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Inspection on 22/10/08 for 1 Parkstone Avenue

Also see our care home review for 1 Parkstone Avenue for more information

This inspection was carried out on 22nd October 2008.

CSCI 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 Parkstone Avenue 1 Parkstone Ave Benfleet Essex SS7 1SP     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michelle Love     Date: 1 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.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: 1 Parkstone Avenue 1 Parkstone Ave Benfleet Essex SS7 1SP 01702558571 01702558571 parkstone@rchl.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Redbridge Community Housing Limited [RCHL] care home 8 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home 1 Parkstone Avenue is a single storey purpose built care home built in a residential area of Thundersley. Care and accommodation is provided in two units. Each unit has a lounge, dining area, kitchen and four bedrooms. The home has a medium sized garden area, which is accessible to wheelchair users. Each resident living at the home has a learning and/or physical disability. The home is close to local shops, parks, libraries and other facilities. A local bus route runs by the home regularly. There is some parking to the side of the home; pathways leading from the home to the local amenities are accessible for wheelchair users. 8 7 Over 65 1 0 Care Homes for Adults (18-65 years) Page 4 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: This was an unannounced key inspection. The visit took place over one day by one inspector and lasted a total of 8.5 hours, with all key standards inspected. An Annual Quality Assurance Assessment was provided to us. This is a self assessment document, required by law, detailing what the home does well, what could be done better and what needs improving. Information given in this document has been incorporated into this report. As part of the process a number of records relating to people living in the care home, care staff and the general running of the home were examined. A tour of the premises was undertaken, residents and members of staff were spoken with and their comments are used throughout the main text of the report. Surveys for residents, staff, relatives and healthcare professionals were forwarded to the care home and where we have Care Homes for Adults (18-65 years) Page 5 of 29 received comments these have been incorporated into the main body of the report. The manager and other members of the staff team assisted the inspector on the day of inspection. Feedback on the inspection findings, were given as a summary to the manager. The opportunity for discussion and/or clarification was given. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 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 8 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust assessment process ensures that people wanting to move into the home, know that their needs can be met. Evidence: A Statement of Purpose and Service Users Guide was readily available detailing the aims and objectives of the home and the services and facilities provided. Information recorded was presented in a suitable format and including appropriate language and pictures. The AQAA details that both documents were last reviewed in May 2008. There is a formal pre admission assessment format and procedure in place, so as to ensure that the staff team are able to meet the prospective service users needs. Admissions are not made to the home until a full assessment is undertaken. The pre admission assessment document was noted to be comprehensive and detailed and where appropriate, additional information is sought from other agencies involved with the prospective person. We were advised by the manager that existing people living at Parkstone have lived Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: there for some considerable time. No new admissions have been made since the last key inspection. The assessment focusses on ensuring that the facilities, staffing and services provided by the organisation meet the needs of the prospective individual. Prospective people are given the opportunity to spend time in the home, prior to admission. Care Homes for Adults (18-65 years) Page 10 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. People receive care in the way that they would want and can be assured that the staff team have the skill and knowledge to provide this in a person centred way. Evidence: As part of this site visit 2 care plans were randomly examined. These showed there is a formal care planning system in place to help staff identify the care needs of individual service users and to specify how these are to be met by care staff. Records showed that the care planning system is person centred, that each one is different and individualised. Information recorded included a detailed pen picture which provided a snapshot summarising the persons care needs and main points, a comprehensive assessment of need and a support plan detailing their short term needs and action plan. Many areas of the care plans were devised in both a wriiten and pictorial format. Additional information was recorded pertaining to individuals healthcare needs and this is highlighted within the Personal Care and Healthcare Support section of the report. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Care plans were seen to be detailed and comprehensive, providing clear information about the persons care needs and how these were to be met and how care was to be delivered by the staff team. Records showed that each care plan examined was regularly reviewed and updated to reflect where individuals needs changed. Each care file examined was easy to read and follow and could be used by people who are not familiar with the individual to deliver care and support. Documentation also included reference to individuals strengths, personal preferences, likes and dislikes. For example, one persons care plan recorded good clear information relating to their personal care preferences. This included detail about their personal preference relating to bath or shower, specialist equipment required by staff to carry out the task safely, numbers of staff required to provide support, preferred choice of clothing worn by the individual etc. Another plan of care recorded the individuals dietary preferences. This included a list of food items (likes and dislikes), specialist equipment required (bowl/plate with a brim and normal spoon) and specific support required by staff. Risk assessments were detailed and comprehensive, identifying the specific risk, who it affects, consequences and an action plan as to how to minimise the risk. Records showed these were regularly reviewed and updated. In addition to individual risk areas being identified, each person was noted to have a health and safety risk assessment devised which included areas such as, access within the local community, holidays, day centre etc. Daily reports are written daily and provide good evidence as to how people spend their day and the support and interventions provided by individual members of staff. We were advised by the manager that wherever possible, the care plan/risk assessment process is undertaken with the resident, their relative and other professionals involved in their care. The manager stated that encouragement is given to peoples relatives to take a more active role in the above processes. Records showed that all people living at Parkstone are reviewed annually and this includes the resident, their relative, key worker from the home, manager and other agencies e.g. day care placement. The staff team are proactive in ensuring that people are given the opportunity to make decisions and choices wherever possible, however as a result of individuals complex communication needs, it is recognised that some decisions and choices are made on behalf of the individual by staff. Records showed there is good liaison with the persons family and/or local independent advocate. The AQAA details within the next 12 months it is hoped that the management team and staff team will seek additional ways of evidencing how people in the home make day to day choices and decisions. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: 6 relative surveys were returned to us and all confirmed that they were given sufficient information about their member of family. One survey recorded, I do ask questions if I want information, however information is always volunteered by staff. The surveys also recorded that all felt that the care needs of their relative were met. 6 staff surveys returned to us recorded that all felt they were given sufficient information about individual residents and they were able to meet the needs of people currently living at the care home. 2 surveys recorded, staff are caring and respect clients as individuals and the clients always come first. The home is friendly and is just like the clients are at home with their parents. Staff communicate very well with each other. Throughout the site visit, staff interactions with individual residents were positive. It was evident that staff on duty throughout the day, had a very good understanding of individuals basic and complex care needs. Support provided was unhurried and care was provided with dignity, respect and sensitivity. Residents were seen to interact well with individual staff members and to look relaxed and happy. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that their social care needs will be met and that they will receive a varied diet. Evidence: Activity workers are employed at the care home, Monday to Friday between 09.30 a.m. and 15.30 p.m. to support people who do not attend formal day care services, to participate in a varied programme of social activities both in house and within the local community. An additional 2 activity workers are provided on Monday and Thursdays. Individuals varied interests are considered when planning the social activity programme, however this is flexible and can be reviewed and amended when necessary. A weekly activity schedule for all residents, depicting the range of social activities avilable and/or planned was evident. Individual activity sheets and daily reports reflect Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: actual activities undertaken. Records clearly showed a varied programme of activities is available for people living at Parkstone and includes, trampolining, bowling, cinema, swimming, library, cooking with staff, art and craft sessions, listening to music, shopping, lunch and trips out e.g. Sealife Centre, Hadleigh Castle, Hockley Woods, Chelsea Flower Show, Theatre etc. In addition to this, people regularly have relaxation and sensory sessions (massage, hand massage and foot spa). Some people also attend local day care provision at a local day centre. Records showed that people are happy with the range of activities on offer and the opportunities for new experiences. The AQAA details under the heading of what we could do better, provide more individual one to e activities for service users so that they can enjoy more activities. It is hoped over the next 12 months that additional equipment and materials will be purchased, to arrange more swimming sessions for residents and to purchase a new minibus. People are supported to maintain friendships and family relationships. There is an open visiting policy in force at the home, whereby residents can have visitors at any reasonable time. Relatives spoken with at the time of the site visit confirmed this. People are provided with a varied diet each day and this was evidenced from inspection of the menu and individuals nutritional records. The menu was recorded in both a written and pictorial format, however staff also discuss the choices available on any given day with individual residents. Portions of food were observed to be attractively served and in sufficient quantities. Where people require assistance, people were seen to be provided with appropriate support that was both sensitive and respectful. Residents spoken with were able to communicate to us that meals provided were satisfactory. Staff spoken with were able to demonstrate an awareness of individual residents dietary preferences, likes and dislikes. Care Homes for Adults (18-65 years) Page 15 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. People who use the service can be assured that their health and personal care needs will be met. Evidence: On inspection of individuals care plans and from observation during the site visit, people are able to receive personal support according to their specific care needs and their personal preferences. Staff spoken with demonstrated a good knowledge and awareness about individuals personal needs e.g. specific manual handling procedures pertaining to individuals, personal support was provided in private with due regard to the persons privacy and dignity, times for getting up and retiring to bed are flexible etc. One healthcare professional survey returned to us recorded, Clients sometimes choose who they would like to help them with their personal care. Records showed that each person has a comprehensive health action plan depicting their specific healthcare needs and healthcare professionals and services involved. The healthcare needs of people at the care home are monitored and clearly recorded, detailing the purpose of any visit and/or appointment, interventions and outcomes. Specific aids and equipment to enable people to maximise their independence is Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: readily available e.g. wheelchairs, hoists/slings, multifunction beds and chairs etc, following an assessment from a healthcare professional e.g. Occupational Therapist. A massage therapist visits the care home once weekly. People have access to a range of healthcare professionals and services and these include, GP, Consultant Psychiatrist, Optician, Dentist etc. One healthcare professional survey returned to us recorded, I find that the healthcare needs are fully met for each individual person. I find that other healthcare services are contacted as and when required. Medication practices and procedures were examined at this visit. Secure storage is provided for medication within each of the two wings in the care home. The temperature of the areas where medication is stored are not recorded. This means that medication stored at the care home, could be stored at the incorrect temperature and result in people receiving medication which is ineffective. This was discussed with the manager at the time of the site visit and following the inspection we were advised that a form has been devised and newly implemented. Staff were observed administering medication to residents and this was seen to be completed with regard to the individuals dignity and care needs. Medication records examined were fully completed and included evidence of records kept when medication is received into the home, when it is given to residents and when it is disposed of. These records were of a good standard providing a clear audit trail and no discrepancies were found. A medication profile had been complied for each resident and included details of how each person takes their medication, possible side effects of their medication and specific instructions for offering medication. One profile made reference to the person having their medication covertly administered with food. On inspection of their care file, records showed there was a plan of care, risk assessment and correspondence from healthcare professionals agreeing that medication could be administered in this way. The manager was advised that records should clearly demonstrate that it is in the residents best interests for the above procedure to be carried out and confirmation provided that the mixing of medication with food, will not deteriorate its effectiveness. Staff who administer medication to residents have up to date training. Records showed that at the time of the site visit, only one person had been assessed as to their continued competency to administer medication. The manager advised that more staff are to be assessed and this will be undertaken on a regular basis. Care Homes for Adults (18-65 years) Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are assured that any issues or concerns raised, will be dealt with and managed effectively. Evidence: People living at Parkstone are provided with a copy of the complaints procedure. The procedure is also displayed on notice boards within each wing of the care home and is available in both a written and pictorial format. 6 relative surveys returned to us, confirmed that all know how to make a complaint if the need should arise and where issues have been raised, these have been dealt with effectively by the manager and staff team. At the time of the site visit, the management team had received one complaint. Details of the complaint and the actions taken were fully recorded and the complainant was satisfied with the outcome. Records of compliments were readily available and one recorded, I wish to commend and thank the staff at Parkstone for all their care and support during my relatives hospitalisation. They really appreciate all the effort and hard work and communication, especially advocating for my relative to hospital staff. Safeguarding policies and procedures were in place. No safeguarding issues have been highlighted since the last key inspection. On inspection of the staff training plan and a sample of individual staff members files, there was evidence to show that all staff Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: have received safeguarding training and the majority of staff have received training relating to the Mental Capacity Act. The AQAA details that the organisation has also provided Mental Capacity Act training for the relatives and/or carers of Parkstone to attend. Staff spoken with demonstrated a good understanding and awareness of safeguarding procedures. Care Homes for Adults (18-65 years) Page 19 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 a home that meets their specific care and physical care needs. Evidence: A full tour of the premises was undertaken at this key inspection. The environment is appropriate for the needs of the people who live there and is homely, clean, safe, comfortable and well maintained. It is fully accessible throughout for those people who have a physical disability and/or limited mobility, as there are specialist adaptations and equipment available. Residents bedrooms are personalised to suit their personal preferences and needs. We were advised by the manager that wherever possible, residents and their families are involved in decisions about the decor and any changes in their communal and personal accommodation. There is an on-going programme of maintenance and a log book for staff to report repairs. Repairs are carried out by the owners of the property. Additionally there is a comprehensive cleaning plan to ensure that the care home is kept clean. There is a 4 year plan in place for redecoration and refurbishment. Since the last key inspection and at the time of the site visit, 2 lounge/dining areas Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: had been redecorated, 2 residents bedrooms had been redecorated and carpeted, sensory room newly created, new jacuzzi bath installed, 1 kitchen redecorated and new flooring laid in 2 bathrooms. Further improvements are planned within the next 12 months. Care Homes for Adults (18-65 years) Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service benefit from a staff team that are trained and in sufficient numbers to support them, so as to ensure their wellbeing. Evidence: Staffing levels at the home are 4 staff between 07.00 a.m. and 22.00 p.m. and 2 waking night staff between 22.00 p.m. and 07.00 a.m., plus a sleeping in person each day. The managers hours are supernumerary to the above, however this is flexible to cover staff sickness and staff annual leave. At the time of the site visit, current staff vacancies were for 1x 20 hours (night) and 1x 18 hours (night). On inspection of 4 weeks staff rosters, these showed that staffing levels as detailed above have been maintained, so as to ensure there are sufficient staff on duty to support the needs of people living at Parkstone. The rosters were well maintained and easy to follow. We were advised that agency staff are used at the home on occasions, and the manager and senior staff have full autonomy to request and deploy agency staff as and when required. Staff retention is good at Parkstone and this provides continuity of care and stability to residents. 1 staff survey recorded, additional staff always granted to cover activities and days out. Staff support each other and cover duties in unforseen situations such as staff sickness, emergencies with familys etc. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: We looked at 3 staff recruitment files for the newest people employed at Parkstone. The majority of records as required by regulation were readily available and files organised. Gaps were noted in relation to the application form for one person as this did not record their reason for leaving their previous employer (care provider), 1 written reference for one person was not from their most recent employer and the Criminal Record Bureau (CRB) check and POVA 1st for one person was not evident within their file. The manager contacted the organisations Human Resources Department and we were assured that the above issues would be addressed with immediate affect. A record of induction was evident for all employees and this was in line with Skills for Care. People who use the service are involved in the recruitment of staff. The AQAA details under the heading of what we do well, service users are involved in the recruitment process, and one of our service users who will be on the interviewing panel has attended recruitment and selection training, run by BILD. All staff working at Parkstone receive relevant training to their role. We looked at a random sample of 8 staff training records and these showed that staff have up to date training in core subject areas (fire safety, first aid, food hygiene, health and safety, infection control, medication, moving and handling and safeguarding). Records also showed that staff have received a varied range of training relating to specialist areas e.g. makaton, epilepsy awareness, person centred care planning, key worker skills, sexuality and awareness, total communication, managing stress, managing performance etc. Staff spoken with confirmed that the organisation and manager place a lot of importance on training. At the time of the site visit, we were advised by the manager that 2 staff have attained NVQ Level 2, 3 staff have achieved NVQ Level 3, 4 staff are currently undertaking NVQ Level 2, 1 member of staff has started NVQ Level 3 and 1 member of staff is studying for a degree in Health and Social Care. The AQAA details that all staff who have been employed at Parkstone within the last 3 years have completed LDAF (Certificate in Working with People who have a Learning Disability). On inspection of the staff supervision tracker, this showed that all staff working at the care home are receiving regular supervision. 1 staff survey recorded, supervision every 4-6 weeks. This is carried out in a private and relaxed manner. The manager advised that she has regular monthly supervisions by the organisation. We were told by the manager that 2 senior members of staff are to receive training relating to support and supervision training. Care Homes for Adults (18-65 years) Page 23 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well run and managed, putting the needs of the people who live at Parkstone, first. Evidence: The manager has worked at Parkstone since 1995, as a senior support worker, deputy manager, acting manager and manager. The manager has attained the Registered Managers Award, has a distinction in City and Guilds 3250/03 in Care Management and a City and Guilds qualification in Information Technology. We were advised by the manager that the ethos of the service is to, provide person centred and individualised care to people living at Parkstone, but recognising individuals complex care needs and communication difficulties. To maximise individuals potential and provide them with as many opportunities and experiences. This was seen to be in tune with the organisations vision, aims and objectives. This was recorded as, we support vulnerable people to lead their lives as they wish and to strive to challenge barriers that prevent individual choice and fulfillment. Evidence at the key inspection, showed that both statements were being followed and that people Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: who receive a service at Parkstone are having care and support delivered in line with the above comments. People living at Parkstone, benefit from a well run home. The manager, senior management team and staff team of the home work cohesively as a team to ensure positive outcomes for residents. The manager stated that she feels very fortunate to have a highly motivated, flexible, efficient and committed staff team working at Parkstone. We were advised that the reason why this works so well is that each team member brings with them, different experiences and qualities to the team. Staff spoken with confirmed that the manager is approachable, is hands-on, has a very good understanding of individual residents care needs and is fair. Staff also advised that if concerns have been raised, the manager has listened and dealt with these effectively. 6 surveys were returned to us from relatives. Comments were very positive about the care provided for their member of family by staff at Parkstone and included, I have no problem with the care my relative gets, they are well looked after, My relative is always clean and tidy and well looked after, I am very happy the way things are, Provides good care to meet the residents individual needs and At the moment everything is run very well. 2 healthcare professional surveys were returned to us and comments included, I have always found the care service very friendly and the clients wellbeing always comes first. There is good communication and teamwork and Parkstone provides a very good service. 2 staff surveys recorded, On the whole Parkstone is a nice place to work, lots of support and guidance given when needed. The clients seem happy and comfortable there and Service users priorities come first at Parkstone. There is a quality assurance system in place so as to seek the views of residents, their relatives and other interested parties. Comments received were positive. Comments from 2 professionals included, there is a homely atmosphere and dedicated staff team. Residents always look well groomed and have nice clothes. Reviews are professional and person centred and keep up the good work. Out of 8 surveys forwarded to relatives by the organisation, 4 were returned and comments included, I am perfectly happy with the way that Parkstone is run, Parkstone is a good well run homely home and The staff have a good attitude towards the residents and are very friendly and considerate towards them. The food is well cooked and varied. Regulation 26 visits are conducted each month by the Assistant Director of Operations within the organisation and a report compiled. Records showed that regular staff meetings are conducted. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: All sections of the AQAA were completed and the document returned to us when requested. The information recorded is supported by appropriate evidence as seen on the day of inspection. The organisation and management team of the home demonstrate a good level of self awareness and recognise areas that it still needs to improve on. The AQAA provides a list of policies and procedures currently available within the home. The AQAA details under the heading of what we could do better, that some policies and procedures need to be developed in more user friendly formats. There are clear policies and procedures relating to health and safety and regular safety checks are completed. A random sample of maintenance records and certificates were examined relating to hoists, emergency lighting, fire alarms, servicing of fire equipment and the gas certificate. All were seen to be well maintained and in date. We were advised following the inspection that the electrical installation inspection was undertaken at the beginning of October 2008, however no certificate had been issued at the time of the site visit. On inspection of the homes fire risk assessment and correspondence relating to this, Essex County Fire and Rescue Service recorded the fire risk assessment as not suitable and sufficient and not fully compliant with fire safety regulations. This must be reviewed. 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 1 20 Regular medication competency assessments should be undertaken for all staff who administer medication to residents, so as to ensure residents safety and wellbeing. The risk assessment should be reviewed and updated to reflect the fire officers comments. 2 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!