Inspection on 20/01/09 for 34 Walsall Street

This inspection was carried out on 20th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

34 Walsall Street 05/02/08

34 Walsall Street 18/07/07

34 Walsall Street 05/07/06

34 Walsall Street 07/11/05

34 Walsall Street 23/05/05

34 Walsall Street 18/01/05

34 Walsall Street 13/09/04

34 Walsall Street 27/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

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Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 34 Walsall Street 34 Walsall Street Willenhall Walsall West Midlands WV13 2ER     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Dawn Dillion     Date: 2 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: 34 Walsall Street 34 Walsall Street Willenhall Walsall West Midlands WV13 2ER 01902632211 01902632211 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Swan Village Care Services Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 5 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 5 Date of last inspection Brief description of the care home 34 Walsall Street is a registered care home located in Walsall, West Midlands and provides a service for five people who have a learning disability; one person accesses the service on a respite basis. The home is situated in walking distance from Willenhall Town, having easy access via public transport to Walsall Town Centre. 34 Walsall Street is a large detached property, which comprises of five single occupancy bedrooms, two of which are located on the ground floor, having en suite facility and Care Homes for Adults (18-65 years) Page 4 of 32 Brief description of the care home the remaining three situated on the first floor equipped with a washbasin. Two bathrooms are located on the first floor; there is a stair lift in place, to enable one person living in the home to access their bedroom. A lounge area is provided on the ground floor, equipped with essential furnishings and fitments, where individuals are able to relax or socialise with other people living in the home. The home also provides a small dining area, a domestic style kitchen and a laundry. People using the service also have access to a private garden area at the rear of the property. Very limited car parking is available within the garden area. Staffing is provided on a 24-hour basis, to ensure the total supervision and support of people living in the home. People living in the home had access to relevant healthcare services. The fees chargeable for the service provided at 34 Walsall Street are from #483.00p - #1,130.00p per week. This information was correct at the time of this inspection. The reader may wish to contact the service for more up to date information. Care Homes for Adults (18-65 years) Page 5 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was carried out over one day; the home did not know we were going to visit. The focus of inspections we, the Commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, standards of practice and focuses on aspects of service provision that need further development. Care Homes for Adults (18-65 years) Page 6 of 32 Prior to the visit taking place we looked at all the information that we have received, or asked for, since the last key inspection. This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law, and an Annual Quality Assurance Assessment (AQAA). This is a document that provides information about the home and how they think that it meets the needs of people living there. Two people living in the home was case tracked. This involves establishing individuals experiences of living in the care home by meeting them, observing the care they receive, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We looked around some areas of the home. A sample of care, staff and health and safety records were looked at. Where people who use the service were able to comment on the care they receive their views have been included in this report. We sent five of Have your Say surveys to people who use the service and four were returned these views have been included in this report. What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Adults (18-65 years) Page 8 of 32 To ensure the statement of purpose and service user guide provides up to date information about the management structure and staff team, so people know what they can expect from the service. To ensure appropriate numbers of bathing or shower facilities suitable to meet the needs of people are put in place so their privacy and dignity can be assured. The written protocol for the use of When required medicines should be reviewed to ensure staff know how to safely administer these medicines. We have not received an application for the registration of the care manager and this is necessary to ensure she complies with her legal obligation. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 32 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to relevant information about the service and appropriate assessments ensure their needs will be met on admission. Evidence: People have access to the homes Statement of Purpose and Service User Guide before making a decision to move in. These documents told people about the service and facilities available and were published in a format people can understand. This included audiotape, pictorial, Punjabi, Hindu and large print. The manager acknowledged the Statement of Purpose and Service User Guide needed to be reviewed to provide up to date information about the management structure and staff team. We received four surveys from people who use the service, which told us they were given sufficient information about the home before moving in, enabling them to establish the homes suitability to meet their assessed needs. Care Homes for Adults (18-65 years) Page 11 of 32 Evidence: The AQAA stated, Prospective service users would have a full assessment, which involve service users, families and social workers. This assessment identifies peoples care and social needs and tells staff what support the person requires to enable them to live a fulfilled lifestyle. The manager said no one had been admitted to the home since the last inspection visit. The home provided respite service for one person who accessed the service on a regular basis. The manager told us an assessment of this persons care needs was undertaken on each visit. This person care records showed an assessment of their needs was regularly undertaken to ensure staff were fully aware of their current needs to ensure their best interests. Care Homes for Adults (18-65 years) Page 12 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured they will be provided with the relevant support to live a lifestyle of their choice and their right to take an informed risk will be respected. Evidence: Information obtained from the needs assessment is used to develop a care plan. A care plan tells staff about the persons care and social needs and how to meet them. The AQAA showed people have a care plan, which is reviewed on a regular basis to reflect their changing needs. Staff said where possible people are supported to be involved in their care planning. One person who used the service also confirmed this. This should ensure staff know how to meet peoples needs the way they prefer. We looked at two care plans that were written in a format people could understand, this included pictorial. Care Homes for Adults (18-65 years) Page 13 of 32 Evidence: One care plan told staff about the persons health condition and how to support them to maintain their wellbeing. It also told staff about other healthcare professionals needed to assist with this persons health care needs. Another care plan told staff about a persons behaviour that challenged the service, it told staff what may trigger this behaviour and how to assist the person to ensure their wellbeing. Two staff spoken to confirmed their awareness of information contained within care plans. People can be confident staff will know how to assist them and ensure their best interest. The AQAA stated, Service users are fully involved with decision making about their day to day living. One person said they were able to make decisions about what they do each day and told us they had just been out shopping and had brought some books. Care records told staff how to support people to make decisions. For example, using picture cards to show the choices available for meals and social activities. We observed staff pointing to pictures to assist people to understand what they were saying. One out of four surveys received from people said they were always able to make decisions about what they do each day. Three surveys showed they were sometimes able to make decisions about their daily routine. People can therefore, be assured they will be supported to live a lifestyle of their choice. The AQAA told us a risk assessment was in place for each person. We saw risk assessments contained in each care record. These assessments told staff how to assist people to maintain their independence and ensure their safety at the same time. We looked at a risk assessment that showed the person required the use of wheelchair and enjoyed going bowling. The risk assessment told staff how to ensure this persons safety whilst they pursue their chosen social activity. This person can be assured they will be supported to continue to engage in social activities that interest them. A risk assessment was also in place for the appropriate management of incontinence. It told staff about the importance of hygiene. For example, hand washing, using the appropriate equipments and preserving the persons privacy and dignity. Staff said people were not able to handle their finances and this was managed by Social Services. The home held a small amount of cash in safekeeping. Records and Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: receipts were maintained for all financial transactions so people can be assured their finances are well managed. Care Homes for Adults (18-65 years) Page 15 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to pursue their chosen social activities and are able to make and maintain relationships with people important to them so they can live a fulfilled lifestyle. Evidence: The manager said some people lacked capacity to work and others chose not to. The service AQAA stated, We encourage service users to participate in activities which include attending day care centres and attending college. One person told us they attended college throughout the week. This enabled them to enhance and learn new skills. Another person accessed day care services three times a week and they told us about a forthcoming trip with the day service, which they were looking forward to. Discussions with this person showed they enjoyed attending the Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: day care centre. Staff told us people were able to access leisure services within their local community and live a lifestyle that reflect their specific needs. One person said, I go to the temple, the staff take me. This enabled them to continue to worship in place of their choice and their religious and spiritual needs respected. This person also said, I go to the library, I like using the internet. They also told us they enjoyed going shopping with the staff. Care records showed people were able to maintain contact with people important to them. One person told us, I go home at weekends. Another person told us about the contact they had with their friend. This means people are supported to make and maintain meaningful relationships. We observed the daily routine to be relaxed, we saw people watching television, one person was in their bedroom listening to their cultural music and another person was assisting staff in the kitchen to make drinks. All but one bedroom door was fitted with a privacy lock, one person told us they had a key to their bedroom. This should support peoples right to privacy and ensure the security of their personal possession. Care records also reminded staff of the importance of respecting peoples privacy and told staff to knock on peoples door and ask their permission before entering. We observed these practices taking place and one person told us that the staff always knocked their bedroom door before entering. However, the design and layout of the property was not suitable to ensure all peoples privacy. One person had restricted mobility and their bedroom was located on the first floor. This person was assisted by staff to use another persons bedroom situated on the ground floor to use their en suite, where staff supported them with their personal care needs. This does not promote the dignity or privacy of both people. We were not able to find out the persons feelings of having to share their en suite with someone else. There was also no evidence that the home had explored peoples opinion on these practices that may compromise their privacy. The care manager said funding had been requested to provide an en suite shower in the bedroom on the first floor. The AQAA stated, Weekly daily menus are discussed and planned with the individual to promote a well balanced nutritional diet. Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: Minutes of meetings undertaken with people who use the service showed menus were discussed to reflect their dietary needs. One person told us they enjoyed Asian food and that the home was able to provide this for them. We observed these food provisions in the kitchen. We looked at the menus, which showed people were offered a variety of meals to reflect their culture, religion and healthcare needs. Discussions with staff and care records showed some people did not eat beef or pork because of their religion. One person told us the meals provided were good and staff respected their choice regarding their cultural dietary needs. They said one staff member was of the same culture and faith and regularly cooked their preferred Asian food. Care records showed one person required a special diet because of their health condition. Records and staff confirmed this person had access to a dietican providing them additional support to maintain their health. Care records showed the adaptations and equipment needed to assist people with eating. For example, plates to be fitted with a rim/guard, special cutlery to enable the person to grip and a slip mat to be placed under the plate. We observed these equipments being used at lunchtime. This enabled people to maintain their independence. Care Homes for Adults (18-65 years) Page 18 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal care and health needs of people living there are met ensuring their wellbeing but medication practices may compromise peoples safety. Evidence: We looked at two peoples care records, which showed the support people required to maintain their health and welfare. For example one record told us about the level of support a person required to maintain their personal care needs. The record told staff to encourage and assist the person to have a wash, help them to choose what toiletries they wanted and to assist them to choose appropriate clothing. This encouraged the persons independence and choice. Discussions with two staff members showed they were aware of information contained in peoples care plans and the support required to ensure their needs are met. We observed people were well groomed and wearing clothes appropriate for their age, culture and gender. One care plan told staff about the support a person needed to reflect their choice, style and appearance to reflect their personality. Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: Care records showed people had access to relevant healthcare services to promote their physical and mental health. For example, General Practitioner, Community Psychiatric Nurse, Optican, Dentist amongst others. Staff also said people with specific health conditions have access to specialist nurses to assist them. We saw records were maintained of all healthcare visits. This should ensure peoples healthcare needs are met properly. We looked at the services medication practices and systems, staff training records and discussions with staff confirmed they had received training from the local pharmacist, showing them how to use the medication system safely. We looked at medication administration records. This is a record of peoples prescribed medicines. These were signed by staff to show when medicines had been given. This provided a record to show people were receiving their medicines as prescribed, to ensure their health. Medication administration records contained a picture of the person who the medicines had been prescribed for. This enhance safety in ensuring the right person receive their medicine. The record also showed staff how people like to take their medicines. For example, one person would take their tablets when staff placed them in a medicine pot and gave them a glass of water. Another record showed the person preferred to take their medicine whilst they are having their meal. This information ensures people are given the necessary support to take their medicines regularly and safely. A written protocol was in place for the use of when required medicines. However, this did not tell staff the dosage or intervals of when medicines should be given, or what to do if the symptoms persist. We looked at one monthly quality assurance report undertaken by the homes Service Manager, dated 01 December 2008, which also identified the need for the protocol to be reviewed. This would ensure staff know how to give these medicines safely. The care manager said she would ensure that all written protocols concerning when required medicines are reviewed to provide a clear guidance to staff. Care Homes for Adults (18-65 years) Page 20 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to share their concerns and can be confident that staff will have the skills and knowledge to protect them from potential abuse. Evidence: People had access to the homes complaint procedure, which was available in various formats, such as audiotape, pictorial, different languages and plain English. This should make information easier to understand and ensure people know who to share concerns with. One person told us if they were unhappy they would talk to the care manager, staff or their mother. Three out of four surveys received from people who use the service confirmed they would know who to talk to if they were unhappy. Another survey from a person who used the service showed that due to their limited communication skills they would be reliant on staff to recognise by their body language that they were unhappy and for staff to express their concerns for them. The care manager confirmed they had received one concern since the last inspection visit about the home not arranging transport for a person who accessed the service. This information was recorded and a copy of a letter maintained on file, which was sent to the complainant of action taken to resolve the concern. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: The care manager said they had not received any safeguarding referrals since the last inspection. We have not receive any concerns, complaints or safeguarding referrals for the home. The service AQAA stated, Staff training with regards abuse and the protection of vulnerable adults is up dated on a regular basis. Discussions with staff and information contained on staff training records showed staff had received this training. This should ensure staff have the skills to recognise abuse and protect people from harm. Two staff members said if they received an allegation of abuse they would report it to the manager or to us. Care Homes for Adults (18-65 years) Page 22 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and tidy home but insufficient bathing facilities may may compromise their privacy and dignity. Evidence: The home is located within walking distance from Willenhall Town, having easy access via public transport to both Walsall Town and Wolverhampton City Centre. The size of the property was sufficient for the number of people living there, providing five single bedrooms located on the ground and first floor level. Two bedrooms were equipped with an en suite shower room. A bathroom and shower room was located on the first floor, lifting equipments were not provided within these areas to assist people with restricted mobility. The layout and design of the property did not meet the assessed needs of one person. This person was not able to access the bathroom or shower room safely on the first floor and was reliant on using another persons en suite, which compromised both peoples privacy. Equipment and adaptations to support peoples independence were available in some Care Homes for Adults (18-65 years) Page 23 of 32 Evidence: parts of the home, such as a stair lift, grab rails in bath and shower rooms and ramp access at the rear of the property leading to the garden. Appropriate heating and lighting was now provided in all parts of the home. Sufficient supplies of hot water is also now available and temperatures are monitored to ensure peoples safety. Some new furnishings had been purchased to provide a more stimulating and comfortable environment. The home also provided a dining area, lounge, kitchen and laundry. All surveys received from people who use the service confirmed the home was always fresh and clean. The AQAA told us people are encouraged to clean their home and we observed hygiene standards were well maintained. An appropriate sluicing facility was now in place so the risk of cross infection is reduced. Care Homes for Adults (18-65 years) Page 24 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by suitable and skilled staff to ensure their assessed needs are met. Evidence: The AQAA stated, Each staff has a personalised training plan. We saw individual training plans, which showed staff had received the following training: challenging behaviour, food hygiene, fire safety, moving and handling, medication, mental capacity act, abuse, diabetes and the National Vocational Qualification level 2 and above. Discussions with a member of staff confirmed they had received these training. This should ensure staff members are skilled and competent to meet peoples assessed care needs. The AQAA showed staff have the necessary safety checks before starting to work at the home. Two staff members spoken to said they had received these checks. We looked at two personnel files, these showed staff had received these safety checks and that they were given an induction into their new role. These practices should ensure the suitability of staff to work with vulnerable people and ensure their protection. Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: The AQAA showed people are involved in staff recruitment. Discussions with one person who used the service confirmed this. This enabled people to ask prospective staff about their skills and experience so they can choose what staff work with them. One person told us, The staff are OK, they are nice. Care Homes for Adults (18-65 years) Page 26 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of people who live there. Evidence: We have not received an application for the registration of the care manager. The care manager has a legal obligation to submit an application to be registered. The care manager said she was in the process of completing her application form. The AQAA states monthly visits were undertaken by the service manager to look at the quality of care provided in the home. We looked at one report following a visit, which showed discussions had taken place with people who use the service and staff members, gathering their views on the service provided. This should ensure peoples views are taken into consideration so they receive the support and care in a way they prefer. Staff told us that key worker meetings were undertaken every six weeks. A key worker is a designated staff member who works closely with a person who uses the service to Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: ensure their specific needs are met. Records were maintained of these meetings, which showed discussions were held to see if people were happy with the service they received. One person who use the service told us they had regular discussions with their key worker. The AQAA provided detailed information to reflect the current service, it also showed future plans to improve the service to ensure peoples needs are met. Safety records showed routine fire safety checks of equipment and appliances were undertaken to ensure the safety of people who access the service. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 27 12 There was not enough suitable bathing facilities to meet peoples needs. Appropriate action must be taken to ensure peoples personal care needs are met in away that respect their right to privacy, dignity and in a way they prefer. 31/08/2009 2 37 8 The home did not have a registered manager. The necessary action should be taken to ensure the care manager complies with her legal obligation to register with the Commission in accordance to the Care Standard Act 2000, Section 11 (1). 31/08/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 30 of 32 1 1 To ensure the Statement of Purpose and Service User guide provides up to date information to reflect the current service and facilities provided. A written protocol for when required medicines should be reviewed to provide staff with a clearer guidance of the appropriate use and administration of these medicines to ensure peoples health and safety. 2 20 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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