Inspection on 25/09/07 for 50 Stoneygate Road

This inspection was carried out on 25th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 Stoneygate Road 05/10/09

50 Stoneygate Road 19/09/06

50 Stoneygate Road 15/11/05

50 Stoneygate Road 22/06/05

50 Stoneygate Road 16/09/04

50 Stoneygate Road 03/10/02

Similar services:

Trevayler Residential Care Home

Thornham Grove

Hunter`s Lodge

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 50 Stoneygate Road Leicester Leicestershire LE2 2AD Lead Inspector Ms Rajshree Mistry Key Unannounced Inspection 25 September 2007 12:45p th 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 50 Stoneygate Road Address Leicester Leicestershire LE2 2AD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0116 2707276 F/P 0116 2707276 info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Joyce Elaine Spriggs Care Home 19 Category(ies) of Past or present alcohol dependence (2), Mental registration, with number disorder, excluding learning disability or of places dementia (19) 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 2 persons falling within category A may be admitted to the home. To be able to admit the named person in category MD/PD (dual disability) as identified in variation application number 39047 dated 15.10.02. 19th September 2006 Date of last inspection Brief Description of the Service: 50 Stoneygate Road is a care home registered for 19 people with mental health needs, and two places for people with alcohol dependency needs. 50 Stoneygate Road is part of the Prime Life group of care services. 50 Stoneygate Road is situated in the residential area of Stoneygate in Leicester. There are local shops and amenities and is 10-minute bus journey to the centre of Leicester. The main home accommodates 13 people, in single bedrooms and shared bathroom and toilet facilities. There is a main lounge and a pool table in the conservatory, which is the designated smoking room. There is also a modern extension comprising four flats (two singles and two doubles) all of which have bedrooms, lounges, kitchens, and bathrooms. They are accessible via the main house, however they also have their own private entrances. People who live in the home are able to live independently and supported to develop living skills, access community activities, education and social events. The inspection reports are available at the home or upon request. The fees range from £292 to £821, dependent on the assessment of needs and additional support required by the individual service user. Additional costs are for personal toiletries. This information was received after the site visit and people interested in using the services should contact the home. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of reviewing the last inspection report, reviewing the service history of significant events since the last inspection and complaints received by the Commission. The unannounced site visit commenced on the 25th September 2007 and lasted 1 day. The Annual Quality Assurance Assessment (AQAA) was not received until after the site visit. Surveys to service users, their relatives, health and social care professionals and staff were sent after the site visit. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at 50 Stoneygate Road. Four service users were selected, discussion were held with the tracked service users and their care records were viewed with they consent. Discussions were held with other service users living at the home and observations made of the interaction between service users and staff. Discussions were held with the staff on duty with various responsibilities within the home and reading the records in relation to the service users, and the policies and procedures. The Registered Manager had taken some service users on holiday and some records were not available during the site visit. However, this information was made available after the site visit along with the AQAA. The CSCI sent out eighteen surveys to service users, their relatives and three were sent to health care professionals and General Practitioners. However, none were returned at the time of writing this report. The CSCI sent out eighteen surveys to staff at the home and none were returned at the time of writing this report. Comments received directly from service users during the site visit included: “I feel independent, able to make choices” “I’m very happy here, people are good to me . . . . and we have a laugh” “I prefer the flat, I have my own space, and no-one bothers me and that it” What the service does well: Service users living at 50 Stoneygate Road are able to live as independently as possible, making friends and having visitors. Service users have the support from staff to maintain and develop daily living skills and have opportunities to attend college; find voluntary or paid employment, go out into the community. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 6 Information about the service users and their individual needs is written with the service user, reflecting their choices, interests, goals and a preferred lifestyle. Whilst there are no restrictions in how service users choose to spend their day, safety of the service user’s is considered and where necessary, support provided is agreed in advance. Service users are encouraged and supported to express concerns and complaints using the complaints procedure, supported by the staff and advocacy services. Staff are trained in caring and supporting the service users living at the home, have a good understanding of their needs and interests. Staff have support from the senior staff and colleagues; have regular training and appraisal meetings for further development. Records are kept up to date and in good order. The internal system to measure the quality of the service ensures standards are met, issues are addressed that looks at how the service can develop. What has improved since the last inspection? What they could do better: This was a positive site visit of 50 Stoneygate Road and showed service users lived in a safe and supported environment. Prime Life group and the staff on duty engage and seek the views of the service users and have systems in place to self-monitor and regulate it self. Please contact the provider for advice of actions taken in response to this 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users have information about the home; encouraged to visit and involved in the assessment process to make sure their needs will be met. EVIDENCE: The information about the home is provided to service users before and at the first visit. The information sets out the type of care and support people would receive living at the home, the facilities, the staff skills and management arrangements. The ‘statement of purpose’ sets out the aims and objectives of the home and how service users are encouraged to be involved. This information is detailed and would be made available in other formats suitable to the service users. Service users said they had the chance to visit the home, look at the living arrangements including the flat. Service users care files viewed, had a record of the assessment of care needs carried by the Care Management Team and included information from other professionals involved. The senior support worker said the Registered Manager is trained to carry out the assessment of the service user’s needs to make sure they can meet those needs. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 10 Service users said they were involved in the assessment process, identifying the care and support required, what would place them as risk, their interests and goals and important things and people in their life. One service user said they visited the home, specifically the flat, which suited their needs. This was consistent response received from service users’ and comments were made in relation to the involvement of a social worker. Information received from the Registered Manager and Prime Life Head Office after the site visit stated all service users are encouraged to visit the home for a trail stay and have an opportunity to speak with other service users and staff. Information also confirmed all service users have a contract with the terms and conditions of their stay and found in the care files. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported to continue and develop their lifestyle; making their own decisions and contributes to views in running of the home. EVIDENCE: Service user said they have been involved in developing their plan of care, identifying their needs whilst respecting their choice of lifestyle, daily routines and promoting their independence. Care plans read for two service users were focused on the individual, detailed the care and the level of support needed; arrangements for their taking their medication, the important people in their lives; activities and their goals they want to achieve. Service users said they speak with all staff although when looking at information in their care plans tend to have specific staff who help them. Service users were seen making choices in how they spend their day, using the public transport and using facilities in the community and the public services 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 12 such as the library. Service users spoken with individually and collectively confirmed they were respected, felt their individual needs were met and although sometimes needed to express themselves. Staff showed good awareness of service user’s needs and how they encourage and support them to make decisions about their daily life. Staff were familiar with service users’ specific illness, symptoms that related to their illness and ways to support them without restriction their lifestyle. Observations made supported this as service users individual needs were being supported by staff. Staff said all staff key-work with service users and getting to know the service user allows them offer support in a way that suits them. This was consistent with the information recorded in the care plans and confirmed by the service users that described the supported they received. Care plans read showed service users were involved and detailed how they wish to be supported, especially if they became anxious or at risk. The records showed care plans were reviewed monthly and in some instances, record of the reviews carried out by the social workers. There was evidence of service users views being gathered individually formally and informally; and as a group through service users’ meetings, and the quality assurance surveys carried out. Service users were aware of the information held in the office, gave permission to view their records and were confident their information was handled safely. Comments received from service users during the site visit included: “Staff don’t interfere with what I do unless it can harm me” Information received from the Registered Manager and Prime Life Head Office after the site visit stated the policies and procedures that support the staff and the service users, promoting support on a one-to-one basis as necessary and promoting service users rights and responsibilities, by trained staff. The management team recognised improvements continue to be made through better resources and quality assurance processes, which invites service users views. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users enjoy a lifestyle that suits them, being supported to be involved in the community, relationships and work towards their goals. EVIDENCE: Service users playing pool said they were not restrictions in how they chose to spend the day. Service users were seen making daily choices and daily records read for service users tracked reflected these. Several service users were seen were watching television in the lounge, listening to music or reading in their bedrooms and flat. A service user returned from visiting a friend, whilst another returned from shopping in the city centre. Service user were seen enjoying the company of other service users and was waiting for a service user to return from fishing. Staff were seen joining in with conversations, which showed there was good interaction and mutual respect as people were not interrupted when they spoke. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 14 Staff said some service users have planned programmes such as attending REMIT or employment. Staff said service users would let them know where they are going, the people they are visiting and places they visit, are written in the care plans. Service users said they are able to have relationships if they want and can speak with staff for support, given information in sexual health. A group of service users were away on holiday to Skegness with the Registered Manager and a senior support worker. Staff said that whilst service users have their own routines they felt restricted and skills wasted as in-house activities or community activities were not developed, as there was a focus a clean home Two service users spoken with and case tracked were keen artists, interested in art, music and reading. The service users had a collection of artwork and material for producing the art. One service user enjoyed reading about history of wars and would go to the central library to borrow books. Care files read reflected the important people in the lives of the service users such as social workers, family including ex-partners and other professionals. The care plans detailed the service users social interests and goals in relation to employment and education. Information received from the Registered Manager after the site visit stated support is provided in line with the assessment and improvements could be made are in relation to interests expressed by service users. Service users comments about meals were generally positive in the main. Whilst there is a choice of meals, the main meals are prepared in the main kitchen at Prime Life Head Office and transported to the home. The home’s staff prepares breakfast and evening meals. Service users said what they specifically enjoyed although some service users said they would eat out with family and friends occasionally. Whilst service users living in the home have their meals prepared, service users living in the flats can prepare their own meals, with support from staff if required. Prime Life carried out a study on the meals and meal provision across all the homes within the group. A report produced looked at the findings from the study, considered the need to gather peoples views regularly, whilst providing choice of meals that are nutritional Pictures and photographs are displayed on the notice board from social events and outings, along with the social calendar that included England Football and Rugby matches and historical facts “Did you know . . . .”, for the month of September. Information received from the Registered Manager and Prime Life Head Office after the site visit stated the importance of key working and staff supporting service users, being involved in the community events. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are well looked after and benefit from having both their physical and mental health care needs met. EVIDENCE: The care plans read for the service users tracked showed the support needed by the staff, giving clear directions and reflected their wishes. Service user said they were treated with respect by the staff and felt in control of their life. Service user said they were aware of the contents of their care file and could look at them anytime. Service users living at the home are independent and may need some support, which they make known and staff are aware such as offering encouragement. Care plans read showed the health professionals involved with the service users such as the General Practitioner, District Nurse and the Community Psychiatric Nurse, and records kept of the visits made. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 16 One service user said they have seen the General Practitioner, whilst another service user sees the Diabetic Nurse regularly and makes sure the meals prepared are suitable. One service user said they had accidentally broken their glasses, for reading, which they recently got, indicating the service users had visited the Optician recently. This supported was supported by the information received from the Registered Manager after the site visit which stated the staff at the home work with the service users to access the appropriate health care support. Staff said service users tend to speak with particular staff for support and advice, especially regarding problems or relationships. All medication is stored securely and checked by the contracted Pharmacist and through the quality monitoring visits. Trained senior staff are responsible for administering the medication, staff training records confirmed training in safe handling, and administration of medication was completed. Records of the medication taken by service user are written in the plans of care and irrespective of whether the service user is able to manage their own medication. The medication and medication records were viewed were found to be in good order. Service users said they get their medication on time. A service user was seen going to the medication room when they were due for their teatime medication. A service user returned from visiting friends gave the empty dossett box to a member of staff. Staff described the procedure they were required to follow, when a service user was going out, which was consistent with the home’s medication procedure. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Service users when asked were confident that should they have any concerns, they know who to speak with. Service users were aware of how to make complaints and the written complaints procedure, and how to contact Advocacy Services. Observations made showed service users had a good relationship with the staff, any concerns or if they were unhappy with aspects of their life, were shared in confidence. The complaints procedure is displayed in the reception area and given to service users when they move to the home. Service user ‘Comment Cards’ are left in the reception area near the notice board, which can be used to express their views about the home. The Commission for Social Care Inspection received two complaints, which were referred to the home and the Care Management Team to investigate, using their own complaints procedure. Whilst the complaints records were not available to view, the information received after the site visit demonstrated the two complaints were thoroughly investigated and measures in place to avoid risks to service users. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 18 Staff demonstrated a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and was confident to whistle blow on poor or bad care practices. Staff training matrix viewed showed staff had received training in safe guarding adults, part of the organisations induction training and attaining a National Vocational Qualification (NVQ) in Care. Information received from the Registered Manager and Prime Life Head Office after the site visit stated service users were reminded of their rights and could express concerns or complaints at any time, which was consistent with the minutes of the residents meeting. The information highlighted the need to follow procedures and staff training to raise staff awareness to support service users. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, comfortable and homely environment that suits their choice of lifestyle. EVIDENCE: 50 Stoneygate Road is a Victorian House, with additional flats for service users wishing to live independently. There is a large family size lounge, dining room/lounge and a conservatory with a pool table, on the ground floor. Service users bedrooms are located on the upper two floors with bathrooms and toilets close by. There is a small lounge near to the flats, which has exercise equipment. People living in the flats have their own private lounge although can choose to use the communal areas in the main part of the home. Many of the service users were seen relaxing in the lounge and the conservatory whilst playing or watching a 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 20 game of pool. There conservatory the designated smoking area for service users. Whilst there is a lift in place, this is not used as service users are able to use the stairs to the upper floors. One of the bathrooms has been furnished and decorated and the floor outside the kitchenette that needed attention at the last inspection has been replaced. The Inspector spoke with two service users in their rooms and one in their flat. Both bedrooms and flat were personalised and had bedroom furniture. The service users all said they felt the living area was comfortable for them. The bedrooms are individual, the furniture is domestic in character and rooms are personalised. All service users have lockable valuables box for the safe storage of money and have keys to their own bedrooms. During the site visit the home was clean. Service users said the staff help clean their bedrooms providing they help too and are encouraged to be responsible for doing the housework. One service user said the staff know not to touch any of their paperwork or music, which was consistent with information received from the staff, demonstrating individual’s choice of lifestyle and personal belongings is respected. The laundry room is located away from areas where food is stored and prepared. Staff said there is a system of doing service users’ laundry now as items went missing when service users did their own laundry. All staff have received training in health and safety and infection control, which was consistent with the staff training records viewed. Staff were seen wearing protective clothing when handling food or cleaning. There is a handy person for Prime Life Homes, who is responsible for repairing faults and was seen on the day visiting the home to resolve a problem in the toilet. The reports from the quality assurance visits identified environmental areas in need for improvement and supported the findings from this visit. The information received from the Registered Manager after the site visit stated the improvement planned for the next 12 months is a rolling programmed of refurbishment. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are protected by good recruitment processes and staff trained and supervised to care and support the people using the service. EVIDENCE: Staff were aware of their roles and responsibilities, where to find the home’s procedures and who to report any concerns to. Staff said they had completed induction training and special training to working with people with mental health illness and promoting independence. Staff observed used skills that promoted service user’s independence. Staff said that they have ‘handover meetings’ at the change of shift and staff meetings on a regular basis. The minutes of the meetings made available after the site visit showed staff are informed. Staff confirmed supervision meetings take place on a regular basis, and supported the information received after the site visit from the Registered Manager and the quality assurance reports. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 22 The recruitment and selection procedure in place is robust and is supported by the central Human Resource Team in accordance with Prime Life’s equal opportunity policy and guidance. Staff spoken with described the recruitment process and the induction training; having an interest or experience of working with people with mental health illness and promoting independent living skills. Although staff files were not available, information received from the Registered Manager after the site visit confirmed the pre-employment checks were in place. The information received from the Registered Manager after the site visit, detailed the training provided and planned for staff, which included medication training, including delegated staff to administer insulin, moving and handling, food hygiene and first aid. The staff that have attained National Vocational Qualification (NVQ) level 2 in Care is 66 , with a number of staff also working towards the NVQ level 2 in care. Staff spoken with said training provided was good and felt their training needs were met, with regular updates and refresher training. Service users said they felt that the staff understood their needs. Staff were seen supporting service users and helping them to organise and make arrangements. Service users said staff were supportive and available if they needed, which suited them. From discussion with the service users, it was clear that they had preferences to particular staff that they would approach or speak to if they needed help. This was supported by comments from staff saying “ . . . will only let me assist her with bathing”. Information received from the Registered Manager and Prime Life Head Office after the site visit included minutes of staff meetings; the quality assurance report and confirmed specialist training in mental health, drug and alcohol awareness and dealing with challenging behaviours. Comments received from staff included: “We work well as a team right now” “I’m here for the clients, I talk with them and support them” “I have stayed with the clients in an emergency and go to the hospital with them” “Could improve some of the in-house activities and initiatives, such as cinemas’ or to ring around to find what clubs exists in the area” “Am keen to develop activities and supporting people to be responsible, independent and accountable but restricted due to focus on keeping the home clean”. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 and 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users benefit from having a well-managed service, where they are consulted and systems in place that ensures people are safe. EVIDENCE: Although the Registered Manager was not available during the site visit, the person in charge said the Registered Manager had attained National Vocational Qualification (NVQ) in Care level 4 and the Registered Manager’s Award. The person in charge and staff on duty said they worked well as a team; knew their roles and responsibilities in relation to managing the home and looking after the service users. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 24 Service user said would go to staff on duty if they needed support or had a concern. Service users were seen popping into the office or speaking with the staff on duty, which showed there was a good relationship between service users and staff. A representative from Prime Life Group’s management team, who is external to 50 Stoneygate Road, visits the home on a monthly basis, representing the Responsible Individual. The reports generated from each visit, demonstrated checks are carried out monthly, detailed the evidence, the findings and the actions required to address any issues. A report produced in August 2006 showed that an Annual Quality Assurance exercise was carried out, seeking the views of the service users, professionals and staff. This demonstrated the service self-monitors and regulates itself to ensure continues to provide a quality service. Prime Life continues to work with the business plans supported by budgets and looks at improving the service. The information received from the Registered Manager after the site visit stated that policies and procedures are updated at head office, cascaded to the home’s manager, and is share with the staff. Staff knew where to find the policies and procedures and were confidant service users were safe and the home is managed, in the absence of the Registered Manager. Service user said they were involved in the running of the home and able to discuss with staff any issues about the provision of care individually. Service user’s meetings are held regularly and the minutes of the meetings were forwarded to the Commission after the site visit, as these were not accessible during the site visit. Service user said they manage their finance and have money held in safekeeping, which they can get at anytime. A service user described how they get their money, support offered by staff and said the have lockable storage in their rooms for keeping money. The procedure described by the staff, was consistent with the information received from the service user and records viewed. Record of health and safety, maintenance and testing of equipment are kept. Sample of these records were viewed such as the fire testing, which confirmed checks were carried out. This was further supported with the receipt of information from the Registered Manager after the site visit that indicated equipment such as fire detection and emergency equipment are maintained and regular fire drills and tests take place. Risk assessments are in place for the home, service users, specifically medication, smoking and storage of cleaning products and staff. 50 Stoneygate Road has a planned programme of maintenance, with an annual building audit carried out in January, with records of checks carried out are kept up to date. 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 50 Stoneygate Road DS0000006314.V347035.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!