Inspection on 15/07/08 for 2 Speke Court

This inspection was carried out on 15th July 2008.

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

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

Other inspections for this house

2 Speke Court 04/07/06

2 Speke Court 14/02/06

2 Speke Court 04/10/05

2 Speke Court 16/01/05

2 Speke Court 07/09/04

Similar services:

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 2 Speke Court Speke Close Ilminster Somerset TA19 9BJ Lead Inspector Kathy McCluskey Unannounced Inspection 15th July 2008 10:30 2 Speke Court DS0000016244.V365264.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 2 Speke Court DS0000016244.V365264.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. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Speke Court Address Speke Close Ilminster Somerset TA19 9BJ 01460 57397 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) Mr Matthew Manders Mrs Leah Manders Mr Matthew Manders Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: 2 Speke Court is registered with the Commission for Social Care inspection to provide personal care for up to 3 people aged between 18 & 65 years who have a learning disability. The home is not registered to provide nursing care or care to people with a physical disability. The home is situated in a quiet residential area in Ilminster and is within walking distance of all local amenities. The home is one of two small homes owned by Mr and Mrs Manders. and is situated in the town of Ilminster. Mr Manders is also the registered manager. Speke Court is not permanently staffed given that the people living there require only limited staff support. Staff from the sister home, Shipley House provide some support during the day and on-call support as required at night. We were informed that current fee levels are £330 per week. People living at the home are responsible for purchasing personal items, toiletries etc. Each person contributes £12 per week from their mobility allowance which goes towards the running of the home’s mini-bus. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience Good quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service for each outcome group under four general headings. These are; - excellent, good, adequate and poor. This unannounced key inspection was conducted over one day (4.5hrs) by CSCI regulation inspector Kathy McCluskey. Mrs Manders, one of the registered providers was available throughout this inspection. At the time of this inspection 3 people were living at the home and there were no vacancies. We were able to meet with all people living at the home during this inspection and they were keen to show us around their home. We also met with one member of staff. As part of this key inspection, the registered person was required to complete an Annual Quality Assurance Assessment (AQAA) for the Commission. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Details have been included throughout this report as appropriate. We also sent comment cards to people using the service, staff and healthcare professionals. We received completed comment cards from 3 people living at the home and 3 members of staff. Comments have been incorporated within this report. We would like to thank all involved for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 6 What the service does well: 2 Speke Court provides the people living there with a well-maintained and very homely environment. The aim of the home is to provide a home for people who are independent and staff assist people to maintain and further develop their independent living skills. All people living at the home are supported to access a wide range of leisure, work and educational facilities. Each person has a plan of care which identifies their needs and aspirations. The risk assessment process enables people to live an independent life. People are fully involved in the care planning and review process. People living at Speke Court are very much in control of their lives and of the running of the home. Staff offer support to people so that they can enjoy healthy eating whilst also promoting choice. Transport and staff support is available to assist people to do their weekly food shopping. People living at the home were very positive about the support they received. Staff turnover is low and people benefit from a staff team who have been appropriately trained. The home follows robust staff recruitment procedures which reduce the risk of harm or abuse to the people living there. People told us that they also received regular safety awareness training. The home is not permanently staffed but this appears appropriate given the high level of independent living skills of people currently at the home. People told us that staff were ‘Always’ available when they needed them. The registered person and staff told us that staffing levels were increased to meet the needs and social needs of the people living there as required. People told us that they felt confident in raising concerns should they have any. No concerns were raised with us during this inspection and no concerns have been raised with the Commission since the last inspection. The home have not received any concerns within the last 12 months. The home is effectively managed and procedures are in place to ensure the health and safety of persons at the home. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 7 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. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. People confirmed that they received enough information about the home to enable them to make an informed decision to live there. There have been no vacancies at the home since 2002 and the home confirm that they would consider any future admissions to the home very carefully to ensure that the service is able to meet their needs. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which provide people with information about the home and services offered at Speke Court. We were advised that there have been no changes to these documents since the last inspection. Three people live at the home and the home’s completed AQAA told us that two people had been living there since 1994 with the most recent admission being in 2002. This being the case, we could not fully assess the standard relating to the home’s admission and assessment procedures. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 10 The home’s completed AQAA told us that ‘We do not provide short term care or emergency admissions. All prospective service users have the opportunity to make sure they want to live with us by looking around and meeting everyone, made aware of the statement of purpose, service users guide, and brochure. an assessment is made by our staff of the persons abilities and needs, and risk assessments are carried out. Places are offered on a three month trial period, and if either party still unsure a further three month period can be offered. staff, service users, family, social worker and the proprietors all have input into this process’. The AQAA also stated; ‘It is unusual for us to have a vacancy, the last one was in 2002, we have happy service users and staff’. ‘When we come to need to fill a vacancy it will be important for us to market that vacancy in the correct places to target service users for whom we would be appropriate. ‘The service user group is a long established one into which a new person would have to be sure they felt they were able to fit’. All three people at the home completed comment cards for the Commission. We asked them if they were asked if they wanted to move to the home and all responded ‘Yes’ to this question. We also asked people, ‘Did you receive enough information about this home before you move in so that you could decide whether it was the right place for you?’ Again, all three people responded ‘Yes’. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Peoples’ needs and aspirations are clearly set out in their individual plan of care. People living at the home enjoy an independent lifestyle with staff support as required. EVIDENCE: We looked at one care plan at this inspection and found this to contain detailed information regarding the assessed needs, preferences and aspirations of the individual. There was evidence that the care plan had been regularly reviewed and that the individual had been involved in this process. There was also evidence that annual reviews had taken place involving the individual’s care manager. Relatives/representatives are invited to be involved in this process in line with the wishes of the individual. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 12 Three staff members completed comment cards for the Commission and all responded ‘Always’ to the question, ‘Are you given up to date information about the needs of the people you support or care for (for example, in the care plan)?. They also made the following comments; ‘Care plans are kept up to date so we know of any changes quite quickly’ ‘If there was an important change, we would be told straight away’, The home ‘provides individualised and relevant care that is regularly reviewed and updated’, ‘They live their life to the fullest within guidelines and safety rules’. The home’s completed AQAA stated; ‘service users are supported to exercise choice in all aspects of their lives, within the constraints of living with other people, health and safety concerns, resources and their own support needs. internal reviews and care plans document choices, requests, and sometimes the barriers to these and how they will be supported’. All three people living at the home completed comment cards for the Commission and we asked them, ‘Do you make decisions about what you do each day?’ All responded ‘Always’. We also asked if they could do what they wanted to do during the day, evening and at weekends. Again, all responded, ‘Always’. Part of this inspection was spent talking with each person living at the home. They told us that they were ‘very happy’ living at Speke Court. One person said that they ‘wouldn’t want to live anywhere else’. People living at the home live a very independent lifestyle with minimal support from staff. People told us that they were very happy with this arrangement and enjoyed the independence. They are supported to live this independent lifestyle through the home’s risk assessment process. People living at the home are able to manage their own finances. The registered provider present did inform us that the registered provider/manager Mr Matthews acted as financial appointee for all persons at the home. It has been strongly recommended that where a person requires an appointee or other agent, that this person is independent from the service. People told us that the house was their home. They said that they had regular house meetings where they would draw up a rota for household chores etc. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 13 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. People are supported to access a wide range of facilities and are supported to maintain independent living skills. The opportunities for leisure activities are very good. People living at the home are in control of their lives and are supported to continue to live an independent lifestyle. EVIDENCE: People living at the home told us that they live a ‘very busy life’. One person told us that they had recently completed a cookery course and it was evident through our discussion with people that they were very aware of each others skills and particular strengths and they were able to utilise this when completing their household chore rota. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 14 One person living at the home is supported to attend a work placement. They told us that they ‘enjoyed’ this very much. Another has just finished a work placement. People told us that they were also supported to attend local colleges. People told us that they enjoyed the weekly swimming trips and weekly trips to the local pub. They also told us that they had enjoyed the annual holiday earlier this year and used to enjoy the regular horse riding lessons. One person told us that they had recently returned from a holiday with their family. People told us that they could choose when and how to maintain contact with their friends and family and that ‘staff would support’ them if required. It was evident that the people living at the home had great respect for each others privacy and choices. People living at the home decide on the routines of the home and this is not influenced by staff. People told us that they accessed the local town independently. They also told us that their ‘neighbours were very nice’. When we met with people at the home, it was very evident that the registered person was a ‘visitor’ at the home and that the home very much the home of the three people living there. We were asked to sign the visitors book and people told us that they had regular safety awareness training, ‘We know what to do and we know not to answer the door to strangers’, ‘We have a phone and can get staff help any time’. People told us that they enjoyed planning menus and cooking. Staff support people to follow a healthy eating programme. People were keen to show us all the fresh fruit available. Each week people are assisted by staff to do their weekly food shopping and transport is provided. In comment cards completed by staff, they made the following comments about the home and people living there; ‘This house is just like being at home for the residents’ ‘They are part of the community’ ‘The residents are very happy’ The completed AQAA stated; ‘The service users live a fulfilling lifestyle which we continue to support’. ‘We have continued to support our service users to maintain the varied lifestyles they lead, and to offer the opportunity to try new things’ 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 15 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 a visit to this service. People living at the home do not currently require staff support to meet their personal care needs. The home ensures that people have access to appropriate healthcare professionals and support is offered to attend appointments as needed. The home follows safe procedures for the management and administration of peoples medication. EVIDENCE: People living at the home told us that they did not require staff support to meet their personal care needs. They told us that staff supported them to attend healthcare appointments if they required it. The care plan examined contained evidence that people had access to a range of healthcare professionals. Staff maintain appropriate records relating to a persons contact with a healthcare professional. Each person is registered with a local GP and dentist. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 16 The use of medication is low. Staff currently support people to manage their medicines. The home uses the Boots monitored dosage system (MDS) with pre-printed medication administration records (MAR). These were found to be appropriately completed and the home follows the correct procedures for the receipt and disposal of medicines. The registered person confirmed that all staff have received training in the management and administration of medicines. Information in the completed AQAA confirmed that; ‘Service users have access to relevant health care services’. ‘They are registered with a local GP, where they have annual health checks and medication reviews as determined by the GP’. ‘Medication is supplied by boots pharmacy in the monitored dosage system in the use of which all staff have been trained’. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 17 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 a visit to this service. The home has systems in place, which enable people to raise concerns. Procedures are in place to ensure that people are not placed at risk of harm or abuse. EVIDENCE: People living at the home told us that they knew how to make a complaint. This was also confirmed in the comment cards received. On discussion with people living at the home, it was evident that they felt confident that the home would listen to them and act on any concerns that they had. People told us that they did not have any concerns about the service they received. The home has a complaints procedure but this is not currently displayed in the home. It has been recommended that this is displayed in a format appropriate to the people living there. Three staff members completed comment cards for the Commission and all confirmed that they knew what action to take if a person raised concerns. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 18 The home have not received any complaints since the last inspection conducted in 2006 and no concerns have been raised directly with the Commission. The home has policies and procedures in place to reduce the risk of harm or abuse to the people living there. These include for staff; Acceptance of gifts policy, which also precludes staff from drawing up a will or benefiting from a will. The home’s ‘whistle blowing’ policy should be updated to include the contact details of the Commission and other appropriate external agents. The home has policies and procedures in place relating to abuse. To ensure that robust procedures are in place, the home should obtain a copy of Somersets Safeguarding Adults procedure May 2008. This was discussed with the registered provider during the inspection and contact details were given. Policies are also in place relating to the management of aggression/restraint. We were informed that nobody currently living at the home exhibited challenging behaviour. The home follows robust staff recruitment procedures. Enhanced criminal record checks (CRB) and Protection of Vulnerable Adult checks (POVA) are obtained before a person commences employment. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 19 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, 25, 26, 27, 28 & 30 Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. People live in a comfortable, homely and well-maintained environment. People have their own bedrooms which they can personalise. The standard of cleanliness is good. EVIDENCE: 2 Speke Court is one of six houses which have been converted from an old Coach House. The houses are set around a courtyard. The home is situated in a quiet residential area within walking distance of the town centre. The home is just a short walk away from its’ sister home Shipley House. Speke Court is home to three people. On the ground floor there is a spacious open plan living area comprising of lounge and kitchen/dining area with high ceilings. There is a separate laundry room. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 20 Each person has their own spacious bedroom and it was apparent that they were able to furnish and personalise their rooms to their own taste. The home is well maintained and very comfortably furnished. The atmosphere is warm and homely. We were shown around the home by the people living there, and it was apparent that they were extremely proud of their home. The home does not accommodate people with a physical disability and is therefore not fitted with any aids or adaptations. People living at the home take responsibility for cleaning the home and they told us that staff ensure that the bathroom and toilet are cleaned daily. The standard of cleanliness on the day of this inspection was very good. The home’s completed AQAA stated; The home has a lounge kitchen diner which is spacious and provides a pleasant living area. there are 3 single bedrooms and a communal bathroom. the communal areas are furnished mainly by the proprietors, with some of the residents items among them’. ‘The walls are decorated with pictures, some of which belong to the service users, and some painted by them and the service users rooms are highly personalised. There is a small garden to the front with a seating area.’ ‘The house is kept clean and tidy partly by the service users and partly by staff’. ‘Risk assessments of the premises have been carried out and are revised annually. ‘The house is clean, tidy fresh, warm and relaxed, the service users have personalised rooms and their things about them in the communal areas’. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is not permanently staffed and this arrangement appears satisfactory given the high level of independence of the people currently living there. The home has a small and stable team of staff who have been appropriately trained. The home’s staff recruitment procedures reduce the risk of harm or abuse to people living at the home. EVIDENCE: Speke Court is not permanently staffed. We were informed that the staff member from the home’s sister home Shipley House, provides visits to the home during the day. During the day and at night people at the home can contact staff via the telephone. We discussed this arrangement at some length with the three people living at the home. They told us that ‘this works really well’. They said that they rarely 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 22 had to phone and never at night. People said that they ‘enjoyed’ being independent. As previously mentioned in this report, the people living at Speke Court are very independent, are able to access the local community without support and are out most of the day. In completed comment cards, people responded ‘Always’ to the questions, ‘Do the staff treat you well?’ and ‘Do the staff listen and act on what you say?’ Three staff completed comment cards for the Commission and all responded ‘Always’ to the question, ‘Are there enough staff to meet the individual needs of all the people using the service?’ We were informed by the registered provider present that staffing levels would always be increased to meet peoples needs as required. The registered provider also stated that both she and Mr Manders, registered provider, were on call throughout the day and night. People benefit from a small and stable staff team. Staff turnover is very low. The completed AQAA identified that the home has not used agency staff and that there have been no staff changes in the last 12 months. The home currently employs six staff (covering both homes) five of which have obtained an NVQ Level 2 in care with one person currently working towards this award. This equates to 83 which exceeds the recommended 50 of the National Minimum Standards. The home’s AQAA confirms that the home has; ‘High level of NVQ Training, up to date mandatory training and additional training needs are identified and actioned’ ‘Training needs are agreed and targeted during staff supervision when a timescale for completion is set’ Three staff members completed comment cards and all told us that they ‘Always’ received the training they needed to meet the needs of people at the home; ‘Staffs’ needs and requests are always listened to and staff are looked after very well’ We were able to see evidence that staff received formal supervision every three months. Records of supervision sessions had been signed by staff and these clearly identified any training needs/requests. In completed comment cards staff confirmed that their manager met with them ‘Regularly’ to give support and to discuss the way they were working; ‘this is done very regularly but can be done more often if it is something I needed’ Staff meetings are held every two weeks and records are maintained. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 23 As previously mentioned, staff turnover has been low. We examined two staff recruitment files for the most recent staff employed, which was 2006. Files were well maintained and contained all required information. There was evidence that staff had not commenced employment until receipt of two satisfactory references, an enhanced Criminal Record check (CRB) and Protection of Vulnerable Adults check (POVA). We have recommended that the home updates its’ application for employment so that it requests at least 10 years employment history. As recommended at the last inspection, we were able to see that the home maintain records relating to interviews held for prospective employees. Recruitment files contained evidence that staff follow an appropriate induction programme on commencement of employment. The induction programme used by the home follows the Skills for Care Common Induction Programme. Three staff completed comment cards for the Commission and in response to the question, ‘Did your induction cover everything you needed to know to do the job when you started? all responded, ‘Very well’. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 24 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): 38, 39, 41 & 42 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The home has effective management systems in place. People are given the opportunity to express their views. The home takes appropriate steps to ensure the health and safety of persons at the home. EVIDENCE: The registered manager is Mr Manders. Mr Manders is also the registered provider. Mr Manders has obtained a qualification in management. He was not available on the day of this inspection. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 25 In completed comment cards staff said that; ‘The managers are very well organised and the service users needs are requirements are always respected and acted upon’. They also told us that; ‘Staffs’ needs and requests are always listened to and staff are looked after very well’. The home’s completed AQAA told us; ‘The home is well managed and staffed by trained people’. ‘Communication is good within the home and with outside professionals and families’ ‘Registration and insurance certificates are displayed where they can be seen’. The home has quality assurance procedures in place, which seek the views of people living at the home and their relatives/representatives annually. A selection of completed surveys from 2007 were viewed and comments/responses were noted to be positive. The home should also consider seeking feedback from care managers and other healthcare professionals on a formal basis. People living at the home told us that they had regular house meetings. We noted people to be very relaxed in the presence of the registered provider who was available during this inspection. At the time of this inspection, all records pertaining to people living at the home were noted to be securely stored. During this inspection we toured the premises and viewed a selection of records relating to Health & Safety and the findings were as follows; FIRE SAFETY – The home has completed a fire risk assessment and the registered provider confirmed that this had been viewed by the Fire Safety Officer. We did not examine the assessment at this inspection. We were able to see that the home had procedures in place to check all fire detection and emergency lighting systems. This is conducted on a weekly basis with records maintained. ELECTRICAL SAFETY – We were able to see that annual testing on portable electrical appliances was up to date. This was last carried out on 12/06/08. The home also has an up to date electrical hardwiring certificate dated 09/2007 and valid for 5 years. GAS SAFETY – The home showed us an up to date annual Landlords Gas Safety Certificate dated 02/2008. HOT WATER – We were informed that the bath hot water outlet had been fitted with a thermostatic control to ensure that the temperature is set within safe limits. As these devises are not failsafe, it has been recommended that 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 26 the home conducts monthly checks on the hot water outlet to ensure temperatures do not exceed the safe upper limits set by the Health & Safety Executive of 44c. The shower should be set at 42c. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 3 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 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 3 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x 3 3 x 3 3 x 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 28 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard YA7 YA22 YA23 YA34 YA42 Good Practice Recommendations It is strongly recommended that that the registered person does not act as financial appointee for any person living at the home. The complaints procedure should be displayed in the home in a format appropriate for the people living there. To ensure robust procedures are followed, the home should obtain a copy of the Somerset Policy on Safeguarding Adults, which was updated in May 2007. The application for employment form should be updated so that it requests at least a 10 year employment history. The home should conduct monthly checks on the bath hot water outlet to ensure temperatures do not exceed the safe upper limits set by the Health & Safety Executive of 44c. The shower should be set at 42c. 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 2 Speke Court DS0000016244.V365264.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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