Inspection on 31/03/10 for St Oggs

This is the latest available inspection report for this service, carried out on 31st March 2010.

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 Oggs 05/09/06

St Oggs 11/01/06

St Oggs 29/06/05

St Oggs 14/03/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 29/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: St Oggs 14 Front Street Morton Lincs DN21 3AA     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: Ken Hague     Date: 3 1 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 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © 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 29 Information about the care home Name of care home: Address: St Oggs 14 Front Street Morton Lincs DN21 3AA 01427617173 01427617171 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Prime Life Ltd Name of registered manager (if applicable) Christine Keeley Type of registration: Number of places registered: care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 21. 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: Mental Disorder, excluding learning disabilities or dementia - Code MD Date of last inspection Brief description of the care home The home is a detached adapted property providing care and accommodation for up to twenty residents with mental health needs. There is also a bungalow within the grounds, which can accommodate two residents. The home is situated in a residential area of Morton, once a village and now a suburb of the town of Gainsborough. There is a Church opposite the home and local shops and a post office are located on the corner of the road. Gainsborough town can be reached by using a bus service, which passes Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 3 19 2 5 0 3 2 0 0 9 Brief description of the care home the corner of the road. The home has a minibus, which also provides residents with transport for example to appointments, trips out and to attend day care services. This is shared with another home within the same group. The home was extensively refurbished when the current organisation took it over. There are three lounges, a games room and dining room. These are on the ground floor. Bedrooms are on both floors. The home does not have a lift. The front garden has flowerbeds, paved areas and seats. There is a driveway leading to the rear of the property, which has a decked patio/seating area and car parking. The home is part of Prime Life Limited. The home charges, £321 to £641 per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The care service has been awarded a two star rating. This means the outcomes for people are Good. The service did not know we were coming to carry out an inspection. This is referred to as an unannounced inspection. We visited on the 31st of March 2010. The visit lasted seven hours. The inspection was carried out by a single inspector. The purpose of the visit was to establish how the care home is functioning and the outcomes for people using the service. We also check that the practices are safe and that staff understand how to recognise abuse and report it appropriately. Any previous information held by the Care Quality Commission about the care home was taken into account. Before the visit the provider returned the Annual Quality Assurance Assesment (AQAA). This document enables us to have additional information about how the home is meeting the demands of people using the resources Care Homes for Adults (18-65 years) Page 6 of 29 of the care home. It is normal practice to send out service to people who use the service and to staff who work within the service. This process was completed but only two surveys were returned from staff members and none from residents. We did however speak to people and staff during the site visit and their views and opinions are reflected within this report. The method inspection using this report is called case tracking which involves selecting a proportion of the people who use the service and tracking the care they receive. At whis visit we tracked three people who use the service. This was done by checking records, discussions with them and staff will care for them, and observations care practice. During this visit we spoke to people using the service, the registered manager and staff. This gave us an overview of the service and enabled us to award the star ratings shown above. Care Homes for Adults (18-65 years) Page 7 of 29 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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents receive a comprehensive individualised assessment to ensure that their total life needs are identified and future goals are recorded. Evidence: There has been major improvements in care records since the last key inspection. The current care records are all written to a high standard; they are detailed and individualised. Information is filed in exactly the same manner, separators are used and an index which made information easy to find. There was a consistent approach to assessments with a checklist for staff ensuring that the same information was obtained at each assessment. This information was very personalised and reflected the individuals needs rather than a common less detailed assessment which had been seen in the past. We case tracked three residents as part of this inspection. All of their care records contained an initial assessment which had been completed prior to admission and included information from any professionals involved with the resident prior to their Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: admission. Details of community health care services including consultant psychiatric nurses and community nurses were contained in the files. Consent had been obtained from the individual resident to complete the care records. A pen picture and photograph was on each file. There was evidence of the individual resident and family contributed to this pen picture. Assessments contained medical history, family details, and past employment. Current medication was recorded. The goals and aspirations of each individual were recorded on the assessment including evidence of long term planning. Detailed risk assessments had been carried out for every resident, where any risk had been identified risk management strategies were in place. Risk management took into account the wishes and choices of the residents and balanced individual choices against any assessed risk. There was evidence of risks being taken in a balanced way to try and able greater choice and quality of life for individual residents. Admissions had all been planned and any agencies involved with the residents had been involved in discussions prior to admission. Evidence of any identified need had been considered. There was evidence of the residents and their families being involved in the assessment and in the drawing up of the initial care plan. Assessments included future goals including timescales had been discussed with the individuals. Goals had been included in the assessment even when the outcome may not be predictable. This demonstrated that the individual choices and wishes are explored in a safe manner. All assessments were signed by the resident and the assessor. The records were easy to follow written in plain English and were very informative. These were a major improvement on the care records seen at the last key inspection. Residents stated that they have been presented with all of the information they needed to make an informed choice to stay at the home. They were aware of their individual financial contributions. A contract was in place between the company and the individual or funding authority. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans instruct staff how to ensure individual residents needs are met and their choices and wishes are respected. Care plans encourage residents to maintain their independence enabling them to plan for the future. Evidence: Care plans like assessments have been improved. We found that all care plans were written to the same high standard regardless of whether it was a long-term placement or respite care. The care plans for people admitted recently and for residents admitted a number of years ago are now written to the same excellent standard. The registered manager has established a consistent system which ensures care plans are individualised, personalised, clear and informative to staff as to how to help each resident. The company has introduced a new initiative entitled meet and greet which is a checklist attached to all new residents care plans. The checklist ensures that they are offered meaningful and accurate information and are fully informed in a format that Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: they can understand so that they will know about the services offered by the care centre. The registered manager stated that it is the responsibility of each keyworker to ensure new residents are introduced in a positive manner to the service and given all the information they require. We studied the care plans for three residents. The information taken at the initial assessment had been used to write the first initial care plan. Care plans covered all areas including medical history, a pen picture, extended family, risk assessments, risk management and the choices and wishes of each resident include their aspirations and goals for the future. Medical history was particularly well recorded and information had been being obtained from consultants, community health care teams, past placements and social services to ensure the maximum information was available to staff Information was filed consistently and informed staff of peoples future goals. Peoples individual care needs were recorded in detail. All care records are reviewed on a monthly basis. Everyone involved with each individual was involved in the reviewing process including family. There was evidence found in records of individual residents being involved in the decision-making process and drawing up of risk assessments. Identified risks had always been balanced against individual choice. Care plans, discussion with staff and observations at the site visit all provided evidence that the confidentiality, dignity and privicy of residents is paramount. Instructions to staff stated how to help residents and contained detailed instructions of how staff should ensure their choices, wishes, dignity and privacy is maintained. Staff stated the home encourages people to be as independent as possible in a supportive environment. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are presented with a range of activities which allow them to increase their personal skills and education. The home enables people to have a choice of meal which meets their personal dietary needs. Evidence: The registered manager stated that people go out into the community for their activities as well as taking part in activities held within the home. People are very much part of the local community carrying out their shopping locally and attending local community functions. Residents have the opportunity to attend a day centre in Lincoln which helps them with their living skills. There is a second day centre in Gainsborough which again offers social skill training. Residents can attend the Lincoln College and take courses, for example in decorating. A resident of this home recently successfully completed the Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: decorating course. The home has a small allotment where residents can learn to grow their own vegetables. Recently a vegetable plot has been made within the home grounds. All of the activities at the home are aimed at encouraging people to develop social and practical skills and to keep options open for the future in terms of personal goals and living arrangements. The registered manager stated that it is important to maintain and develop individual residents skills. Residents go shopping with a member of staff each Tuesday at a local supermarket. They make a list of food and produce to be purchased. They are assisted by staff to buy their food of choice so that their menu meets their individual dietary needs while providing choices. Residents help staff in the preparation of daily meals and in developing personal life skills. There is no set menu, residents select their choice of meal on the day. Residents told us we are very happy with the arrangements regarding our meals. A resident stated I choose what I wish to eat, staff help me and support me in preparing my own meals. I carry out my own shopping. Im always satisfied with meals provided by the home. We are encouraged by staff to plan a healthy diet. We go out to local restaurants, take part in local community activities. Residents care plans contained details of the activities taken by each individual. This is very much a personal selection by the resident. The day centres provide social and skill training while the college offers educational opportunities. Residents stated their satisfaction with the daycare facilities and activities being organised by the home. Staff stated holidays can be taken with family or with a group from the home. People are encouraged to maintain their social and living skills. They make meals for themselves and take some responsibility for cleaning their own bedrooms. The registered manager said this is to ensure that if a personal goal is to return to the community, independent living skills are developed and not lost. Residents are trained and encouraged to prepare their own food and to identify their likes and dislikes in terms of personal menue. This activity enables staff to work on personal budgeting skills. A staff member stated Residents can make their own drinks and snacks at any time. We encourage them to live a normal family lifestyle. Residents told us they go out into the community on a daily basis, use local shops, go to cinemas and use local leisure facilities. A resident stated I have quite an active Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: social life, I enjoy living at his home. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The healthcare needs of residents are identified in care records and the use of the homes resources and community of healthcare services ensure these needs are met. Evidence: Care plans contained the healthcare needs of each individual resident. All of the healthcare services supporting each person were named within their care records. The registered manager stated that there is good liaison between community healthcare services and the care home. The names of consultants, GPs and community nurses who work with each individual were recorded in their care plans. This included dates of visits to the home and outcomes. A resident stated We are helped and supported by our local nurses and GPs. I can see a doctor at any time I wish, they are always helpful and listen to me. The registered manager stated that senior staff are trained and competent to give out medication in accordance with the companys medication procedure. Training records demonstrated that this training had been provided. Senior staff confirmed that they had received training and felt competent in giving out medication. A sample was taken of medication records; these corresponded with medication stocks. A member of staff Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: giving out medication was observed to be following the companys policy and procedures to ensure that medicine was administered safely. Staff stated that all residents on the day of this visit had their medication administered to them by staff. The registered manager stated that risk assessments are carried out if a resident applies to self-medicate to ensure this will be safe practice. The general practitioner for the resident is also consulted as part of the risk assessment. If a resident is self-medicating, lockable facilities are made available within their own bedrooms. The registered manager confirmed that at the current time no residents are self-medicating. There has been no maladministration of medication in the last 12 months and medication stocks have always corresponded with the records. Residents stated that they were happy with staff helping them with their medication and they had confidence in their ability to ensure prescribed medication was given appropriately. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected from any potential abuse by well-trained staff and updated policies and procedures. Evidence: The home has a whistleblowing procedure which staff stated they would be confident to use if necessary, although they believe the registered manager would deal with any concerns immediately. Staff stated she ensures they provide high standards of care and protect residents from any potential abuse. The registered manager stated staff have been trained in protecting vulnerable adults from any potential abuse. Training records confirmed this training has been completed. There have been no complaints received by CQC regarding this home. There have been no negative comments from any other agency in the last 12 months. Comments from residents at the site visit and feedback from staff and residents in surveys contained only positive comments. Residents confirmed that they had a copy of the individual complaints procedure and were able to make complaints if they had any concerns. Resident stated any concerns raised with the manager are dealt with very quickly. The company promotes an advocacy service and details of the service was seen to be Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: displayed on notice boards. There have been no safeguarding investigations carried out at his home in the last 12 months. The registered manager has kept us informed appropriately of any situation which affected the safety or comfort of the residents through the notification process. A resident stated This is a very good home to live in, the manager listens to us we can raise concerns if we have any and she will deal with them. The registered manager stated We hold residents meetings to obtain feedback about how residents feel, we answer their needs and their comments on the quality of our service. The company operates its own quality assurance system and monthly visits are carried out during which residents views are sought by a regional manager. The company promotes and enables residents to obtain an advocate if this is their wish. Keyworkers support residents on a one-to-one basis to plan their future goals and aspirations. There being no health and safety issues or maladministration of medication at this home in the last year. The manager continues to inform us of any incidents which effect a resident safety and welfare. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in safe and well maintained environment. Evidence: The registered manager stated that there is an ongoing maintenance programme in place. Maintenance records and maintenance surveys completed by company representatives supported this statement. She said that the maintenance requirements of the property is also discussed with her regional managers at their monthly meetings (section 26 reports) and future plans were found to be recorded within these documents. Some areas of the home were seen to have been decorated since the last key visit. The registered manager produced records to show that the water temperatures are being monitored and the air temperature in the storage area for medication is also being checked to ensure medication is stored at the correct temperature. Residents are encouraged to take some responsibility for the day-to-day care of their personal bedrooms and common lounge areas supported by staff. The home was seen to be clean smelt fresh. No infection control issues or health and safety issues have been raised in the last 12 months. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Residents and staff stated that they were happy that the building was safe to work in and provided comfortable surroundings for residents. One member of staff stated in her survey I think the home provides a healthy and stable environment for residents. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by competent, trained staff who ensure that residents needs are met. Evidence: The registered manager stated that there is an ongoing training programme for all staff which ensures they are provided with essential training and specialised training. All staff are taking part in NVQ training 67 of care staff hold an NVQ two in care or an equivalent award. Staff stated they believe there are enough staff on duty to answer the needs of residents. A member of staff said they are encouraged to take further training and receive annual appraisals and formal supervisions.The registered manager stated that staff meetings take place and all staff receive an annual appraisal and formal supervision. Supervision records, training records and staff meeting records supported these statements. A sample was taken of the recruitment records. A new member of staff was spoken to and she confirmed that she had completed an application form. She had supplied all of information the company required for new staff. She confirmed that she had received a formal interview conducted by two members of management. The inspection of her Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: personal file confirmed this statement to be correct. The file contained the information which included a criminal record bureau check, two written references, and proof of identification. There were no staffing issues identified at this inspection. Positive comments were made by residents about the homes care staff. A resident stated Staff are great, they help me and support me in my everyday life. A second resident said I find staff kind they listen to me and help me when Im not feeling good about life. I trust them. Staff stated that in their opinion good teamwork takes place within the home and people work well with each other. There were no negative comments on any returned staff surveys. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care home has a management structure and committed individuals who ensure that residents needs are met safely. Evidence: The registered managers said that they see every resident as an individual with specific individual needs. The care records demonstrate that staff are encouraged, supported and managed to ensure residents individual needs are being met. At the same time the choices, wishes, aspirations and goals of each resident are identified and managers work with them to achieve maximum independence. Care records demonstrate that managers balance the choice and wishes against identified risk and will enable individual residents to take sensible risks under staff supervision. Staff are being recruited safely using the recruitment procedure of the home. Staff meetings and residents meetings are being held frequently. A quality assurance procedure is in place which is monitored by the regional office to ensure residents have a voice and are happy with the services being provided by the care home. The registered manager keeps the Care Qaulity Commision informed of any incident which Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: may affect a resident safety. There have been no notifications in the last 12 months which have raised any concerns. Care staff state managers are supported and there is a clear management structure in place known to all staff. The homes managers encourage and support staff to develop their personal skills and provide the appropriate training opportunities. Staff are recruited safely. Residents state that they find the homes managers approachable. In their opinion the home is well managed and they are confident that they can raise any concerns with the homes managers who will then address any issues. There were no negative comments received from any source in relation to the management of this care home. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © 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. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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