected in the near future. There are two linked lounges on the ground floor which lead into the dining room. The lounges had been redecorated and looked homely and pleasant. A new ramp had been fitted from the french doors into the garden, to enable people using mobility aids access to the garden and courtyard. The majority of areas within the home were clean. There were no unpleasant odours that may indicate poor cleansing routines. The cook told us that the kitchen had been recently deep cleansed by an external company, however some kitchen units and window frames were dirty and stained, which is not hygienic and could present a food storage hazard. We were invited to look at some bedrooms, all of which clearly reflected peoples personal tastes. The majority of bedrooms have en suite facilities; there are five bedrooms which do not. Two people commented that they really appreciated being able to bring some of their own belongings to the home to furnish their bedrooms. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a well trained, competent team of staff who understand their needs and are friendly and respectful. The homes recruitment procedures are robust for the ongoing protection of the people who live there. Evidence: We looked at the homes rota, staff training and recruitment records to make sure that sufficient numbers of competent staff were on duty throughout the day and night. The rota showed that senior staff are on duty at each shift so that care staff have access to their advice and guidance should they need it. We spoke to care and senior staff, all of whom were knowledgeable about their roles within the home and demonstrated commitment to caring for people and improving their quality of life. The people we spoke to and their visitors commented that they had no worries about the number of staff on duty each day and that staff were always available when they needed them. From observing staff offering care and support to people it was evident that friendly and respectful relationships had been made. Staff offered people discreet assistance at mealtimes and with personal care and responded promptly to the nurse call bell when it sounded. Care Homes for Older People Page 23 of 29 Evidence: We received many positive comments about the qualities of the staff team and have listed some of them as follows. The staff are wonderful. I have never met a nicer group of ladies. Very good staff. Friendly and welcoming. The staff are very caring. The AQAA which was sent to us before we visited the home confirmed that well over half of the staff team have achieved a National Vocational Qualification in care. From looking at the staff training matrix and individual staff records it was evident that a range of training is provided to assist the team to meet the needs of the people who live at Willow Grange. We looked at the recruitment records for two new members of staff, which showed that a range of checks had been made to ensure that people had been protected from the risk of having unsuitable staff working with them. These included receiving written references, Criminal Records Bureau checks and a completed application form. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed; peoples views are listened to and respected. Their health and safety is promoted and protected. Evidence: The home has a registered manager who has completed training that is appropriate to her role. There is a full time deputy manager in post who assists with the day to day running of the home. Both managers were present at our visit and were able to answer our questions with confidence, demonstrating effective knowledge of their roles and a commitment to continuing to improve outcomes for people who live at Willow Grange. We received positive feedback from residents, staff and visitors about the homes management. There are systems in place to review the quality of care and service provided at the home. A representative of the registered provider visits on a regular basis and writes a report based on their findings with suggestions for improvement. This should assist the staff team to provide better outcomes for the people who live there. Residents Care Homes for Older People Page 25 of 29 Evidence: meetings are held so that people have input into the day to day running of the home. We looked at records of these meetings which showed that people had made decisions about menus, activities, day trips and the refurbishment programme. People told us that they felt their opinions were valued and that staff always listened to them. We were told that people need support to manage their money. We looked at the records of the two people that we case tracked and found that the amount of cash held on their behalf matched the records of their income and expenditure. Monthly and three monthly audits take place which are conducted by the administrator of the home and by Head Office which should reduce the risk of errors going unnoticed. We looked at a range of records to make sure that the health and safety of people living in the home was being promoted and protected. Fire safety and electrical equipment had been tested and serviced on a regular basis to ensure that it was safe us use and in good working order. There were no obvious health and safety hazards within the home during our visit. Staff training records showed that health and safety, first aid, fire safety and food hygiene training had been completed for the ongoing protection of people who live at Willow Grange. We saw that fire risk assessments had been completed to make sure that people were able to evacuate the home in the event of an emergency. Some assessments directed staff to carry people using a blanket. This places the person being carried and the member of staff at risk of harm. We discussed this with the manager who assured us that all risk assessments would be reviewed. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 15 Consideration should be given to closing the kitchen door at mealtimes so that noise levels are reduced and people enjoy a comfortable and sociable dining experience. The kitchen should be deep cleaned so that the environment is hygienic and does not compromise good food storage and preparation practice. Individual fire risk assessments should be reviewed so that staff have clear instruction about how to move people safely in the event of emergency evacuation. 2 26 3 38 Care Homes for Older People Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!