Inspection on 29/09/08 for 347 Old Laira Road

This inspection was carried out on 29th September 2008.

CSCI found this care home to be providing an Excellent 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

347 Old Laira Road 02/10/07

347 Old Laira Road 13/02/07

347 Old Laira Road 05/01/06

347 Old Laira Road 23/09/05

347 Old Laira Road 11/11/04

347 Old Laira Road 21/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 347 Old Laira Road 347 Old Laira Road Laira Plymouth Devon PL3 6DH The quality rating for this care home is: three star excellent 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: Antonia Reynolds Date: 0 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 34 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 34 Information about the care home Name of care home: Address: 347 Old Laira Road 347 Old Laira Road Laira Plymouth Devon PL3 6DH 01752310531 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): info@michaelbattfoundation.org Michael Batt Foundation (Valued Life Projects) Name of registered manager (if applicable) Mrs Beverley Anne Nichols Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 2 0 care home 2 learning disability Additional conditions: Ms Nichols is to complete NVQ4 / RMA by December 2006 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 34 A bit about the care home Old Laira Road is owned by the Michael Batt Foundation (Valued Life Projects) which is a not for profit organisation providing services for people with a range of needs who require support and care to live in the community. The home was purchased by the present owners in October 2003 and is a mid-terraced, two storey property located in the residential area of Laira in Plymouth. There is on-street parking available outside the home. The average fees are 1700 Pounds per week for 24 hour 1:1 support but are based on individual assessment and need. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 0SJ; Telephone 01752 310531. Two adults with learning disabilities live at the home. There are steps at the front and back of the house so is not suitable for people who use wheelchairs. Care Homes for Adults (18-65 years) Page 5 of 34 The house is very close to local shops. There is a bus stop very close to the home that goes into the centre of Plymouth and other places. Each person has their own bedroom on the first floor. No-one has to share a bedroom. The bathroom and toilet are on the first floor. Care Homes for Adults (18-65 years) Page 6 of 34 There is a lounge and dining room on the ground floor. There is a garden at the front and at the back of the house. Care Homes for Adults (18-65 years) Page 7 of 34 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: three star excellent 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 Care Homes for Adults (18-65 years) Page 8 of 34 How we did our inspection: This is what the inspector did when they were at the care home This inspection consisted of an unannounced visit to the home at 11am on Monday, 29th September 2008, but everyone was out at the time of the visit. A further announced visit took place between 9.30am and 12.20pm on Wednesday, 1st October 2008. The organisations Head Office was visited on 29th September 2008 between 11.20am and 12.05pm. An Annual Quality Assurance Assessment (AQAA) was completed by the home prior to the inspection. The AQAA is a self-assessment that focusses on how well outcomes are met for the people who live in the home. Two survey forms for relatives were left in the home for them to complete if they wish to. Three survey forms were left in the home for staff to complete and one of these was returned. The inspector talked to both the people who live in the home. Care Homes for Adults (18-65 years) Page 9 of 34 The inspector looked all around the home. The inspector talked to one member of staff and the Registered Manager, Bev Nichols. The care records of the two people who live in the home were inspected. Care Homes for Adults (18-65 years) Page 10 of 34 Other records about how the home is run were also inspected. This included staff records. The inspector looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. What the care home does well The Registered Manager is very well qualified and experienced to manage this home and the ethos is excellent with the staff team demonstrating a good value base by recognising and accepting peoples individual lifestyles. The management culture of the home is open, positive and inclusive. Staff respect the people who live in the home, they uphold their rights and ensure that they are kept safe from harm. People are consulted about every aspect of their lives and the staff and management team are constantly looking for new ways of improving communication and consultation. Where restrictions on choice or liberty are imposed, due to peoples specific needs, they are aware of the reasons. Care Homes for Adults (18-65 years) Page 11 of 34 People take part in various activities in the community. They also attend day services specifically for people with learning disabilities who may also have mental health needs. They are helped to do this with staff support and any risks being properly managed. Independence, and autonomy in decisionmaking, are encouraged and support is provided to enable people to become proficient in daily living skills so that they can move into less supported accommodation. The use of public transport is encouraged and promoted. The organisation has a designated staff Care Homes for Adults (18-65 years) Page 12 of 34 member to organise staff training to ensure that all staff have opportunities for training and participate in appropriate programmes and courses. What has got better from the last inspection No one was living in the home at the time of the last inspection so outcomes for people were not assessed and no requirements or recommendations for improvement were made. However some internal redecoration and replacement of furniture has taken place and all the windows have been replaced. Care Homes for Adults (18-65 years) Page 13 of 34 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Antonia Reynolds 33 Greycoat Street London SW1P 2QF 02079792000 Care Homes for Adults (18-65 years) Page 14 of 34 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 34 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 16 of 34 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 who choose to live in the home can be confident that their support needs are assessed prior to admission and they will have opportunities to visit the home to meet the other people who live there and the staff team. Evidence: Two people have been admitted to this home since the last inspection but were already well known to the management and staff team because they had previously lived in other homes belonging to the organisation. Both people living in the home said they had visited before they came to live there. The Registered Manager confirmed that people were consulted and involved in the decision to move into this home. The organisation has procedures in place to ensure that detailed pre-admission assessments are carried out before anyone starts living in the home. Discussion with the Registered Manager confirmed that this includes meeting and consulting with the person concerned, their relatives or representatives and any other professionals involved in the persons care, such as social and learning disability services. This assessment is so that people coming to live in the home can be confident that their needs will be met and helps the manager make an informed decision about whether the home is suitable. People are invited to visit the home before admission to have a Care Homes for Adults (18-65 years) Page 17 of 34 Evidence: look round and meet the other people who live there as well as the staff. General information is provided in the booklet Information for people provided by the Michael Batt Foundation. Care Homes for Adults (18-65 years) Page 18 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who live in the home are enabled to participate in, and make decisions about, all aspects of their lives. Evidence: The attitude and approach of the staff team is excellent in that each person who lives in the home is encouraged, enabled and supported to make their own decisions, choices and be as independent as possible. Discussions with the people who live in the home, as well as the staff, demonstrated that the running of the home, and all routines and activities, are organised around the wishes, choices and needs of the people who live there. Each person has a written plan that details the type of support and help they need on a day to day basis. This has been devised with the person concerned and, as well as providing information about daily support needs, it also includes wishes and aspirations. Activities that people participate in are assessed for possible risks, to make sure that they are kept safe from harm. The people who live in the home said that the staff team are aware of the way in which their learning disability and mental health needs affect them and take these into account when supporting them to make decisions and choices. Discussions with a staff member and Care Homes for Adults (18-65 years) Page 19 of 34 Evidence: the Registered Manager confirmed that staff are fully aware of the needs of each person. The people who live in the home said that they participate in all aspects of the day to day running of the home such as cleaning, shopping, cooking and laundry, and staff support and assist where required. The people who live in the home also said that the staff help them to make decisions about their lifestyle and with choosing activities, some of which may be in the home and some in the wider community, such as going shopping or to the pub. The Registered Manager, as well as documentation, confirmed that people are encouraged to look after their own money, including managing bank and building society accounts and budgeting. Staff will assist if necessary. In addition to people receiving their own personal monies, the organisation provides the home with additional money for each person so that they can participate in more leisure activities and buy any clothing they need. Care Homes for Adults (18-65 years) Page 20 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who live in the home are supported to learn life skills, attend work and day placements, participate in community and leisure activities and choose their own daily routines. Evidence: Discussions with the people who live in the home, a staff member and the Registered Manager, as well as documentation, showed that people are enabled to live as full a life as they wish to. People have opportunities for personal development, risk taking and decision making. The ethos of the home is based on promoting opportunities to broaden experiences, support people to develop socially and emotionally and to understand responsible risk taking. People are encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. As the home supports young adults, the staff team assist people to find and keep paid or voluntary employment, and participate in educational opportunities, in the local Care Homes for Adults (18-65 years) Page 21 of 34 Evidence: community. One person said they used to attend a catering course at the local college and another had done a computing course. One person also attends day services specifically for people with learning disabilities and mental health needs. It was evident from observation and discussion that the people who live in the home go out on most days to places of their choice or pre-arranged day services or jobs. Participating in various leisure activities is also enhanced by the additional money that the organisation provides for leisure and clothing. People have opportunities to go on holiday either with family, friends or staff. One person had recently been on holiday with a relative and said it was really good. The Registered Manager confirmed that, where a holiday is organised by the staff, the costs will be shared between the people who live in the home and the organisation. The home does not provide transport, although staff cars may be used occasionally, as people are encouraged to use public transport wherever possible. At the time of inspection one person was waiting to catch a bus to meet up with a friend. This person also said that intimate personal relationships are supported by the staff team and information and specialist guidance is provided if required. Contact with relatives and friends is encouraged and promoted. Discussions with the people who live in the home, as well as documentation, showed that people choose their own menus, do the shopping and are supported to prepare and cook meals at a time of their choice. People said that special diets are catered for and any allergies and food dislikes taken into account when planning menus. Privacy is respected, bathroom and bedroom doors have locks and the people who live in the home have keys to their own bedrooms and the front door. The Registered Manager confirmed that, if people wished to attend a church or other place of worship, this would be facilitated by the staff team. Care Homes for Adults (18-65 years) Page 22 of 34 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 . People who live in the home can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. Evidence: Discussions with the people who live in the home confirmed that each person receives personal support in the way they prefer and require. Each person has a support plan that provides information about personal, social, emotional and health care needs. Staff involvement in personal care is minimal because the people who live in the home do not need this assistance. People said that they have contact with representatives from Social Services, Learning Disability Services, doctors and various other healthcare professionals. Information contained within personal files, as well as discussion with the Registered Manager confirmed that external professional advice and guidance is sought when necessary from local health care professionals or social services. The people who live in the home said that they decide what time they get up and go to bed, have meals, have a shower and go out during the day or evening. Through discussion and observation it was clear that timings are flexible and the choice of the people who live in the home. None of the people who live in the home administer their Care Homes for Adults (18-65 years) Page 23 of 34 Evidence: own medication because they are not safe to do so, therefore this is done by staff. The people said they were in agreement with this practice as they did not want to keep medication in their rooms. Medication was locked away safely and regular medication reviews with health professionals take place. Records pertaining to the administration of medication were up to date and the practice of administering medication, described by the Registered Manager, was found to be safe. The Registered Manager knew what to do in the event of someone refusing their medication and that unused or contaminated medication needs to be returned to the pharmacy for safe disposal. Care Homes for Adults (18-65 years) Page 24 of 34 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 who live in the home are protected from abuse, neglect and self-harm. People can be confident that any concerns or complaints will be listened to, taken seriously and acted upon immediately. Evidence: The people who live in the home said that they feel safe there, they trust the staff, and would tell the manager if they had a problem or concern. These discussions, as well as discussions with a staff member and the Registered Manager, demonstrated that the open culture of the home and the recognition of peoples rights, ensure that people are protected from harm. All staff have undertaken in-house training in safeguarding adults and discussion with a staff member confirmed that she knew what action to take should she suspect that any person in the home was being abused or not treated respectfully. There was also written guidance in the home for the staff to follow should they need to. The home has a complaints procedure and discussions with the people who live there showed that they know how, and to whom, to make a complaint if they wish to. Regular house meetings are held where any issues can be raised and dealt with immediately, although it was also clear from discussion that people may raise any issue at any time with the staff and management team. The Registered Manager is knowledgeable about the processes to follow to safeguard vulnerable adults, and the effects of discrimination and the rights of individuals to be treated respectfully in a non-judgemental way. Care Homes for Adults (18-65 years) Page 25 of 34 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 . The standard of the environment and decor within this home is good, providing people with an attractive and homely place to live. Evidence: The people who live in the home say that they like living there and the home is comfortable and there is plenty of room for them. The home was also found to be safe, clean and well maintained, providing a homely environment for the people who live there. The house is no different from any other house in the area therefore blends into the neighbourhood because there is nothing to distinguish it as a residential home. Each person has a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. Bedrooms are individually and furnished and decorated, containing many personal possessions. The people who live in the home said that they choose the décor and furnishings for their bedrooms. One person said that the manager had helped her choose and buy the bedroom curtains. Bedroom doors are fitted with appropriate locks and each person has their own key to their bedroom, as well as to the front door of the home. Bathroom and toilet facilities are adequate for two people. The home has a bathroom on the 1st floor consisting of a bath with an over bath shower, toilet and wash hand basin. Hot water is not thermostatically regulated but this has been risk assessed and both people living in the home are deemed to be aware of the risks of hot water. Both people are able to modify the Care Homes for Adults (18-65 years) Page 26 of 34 Evidence: water temperature of the shower if required. There is also a separate toilet on the ground floor off the conservatory. The bathroom and toilet doors are fitted with locks that afford sufficient privacy but staff can gain access in an emergency. There are shared rooms on the ground floor consisting of a kitchen, dining room, lounge room and conservatory/laundry. All these rooms are attractive and homely, well furnished and clean. There is an office on the 1st floor that is also used as a sleeping in room for staff. The home has a no smoking policy. Laundry facilities are in the conservatory at the back of the house and people are encouraged and supported to do their own laundry. Although laundry is carried through the kitchen en route to the washing machine, it is contained in laundry baskets with lids. There were no concerns at this inspection about the risk of any cross infection, based on the needs of the people iving in the home. There are small terraced gardens at the front and back of the house. There is a place to sit at the back of the house, as well as a garage, which is used for storage. Care Homes for Adults (18-65 years) Page 27 of 34 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 . Recruitment procedures are robust and people who live in the home benefit from a consistent, well supported and supervised staff team. Evidence: The people who live in the home said that they liked the staff and described them as nice. They said they are always there to help them if they need it but they also leave them alone if they want to be private. The Registered Manager confirmed that there is a small staff team, some of whom have worked at the home for several years. All the staff were women because the home only accommodated women at the time of inspection. Three staff files were inspected at the Head Office of the organisation and these contained all the required information such as written references and criminal record bureau checks. There is usually at least one staff member on duty when both people are at home, although this increases to two at times, depending on the level of support being provided. One staff member sleeps in the home at night. Discussion with the Registered Manager, as well as documentation, confirmed that staff meetings and individual supervision sessions are held regularly. The organisation operates an on call system, where members of the management team are available both in and out of office hours. The organisation has a designated staff member to coordinate and arrange training and discussion with a staff member, as well as training records, Care Homes for Adults (18-65 years) Page 28 of 34 Evidence: showed that staff are expected to attend a variety of training relevant to their roles including qualifications in working with people with learning disabilities. Care Homes for Adults (18-65 years) Page 29 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management approach is open, inclusive and positive, providing clear leadership and guidance. Empowerment and enablement of people is the focus of the organisation. Peoples rights, health, safety and welfare are protected and promoted. Evidence: The Registered Manager is experienced, well qualified and competent in her role. She has approximately sixteen years experience of working with people with learning disabilities and has been managing this home since December 2003. She has attained National Vocational Qualifications, levels 3 and 4, in Health and Social Care, the Registered Managers Award which is a management qualification; and is in the process of completing an additional qualification in Learning Disability Studies. The people who live in the home said that they liked the manager and thought she was nice. They said they could talk to her about anything at all. This discussion, as well as a discussion with a staff member, confirmed that the ethos of the home is excellent because the management approach is open and inclusive with the home being organised to meet the needs and aspirations of the people who live there. One staff member said that she feels well supported by the management and staff team and a survey from another staff member said that the communication within the home is Care Homes for Adults (18-65 years) Page 30 of 34 Evidence: excellent. Lines of accountability are clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective on call system to support staff. The organisation has a quality assurance system in place which includes consultation with the people who live in the home as well as their relatives and representatives. The home receives a visit once a month from the organisations Quality Assurance officer who talks to the people who live in the home, the staff and management team as well as checking that documentation is up-to-date and finding out if the home needs any maintenance or decorative work. Health and safety checks, including fire equipment, gas safety and portable electrical appliances are carried out regularly. Fire safety training is carried out with staff and discussion with a staff member confirmed that she knew what to do in the event of a fire. The people who live in the home described what they would do in the event of a fire, that is, leave the home as quickly as possible, and said they have also attended training in what to do in the event of a fire. The Registered Manager, as well as staff training records, confirmed that all staff complete training in emergency first aid, health and safety and food hygiene. The use of hot water has been risk assessed and the organisation does not consider that thermostatically controlled valves, to regulate the temperature, need to be installed. Care Homes for Adults (18-65 years) Page 31 of 34 Are there any outstanding requirements from the last inspection? Yes  No  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 32 of 34 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 Description 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 Description Timescale for action 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 1 23 All staff should attend the safeguarding training provided by the Local Authority so that they are fully aware of local procedures and know what action to take should an untoward incident occur. The Registered Manager should establish whether the electrical wiring in the home has been checked by a competent person. This is to ensure that the electrical system in the home is maintained properly to help protect the safety of the people who live there. 2 42 Care Homes for Adults (18-65 years) Page 33 of 34 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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