Inspection on 08/06/09 for Carlile Lodge

This is the latest available inspection report for this service, carried out on 8th June 2009.

CQC found this care home to be providing an Excellent 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

Carlile Lodge 05/02/07

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Carlile Lodge 17 Grimston Avenue Folkestone Kent CT20 2QE     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: Christine Grafton     Date: 0 8 0 6 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 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 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 29 Information about the care home Name of care home: Address: Carlile Lodge 17 Grimston Avenue Folkestone Kent CT20 2QE 01303250183 01303258235 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Counticare Ltd care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 10. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Carlile Lodge is a large detached house in a residential area of Folkestone and is within a short distance of the town centre. There is nearby access to bus and railway stations, shops, health centres, educational colleges, a cinema, leisure centre and concert hall. The property has been totally refurbished to a high standard. All bedrooms are singles, arranged as bed sits, each with its own kitchenette and with en-suite facility, including one that is a self-contained annex. The home has a large communal lounge, a fully equipped kitchen, laundry room and staff room. There is an enclosed garden area and parking for several vehicles. As at June 2009 the approximate fees for the service range between £900.00 to £1,490.00 per week. Fees are set according to individual needs. Copies of the homes statement of purpose and service users guide Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 10 Brief description of the care home and our previous inspection reports can be obtained from the home. Care Homes for Adults (18-65 years) 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 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 report takes account of information received since the last inspection of 14th June 2007 and included a visit to the home. We visited the home without telling anyone we were coming so that we could see what it is like for people living there on a usual day. We arrived at 12.00 hours and stayed for the rest of the day, leaving at 17.00 hours. We spoke to the manager, staff and residents. The manager showed us around the communal areas of the home and we were invited to see some of the bed sit rooms occupied by the residents. We observed what was going on and looked at the homes routines. We looked at some of the homes records. We also used the homes annual quality assurance assessment known as an AQAA for short. This is a document that all homes have to send us once a year to tell us how they think they are meeting the national standards, how they have improved in the previous year, what they aim to do and lets Care Homes for Adults (18-65 years) Page 6 of 29 us know when they have completed important environmental safety checks. Information from the last inspection is also referred to. At the time of our visit there were 8 residents living at the home. We talked to the manager about how the people who live in the home prefer to be called. We agreed that we would use the term residents as this is a term they are used to and is shorter than keep saying, people who live in the service. Therefore this is the word used to describe them throughout the report. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? At our last inspection we saw that they had established good standards and there was nothing that we could see where they needed to make improvements. They have developed some things they were already doing well to make them even better for residents. For example, they have made residents records simpler with more pictures and photos and have involved residents in writing their own care plans and health action plans. They have made the service users guide more meaningful for individuals. They have introduced the weekly one to one talk times for residents. They have put medicine cabinets in each residents room so that if they want to look after their own medicines they can do so safely. They have employed more staff so that the home is fully staffed now. They have Care Homes for Adults (18-65 years) Page 8 of 29 continued with their wide and varied staff training programme. Some staff are currently doing training on equality and diversity to help them recognise peoples differences and know the right things to do so that residents with different needs are treated the same and not discriminated against. 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 29 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 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, 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering moving into the home are given all the information they need to decide if it is right for them. They have an assessment that tells staff about them and the support they need. They are only admitted if the home is sure that their needs can be met. Evidence: People can learn about the home from the service users guide that tells them all about it and what to expect if they decide to move in. Each resident has their own personal copy that is written especially for them in a way that they can understand. The guide is written in simple words and has pictures and photographs of various areas inside the home and the garden, to make it meaningful. It tells the person lots of things, for example, about the staff, what support they can expect, their rights, things that they are responsible for and it explains about the home routines. We saw a copy that had been signed by the resident and their key worker that shows it had been explained to them. There is also a statement of purpose that has more Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: information about the home and is kept in the entrance hall with the guide, for people such as relatives to see when they look round the home. These are currently being updated in varying forms of communication to suit different individuals. We looked at the assessment process for the latest resident admitted to the home and saw that a thorough assessment had been completed before they moved in. We discussed the admission process with the manager and also saw the assessment record for another resident. We saw that the individual is involved at every step and a plan is set out to help the person with their transition from their previous home. After this, when the person moves in, the care plan is written with and agreed with the resident. This makes sure that their individual needs and wishes are known and it shows the support they need to help them with the things they want to achieve. Residents then have regular talk times with their key worker and changes are made to the care plans as new things come to light. Care Homes for Adults (18-65 years) Page 12 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from having their own individual plan of care that shows their assessed needs and wishes. Staff and residents work together to ensure that these are met. Residents are encouraged and supported to make their own decisions and choices, they are enabled to take reasonable risks and they are supported to develop their life experiences. Evidence: Each resident has their own personal care plan file that tells staff about them and what support they need. We looked at three of these and saw that they contain person centred plans known as PCPs that residents have been involved in compiling. We looked at one of these in more detail and saw that it is called My Plan and is written in the residents own words, with pictures and photos. It covers lots of different things that are important to the individual, such as, their daily routines, what they need reminding about, where they need encouragement and things they need support with. It covers religion and culture and makes sure that any related things are known and Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: that plans are put in place to make sure that the persons wishes are respected. We saw two different examples of how religious and cultural needs are being met in a positive way. Care plans show how residents make decisions about their lives. They show what has been agreed to keep them safe, for example, using electrical items, using the electric hob in their kitchenette and the risk of burns, or going out alone. Other things that might be a risk to their safety are recorded in a risk assessment and there are clear guidelines in place for staff to follow. These are regularly reviewed and updated as things change. We spoke to some of the residents about their daily lives. They told us how they make choices about the things that they want to do with their lives, such as traveling alone and using their bus passes. Two residents spoke about developing their independence and doing their own shopping and cooking. It was clear that this has helped to build their confidence and give them a great deal of satisfaction. General decisions about the home are made at the monthly house meetings and what is agreed is all written down and kept in the notice area in the dining room, so that residents and staff can refer to it. Care Homes for Adults (18-65 years) Page 14 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being enabled to live fulfilling lifestyles, both within the home and in the wider community. They are supported and enabled to experience activities that enrich their lives and to maintain contacts with families and friends. They are supported to plan and prepare their own meals so that they enjoy a balanced and healthy diet. Evidence: The aim of the home is to develop residents independence, so this is reflected in each individuals personal care plan. Plans are specifically tailored around the persons development and what they would like to do with their lives. Residents are encouraged and supported to develop their daily living skills according to their needs and wishes. Some do their own food shopping and cook their own meals in their personal kitchenette within their bed sit rooms. Others are supported to cook in the communal kitchen and prefer to eat in the dining room. They take it in turns to help with the Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: general cleaning and household chores around the home and look after their own rooms with staff support where necessary. Residents attend day centres, colleges and some have work placements. We spoke to residents about these activities and learnt how this is helping to develop their skills, such as typing and use of computers and work experience. Residents also spoke about going out into the community alone, using their bus passes and one spoke of going on train journeys alone. Risk assessments have been carried out and a resident spoke about telephoning the home to keep staff informed that they have arrived safely at their destination. We saw this months event planner in the dining room that includes a trip to Blackpool, a flying trip, a short stay at a holiday camp and a trip to Euro Disney. Residents spoke of looking forward to the trips they have chosen and a resident also spoke about a planned day trip to France on a ferry. Residents are supported to observe their religion by attending church services according to their wishes. They are also supported to express any cultural preferences. Residents spoke about visits to see their families and friends and of having friends to visit them and stay for meals. Residents also enjoy some weekends away. Meals are planned in advance. For those that choose to eat as a group, the menu plan is decided at the monthly house meetings and it is agreed who will cook each day. We saw that menus are varied and planned to ensure healthy eating. A resident that cooks their own meals had planned their weekly menu and had shopped for their own food items, which they keep in their own kitchenette cupboards and fridge. Care Homes for Adults (18-65 years) Page 16 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being supported and encouraged by staff to make sure that their personal and health care needs are met. They can be confident that staff will understand all of their needs, no matter how diverse, and that everything will be done to make sure they are met. They benefit from a safe system of medication administration and storage. Evidence: They have stated in their AQAA that they work alongside multi professionals such as community nurses, local hospitals, health centres and psychiatrists to promote good health and support practices and we saw that this is right. Each resident has a personal care section in their care plan, which is compiled from the information obtained during the initial assessment in discussion with them. Their wishes with regard to the personal support that they need and want are clearly recorded. We saw an example of one written in the residents own words saying what they can do for themselves, what they might need help with and when. A care plan showed where staff had worked with a resident around their appearance Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: that had improved their self esteem. There is a mix of male and female staff members so that residents can be supported with their personal care by staff of the same gender. Care plans cover things like guidance around intimacy, touch and sexual issues. Residents are supported to attend Well Woman and Well Man clinics. Each resident has their own Health Action Plan which they have been involved in writing. Care plans contain evidence of health care needs being monitored and met. Health care checks are recorded, for example, contacts with doctors, consultants, learning disabilities community nurse, chiropodist, dentist and optician. Residents are supported to attend outpatient appointments. As well as the full care plan file, there is a separate file kept for agency and new staff to refer to. This contains a brief overview summary for each resident with all the pertinent things that new staff need to know. A new staff member commented that they had found this very useful in getting to know residents needs until they had read the care plan files more fully. Residents are supported to look after and take their own medicines if that is their wish. This is done after careful assessment and any risks looked at. Each resident has a safe storage facility in their room for this purpose. We were told that there are currently four residents that manage their own medicines. One resident showed us how they check the temperature of their medicine cabinet to make sure it is within the right range to keep medicines safe. They sign a record when they receive their monthly prescribed medicines and staff do a two weekly stock check. Other residents have their medicines managed by the home. These are safely stored and staff keep records showing the medicines that they have given to residents. Staff that administer medications have been properly trained and the manager assesses their competence every six months. Care Homes for Adults (18-65 years) Page 18 of 29 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. Residents are supported and enabled to make complaints. The management and staff make sure that complaints are listened to and sorted out. Residents can be confident that staff work in a way that makes sure they are protected from harm. Evidence: The home has a well written complaints procedure that each resident has a copy of, in their own personalised service user guide. This is discussed with them when they first come to live at the home and a copy is kept in the entrance hall. Residents are encouraged to say if they have a concern, or wish to make a complaint. They have lots of opportunities to say if they are worried about something, or have a concern. They have their weekly one to one talk times with their key worker, they can talk about things at the monthly house meetings and they can raise issues at their care plan review meetings. We saw several instances of residents coming up to staff and saying that they wished to talk to them. Staff stopped what they were doing and went somewhere quiet with the resident so they could say what it was that was troubling them. We saw records of complaints that residents have raised for themselves, which showed the action taken and that the home has taken the concerns seriously. We also saw records of compliments from relatives and care managers. One from a Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: residents care manager stated, An excellent placement. Staff receive training on how to protect people as part of their initial training when they first start work at the home. Staff also attend courses to widen their awareness of other issues, such as how to understand and prevent aggression occurring, equality and diversity and the Mental Capacity Act and deprivation of liberties guidelines. Residents are supported to manage their own finances, but if they do not wish to or need more support, the home looks after it for them. We saw that this is safely stored, well recorded and regularly audited. Care Homes for Adults (18-65 years) 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, 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. Residents benefit from living in a home which is well maintained, clean and comfortably furnished. The home is arranged in a way that suits their individual and collective needs. Evidence: Residents each have their own large single bedroom with ensuite toilet and shower or bath and kitchenette. Bedrooms have all the basic furniture items provided and residents can choose to bring in their own furniture if they wish. Each room has a lock and residents keep their own keys. We were invited into six residents rooms and saw that they all have been personalized and made to look very homely, reflecting their individual interests and lifestyles. There is a spacious lounge diner that is comfortably furnished so that residents can socialize and dine together as they wish. There is also a separate bathroom so that those residents occupying bed sits with ensuite showers have the choice to bath if they wish. There is also a separate toilet on the ground floor. There is a large kitchen equipped to a commercial standard. The laundry room has two industrial washing machines and tumble driers, with hand washing and drying facilities. All areas of the home seen were clean and hygienic. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: There is a maintenance team that attend to any repairs. There is a small enclosed patio area where some residents have done some planting. Care Homes for Adults (18-65 years) 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, 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. Residents can be confident that that there will be enough staff on duty at all times to support them and that the staff are competent and properly trained. They can be assured that the homes recruitment practices will protect them. Evidence: We talked to the manager about staffing in the home and looked at the staff duty rotas. There is an average of three support workers on duty, plus either the manager, or a team leader on an administration shift on weekdays. This is for the current number of eight residents. The manager says they aim to provide five support workers on shift when they are full, with ten residents. We saw that rotas are carefully worked out to cover for staff training and residents activities. Staff are good at listening to residents and are well motivated. There is a commitment to staff training and all staff are supported to achieve their national vocational qualification (NVQ) in care level 2 with the learning disabilities awareness framework. All new staff have to complete initial training to acquaint themselves with the home and residents, plus things to ensure safety. We spoke to a new staff member about this, which is called induction training, and they confirmed that this was helping to give them the skills and confidence to do their job properly. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: There are a wide number of training courses that staff must attend following their introductory training, these are called mandatory courses and include things like, food, diet and nutrition, first aid, safe moving and handling, fire safety, health and safety and infection control. Once these are completed they have lots of opportunities to attend other courses that are specific to caring for people with learning disabilities, such as, autism, Aspergers syndrome, and epilepsy. The organisation has robust recruitment procedures in place to protect residents. These include a number of security checks that are completed before new staff start working at the home. These include written references and a criminal records check to make sure that they are trustworthy and safe to be around the residents. We spoke to one staff member and looked at their staff file to confirm this. Care Homes for Adults (18-65 years) Page 24 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a well managed home where their best interests are safeguarded and their health, safety and welfare are promoted and protected. Residents can be confident that their views are listened to and affect any changes introduced in the home for their benefit. Evidence: The manager has been in post at the home since it opened in March 2007 and is registered with us. This means that we think she has the right qualifications, experience and necessary skills to run the home. The AQAA was well completed and had all the things in it that we asked for. It was helpful in the planning of our visit and the things that we tested out were confirmed as being correct. The home has now been open for over two years and the standards seen at our last inspection have been continued and built upon. We have seen that outcomes for residents are excellent regarding the Individual Needs and Choices, Lifestyle and Personal and Healthcare Support areas as indicated in the above sections Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: of this report. This is down to the open management approach of the home that makes sure residents feel valued and respected. There is good communication between staff and between residents and staff. This means that residents are fully consulted and involved in the daily running of the home and in planning their own individual lifestyles. They have regular residents meetings and staff meetings. Residents have their regular one to one meetings with their key worker and staff have regular supervision meetings with the manager. There is ongoing quality monitoring that includes monthly visits by a representative of the owning organization. The AQAA indicates that they utilise review meetings, family visits and residents feedback on the home to assess how well they are doing and identify areas for future development. They encourage people to make written suggestions and, or complaints and provide feedback sheets as to any comments or suggestions people raise. The AQAA indicates that all safety checks are up to date and no hazards were seen during our visit. A fire bell test took place during our visit and we saw that residents were informed about this beforehand. The new staff member confirmed that they had been shown the fire procedure and this is discussed with new residents when the service users guide is explained to them. The manager said that monthly health and safety audits are carried out and sent to the maintenance department so that anything identified can be remedied. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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!