Inspection on 25/06/08 for 64 Chilcompton Road

This inspection was carried out on 25th June 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

64 Chilcompton Road 12/07/06

64 Chilcompton Road 01/02/06

64 Chilcompton Road 08/11/05

64 Chilcompton Road 16/03/05

64 Chilcompton Road 10/11/04

64 Chilcompton Road 10/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 64 Chilcompton Road Midsomer Norton Bath & N E Somerset BA3 2PL Lead Inspector David Smith 25 th and 27th Announced Key Inspection June 2008 09:30 64 Chilcompton Road DS0000008182.V365025.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 64 Chilcompton Road DS0000008182.V365025.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. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 64 Chilcompton Road Address Midsomer Norton Bath & N E Somerset BA3 2PL 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) 01761 419133 01761 417444 SWALLOW Ltd Mrs Beverley Craney Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 3 persons aged 16 - 65 years requiring personal care only May accommodate up to 3 young people aged 16 & 17 years of age requiring personal care, provided that none of these young people are accommodated at the same time as persons aged 18 – 65. 12th July 2006 Date of last inspection Brief Description of the Service: 64 Chilcompton Rd is run by SWALLOW (South Wansdyke Learning and Living Our Way). This is a voluntary organisation for people in the Midsomer Norton area and is jointly operated by its members and trustees. The house is a Victorian terraced cottage in a residential area of Midsomer Norton. The accommodation is arranged over two floors. On the ground floor is a lounge diner, kitchen and bedroom which staff use when they sleep-in. There are three bedrooms on the first floor and one bathroom which each member shares. There is a small front garden and a large garden to the rear of the home. The house is in easy walking distance of the local shops and facilities. The service provided is respite and life skills training for adults with learning disabilities. The home is known as the ‘Base House’ and members stay on a nightly basis arriving between 2.00pm and 4.30 pm and leaving the following morning by 9.30am. Since the last Key Inspection, the service has been developed to support younger members (aged 16 and 17) to use the base house. Staff with a number of years experience of working with younger people have been recruited to support this development. The members are usually supported by one member of staff during their stay, although more staff can be provided if this is required by a particular group of members. The current fee charged to each member is £20.00 per night. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an announced visit to the home as part of a Key Inspection of this service. We needed to advise the home we intended to visit to ensure we were able to meet with some members who use this service and that staff would be available to support the inspection process. We spent approximately five hours in the home during our visits. The review of evidence and pre-inspection planning involved reviewing the report of the last Key Inspection carried out in July 2006 and the service history, which details all contact with the home including notifications of significant events which they have reported to us. We (the CSCI) provided the home with their Annual Quality Assurance Assessment (known as an AQAA, pronounced as ‘aqua’) and a range of survey forms prior to our visit. The AQAA was completed and returned, together with ten surveys. We began this inspection with an informal meeting with three members who have used the base house for varying lengths of time. We gathered additional information through discussions with the Registered Manager and Deputy Manager. Care plans and associated records were examined together with Risk Assessments, staff personnel and training records and health and safety records. We also viewed all areas of the home, including the bedrooms used by members during their stays. Each individual who uses this service is known as a “member”. This term has been reflected in this report and replaced the term “Service User”. What the service does well: The members we spoke with and others who responded by survey spoke very highly of the service provided and the staff who support them. The relatives who responded by survey said the home meets the needs of their relative, supports them in their personal development and they believe the staff team do have the right skills and experience. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 6 The base house continues to provide a valuable service for members to experience developmental opportunities. Each person is supported to take part in both social and life skills activities within the organisation and the wider community. The members lead the service and they are encouraged and supported to make decisions during their stay at the base house. The base house offers attractive accommodation. This provides members with a homely and comfortable environment, which is well maintained. The home has a small and experienced staff team who have a good understanding of the individuals’ support needs. The service is well run. The ethos is clear, well communicated and remains focused on positive outcomes for each member. There is an effective quality assurance system in place. This ensures that the home is able to review its service and improve where possible. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this 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. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 7 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 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 8 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a thorough and tailored process of information sharing, assessment and visiting which enables each member and their family to make an informed decision about whether to use this service. EVIDENCE: The home has a comprehensive Statement of Purpose and Service Users Guide, which are regularly updated. Copies of these have also been produced in a more accessible format, with shorter versions written in plain English and containing picture symbols to help members understand their content. When these documents are next reviewed, our contact details should be updated to ensure that each member has the correct address and telephone number should they wish to contact us. Each member spoken with, and those who responded by survey, said that they were asked if they wished to use the base house and were provided with enough information to decide if they would like to stay here. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 9 The organisation has a comprehensive assessment tool, which is used to assess each members’ support and development needs. The two care plans examined show that this tool had been used effectively and that this information was used to develop each members’ care and support plans. In addition to these assessments, relevant information is always gathered from the Social Services Team who make the initial referral. The care records examined contained copies of the Funding Authority’s assessments together with other relevant reports. People interested in using this service are welcome to visit the home, with their family if they wish, before making a final decision. Some of these visits were taking place the evening after this inspection process commenced. Each care plan contained a Contract between the Funding Authority and the home. The organisation also provides a ‘Contract for Members’. This details the terms and conditions of using the service, together with guidance on the service’s policy on smoking, fire safety and alcohol. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 10 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, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the service provided to each member takes into account their personal preferences, supported by both written information in care plans and risk assessments which are subject to regular review. Individuals are consulted on, and participate in, all aspects of life in the home and know that information about them is handled appropriately and their confidences are kept. EVIDENCE: We examined two care plans in detail during our visit. These provide comprehensive information on the areas of support each member requires, such as their morning and evening routines, and the goals they are working towards. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 11 The home continues to adapt information within the care plans into a format which each member can access. The home ensures each plan is written concisely, in plain English. Picture symbols can be included in each section of care plans, if this helps the person to understand them. Regular reviews are held, which include members, their families, Social Workers and staff members. These are clearly recorded and the outcomes used to update individual care plans. The members we met with said they are very well supported by the staff team and feel they are able to choose what they would like to do. Each person said they are involved in all aspects of the home such as cooking, cleaning and deciding how to spend their leisure time. The members who responded by survey said they ‘always’ make decisions about what to do during their stay and are ‘always’ treated well by staff who listen to them and act on what they say. SWALLOW is committed to its members leading and developing its services. The Management Committee consists of 70 who are members. A members ‘Interest Group’ meets every two to three months and an ‘Evaluation Day’ is held every year. These provide a variety of opportunities for members’ views to be aired and acted upon. Each individual has a number of Risk Assessments to ensure they are supported to take risks as part of their lifestyle. These are used effectively as part of the care planning process and are reviewed regularly. The organisation has a clear policy relating to confidentiality and the sharing of information. Each person’s care records are stored securely within the home. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 12 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, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each member has opportunities, access to leisure activities and community facilities, which support their personal development. Each person’s rights and responsibilities are recognised in their daily lives. A healthy and balanced diet for each member is promoted. EVIDENCE: 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 13 Standard 15, although considered a Key Standard, is not appropriate to this particular service. The base house remains focused on supporting each member to work towards his or her goals. The ethos of the service is to develop independent living skills to enable members to either live semi-independently in the community or to help provide skills or strategies to enable them to be less reliant on their primary carers, most of whom remain parents or other family members. Each person’s goals are clearly described in their care plans and there is clear evidence to show that members do improve their skills or acquire new ones due to the support and guidance from the staff team. The service also continues to offer an extremely valuable respite service for each member and their carers. The home continues to encourage and offer opportunities for members to use the local shops and other facilities in the community. The organisation offers differing courses and activities for individuals to attend and has good links with a local colleges and day care providers. It was evident that members remain well supported to access a variety of activities. Staff ‘always’ ask them what they would like to do. There have been several trips out to places such as Bristol Docks, the cinema, going ten-pin bowling, having meals out, going to the pub, the park, for walks and shopping trips. The members we met with said they really enjoyed their stays at the base house and are well supported by staff. One member spoken with said ‘I do things I wouldn’t be able to do at home and it gives my parents a break’. Other comments during our meeting included ‘I would like to stay here more often’, ‘the staff share the fun with you’ and ‘you come here to enjoy yourself’. They also described the opportunities they feel they have to develop friendships through their stay; one of the aims of the service is to offer opportunities for individuals to mix socially with each other. The members spoken with said they do enjoy each others company and helped each other with the household tasks during their stays. They often play games together (the home has recently purchased a Nintendo Wii Games console which appears very popular) or go out together socially in the evening. The relatives who responded by survey said the base house provides the care and support they expect. One relative said the staff ‘help them to be independent by looking after themselves. They learn to cook, go out and shop’ and another said ‘I am very happy with the care’. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 14 Members are encouraged to choose what they would like to eat in the evening. They explained they are always asked what they would like to eat, go to the local shops to buy the ingredients and then help with cooking. They eat together at the dining table. One member spoken with said the food was ‘very exciting’. 64 Chilcompton Road DS0000008182.V365025.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members are supported in their preferred manner and their personal and healthcare support needs are met. The policy relating to administration of medication ensures each person’s welfare and safety. EVIDENCE: There have been no changes since the last inspection in that no personal care is provided; members stay for one night and are independent with their bathing and dressing. If any individual requires prompting or reminding this is recorded within their care plan. The small staff team who work in the home have a good knowledge of each person’s support needs and any changes or concerns regarding members’ health would be noted and acted upon immediately. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 16 Due to the nature of the service, staff are not generally involved with member’s GPs, although they would provide support if needs be. However, in most situations, a person’s relative or carer could be asked to take that person to their GPs surgery if this was necessary during their stay. The organisation has clear Policies and Procedures relating to Medication Administration. Care records indicate which members have medication prescribed, although staff do not currently support any member with their medication. 64 Chilcompton Road DS0000008182.V365025.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each member is supported to communicate their views and they can be confident that they will be listened to and their views acted on if necessary. Clear policies and procedures are in place in order to protect individuals from the likelihood of abuse, neglect and self-harm. EVIDENCE: The home has a formal Complaints Policy, an Adult Protection Policy and a Whistle Blowing Policy, which staff can use in confidence to raise any issue or concern they have regarding the service. A version of the complaints procedure, in an accessible format, is given to members as part of their service user guide and is also prominently displayed in the home. The base house has not had any complaints since the last inspection. We have not had any concerns or complaints direct about the service. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 18 The members we spoke with said they would speak to staff if they are unhappy or wish to complain. One person described an issue within the home several years ago, which they felt they needed to raise at the SWALLOW Management Committee. They confirmed this issue was taken seriously, dealt with appropriately and there have been no other issues since. The members who responded by survey said they know who to speak to if they are unhappy, know how to complain and confirmed that they felt safe during their stays at the home. They feel that staff listen to them and act on what they say. Relatives who responded by survey said they know how to make a complaint. They have never had to do so, however they feel the home would respond appropriately if they were to raise any concerns about the care or support provided. Staff are subject to Enhanced Criminal Record Bureau disclosures (known as ‘CRBs’) and are provided with Protection of Vulnerable Adults and Children training by the Local Authority. The Registered Manager and her line manager have both completed ‘Investigators’ training. There is very little ‘challenging behaviour’ displayed by people who use the base house. If there any areas staff need to be aware of, such as members using inappropriate language, then this is described in their care plan together with how staff should respond. The home maintains records of accidents and incidents. It also notifies us of any significant event which occurs within the home. 64 Chilcompton Road DS0000008182.V365025.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house provides a homely, comfortable and safe environment for members during their stay. EVIDENCE: Chilcompton Rd is a Victorian terraced cottage in a residential area of Midsomer Norton. The accommodation is arranged over two floors. On the ground floor is a lounge diner, kitchen and bedroom which staff use when they sleep-in. There are three bedrooms on the first floor and one bathroom which each member shares. There is a small front garden and a large garden to the rear of the home. The house is in easy walking distance of the local shops and facilities. The house is not accessible to members who may require the use of a wheelchair internally due to the width of doorways and passageways. However 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 20 there is access to the house via a ramp to the back door and there are handrails for members who may have mobility problems. We did view all of the communal areas of the home during our visit, along with the bedrooms used by members during their stay. All areas of the home were clean and tidy and furnishings and fittings are of a good quality. The house is tastefully decorated and members are encouraged to bring in their own personal items, photographs and pictures during their stay if they wish to do so. The members spoken with said they help to keep the house clean and tidy during their stay. They look after their own possessions, make their bed, do their own laundry, cooking, washing up and putting away while they stay at the base house. Members who responded by survey said the house is ‘always’ fresh and clean. There are good arrangements in place for general repairs and maintenance. 64 Chilcompton Road DS0000008182.V365025.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each member is supported by a cohesive and effective staff team that is committed to providing a good service. The home’s recruitment policy promotes both members’ rights and their safety. The clarity of staff roles and responsibilities along with staff training and supervision helps to provide a consistent approach to the support of staff and individuals. EVIDENCE: A small, cohesive staff team supports the members who use the base house. Staff generally work alone, although additional staffing can be provided should a particular group of members require extra support. The roles and responsibilities within the team are very clear. There is ongoing communication between the base house and the organisations’ office base. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 22 We spoke with the Registered Manager and her Deputy during this inspection who explained the progress members continue to make and how the organisation continues to be led by its members. Staff members who responded by survey said they are ‘always’ given up to date information about the needs of the members they support, are provided with relevant training and remain well supported in their roles. One staff member said ‘our service provides a professional, high quality, safe, supported training house where individuals are treated with respect’. Another member of staff said they feel they are ‘working for a truly user led service which has been wonderfully fulfilling’. The members we met with spoke very highly of the staff who work at the base hose and the level of support they provide. One person said ‘the staff are wonderful’ and another said ‘the staff are friendly’. Members who responded by survey said they are ‘always’ treated well by staff. The relatives who responded by survey said they feel the staff have the right skills and experience to look after people properly. The home has a robust recruitment policy. The personnel files examined contained a photograph of each staff member, documents confirming their identity and eligibility to work in the UK, copies of application forms, contracts of employment, at least two satisfactory references and enhanced Criminal Record Bureau Disclosures. New staff have a thorough induction to the home. Staff who responded by survey said their induction covered everything they needed to know when they started ‘very well’. One staff member said their induction was ‘excellent’. The staff who work in the home meet regularly. They also attend meetings with all staff who work for the organisation. Staff members are provided with a variety of training opportunities. All staff must complete training in using hazardous substances in the home (known as ‘COSHH’), infection control, first aid, safe moving and handling techniques, hazard awareness, risk assessment, food hygiene, fire safety, equality and diversity and child and adult protection. Other courses offered to staff include mental health awareness, sexual health awareness, ‘Makaton’ sign language and support to gain a National Vocational Qualification (known as an ‘NVQ’). 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 23 The training records for the staff team show that not all of the staff have completed their training programme, although training dates have been planned through to October 2008. The records examined show that staff members are provided with regular, formal supervision meetings. A clear record of discussions is maintained and kept in each staff members personnel file. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 24 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, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and individuals benefit from the ethos, leadership and management approach of the home. The views of members are actively being sought in relation to reviewing, developing and improving the service. Each person’s rights and best interests are promoted by the home’s policies, procedures and record keeping. Each member is provided with competent and accountable management of the service and their health, safety and welfare is promoted and protected. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 25 EVIDENCE: The Registered Manager, Mrs.Craney, has worked for SWALLOW for ten years and managed this home for six years. She had previously worked for Social Services for a number of years, has a Preliminary Certificate in Social Care and NVQ Level 4. She continues to undertake periodic training to maintain her knowledge and update her skills and level of competence. The Deputy Manager assumes management responsibility for the base house on a day-to-day basis, and this approach appears to be working well. He has a number of years experience in this field and is a qualified Social Worker. The management approach is open and positive, with a clear sense of direction and leadership. The ethos of the service is to support each member to develop existing or learn new skills. It is hoped that the service also helps members develop in other ways, for example making new friends or by spending time away from their prime carers and families. A person centred approach is promoted within the home. Communication between the Manager and her Deputy is good, with both formal and informal meetings taking place. This ensures there is a good flow of information between the base house and the organisation. The views of the members remain central to the review and development of this service. There are a number of groups, which they can be involved in. The Management Committee is ‘user-led’, with elected members involved in the general running of SWALLOW. The ‘Discussion Group’ involves all stakeholders’ ideas for development of services and the ‘Interest Group’ discusses social activities. It is evident that SWALLOW remains strongly committed to this principle and they ensure each member can express their views and opinions. These are listened to, valued and acted upon. This is good practice. SWALLOW holds an annual evaluation day with members, staff and families. Both staff and members said that they contributed to this and they enjoyed being part of the organisation’s development. The organisation also uses a recognised Quality Assurance system, ‘Practical Quality Assurance System for Small Organisations’, known as ‘PQASSO’ (pronounced as “Picasso”). This is a quality assurance system designed for the voluntary sector. There are efficient management systems and structures in place to ensure the home runs effectively. The quality of record keeping in the home is good, with all records required during our visit easy to access and stored securely when not in use. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 26 The home has a number of policies and procedures, which are designed to ensure it complies with the law and remains aware of good practice guidelines. Full details of each policy were provided by the Manager as part of the AQAA she completed for us as part of this Key Inspection process. The registered provider’s representative makes regular visits to the home, and produces a comprehensive report of her findings. These no longer need to be sent to us each month, but were inspected during our visit. There are recording systems in place to support Health and Safety within the home, which are being used consistently. Fridge, freezer and hot water temperature checks are carried out. The home’s AQAA confirms that the safety of the home’s electrical circuits, gas appliances, heating system and portable electrical appliances have all been tested recently. We examined the fire log, which shows that tests on the alarm system are carried out each week and each member who stays at the home, and staff members, take part in a regular fire drills. There is a Fire Risk Assessment in place, which is reviewed each year. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 27 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 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 N/A 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 4 3 3 3 3 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 28 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. 1. Standard YA35 Regulation 18(1)(c) Requirement To ensure members who stay at the home continue to receive a safe, consistent and responsive service, each member of staff must complete their planned training schedule. Timescale for action 25/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA1 Good Practice Recommendations The home should update our details when the next review of the Statement of Purpose and Service Users Guide is carried out. This will ensure members have the correct details should they wish to contact us. 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 64 Chilcompton Road DS0000008182.V365025.R01.S.doc Version 5.2 Page 30 - 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. 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