Inspection on 14/12/09 for Rockfield House

This is the latest available inspection report for this service, carried out on 14th December 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

Rockfield House 25/02/06

Rockfield House 17/12/05

Rockfield House 24/01/05

Rockfield House 18/08/04

Rockfield House 11/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Rockfield House Rocky Lane Liverpool Merseyside L6 4BA 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: Debbie Corcoran Date: 1 4 1 2 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 32 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 © (2010) 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 32 Information about the care home Name of care home: Address: Rockfield House Rocky Lane Liverpool Merseyside L6 4BA 01512604414 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : thomas.hurst@mentalhealthcare-uk.com Mental Health Care (Rockfield) Limited care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 10 Date of last inspection A bit about the care home Rockfield House is registered to provide care and support for up to ten adults with a learning disability. The home is run by Mental Health Care Limited. Care Homes for Adults (18-65 years) Page 4 of 32 The home is located in a converted school building in the Anfield area of Liverpool. All of the bedrooms are spacious with en-suite facilities and the home also has two separate bathrooms with specialist facilities for people who are physical disabled. The home is close to local shops and other amenities such as churches, parks and GP surgeries. Bus services run from close by to other parts of the city including the city centre. The current range of fees for residing at Rockfield House are between £1,850 and £2, 850 per week. Care Homes for Adults (18-65 years) Page 5 of 32 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 Care Homes for Adults (18-65 years) Page 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The visit to the home was not announced beforehand. During the visit the majority of the people living at the home were met and a number were spoken with. We also talked to staff including the manager and two members of care staff. We looked at records such as care plans, medication records, staff files, staff training records and health and safety records. These help to show us how people are being supported and whether staff have the skills and training needed to do their job. We sent surveys to people living at the home and to members of staff and we have used some of the things they told us in these to decide how the home is doing. Care Homes for Adults (18-65 years) Page 7 of 32 We had a look around the home. We looked at the lounge, dinning area, kitchen and a couple of bedrooms. The manager returned a self assessment of the service to us before we visited. This is a way in which the manager tells us what they do well, where they have improved and where they can improve in the future. We have used some of the information in this to help us decide how the home is doing. What the care home does well People who live at the home told us good things about their support. They told us that they are making choices about what they do through the day, that staff are good and listen to what they say, and that they are going out and using the community. Each person who lives at the home has a care plan. These have a lot of information in which tells the staff what they need to do to support the person. We saw some good examples of person centred care whereby the support provided was based around the needs of Care Homes for Adults (18-65 years) Page 8 of 32 the person. People are supported to use their skills and to learn new skills. People are supported to go out for a meal, go to the pub, go to the gym, go shopping, and follow other interests they have. Staff support people living at the home to visit their doctor, dentist, nurse, optician and other important appointments on a regular basis. Other professional people visit the home on a regular basis to provide support to the people who live there. Staff are good at taking care of medication and support people well with their medication. Care Homes for Adults (18-65 years) Page 9 of 32 The staff team are well trained and are confident that they can support people well. The staffing levels are good and this means that people have a good level of one to one support with a member of staff. The home is comfortable, safe and clean. Each person has their own bedroom and these include their own belongings. The home is well managed and is run in the best interests of the people who live there What has got better from the last inspection There has been a lot of staff training and all staff now have a qualification. Care Homes for Adults (18-65 years) Page 10 of 32 An activities room has been provided and activities are now more centred around the needs and wishes of each person. Some people living at the home are now doing educational courses within the community. Information on how to make a complaint has been made more user friendly for people who have difficulties with their sight or hearing. The home environment has been improved. A vegetable patch has been started in the rear garden, there has been a lot of redecorating, a wet room has been made, and double glazing has been fitted throughout the home. Some of the people living at the home have joined in with staff training sessions and people are now actively taking part in interviewing for new members of staff. Care Homes for Adults (18-65 years) Page 11 of 32 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Debbie Corcoran 3rd Floor Unit 1 Tustin Court Port Way Preston Lancashire PR2 2YQ 01772730100 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You Care Homes for Adults (18-65 years) Page 12 of 32 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 13 of 32 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 14 of 32 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. People are provided with information to aid their decision as to whether or not to move to the home. A person will only move into the home when it has been established that their needs can be met appropriately. Evidence: We looked at the statement of purpose and service user guide for the service. These are documents which provide information on the services and facilities provided at Rockfield House. We saw that these had been reviewed and updated recently. They include information on the philosophy of care, care planning, staffing, meeting peoples needs and terms and conditions of residency. We saw that the service user guide included pictures to illustrate some of the main points. People who are thinking of moving into Rockfield House can use this in order to aid their decision. People living at the home told us in surveys that they were asked if they wanted to move to the home. They also told us that they had receive enough information about the home to enable them to make a decision to move there. The manager told us that the referring agency, for example Social Services, are asked for assessment information when a new person is referred to the home and we could see this Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: was maintained with the persons records. It is important to attain this assessment information as it may contain significant information which may otherwise be unknown to staff at the home. In addition to this the manager told us that she attains information from other relevant professionals who are known to the person. These help to build a clear picture of the needs of the person. The manager also told us that an assessment of the persons needs is also carried out by a qualified member of staff from Mental Health Care Limited placement team and herself. We were told that prospective service user are invited to visit the home and spend time there before deciding whether or not to move in. The frequency and duration of visits is based on the individual needs of the person concerned. The manager informed us in the self assessment of the service (AQAA) that New service users are only admitted on the basis of a full assessment undertaken by competent people to do so. Involving the prospective service user using an appropriate communication method and with an independent advocate, as appropriate. The Manager invites prospective service users to visit on an introductory basis before making a decision to move there, and unplanned admissions are avoided where possible. Comprehensive pre-admission assessments carried out by multidisciplinary team, which includes the home manager. Each of the people living at the home has a statement of terms and conditions of their residency. These are signed by the person or their representative where appropriate. Care Homes for Adults (18-65 years) Page 16 of 32 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. Each of the people using the service has an individual support plan which provides staff with guidance on what the persons needs are and how these should be met. Evidence: Each of the people living at the home has a care plan / support plan. We case tracked two people using the service. By this we mean that we looked in more detail at their needs, the type of support they were receiving and their care plans. The level of information in care plans was very good. Care plans included information on how to meet the needs of the person in areas such as their physical health, emotional health, communication, personal care. Each section of the care plan included short and long term goals followed by information on what staff need to do to support the person in achieving these. We asked staff in surveys if they were given up to date information about the needs of the people living at the home and the response from all staff was always. Staff make Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: daily records into care plans for each section of the care plan and this ensures they are aware of the contents of care plans. The manager told us in the self assessment of the service (AQAA) Care plans & risk assessments are regularly reviewed & where necessary changes are made in consultation with all parties. Support staff actively keeps the service users care plans up to date & ensure the service users wishes are heard & continually met Risk assessments are carried out where a person living at the home is thought to be at risk of harm. The risk assessments looked at were comprehensive and detailed how to keep people safe. We found that people are supported to take risks as part of living a more independent lifestyle. During discussions with people who live at the home they were very positive about all aspects of their support and appeared confident that staff were meeting their needs and providing good care and support. People said that they are making their own decisions as to their daily support and their routines within the home and they confirmed that staff support them to use and develop their independent living skills. We saw some good examples of person centred care whereby the individual needs of the person are understood and staff are working to ensure these are met. Discussions with people living at the home and staff and the manager indicated that people are actively encouraged to exercise as much choice and control as possible. We noted examples of people being supported to manage their money, to be part of staff training and take on a role of assisting staff in some of the health and safety checks, people being included in interviewing for new staff, people choosing their own meals every mealtime and being supported by staff to prepare and cook these, people choosing to use local community resources independently. People living at the home have the opportunity to attend regular meetings with their key worker and core staff team. These provide a more formal basis for people to comment on their support and their care / support plan. Staff are made aware of their responsibilites to maintain confidentiality and are required to sign a statement to this effect. Care Homes for Adults (18-65 years) Page 18 of 32 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. People living at the home are supported to develop their independent living skills and to be involved in their local community. People choose their meals and are supported to use and develop their skills as appropriate. Evidence: Each of the people living at the home has a profile / portfolio of what activities they enjoy and want to be supported with. Activities planning is referred to as 24/7 as the purpose of the planning is to look at the persons social and recreational needs holistically. During discussions with one of the people living at the home they gave good feedback on their support with pursuing interests and activities. They reported going out and using community resources independently and with support from staff. Records indicated that people are being supported in activities such as attending places of interest, going to the gym, going for a meal, going to a pub, swimming, massage, cinema, shopping, trips out. Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: We also noted that people are supported to take part in further education and achieve qualifications. People living at the home are encouraged to make choices about the running of the home and their care. People have the opportunity to attend meetings with staff on a regular basis. During discussions with one of the people living at the home they confirmed that they are making choices as to their daily routine and how to spend their day and people are supported to manage their own affairs when possible, for example one person manages their own money. A number of people living at the home told us in surveys that they make decisions about what to do each day. People living at the home are encouraged and supported to prepare and cook their own meals. Each person chooses their own meal a member of staff supports the person in preparing and cooking this. The manager told us in the self assessment of the service (AQAA) what the home does well in relation to these standards Encourage all service users to participate in all aspects of their daily routine & explore new challenges. Involve service users in the choice of activities, food, family visits. Rockfield positively encourages visitors to the home & assists in service users home visits on a regular basis. Service users choose whom they see and when; and can see visitors in their rooms in private. Service users can develop and maintain intimate personal relationships with people of their choice, information and specialist guidance are provided to help service users to make appropriate decisions. Mandatory training of Philosophy of care for all staff, promotes rights, choices, dignity, independence, privacy etc. Service users are supported in all aspects of food selection choice, purchasing, preparation & cooking at a level conducive to other needs & ability. Care Homes for Adults (18-65 years) Page 20 of 32 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. People are well supported with their personal, emotional and physical healthcare needs and medication is well managed. Evidence: Care plans describe the personal care needs of the people living at the home in some detail. During discussions with members of staff we asked them how they ensure the privacy and dignity of people is maintained and staff gave appropriate answers to this. We saw a particularly good example whereby the individual needs of one of the people living at the home were being met in relation to personal care and this indicated to us that people are receiving a very flexible person centred approach to their needs. The manager has told us what they do well in relation to personal care in the self assessment of the service (AQAA) Provide support to ensure privacy, dignity, guidance and independence in all service users and Personal support is provided in private and intimate care by a person of the same gender where possible and if the service user wishes. Service users have some choice of staff who works with them, such as staff from the same ethnic, religious or cultural background or the same gender. Care plans / support plans also include a good level of information on how to support the person with their emotional and physical health and well being. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: Records showed that people living at the home are well supported to remain healthy and to attend health related appointments. For example they are supported to see a GP, dentist, etc on a regular basis. People are also supported to see other health professionals as appropriate to their needs. Each person has an OK health check this is a plan to show what the persons needs are with regards to their health and how these are being met. We saw a particularly good example of good practice in supporting a person who requires a special diet in order to maintain their health. The manager had resourced professional advice regarding this from a number of health professionals and had implemented a clear system for ensuring an appropriate diet was being provided and regular checks on the persons health were being made. People are being well supported with their emotional and psychological needs. The home has a nurse clinician who visits on a weekly basis and Mental Health Care Limited employs a Psychiatrist who visits the home periodically and as required by the needs of people using the service. We looked at how medication is being managed. As part of this we looked at a sample of medication administration records and medication in stock. This showed that medication is recorded and administered appropriately and is well managed. Medication is administered by senior members of staff who have been provided with training in administering medication and staff also undergo an assessment of their competency in administering medication. Medication stock and medication practices are audited on a regular basis. Care plans include a section for recording the persons strengths and needs with medication. People living at the home give written consent to be administered medication where this is appropriate. Care Homes for Adults (18-65 years) Page 22 of 32 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. Policies, procedures and practices are in place for dealing with complaints and for aiming to protect service users against abuse or neglect. Evidence: The home has a complaints policy and procedure which is time scaled appropriately and includes contact details for the Commission. We asked people in surveys if there was someone they can speak to informally if they were not happy or if they knew how to make a complaint and the response was that they did. Information on how to make a complaint is provided to people in the service user guide. We were told that there have been two complaints made directly to the home in the past 12 months. We looked at the details of these and found the complaints gave us no issues for concern. An adult protection policy and procedure was in place. This outlines responsibilities for responding to an allegation of abuse and any subsequent investigations. There have been two adult protection referrals initiated by the manager in the past 12 months. These were investigated and found to be unsubstantiated. During discussions with two members of staff they were able to explain what they would do in the event of witnessing an abusive situation and the manager is experienced and knows the protocols for reporting allegations. Staff recruitment procedures include a check against the Protection of Vulnerable Adults register and attaining a criminal records bureau check for new members off staff. Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: Accidents and incidents are appropriately recorded. A sample of accident records were looked at and these showed no particular areas of concern. Care Homes for Adults (18-65 years) Page 24 of 32 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. People are provided with a clean, safe, well maintained home environment which is presented to a suitable standard. Evidence: The home was a former school and as such offers spacious rooms. It doesnt particularly lend itself to a homely, domestic home environment but the decor and furnishings aim to provide a homely environment. A sample of bedrooms were looked at and we noted that they had been furnished and presented to an appropriate standard. Every bedroom has en suite facilities. The home was presented as well maintained, comfortable and clean. Health and safety practices are adopted and health and safety related checks are carried out on a regular basis. Care Homes for Adults (18-65 years) Page 25 of 32 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. People who live at the home are supported by staff who are appropriately recruited, well trained and well supported. Evidence: There is a manager and or senior staff on duty at all times throughout the day. Staff roles and lines of accountability are clear. This means that staff know their responsibilities and know when to refer to a senior person for advice or support. The manager is in the process of encouraging staff to take on different areas of work as a means to diversifying the skills of the staff team and to provide opportunities for staff development. Discussions with people living at the home and feedback in surveys indicated that staff are supporting the aims and objectives of the home in encouraging people to make choices, develop their independent living skills, and use their local community. At the time of the visit there were 10 people living at the home and 10 care staff working. This means that people have the opportunity for a good level of one to one support. The home has domestic and maintenance staff in addition to care staff. We looked at staff rosters to assess usual staffing levels and found these to be as found on the day of the visit. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: We looked at a sample of staff files to assess recruitment and selection practices and ensure these were in line with protecting people. These showed that relevant pre employment checks, for example, attaining references had been made prior to starting new members of staff. These practices aim to safeguard people living at the home. New staff are reported to undergo an induction programme and this includes core health and safety related training. Staff told us that they had had two weeks induction training before they started supporting people. We looked at a sample of training records. These showed us that staff have been provided with training in topics such as health and safety, fire safety, moving and handling, medication, food hygiene, infection control, adult protection, supporting people with challenging behaviour. Additional training noted on some staff records included training in topics such as the Mental Capacity Act, Mental Health Act, supporting people who have mental health needs and people who have autism. The latter topics tend to be provided to senior members of staff at present. This level of training tells us that the staff team should be able to promote and safeguard the wellbeing of people living at the home. The manager reported that 35 out of the 36 care staff have attained a relevant National Vocational Qualification (N.V.Q) in Health and Social Care. This exceeds the target for 50 of care staff to be qualified. We sent surveys to staff and a number of these were returned. The surveys asked question such as; did your employer carry out checks such as your CRB and references before you started work, did your induction cover everything you needed to know to do the job when you started, are you being given training which is relevant to your role, does your manager meet with you to give you support and discuss how you are working, do you feel you have the right support experience and knowledge to meet the different needs of people who use services. All responses were positive and there were no areas of concern raised. Comments from staff included Rockfield House supports residents in every way it can. The staff are trained very well and regularly in order to provide the best support and care possible, I think it works so well because each individual service user needs are met individually, Supports the service users in all aspects of their daily routines to a high standard and promotes their independence on a regular / daily basis and The staff are also very well looked after and they get support and training necessary to continue with good service delivery. Care Homes for Adults (18-65 years) Page 27 of 32 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. People live in a home which is well managed and run in their best interests. Peoples health and welfare is safeguarded by appropriate procedures and practices. Evidence: The home is well managed and staff roles and lines of accountability are clear. The manager presents as committed to providing a good quality service and leads staff well in meeting the aims and objectives of the service. Mental Health Care Limited has a quality assurance process which includes monthly visits to the service by a senior person from within the organisation. We were told that these visits are carried out on a regular basis. However the last report for one of these visits was dated May 2009. The service is audited on an annual basis and other audits are carried out periodically. People living at the home have been surveyed as to the quality of the service and their feedback has been published in the service user guide for the home. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: The process for supporting people with managing their personal monies was looked at for a sample of people. This was presented as a straight forward and accountable process which includes regular audits. Staff records showed us that staff are provided with regular supervision meetings. Staff team meetings are also taking place on a regular basis. Both of these forums give staff the opportunity to review their practice, share good practice, develop their skills and knowledge, develop as workers, contribute to decision making and shaping the service and to share important information on the needs of the people they support and on the service in general. Health and safety policies, procedures and practice are in place to safeguard the well being of people living at the home, staff and visitors. A safe working practice risk assessment has been carried out. This identifies potential areas of risk and includes information on how these are being managed. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  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 30 of 32 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 Description 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 Description 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 39 Reports on unannounced monthly visits by a representative from the organisation should be made available at the service. Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or 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 © (2010) Care Quality Commission (CQC). 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