Inspection on 23/09/08 for 17 Shakespeare Road

This inspection was carried out on 23rd September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

17 Shakespeare Road 22/08/06

17 Shakespeare Road 10/01/06

17 Shakespeare Road 05/09/05

17 Shakespeare Road 13/12/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 12/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 17 Shakespeare Road 17 Shakespeare Road Worthing West Sussex BN11 4AR     The quality rating for this care home is:   two star good 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: Beth Tye     Date: 2 3 0 9 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. the things that people have said are important to them: They reflect 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 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 32 Information about the care home Name of care home: Address: 17 Shakespeare Road 17 Shakespeare Road Worthing West Sussex BN11 4AR 07903234457 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Paul James Sullivan Type of registration: Number of places registered: Sutton Court Associates Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (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 (LD). Date of last inspection Brief description of the care home 17 Shakespeare Road is a care home registered for up to six service users in the category LD (Learning Disabilities 18-65 years). The establishment is a converted premises situated close to Worthing town centre. Public transport services are easily accessible. Accommodation is provided over two floors and all rooms are single occupancy with en-suite facilities. The service is privately owned and the registered provider is Sutton Court Nursing Associates. Mr N Ramdin is the Responsible Individual on behalf of the organisation. Mr P Sullivan is the Registered Manager in charge of the day to day running of the home. Care Homes for Adults (18-65 years) Page 4 of 32 Over 65 0 6 Care Homes for Adults (18-65 years) Page 5 of 32 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The unannounced inspection visit was carried out by Ms Beth Tye and was arranged to assist the Commission in assessing the homes compliance with the key standards of the national minimum standards for care homes for younger adults (18-65). Planning for the visit took into account information received on the service since the last inspection. The Annual Quality Assurance Assessment was returned to The Commission for Social Care Inspection (CSCI) and informed us areas of improvement, which have been carried out and also identified areas for further improvement. Survey Care Homes for Adults (18-65 years) Page 6 of 32 forms from received from people living in the home and members of staff and notifications also contributed to our planning. On the day of the visit the inspector spent five hours at the home. During this time residents and staff. The manager was present and able to assist with the inspection. Two sets of admission assessments and the individual plans of care for people living in the home were looked at. A case tracking exercise for these residents was undertaken to examine how their assessed needs were being met. Other records sampled included rotas, staff training records for two new members of staff, the record of complaints, quality assurance, and records relating to health and safety issues in the home. The premises were viewed including communal areas, kitchens, bathrooms and bedrooms. A number of interactions between people living in the home and staff, arrangements for lunch, medication records and storage were observed. 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 8 of 32 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 32 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. Pre-admission assessments are completed prior to admission to the home and information gained forms the basis of an on going plan of care. Each resident, signs a contract of Terms and Conditions, prior to them moving to the home. Evidence: A Statement of Purpose and Service Users Guide is available at the home, which provides all prospective residents with relevant information about the service, prior to admission. Each document is provided in a format suitable for residents so they are aware of what the service offers prior to admission. Individual care files for two residents were case tracked. Each contained pre-admission information, which was relevant and detailed. Records showed residents had undertaken pre admission assessments with the provider and/or manager of the service. Individuals are able to view the home and contribute to identifying their care needs and aspirations. Care Homes for Adults (18-65 years) Page 10 of 32 Evidence: Terms and Conditions for the home are signed by each resident on arrival. Copies of these are held on individual files. This ensures residents are fully aware of their rights and exactly what the home has to offer them. Care Homes for Adults (18-65 years) Page 11 of 32 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Examination of care records confirmed that the home meets individuals changing needs and personal goals appropriately. Residents are provided with the opportunity for decision making, in line with agreed risk assessments. The quality of this outcome area was good. This judgement has been made from available evidence including a visit to the service. Evidence: Care records for two residents were case tracked during the visit to the home. Each plan is formed from the initial assessment and contains detailed information relating to the residents assessed care needs including health, personal and social care. Residents have the opportunity to contribute to the care planning process, which reflect their changing needs, through one to one key work sessions and formal reviews. Residents and/or their relatives have signed documentation where possible, Care Homes for Adults (18-65 years) Page 12 of 32 Evidence: which demonstrates their involvement in the review process. Each plan of care includes information relating to individuals assessed need, as well as detailed risk/behaviour assessment and management guidelines. This practice promotes independence for residents in line with assessed risk and agreed limitations and ensures the manager and staff can provide care within safe boundaries. Care needs and risk assessments are reviewed as changes occur. In addition the care plans are audited every three months to ensure the information is up to date. All the care plans are currently being changed to a new format which relates each care need to an action plan and a risk assessment. As the care needs change this is then reflected in the action taken by staff and the assessment of risk. The new format ensures that information is clear and concise. Staff are able to access information more easily and consistency of care is promoted. The home has established links with community resources such as CTLPD, psychiatrist, GP surgery, speech therapist and occupational therapist. Observations and care files examined by the inspector supported this. The individualised approach within the home promotes residents choice and ensures they have access to specialist resources in line with their assessed needs. The inspector examined diary and daily recording sheets for each resident. These detailed any significant event, which needed to be handed over to other staff at shift change. This ensures consistency for residents in relation to their care needs. Resident’s personal information is held on files in a locked staff office, ensuring confidentiality of personal information, within the home. Care Homes for Adults (18-65 years) Page 13 of 32 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. The residents at the home participate in group and individual activities both in the home and wider community. Individuals are supported to take control of their own lives. The menu at the offers a range of healthy balanced meals which are chosen by the residents. The quality of this outcome is good. This judgement has been made from available evidence, including a visit to the service. Evidence: Residents are encouraged to participate in individual interests such as shopping, visits to the gym, cycling, trips to local pubs and restaurants, swimming, bowling, horse riding and regular attendance at day centres. Some residents attend college on a regular basis to develop life skills and pursue areas of interests. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: Staff at the home are flexible in their shift patterns to provide sufficient staffing for each resident to undertake their weekly activities plan. Regular community meetings and one to one key work sessions for the residents, provide the opportunity for individuals to air issues and contribute towards decision making in the home. Case tracking and discussion with residents showed the home achieves a good balance between supporting residents to participate in structured activities and encouraging independence where appropriate, in line with agreed risk assessments. Care plans seen demonstrate the home promotes choice, personal satisfaction and aspirations for each resident. Where there are limitations in respect of safety and risk, this is discussed and agreed with the individual. All risk assessments and appropriate staff action is recorded, signed (by the resident) and kept on the care files. One resident expressed a preference to go out through the summer on day trips with staff instead of going on holiday. This was agreed with the social worker and a planned schedule of trips was arranged. The resident benefited greatly from this and recording in his carefile demonstrates increased one to one time with staff resulted in a marked improvement in his behaviour towards staff and other residents. The manager hopes to obtain additional funding so this can be continued as part of the residents weekly activity programme. Residents preferred communication style is recorded in their care files and where appropriate community professionals (such as the local learning disability team and speech therapist) are involved. These include use of wipe boards, photographs and symbols. The inspector observed a relaxed and friendly rapport between staff and the residents during the inspection. This demonstrated an awareness of how to communicate effectively, according to individual needs and behaviours. Information seen on care plans and feedback confirmed family contact and relationships outside the home is promoted. Some residents have home visits on a regular basis. Visitors are welcome to the home and a policy is in place to support this. The kitchen area was very clean and tidy. Food is stored appropriately and it was noted there was fresh fruit and vegetables, to ensure residents benefit from a healthy balanced diet. Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: Menus are drawn up on a weekly basis following consultation and agreement with the residents. Records are kept of what is cooked each day. Staff shop twice a week to allow flexibility in the menus and to provide fresh produce where possible. Special diets are catered for, and where appropriate nutritional intake is monitored and recorded. Information seen in care files supported this. Care Homes for Adults (18-65 years) Page 16 of 32 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care records were examined and showed that the health needs of residents are met and reviewed on a regular basis. People in the home receive health care in a way that is responsive to individuals varied needs and preferences. Medication is stored and labelled appropriately. Staff have received medication training and adhere to polices and procedures. Evidence: Health care records were examined as part of case tracking. Each assessment and care plan was found to be detailed and in good order. Holistic needs are incorporated in each plan so in addition to physical health; emotional and psychological aspects of care are identified and reviewed regularly. Residents receive personal health care and support in the way they prefer, which is based upon dignity and choice. From the initial assessment and on going health reviews, an action plan for staff is drawn up and agreed by the person concerned. Where possible individuals are supported to remain independent in respect of personal Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: care, with minimum input from staff. Each plan is person centred and flexible to accommodate the changing needs of the individual. Residents are registered with the local GP and have access to all NHS entitlements. Records of all dental and GP appointments are held on file. Individual files show residents have access to community health specialists, to ensure all aspects of their health needs and are met both by the home and health professionals in the wider community. Policies and procedures relating to all aspects of health care and medication are in place and up to date. Each resident is assigned a key worker who provides a one to one session on a weekly basis. These meetings provide residents with the opportunity to talk through all aspects of their care needs and make supported changes where needed. All information from these sessions is recorded in their on going care plan. Medication charts examined during the inspection showed no gaps or inconsistencies. A previous requirement relating to medication has now been met. Record keeping demonstrates that staff are adhering to medication policy and procedures. Care files showed that all service users have agreed and signed to allow staff to support them with their prescribed medication, which is only administered by staff trained in the safe handling, storage, administration and disposal of medication. Training records and staff feedback demonstrated that staff have ongoing mandatory training in the safe handling storage, administration and disposal of medication. Medication training certificates are held in the staff members file in the office. Care Homes for Adults (18-65 years) Page 18 of 32 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. The inspector concluded that the home has effective systems in place to protect the residents from abuse, neglect and self-harm. The quality of this outcome is good. This judgement has been made from available evidence, including a visit to the service. Evidence: The home has an open culture which allows residents and their families to express views and concerns in a supportive environment. Feedback from surveys and discussions on the day indicated that the people who live and work in the home feel able to express their views and would speak openly if they wished to address an issue. Weekly key work meetings, regular residents groups and staff meetings provide individuals with peer support and the opportunity to discuss any issues of concern as they arise. The home has recently up dated their Complaints policy and procedure, which is included in the Service Users Guide. A copy of this has been distributed to residents and their families. Information about complaints is available in symbol format to ensure residents understand the complaints procedure. Residents spoken to confirmed they knew how to complain and who to. They stated Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: they felt able to raise issues of concern either with the manager or provider. There have been no recorded complaints to the home or the Commission since the last inspection. All incidents within the home have been recorded appropriately and copies forwarded to the Commission when necessary. Adult Protection Training is provided at the home and staff spoken to are clear about their responsibilities should an incident occur. County Procedures and an up-dated policy and procedure for the Protection of Vulnerable Adults are available at the home for reference by staff. In addition, staff complete specialist training in respect of communication and challenging behaviour. This promotes understanding by staff of how to respond to residents needs. Detailed risk assessments are in place and reviewed on a regular basis to reflect residents changing needs. This ensures possible risk to residents and staff is minimized and where possible eliminated. Care Homes for Adults (18-65 years) Page 20 of 32 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers a modern, comfortable and clean living space for the majority of residents. Bedrooms are personalized and promote individuals personal preference. Communal areas are clean and homely although some areas are in need of redecoration (as identified on the managers annual quality assessment). One residents bedroom does not comply with the National Minimum Standards and a requirement has been made to ensure the work needed is undertaken to address this within a set timescale. The home has infection control policies, procedures and training in place for staff. Evidence: There is a large modern lounge with TV and stereo equipment for use by all residents. The dining room has a large table and seating for community meals but the decor is plain and worn in some areas. The manager stated there is a plan in place to redecorate and brighten the dining room. There is a light, brightly decorated kitchen, which residents have access to for cooking (with assistance) and drink making facilities. Residents rooms were a good size and furnished in their individual styles with personal possessions and pictures. Some rooms are in need of redecoration and this has been Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: noted by the manager in the AQAA (prior to the visit) as part of the ongoing maintenance plan for the home. At the last inspection one residents room had been recently refurbished to accommodate his specialist needs. This included laminated flooring and specialist bathroom flooring and drainage. During this visit the room was seen and it was noted that despite the specialist fittings and rigorous cleaning by staff, the room had a very strong odour and most of the fixtures and fittings were worn and in need of replacing. Following discussion with the manager, a requirement has been made for this room to be refurbished to a standard suitable to meet the residents on going specialist needs. This will include refurbishment of the bedroom and bathroom, to eliminate odours and prevent them reoccurring. Current fixtures and fittings that are worn and damaged are to be replaced and damage to the bedroom wall behind the residents door repaired. Currently the room does not meet the national minimum standard as the occupant does not live in a clean, pleasant and hygienic environment. The resident fedback in a survey that he does not like his room because its smelly Residents are responsible for cleaning their own rooms with assistance from staff. Some residents participate in cleaning the communal parts of the home under staff supervision to promote daily living skills and provide a sense of ownership. Each bedroom has en-suite facilities. There are sufficient toilets throughout the building. All bedrooms have locks on the door and lockable cabinets for residents to store items of value. The home has a large, mature garden, which has a patio and lawned area for residents to make use of, in the warmer weather. The residents have now established a vegetable garden and are able to eat some of the produce they grow. A shed in the garden is used for storage of residents bikes. A laundry room provides a large washing machine with sluice facilities and tumble dryer. Infection control training is provided to staff and policies and procedures were evidenced. This reduces the risk of infection spreading throughout the home. Staff certificates for food hygiene courses were displayed in the kitchen area. Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: A fire alarm and emergency lighting system is in place. Records showed these are checked and serviced on a regular basis to ensure the safety of staff and residents. The inspector noted that the annual fire equipment check is due this month (September). The manager stated he intends to follow this up to ensure the checks do not go overdue. Care Homes for Adults (18-65 years) Page 23 of 32 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. The majority of staff employed to work at Shakespeare Rd have all been recruited and trained to meet the assessed needs of the residents. A requirement has been made to ensure one staff member has a CRB check undertaken by the home. Residents benefit from a well supported staff team. Staff rotas are flexible to accommodate the changing needs of the residents. Some staff supervision does not fall within the timescales set out by the national minimum standards. A requirement has been made in respect of this. Evidence: The home provides a comprehensive induction and training programme for staff members, including specialist training relevant to individuals assessed needs. Training records for staff indicated all staff have attended training since the last inspection and records were up to date and in good order. The home has achieved the national minimum guideline for National Vocational Qualification Level 2 or above with over 50 completion by staff. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: Recruitment policies and procedures are in place and records indicated most staff checks and references were fully up to date. Records seen on file were in good order. A new staff member had an up to date CRB check on file, which had been transferred from a recent employer. This does not meet the National Minimum standard and a requirement has been made to ensure the manager undertakes a new check on behalf of the home. The home currently has a full staff compliment and does not use agency workers. This provides consistency of care to residents. Staff rotas and feedback indicated that staff members are flexible in their shift patterns to accommodate residents changing routines and timetables. This promotes choice and autonomy for individuals within the home. Residents are allocated key workers who are knowledgeable and skilled in responding to resident needs. Allocated time is provided for workers to support individuals on a one to one basis in line with their assessed needs and wishes. Records show that staff receive regular support in the form of staff hand overs and regular staff meetings. This gives staff members the opportunity to reflect on their practice and participate in decision making within the home, as a team. The managers supervision chart indicated that some supervision sessions for staff members were not up to date. A requirement has been made to ensure staff are supervised no less than six times a year. This will provide staff with a regular opportunity to reflect on practice, training and personal development. Feedback from residents, staff and observations led the inspector to conclude that the staff functioned effectively as a team and were supported by the management in doing so. One staff member spoken with during the visit said The team work here is brilliant. We all work well together. The manager is very supportive and involves the staff in decisions. I think we all feel valued and our hard work is recognised Care Homes for Adults (18-65 years) Page 25 of 32 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. Good practice in the home was evidenced. This was supported by feedback, efficient administrative systems and clear, relevant information which promote the health, safety and welfare of the residents and staff at the home. Evidence: The manager has the required qualifications and experience to competently run the home. Completion of the Annual Assessment Quality Audit and discussion during the visit demonstrates the manager and provider place a strong emphasis on an increased quality of life for residents, promoting satisfaction, choice and good outcomes where possible. There is a strong emphasis on the management being open and transparent, which is evidenced through resident and staff feedback, clear relevant and available information and the manager being able to identify areas within the home, that could Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: be improved and developed. During the visit safety records at the home including, fire records, training, incident and accident logs were examined. These were all up to date and in good order promoting the welfare and safety of the residents. At the last inspection incidents had been recorded fully in the homes log but the Commission had not been notified of these. Since that time the home has informed the Commission of all relevant incidents and copies are held on file. The previous recommendation relating to notifications has been met in full. Good practice in the home is supported by efficient administrative and recording systems. All records seen were up to date , information was easily accessible and accurate. The manager of the home attend monthly management meetings with his peer group. In addition the provider has implemented a management audit where managers from each home spend time at another home to assess practice and management systems. The manager of Shakespeare Rd feedback that this had been an effective learning tool and had enabled him to recognise areas that needed improvement. In addition the managers are supported to attend relevant training to promote their knowledge and skills base. The home has up to date policies and procedures in line with current legislation to safe guard the rights and interests of the staff and residents. Discussions and observations confirmed staff are given clear direction in their roles and good working practices are promoted through staff support and training. Staff fedback they felt supported and valued by the management to undertake their roles. The Quality Assurance report includes feedback from residents and their families, providing them with an opportunity to contribute to the way the home is run. Surveys distributed to residents are in symbol format if needed. The most recent Quality Assurance report has been undertaken but is still in the process of being summarized. Following this it will become available to residents and parties involved in the home. There is a Registration file containing evidence of compliance with minimum standards available to families and other representatives; signatures from those who have read it are encouraged. Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: People in the home are supported to manage their own money where possible and when this is not an agreement is reached with the resident. Individuals have access to their financial records whenever they wish and all transactions are signed for. The inspector concluded that the overall conduct and management of the home served the best interests of the residents and the staff who work there. Care Homes for Adults (18-65 years) Page 28 of 32 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 29 of 32 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 1 24 23 The registered person shall ensure that the premises is kept in a good state of repair To ensure rooms are redecorated as required. Fixtures and fittings that are in disrepair be replaced or made good. 31/12/2008 2 30 16 The registered person shall keep the care home free from offensive odours in the home To ensure refurbishment is undertaken to eliminate offensive odours and prevent them reoccurring 31/12/2008 3 34 19 New staff are confirmed in 31/12/2008 post only after a satisfactory police check by the home is undertaken One staff member does not have a police check in place secured by the home Care Homes for Adults (18-65 years) Page 30 of 32 4 36 18 The manager shall ensure staff are supervised no less than six times a year two staff members have not received supervision within timescales of nms 31/12/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 31 of 32 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 © (2008) 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. 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