Inspection on 31/10/06 for 8 Chestnut Road

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 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

8 Chestnut Road 19/01/06

8 Chestnut Road 23/09/05

8 Chestnut Road 22/03/05

8 Chestnut Road 14/01/05

8 Chestnut Road 30/03/04

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 08/07/2008.

CARE HOME ADULTS 18-65 8 Chestnut Road Downend South Glos BS16 5UN Lead Inspector Grace Agu Key Unannounced Inspection 31st October 2006 09:15 8 Chestnut Road DS0000020300.V313765.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 8 Chestnut Road DS0000020300.V313765.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. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 8 Chestnut Road Address Downend South Glos BS16 5UN 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) 0117 9572687 0117 9709301 admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Miss Claire Maine Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 5 persons aged 18 - 35 years with Learning Disabilities May accommodate one named person aged 16 - 18 years with Learning Disabilities May accommodate one named person aged 18-35 years with Mental Health needs 19th January 2006 Date of last inspection Brief Description of the Service: 8 Chestnut Road is a care home operated by Aspects and Milestones Trust. The home previously provided nursing care for a mixed Service User group of up to five adults with learning disabilities. The home closed in it’s previous capacity on 31 March 2005 and reopened in July 2005 following refurbishment and redecoration and variation in the category of Service Users and type of service provided. The home is currently registered to provide personal care only for five people aged between 16 and 32 with learning disabilities. The home is set in a residential location in the middle of Downend, and is within close walking distance of local shops and amenities. The home is a converted bungalow, which has been extended and provides accommodation all on one floor. Bedroom accommodation is provided in five single rooms. Whilst there is no en-suite provision, all rooms have a wash hand basin. There is an open plan lounge and a dining room, which is fully utilised. Bathrooms and toilets have been fitted with adaptations to meet the care needs of service users within the home. There is appropriate provision of equipment to assist staff and clients. The home is set within its own grounds, and there is level access to the gardens. The home supports residents to use public transport, access day care and social activities. Car parking is available. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an unannounced inspection which took place over six hours and was undertaken to review the care practices to ensure that it is in line with the legislation and that best practice is being followed at the home. A review was undertaken of the requirements made at the last inspection to ensure that they have been met. It was disappointing to note that the requirement made in relation to ensuring that full details of the Commission for Social Care Inspection is included in the home’s complaints procedure had not been met. Residents looked well cared for and were noted interacting with staff in an informal and friendly manner. A tour of the building was undertaken; two residents, one staff member and two relatives were spoken with. A number of records were reviewed. What the service does well: The home is set in a residential location in the middle of Downend. People living at the Home are supported in an individualised way to live an independent life as practicably possible. Residents are supported to be the best that they can be. The home was aware of the complex needs of a new resident and ensured that comprehensive preassessment is undertaken before the resident moved in. Care plans are regularly reviewed and updated in line with their changing needs and residents are supported to take part in their chosen activities to minimise any risks that are taken. Residents are encouraged to have social links with the community and have access to recreational activities available. The home provides nutritious meals for the residents. It supports them to have their meal and ensures that those residents who are not able to feed themselves are fed in a sensitive and dignified manner. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 6 The facilities at the home are adequate for providing personal care and to maintain privacy and staff are appropriately supervised to ensure that all care needs are met. The home has policy and procedure for the Protection of Vulnerable Adults available to ensure that residents are protected from abuse. The home ensures that residents, families and or representatives and other health professionals are involved in the decision-making processes to ensure that individual needs are met holistically. Generally the Home was found clean and warm and residents were found relaxed and were seen being supported by staff to meet their individual needs. 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. 8 Chestnut Road DS0000020300.V313765.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 8 Chestnut Road DS0000020300.V313765.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): Quality in this outcome area is good 1,2,3,4,5 This judgement has been made using available evidence including a visit to this service. The home has a detailed and well-planned admission process to enable prospective residents to make an informed choice about moving into the home with the assurance that their needs would be met. EVIDENCE: The Home’s Statement of Purpose has recently been updated. The document contained information about the services provided at the Home to enable a prospective resident to make an informed choice about moving to the home The care files of newly admitted resident showed evidence of comprehensive assessment to ensure that the individual is compatible with other residents. The Senior Support Worker met on the day stated that the existing residents were involved in the process of admission of the new resident. Residents were consulted during residents meetings and on one occasion the new resident was invited to meet the existing resident in order to decide if the individual want to live there. The existing residents gave their consent before the new resident was admitted and the new resident visited the Home on three occasions to make a choice about whether to move into the Home. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 9 The care file of the new resident contained detailed care plans from Bristol Social Services. Other processes involved before the individual was admitted to the home included meeting different health professionals involved with the care of the individual whilst living in the previous setting, the home manager and the Senior Support Worker. There was also a meeting with the individual, Senior Support Worker and the Key worker from the previous home. At a discussion with the new resident, the individual stated “I like it here, I am getting on well with other residents”. Staff spoken with at the Home showed clear understanding of the needs of the new resident. Terms and conditions of stay was seen in the care file reviewed. 8 Chestnut Road DS0000020300.V313765.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): Quality in this outcome area is good. 6,7,8,9,10 This judgement has been made using available evidence including a visit to this service. Residents are supported with risk assessments to participate in the running of the Home with the assurance that information about them will be kept confidential. The Home provides individualised care plans to meet the assessed needs of the residents. EVIDENCE: Two care files were reviewed at this visit. The care files contained comprehensive and detailed information about each resident that had enabled the home to developed Person Centred Plan and Communication folder to include essential life plan for three individuals living at the home. Information was obtained from families, representatives, Care Management Care plan and the home’s own assessment based on the experiences of providing care for the individuals. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 11 Some information noted on the files included things the individual likes and dislikes, things they enjoy and how to communicate with the individual. Also noted in residents care file were guidelines for male staff working with a female resident, family contacts, personal safety, risk assessment. One resident spoken with stated “I know the staff they look after me well, I clean my room, I help clean around the house, they help me have a bath. I get up early if I am going to college. Only ladies help me no men” Information and guidelines on how to communicate with a particular individual and what certain behaviours meant and actions that staff should take was noted in one of the care files reviewed. One comment card from a health professional stated, “ Chestnut Road are responding to the communication needs of their residents very positively. Appropriate resources are used and are reviewed, to make information accessible at the appropriate level. The home fits the requirement of having inclusive communication, recognising that residents rely on various means of communication to understand and express themselves including non-verbal information and signing” Another comment card received stated, “ I have been very impressed with the level of commitment shown by the manager and all staff in a very person centred way and have dealt with any difficulties or challenges the individual has presented with useful and effective strategies.” One staff member spoken with showed clear understanding of the needs of the individuals living at the Home. The staff member stated that using their skills and knowledge, regular update of the residents’ care plans and observations including consistent approach to care, all staff are able to meet the needs of the residents. As stated in the previous inspection report, two individuals with complex needs continue to receive 30 hours and 10 hours per week from Community Services due to their high level of needs. The Senior Support Worker met one the day of inspection stated that the home has applied for more funding through Edinburgh Social Services to enable the home to provide a one to one service on the evenings and weekends for one of the individuals due to the increasing level of need. One resident was noted going out with their Day Services Carers on the day of inspection. Two relatives spoken with on the day of inspection stated “ We are satisfied with our relative’s care, the home always communicate with us to keep us informed of what is happening. The staff are exceptionally good” 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 12 All care files reviewed contained individual risk assessments and were regularly reviewed and when needs change. Residents are encouraged to participate in the running of the Home through residents’ meetings and one to one interactions and are enabled to make personal every day choices. Information about the residents are kept securely locked away and staff demonstrate knowledge in relation to keeping all residents’ information confidential. 8 Chestnut Road DS0000020300.V313765.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): Quality in this outcome area is good. 11, 12, 13, 14, 15, 16, 17 This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development and are supported to maintain links with the community, families and friends. Their individual rights are respected whilst providing healthy diets at chosen times EVIDENCE: Information seen on the care files showed that residents are assessed and supported to participate in activities in and out of 8 Chestnut Road depending on their abilities and motivations. On the day of inspection, one individual was noted going out with a Day Service Worker for a planned activity. Another individual was noted collecting money to go to the shops independently to purchase personal items and relatives brought another individual back home after spending the weekend with them. The resident states, “I enjoy visiting ‘mum and dad’ every time”. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 14 Another individual was noted collecting money to go to the shops independently to purchase personal items. Another individual attends college and had an individual learning programme including computer skills from the college. The care staff met on the day stated that the individual is very good at using the computer. The computer was noted in the dining area. The individual also studies Health and wellbeing and independent living skills course at the college. The home supports the individual to use the bus to go to college and would encourage the person to use the bus independently following a comprehensive risk assessment. One of the care files viewed evidenced that one individual attends day services Monday to Friday and has different activities in the evenings depending on the resident’s choice. Other activities provided for the residents include aromatherapy, visits to the leisure centre, cinema, and pubs, bowling. The inspector was shown an album of a recent activity undertaken by two resident with the support of a support worker. The activity was in relation to a conference that was organised by Youth Peoples Inclusion network (YP/IN) originally called Kitz. It involved travelling to London to meet with other YP/IN groups from across the country and participate in various activities. The groups will then give a feedback to the organisers on their experiences on what was helpful and what was not so helpful. One of the residents that participated stated that they enjoyed the outing. Evidence from the visitor’s book showed that residents are enabled and encouraged to maintain links with families and friend. Relatives brought an individual back home after spending the weekend with them. One comment card received before the inspection stated that “ I am a grandmother and I and my partner have my relative a lot on weekends and sometimes a couple of hours in the evenings. The staff always let her/him come, unless Chestnut Road has something on” The atmosphere was relaxed and positive with maximum interaction with staff and high degree of support from staff members. One resident spoken with stated that they are supported to choose what they want to eat. The Senior Support Worker stated that residents are supported to plan the menu on Thursdays. Every resident is supported to choose what they would like to have for dinner and supper and may change their mind to something else if they choose to. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 15 The menu viewed had nutritious meals and two residents were noted eating their lunch with a dignified and sensitive support from a well- experienced care staff. Residents spoken with said that they enjoyed their meal. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. 18, 19, 20, 21. This judgement has been made using available evidence including a visit to this service. Residents receive support for health and personal care including wishes in the event of death. Medicine administration practices are safe and offer protection to residents EVIDENCE: At this inspection, two care files were viewed. Information on the care files evidenced that residents are supported with their personal care. One resident spoken with stated that they are supported to have a wash, a bath, make their bed, and that they got up when they wanted. “I choose my own clothes and choose where I want to go”. Evidence seen in the care files reviewed showed that the level of support given to each resident is based on individual risk assessment. This is to enable the home to provide appropriate and consistent care to the residents There was evidence in one resident’s care file in relation to providing care in private and the wishes in terms of personal care by a male staff member. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 17 One staff member spoken with gave detailed information in relation of how they support a resident with complex needs. The staff member stated that staff have regular discussions to review the care plans and make changes when they occur. Two residents receive extra support from Community Services due to their complex needs. There was evidence that residents are supported to access National Health Service facilities locally including General Practitioner Surgeries (GP), dentist, opticians, chiropodist and other relevant service. One resident stated, “I go up to the surgery to see the doctor”. Medication administration was reviewed and was noted to be satisfactory. There was evidence of death and dying policy, however, there is no evidence that the issue had been discussed with the resident and or their families due to its sensitive nature. The manager stated at the last inspection that residents’ wishes in the event of death will be discussed with the residents and their families and decision made when the occasion arises. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is Adequate. 22, 23. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and harm through robust policies; however, the Home fails to provide detailed information for residents to complain. EVIDENCE: Staff are aware of the Home’s policies and procedures in relation to reporting incidents of abuse and have received training on Protection of Vulnerable Adults from Abuse (POVA). There is also a copy of the South Gloucestershire Council policy on POVA at the home to ensure awareness of the protocol to be followed if incidences of abuse occur. At the last inspection, a requirement was made to ensure that the complaint procedure noted in the residents’ files had complete information on how to contact the Commission for Social Care Inspection if a person was unhappy with the outcome of their complaint to the organisation. It was disappointing to note that this requirement was not met. The requirement remains. The home is reminded that failure to meet a requirement may lead to enforcement action. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 19 Two complaint recorded in the complaint book were noted to be satisfactorily resolved. The Senior Support Worker met on the day of inspection stated that the Home enables the residents to complain through three monthly reviews and residents questionnaires. The complaint procedure is also explained to the residents on a one to one basis, during resident and staff meetings. The home is in regular contact with relatives and ensures that issues are quickly resolved whenever they arise. Two relatives spoken with on the day of inspection stated, “We have no need to complain. We are satisfied with the care given to our relative” Evidence from staff records showed that satisfactory references and Criminal Records Bureau disclosures were obtained for all staff working at the Home. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good 24, 27,30. This judgement has been made using available evidence including a visit to this service. The Home provides residents with a warm, clean and comfortable environment where they feel safe to live in. EVIDENCE: As stated earlier in this report, 8 Chestnut Road is set in a residential location in the middle of Downend. The Home is a converted bungalow, which has been extended. The premises was noted to be homely, warm, clean and tidy. The Home was pleasantly furnished and in good decorative order. The Manager stated at the last inspection that the home had requested an alternative flooring in the hallway to provide a cleaner and more comfortable environment for the residents. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 21 It was pleasing to note that this has been implemented. The Senior Support Worker met on duty stated that a cleaner is to be employed to provide four hours deep cleaning of the home weekly every Thursday. Evidence from discussion with staff showed that staff are aware of each resident’s individual needs in relation to accessing different parts of the Home. This has been supported with a generic risk assessment to ensure safety of the individuals living at the home. A requirement was made at the last inspection for the bathroom hoist that had flaking paint at the base of the hoist to be replaced or repaired. Whilst touring the building, it was noted that this had been repaired, providing adequate safety for the residents. The kitchen and laundry were noted to be clean. Staff demonstrated knowledge of infection control. Control of substances hazardous to health poster and guidelines were noted pasted in the laundry to help staff recognise and act quickly in the event of emergency. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good 31, 32, 33, 34, 35, 36. This judgement has been made using available evidence including a visit to this service. Residents enjoy good warm relationships with skilled and competent staff and are protected by the Home through staff supervision. EVIDENCE: On the day of inspection there were two staff members on duty to support three residents. It was evident from the staff/residents interactions that there is a good relationship between the residents and staff within the home. Two staff members spoken with stated that there is a good team spirit amongst staff and that this has resulted in the high quality care provided to the residents at the home. Staff training records viewed showed that staff have attended various training including Communication Team Day on 25/9/06 facilitated by speech and language therapist. The manager and the Senior Support Worker have been booked to attend first Aid training update on 30/01/07. Six staff members have been booked to attend Autism course in December 06, all staff have been 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 23 booked to attend Sign Along training on 6/11/06 to enable them to communicate more effectively with two residents with communication difficulties. All staff have been booked to attend training on mental health issues to equip them with knowledge of how to effectively care for the resident with mental heath needs. Other training planned includes epilepsy update on 7/12/06. Training update on manual handling and food hygiene was noted in the file reviewed. One staff member met on the day stated that she has attended fire and manual handling training update, has achieved National Vocational Qualification (NVQ) level 3 and currently working towards Registered Managers Award (RMA). The home has a recruitment policy to ensure that suitably qualified staff are recruited at the home. Staff records seen contained the required information to include two satisfactory references, proof of identity and Criminal Record Bureau (CRB) disclosures. There is a current vacancy at the home following resignation of one staff member. The Senior Support Worker stated that the job had been advertised and some people have been short listed and will be interviewed soon with the residents taking the lead to ensure full participation in the recruitment process. The Senior Support Worker stated that the residents are supported to put their concerns into interview questions and will be empowered to lead the interview of the new recruit while staff step back and take notes to see how the new person relates/communicates with the residents. There was evidence of staff supervision in the staff records viewed. Three staff records showed that one staff had supervision on 24/7/06,15/08/06 and 15/08/06 and another staff member received supervision on 15/08/06 28/09/06 and 28/10/06 to ensure that they are aware of their roles and responsibilities in relation to meeting the residents’ needs. Residents spoken with stated that staff look after them well and support them to make choices in their daily routines. One of the comment cards stated, “ I am very happy the service my client receives from Chestnut Road. The move from foster care to semi – independence was made far less traumatic than it may have been by the genuine caring relationship staff have with my client”. Another comment card states “ I consider my relative lucky to live at Chestnut Road, congratulations should be extended to all staff”. “Chestnut Road is 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 24 overall excellent. The care, attention and assistance that all staff give to my relative is wonderful”. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 25 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): Quality in this outcome area is good 37, 38, 39, 40, 41, 42 43 This judgement has been made using available evidence including a visit to this service. The Manager is supported well by the Registered Provider to provide clear leadership throughout the home. All staff demonstrate clear awareness of their roles and responsibilities in relation to protection of the health and safety of residents. EVIDENCE: A well-qualified and competent manager manages 8 Chestnut Road. Claire Maine is a registered nurse has attended many training courses to enable her to provide quality care for all the residents. These courses include National Vocational Qualification (NVQ) level 4 in care management and is currently studying some modules in mental health and Person Centred Planning to enable her gain a degree in learning disabilities 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 26 The Senior Support Worker stated that she is supported and supervised on a one to one basis by the home manager and that she finds her very supportive and approachable. Staff and residents spoken with commented positively on the Manager’s ability to manage the Home. One staff member spoken with stated that the manager is approachable and you can feel relaxed around her. One resident stated, “Claire is good!” Another staff member stated, “we work well as a team, our Manager is very good”. The home’s quality assurance system was reviewed. During a discussion the Senior Support Worker stated that the Home was recently conducted relatives questionnaires and the questionnaire for the health professionals will be sent out shortly. Other ways used to monitor the quality of service includes resident activities plan audit, checking resident personal allowance twice a day, residents care plan reviews and monthly visits by the organisation. There are regular staff and residents meetings to ensure that the needs are adequately met. The most recent resident meeting was on 15/08/06. Issues discussed includes, new staff recruitment. Residents were given the opportunity and were supported to develop questions in relation to what is important to individual resident about the new person to be recruited. For example one residents concern was “can you sleep in” another residents concern was “ can you do medication” In relation to staff meeting held on 19/10/06 individual residents need update and residents’ medication were discussed. The fire logbook is well maintained as well as the maintenance book. Evidence showed that fire alarms system is checked weekly, smoke detectors monthly, fire -fighting equipment is checked monthly and electrical inspection certificate was dated 28/7/06 There is evidence that staff have attended fire lectures and regular fire drills. There is a service record for the hoist, fire alarm systems and portable appliance (PAT) of all electrical appliances. Accidents are recorded individually, followed up and reviewed. All residents’ information is securely locked away and monies checked tallied with the balance in the book. Policies and procedures noted at the home include Adult Protection, Accidents to Residents and staff, missing persons, concerns and complaints and fire safety, equal opportunity and confidentiality. These were recently updated. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 27 The home is financially viable; Current liability insurance was noted displayed at the entrance of the home. 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 28 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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 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 3 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 3 3 3 3 3 3 3 3 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 29 NO Are there any outstanding requirements from the last inspection? 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 YA22 Regulation 22(6) Requirement Include full details of the Commission for Social care Inspection in the Complaints procedure. THIS REQUIREMENT IS REPEATED Timescale for action 30/11/06 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 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 8 Chestnut Road DS0000020300.V313765.R01.S.doc Version 5.2 Page 31 - 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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