Inspection on 07/11/08 for 5 Saunton Gardens

This inspection was carried out on 7th November 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

5 Saunton Gardens 15/11/06

5 Saunton Gardens 06/01/06

5 Saunton Gardens 05/04/05

5 Saunton Gardens 02/11/04

5 Saunton Gardens 10/06/04

5 Saunton Gardens 23/02/04

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Dalewood Respite Care

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REACH Upton Court Road

Fairways

Treloar College

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 5 Saunton Gardens 5 Saunton Gardens Farnborough Hampshire GU14 8UN     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: Christine Bowman     Date: 0 7 1 1 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. the things that people have said are important to them: They reflect 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 29 Information about the care home Name of care home: Address: 5 Saunton Gardens 5 Saunton Gardens Farnborough Hampshire GU14 8UN 01252377923 Telephone number: Fax number: Email address: Provider web address: hazel.wright@mencap.org.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Hazel Margaret Wright Type of registration: Number of places registered: Royal Mencap Society care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. 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: Learning disability (LD). Date of last inspection Brief description of the care home 5 Saunton Gardens is a small residential service providing care and support to five younger adults with a learning disability. The care and support is provided by MENCAP and the building is owned by a housing association that is responsible for the maintenance of the property. Staff are provided twenty-four hours a day to support the needs of service users. The home is located in a housing estate and is indistinguishable from the other houses in the street. The home is on the outskirts of Farnborough. The fees range from seven hundred and eighty nine pounds and fifty eight pence to nine hundred and thirty two pounds and ninety two pence. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 5 Care Homes for Adults (18-65 years) Page 5 of 29 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: This inspection report includes information gathered about the service since the previous site visit in November 2006 under the Commissions Inspecting for Better Lives (ILB) process. The registered manager completed an Annual Quality Assurance Assessment (AQAA) giving up to date factual evidence about the running of the home and informing us of what they think they are doing well, how they have improved the service and of their plans for further improvements. One survey was completed and returned by a health professional giving their views on the service. An unannounced site visit was conducted on 7th November 2008, to assess the outcomes of the key inspection standards for younger adults with respect to the service users living at the home. The registered manager was interviewed and provided support for the inspection process by making service user and staff files and other documents available Care Homes for Adults (18-65 years) Page 6 of 29 to be sampled. A tour of the premises was undertaken and communal areas and some of the residents bedrooms were viewed. A number of staff and residents were spoken with throughout the day and observations were made of the service users and of staff as they carried out their duties. Service user and staff records, maintenance certificates and complaints and compliments records were sampled and the Statement of Purpose, the Service User Guide and policies and procedures were viewed. What the care home does well: What has improved since the last inspection? What they could do better: The retention of staff could be improved to provide the service users with consistency and continuity. In the previous report the manager had stated that due to recent staff vacancies and not having a deputy in post she had not always made the formal supervisions a priority. Two years later there continue to be vacancies and the home has not met the target of 50 per cent of the staff achieving a National Vocational Qualification at level 2 or above. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 of 29 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 29 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. Sufficient information is available in a suitable format, to inform prospective service users about what the home has to offer them, and a full assessment of their needs is carried out to ensure the home is able to fulfil them. Evidence: There had been no new admissions since before the previous site visit, but the Statement of Purpose and the Service User Guide had been reviewed and were illustrated with colourful photographs of all areas of the home. The format also included diagrams and pictures and was in large print to make it accessible to service users. The vision and values of the home recorded that the home is committed to providing services, which are inclusive and enabling and based on choice, opportunity and respect. Under Aims and Objectives was a statement that service users would be supported with respect to spiritual, cultural and religious belief. There was detailed assessment documentation and a procedure to follow for introducing prospective new service users to the home. The manager stated that they Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: work closely with adult services and also receive their full assessment and care plan. The homes own assessment documentation included a referral application requesting information with respect to equality and diversity to enable the home to produce an individual person-centred care plan. An assessment form sampled, covered health and social care needs and interests. Information collected included the service users health history and needs, social needs and interest, community inclusion, managing their finances, communication, mobility, safety, mental heath needs, behaviour and cultural and religious identity. Self-help skills were assessed and the level of input required, enabling service users to remain as independent as their abilities would allow. Agreed limitations were recorded and signed by the service user. Care Homes for Adults (18-65 years) Page 12 of 29 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. Service users have appropriate care plans in place, which they have been involved in compiling and they are supported to make decisions about their lives. Service users are enabled to take calculated risks in maintaining their independence. Evidence: Care plans sampled had been compiled in a person centred way and were written from the point of view of the service user, clarifying their likes and dislikes, wishes and preference to inform those supporting them. Care plans contained colour photographs of service users celebrating what they had learnt to do better since the previous review and planned their future goals. One service user wrote in their care plan that they liked the way the staff had helped them to write their diary, and that next year they, would like to go on the buses and trains more, visit relatives, go to the seaside, take up bowling and needlework, and do more writing. Since the previous site visit, care plans sampled, confirmed they had been reviewed on Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: a six monthly basis and that efforts had been made to encourage the attendance of care managers at review meetings. The AQAA recorded that one out of county placement took a long time to put into place, but the manager was hopeful for future attendance at the annual review meetings. Conversations between staff and service users throughout the day confirmed that service users made decisions with assistance. One service user had been out for the day one to one with a staff member, and had chosen to go shopping in Aldershot and go to a cafe for a drink and a cream cake. Throughout the day service users made choices, one chose to go out with a staff member to do food shopping at the supermarket, another to relax in the sitting room listening to jazz on their radio and another chose to help the staff to peel potatoes for the evening meal. Potential risks had been assessed. Service users were enabled to take calculated risks, when an activity had the potential to cause harm to the individual, or, when the personal circumstances of the individual made the activity more likely to cause harm or be dangerous. Risk assessments recorded the benefits to the service user of involvement in the activity, the risks associated with not undertaking the activity and the actions to be taken to make the activity safer. Risk assessments viewed covered a wide range of activities, were very detailed and had been signed by the staff to confirm their awareness of them. Care Homes for Adults (18-65 years) Page 14 of 29 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. Service users have opportunities for personal development and their independence is promoted. They are supported to access the local community, maintain personal relationships and benefit from a healthy diet. Evidence: On the day of the site visit one service user had just returned form doing the house shopping at a local supermarket with a staff member and another service user was enjoying a one to one day out. When they returned, they stated they had enjoyed a drink and cream cake in a cafe in Aldershot and had travelled on the local bus. The manager stated that all the service users had free bus passes for themselves and for an accompanying companion. Other service users attended college or day services and one was having a relaxing day, listening to jazz in the living room. All the service users had individual daily schedules based on their choice of activities and including access Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: to local colleges and day centres. Service users spoken with confirmed they were happy living at the home and that they took part in interesting activities in the community. One service user had taken up golf as a new hobby, another liked going to the theatre and collected programmes in a scrapbook of all the shows they had enjoyed. Another visited the library regularly and spent time on the computer, contacting their family by e mail. The AQAA recorded that service users had built up relationships at a local store where they cash their giros and pay their rent and have a high profile in the neighbourhood from weekly visits to the local pub. Displays of photographs on the walls showed the service users and staff having fun at the Halloween party and the manager stated that the home had use of a minibus for trips and had been to the Water Wonderland in Hyde Park and were planning a trip to London to see the Christmas lights. Service users were supported to keep in contact with relatives and friends and one service user spends alternate weekends with their family. Some service users did not have relatives living so close but one service user enjoyed a seaside holiday with a relative, with support for the journey, and another stayed with relatives living abroad. This summer three staff had accompanied three service users to take a seaside holiday at Camber Sands. Service users choices with respect to taking part in the daily routines of the home were recorded in their care plans. One service user liked to set the tables and another took the responsibility of cleaning the kitchen floor. The home had a four week menu, which varied from the summer to the winter months, and a pictorial version was available to enable the service user to access the information more easily. The manager stated that photographs were used to assist the service users when compiling the menu, which included the recommended five a day fresh fruit and vegetables. A service user stated, the staff are good at cooking, and one service user stated that they liked helping to bake cakes. Care Homes for Adults (18-65 years) Page 16 of 29 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 service users are consulted with respect to their preferences in receiving personal and healthcare support and involved in creating their own plans to meet their needs. The homes policy and practice for dealing with medication protects the service users. Evidence: Service users person centred plans clearly recorded their preferences with respect to personal support and service users spoken with stated that they were happy with the support they received from the staff. One service users plan sampled included verbal prompts and physical support needed to enable them to complete their self help skills, including washing, teeth cleaning, dressing and making their bed. Staff training and development records sampled, confirmed that the staff had accessed the Skills for Care Common Induction Standards which give a good introduction to the caring role and promote the individual service users needs with respect to equality and diversity. The staff observed working with service users throughout the day showed respect and sensitivity for their dignity and privacy. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Records were kept of specialist involvement including General Practitioners (GP), dentists, opticians and chiropodists, confirming that regular checks were undertaken to maintain the service users health. Other specialists involved included a speech therapist, the community disability nurse, the epilepsy nurse, a music therapist, a psychiatrist and a psychologist. Service users had their own health action plans to support a healthy lifestyle and confirming their involvement in arranging the support they required. One service user had a plan for managing their behaviour and specialist community support had been accessed in the drawing up of the plan. The home used creative methods to support a service user who was afraid of treatment in order to gain their confidence. A health care professional, who completed a survey recorded under what the care service does well, they are very committed to the care of their residents and enabling them to make the most of opportunities presented to them. They seek training and advice as appropriate, act upon advice given and communicate well with other professionals. Records confirmed that medication was handled appropriately. Storage was in a locked metal cabinet attached to the wall to ensure safety and medication administration records sampled were up-to-date and accurate. Most of the medication was in blister packs to facilitate administration and records were kept of medication received and returned to the pharmacy. The staff records sampled, confirmed they had received the training to support the safe administration of medication. Service users, whose records were sampled, had a personal profile clearly identifying their daily requirements with respect to medication. One service user had an epilepsy pen-picture identifying triggers and warning signs to alert the staff of the possibility of a seizure. A protocol was in place to protect the privacy and dignity of a resident, who occasionally required rectal diazepam, and this had been approved by the service users GP. Care Homes for Adults (18-65 years) Page 18 of 29 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. Service users know how to raise a concern or complain if they are not satisfied with any aspect of the service, and are confident that any issues raised will be looked into and that action will be taken. The care home safeguards the service users from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: The Service User Guide included a complaints procedure in a pictorial format to promote the service users understanding of the process. The AQAA recorded that one complaint had been made and upheld over the previous twelve months. This had been recorded in the complaints log with the outcome and action taken to resolve the issue. The complainant had signed to confirm they were happy with the action taken. The CSCI had received no complaints on behalf of this service. One safeguarding referral had been made to the local authority safeguarding team, and had been resolved at the planning stage. The home had a copy of the local authority safeguarding policy and procedure, which had been followed, and a flow chart informed the staff of the order in which steps should be taken and giving them referral details, should they need to initiate a referral themselves. The staff, whose files were sampled, had received yearly updates in the Protection of Vulnerable Adults training from the organisations own trainer. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Service users had their own bank or post office accounts, and when one service user returned from accessing the community, the process of recording and storing receipts and cash on their behalf was followed. Each service user had their own secure storage for cash and records and balances matched. The manager wrote in the AQAA that financial risk assessments were in place for all the service users. Care Homes for Adults (18-65 years) Page 20 of 29 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. Service users live in a home, which is homely, clean, comfortable, well maintained, safe and hygienic, which meets their individual needs. Evidence: The home was located on a large housing estate and was indistinguishable from the surrounding homes. Over the previous twelve months, the AQAA recorded that new double-glazed windows and doors had been installed, to enhance the environment and to reduce heat loss and consequently the homes carbon footprint. A tour of the premises confirmed the home was well maintained, clean, homely and comfortable for the service users and that it was their home. Communal space consisted of a combined sitting and dining room with sufficient comfortable seating for all the service users. The service users had their own computer in the living area and there was a television, music centre and an activity area equipped with puzzles, games and a craft box for their entertainment. Domestic furnishings and lighting, ornaments and plants created a homely ambiance. In the hall were larger than life portraits of all the service users painted by a local artist, stamping their individuality and sense of belonging on their home. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Since the previous site visit, the upstairs bathroom and downstairs shower rooms had been replaced to enhance the environment. Soft furnishings had been replaced in the service users bedrooms and they had been involved in making these choices. The AQAA recorded plans to purchase some new beds and curtains to further improve the environment for the service users. The garden had also benefited form some hard work from the staff and service users to create a pleasant outdoor space, with pots of plants, a neat lawn, a washing line for hanging out the clothes and outdoor seating to enjoy when the weather permitted. Residents bedrooms viewed, reflected their individuality. One service user had a large collection of videos and music and collected theatre programmes of the shows they had attended in a scrapbook. Posters were displayed on the walls and there were framed photographs of family members. Furniture was of good quality and hand basins were provided. The laundry and kitchen facilities were up to date, clean, well maintained and designed to promote the involvement of the service users in domestic tasks as part of developing and maintaining their independence. The AQAA recorded that the home had an action plan to deliver best practice in the prevention and control of infection and that two of the staff had received this training. The manager stated that maintenance issues are reported to the housing association, which owns the property. The home was beautifully clean and fresh smelling. Care Homes for Adults (18-65 years) Page 22 of 29 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. Safe recruitment practices, appropriate induction and mandatory and specialist training prepare the staff for the supportive role and to meet the service users individual needs. Evidence: The AQAA recorded that there were seven staff working at the home, four of which were part time, and that four staff had left the employment of the home over the previous twelve months. The manager stated that recruitment was in progress to fill the staff vacancies, but that the deputy post to support her in the management role had been lost. The organisation provided a bank of staff, known as Team Mencap, in the meantime, to ensure that all shifts were adequately covered. The manager confirmed that the two staff, who regularly worked at the home, were well-known to the service users. Although records confirmed that the staff had completed the Skills for Care Common Induction Standards, which provide an introduction to the caring role, only one permanent and one bank staff had achieved a National Vocational Award at level 2 or above. This is well below the target of 50 per cent, as recommended by the National Minimum Standards. However, the staff observed working with the service users on the day of the site visit, did so in a sensitive and empowering way and gave their full attention when communicating with them. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The AQAA recorded that recruitment reflects Mencaps equality and diversity requirements and that service users take a part in the recruitment process by asking questions and meeting applicants within the home where they feel more comfortable. Staff files sampled confirmed that appropriate checks had been carried out to ensure that only staff suitable to work with vulnerable adults had been selected. Interview questions had been completed and scores recorded to ensure the process had been conducted fairly. The manager stated that two new permanent staff had been discovered in the most recent recruitment drive and they were awaiting recruitment checks prior to the offer of a post. Staff training and development logs sampled, confirmed that induction was in line with the Skills for Care Common Induction Standards, which give new staff a good introduction to the caring role and help them to understand and meet the individual needs of the service users with respect to equality and diversity issues. Records showed that new staff accessed mandatory training including first aid, moving and handling, fire training, medication administration, the Protection of Vulnerable Adults and food hygiene. Foundation training included specialist training to meet the individual needs of the service users and included epilepsy and autism and regular updates of mandatory training. The manager stated that the organisation was very good at providing training for the staff to further their development, including equality and diversity, working with families, IT workshops, the Mental Capacity Act and that they also provided management and Human Resources training. Standard 36 was not fully assessed, but a requirement had been made at the previous site visit that, the registered manager must ensure that all staff have regular supervision. The records of two staff were sampled confirming that regular meetings had taken place to support them in their work. Care Homes for Adults (18-65 years) Page 24 of 29 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. Service users benefit from living in a well managed home which is run in their best interests. Their health, safety and welfare is promoted and protected. Evidence: The registered manager had many years of experience of running the home and the recommended qualifications of National Vocational Qualification at level 4 in Care and the Registered Managers Award. She also demonstrated that she keeps herself up to date with current practise and had received valuing diversity, bereavement and loss, safeguarding adults for managers, investigate practise workshops, continuous professional development, managers health and safety training, in addition to medication, first aid and manual handling updates over the previous twelve months. Service user meetings and one to one meetings with key workers enabled service users to make their views known and the AQAA recorded that, as a result of listening to the people who use the service, more trips had been arranged, a new bath and shower room had been installed and changes in the decor and the menus had been Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: planned. Service users quality assurance questionnaires were in pictorial format, and support from independent agencies such as day services, enabled them to be completed without any influence from the home, giving a true reflection of the service users views. Families, carers and other professionals had completed quality assurance questionnaires and the collated results confirmed satisfaction with all aspects of the service. Comments included, it is very important for me to know that my son is happy and the atmosphere, whenever I visit, is a relaxed and very caring one, I feel that my sons confidence to be able to express his feelings has improved a great deal and I know he is being listened to, and friendly and dedicated staff, working in the interests of the client and the family. The AQAA recorded that equipment had been serviced or tested as recommended by the manufacturer or other regulatory body and certificates for the gas appliances and portable electrical equipment, sampled, confirmed they had been serviced in 2008. The Control of Substances Hazardous to Health (COSHH) had been appropriately risk assessed to safeguard the residents, the COSHH cupboard was secured to safeguard the service users. Policies and procedures and codes of practice in relation to Health and Safety had been reviewed in a timely manner to ensure the staff were kept up-todate with current legislation and practice. Staff training logs confirmed that mandatory training in moving and handling, food hygiene, first aid and fire training had been undertaken and that some staff had received infection control training. Records were kept of accidents and other serious incidences and the home kept the Commission for Social Care Inspection appropriately informed of such events. There was an ongoing programme of maintenance and repair. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 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 32 At least 50 per cent of the carers should have obtained a National Vocational Qualification at level 2 or above to ensure they are receiving the recommended training for the caring role. Care Homes for Adults (18-65 years) Page 28 of 29 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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