Inspection on 15/10/08 for 50 -51 Quarry Road

This inspection was carried out on 15th October 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

50 -51 Quarry Road 25/01/07

50 -51 Quarry Road 11/01/06

50 -51 Quarry Road 14/09/05

50 -51 Quarry Road 23/02/05

50 -51 Quarry Road 24/08/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 50 -51 Quarry Road 50 -51 Quarry Road Ryde Isle Of Wight PO33 2TY     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: Richard Slimm     Date: 1 5 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. 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 30 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 30 Information about the care home Name of care home: Address: 50 -51 Quarry Road 50 -51 Quarry Road Ryde Isle Of Wight PO33 2TY 01983616862 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynda Margaret Lawlor Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: This home currently accommodates one resident over 65 years of age. Date of last inspection Brief description of the care home 50-51 Quarry Road is a registered care home providing care and accommodation for up to five younger adults with mental health needs. The home offers flexible and informal family based care and support. the model of the service is similar to adult placement or what is now known as Shared Lives, as the care and support is provided by family members within the family home. The service is comprised of two adjacent houses, one semi-detached and one detached, located at the end of a quiet lane in a pleasant residential area of Ryde. Each house has a garden and there is a plot of land to the rear where the owners keeps ducks and chickens. Ryde town centre is within walking distance and public transport (bus and train) are located close by. The registered provider is Mrs Lawlor and the service is also managed by Mrs Linda Lawlor. Please contact the home for up to date information regarding weekly fees. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 5 Care Homes for Adults (18-65 years) Page 5 of 30 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 was an unannounced Key Inspection of the home, a Key Inspection being part of the CSCI inspection Programme, which measures the service against the key National Minimum Standards, and outcomes for people using the service as part of a process known as Inspecting for Better Lives (IBL). This report incorporates information gained from people using the service and/or their advocates / relatives, carers, including managers/owners and comments from external stakeholders who completed professional comment cards. We were also provided with the services annual quality assurance assessment (AQAA) completed by the manager and other relevant information gained by the inspector via such processes as, the site visit, observations, interviews, inspection of documents and records and case tracking, Care Homes for Adults (18-65 years) Page 6 of 30 during a site visit to the home. The visit to the home was undertaken by one inspector and lasted 4 hours. What the care home does well: What has improved since the last inspection? What they could do better: We found evidence of good outcomes for people. However, we also found the need for some further development in the area of recording and record keeping. The manager/owner acknowledged the need to develop systems in the following areas - - more individualised systems of recording - development of specific care and support folders - the archiving of paperwork not required on a daily basis - improvement to the organisation and a more systematic methodology to the maintenance of documentation and records This is to ensure that there are sound systems of recording in place to identify peoples support needs, there wishes and any changes. These improvements will ensure that information is documented appropriately so as to quality assure their needs being met if the main care became unavailable for any reason. Care Homes for Adults (18-65 years) Page 8 of 30 As a result this report will make a number of best practice recommendations and some other guidance in the main text of this report. We do not believe it is necessary to make requirements at this point. 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 30 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 30 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. Peoples individual aspirations and needs are assessed. There is a need to update assessments at the home in line with the changing needs of residents. Evidence: We case tracked 3 of the 4 service users accommodated. Case records needed further development as did recording systems. We spoke to an external professional whos agency was responsible for reviewing 2 cases at the home. There was some broad agreement to our observation in respect for the need to improve some of the documentation and recording systems. We interviewed 2 service users, and received three surveys back from people using the service indicating they are happy with the services and support provided at the home. All peoples files contained systems to assess their needs and wishes. These were found to be individualised, but not well organised. Records were all kept in box files with some documentation that needed to be archived as it was now very dated. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The care plan approach (CPA) provided by the placing authority was found to be aimed at providing person centred care and support and the in-house plans needed to be developed further to ensure each person had individualised plans and monitoring records. At the time of the visit daily records were all being kept about all residents in one large diary. The manager/owner agreed that she needed to change this and will be providing individual recording systems to each person to record monitoring notes and other relevant daily records. The manager has a good understanding of the needs and abilities as well as personal likes / dislikes / traits etc. of each person. However, these are not always clearly documented. There are risk assessments that appeared to promoted Independence, choice, dignity and respect. People told us outcomes for them at the home were good. The service AQAA told us - New residents are only admitted to the home when we are sure that the home can meet their needs and they are compatible with current residents. We invite prospective clients to visit the home which enables them to meet other residents prior to moving in. There is a policy and procedure to follow regarding prospective Service Users to the home. An initial assessment will be completed to ensure that the home is able to meet the needs of the individual. Introductory visits to the home will be arranged to ensure suitability and that the individual likes what is on offer. The home provides Terms and Conditions, and a service user guide in an accessible format. The service user guide provides information to prospective residents about the home. Assessments are carried out jointly with external professionals and by the manager who is suitably trained and experienced. Assessments systems appear to ensure needs can be met at the home and are carried out before admission, to ensure conditions of registration are fully complied with. Assessments were not routinely being updated as part of an ongoing monitoring and review process. Care Homes for Adults (18-65 years) Page 12 of 30 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. The degree to which peoples assessed and changing needs and personal goals are reflected in their individual plans needs to be better organised and more detailed. People make decisions about their daily lives with assistance when this is needed. People are supported to take risks as a part of an independent lifestyle. Evidence: We case tracked 3 of the 4 service users accommodated. Case records needed further development as did recording systems. We spoke to an external professional whos agency was responsible for reviewing 2 cases at the home. We interviewed 2 service users, and received three surveys back from people using the service indicating they are happy with the services and support provided at the home. The case tracking exercise showed us that the service has some care and support Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: planning in place. Each person has a Care Plan Approach document (CPA), provided by external professionals, in line with best practice due to their health care needs. Each persons case record is held in a separate box file and is presented in a format that can be understood and/or explained to the resident concerned. Case records were found to be dis-organised. The owner / manager acknowledged that the recording aspect of her role is not a strong point. We found records were all kept together in box files, and many of the records were not relevant to the daily support needs or care of the resident concerned. Consequently this made case tracking a challenge. It was clear that the owner/manager and her family had a good level of understanding of the needs of the people they work with and support, but the level to which this was documented was not so clear. A potential concern for external professionals would be what would happen if the main carers were not available. At the time of the visit the manager was recording about all service users in one large diary. We pointed out that this practice fails to acknowledge the rights of people to access their records, their confidentiality and privacy could also potentially be compromised. When this was explained the manager / provider was happy to review practices and as a result we will not be making requirements at this point, but feel that recommendations in this area will be sufficiently proportionate. Each external professional care plan (CPA) was found to be detailed in such areas as psychological / mental health needs, personality and preferences. In-house plans would benefit from the inclusion of more detailed information, and daily monitoring records need to be individualised and increased. The service is based on a more dated model of care and support. We discussed the degree of independence promotion at the home, as we found practices that may not be fully promoting independence in some instances. This included the main daily meal that is currently being prepared and cooked by the manager for the four residents on a daily basis. On a more positive note other meals are prepared by the residents themselves. Two of the current residents are more elderly people and while they would be able to be more involved in this area of daily living, when interviewed they said they were happy with the arrangements being made at the home. There are two other residents who were not available at the time of the visit, but did return surveys to say they were happy with the support they received at the home. In-house plans if more complete and detailed could potentially further promote Independence and interventions from carers that promoted more of a do with rather than a do for approach. Clearly this will need to be negotiated with the residents concerned on an individual as well as a group basis, and any such changes to routines and culture will need to be handled carefully and sensitively. Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: The AQAA advised us - Residents all have a say when care plans are updated or reviewed as and when their needs change. We encourage all residents to make their own decisions and live their lives as independently as possible, but we are always available to offer encouragement and support when needed. There was evidence that people are being supported in a manner with which they are happy, however, the quality of monitoring, review and recording with individuals needs to be improved. However, all residents are receiving annual reviews that include external professionals. These reviews are useful for putting in place action plans to meet changing needs. There was evidence that the manager / provider supporting people has the skills to identify changes in service users needs promptly, an essential skill when working with people who have mental health needs. This is further validated by the general contentedness of the people living at the home, and the stability of their general health. There was clear evidence that people were being treated as individuals not just a group of people with similar needs. People were leading different lifestyles dependent on what they liked, could and/or wanted to do wherever possible. There was also an emphasis on an approach that promoted homeliness and ordinary living. People living at the home were found to be happy and contented. Care Homes for Adults (18-65 years) Page 15 of 30 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 able to take part in age, peer and culturally appropriate activities. People are part of the local community. People have appropriate personal and family relationships. People rights are respected and responsibilities recognised in their daily lives. People are offed a healthy diet and are consulted about their meals and mealtimes. Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: received three surveys and spoke to an external professional whos agency was responsible for reviewing 2 people placed at the service. We saw recorded evidence and observed that people are enabled to lead the lifestyle they choose and is suited to them as individuals, we were also advised of this by the people we spoke to during our visit. Plans identified who liked and did what and then packages of support are put into place to enable the Person to pursue their goals. The residents all had weekly activity plans that showed different people accessing a variety of different activities and day services relevant to the choices/needs of those concerned. One person had just visited an old friend living in a nearby care home. People were seen to come and go as they wished. The two residents we did not see were out pursuing activities in their local community. There were a number different opportunities on offer for people both inside and externally to the home. Other opportunities included annual holidays that people are supported to choose and go on. People are encouraged and supported to maintain relationships and to develop new relationships. There are visiting arrangements that are geared around the needs and wishes of the people living at the home. Case records had key information about informal networks and people who are important to residents and how to get in touch. All the residents had some contact with family members to some degree. Plans (CPAs) assist in ensuring that people are supported in a way that they want. There are no needless restrictions as risk assessment informs activities in an adult manner. Carers are clear about their roles and were found to be very clear about promoting the core values for people in such areas as privacy, dignity, respect, choice, independence and rights. The services AQAA tells us, All residents are encouraged to make their own routines, attend day centres, form appropriate relationships and attend social events. We provide a good balanced diet and both encourage and welcome residents to participate in choice of menu. We encourage and support residents in their daily routines. These include voluntary work, therapeutic work, social and leisure activities and helping maintain contact with family and friends. Transport is provided if and when needed. People said they were happy with the quality of food provided and can choose when and what they eat. One resident said, we get good wholesome plain home cooking. Care Homes for Adults (18-65 years) Page 17 of 30 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 receive personal care and support in the way they prefer and require. Peoples physical, emotional and health care needs are met. People maintain as much control over their medications as they can. Where support is offered this is done safely. Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, received three surveys and spoke to an external prof whos agency was responsible for reviewing 2 cases at the service. We interviewed the owner/manager and other carers working and living at the home. Each persons specific needs and wishes were identified in the area of health & personal care and support. The manager co-ordinates services based on the ongoing needs of the services users acting as the fulcrum or link/contact point. This is possible due to Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: the relatively low number of service users accommodated. Plans recorded areas of care and support as well as lifestyle issues. Carers were found to be sensitive to the needs and the wishes of the people they supported, and were aware of the need to ensure peoples dignity, privacy and choices were respected. We interviewed 2 people during our visit and they both stated they were entirely satisfied with the level of support they received, and were happy living at the home. Plans outlined any specialist areas of need in respect of health and/or psychological needs. There were records of appointments and repeat appointments such as dental checks or GP consultations. These were recorded in the diary. It was agreed individual recording systems will be introduced to ensure confidentiality and access to records. We were advised these matters are also monitored via annual reviews and reassessments of need. People use mainstream health care services, but also have access to more specialist services when needed. Only two of the people need to take regular medication and they are supported to remain independent in this area of daily living. We were advised the home manager collects prescriptions on behalf of residents, but then they are handed over to the person concerned who manages their own medicines. Currently records of medications are held in respect of those medicines collected, but as the residents are independent there is no need for medication administration records. As the home develops more individualised methods of recording and monitoring it will be possible to keep an ongoing record of medicines within the home. This will also be useful in respect of monitoring each persons abilities in this area and adjusting support if needed. The AQAA tells us - We are on hand for any physical or emotional health care needs, should they arise. Residents on medication are encouraged to manage this themselves following a risk assessment. The residents have been with our family for some years now and I am able to readily identify any issues or problems that arise and alert the appropriate services. Residents are well catered for and all have a GP of their own choice in the local area. Residents that self medicate inform me when their medication is getting low and I deliver and collect prescriptions on their behalf. Care Homes for Adults (18-65 years) Page 19 of 30 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 feel their views are listened to and acted on. People are protected from abuse, neglect and self-harm. Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, received three surveys and spoke to an external prof whos agency was responsible for reviewing 2 cases at the service. We interviewed the owner/manager and other carers working and living at the home. We checked arrangements in place to support one person with her money. The services AQAA tells us - We listen to our residents views and act appropriately and do our best to protect them from abuse, neglect and self-harm. Residents all have a copy of the homes service users guide, which contains the complaints procedure. We never had a complaint and, as this is a small, family run, care home, I am in daily contact with residents and would soon be aware if anyone was unhappy or upset. All our residents are quite capable to make their own decisions and have access to additional support if they require it. I am aware of the local adult protection policy and keep myself up to date with any changes via the local care home association. Because I am in daily contact with my residents I am well aware of their needs and abilities and Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: access specialist services should they be required. There had been no complaints since the last inspection of the service. One service user said, If I had any complaint I would go straight to Lynda (the manager). People were observed to be happy and contented in their home. The home has clear guidance and policies in place in respect of safeguarding adults. This is linked to the local arrangements as required in the national guidance No Secrets. The manager received certificated training in safeguarding vulnerable people in 2007. As the home is family run no staff are employed, however, the manager arranges to carry out all checks needed to promote good safeguarding practice such as POVA first and criminal records checks. The home is supporting one person with their personal finances. these arrangements were checked and there were records of all monies held. The resident concerned said she was happy with the arrangements made with her about her personal allowances. (this is cross referenced with Standard 35 below) Care Homes for Adults (18-65 years) Page 21 of 30 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 homely safe and comfortable environment. The home is suited to its stated purpose. The home is clean and hygienic Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, received three surveys and spoke to an external prof whos agency was responsible for reviewing 2 cases at the service. We interviewed the owner/manager and other carers working and living at the home. We made observations during a tour of the 2 premises during our site visit. The AQAA told us - We provide our residents with a comfortable and safe environment and, as far as possible, live together as a family.We provide a clean and hygienic home. The home is situated in a quiet residential area of Ryde. We have a large garden and access to an area of land where we keep ducks and chickens. The town centre and public transport are all within easy walking distance.Residents all have their own room with TV and access to communal rooms with TV, VCR, DVD and Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Hi-Fi. They have access to facilities for preparing their own hot drinks and snacks whenever they choose to and there are designated smoking areas. Residents are encouraged to help keep the home clean and tidy at all times. The 2 male service users live in the house at No/50. A member of the family also resides at this address. All main meals are served at number 50 for the four people who use the service. The 2 female service users live in the home at No/51 with Mrs Lawlor and her partner. No/50 offers three bedroom and a communal WC on the first floor, with a small lounge, dining room, kitchen and bath/shower room on the ground floor. There is also a well presented garden area with a patio. No/51 offers four bedrooms, with a separate lounge, bedroom and WC bathroom for the owners. There is a small lounge for the residents but currently they choose not to use this area choosing to watch TV or occupy themselves in their own bedrooms. There is a communal WC bathroom for residents, and the kitchen area is shared, as is the garden. There is also a small holding to the rear of the houses where chickens and ducks are kept. The houses were both reasonably well decorated and presented. People interviewed were happy with their home and the way it was run with them. The homes offered ordinary family living, in a model similar to adult placement. Care Homes for Adults (18-65 years) Page 23 of 30 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 competent people with whom they share their home and get along with. The people who support service users have been checked against criminal records. The manager has been registered with the CSCI as fit to run the service. Peoples individual and joint needs are met by people who are appropriately trained. Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, received three surveys and spoke to an external prof whos agency was responsible for reviewing 2 cases at the service. We interviewed the owner/manager and other carers working and living at the home. We surveyed the four residents and received three responses all positive. There are no staff employed as the care and support is provided by the family members. Most support is provided by Mr & Mrs Lawlor and their son, but on occasion the families daughter will help out when people are on holiday. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: There is clarity of role, with Mrs Lawlor as the manager being the central link person at the service. She tends to pass on information to her partner and son in such areas as safeguarding updates and training. Mrs Lawlor has a NVQ level 4 qualification with the registered managers award. She also has significant experience of working with people who have enduring mental health problems. People interviewed and surveyed said they were happy with the way they were supported and treated. One service user identified Mr And Mrs Lawlor as his landlady and landlord. As identified above care is taken to ensure that the family members all have up to date criminal record checks. Mrs Lawlor is committed to ongoing training and development needs and passes on / cascades training to her partner and son. She also links to the local Care Homes Association, and was advised about the CSCI professional website as being a useful source of information for providers. Care Homes for Adults (18-65 years) Page 25 of 30 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. People benefit from a well run home. People are consulted informally on a daily basis in a similar way to ordinary family life. The registered manager makes arrangements of the health, safety and welfare of people to be promoted and protected. Evidence: We case tracked 3 of the 4 service users accommodated. We received the annual quality assurance assessment (AQAA) from the home. We spoke to 2 service users, received three surveys and spoke to an external prof whos agency was responsible for reviewing 2 cases at the service. We interviewed the owner/manager and other carers working and living at the home. We made observations during a tour of the 2 premises during our site visit. We received three positive surveys back from people living at the home. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: As identified above Mrs Lawlor has a NVQ level 4 qualification with the registered managers award. She also has significant experience of working with people who have enduring mental health problems. The AQAA told us - Our residents benefit from a well run home, their individual needs and wishes are fully considered and we protect their health, welfare and personal safety. I am the registered manager of the home and deal with the day-to-day responsibility of the home. I have many years of experience of working in the care of people suffering with mental illness and attend refresher courses as they become available. First aid, health and safety and food hygiene courses have all been undertaken. I regularly attend meetings of the IOW Care Homes Association where I am able to access information and support. Residents are all aware of fire safety and respect the homes rules on smoking. The AQAA sates - As a small, family run, home our routines are flexible and informal and residents get together each day for their evening meal and any issues or problems that arise are discussed daily. Feedback from residents indicates that they are very happy with us and remain with us for a number of years. We are always on hand to discuss any problems residents may have within or outside the home and provide a safe, stable environment. We are also advised that the home makes arrangements to ensure premises electrical circuits, portable electrical equipment, fire detection and fighting equipment, the heating system, and gas appliances are all serviced in line with manufacturers recommendations. In addition the home has developed a series of policies and procedures relevant to its stated purpose and the daily running of the home. People said that the owner and her family are all very approachable, and that they feel the home is well run, and that they are consulted about things regularly. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 6 It is recommended that in-house plans are developed further to include specific detailed information that identify and promote person centred approaches. The home needs to organise care plan files in a way that ensures only relevant information is in the care plan, and more dated documentation is archived. Also the home needs to develop individualised methods for recording and monitoring/reviewing care plans and interventions, as well as any changes to needs/wishes. These records will then need to be used to inform the monthly and annual reviews, any changes needed to plans, as well as to flag up any more urgent and/or critical issues as they arise. These records are also essential to ensure continuity should anything happen to the main carer. Care Homes for Adults (18-65 years) Page 29 of 30 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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