Inspection on 30/03/10 for Cloverdale House

This is the latest available inspection report for this service, carried out on 30th March 2010.

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.

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Cloverdale House Cloverdale House 19 Vallance Gardens Hove East Sussex BN3 2DB     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: Nigel Thompson     Date: 3 0 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 30 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Cloverdale House Cloverdale House 19 Vallance Gardens Hove East Sussex BN3 2DB Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Colin Andrew Scott Type of registration: Number of places registered: care home 11 ACH Of London LLP Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number to be accommodated is 11. The registered person may provide the following categories 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 category Learning disability (LD) Date of last inspection Brief description of the care home Cloverdale House was opened in October 2009. It offers a service to individuals whose primary diagnosis is learning disability, alongside residents with additional complex support needs such as autism, epilepsy, challenging behaviour and/or mental health issues.Residents are aged between 19 and 25 years old, and of mixed gender. Nursing care is not provided. The Home has eleven bedrooms, five of which are situated on the ground floor, three Care Homes for Adults (18-65 years) Page 4 of 30 11 0 Over 65 0 0 Brief description of the care home bedrooms and the self contained bedsit are on the first floor and a further two bedrooms are on the second floor. All bedrooms have ensuite facilities. The home has a lift for any resident who has difficulty in using stairs. Cloverdale House is situated in a residential area of Hove, within walking disatnce of the seafront, local shops and other community facilities including a leisure centre, library and several churches. Weekly fees at Cloverdale House, as of 30 April 2010, are £1,285. Care Homes for Adults (18-65 years) Page 5 of 30 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: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This unannounced inspection took place over four hours in March 2010. It was the first inspection since the service was first registered and opened in October 2009. All of the key National Minimum Standards that were assessed had been met and the overall quality of care provided was good. On the day of the inspection there were ten residents living at the home. The inspection process involved observation of working practices, examination of the homes records and discussion with three residents,two residents relatives, three members of staff and the Deputy Manager. Communal areas throughout the home were seen and three residents bedrooms were viewed. Care Homes for Adults (18-65 years) Page 6 of 30 The focus of the inspection was on the quality of life for people who live at Cloverdale House. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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. The thorough admission policy and procedures ensure that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents are provided with sufficient relevant information to know that the home is able to meet their individual care and support needs Evidence: Information is available to prospective and existing residents in various formats. The Statement of Purpose and Residents Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. The Statement of Purpose provides details of the Registered Manager and the number, relevant qualifications and experience of staff working in the home. It also contains details of the overall service provision including: the accommodation, arrangements for residents to engage in social and leisure activities together with any therapeutic techniques, arrangements for dealing with concerns or complaints and the systems for ensuring that residents needs are identified, met and reviewed, in Care Homes for Adults (18-65 years) Page 10 of 30 Evidence: accordance with person centred planning. The Residents Guide is presented in an easy to read format, which incorporates the use of colour pictures and symbols including a photograph of the home. It gives an overview of the philosophy of care, purpose of the service, accommodation and outlines what support and care individuals can expect from the home including support and communication, personal space, individual planning, holidays, day service provision and terms of occupancy. It was noted that both documents had recently been reviewed and updated so as to accurately reflect the current situation within the home. Any new prospective resident is assessed by the home manager and also a member of ACHs referrals team, during the assessment it is thoroughly assessed if the home will be able to meet the needs of the prospective resident and also their compatibility to other residents already within the home. The deputy manager confirmed that as part of the admission process, prospective residents and their relatives are encouraged to visit the home and have the opportunity to look around and meet with members of staff and existing residents. New residents evidently undergo a six week trial period at the home, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. A full review is held at the end of this period, involving the resident, their relative or representative, their Care Manager and the Home Manager. Care Homes for Adults (18-65 years) Page 11 of 30 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. Comprehensive, person centred support plans enable staff to meet the assessed care and support needs of residents in a structured and consistent manner. Systems for consultation and participation are effective and residents are treated with respect and encouraged and enabled, as far as practicable, to make decisions about their day to day living. Evidence: High quality, person centred care plans have been developed for each resident, clearly linked to the individuals assessed needs. The plan is formulated by the key worker, manager and evidently with the direct involvement of the resident or family member, as appropriate. At the front of each plan is a personal profile incorporating general background information and detailing the individuals needs and preferences, likes and dislikes. There are also clear guidelines for staff, including bathing, food preparation, and preferred routines, to ensure that all necessary support is provided in a structured and Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: consistent manner. It was also noted that Communication guidelines have been developed in respect of residents, who each have very limited communication. The guidelines are written in the first person and ensure that staff are aware of the individuals current physical and psychological condition and of their ongoing care and support needs. Staff spoken with during the inspection emphasised the importance of developing close working relationships with individual residents and being aware of often subtle changes in their mood or condition. Despite the limited communication of some residents, effective and regular interaction and consultation takes place constantly throughout the home. This was evident from direct observation of staff supporting residents in a professional, sensitive and respectful manner. Residents support plans are formally reviewed every six months to ensure that the individuals care and support needs continue to be met in a structured and consistent manner. However the manager confirmed that in addition to this, all residents are discussed in detail at staff meetings and any significant changes are evidently addressed immediately. Staff sign all needs identified and risk assessments for each resident to indicate that they understand the support required for that resident.Following discussion with the acting manager, it is recommended that the resident also has the opportunity to sign their plan to confirm understanding and agreement of the needs assessments and identified support required. Each resident has a daily log which contains their daily diary, food and fluid intake charts, bowel chart and individual goals. These are completed on a daily basis and staff are evidently encouraged to involve the resident when completing these records. Five residents currently have a personal diary, which is used to provide communication between the home and staff at their college. Individuality and independence continues to be promoted within the home and residents are encouraged to take responsible risks where necessary. It was noted that detailed risk assessments and guidance are in place for many activities of daily living, based on the needs of individuals. All those viewed had recently been reviewed and updated as necessary. Resident are clearly consulted regarding many aspects of their day to day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. Residents are encouraged and enabled as far as practicable to participate in all aspects of life in the home. They are supported to help Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: with meal preparation, undertake household tasks, make their own hot and cold drinks and go shopping. Care Homes for Adults (18-65 years) Page 14 of 30 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. Residents are enabled and supported to maintain contact with family and friends as they wish and links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The recreational and leisure interests of residents are identified and recorded in their individual support plan and they are enabled to access activities and facilities, reflecting their individual needs, preferences and abilities. Individual support plans examined and comments from staff and residents confirmed that activities include craftwork, music sessions, bowling and attending local colleges and other day services. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Residents are evidently consulted with and supported to choose activities that they wish to participate in. This is discussed with their keyworkerduring regular residents meetings and through discussions with their key worker. Residents have individual timetables, displayed in their room in a format that they are able to understand, including pictorial, widget or written. A copy is also in their care plan. Residents are also offered free time and 1 to 1 time with their key worker. During the inspection, one resident was keen to discuss his weekly activities programme in some detail. He was clearly aware and very enthusiastic about his varied programme, which evidently reflected his individual choices and interests. Community participation remains a focus in the home and residents are evidently encouraged and supported to visit the cinema, swimming pool, theatre, local shops and other amenities. From examination of residents daily diaries and the homes own daily records, it is evident that, where appropriate, residents continue to be supported by staff to maintain regular contact with their families and friends. Visitors are always made to feel welcome at the home at anytime. Details of friends, relatives and people that are important to the person are clearly documented within individual support plans. All meals within the home are prepared by care staff and, where appropriate, residents are supported and regularly involved in meal preparation. The menus are varied and balanced, reflecting individuals identified choices and preferences. Care Homes for Adults (18-65 years) Page 16 of 30 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. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their support plan, residents are enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with residents in a professional and respectful manner. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents are continuing to be met within the home. With one exception, all residents are registered with local GPs and have access to other health care professionals, including community nurses, speech and language Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: therapists, physiotherapists and dentists, as required. It was noted, in support plans that were examined, that residents are supported to attend all healthcare appointments as necessary and all such appointments with, or visits by, health care professionals are recorded. All residents are supported with their personal care in the privacy of their en suite,in accordance with theirindividual care plan and identified wishes. Residents are evidently encouraged to be as independent as possible with their personal care and many have goals around achieving independent personal care skills. Residents are able to express themselves through their choice of clothing, hairstyles and makeup, and are supported by their key worker to purchase new clothes and to have their hair cut when they request this. As previously documented, following consultation with residents, specific guidelines have been developed for all staff, ensuring that support is provided in a structured and consistent manner and in a way that the individual prefers. Guidelines are in place in relation to how to support residents with their health care needs, including sleep and wheelchair positioning and the management of epilepsy. Such guidelines ensure that staff are aware of what a normal seizure is for the individual and how to support them personally in the event of a seizure. The home continues to operate an effective key worker system and staff were observed working closely and sensitively with residents to meet their identified personal care and support needs. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The home uses a monitored dosage system (MDS) for prescribed medicines and a local pharmacist continues to carry out quarterly monitoring visit. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. Following risk assessments, it is evident that no resident self administers their own medication. Care Homes for Adults (18-65 years) Page 18 of 30 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. The open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents best interests are safeguarded through relevant staff training and robust policies and procedures. Evidence: A detailed and up to date complaints procedure is included within the homes Statement of Purpose and Residents Guide, for the benefit of residents, their relatives and other visitors to the home. It gives clear guidance with regards to how a complaint can be made and how the complainant can expect it to be dealt with. All complaints are recorded and include actions taken and outcomes achieved.Since the home opened in October 2009, there have been four complaints received. Two have evidently been resloved and two are currently being investigated and are awating an outcome. Residents meetings are evidently held on a regular basis and provide an opportunity for any concerns to be raised, discussed and hopefully addressed before they become complaints. Members of staff and residents relatives, spoken with as part of the inspection process, confirmed that they would have no hesitation in speaking to the manager, or Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: deputy manager, or making a complaint if necessary and each person was confident that they would be listened to. The organisation has produced detailed policies and procedures relating to abuse, including a whistle blowing policy. The deputy manager confirmed that the majoriy of staff have undertaken specific training, in accordance with the multi agency guidelines for the safeguarding of vulnerable adults. Staff who have yet to receive this training are evidently booked on a course at the end of April. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Care Homes for Adults (18-65 years) Page 20 of 30 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. The service is accessible, safe and clean and remains suitable for its stated purpose. Reidents benefit from spacious accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: As previously documented Cloverdale House opened in October 2009. It is evident that the physical environment of the home is well maintained and the decor and good quality furniture and furnishings provide a comfortable, pleasant and homely environment for residents. Individuality and independence is promoted within the home, as far as is practicable. This was evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. Members of staff confirmed that residents are involved in choosing their own furniture, accessories and decor. Rooms all have an ensuite facility providing either a bath or shower. For residents that have a shower there is a communial bathroom on the middle floor. All necessary adaptations have been made and specialist equipment provided, throughout the home, to meet residents assessed mobility needs, including profiling Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: beds and assisted baths. A log cabin in the large rear garden has been converted into an external sensory room, providing secluded space away from the home, which is also accessible to residents in wheelchairs. A second sensory room is situated at the top of the house. Infection control procedures are in place and closely adhered to and levels of cleanliness and hygiene are high throughout. A programme of routine maintenance, renewal and redecoration is in place. All fire doors are fireproof and have been fitted with automatic electronic closures. Fire systems within the home are evidently checked on a regular basis. Care Homes for Adults (18-65 years) Page 22 of 30 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. There is always sufficient trained and competent staff on duty to meet the assessed, and often complex care and support needs of the residents. Residents are protected by satisfactory staff recruitment policies, procedures and documentation. Evidence: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of residents within the home. Through discussion with members of staff and according to duty rotas viewed, it is evident that there is always sufficient staff on duty to meet residents complex care and support needs and enable them to participate in their chosen activities. All new employees are provided with a comprehensive job description and staff spoken with demonstrated a sound understanding of their individual role and responsibilities. All new staff receive comprehensive induction and foundation training, the Common Induction Standard, which is compatible with Skills for Care and is flexible and compatible with an individuals level of relevant experience. Mandatory training is ongoing and is recorded in individual staff files. This was confirmed through discussions with staff and supported by training records Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: examined: There is always so much training and refresher training available. Ive done loads since Ive been here. The organisation is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of residents. Individual staff files that were examined were found to contain all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Each staff member undertakes a full induction programme, which includes mandatory training and during this time they will work with support on their induction standards. All new staff members are buddied up for their first couple of weeks to provide them with support. Staff receive specialist training in Epilepsy, Autism and Positive Behavioural Support. Staff meetings are held on a regular basis and are appropriately recorded. Staff are encouraged to contribute to the open agenda. Communication within the home is effective and morale is evidently good. The team works very well together. There is a good atmosphere here and everyone seems happy in their work. In accordance with organisational policy, formal supervision is provided for all care staff on a regular basis. Supervision contracts are agreed and signed in advance and stored securely within the office. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager and deputy manager: Supervision is very useful, but actually I can talk to the manager anytime I like. It was evident, from direct observation and through discussions with members of staff that the managers also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Care Homes for Adults (18-65 years) Page 25 of 30 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. The home is very well run. Residents benefit from a competent and experienced management team and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by effective quality monitoring systems. Evidence: The registered manager at Cloverdale House has worked in the care sector for over eleven years and has achievd NVQ level 4 in Social Care and the the Registered Managers Award (RMA). He is ably supported by a very competent deputy manager. Through discussions with residents relatives and members of staff, it is evident that the manager demonstrates a clear sense of leadership and direction and the home is very well managed. He is evidently motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. Hes an excellent manager and very supportive. The home operates effective quality monitoring systems, including regular satisfaction Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: questionnaires for both residents and their relatives. The health, safety and welfare of residents and staff evidently remain of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 6 It is recommended that residents have the opportunity to sign their individual plan to confirm understanding and agreement of the needs assessments and identified support required. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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