Inspection on 14/02/07 for 1 Chantry Close

This inspection was carried out on 14th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 Chantry Close 05/03/08

1 Chantry Close 15/03/06

1 Chantry Close 09/08/05

1 Chantry Close 15/02/05

1 Chantry Close 08/09/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Chantry Close, 1 1 Chantry Close Tenbury Wells Worcestershire WR15 8QE Lead Inspector Christina Lavelle Unannounced Inspection 14th February 2007 2.00pm Chantry Close, 1 DS0000018483.V327221.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 Chantry Close, 1 DS0000018483.V327221.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. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chantry Close, 1 Address 1 Chantry Close Tenbury Wells Worcestershire WR15 8QE 01905 611147 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) SCOPE Mr Andrew Joseph Deakin Care Home 4 Category(ies) of Physical disability (4), Physical disability over 65 registration, with number years of age (1) of places Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is primarily for people under 65 years of age with physical disabilities, but may accommodate people who have an additional learning disability. 15th March 2006 Date of last inspection Brief Description of the Service: Chantry Close was opened in 1994 and is part of a local community project set up by SCOPE called 1st key Worcestershire. SCOPE is a national organisation and a registered charity providing a range of services for people with cerebral palsy and other physical disabilities. The 1st key office is at Unit 3, Lowesmoor wharf, Lowesmoor, Worcester WR1 2RS (telephone no 01905 611147) and the service’s registered manager (Mr Andrew Deakin) is based there. The home provides accommodation with personal care for four adults who must require care due to physical disabilities and may also have a learning disability. The main stated aim of SCOPE is for disabled people to achieve equality, and the vision statement for 1st key services is to empower service users to lead their lives in the way they choose. The house is situated in a quiet cul-de-sac close to the centre of Tenbury Wells, which is busy market town. It has a very pleasant outlook towards the parish church and the river beyond. The property is owned by a housing association, which has responsibility for it’s ongoing maintenance, and leases it to SCOPE. The home has a few parking spaces at the front and a small private garden with a patio area to the rear. Each service user has a single bedroom, none of which have en-suite facilities. One bedroom is on the ground floor and the other three can be accessed by a stair lift. There is a dining area, sitting room, ground floor shower facilities and a bathroom upstairs for everyone to use. The kitchen is not adapted for wheelchair users and overall the accommodation would not be suitable for service users with more severe physical disabilities. Information about the home is provided in a statement of purpose and service users’ guide, which are available from the home and 1st key office. The current fee for the service ranges from £37.343 up to £52.000 per year. Additional charges are made for such as hairdressing, newspapers & magazines, personal shopping, travel & telephone calls and chiropody. Funding for activities and holidays is agreed between 1st key and each service user’s funding authority. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a key inspection of Chantry Close. This means the inspector checked all the Standards that can be most important for adults who live in care homes. This visit was made without telling staff and service users beforehand. The inspector spent time with service users in the sitting area, and spoke with two alone in their bedrooms, about what it is like living at Chantry Close. The way the home is run and changes since the last inspection were discussed with the senior. Other staff were asked about their experience and training and the service users and their lifestyles. Everyone was very welcoming and helpful. Service users and two of their relatives had completed survey forms showing their views of the home. A comment card about the service was also received from one GP surgery. Their feedback is referred to in this report. Various records kept by staff were checked and most parts of the house looked at. There is helpful information in a questionnaire the team leader completed before this visit. All information received by the Commission about the home since the last inspection is also considered, such as notifications of events that had affected service users. There have not been any complaints made to the Commission about the home or concerns raised in respect of vulnerable adults. What the service does well: The home has a warm, friendly atmosphere and staff and service users clearly get on well together. Service users view Chantry Close as their real home and say they are happy living there and with the support they receive from staff. Each service user has a written care plan that they are involved in drawing up and reviewing. This makes sure staff know all their needs, goals and wishes. Service users lead busy lives, following their individual interests at home and out in the community. Staff enable them to be as independent as they can be and to make choices and decisions about the home and their own lives. Staff also help them to stay in good health and to have regular health care checks. Service users are supported to keep in touch with and visit their families and friends. Relatives say staff always make them welcome in the home and keep them informed and they are satisfied with the overall care the home provides. Chantry Close has offered service users the opportunity to live in an ordinary house and they have become part of the local community. The home is in a lovely, convenient place close to shops, pubs, cafes etc in Tenbury Wells town. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 6 The house is very homely and comfortable and various aids and adaptations are provided so service users can get about easier and be more independent. The home has enough staff to meet service users’ personal care and social needs. The staff team is small and stable, which means that staff and service users know each other well and service users receive consistent support. The staff team work well together to make sure that service users can lead the lifestyle they choose. SCOPE also arranges necessary training so they have the knowledge and work in ways that keeps the home and service users safe What has improved since the last inspection? 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. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 7 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 Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 8 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): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Written information is available about the home to help prospective service users (and/or with their representatives) decide if they may want to live there. There are appropriate assessment and admission procedures in place to make sure that the home could suitably meet the needs of new service users. EVIDENCE: SCOPE provides written information documents about the service, including a statement of purpose and service users’ guide. There is also written guidance on assessing prospective service users’ needs when referrals are received. There had been a new service user recently and the inspector talked to him and staff about his admission. It is confirmed he was given information about the home and asked about moving in. He has been living in another SCOPE 1st key care service and so is already familiar with their aims and purpose. Visits were then arranged to Chantry Close with his keyworker to look around the home. They included an overnight stay so he could meet and spend time with service users and staff. Staff at the home were able to look at his care records and plan, before it was agreed that he would move in for a trial stay. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 9 The home will soon be arranging a review meeting, with the service user and relevant other people. During this meeting the trial stay and if the home can suitably meet his needs and his views on living there will be discussed. Once a decision has been made about the continuation of the placement staff said they will revise his care plan with him, using the home’s format. It is good that staff and existing service users are also being consulted as part of the process to check that the new person and their needs are compatible. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 10 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): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Service users receive good support from staff who know them and their needs well and help them plan their care and to identify and achieve personal goals. Risk assessments are carried out to minimise any risks to service users’ safety, whilst promoting their independence. Service users are also enabled to make decisions and choices in their daily lives and routines. EVIDENCE: A sample of service users’ care records was checked. They include information about their background and history, preferred daily routines and a record of significant events kept by staff. This record shows such as activities they have participated in, family contacts, visits and health care appointments. Therefore providing helpful ongoing information about their lives, health and welfare. Service users have a care plan detailing their care needs and support needed from staff to meet them, which also appropriately include any personal goals. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 11 Service users are fully involved in drawing up and reviewing their own plans. They confirm their awareness of their plans and describe how staff go through the plans with them and they have a copy of their own plan if they want one. One person’s plan had first been drawn up and agreed with them in April 2005 and had last been reviewed with them in September 2006. Plans are reviewed at least six monthly, which is the frequency specified in the Standards. Although service users do not have an allocated support worker (a keyworker) because the staff team is so small, it is clear that staff and service users know each other very well. Service users say they are able to make choices about who they receive support from and go with them on individual outings etc. Most service users also have an advocate who provide them with external support. They can invite their advocates (as well as family) to their annual placement reviews, which are arranged by their funding authorities. Risk assessments are appropriately carried out by staff covering relevant areas and included in individual service users’ plans to promote their independence, whilst also minimising possible safety risks. They include such as swimming, staying in the home alone for specified periods and going out alone. It was observed, and service users say, that they are able to make decisions and choices in their daily lives and routines. They choose their own meals and take an active role in household tasks and shopping etc. if they wish. It is also clear they are supported by staff to lead individual lifestyles to the extent they want to and can, which meets with the stated purpose of the service. Service user meetings are also held regularly when they are consulted about what is happening in the home and make decisions about its day to day running. Regarding issues of equality & diversity SCOPE operates a national training programme for staff covering a range of appropriate topics, including disability awareness and anti-discriminatory practice. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Service users are enabled to go out and pursue activities they enjoy and are meaningful to them. They are encouraged to mix within the local community and staff also support them to maintain links with their family and friends. Staff ensure that service users receive meals they have chosen, whilst aiming to promote healthy eating. Mealtimes are part of the social life of the home. EVIDENCE: Care records show service users’ individual interests and activities they take part in and where they have been etc. Service users say when at home they watch TV, listen to music or use a computer. Out in the community they visit the cinema, pubs, cafes, theatre and go swimming. Some service users attend a college course or workshop and one person has a voluntary job and often meets friends in town. They all choose where to go on holiday and trips. One person visited Euro Disney last year and is now saving up for their next holiday Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 13 One staff member is the home’s designated activities co-ordinator and takes a lead role in ensuring that service users are enabled to go out in the community and participate in activities they enjoy. Two service users are able to go out without support but staff work flexibly to facilitate individual activities and the home has a suitable vehicle to provide transport. It is good staff are planning to help meet the social and developmental needs of the new service user. He already has Sky TV and they will set up his computer and explore options for college courses at college etc. in the local area if he decides to stay. Service users are encouraged to take responsibility for as many aspects of their daily lives as they are able to. They choose when to go to bed and get up etc. and have their own personal allowance and housekeeping money to buy their food, general provisions and personal items. At least one service user has a telephone and manages their own medication. This person also goes to the bank to draw out cash and does both household and personal shopping using their own means of transport. Service users help out around the house, keep their bedrooms tidy and do their laundry etc. There is an open and relaxed atmosphere in the home and two service users’ families confirm they are always made welcome in the home by staff, can visit their relatives in private and are kept informed. Staff also support service users to keep in touch with and make regular visits to relatives who live away. Regarding food provided by the home staff and service users shop monthly for basic provisions and cleaning stuff etc. Service users each choose their meals, although mostly have main meals together. Staff encourage them all to have fresh fruit & vegetables, which are bought locally, and healthier food options, e.g yoghurts, rice and pasta. Most meals are freshly cooked and they always have a roast on Sunday. None of the service users require a special diet and one service user keeps an individual record of meals taken. Service users say they like the food and that mealtimes are flexibly arranged, to suit them. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 14 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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Service users’ personal and health care needs are being met appropriately with staff support and their medicines are managed safely in the home. EVIDENCE: Service users’ plans outline any support and/or assistance they need with their personal and health care. Detailed guidelines are available for staff in respect of pressure care for one service user. Moving & handling issues are considered with risk assessments carried out and aids/adaptations provided. The senior also discussed how input had been sought by the home from an Occupational Therapist (OT). Based on an OT assessment and advice a grab rail was fitted and request made to the Housing Association to remove a wash hand basin in one of the bedrooms so the occupant would have more room to manoeuvre. Records are kept showing that staff monitor service users’ health and support them to have health care checks routinely and input from specialists whenever necessary. One service user’s records include an annual well person check, blood pressure checks, dentist and appointments relating to their mobility aid. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 15 Feedback from one GP practice confirms home staff communicates clearly with the surgery; there is always a senior to confer with; staff understand service users’ care needs and that any advice given is incorporated in care plans. Regarding medication SCOPE provides general policies & procedures for the management of medicines in their care services and there are also specific procedures for Chantry Close. Each service user has a written profile of their prescribed medicines, with any possible side effects highlighted. The home has also got a BNF medicines reference book for staff. Suitable storage for medication is provided in the home and records of medicines administered to service users were being maintained appropriately. One service user manages her own medication, although staff support her to obtain the medication and keep records of what is received etc. Staff had all completed some training relating to medication and the senior says are soon to receive further training, specifically on safe handling in care services. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 16 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. There are systems in place to support service users to raise concerns and to express their views and have confidence they will be dealt with appropriately. There are relevant policies & procedures and staff receive instruction to help them know how to identify and report any incidence or suspicion of abuse or neglect, for the protection of service users. EVIDENCE: SCOPE has produced a formal complaints procedure and employs a Complaints Resolution Manager who investigates complaints when necessary. There was seen to be an open atmosphere in the home and service users clearly feel able to freely express their views. Service users say they know who to talk to if they are worried about anything, including staff, the senior and their advocate, and feel confident they would help them. Relatives confirm they had never needed to complain and there have not been any complaints raised with the home or Commission or issues related to the protection of vulnerable adults. There are also policies & procedures relating to the protection of service users (including whistle blowing). They appropriately refer to Worcestershire multiagency procedures for responding to any suspicion or incidence of abuse or neglect of service users. SCOPE employ an adult protection coordinator who provides relevant instruction for staff during their induction and a “refresher” training session is also planned for the whole staff team soon. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 17 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): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Chantry Close offers ordinary, comfortable housing to service users within the community that is suitably adapted and equipped to meet their special needs. Appropriate arrangements are in place to make sure that the accommodation is kept safe, clean and is well maintained, furnished and equipped. EVIDENCE: Chantry Close is in a pleasant and convenient location, close to Tenbury Wells centre, whilst also having a view of a Church, the river and countryside. The town is within easy walking and wheelchair distance and has a good variety of shops, pubs and cafes, a leisure centre, cinema, library and other amenities. The property is owned by a social landlord (Nexus Housing Association), which leases it to SCOPE. Nexus retains responsibility for its ongoing maintenance and upgrading. The senior said that when repairs are needed they are recorded and reported to them to be actioned and they respond quickly to Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 18 requests. The house has been redecorated since the last inspection and the premises are well maintained. Staff also report that new equipment, such as a washing machine and vacuum cleaner, are provided when they are needed. The accommodation is an ordinary house in a row of other houses and so is in keeping with the local community. The impression obtained is very homely and comfortable and those areas seen today were all clean, fresh and tidy. Service users say they are happy with their home and are well settled within the local community. Their bedrooms are well personalised, reflecting their interests and are used as their private space. Whilst the home would not be suitable for people with more severe physical disabilities there are aids, adaptations and equipment provided as needed. They include a call bell system throughout, a stair lift and grab rails. Other aids and equipment are provided for individuals according to their needs, such as a frame around one toilet and other grab rails. One bedroom is downstairs and there are plans to remove the wash hand basin to provide more room. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 19 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): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. Service users continue to be supported by a stable and effective staff team who know them well. Staff are suitably experienced and trained. SCOPE has thorough recruitment procedures in place, which should help to ensure that only suitable staff work at the home for service users’ protection. EVIDENCE: The staff team comprises of five support workers, including a senior and a community development worker. They have all worked at the home for over two years and two of them have been employed by SCOPE for over twenty years and worked at Chantry Close since the home was set up. A team leader for 1st key supports this and two other care homes in Worcestershire. It is evident, and staff and service users consider, that staffing levels are sufficient and staff have time to support service users with their personal and social care and chosen activities. Also for cooking and household tasks with service users encouraged to take as active a role as they are able and wish. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 20 Staffing is also arranged flexibly to meet service users’ needs and it is clear that staff and service users know and get on with each other well. There are no staff vacancies and had been no new staff for some time. This is positive for consistency of care, but it was not possible to discuss the recent appointment and recruitment of a new staff member with them. However it was previously confirmed in this and the other 1st key care homes that SCOPE operate thorough recruitment procedures. They include prospective staff being required to complete full employment and other details on an application form and working a probationary period before their appointment is confirmed and completing an accredited induction programme. Two written references and a CRB are also taken up before they would be allowed to start work at a home. The senior reiterated that this process would always be followed. It was not possible to check staff application forms; references and CRB checks are they are kept centrally in 1st keys main office. Whilst these records could have been sent for it is recommended that if it is not feasible to keep records on site that a checklist could be kept in the home. This checklist should confirm that satisfactory checks and a fully detailed application form were received, which is verified by a registered person. It could also include details of each new staff member’s starting date, their role and contracted hours. In respect of staff training three staff have achieved an NVQ qualification in care and all hold a current first aid certificate. Individual staff training records are kept and show that all their mandatory health & safety training is up to date. During the last year some staff had completed “refreshers” and training planned for this year will cover abuse, complaints and more staff doing NVQ. Staff confirm they receive regular individual supervision and have an annual appraisal. Team meetings are held regularly and communication is good and this small staff team work well together, for the benefit of service users. Their commitment to Chantry Close and to providing a good service is apparent. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 21 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): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including this visit to the service. The home runs well, although management arrangements are unusual. It is positive that a system to monitor and review the quality of the service is being implemented. This should result in a plan for the continual development of the home and to improve service quality, based on what service users want. Suitable arrangements are in place to keep the home safe and to make sure that the ways staff work safeguard and promote the welfare of service users. EVIDENCE: The registered manager is Andrew Deakin, who is suitably experienced. He is currently working to achieve the Registered Managers Award, which is an NVQ level 4 and the qualification specified in the Standards for care managers. Mr Deakin is the community service manager for 1st key Worcestershire and the Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 22 management arrangements for this service are unusual as he is based at the 1sy Key office and does not run the home day-to-day. He is responsible for 1st key’s business plan, finance, service performance and policies & procedures. A team leader (also not based at the home) is responsible for monitoring the service delivery and quality at three 1st Key care homes and a senior support worker manages the home’s staff team, service users’ needs and records. The manager therefore does not spend dedicated time in the home, but does attend staff meetings and is always available to give advice and support on call. Oversight is delegated to the team leader (Rachel Hall) who visits the home weekly. Ms Hall supervises the senior, carries out staff annual appraisals and is involved in service users’ annual placement reviews. In light of recent changes to how care services are to be regulated there is now an onus on registered providers and managers to self regulate. As there will be longer gaps between inspections they will be required to provide evidence to the Commission about how they are reviewing the quality of their service and promoting good outcomes for service users. Also how their quality assurance processes will result in the continual development of the service, based on the views of service users and other stakeholders. SCOPE are currently implementing a quality assurance system and plan to produce a development plan for each service by next April. Service users will appropriately be asked to complete an annual survey, supported by a relative or advocate they choose and other relevant people will be involved through such as placement reviews. The way SCOPE monitor their services will also change. The required monthly visits to check how the home is being run are now made by regional managers, however community service managers will probably carry out these visits soon. In this context the reports made following the monthly visits need to be more detailed. Currently they are brief checklists and it was noted that some aspects had not been audited for some time. It is good that this process and format are currently under review. In respect of health & safety all staff undertake the mandatory training as part of their induction and refreshers at specified intervals. SCOPE employ a trainer to provide training in relevant areas and there is a moving & handling trainer on the 1st key staff team. Video packages are available for instructing staff in fire safety & infection control. The pre-inspection questionnaire confirms the home has a written fire risk assessment and fire drills are arranged regularly. Information about regular servicing of equipment, gas installations & central heating and COSHH risk assessments is also detailed. The fire log showed required tests and checks were recorded as having been carried out. There were no safety hazards identified during this visit and overall it is evident that due attention is paid to promote the welfare and safety of service users and staff in the environment and through working practices. Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 23 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered persons meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered provider 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 to consider carrying out. No. 1 Refer to Standard YA34 Good Practice Recommendations A checklist should be kept in the home when staff are appointed to confirm their conditions of employment and that satisfactory references and checks were received before they started work at the home. These details to have been checked and verified by a registered person. A plan should be produced showing aims for the continual improvement of the home in the year ahead. This should reflect the views of service users and significant other people in the way that the service develops. 2 YA39 Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Chantry Close, 1 DS0000018483.V327221.R01.S.doc Version 5.2 Page 26 - 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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