Inspection on 03/06/08 for Sussex Road, 113

This is the latest available inspection report for this service, carried out on 3rd June 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sussex Road, 113 11/12/06

Sussex Road, 113 08/03/06

Sussex Road, 113 02/11/05

Sussex Road, 113 05/07/04

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 28/09/2008.

CARE HOME ADULTS 18-65 Sussex Road, 113 113 Sussex Road Southport Merseyside PR8 6AF Lead Inspector Elaine Stoddart Unannounced Inspection 3rd June 2008 01:45 Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sussex Road, 113 Address 113 Sussex Road Southport Merseyside PR8 6AF 01704 531025 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) Speciality Care (REIT) Homes Ltd Vacant Post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies 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: 3 Date of last inspection 10th October 2007 Brief Description of the Service: 113, Sussex Road is a large semi-detached, converted property, which is registered to provide care and support, for 38 weeks, for up to three young adults with a learning disability. The home is located in a residential area close to the town of Southport. The amenities close by include shops, pubs, cinema and leisure facilities, which are accessible via the local transport services or within walking distance. One member of staff in on duty per shift. The students access Arden College for their educational needs. The home is registered with Speciality Care (Rest Homes) LTD. The home manager is Colin Munro and the registered manager is yet to be appointed. Mr Peter Cavanagh is the Responsible Individual. The home provides a homely environment for the students’ resident. There are no disabled facilities required. All students have their own rooms. Communal areas include a lounge, dining/kitchen and enclosed rear garden. The charges for the service range from £42303.00 to £68829.00 per thirtyeight week placement. Sussex Road, 113 DS0000005295.V362635.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 2 star. This means the people who use this service experience good quality outcomes. A site visit took place as part of the unannounced inspection. It was conducted over a one-day period, during the afternoon and early evening as the students returned from college. Three students were accommodated at this time. A tour of the premises took place and a number of care, staff and health records were viewed. Discussion took place with three students and the home manager. A new manager Paul Sadler has been appointed and has placed an application to the Commission to become the registered manager. There have been no new admissions since the last visit. During the inspection one student who is due to move on was case tracked (care files were examined and views of the service were obtained). This process was not carried out to the detriment of the other students who also took part in the inspection process. All the key standards were inspected and also previous requirements and recommendations from the last inspection in October 2007 were discussed. Satisfaction survey forms “Have Your Say About …” were distributed to all the students prior to the site visit. Comments are included in the report are taken from the students survey forms and also from interviews. An AQAA (annual quality assurance assessment) was completed by the previous manager prior to the site visit. The AQAA comprises of two selfquestionnaires that focus on the outcomes for people. The self-assessment provides information as to how the manager and staff are meeting the needs of the current residents and a data set that gives basic facts and figures about the service, including staff numbers and training. What the service does well: All students are assessed prior to admission and are provided with a detailed care plan. The students have an opportunity to visit the home, meet the staff and the other students accommodated prior to moving in. The students are involved in full activity and educational programmes, which involve the students in day-to-day activities both in the home, at college and within the local community. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 6 The students have the opportunity to contribute to the running of the home and their educational programme as they take part in tutorials, student meetings and regular reviews of their care. One of the students is a member of the student council and takes the views of other students to the meetings. The students are involved with planning menus and activities of their choice and have regular contact with their families. The staff use pictorial formats to assist communication in daily living tasks, dealing with safety issues, how to make a complaint and to describe personal care needs. The students confirmed their understanding of the pictures and the complaints procedure during the site visit. Equality and diversity issues are addressed as they have the following policies available: equal opportunities and discrimination and all staff are trained in this area. They can demonstrate that they listen to residents’ needs. Records were stored in an organised manner, were easy to read, up to date and accessible. A pleasant relaxed atmosphere was present and the staff and students were observed to interact positively together. What has improved since the last inspection? Two new care staff have been appointed and three regular staff now provide care and support to the students. The staff have access to a full training programme, which is kept up to date to ensure the staff are equipped with the kills to carry out their roles. Some improvements have been mad to improve the standard of the accommodation; these include painting of one of the student’s rooms and the purchase of some new furniture. There are still improvements needed and these are contained in the section ‘What they could do better’. A new on call system is in place to ensure staff have the support available 24 hours a day. The system is available to cover POVA (protection of vulnerable adults) issues and staff shortages. An alarm system has been installed on the front entrance and outlined in one students risk assessment as a preventative measure. Staff now receive a weekly bulletin to inform them of forthcoming training and events. A fire risk assessment has taken place on 18th April 2008. The requirements of the last inspection have been met. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sussex Road, 113 DS0000005295.V362635.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 Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2,4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A full assessment of need is completed prior to admission to ensure the service can meet their needs. Prospective students have the opportunity to visit prior to admission and are provided with contract agreements in suitable formats. A new statement of purpose is needed on the service provision. EVIDENCE: A new statement of purpose is needed outlining the service provided due to the change in the management structure. Information is available to the students in a student agreement, which outlines details of the home, privacy, rooms allocated, health care provision, finances, cost of extras, who is their key worker and how to complain. Each student on agreement signs these. All students have a full assessment prior to admission to ensure the service can meet their needs. Assessments of need and care plans were viewed and these provided information on a pen picture of the student, dietary needs, allergies, likes, dislikes, activity programmes, curriculum for educational programme and risk assessments. Contracts are agreed with the Learning Skill Council. Specialist services are available for the students to access, such as a speech therapy. Staff are trained to enable them to communicate effectively with the students and picture formats and signing are used to aid communication. This was observed throughout the inspection as staff and Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 10 students communicated well. The service uses the ‘Board maker’, which displays pictures to enable the students to identify activities, menus, tasks and how to complain. The students took part in the inspection and were observed to be very relaxed and comfortable. Comments from students include: “I really like it here” “I looked around and it was the right place for me” “I was shown photos and I visited the home” The students have the opportunity to visit prior to making a decision to move in. There have been no new admissions since the last inspection. Two of the three students are to move on to other placements and their transition meetings (deciding where they should be best placed) have taken place with all involved in their care. The remaining student has been involved in choosing who shall move into the service with him. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7,8,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans of care are in place and are regularly reviewed. Students are consulted and participate in all aspects of life at the home. Staff support the students to lead as independent lifestyles were possible. EVIDENCE: An individual care and education plan was viewed. The ICEP (individual care and education programme) documents detailed assessments of need, individual care plans, educational programmes, behavioural and medical issues, hobbies and interests. Care plans are reviewed every six months or before if required. Care plans are drawn up with the students, family, staff and other professionals involved in their care. Regular meetings take place with the speech and language therapist and educational psychologists were necessary. A key worker system is in place to enable the students to have individual support from member of staff who is aware of their individual needs. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 12 Long and short-term targets are set, which are monitored daily and recorded. The Students educational programme includes a range of lessons, such as drama, catering, music and activities such as swimming. Varied and balanced timetables for the students are recorded on individual care files. Each student has an educational programme and activity plan in a ‘picture format’ to aid their understanding. Students’ individual activity programmes showed that students take part in discos, bowling, cinema and pub visits when not at college. The students spoken with confirmed that they have a full activity programme, which they enjoyed very much. All three students went off to the local pool for swimming that evening. Duties for independence training are recorded and students are encouraged to help prepare meals, do their own laundry and clean their rooms. The students were observed to take part in domestic tasks during the visit. Students are supported to take risks as part of an independent lifestyle and risk assessments viewed demonstrated this. An alarm system has been fitted on the front entrance as a preventative measure for one student and a risk assessment identified the need. Risk assessments are reviewed by the home manager every three months or before should the need arise. The service responds to unexplained absences and has a procedure in place for this. The home manager has worked well with the Commission and notifications of incidents have been received and action taken recorded. Behaviour progress plans are reviewed every three months to monitor progress. Individual Learning plans are reviewed every three months. Medium and longterm targets are set and monitored daily by staff who complete target evaluation records. Targets can include: ‘is vulnerable when out in the community’. ‘Daily record showed target obtained as the student ‘remained with the group and didn’t abscond’. Students are encouraged to maintain family contacts and families are made welcome to visit. The students confirmed they are in regular family contact. All the students confirmed on the visit that they see their families every week. The manager confirmed there are good communication links with families. Students spoken with said student meetings are held and they use these to discuss activities and menus. Weekly tutorials give the students the chance to speak about their college life. One of the students is a representative for the student council and speaks on behalf of the other students. Students are encouraged to manage their own finances where possible. One student has his own account and manages his own money. One student has a ‘Portable personalised symbol book’ in a picture format to aid his communication. This Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 13 contains information in a picture format to show ‘likes, dislikes and what is important to me’. An advocate service is available for the students to access if they wish. The students spoken with during the site visit provided the following comments on how they make choices and decisions about their daily living. “We have student meetings once a week” “We attend college every day and make decisions weekly towards activities” “I always make decisions about food and where to eat out” “At weekends I go to Gymnastics and visit my friend and my Dad” Sussex Road, 113 DS0000005295.V362635.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): Standards 11,12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Physical and emotional needs are met in the way they prefer. The students are encouraged to take part in appropriate activities, engage in the community and maintain family contacts. EVIDENCE: The site visit took place over the early evening period when the three students returned from college. The students were observed to be relaxed within their environment. No new students have been admitted since the last inspection. The students were observed to be comfortable and spent time in the lounge watching TV, chatting with staff about the events of the day and doing chores. The students were involved in their daily living tasks domestic tasks, such as hoovering. They left to attend swimming at the local pool and were to have their tea on return. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 15 The AQAA states the service ‘Offers a wide range of home and community based activities centralised around the concept of social oppurtunity for the individual’. This was confirmed by viewing records and through discussion with the staff and students. Activity programmes for college showed they have access to IT, performing arts, catering, hoticulture and drama. The AQAA states the students ‘are encouraged in productive interaction and involvement with theiur housemates’. This was confirmed with students as they have weekly tutorials, students meetings, reviews and one student is a representative on the on student council. Staff support the students to prepare for college, supervise their transport and often attend lessons and tutorials. Students continue their twenty four hour curriculum at the home by undertaking daily living tasks. College excursions include outward bound trips and pictures displayed in the home confirmed this. Students are involved in choosing what to eat and student meetings are used to discuss menus and they are encouraged to make sensible decisions when choosing where to eat in the community. Daily menus are displayed on the picture boards so they are aware of what the meal of the day is. Students have lunch at the college five days a week. Breakfast and their evening meal is provided at the home. Students spoken with were satisfied with the meals and commented: “The food is very good” Detailed care plans explain the students likes, dislikes, preferences in regards to activities. A full range of activities are provided. Access to regular seasonal parties during Christmas and summer and Easter are enthusiastically celebrated. A good level of staff and student interaction was observed on the day. Students are encouraged to keep in regular contact with their family and this was confirmed in discussion with the students who commented: “I see my family most weekends” “I visit my Nan a lot” “My family come here to visit” Work experience placements are encouraged and are available at the family life centre, Tesco, cancer research and pet awareness. One student has achieved a permanent job position after he leaves college. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 16 The students are encouraged to plan and budget and assist with the shopping. A computer system in place for students use. Students are offered keys to rooms and have a lockable facilty. The AQAA states ‘We listen to residents’ needs and they have the option to attend church if they wish’. All staff are trained in equality and diversity and different cultural events such as Chinese New Year are celebrated. A cultural event is being held at the college on 12/6/08. The three students are to take part in the college production of the Tempest and demonstrated their lines and performance during the visit. They are all to take part in the ‘float’ display at the Southport show. All three said they are looking forward to this. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19.20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Physical and emotional needs are met in the way the students prefer. EVIDENCE: Routines are structured during weekly college placements to ensure the students access their college educational programmes. Evening and weekends are more flexible and students take part in activities of their choice. Support is provided in private and staff were observed to knock prior to entering rooms. Staff provide guidance where needed and as assessed in their plan of care. Each student has a key worker who they can relate to personally and each student confirmed they knew who their key worker. The students choose what to wear and one student was supported by staff to go and get his hair cut on the day of the visit. Students are encouraged to complete their own personal care routines and supported when required. Care plans viewed detailed students healthcare needs and support requirements. All students have access to a local GP. All visits to health care professionals are recorded within their care plans. The students have access to Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 18 an educational psychologist and language therapist via the college. All staff have received medication training. No students were in receipt of medication at the time of the visit. Medication policies and procedures are in place and available to staff for reference. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The student’s views are listened to and acted upon and they are protected from abuse. EVIDENCE: No complaints recorded have been received since last visit. Students are aware of the complaints procedure and it is available in the office and is presented in an accessible format in the kitchen for the students and contained within their student agreements. Pictorial how to deal with bullying guidelines in place for the students to view. All staff have received Protection of Vulnerable Adults (POVA) training. Records seen confirmed this. Policies on prevention of harm and abuse are available in the office for staff to access. Incidents and accidents are reported and the Commission is notified via Regulation 37 referrals. A copy of the safeguarding adults policy and procedure is available and the whistle blowing policy is on display for staff should they need to use it. The students are encouraged to manage their own monies were possible. One student has his own bank account. All transactions are recorded and receipts obtained for audit purposes. A recent financial audit has been completed and the service had a good report. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 20 Weekly tutorials and student meetings take place where students are able to talk about any concerns they may have. Regular reviews are undertaken with all involved in their care. These have recently taken place for those students who are moving on. An advocacy service is available should the students need advice. Discussion took place with all three students about what they would do should they have any concerns. The students commented: “If I am not happy I will talk to Paul Sadler”. “I would tell my Mum”. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,25,26,27,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and comfortable. Sufficient shared and private space is provided. Improvements and repairs are needed to raise the standard of accommodation. EVIDENCE: A full tour of the premises was conducted with the help of the students. A number of areas of improvement were noted and some are outstanding recommendations from the last visit. These would raise the standard of the accommodation and improve the homely environment provided to the students living there. Those areas in need of attention are included in the recommendations of this report and are strongly advised to be addressed to avoid deterioration in the standard of the accommodation. These improvements were also reported in the monthly provider Regulation 26 visits for February, March and April 2008. The AQAA also stated what the service could do better– ‘Home requires re-decoration throughout and employ more maintenance personnel’. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 22 Discussion with the home manager confirmed that repairs and replacements are recorded and requested from head office, however as one maintenance person is employed to cover all the establishments within the Arden College network, repairs have to be prioritised. All students have their own bedroom. Individual rooms were viewed and were found to be comfortable and clean. The students have decorated their rooms with their own personal items i.e. posters. All rooms are lockable but not all students wish to have keys. Space is available for students’ personal possessions and music systems, TV’s and videos. There is large bathroom, shared by the three students, which is lockable. The shower was broken at the time of the visit and the students were using the staff bathroom temporarily. The manager confirmed a new one has been ordered. The laundry facilities are located in the utility area. Water temperatures are recorded to ensure they are at a safe temperature for the students. The lounge is comfortable and contains a TV, DVD, free view box and a computer for students to use. The kitchen is clean but in need of refurbishment. There is a small enclosed garden. The students commented that they are satisfied with their rooms. As part of their educational programme and with the help of staff, the students are encouraged to keep their home clean. Visitors are made to feel welcome and this includes family, friends, advocates, social workers and inspectors. Health and safety practices and checks are in place. Certificates for services were checked and were found to be up to date. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35,36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment and selection process is robust to protect the students and staff are trained to enable them to provide the care. EVIDENCE: The service provides one member of staff on duty per shift including a sleep in duty each night. Staff handovers take place at each shift change and are recorded to ensure staff are aware of the events of the day. Two new staff have been employed since the last inspection and their staff files were viewed to confirm the correct recruitment and selection procedures had been followed. Records showed the new staff had received a criminal record bureau check (CRB) and two references. Staff receive an induction and ‘shadow’ existing staff in the workplace prior to staring work with the students. Staff and students were observed to interact well throughout the visit and were relaxed and comfortable. The training programme viewed showed an ongoing training programme for staff, which is up to date with the exception of food hygiene, which is to take Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 24 place in July 2008. Records and discussion with the home manager confirmed this. The AQAA states ‘100 of staff have completed National Vocational Qualifications (NVQ)’ in care. Staff meetings are held regularly to keep staff up to date. Daybooks record daily events with the students. A new 24-hour on call system in place to provide assistance with POVA referrals and staff cover. The home manager confirmed that this new system works well and commented: “There is always someone there to advise”. Supervision takes place regularly with the home manager and staff and this was being conducted on the day of the visit. Sussex Road, 113 DS0000005295.V362635.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the students. EVIDENCE: Paul sadler has made an application to the Commission to be approved as the Registered Manager. The day to day running of the home is the responsibilty of the home manager Colin Munroe. At the time of the visit the home was found to be organised and well run with the best interest of the students uppermost. A pleasant, relaxed atmosphere was present and students spoken with were complimenatary regarding the home manager. The company is undergoing a management re structure. To monitor service delivery the service conducts home audits. A recent financial audit by parent company was found to be good and clinical governance audits take place by parent company. Annual surveys of students, relatives and staff are obtained. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 26 Monthly provider visits were seen for February,March and April 2008 and these involved an assessment of the service delivered and speaking to the students and staff to obtain their views. Policies and procedures are made available in the service and updated annually. Up to date certificates are in place for services, such as electricity. Fire records are kept and drills conducted and recorded. All accidents and injuries reported and recorded. All risk assessments up to date as stated in above sections. Records seen were up to date and easy to access and organised. All staff training seen was found to be up to date with the exception of food hygiene, which was confirmed to be booked for July 10th 2008 Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 27 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 2 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 28 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. 1. 2. Refer to Standard YA1 YA24 Good Practice Recommendations A new statement of purpose and service user guide to be produced on the new management structure. It is strongly recommended that the following repairs and improvements be addressed to raise the standard of accommodation for the students and to avoid further deterioration. These include: • Redecorate the home throughout due to wear and tear. • Paint exterior. • Refurbish kitchen, fit window blind fro privacy. • Block staff bathroom pipes in. • Replace shower in student bathroom and clean toilet due to heavy lime scale contamination. • Clean hall and stair carpet due to soiling. • Landing – repair ceiling and stud wall. • Lounge – ceiling needs decorating after leak. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 29 Employ additional maintenance people to enable refurbishments to be completed. 3. YA37 Paul Sadler has made an application to be registered by the Commission and is yet to be approved. Sussex Road, 113 DS0000005295.V362635.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Waterloo, Liverpool L22 OLG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sussex Road, 113 DS0000005295.V362635.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. 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