Inspection on 25/07/06 for 22 North Paddock Court

This inspection was carried out on 25th July 2006.

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

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

Other inspections for this house

22 North Paddock Court 09/07/08

22 North Paddock Court 01/12/05

22 North Paddock Court 13/09/05

22 North Paddock Court 01/02/05

22 North Paddock Court 12/11/04

22 North Paddock Court 12/01/04

Similar services:

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

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

CARE HOME ADULTS 18-65 North Paddock Court, 22 22 North Paddock Court Lings Northampton Northants NN3 8LG Lead Inspector Mrs Pat Harte Unannounced Inspection 25th July 2006 09:00 North Paddock Court, 22 DS0000012873.V305232.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 North Paddock Court, 22 DS0000012873.V305232.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. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Paddock Court, 22 Address 22 North Paddock Court Lings Northampton Northants NN3 8LG 01604 412501 01604 412501 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) The Brain Injury Rehabilitation Trust Mrs Gillian Taylor Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 2005 Brief Description of the Service: North Paddock Court provides care and support for up three residents between the ages of 18 and 65 years who have a mental disorder, arising out of an acquired brain injury. The service is part of the Brain Injury Rehabilitation Trust. The Trust works in partnership with a number of other external Health care Professionals to provide specialist rehabilitation programmes within a Residential care home setting. North Paddock Court is situated in a residential area on the eastern outskirts of Northampton; the premises blend in with other houses in the road. The Home is close to local amenities and public transport can be easily accessed to get to the centre of Northampton. The premises consist of a semi-detached house on the end of a terrace. Single bedrooms are provided for up to three Residents. Communal facilities include a homely lounge area, an open plan dining room and kitchen and bathing and toilet facilities. A staff office/sleeping in room is provided. Residents also have the use of a pleasant rear garden area. The charges are assessed according to Residents needs and currently range between £1,126.79 and £1250. The Residents are responsible for the purchase of their own toiletries, clothing and services such as Chiropody. Residents are also responsible for paying for their own holidays although the Trust pays for any staff needed to accompany them. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for Service Users and their views of the service provided. Inspection planning took half a day and consisted of a review of the previous inspection reports, the Home’s service history, notifications and correspondence and contacts between the Commission and the Home, including the Trust’s representative’s monthly visiting reports. The Commission sent a pre-inspection questionnaire to the Manager, which was returned on 3.7.06. Questionnaires were also sent to Residents and their relatives. Both Residents returned their questionnaires giving positive comments on what it was like to live in the Home. One Resident commented that staff always listened to her, “very brilliantly as well,” and that “The staff here are excellent at their work and have helped me better than I expected, for my living skills.” A relative commented that the Manager and her staff “go above and beyond the call of duty.” The available information was analysed to form the plan of inspection focusing on the outcomes for Residents. The primary method of inspection used was ‘case tracking’ which involved tracking the care of the two Residents through a review of their records, talking with them and the staff member on duty. In addition discussions were held with the Manager and the Trust’s representative who was at the Home to carry through a quality-monitoring visit. Selected areas of the premises were viewed and a selection of records was inspected. The Inspection was unannounced and commenced in the morning at 09:00 hours until 11:00 when a break was necessary to ensure a Resident was able to go to her place of work. The inspection resumed at 13:30 until 16:30, a total of approximately 5 hours. What the service does well: An information pack is giving to all prospective Residents detailing the Home’s services and telling them how to raise any issues, concerns or complaints. Staff make regular checks to ensure that their Residents still have this information to hand. The assessment process is thorough and effective in identifying Residents needs and ensuring that those needs can be met. Care is taken to ensure that there is compatibility between new and existing Residents. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 6 The most impressive area of this Home was the commitment to involving the Residents in all aspects of the running of their Home as well as their involvement in individual care. Throughout the inspection process Residents confirmed and staff showed that there was constant communication and consultation to ensure that Residents preferences, views and ideas were taken into account and upheld. Residents confirmed that they were fully involved in the development of their care plans and were supported to be as independent as possible. Their rights to make decisions for themselves were upheld and they were enabled to safely take responsibility for the way in which they wished to lead their lives. Residents particularly commented on the way in which staff supported their emotional needs. Staff were quick to recognise their fears and anxieties and when they were feeling down. Time was devoted to discussing their worries and supporting them to deal with and overcome them. Residents felt that they had been able to develop their self-confidence and were able to see just how much they had progressed. Residents’ comments and observations confirmed that they were given every opportunity to develop their skills. They participate in all the household routines and were “in charge” of menu planning with the help and guidance of staff. They were able to design the weekly menus to their tastes, chose their recipes, shop for the food and prepare and cook the food themselves with the help of staff. The menus showed a healthy eating approach and an excellent variety. Residents also commented on their total satisfaction with the activity programme. Both Residents enjoy voluntary work, one in a local Charity shop and one in a café. They felt that this contributed to their skill development and gave purpose to their lives. They were fully involved in choosing their activities, which took account of their individual interests. They were provided with excellent opportunities to eat out, go to the cinema, visit places of interest and take holidays. They had established links with the local community and were involved in a local wildlife centre at Lings Wood. Here they made weekly visits enjoying the outdoor life, being involved with nature and meeting up with the friends that they had made. Residents commented that they were supported to keep in close contact with their families and make and receive visits. Staff safely managed the Medication system. Residents recognised that they needed help in this area due to memory problems. They commented that staff were quick to react to any changes in their health care needs and made prompt appointments for visits to medical professionals such as Doctors and Dentists. Residents were aware of the Home’s complaints procedures. They stated that they had not had cause to raise any issues but felt confident to do so should North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 7 the need arise. The Home or the Commission has received no complaints since the last inspection. Residents are provided with a safe and homely environment. Staff and Residents together have created a real family feel to the Home. As one Resident put it “You’d never know this was a residential care home.” Residents spoke very positively about the staff group who they viewed as their friends. Relationships were observed to be and were spoken about as excellent. Safe recruitment practices are in place to protect the Residents. Staff are provided with training to enable them to do their jobs and this includes training on understanding the effects of and caring for people with acquired brain injury. Whilst the staff group is quite small they are able to manage the rotas and offer excellent consistency and continuity of care to their Residents. There are systems in place to ensure all staff are briefed on any changes in their Residents needs. The Management of the Home was effective and ensured that Residents were fully consulted and involved in the running of the Home. Care was taken to ensure that the health and safety of Residents and staff was promoted and protected. 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. North Paddock Court, 22 DS0000012873.V305232.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 North Paddock Court, 22 DS0000012873.V305232.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is made available to prospective Residents on the Home’s services and facilities, the assessment process is thorough and effective ensuring that the needs of Residents admitted to the Home can be met in full. EVIDENCE: We looked at the information given to Residents on the Home’s services and the process of assessment to see that this was thorough in identifying Peoples’ needs and ensured that those needs could be met. Residents confirmed that they had been given the Home’s Service User Guide. They felt this contained accurate and good information on the services and facilities and how to raise any issues or concerns. They stated that files had been made up for them containing this information and that staff regularly checked with them that they still had the information to hand. No new admissions have taken place since the last inspection; the Home currently has two Residents. The assessment process was discussed with the Manager and the Trust’s visiting representative and previous assessments were viewed. The Manager visits all prospective Residents to carry through a needs assessment. The North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 10 assessment records were thorough and holistic and took account of all areas of need including Residents emotional and psychological care needs. Historical information had been gathered from Families and relevant professionals to broaden the understanding of the needs. Care had been taken to establish the Residents’ wishes in relation to routines, food likes and dislikes, their hobbies and interests and their preferences for their support. Care had also been taken to identify if there were any cultural or religious needs where special arrangements may have to be made. In this small family type environment it is essential that Residents get on well together and the Manager showed that careful consideration was given to new referrals to ensure compatibility with existing Residents, their lifestyles and age range. When it is determined that a prospective Resident’s needs can be met there is a process of gradual introduction, which includes visits to the Home to meet staff and other Residents, opportunities to discuss needs and to undertake and overnight and weekend stays. The Manager showed that the pace of introduction would be adjusted to meet individual Resident’s needs. Records showed that there is a review process, after about three months, to determine the Resident’s wishes to remain at the Home. The two Resident’s records viewed showed that they were provided with contracts detailing the fees payable and the terms and conditions of their residency. North Paddock Court, 22 DS0000012873.V305232.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported to take acceptable risks, make decisions about their lives and are assured that the staff group know their needs, aspirations and goals. EVIDENCE: We looked at the Home’s care planning processes to ensure that staff were given instruction and guidance on how to meet Service Users’ needs. Two Residents’ care plans were viewed. The records and Residents’ comments showed that they had been fully consulted and involved in the development of the plans and in the setting of realistic and achievable goals. The areas where Residents needed support were documented and areas that they could successfully and safely undertake for themselves were also recorded showing that they were encouraged to be as independent as possible and develop their skills. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 12 It was clear from the records and discussions with Residents and staff that attention had been paid to risk assessing areas where Residents may be vulnerable or where there were safety issues. For example whether Residents needed support or could go out on their own and whether or not they could manage their finances or take responsibility for their medication or finances. Residents emotional and psychological care needs were recognised and staff were given verbal instructions on how to support them. The Manager is currently reviewing the plans to ensure that detailed written instructions are provided in these areas. Residents felt that staff gave them excellent support and guidance and encouraged them to make decisions for themselves. They also felt that they were fully consulted on all aspects of the running of their home. Examples were given of how they were “in charge” of menu planning and planning their activities. They also stated that they were fully involved in the redecoration and refurbishment programmes. Residents confirmed that they were given access to their records, which were securely stored in the office, and confirmed that staff were careful to ensure the safety and confidentiality of information. North Paddock Court, 22 DS0000012873.V305232.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 at least once during a 12 month period. 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 Residents are fully supported to develop their skills, be a part of the wider community and lead fulfilled lives. The food provision is excellent and offers a wide range of choice and alternatives respecting individual likes and dislikes. EVIDENCE: We looked at the arrangements made for Service Users to develop their skills, carry through their interests and hobbies and enjoy a fulfilled lifestyle reflecting their person preferences. The Residents spoke of the ways in which staff supported them to develop and maintain their skills. They were encouraged to do as much as possible for themselves with the minimum of guidance and support. Records showed that they were involved in developing their own individual programmes and routines as well as joint activities and the household routines. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 14 For example both Residents took responsibility, with the support of staff, for menu planning, shopping cooking and household cleaning and gardening. They received individual support and guidance to develop their daily living skills for example on safely managing tasks such as laundry and food preparation, managing their finances and planning social activities geared around their interests and hobbies. Both Residents were very proud of their skill development and recognised just how far they had come since being at the Home. They said they had never expected to be as independent as they now were and praised the staff group highly for the support that they had received. Staff had enabled both Residents to obtain employment as Volunteers, one in a local Café and the other in a Charity shop. The Residents spoke of how much they enjoyed their work and how this gave them purpose and had increased their self-esteem. Staff showed good organisational skills in managing the work placements that occurred at different times. They had agreed with the Residents that whilst one of them was working at their placement the other would go shopping with them or do activities until it was time to pick up the other Resident on placement. Staff were always contactable by mobile phone to respond to the Resident on work placement should they feel ill or wish to return to the Home. Individual and joint activity programmes had been designed by the Residents and staff taking account of personal preferences and wishes. Residents said that there was always something to do but that they had choice in whether they wished to take part and that alterations could be quickly made to the programme to take account of how they were feeling or if the weather was not good. They particularly liked eating out, taking part on visits to places of interest, visiting the cinema or theatre. Residents have been encouraged and supported to become a part of the local community. For example there are weekly visits to Lings Wood where there is a Wildlife Trust community centre. They have the opportunity to go on walks, meet up with local volunteers and residents from the area. Observations of one such visit showed how much the Residents enjoyed this activity. They thoroughly enjoyed their walk, showed a keen interest in the wildlife and helped other volunteers clear the wood of litter. At the end of the walk there was an opportunity to take refreshments and have a good chat with the friends that they had made. Residents felt that they were supported to keep in touch with their families and friends and enabled to make and receive visits. They felt they were also well supported to keep in touch by telephone. Staff assist Residents with their holiday plans. For example one resident was going away with her family and the other was having a break with staff from the Home. Whilst Residents are responsible for paying their own holiday costs the Trust pays for staff to accompany them where necessary. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 15 It was clear that Residents are respected as individuals and staff upheld their rights to make decisions for themselves in their daily lives. Residents said they were fully involved in menu planning and that the food was entirely to their liking. Each weekend they sit down with staff to plan the week’s menu. The Residents showed good humour about this process as they admitted they had turned it into a bit of a marathon. They decide on what they wished to have for the week, agreeing any alternatives for individual preferences, and then consulted recipe books to see how they wished the food to be cooked. They have, with the help of the staff, developed a careful system of food “stock control” keeping lists of food available in the Home. As one Resident put it this helped to prompt her memory and it was easy to draw up the shopping lists so they had all the ingredients for their recipes as well as ensuring that food did not go out of date. They have become very able in their menu planning which includes a wide range of recipes from different countries. Residents have developed their catering skills and are able, with guidance and support from staff, to prepare and cook their own food. Their total involvement in the menu planning ensures that they have what they want to eat and the guidance provided by staff ensures that they have well balanced and nutritional menus. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported in the way that they prefer and staff ensure that their health and personal care need are met. The Home’s medication system is safely maintained. EVIDENCE: We looked at the way in which personal and health care was provided to ensure Service Users needs were met. Residents confirmed they had been involved in deciding, with staff, the areas of personal care where they needed support and assistance. They are enabled to be very independent with staff supporting mainly by prompting and reminding where necessary. Staff showed through discussions that they protected Residents’ privacy and dignity by ensuring that personal care tasks were carried out in private. Residents confirmed that staff sensitively supported them and eliminated any embarrassment. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 17 The records and discussions with staff and Residents showed that the Residents emotional well – being was monitored. Staff showed that they were quick to identify and respond when a Resident was feeling “down.” They were fully aware that their Residents could become anxious and lose self-confidence. Residents spoke of being supported to discuss any worries or concerns and of the help that staff gave them to regain their confidence and manage their anxieties. Staff showed and records confirmed that care was taken to monitor Residents’ health care needs. Records showed quick response to any changes and referrals or appointments made with the relevant medical professionals, including specialists employed by the Trust. Staff also took care to monitor general areas such as skin conditions and foot care. Records confirmed that Residents were supported to attend routine health care appointments including dentistry and optical check ups. The Home’s medication system was in good order. Medication was safely stored and records maintained of incoming, administration and disposal of medication. There is a good process for ordering medication and ensuring that stock is rotated appropriately. Staff receive training in how to manage the medication system. Residents were very realistic and stated that their abilities to manage their own medication were affected by their memory problems. They were happy for staff to give them assistance in this area and confirmed that they always get their medication on time. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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 effective systems in place to ensure complaints are listened to, investigated and acted upon and that Residents are protected from abuse. EVIDENCE: We looked at the systems in place to ensure that any complaints were listened to and acted upon and that Residents are protected from abuse. Residents confirmed that they had been given information on how to complain and that they had trust and confident in the staff group to discuss any issues or concerns. A complaints record is maintained. There have been no complaints made either to the Home or the Commission since the last inspection. The Home has procedures in place for the Protection of Vulnerable Adults (POVA). No allegations or suspicions have been raised. Staff demonstrated through discussions that they were familiar with the procedures and understood the areas of abuse. North Paddock Court, 22 DS0000012873.V305232.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25. 26, 27 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Selected areas of the premises were viewed and found to be in good order. The Home was well maintained, clean and comfortable and offered a real family styled environment within the community setting. Standards of domestic and hygiene maintenance were excellent. Residents stated that they were happy with the accommodation provided. They were able to personalise their rooms and they wished and took joint decisions on the communal areas. They were involved in choosing the décor and furnishings and a recent example was given that they had picked the colour and design for their new lounge suite. The Residents take a keen interest in their very pleasant garden and grow their own produce such as tomatoes. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 20 Staff confirmed that there were no problems with general maintenance, repairs to the fabric of the building were carried through promptly where necessary and all equipment was well maintained with safety checks carried out. North Paddock Court, 22 DS0000012873.V305232.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust and sufficient numbers of competent care staff are deployed to meet the Residents needs. EVIDENCE: We looked at staff recruitment procedures and staff training to ensure Residents were in safe and competent hands. Residents praised the staff group highly saying that they were committed and caring. Their comments once again showed just how much staff consulted with them on all aspects of their lives and their care. Rotas showed that one care staff member is on duty on all daytime shifts. There is one sleeping carer to provide for Residents needs during the night. Staffing numbers can be increased if the needs of the Residents’ dictate. Whilst the Home only has a small staff team of four the Manager showed that the number is sufficient to cover for holidays and short-term sickness. There are arrangements in place for staff from the Trust’s other units to help out if longer periods of sickness occur. The staff are able to provide their Residents with excellent consistency and continuity of care and relationships and North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 22 interaction between the Users and staff were observed to be and were spoken of as excellent. The staff member spoken with particularly commented on the teamwork approach. The Manager was on hand to provide guidance and support and the back up arrangements ensured that staff could always contact either her or the Trust’s representatives for advice out of office hours. She stated that this was the best home she had ever worked in for organisation, support and back up. One staff member’s records were inspected and showed safe recruitment practices were in place with the necessary Criminal Records Bureau checks and two references obtained prior to employment. Care had been taken to check driving credentials, the MOT and Insurance cover to ensure they were in order to allow the staff member to transport Residents in her cars. Staff are provided with an induction programme, which is linked to the recognised guidance of the Sector Skills Council. The records showed that the Manager signed off staff competencies. A training plan is maintained which demonstrates that staff are provided with core training in areas such as emergency aid, food hygiene, health and safety, movement and handling and fire safety. The Trust provides specialist training to enable staff to understand the effects of brain injury. Records showed that regular updates are carried out. Currently the Home only has one member of staff (the Manager) who holds a National Vocational Qualification in care. The Trust is now taking steps to ensure the ratio of trained staff reaches the advised 50 in the near future. Staff records showed that staff are provided with formal supervision approximately every two months. Regular staff meetings are held and there is a process for handing over information on every shift change. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37. 38, 39, 40, 41, 42 & 43 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Management of the Home is effective and ensures that the best interests of the Residents are safeguarded; effective Quality Assurance systems are in place. EVIDENCE: We looked at the overall management of the Home and Health and Safety to ensure that the Home was effectively managed and Service Users were not at risk. The review of the Home’s records and discussions with the Residents and staff showed that the Manager was dedicated and committed to promoting the well being of her Residents and ensuring that they had a good quality of life. She has not yet accessed a National Vocational Training course for Managers but the Community Support and Training Officer confirmed that the Trust was addressing this area. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 24 Residents confirmed that the Manager was viewed as an integral part of the Staff Team. She worked alongside staff and was readily available to her Residents consulting fully with them. Effective quality monitoring systems were in place. The Trust’s Community Services and Training Manager visits the Home on a monthly basis to monitor the overall performance of the service and to consult with the Residents to ensure everything is to their satisfaction. Reports of these visits are forwarded to the Commission. Surveys have also been undertaken to obtain the views of Residents and their relatives on the effectiveness of the service and regular Residents’ meeting are held in addition to the day-to-day consultation. As one Resident put it “They consult us about everything.” The information supplied by the Manager prior to the inspection showed that comprehensive policies and procedures are in place and are regularly reviewed and updated to guide staff in their practice. The Home’s records were in good order. Fire records were viewed and showed that care was taken to check the Home’s alarm systems and fire equipment. Regular fire drills are held to ensure that Residents and staff were familiar with the emergency evacuation procedures. Records relating to the safekeeping of a Resident’s money were viewed. They were in good order and detailed the transactions. Advice was given that the Resident should have a bank account in her own name to ensure safe and easy access to the money deposited and to promote her development. Good attention is paid to maintaining a safe environment and ensuring that Residents are not at risk. Staff receive training in general and specific Health and Safety matters such as the control of substances hazardous to health and movement and handling practice. North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 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 4 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 3 4 3 3 3 3 North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations North Paddock Court, 22 DS0000012873.V305232.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 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. 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