Care Home: Wordsley Hall

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What the care home does well Each person has a full assessment before being admitted to ensure that the assistance and care they need can be meet by the staff and the environment. This means that everyone admitted can be cared for. A person told us ` I choose to come here , it`s great` and they look after me well` Each person has risk assessments that tell the staff if there is a risk, actions are then taken to reduced these. This means that each person`s safety is considered. Staff are aware of the need to allow each person a choice and to ensure that their rights are met. Staff have received training in recognising abuse and what to do in the event of an abusive incident. This ensures that each person`s safety is protected and risks minimised. There is a choice of meals and these are tasty and nutritious. The Environmental Health awarded the kitchen a 4 Star rating, which means it is safe to store, prepare and serve food, minimising the risks of harm to each person. There are a wide variety of activities and people are assisted to make visits outside the home where possible. People using the service are satisfied with the level of activities and one told us ` there is always something to do, and we have a lot of fun and laughter`. People who use the service and relatives have information on how to complain, information kept by the manager tells us that these are taken seriously and action is taken promptly to ensure that any complaints are dealt with and changes made where needed. The staff are offered a wide variety of training to ensure that they are suitably knowledgeable and skilled to care for the variety of needs of those using the service. Employment practises mean that each person employed is checked to ensure they are suitable to work with vulnerable adults, this minimises the risk of any abuse. The manager is suitably trained and experienced in managing care services, this means that the service runs smoothly and to the best interest of those who live there. The home is well maintained and suitable for people to live in, this means that each person has a suitable private room and there is plenty of communal space to be used for different activities and private meetings. What has improved since the last inspection? The management have addressed all the requirements made at the last inspection. The way that plans of care are written has improved and each person or their relatives are asked to sign them to indicate that they agree with the care.The management of medication has improved and all staff who administer and manage the medicines are trained and competent to do so, this ensures that each person receives their medication as prescribed by the doctor. What the care home could do better: The staff should ensure that care plans for medical needs are completed quickly so that information is always available to everyone who is involved in giving care, this ensures that it is consistent and care is not missed. Key inspection report Care homes for older people Name: Address: Wordsley Hall Mill Street Wordsley Stourbridge West Midlands DY8 5SX     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: Suzette Farrelly     Date: 0 7 0 8 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: Wordsley Hall Mill Street Wordsley Stourbridge West Midlands DY8 5SX 01384571606 01384572226 wordsleyhallcare@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Minster Care Management Limited care home 41 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 who can be accommodated is: 41 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) 41 Dementia - over 65 years of age (DE(E)) 41 Date of last inspection Brief description of the care home Wordsley Hall is a large extended property of Georgian origins, which is located near to Wordsley village where there are a range of local amenities examples being; shops, pubs and churches. The public transport system provides easy access to the nearby towns of Stourbridge and Kingswinford. There is ample car parking at the front of the property with level access to the front and rear of the building. There is a garden and patio area to the rear of the home. Care Homes for Older People Page 4 of 29 Over 65 41 41 0 0 Brief description of the care home The home is currently registered to care for 41 people and has 41 single bedrooms. There are two floors which can be accessed by the stairs or a passenger lift. The home offers five lounges on the ground floor. It provides a number of assisted and nonassisted bathrooms and toilets in various locations throughout. The first floor has been designated to care for older people who have dementia. The weekly cost should be confirmed with the service if you are considering admission. 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: 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: We carried out an Unannounced Inspection on this service, this means that they did not know we were coming. Before the visit we asked the manager to complete and return the yearly Annual Quality Assurance Assessment form, this informs us where the manager thinks the service is doing well, where they have improved and further improvements they want to make. This was returned when we asked for it and was completed to a suitable standard. This tells us that the manager and the organisation are aware of their service and the provision of care given. We also looked at other information we had received over the past twelve months such as notifications of death, illness and accidents. This tell us what is happening in the home and if we should be concerned. The level of incidents, accidents and deaths did not cause any concern. Care Homes for Older People Page 6 of 29 During the visit we spoke to staff who work at the home to establish how they understand their role and what they think of the service, this told us that they were supported, suitably trained and enjoyed working at the home. We spoke to people using the service and two relatives, this told us that they are satisfied with the provision of care and the facilities that are provided and feel safe and secure. We also spent time in the communal areas with the people at the home and observed staff interactions which were at all times professional, courteous and appropriate. We looked a variety of records such as staff records, policies and procedures, maintenance records and information about the home. This told us that records are kept to a good standard and are organised so that the management and staff can find information easily when needed. We case tracked three people, this involves reading their information and care plans, discussing their care with staff and the manager and talking to each person. This told us that each person receives care that meets their needs and that staff are suitably trained and competent. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? The management have addressed all the requirements made at the last inspection. The way that plans of care are written has improved and each person or their relatives are asked to sign them to indicate that they agree with the care. Care Homes for Older People Page 8 of 29 The management of medication has improved and all staff who administer and manage the medicines are trained and competent to do so, this ensures that each person receives their medication as prescribed by the doctor. 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 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. Each person can be confident that a full assessment will be carried out to ensure the staff and service can meet their needs, they will also have sufficient information to be able to decide if they want to move in. Evidence: The home has a Service User Guide that is in pictorial format that assists all people considering using the service. This guide is also available in the reception area. The manager told us that this could be translated into other languages if needed. The results of the yearly surveys are on the Community Notice Board in the reception area, this gives others information about how the provision of care is viewed by the people using the service, their relatives and professionals. There is a copy of the last regulation report, and a Monthly Newsletter that informs everyone of birthdays, activities, events and other interesting information. Care Homes for Older People Page 11 of 29 Evidence: Each person prior to admission has a full assessment to determine what assistance and care they need and to ensure that the staff and the service can meet these. A letter is sent to the person or their relative to state if the needs can be met, the date of admission and the room to be occupied. Each person admitted has a month to decide if they wish to stay, after a review each person is issued with a contract stating their rights and the rights of the service. An assessment and care plan is developed and sent to the service for those people who are funded by social services. The manager, the deputy or a senior member of staff then carry out a further assessment before admission. Some people are admitted in an emergency, in these cases the manager obtains information from the social worker and a full assessment is carried out within 5 days of admission. Four peoples records looked at told us that the above happens and they were informed of the outcome of their assessment. One person living at the home told us I choose to come here, it is a good place Two relatives told us: The social worker suggested this home as there was a bed, we visited and were happy with the home and decided that admission would be fine I was advised that this was a good home, I visited and felt happy from the beginning, after I visited the manager came to visit us and do an assessment 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person can be confident that their needs will be met and that they will be consulted. Also that the administration and management of medication is good, which protects them from mistakes. Evidence: The manager told us that they have implemented a new system for recording the care and assistance needed by each person. The folders of four individuals were looked at, these told us that there are plans of care for each person telling the staff what assistance or care is needed and how this should be done. There are risk assessments for areas that can impact on a persons health, such as nutrition, mobility and damage to skin from pressure. It was seen that where there is a risk, a plan of care is developed to ensure that this is minimised. Each person has an assessment to ensure that their personal rights are not infringed [known as Deprivation of Liberty Safeguards]. A re-assessment if carried out if the condition of the person changes. Care Homes for Older People Page 13 of 29 Evidence: All plans of care are signed by the person or their representative, this shows that they are involved and agree to the care given. One person told us The staff tell me what they are going to do and ask if this is what I want, thats good. Each person is weighed monthly and an audit is completed each month, where someone has lost 2 or more kilogrammes, action is taken, by informing the doctor and the dietician. This ensures that any weight loss is recognised early and action is taken. The files also had short-term plans of care, for anyone with an infection or wound or other short term issue. These ensure that staff have a written reference to refer to before giving care. In one file the care plan for a person with diabetes was not complete, staff told us what was required for this person, however it is important that all care plans are current and up to date, to ensure consistency in care and useful evaluation. All plans of care are assessed each month to ensure that the assistance and care given continues to meet the individuals needs. Five staff discussed their role and told us that they were familiar with the need of each person and referred to the care plans if they needed to. They also told us that they receive training in many areas to enable them to give the best care they can. There is a handover period where the staff leaving tell the staff coming on duty what has happened, and what needs to be done. This ensure a smooth running home where peoples needs are consistently met. Two relatives told us: We are happy with the care and feel confident that it is safe here My [x] is very well cared for and has settled into the life of the home, the care is good and staff share information with me. Its like a home, your made welcome, like an extended family The manager and staff are very approachable The medication system was looked at and two peoples medicines were examined. This told us that the systems in place are robust and ensure that each person receives Care Homes for Older People Page 14 of 29 Evidence: their medication as prescribed by the doctor. All staff who give out medicines are trained and competent to do so. 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. Each person can be confident that their social, religious and interest needs will be met and that they will be supported to maintain friendships and relationships. Each person can be confident that they will receive a nutritious diet and that their health is monitored. Evidence: The home employs a full time activity organiser. She has worked at this home for four years, she is very active in organising a variety of different activities to suit the people using the service. Snooker and bingo took place on the day of visit, some people sat and listened to music they like, and it was noted that all the staff spent time with individual people chatting with them. In one lounge there were materials for writing and drawing and two people were seen doing this. Three people told us that there were different things to do if you wanted to. Short walks to the local canal also take place, and there are outings out, including visiting the local coffee shop. The management are trying to secure transport at a reasonable price to be able to go further afield more often. Care Homes for Older People Page 16 of 29 Evidence: There is various other activities that take place about twice a month such as jewellery and clothes parties, and fish & chip suppers. The local police organise a pampering day, the last of these was at Christmas. Religious needs are met by visits from the local religious communities. The records of each person contain a life history, and also information about their interests, this helps the activity organiser to arrange specific activities for each individual, either in groups or alone. There are records kept of activities, and the activity organiser reports any changes in behaviour or ability to the senior carer on duty. One person told us that there are always things to do and that they are supported to maintain friendships and join in activities, also there is a lot of laughter and fun. There is open visiting, and two relatives spoken with told us that they are always made welcome, and that the staff are friendly and caring. Tea and coffee is served and relatives can stay for a meal if they wish. One relative told us that he eats a meal at the home sometimes, and that the food is nice. There is a two course meal at lunch-time and a choice of main meals, the cook told us that if the person does not like what is on offer they can have anything they wish. She also told us that if someone is out over lunch-time, a meal can be saved, but if they are away for any length of time, a packed lunch is made for them. The kitchen is staffed from 07:00 to 18:00, which means that the carer staff do not have to assist in the kitchen, and can spend their time ensuring that each persons needs are met. The Environmental Health visited on 23rd February 2009 and awarded a 4 Star rating, which means that the systems in place to ensure that the kitchen is clean and well managed are very good. The cook told us that she visits each person regularly to ask what food they like and also to ensure that they are continuing to enjoy the food served. The survey carried out by the service showed that the majority of people at the home were satisfied with the food. Staff were seen during lunch time, to assist individuals when this was needed in a Care Homes for Older People Page 17 of 29 Evidence: professional way. Everyone is weighed monthly and an audit is carried out to ensure that any weight loss is recognised and actioned. 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. Each person can be confident that any concerns or complaints will be taken seriously and acted upon. They can also be confident that they are protected from harm as systems in place and training ensure that their rights are met. Evidence: There is a complaints process available in the Service User Guide and on the Communal Notice Board. This clearly states whom to complain to, the time it will take to respond and who else a complaint can be made to. Two relatives told us that they know how to make a complaint, but have never needed too. They told us that minor concerns are dealt with immediately by the staff. One person living at the home told us who they would make a complaint to, but said they had nothing to complain about as it was such a lovely home. Staff told us how they deal with concerns and that they always take any concerns seriously and act promptly to solve the issue. The manager keeps a clear log of all complaints received, also information about the complaint and the outcomes with actions to be taken. There are robust policies and procedures in relation to ensuring that abuse is recognised and acted upon. There is a leaflet in the reception area that discusses Care Homes for Older People Page 19 of 29 Evidence: abuse and has information who to report this too. This is produced by the local council. All staff have received safeguarding training, This is carried out by an independent trainer and also in-house training to ensure that all staff fully understand the process for recognising and reporting abuse. The deputy manager has received training in Deprevation of Liberty Safeguards, this ensures that people living in care homes do not have their liberties, such as movement, rights to visitors and making choices removed. Each person has an assessment in relation to this in their file, and where a liberity needed to be restricted, action would be taken. All care staff receive the Department of Health Guidance on the Mental Capacity Act and Deprivation of Liberty Safeguards and have been asked to read these. The manager told us that she would check that this had been done in supervision. Small amounts of personal money is managed by the home on behalf of the people living there. Records were checked and these were clear and concise and stated what money was available for each person, what had been spent and any money coming in. Receipts were also available. This system is robust and protects each person from financial abuse. 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. Each person can be confident they live in a well maintained, comfortable home that is clean. They can also be confident that procedures ensure that cross infection is minimised. Evidence: The home smells fresh and the areas seen were clean, tidy and homely, there is plenty of space with five lounges, although the three downstairs rooms are generally used. There are a sufficient number of assisted washing facilities and toilets and two beds rooms are en-suite. The bedrooms seen were suitably decorated and each person had personalised the room with their own possessions. There is a secure garden which can be accessed from the lounge areas. The garden has pathed and grasses areas with a variety of seating. There are locked gates at the side of the building into the garden. At the front of the building is an area for parking and a small grassed area with mature trees and benches. The lounges are all organised differently and people were seen using the three lounges Care Homes for Older People Page 21 of 29 Evidence: downstairs. During the day some of the men used a lounge up-stairs to play snooker. The laundry contains two washing machines, with a sluice facility, and two driers. These are sufficient to ensure that the washing is done promptly. The laundry was organised, clean and tidy and had suitable hand washing facilities. The laundry person explained how they ensure that each person receives their own clothes back from the laundry. The home use special laundry bags for soiled or infected washing, this reduces the risk of cross infection. Infection control training has taken place and all staff were seen wearing the correct aprons and gloves, depending on the task, and washing their hands. This means that cross infection is minimised. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person can be confident that they are cared for by sufficient numbers of trained, confident staff that will meet all their physical, social and mental needs. Evidence: There are sufficient numbers of staff on duty each day to meet the needs of the people living at the home, the care staff are supported by kitchen staff, housekeepers and maintenance people to ensure smooth running of the home. All care staff are supported to undertake a variety of training to ensure that they are suitably trained and have the skills to meet the varied needs of those using the service. 79 of care staff have completed the National Vocational Qualification to a minimum of level 2, and there is one member of staff with a NVQ level 4 in care and a further member of staff who has completed their Registered Managers Award. Also one housekeeper has started their NVQ in Domestic and Housekeeping. There is a training matrix that shows all staff and the training they have done, this tells us that staff have completed statutory training such as moving and handling, infection control and food hygiene. It also shows that staff have attended training in the management of infections such as MRSA and conditions such as diabetes and dementia. Care Homes for Older People Page 23 of 29 Evidence: Three records of staff employed in the last 12 months were looked at; these confirmed that the management ensure that all checks are made to establish that the person is suitable to be employed to care for vulnerable adults. Five staff were spoken with and told us We have the opportunity to do a lot of training, there is always something available We support each other and cover shifts for sickness and holidays We are supported by the manager, its a good place to work Two relatives told us that the staff are professional, kind and caring and that they felt safe leaving their loved ones to be cared for at this home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person can be assured that the home is run in their interest by a qualified and professional manager. Evidence: The manager has been managing this home for the past 4 years, but has 12 years experience of running care homes. She is a qualified nurse and continues to up date her knowledge through attending course, using the internet, reading articles and information from the organisations head office. She has successfully completed her Registered Managers Award. From this visit and the information given in the Annual Quality Assurance Assessment we can concluded that the home is run efficiently and with the interest of those living there. Both people using the service, relative and staff spoke highly of the manager and stated that she is approachable, professional and effective in maintaining the standards of this service. Care Homes for Older People Page 25 of 29 Evidence: There is an open-door policy and anyone can request to see the manager. There are regular 4-6 weekly meetings with the people of the home and their relatives, and a monthly new letter which informs everyone of events happening with each person and staff, activity events, quizzes and other interesting facts. Minutes of the meetings are available on the reception area. There are staff meeting every 4-6 weeks, and these are minuted, staff also confirmed this and told us they were useful to share information. Staff are also encouraged to share new ways of working and to be innovative. All staff have supervision six times a year. Staff told us that they find this useful to discuss working practises and to get feedback on how they are doing. There is also a monthly meeting with the area manager, when the unannounced visit to the service in undertaken. The area manager writes a report and this is discussed with the manager and any changes required are actioned. Varies audits are carried out, some monthly and other 6 monthly and yearly. These ensure that the home continues to run well and meets the needs of all those using it. Each person, their relatives and professionals are asked to complete a yearly survey to establish the quality of the service, these are analysed and the results are made public. Actions are taken where improvement is needed. The manager ensures that any personal monies kept for those using the service are managed well to reduce the risk of financial abuse. There is a maintenance person who ensures that basic repairs are carried out promptly and that the environment is safe and fit to live in. The home has a daily maintenance book where staff write small repairs and replacements, these are dealt with on a daily bases, there is also a list of actions that are compiled by the manager and a yearly program to ensure that the home is maintained. Certificates for the maintenance of equipment such as lifting equipment and gas are up to date. This ensure that they are safe and suitable for use. 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 7 Ensure that each person hs up to date and current care plans for both their daily living and medical needs. 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. 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