Inspection on 16/12/09 for 103 Glebe Road

This is the latest available inspection report for this service, carried out on 16th December 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

103 Glebe Road 21/03/07

103 Glebe Road 16/12/05

103 Glebe Road 05/07/05

103 Glebe Road 08/02/05

103 Glebe Road 29/09/04

103 Glebe Road 11/12/03

Similar services:

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Extracts from inspection reports are licensed from CQC, this page was updated on 15/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: 103 Glebe Road 103 Glebe Road Minchinhampton Stroud Gloucestershire GL6 9JY     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: Pauline Lintern     Date: 1 6 1 2 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 Adults (18-65 years) Page 2 of 31 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: 103 Glebe Road 103 Glebe Road Minchinhampton Stroud Gloucestershire GL6 9JY 01453835023 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: jeff@ggh.org.uk Gloucestershire Group Homes care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 2 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home 103 Glebe Road is a semi detached house on an estate near Minchinhampton and offers a specialised individual service for people with Asperger?s Syndrome, a form of Autism. Service users have transport that is provided by the home enabling them to access facilities in several other local towns and enjoy regular trips out with staff. The home is staffed 24 hours a day by carers and Manager who have experience in dealing with service users with Aspergers Syndrome. The home has three bedrooms; two are occupied by service users, the other is used as an as an office and sleeping in room for staff. Bedroom accommodation is on the first floor and both service users have access to a bathroom with shower and a separate toilet adjacent to the bathroom on this level. On the ground floor there is a suitably equipped kitchen. Leading from the Care Homes for Adults (18-65 years) Page 4 of 31 2 5 0 3 2 0 0 9 2 Over 65 0 Brief description of the care home kitchen is the dining room, with a comfortably furnished lounge leading from the hallway. Care Homes for Adults (18-65 years) Page 5 of 31 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This service was last inspected on 25th March 2009. The inspection took place on 16/12/2009. We were greeted at the front door by one of the people who live at the home. The other person receiving a service was in the process of getting up after enjoying a lie in. We met one person in private to obtain their views on the service being provided. Both people showed us their bedrooms. The registered manager, Mr Jeff Bird and the senior support worker assisted us throughout the day. We also had the opportunity to meet with the member of staff on duty at the time of our visit. Surveys were sent out to people who use the service or their representatives, health care professionals and staff members to complete if they wished to do so. We received two responses from people receiving a service and one from a member of staff. Their comments are included within this report. We sent Mr Bird an Annual Quality Assurance Assessment (AQAA) to complete. This Care Homes for Adults (18-65 years) Page 6 of 31 was the homes own assessment of how well they are performing and provided us with information about their future plans. We reviewed the information that we had received about the home since the last inspection. We looked around the home and read a number of records, including care plans, risk assessments, health and safety procedures, training and quality assurance. We also looked at the arrangements for managing medication. The judgements contained in this report have been made from all the evidence gathered during the inspection; including the visit to the service and takes into account the views and experiences of people using the service. Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well: What has improved since the last inspection? Since the last inspection all staff members have completed safeguarding vulnerable adults training. A training matrix has now been developed, which enables the registered manager to identify staff members training requirements. Good progress has been made with regard to developing an effective quality assurance system. Care Homes for Adults (18-65 years) Page 8 of 31 Within the AQAA it states other areas where improvement has taken place, such as new care plan system has been developed to allow for a more personalised and concise approach and a capabilities training framework has been established. 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 Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. This judgement has been made using available evidence including a visit to the service. The home has a Statement of Purpose and Service User Guide, which provides people with information about the service. Due to there being no new admissions the key standard which relates to the assessment process could not be fully addressed. Evidence: Information about the service is provided within the Statement of Purpose and Service User Guide. All people who use the service have lived at Glebe road for a number of years. It was therefore not possible to look at the admission process in practice. One person told us that they had lived at two other Gloucestershire Group Homes before moving to Glebe road. They added that they were very happy living at the home and the home met their needs very well. They commented it is not institutionalised here, like some Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: homes are. People have established routines and their individual and varied needs have been assessed over time. At the last key inspection, this outcome was judged as good. There has been no information to conflict with this view. Based on this, we have made a judgement, that the assessment process would ensure the service could meet the persons needs. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. This judgement has been made using available evidence including a visit to the service. Service users needs and goals are reflected in their individual care plans. People are able to make choices about how they live their lives. People are supported to take informed risks. Evidence: As part of the inspection process we examined the care of the two people living at the home. We saw that plans are sectioned into individual goals. Goals are set with the person receiving the care and their families or representatives during review meetings. Documentation is in place to ensure that records are maintained of who is taking responsibility for actioning the goals and when and how it has been achieved. This provides an achievable and measurable system, enabling people to achieve what is important to them. Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: We saw that one person identified more organised trips out with day services or Glebe Road staff as their goal. We saw that this particular goal is reviewed every three months. The goal review sheet records the action taken so far and was signed by the person receiving the service. Another person told us that they had been fully involved in the development of their goals. They told us I am involved in picking my goals; I have a very good social worker who attends my review meeting They explained that one of their goals was to travel to Swindon, on the train independently. Some work had already taken place to support the person in achieving this. Trips to Swindon had taken place with staff supporting the person in the first instance. Where potential risks had been identified, this is discussed at the goal review. Guidelines were in place on how staff should support the person to access the community independently. We saw that the plans work well for the individuals living at the home, were well ordered and were supported by an assessment of risk. Each person using the service had signed and dated their care plan to show that they had full involvement in its development. We noted that people living at the home have the opportunity to feedback on their annual review if they wish to do so. Within the AQAA it states that the home plan to review the new care plan system to ensure its effectiveness for service users and the provision as a whole over the next twelve months. The care plans reminds the reader it is important to recognise that goals are not set in stone and should be recognised as flexible and open to change. We saw evidence that people make choices about how they live their life at Glebe Road. One person had decided to have a lie in on the morning of our visit and this was respected by the staff team. People are involved in choosing meals for the home. One member of staff told us how since being at Glebe road X now communicates more and makes more choices, such as picking the menu for the week. Health action plans dated 14/12/09 records X is able to make an informed decision. If it was felt that X was not able to make an informed decision, a best interest meeting would be proposed to support X. Individual risk assessments are in place and link well to the persons care plan. We Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: saw that assessments are kept under review to ensure that any changes in the individuals life are considered. Risk assessments also identify any religious or cultural needs that the person may have. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. This judgement has been made using available evidence including a visit to the service. People using the service are able to participate in a variety of activities. People are able to follow their preferred routines and receive visitors as they wish. People are offered healthy, nutritious and enjoyable meals, in line with individual needs and preferences. Evidence: On the day of our visit one person was planning to go out for lunch with a relief worker. The other person told us that they were planning to go into Nailsworth to do some shopping. They explained that they have a bus pass and that they are well known in the local community including shop keepers and bus drivers. Within our surveys both people confirmed that they can do what they want to during the day, Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: evening and at weekends. Each person using the service has an activity plan for the week. Both people attend the organisations day services called Spring Mill during the week. They also open during the evenings offering a social evening for people to meet their friend. One person told us that they enjoy meeting their friends there and talking to the lads. People have the opportunity to attend local colleges if they wish to do so. One person reported that they used to take cookery classes but their loss of concentration resulted in them no longer attending. We noted that one person had informed staff members that they no longer wished to attend Horticultural classes at college. The senior support worker explained that they had become bored with the course and that a meeting was to be arranged in the New Year to see if they could identify any courses which they may prefer to attend. We saw that people are encouraged and supported to maintain their hobbies and interests. One person showed us their collection of cars and magazines. The senior staff member explained that the person is very particular about the order and placement of their possessions. He added that when the persons bedroom had been recently decorated, staff took photographs to ensure that everything was replaced in the correct order, so as not to cause any distress to the person. People using the service have the opportunity to pick a holiday of their choice. One person told us that the organisation have a lovely luxury caravan near Cirencester, where there is also a swimming pool. Records show that trips have also taken place to Barry Island, Minehead and Bath. One person told us that they were hoping to go to Cornwall in 2010. One person told us that they would be spending Christmas with their parents. The other person using the service was also visiting family on Christmas day. People have the opportunity to meet up with friends if they wish to. One person told us about a long standing friend they keep in touch with. Each person using the service has a weekly training day where they are supported by staff to undertake tasks such as laundry, cleaning, bed changing or shopping. During our visit we observed people carrying out small household tasks. People appear to have established routines, which are important to each individual. Within the AQAA the home has identified their plans for the next twelve months, to continue to improve personal diets and fitness levels, supporting lifestyle choices. Each Sunday the menu is chosen for the following week. One person told us that the Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: home has some new recipe books for them to choose meals from. We sampled menus and found them to be varied and nutritious. The main meal of the day is taken in the evening and packed lunches are provided during the week, when people are attending day services. Care Homes for Adults (18-65 years) Page 18 of 31 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. This judgement has been made using available evidence including a visit to the service. People are supported to address their personal and health care needs effectively. The medication arrangements in place should protect people. Evidence: People are encouraged to complete their own personal care needs with staff support if necessary. One persons care plan states that they will require help with washing their hair and checking the temperature of the bath water. Another plan states that it is necessary, following completion of a risk assessment to not leave the person unattended when they take a bath. Each person using the service has a health action plan. Every month a health check is completed for each person to ensure that their healthcare needs are being met and any concerns identified so that advice can be sought from the appropriate professional. Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: Within the AQAA we asked how the home has improved in the last twelve months, all staff has received medication training through Stroud College. The new personal health profile will coordinate all relevant information specific to the individual and make it more accessible for both service user and staff. Within daily and weekly records we saw that people have access to various healthcare professionals when they are required. This includes psychiatrists, dentists, opticians and chiropodists. Records demonstrate that the people living at the home have the opportunity to attend well man and women clinics for regular health checks. All staff members receive accredited training in the administration of medicines. We found that medication administration records were in order, with no unexplained gaps. No one using the service currently self medicates. Regular stock checks are completed on medicines held at the home. The home do not currently use any controlled medication. Care Homes for Adults (18-65 years) Page 20 of 31 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. This judgement has been made using available evidence including a visit to the service. Policies and procedures are in place to enable people to raise concerns or make a complaint. The home has policies and procedures in place for the Protection of Vulnerable Adults, however there should be clearer guidance on the policy for the purchasing of meals when people are out for the day. Evidence: A complaints policy and procedure are in place. Within the AQAA we asked what the home does well, the home has an updated written complaints procedure that is easy to understand and is given to each person living in the home. Key workers and staff are an integral part of supporting individuals to resolve complaints or disputes. If the complaint is of a more formal nature there is a clear procedure to follow that identifies contact numbers for Gloucester Social Services and the CQC. They also told us Annual reviews are held at which individuals are encouraged to raise any concerns if not already done so throughout the year. The manager confirmed that they have not received any complaints in the last twelve months. Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: We asked one person receiving a service what they would do if they had a worry or concern. They commented I would tell the management or m key worker. They added that they once had to raise a concern and that this had been dealt with appropriately. At the last inspection a requirement was made relating to staff members attending training in safeguarding vulnerable people. Mr Bird confirmed that all staff have now completed the training. One member of staff we met with confirmed that they attended the course and also covered issues of safeguarding within their National Vocational Qualification (NVQ) level 3. Each person using the service has been given a copy of the Alerters guidance. We noted that copies of the guidance were displayed on the office wall. Systems regarding the safekeeping of peoples personal monies are well managed. A member of staff and the person using the service both sign any financial transactions that take place. We noted that there was not clear guidance on the protocols for purchasing meals when people are out in the community. It was not clear who should pay for the meal or how much contribution they should be expected to make. We asked Mr Bird to include the homes policy within the Statement of Purpose. This will ensure that people are aware of what they are expected to pay towards the cost. There have been no allegations of abuse since our last visit to the service. Care Homes for Adults (18-65 years) Page 22 of 31 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. This judgement has been made using available evidence including a visit to the service. The home provides a clean, comfortable and safe environment for people to live in. Evidence: 103 Glebe road is a semi-detached house, in a residential area of Minchinhampton. The home is domestic in scale and in keeping with other houses in the street. There is a pleasant lounge and dining room for people to use. There is comfortable seating and pleasant soft furnishings. There are photographs around the home, a television in the lounge. At the time of our visit the home was festively decorated ready fro Christmas. One person told us that they had decorated the Christmas tree with a member of staff. One of the people living at the home showed us around the building and the garden. They reported that they enjoy the garden in the summer and that they often found toads there. The person offered to show us their bedroom, which was full of their personal Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: belongings, posters and photographs. They told us that they were going to choose some new curtains for their room as the current ones let in too much light. Another person showed us their room, which had been recently decorated. They said that they had chosen the light shade, duvet cover and curtains, which all matched. The kitchen facilities are domestic in style. The washing machines are situated in an outside room along with the driers. We noted that there were supplies of gloves available for staff members. We noted that on the training programme for 2010, infection control training is planned for June. At the time of our visit we found the home to be clean, hygienic and fresh. Care Homes for Adults (18-65 years) Page 24 of 31 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. This judgement has been made using available evidence including a visit to the service. People are supported by an effective and experienced staff team who have a sound underpinning knowledge of their needs. There has been no new staff since the previous inspection when the standard about recruitment was met. Some progress has been made with regard to the training provision for staff. Evidence: Within our surveys we received the following comments in relation to the staff I feel that our team treats the clients with the utmost respect, they are good listeners and act on what the clients say. We cant solve all of their problems or cater for everything they wish to do, but we will try. During the day one member of staff is on duty to support people to their day services. Some people living at the home have been risk assessed as able to stay at the home independently. The home does not use agency staff; however they have their own bank staff available to cover annual leave and sickness. The bank staff work across all of the homes in the organisation and also at the day services. This means that the people using the service are supported by a consistent group of staff, who understand their needs. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: The home has not recruited any new staff since the last inspection; we therefore did not assess national minimum standard 34 in full. We noted that the home did not ask potential new staff for a declaration of their mental and physical health. We asked that this be implemented in the future and any risk assessments necessary to be put in place. We discussed the training programme for staff members. Mr Bird confirmed that safeguarding training, first aid refreshers and fire extinguisher training have taken place since the last inspection. Mr Bird has recently developed a training matrix for the home. This will enable him easily identify when people were in need of refresher training and when training had been completed. Mr Bird confirmed that the organisation are looking at training overall and are planning to carry out refresher training for all staff in all areas commencing summer 2010. Training planned already for next year is Mental Capacity Act 2005, manual handling, equality and diversity and first aid. Mr Bird confirmed that two members of staff have achieved their NVQ level 3. One staff member told us that they had just completed their NVQ level 3. Mr Bird described the induction period for any new staff members. This includes completing a work book, which is in line with the Common Induction Standards. There is also an organisations induction work book to be completed. The service manager confirmed that she spends time with each new member of staff, taking them to the day services and providing training on the specific needs of the individuals living in the home. She also includes information on policies and procedures, confidentiality, the staff manual and safeguarding. The day of our visit a team meeting was planned for the home. The senior support worker reported that both he and Mr Bird attend the meetings. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. This judgement has been made using available evidence including a visit to the service. The home is run by a competent and qualified manager in the best interests of the people living there. Good progress has been made towards developing a quality assurance system. Polices and procedures are in place to promote health and safety within the home. Evidence: The registered manager of 103 The Glebe is Mr Bird, who has a vast knowledge of the needs of the people using the service. Hes supported by a senior support worker who has attended numerous training courses over the years and they both continue to update their skills and knowledge. The staff told us that they are very well supported by the manager and senior support worker. They reported that the senior support worker is very experienced and is Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: always available to offer support and guidance if needed. We noted that both Mr Bird and the senior support worker appear to have a good rapport with the people living at the home and the staff. Interactions were unhurried, showing patience and a sound understanding of peoples needs. We noted that monthly management audits have taken place by another manager within the organisation. Any areas of concern are highlighted and the views of the people being supported are sought and recorded. The last visit took place on 14/12/2009. The home has systems in place to monitor quality assurance. We noted that satisfaction surveys had been sent to relatives and the people receiving a service. Once information from the quality assurance audit has been collated a development plan for the next twelve months will be developed. Within our surveys we asked what does the home do well. We received the following comments supports me well, nice food and trips out and it provides a safe and clean environment in which the clients are involved with choices. Health and safety checks are undertaken by staff members. There are environmental risk assessments completed. There is a current fire risk assessment in place dated 08/09/09. Small electrical appliances were last tested in August 2009. We noted that none of the radiators in the home are currently guarded, although they are fitted with thermostatic controls to ensure a safe heat. We suggested that the radiators are regularly risk assessed to ensure that they do not pose a risk in the future if individual needs change. Care Homes for Adults (18-65 years) Page 28 of 31 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 Adults (18-65 years) Page 29 of 31 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 23 Include guidance on the policy for purchasing meals when people are away from the home, within the Statement of Purpose. New staff should sign a declaration to confirm that they are mentally and physically fit to work at the home. Risk assess radiators to ensure that they do not pose a risk to the people living at the service. 2 3 34 42 Care Homes for Adults (18-65 years) Page 30 of 31 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. 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