Inspection on 25/06/08 for 31 Carter Avenue

This inspection was carried out on 25th June 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

31 Carter Avenue 03/01/07

31 Carter Avenue 12/01/06

31 Carter Avenue 26/07/05

31 Carter Avenue 01/03/05

31 Carter Avenue 15/07/04

31 Carter Avenue 10/02/04

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

CARE HOME ADULTS 18-65 31 Carter Avenue Shanklin Isle Of Wight PO37 7LG Lead Inspector Janet Ktomi Unannounced Inspection 25th June 2008 14:00 31 Carter Avenue DS0000012472.V366700.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 31 Carter Avenue DS0000012472.V366700.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. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 31 Carter Avenue Address Shanklin Isle Of Wight PO37 7LG 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) 01983 867845 01983 865777 Islecare Ltd Mr Christopher Geoffrey Stewart Hyland Care Home 6 Category(ies) of Learning disability (0) registration, with number of places 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: 2. Learning disability (LD). The maximum number of service users to be accommodated is 6. Date of last inspection 3rd January 2007 Brief Description of the Service: 31 Carter Avenue is a registered residential home that provides personal care and accommodation for up to six younger adults with a learning disability. The home is a detached two storey property situated in a residential area of Shanklin within walking distance of local shops, and the town centre with its amenities and facilities. There is a good-sized garden to the rear, which is available for people living at the home to use. Parking is limited to the road in Carter Avenue and level access is via the front of the premises. There is no lift to the first floor and people whose bedrooms are on that level are fully ambulant. The registered providers are Islecare Ltd. The homes registered manager is Mr Christopher Hyland. Fees are in line with local social services rates. 31 Carter Avenue DS0000012472.V366700.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. This report contains information gained prior to and during a visit to the home undertaken on the 25th June 2008. All core standards and some additional standards were assessed. Compliance with the three requirements made following the previous inspection was also assessed. The visit to the home was undertaken by one inspector and lasted approximately four hours commencing at 2pm and being completed at 6 p.m. The inspector was able to spend time with the registered manager and staff on duty and was provided with free access to all communal areas of the home, documentation requested and people who live at the home. Information from the Annual Quality Assurance Assessment (AQAA) completed by the registered manager is also considered. During the visit to the home the inspector was able to meet with and talk to all of the people who live at the home. What the service does well: The people who live at 31 Carter Avenue all appeared happy, relaxed and well cared for. Interactions with care staff and the registered manager were warm and positive with a consistent team of care staff having a good knowledge of everyone and their individual needs. The home provides a range of in-house and community activities. These provide leisure and social opportunities that people enjoy. Everybody enjoyed a holiday last year and are due to go on holiday again this year. People are provided with choice about most aspects of their lives. The people who live at 31 Carter Avenue stated that they are very happy and all get on well together, which was also observed by the inspector. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 6 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. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home would only admit new people whose needs could be met at the home and who were compatible with people already living there. EVIDENCE: The home has not admitted any new people for many years, those living at the home having moved as a group from a previous home owned by the same provider in excess of ten years previously. Although the home currently has one vacancy the bedroom has been converted to an office. The manager stated that this could revert back to a bedroom if required however as no referrals had been received for a number of years he was not anticipating the need for a sixth bedroom. The manager identified the procedure that he would undertake should he be in the position of admitting a new person. This would include a thorough assessment, information from professionals involved with the person, meeting the person and if the manager felt the home could meet the persons needs he would invite them to visit the home on a number of occasions. The opinions of 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 9 the people already living at the home would be sought following the visits and a final decision would be based on their views. The manager was aware of the homes registration categories and the level of needs the home could meet. The manager was also aware of the need to ensure peoples needs can continue to be met as their needs change due to increasing age. There have been no previous concerns about the statement of purpose, service users guide or contracts. Therefore these documents were not viewed and the relevant non-core standards not assessed. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are in control of their lives and they direct the service. Staff are committed to supporting people to lead purposeful and fulfilling lives as independently as possible. People who live at the home make their own informed decisions and have the right to take risks in their daily lives. EVIDENCE: Two care plans were viewed. Risk assessments and the ways in which risks should be managed were seen in care plans. The inspector spoke with staff and the people who live at the home about care plans and the person centred training they have undertaken since the previous inspection. The inspector also discussed how decisions are made and observed how people who live at the home are encouraged and supported to be active and independent. During the previous inspection it was identified that care plans and risk assessments were not in a format specifically geared to younger adults with 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 11 learning disabilities. At the previous inspection the inspector was shown the new person centred care planning documentation that the provider had produced and the home would be implementing. Care plans viewed on this inspection were in the new person centred format and had been completed by the manager with the person’s key worker. The manager stated in the homes AQAA that all care staff have undertaken person centred care training and that the home has reformatted all care plans in a person centred format. Care staff on duty at the time of the inspection visit confirmed that they had attended person centred care training and that the training had been good and they had found it interesting. The two care plans viewed were person centred and followed a new format. Care plans had been reviewed every month. One care plan viewed contained notes as to what required changing when reviewed. Care plans contained information about, and risk/management plans in respect of, health needs as well as social and independence skills training. The home uses a key worker system. Each care plan contained risk assessments relevant to the needs identified and incorporated into the person’s care plan. Management of risk positively addressed safety issues whilst aiming for improved outcomes for people using the service in terms of skills development and independence. Observation during the inspection visit and discussions with people living at the home confirmed that they are able to make decisions and that these are respected and acted upon by the home. People discussed their plans for a holiday this year. Throughout the inspection visit people were observed making suggestions and their views being sought by the manager and staff. People confirmed they are involved in decisions about the menus. Resident meetings are not held due to the individual needs of the people who live at the home. The manager stated that when information needs to be shared or views sought this is done on an individual basis and would be recorded in the persons care plan. People also stated that they choose what they spend their personal money on and showed the inspector items they had purchased. The support people receive in relation to their personal finances is recorded in care plans and varies between the people living at the home depending on the level of support required. The inspector viewed the arrangements in respect of personal finances and the procedures and records are appropriate and well maintained. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported to live the lifestyle they choose. EVIDENCE: Everybody has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list of weekly planned activities was seen in the care plans viewed. Discussions with care staff and people who live at the home confirmed that they enjoy these activities and had been involved in the development of their individual activity plans. During the unannounced visit by the inspector to their home people discussed with the inspector what they had done that day. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 13 Within their bedrooms people have a variety of home entertainment equipment such as TVs, videos, music systems and relaxation equipment. During the inspection visit people were noted to be able to spend their time as they wished. The location of the home is close to the town centre of Shanklin with easy access to local services. There are always two, and sometimes three staff on duty therefore support to attend community events is available. People have different home days each week also enabling 1-1 time for individual activities. Whilst viewing financial records the inspector saw evidence of money spent on outings. People are involved in assisting care staff with food shopping in the local shops and use local health facilities. Staff rotas confirmed staffing numbers. Care plans contained records of activities both in the home and local community that people have undertaken. One comment card was received from a person who lives at the home who stated that they could do what they wanted at all times and that activities were provided. The home has a house car capable of transporting everyone living at the home. the arrangements for the funding of the house car were discussed with the manager and people pay for fuel dependant on the amount used. The manager described how they are working with another home located nearby to share journeys to day services to reduce increasing fuel bills. People living at the home are going on holiday again this year. The inspector discussed holidays with the care staff who are supporting people and was shown the brochure of where they will be going in the next few weeks. The inspector was also shown photographs on the homes digital camera of the holiday enjoyed by two people the week prior to the inspection visit. People are supported to celebrate life events and are able to invite friends and family to visit them at the home. The home’s routines tend to be organised around the people who live there with meal times flexible to meet people’s individual preferences and routines. Discussions with the people who live at the home confirmed that all had done different activities on the day of the inspection visit. The home does not employ separate catering staff so care staff take turns to cook each day. Information in care plans stated what support people require in respect of meals and food preparation. People take packed lunches to day services and have a main cooked meal in the evenings. Records showed that meals are varied and nutritious. People commented that they liked the food at the home and that they could ask for something different if they did not want what was available. The home has been awarded four stars (maximum five stars) for food hygiene by the local environmental health department. 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 14 31 Carter Avenue DS0000012472.V366700.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 and 20 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal care and support in the way they prefer and their health needs are met. Medication is appropriately managed in the home. EVIDENCE: Information about personal and health care needs and that provided was viewed in care plans. Surveys and discussions held with the people who live at the home and staff is also considered. The arrangements for the storage and administration of medication were viewed with any related records. The home operates a key worker system. Male and female staff are employed so choice would be available if support were required. People living at 31 Carter Avenue are independently mobile, although a wheelchair is used to assist one person when away from the home. The home has two bathrooms, one fitted with a chair hoist to support people who would have difficulty sitting down in or getting up from a general bath. Times for getting up and going to bed are flexible with various times seen recorded in care plans viewed. People stated to the inspector that they could get up and go to bed when they 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 16 wanted. Interactions observed during the inspectors visit to their home indicated that people felt relaxed with care staff such that they would discuss any health concerns they may have or request support if they needed this. The home has a consistent staff team who have got to know the people who live at the home and stated they would recognise if someone was not their usual self and may be unwell. Evidence of personal care is recorded on a monthly tick chart that is quick and easy for staff to complete. People living at the home are registered with local GPs and support is provided from care staff to make and attend appointments. Care plans contained a record sheet that indicated that people are able to see chiropodists, Dentists, opticians and doctors when required. A notification was received at the commission following an accident that occurred during the night involving one of the people who lives at the home. The manager was contacted by the staff member on duty and attended the home immediately enabling the staff member to support the person to hospital for emergency treatment. This demonstrates that people would be support to receive medical treatment whenever it is required. The previous report required that the home ensure that everyone living at the home has a health action plan containing as much information as is available. Both care plans viewed contained Health Action Plans and therefore this requirement has been met. Following the previous inspection a requirement was made concerning several areas of the management of medication in the home. At the time of this unannounced inspection all medication was found to be stored correctly. The medication administration records were viewed and had been fully completed. Medication coming into the home is recorded on the Medication Administration records. The home uses a pre-dispensed system for tablets with liquid medication dispensed at the time of administration. None of the people living at the home self medicate, therefore all medication is administered by care staff who have received external training and been deemed competent. The manager informed the inspector that update training in medication has also been provided to staff. The manager identified on the homes AQAA that he is aware that people living at the home are getting older and that for some their needs are therefore changing. Discussions during the inspection with both the manager and staff indicted that consideration is given to the needs of people due to both their age and learning disability. 31 Carter Avenue DS0000012472.V366700.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 and 23 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People at the home are able to complain and protected from abuse. EVIDENCE: The provider has a complaints policy which is made available to people or their representatives. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book and has received no complaints in the past twelve months. No complaints have been received at the Commission in respect of 31 Carter Avenue. Throughout the inspectors visit people who live at the home were seen responding verbally and non-verbally to staff, making requests and suggestions. Staff have a good understanding of the individual communication methods of the people who live at the home and would be in a position to realise if people were unhappy. Staff spoken with were aware of the procedure they should follow should a person or their representative make a complaint. People stated they would tell staff if they were unhappy about something at the home. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare Ltd adult protection and whistle blowing policies. Staff spoken with during the inspection were aware of the adult protection policy and procedures 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 18 and clear about their responsibilities to report issues of concern without delay. The manager and staff confirmed that they have received safeguarding training. People living at the home attend a variety of external day services and would be able to report concerns to staff within theses settings. A representative of the provider visits the home every month and people would also be able to report concerns at this time. The personal finances and employment procedures followed should ensure that people are protected from abuse. 31 Carter Avenue DS0000012472.V366700.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 and 30 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a comfortable homely house suitable for their individual and collective needs. EVIDENCE: The home is located in a pleasant residential area of shanklin within walking distance of the town centre. The home is a large older property owned by the Isle of Wight council. The homes AQAA completed by the manager did not state when the homes gas and heating had been serviced. The manager showed the inspector an invoice for the gas and heating service that had been carried out on the 10th June 2008. The manager stated that the local fire officer had visited the home and no issues of concern had been identified. The inspector viewed the homes communal rooms and one bedroom as the door was left open when the person went to sit there after their evening meal. The home is safe, well maintained and at the time of the unannounced 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 20 inspection clean. The home meets peoples’ needs in a homely and domestic way. Bedrooms are all single with communal areas, lounge, dining room and kitchen appropriate for the people who live at the home. The home has a rear garden, which is mainly laid to lawn with seating. There is level access with handrails to the front door and ramped access from the back door to the garden. The home is situated close to local amenities and transport links and is maintained with the help of a handyman employed by the provider. The provider also contracts with gardeners who were present at the start of the inspection. Everybody has their own single bedroom, none of which is en-suite, however bathrooms and WC’s are located close by bedrooms. The bedroom seen was pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions and music centres were seen in the bedroom. Following the previous inspection a requirement was made that the home ensures that the underneath of the bath hoist chair was thoroughly cleaned and kept clean. The manager stated that this was now part of a regular cleaning routine and the deputy manager described how the chair had been cleaned. Since the previous inspection the surround to the ground floor bath has been replaced and the manager stated that it is intended to repaint the bathroom tiles, as they are currently mismatched. The homes laundry is situated in a small conservatory located off the dining room and leading out into the garden. The equipment is domestic and appropriate for the number and needs of the people who live at the home. Care staff confirmed that they have adequate supplies of disposable gloves, aprons and any other infection control equipment required. Substances hazardous to health were stored securely. 31 Carter Avenue DS0000012472.V366700.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): 32, 33, 34 and 35. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by a consistent staff team, provided in sufficient numbers and with the necessary skills to meet their individual and collective needs. EVIDENCE: People stated that they liked the care staff that they were helpful and they could ask their help with any problems. This was also the comments on the survey completed by a person who lives at the home. Interactions observed during the visit indicated that people and staff have a warm friendly relationship with people feeling able to express themselves in all respects. The manager stated on the homes AQAA that there are ten permanent care staff and the manager employed at the home. Staff rotas and discussions with staff confirmed there are always at least two and sometimes three staff on duty. One staff member sleeps in during the night with the manager available on call. People have different home days and therefore are able to have 1-1 support on their home day. Staff spoken with felt that the staffing levels and arrangements were appropriate to meet the peoples needs and that activities 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 22 relating to social and leisure are possible during the evenings and weekends. Staff are again accompanying people on their holiday this year. Both male and female staff are employed. The home has not needed to use agency staff as staff cover each others annual leave and occasional sickness. The manager stated that the home has recruited three new staff in the past year. The manager described the homes recruitment procedures and records were viewed. The procedures in place and records seen would indicate that a thorough recruitment and checking process is in place that should ensure that unsuitable people are not employed at the home. The manager stated that potential applicants are invited to visit the home prior to interview to meet the people who live at the home. Interactions are observed and that the people who live at the home are asked their views on the person following the visit. The manager described the homes induction procedures and these include all new staff working supernumerary until they are deemed competent and also have undertaken essential training such as safeguarding, infection control, fire awareness, moving and handling and health and safety. The manager stated that six of the ten care staff have at least an NVQ level 2 in care and an additional two staff are undertaking this qualification. Care staff confirmed to the inspector that they have undertaken all update training. Comment cards returned by care staff stated that they received all the necessary training and that they felt they had the necessary skills and experience to meet people’s needs. The manager stated that the provider’s office on the island has systems that ensures that he is notified when individual staff are due update training. The manager stated that should he identify a training need for the staff employed at the home this is organised by the provider who has a training manager able to facilitate or arrange any training. 31 Carter Avenue DS0000012472.V366700.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a service that is well run in their best interests. EVIDENCE: The home shares its registered manager with another similar service located close by. The manager has successfully managed both homes for several years and therefore has demonstrated his ability to perform these joint management roles. The manager confirmed to the inspector that he possesses both the Registered Managers Award (RMA) and has also completed the NVQ level 4 in care. The manager confirmed that he also attends update courses to maintain his skills and knowledge. The manager is supported by a deputy manager who was present for much of the inspection visit. The manager is also supported by 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 24 the provider’s management and organisational structure with an area manager being based nearby. Throughout the inspection visit people living at the home were seen to be encouraged to give opinions and their views or wishes were respected. The evidence indicates that people are able to make decisions and supported to live the lifestyles they choose. A representative of the provider undertakes a monthly visit to the home with the written reports of these visits being seen during the inspection visit. Within care plans were copies of service user questionnaires completed by the people who live at the home. The manager completed the homes Annual Quality Assurance Assessment that was returned to the commission within the required timescales. This was discussed and the manager stated that he is now recording information on an AQAA form throughout the year to ensure that all the information is readily accessible when the commission next requests an AQAA. Throughout the inspection visit a number of records were viewed. These have been identified in the relevant section of this report. Records were well maintained and appropriately stored. There were no concerns in respect of health and safety identified during the inspection visit. 31 Carter Avenue DS0000012472.V366700.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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X 31 Carter Avenue DS0000012472.V366700.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 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 31 Carter Avenue DS0000012472.V366700.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!