Inspection on 23/07/09 for St Barbara`s Walk (35)

This is the latest available inspection report for this service, carried out on 23rd July 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

St Barbara`s Walk (35) 24/07/06

St Barbara`s Walk (35) 23/02/06

St Barbara`s Walk (35) 06/12/05

St Barbara`s Walk (35) 17/02/05

St Barbara`s Walk (35) 22/12/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOME ADULTS 18-65 St Barbara`s Walk (35) 35 St Barbara`s Walk Newton Aycliffe Durham DL5 4AN Lead Inspector Steve Tuck Key Unannounced Inspection 23rd July 2009 10:00 St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 1 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. 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 home adults 18-65 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. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 2 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 St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Barbara`s Walk (35) Address 35 St Barbara`s Walk Newton Aycliffe Durham DL5 4AN 01325 319083 01325 314621 steapuk@aol.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Ian Thomas Patterson Mr Stephen Andrew Patterson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th June 2008 Brief Description of the Service: St Barbara’s Walk is a Residential Care Home providing residential care services for up to 3 adults with learning disabilities. St Barbara’s Walk is part of a small group of homes owned by the Registered Provider, Mr Ian Patterson that is located in a residential part of Newton Aycliffe and within walking distance of the town centre and its amenities. It is a terraced house providing suitable living accommodation for its residents. The accommodation at St Barbaras Walk has of 3 single bedrooms, a bathroom, a kitchenette and a lounge / dining area. There is a garden area to the front and the rear of the house and there are ample parking spaces at the rear of the house and at the end of the terrace. It costs between £436.25 and £450 per week to live at this home. The costs of newspapers, hairdressing, and toiletries are not included in the fees. Actual costs vary depending on peoples circumstances. Details can be found in the homes Service User Guide. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality Rating for this service is 3 stars. This means the people who use this service experience Excellent quality outcomes. This inspection took place over three days and was a scheduled unannounced inspection. Before the visit: We looked at: • Information we have received since the last Key Inspection. • How the service dealt with any complaints & concerns since then. • Any changes to how the home is run. • The provider’s view of how well they care for people. We asked them to examine their own service and write to us with the results. • We sent surveys to get the views of people who live at the home, the people who arrange it for them and the staff who work there. The Visit: An unannounced visit was made on 23rd July 2009. During the visit we: • Talked with the people who use the service, the staff and the manager. • Observed life in the home. • Looked at information about the people who live at the home & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked on what improvements had been made since the last visit. We told the manager what we had found. What the service does well: St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 6 What people who live there said about the home. “This is my home.” “I know they (the owners) wouldn’t change anything here without our agreement.” “I get to say how the house should be like.” The home is a positive place to live; the atmosphere is ‘up beat’ and lively but also secure and comfortable. The manager and staff are dedicated, talented and clearly enjoy working with the people who live there. People who live at the home like it. They have an individual service and are able to be in control of their lives whilst being respected and supported by staff in the best interests. This promotes their wellbeing and quality of life. People who move to the home have their needs assessed in detail by social or healthcare workers and the manager so that everyone is sure that this is the right place for them to live. This is very important where people have complicated care and lifestyle needs that require well-managed and agreed ways of supporting them. Staff at the home are detailed organised and have well thought out ways that they meet the social, emotional and healthcare needs of each person who lives at the home. And these are written down in ways that are clear so that people who live at the home and the staff who work there can see how the support is to take place. One person who lives at the home said, “I know that Stephen the manager wouldn’t let anything happen that we wouldn’t like.” Staff help people to have interesting lives, they help make sure that people can take part in activities they like and they help them to find and try new ones. The staff and manager help people to make choices about their lives and support them to be as safe as possible when they want to do something risky. The staff work well as a team. One person who lives at the home said, “I’ve got lots more choices than I ever had. I can do things on my own now” People who visit their relatives or friends at the home are made to feel welcome and relationships are supported. Staff are well trained so that they have the necessary skills to support the care and lifestyle needs of people living at the home and there are sufficient staff available so that these needs can always be met. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 7 The manager and staff have the experience and training to run the home effectively so that the in the best interests of the people who live there can be met. And people are asked about the way they wish to live and listened to when they have concerns. Many of the staff have worked at the home for several years, have a good understanding of their roles and work well as a team. They have very strong principles about how they support peoples’ rights and empower them as valued citizens within society and follows the government’s White Paper ‘Valuing People.’ They remain enthusiastic about their work and give good quality, person centred care and support. Care is provided to people with a wide range of needs, with varied ages, expectations and backgrounds. This diversity, including age and gender, is reflected in the staff team, giving the opportunity for staff to be ‘matched’ to people where appropriate. Both care practice and staff recruitment practices are governed by equal opportunity principles. 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. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is Good. We have made this judgement using a range of evidence, including a visit to this service. Each person’s needs are assessed before they move in which helps to make sure that these can be met at the home and inappropriate admissions are avoided. EVIDENCE: Each person’s needs are assessed before they move to the home by a team of workers such a social worker, community nurse, psychologist, as well as the manager. This is to make sure that the home is suitable for meeting the needs of people who are going to live there. The manager has training and skills which help him to make sure that the home is able to successfully support people before they move there. Records show that the manager and staff have found out about the cultural and lifestyle needs of people who wish to move to the home to make sure that these can also be met. And the manager tries to make sure that new people St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 10 moving to the home are likely to be compatible with those already living there by, for example, having shared interests or experiences. Each persons assessment information is detailed which helps the manager and senior staff to plan and write down the ways that they are going to support them. This is important where people have complicated needs and social networks which require a lot of insight and well-organised support. The home has written information called the Service Users Guide which gives all of the important details that people need to know about what it is like to live there. This includes information about how to make a complaint and the most recent Inspection report. The Service User Guide for this home has been drawn up in ways which help people to understand what the information means and staff also help to explain it. This information is given to the interested person who is also invited to visit the home to meet the other people who live and work there. The speed that people move to the home is determined by their needs so that an informed decision to move in can be made. This home does not accept emergency admissions. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 and 9 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has an individual plan of care, which sets out their preferences and how their assessed needs will be met. These plans describe the measures which staff use so that they can consistently meet peoples’ needs. EVIDENCE: Some people at this home have needs which require the staff to respond to them in particular ways for example to give them support to feel confident and help them to manage their lives. All people living at the home have a detailed plan of care, which gives a thorough description of how their physical, emotional and lifestyle needs are to be met. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 12 People get support from staff which is individual and tailored to their specific needs so that they can live as valued citizens within their community. Care is carried out in ways that arranged so that each person is at the centre of a network of support and tailored so that they have highly individual lifestyles. Staff have a good understanding of people’s histories, needs and preferences which they need to support people. They also work closely with other community-based health and social support staff to make sure that peoples wider needs are supported by fully co-ordinated care. The way that care plans are written down shows that how they are to be supported and there are reviews to see if their needs have changed. There are examples of where a great deal of thought consideration and care has gone into this planning. For example how peoples relationships are supported, how the service makes sure that people are not vulnerable to abuse is clearly and carefully recorded. People living at the home are treated with respect by staff who know them well. Relationships between people and with staff are relaxed, friendly and informal which helps them to feel comfortable and in control. People appeared to be relaxed and happy with the support they get from staff. Staff meet at the start of each shift where they talk to each other about peoples needs so that they remain up to date, work well as a team and remain consistent. One person who lives at the home said, “Staff treat me with respect; this is my home and I’d be upset if they didn’t.” All people living at the home have access to someone outside of the home who can speak on their behalf and help to make decisions in their best interests if they wish. The manager said, “We have spent a long time supporting people to feel confident enough to say what they don’t like.” One of the home’s strengths is how the manager and staff help people to be as independent as they can and to take measured risks if they wish. The manager and staff take actions to support people and reduce the risks which they take so that that there is a balance between promoting people’s independence and rights and making sure that they are safe. For example each person living at the home has a mobile phone with preset numbers of certain people who they can contact if needed. The care plans record the daily routines of each person. People get up at their preferred time, use the areas of the home that they choose and move around as they wish. Care plans reflect the support people need to carry out daily domestic tasks. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 13 One person who lives at the home said, “Staff help us to cook the meals because there aren’t any of us who are very good cooks.” St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 11 12 13 14 15 16 and 17 People using the 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 encouraged and supported by the staff to make choices about their lifestyle so that they can lead fulfilling and interesting lives and staff help people stay in touch with their circle of family and friends so that they can keep links with people outside of the home. EVIDENCE: People living at this home have the opportunity to have active lifestyles. Everyone has his or her own routines and activities many of which occur outside of the home. The staff are very knowledgeable and skilled at helping people to choose activities that they would like to take part in or to try out and to find opportunities and arrange them. Staff also encourage people to make St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 15 decisions, and help them to organise the different opportunities they have each week. The home is run and organised to promote the recognition of respect, privacy and the rights of service users. The staff work to reflect this. Peoples’ rooms are respected as their private space and service users move around the home with confidence, demonstrating ownership of their surroundings. Comments made by people living at the home were, “I have my own key so that I can get in or go out when I like. I please myself what I do but I let staff know where I am” “I let staff know where I am or I phone them on my mobile.” People who live at this home discussed the variety of activities they take part in. This varies from doing paid work, working in an allotment, carrying out voluntary work for a local charity and attending college courses. As well as this people visiting Newcastle and local areas to do their shopping, visit pubs and entertainment venues. Some people have gym membership at the local leisure centre. Some people who live at the home have successfully gained employment from County Durham Council as representatives in their local parliament meetings where they help to make decisions for people with learning disabilities. Another person has taken an acting role in a film which has been recently been premiered at a prestigious regional film festival. The different holidays that are taken were also discussed. Each person takes at least one sometimes two holidays each year. One is fully paid by the organisation to places such as the lake district or the Calvert Trust and one abroad to places such as the Canary Islands. Other plans in place include a visit to the motor show in London At the time of the inspection a major social event was being planned involving all of the people who live at the home and the staff and manager. And people were talking about what sort of holiday they would like this year. People also have opportunities to continue with their further education at local colleges. People showed us their certificates from courses they have attended which have helped them to achieve recognition of their skills and given them greater self esteem. One person who lives at the home said, “I’ve never been told I can’t do anything, Stephen and the staff will always try to help you.” St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 16 Staff are good at finding out about opportunities or activities which are taking place in the local and wider community and making sure that support and transport is available for those people who want to take part. Photographs of people taking part in activities are displayed in people’s rooms. Staff help people to keep in touch with friends and relatives where this is possible and this helps people to have active contacts outside of the home. Several choices of meals are offered at all times and people help to plan their meals. Attempts to offer a balanced diet whilst still responding to people’s choices were noted. Mealtimes are pleasant sociable events at the home where people meet and share each others company. And people said that they liked the food. Menus are regularly changed and agreed by everyone, and mealtimes are flexible to reflect individual routines and activities. Fresh produce including meat and fresh fruit and vegetables are delivered to the house. And some vegetables are grown by people living at the home in their greenhouse or allotment. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ personal and health care needs are identified and arrangements are in place to help make sure that they can have a healthy lifestyle. EVIDENCE: Staff keep records of people’s healthcare needs in care plans. These show that staff look out for changes in their physical or emotional state which may need the involvement of specialist healthcare workers from outside the home. This has promoted joint working with healthcare staff and helped home staff make sure that people get the healthcare support that they are entitled to. People are registered with healthcare facilities, for example their general practitioner or dentist and are supported to attend appointments if they wish; some people choose to visit their doctor on their own. Contact can also be made with St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 18 health workers who are part of the integrated community team when necessary and appropriate. People have access to a full range of community healthcare support and staff have arranged for the dietician to help people to eat healthily and arranged support to help people to give up smoking. Medication is securely stored and there are effective systems in place which help to minimise mistakes. When checked there were no errors found. Some people have been able to safely take responsibility for their own medication which fits in better with their lifestyle. The home has weighed up the risks and taken steps to minimise the likelihood of mistakes. For example, by encouraging and supporting people to use daily dosage boxes prepared by the pharmacist. Staff support service users to live healthy lifestyles and they have supported service users to lose weight by eating healthily and to give up smoking. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the 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 who live at this home and their families can make a complaint if they are unhappy, have a grievance or dispute which helps them to have control over their lives and there are measures in place which protect people from being harmed which helps to promote their safety and security. EVIDENCE: There is a clear complaints procedure in place at the home, which tells people how to complain, and the length of time a response will take. This is in a picture format so that it is easier for some people to use. By watching the staff’s day-to-day practices, we could see that they ask for the views of people who live at the home all the time and help them to make real choices and decisions. People who live at this home assert their views and preferences and were clearly empowered to say what they thought. One person living at the home said, “We have house meetings where we can say what we think about the way that the house is run.” St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 20 Another person said, “There’s nothing much to complain about here, nothing is changed without you being asked about it first but I know we would talk to Stephen (the manager) about it.” No one at the home or advocates for the people who live there had decided to use the complaints procedure to resolve their grievances in the past 12 months. But there is a clear process in place which shows how complaints will be handled. The homes has an adult protection procedure which is robust and complies with the Public Disclosure Act and the Department of Health Guidance. There is a staff guide, which gives clear instructions about the actions which they must take if abuse is disclosed or witnessed and all staff spoken to are knowledgeable and vigilant. In the last 12 months there have been no instances where staff or the manager have needed to take steps to protect people from abuse. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 21 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the 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 house is homely, well equipped and clean and provides people who live there with a comfortable environment in which to live. EVIDENCE: The home is a four bedroom house in a quiet street of similar properties with an open front garden and a private rear patio and garden. The home fits in well with those around it which helps people who live there to be accepted citizens within their community. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 22 People who live at the home are encouraged to have ownership of their own rooms and staff help them to keep peoples own rooms and the rest of the home clean and pleasant for everyone to live in. The bedrooms are large pleasant attractive areas, which have a range of good quality furniture, and fittings which are comfortable and useful for people to use. All of the people living at the home have decorated their rooms with their items, photographs and keepsakes and some have bought their own furniture and soft furnishings. One person living at the home said, “This is my room, staff know that it is my personal space.” The home is inspected by the Fire Prevention Service and overseen the local authority to make sure that risks from an accidental fire are lessened and a safe and healthy environment is promoted for the people who live and work there. There is evidence that repairs and maintenance has been carried out and the manager has drawn up a refurbishment programme to improve those areas that are now looking dated. For example the kitchen is to be replaced in the near future. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 and 35 People using the 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 are enough committed and enthusiastic staff working at the home to support the people who live there. And they have the skills, training and support from the manager so that they can meet the needs of people living at the home. EVIDENCE: Care workers are well organised by the manager with shift patterns which reflect the demands of people living at the home and records show that sufficient staff have been working there. Staff absences are rare. Information from the manager shows that staff have received training relevant to their job roles and the specific needs of people living at the home. There is a detailed training programme is in place which encourages staff to remain interested and motivated by the work they do and helps to improve their skills St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 24 and ideas and the quality of the service. This covers National Vocational Qualifications (NVQ) as well as specialist courses. Almost all of the care staff have NVQ Level 2 or above and workers who have undertaken NVQ Level 2 training are being encouraged to continue their training to Level 3. Where new staff are employed, they are given extra training which links with national training organisation standards so that they have sufficient skills to support people and work effectively with other team members. All staff are now qualified to administer ‘first aid’ support. Each member of staff demonstrates that they have an in depth knowledge of people’s needs and the strategies and approaches they use to support them. Staff show that they competent in their role and this is reflected in the good standard of practice when they support and interact with people living at the home. Staff have regular contact with the manager who works alongside them on a day-to-day basis. The manager has records which show that regular supervision takes place where staffs’ performance and the work they do with individuals is thoroughly discussed. Morale is very good at the home and staff are very ‘up beat’ and motivated about the work they do and genuinely enjoy spending time supporting the people who live there. Staff are positive about their work and clearly enjoy it. There are procedures in place so that new staff who are recruited have checks carried out before starting work to make sure that they are suitable to work with vulnerable people. These are backed up by records which the manager has kept to show that he does not employ staff without them. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37,38, 39, 41 and 42 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager at the home makes sure that people who live there are supported properly and gives leadership and direction to staff so that the quality of the service they give is improved. EVIDENCE: The manager has managed this home since it opened in 2003 and is a qualified nurse who also holds a Diploma of Nursing Studies. He has undertaken nurse training specifically in the nursing support of people with learning disabilities St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 26 and prior to working at this home worked with people in hospital settings. He has also completed the Registered Managers Award, is a NVQ Assessor and has recently attended a wide range of training including clinical supervision, first aid, the Mental Capacity Act, food hygiene, dementia care and safeguarding adults. The manager demonstrates that he has extensive experience and skills in supporting the needs of people with learning disabilities in this home which he has used to promote their independence wellbeing and lifestyles. The manager is highly motivated, well organised and has an excellent understanding of how the home operates so that the organisations ways of working can be used to improve and promote the lifestyles of people living there. He has an open positive and inclusive ethos and has the respect of his staff, which reassures people living at the home and their relatives that the service can continue to be provided in their best interests. One person who lives at the home said, “I like Stephen, I know he’s reliable.” People living at the home are empowered to give their views about all aspects of the support they get from staff. There are a number of meetings held at the home and also other informal occasions where the manager is able to check that people are satisfied with the service. Over the past 12 months serious discussions have taken place regarding changing the registration of the home towards the supporting people model and to support them and the residents in this process an independent advocate was involved to support people living at the home in an impartial way. As a result, people who live at the home were fully consulted at every stage. Following the views that people who live at the home said, it was decided that, although a change of registration will take place to recognise the organisation as a Limited Company, the service will remain registered as a residential home. People living at the home decided that they “preferred the present system and did not want to change the way things were done.” However the discussion will stay open and if circumstances change or different views are reached, the decision will be reviewed. The owner also visits the home each day and collects the views of people living there so that he can check to see if the service is meeting the needs of all parties. This helps the manager to monitor progress and develop the service. The manager has started to organise this information in a way which shows how this information is used to make management improvements at the home. Staff at the home help people who live there to manage their money. Detailed records are kept of people’s day-to-day finances and where staff have supported them to make purchases. Checks showed that these are accurate and there are safeguards in place to help prevent theft or fraud. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 27 There were no noticeable hazards at the home throughout the inspection and arrangements are in place to minimise risks for people living there and the staff who support them. The home has been subject to inspections by the Fire Prevention Authority and local authority environmental health officers to make sure that the home is safe. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 28 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 3 4 X 4 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 3 3 3 3 3 3 3 3 3 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 4 3 X X 4 X Version 5.2 Page 29 St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 30 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. St Barbara`s Walk (35) DS0000007566.V377020.R01.S.doc Version 5.2 Page 31 - 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!