Inspection on 04/06/07 for 8 Winton Street

This inspection was carried out on 4th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8 Winton Street 25/01/06

8 Winton Street 12/08/05

8 Winton Street 25/01/05

8 Winton Street 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Winton Street (8) 8 Winton Street Ryde Isle Of Wight PO33 2BX Lead Inspector Janet Ktomi Unannounced Inspection 4th June 2007 14.00 Winton Street (8) DS0000012557.V338690.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 Winton Street (8) DS0000012557.V338690.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. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winton Street (8) Address 8 Winton Street Ryde Isle Of Wight PO33 2BX 01983 566437 F/P 01983 566437 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) Islecare `97 Limited Mrs Amanda Minshull Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: 8 Winton Street is a residential home providing care and accommodation for up to 4 younger adults with Learning Disabilities. The home is a two storey, semi detached house in a residential area of Ryde, a short walking distance from local shops, the beach and leisure facilities. Also relatively convenient are Ryde town centre, the railway station and Ryde bus station. There are several steps with a handrail to the front door and ramped access to the rear garden. Parking is limited to the streets around the home. There is no lift so service users on the first floor must be fully ambulant. The home is managed by Mrs Amanda Minshull and the registered provider is Islecare 97 Ltd., part of Somerset Care. Fees are in line with social services rates with additional 1-1 payments dependant on assessed need and as agreed. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows the first key inspection of the service that included a site visit to the home undertaken by one inspector over a period of one day lasting five hours. The home was contacted by telephone on the morning of the inspection visit to arrange that the inspector would arrive at 2pm to enable the inspector and manager to complete part of the inspection prior to the people who live at the home returning from work at about 4.30pm. The inspector then spent time with the people who live at the home and staff on duty before leaving at 7pm. The report also contains information received prior to the site visit from the home in their Annual Quality Assurance Assessment. Service user and relative questionnaires were sent to the home prior to the inspectors visit and four questionnaires were returned from the people who live at the home. One comment card was also received from a care manager. People who live at the home stated they were happy living there, and appeared relaxed and well cared for. Care and other records and documentation identified in the report were viewed. What the service does well: What has improved since the last inspection? The home has met the two requirements made following the previous inspection visit in January 2006. A basic shelter has been provided at the back door for the one person who smokes to provide some protection from extreme weather. Also as needed medication would now be recorded appropriately when administered. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 6 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. Winton Street (8) DS0000012557.V338690.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 Winton Street (8) DS0000012557.V338690.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home would only admit new people whose needs could be met at the home and who were compatible with people already living there. EVIDENCE: The home has not admitted any new people for approaching two years. The home currently does not have any vacancies. The information and preadmission assessments for the most recent person to move into the home were seen during the inspector’s previous visit. The manager identified the procedure that she would undertake should a vacancy arise and she was in the position of admitting a new person. This would include a thorough assessment, information from professionals involved with the person, meeting the person and if the manager felt the home could meet the persons needs she would invite them to visit the home on a number of occasions. The opinions of the people already living at the home would be sought following the visits and a final decision would be based on their views. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 9 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 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Everyone living at the home has a care plan however the home has yet to use a person centred format for care plans. Current care plans do not always accurately reflect the needs/abilities of the people who live at the home. People are able to make decisions about their lives and participate in all aspects of life in the home. People are able to take risks however risk assessments need to be updated with care plans to reflect current abilities/needs. EVIDENCE: The inspector viewed three care plans selected from the four people who live at the home. Care plans viewed were not in a person centre format. The inspector discussed with the manager that some care plans did not accurately reflect the scope of people’s abilities such as helping with domestic activities. One care plan stated that the person should be encouraged to undertake routine household chores. No recordings for this section had been made for Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 10 approximately three months that would indicate that he had not done any household chores. The manager explained that it was now routine for him to undertake such activities and following the evening meal the inspector observed him organising himself to sweep the floor and help in the clearing of the kitchen. The care plan therefore did not reflect the current abilities and needs of the person and must be reviewed/rewritten. Care plans had been reviewed every six months however the necessary changes to ensure they were working documents did not appear to have been made. Likewise risk assessments had been reviewed but may not reflect the current abilities/needs of the people living at the home. Care plans are held in folders that also contained historic information, no longer relevant to the person, that should therefore be archived to enable the care plans to be fully working documents. The manager stated in the Annual Quality Assurance Assessment that a facilitator has spent time with each person over a period of weeks and made some initial steps towards individual person centred plans. However person centred plans have not yet been produced for anyone living at the home. The manager stated that the provider company has yet to confirm a format for person centred plans. Person centred plans have now been considered best practise for three years and the manager and provider must now ensure that these are provided with the people who live at the home. The manager confirmed in the Annual Quality Assurance Assessment that all staff have received training in person centred plans and approaches to care. Throughout the inspection visit the inspector observed people taking part in the day to day running of the home. People undertake a range of domestic tasks as part of their usual routine. The inspector observed people making their sandwiches for the next day, unprompted laying the table for the evening meal, clearing away after their meal and organising the table ready for breakfast. People confirmed that they are able to make themselves drinks and snacks such as toast whenever they wish and will make drinks for each other. The four people who live at the home have all done so for at least two years and clearly have their own routines and know what jobs need doing and do these. Discussions with people and the responses in the questionnaires they returned confirmed that they are able to make decisions and that these are respected and acted upon by the home. Everybody was due to go on holiday the week following the inspectors visit with three having chosen to go to Butlins and the fourth to Bournemouth. Discussions indicated that this had clearly been their choice. People also stated that they choose what they spend their personal money on and showed the inspector items they had purchased. The inspector viewed the arrangements in respect of personal finances and the procedures and records are appropriate and well maintained. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 11 Winton Street (8) DS0000012557.V338690.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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to live the lifestyle they choose. EVIDENCE: Everybody has an individual weekly programme of activities that includes a range of day services, college, work opportunities and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list of weekly planned activities was seen at the front of each care plan. Discussions with care staff and people confirmed that they enjoy these activities and had been involved in the development of their individual plans. During the unannounced visit by the inspector to their home people discussed with the inspector what they had done that day. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 13 Within their bedrooms people have a variety of home entertainment equipment such as TVs, videos, music systems and relaxation equipment. During the inspection visit people were noted to be able to spend their time as they wished. People stated that if they did not like what was on television in the lounge they would go to their bedroom to listen to music. The location of the home is close to the beach and town centre of Ryde with easy access to local bus and train services. People said they regularly attend local pubs and restaurants and staff support is provided if necessary. There is usually two staff on duty in the evenings and at weekends therefore support to attend community events is available. People said they are involved in assisting care staff with food shopping in the local shops and use local health facilities. Staff rotas confirmed that two staff are provided at evenings and weekends to facilitate leisure activities. People stated that they had enjoyed a walk to the beach the Sunday before the inspector visited the home. Everyone living at the home was going on holiday the week following the inspector’s visit to their home. Three were going to Butlins and the fourth to Bournemouth. Discussions indicated that this had clearly been their choice and all were looking forward to going. People are supported to celebrate life events. People spoke about previous birthday parties and plans for their birthday that was soon after they returned from holiday. People are able to invite friends to visit them at the home. Family members are also welcome at the home. The home’s routines tend to be organised around the people who live there and if they are not home when main meals are served these are plated and available when they return home. One person decided that he did not want the prepared evening meal when it was served preferring to have a shower first as he had been working hard all day. He was later observed adding condiments to his meal and warming up part of it in the microwave once he had had his shower and felt ready to eat. All the bedrooms have a lockable door that some service users choose to use. The home has a non-smoking policy, however one service user does smoke. The home now has a limited shelter for him outside the back door that will protect him from some of the worst extreme weather. The home does not employ separate catering staff so care staff take turns to cook each day. Staff help people to choose menus, and they are encouraged and supported to cook their own meals during home days. They take packed lunches to work, college or day services and have a main cooked meal in the evenings. Records showed that meals are varied and nutritious. People commented that they liked the food at the home and that they could ask for something different if they did not want what was available. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 14 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. People receive personal support in the way they prefer and their health needs are met although the home must ensure that everybody has and up to date Health Action Plan. Medication is appropriately managed in the home. EVIDENCE: The people who live at 8 Winton Street are largely independent in their personal care and require minimal support. Male and female staff are employed so choice would be available if support were required. One person has additional mobility needs and has a bedroom on the ground floor with walk in shower. Interactions observed during the inspectors visit to their home indicated that people felt relaxed with care staff such that they would discuss any health concerns they may have or request support if they needed this. All service users are registered with local GPs and support is provided from care staff to make and attend appointments. Care plans contained a record sheet that indicated that people are able to see chiropodists and doctors when Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 15 required. People stated that if they are ill then staff will arrange for them to see a doctor. The sheet containing a record of dental appointments indicated that these had not occurred for approximately eighteen months. The manager explained that the NHS clinic people had attended in Ryde had closed and that they had not been automatically transferred to alternative NHS provision. The manager stated that she has now managed to get people registered with two NHS practises in other parts of the island and will be organising appointments. Three of the four care plan files contained Health Action Plans the fourth did not. This was for the most resent person to be admitted to the home almost two years ago. The manager was unsure if one had been completed and sent to the community nurses for processing or if one had not been completed. This is especially important for this person whose parents are now older and information they have about his past medical history, family medical history and childhood illnesses, which may be relevant as he ages, may be lost if they are no longer able to provide it. The manager must ensure that everyone has a Health Action Plan. At the time of the unannounced inspection all medication was found to be stored appropriately. The medication administration records were viewed and had been fully completed. The home uses a pre-dispensed system for tablets with liquid medication dispensed at the time of administration. None of the people living at the home self medicate, therefore all medication is administered by care staff who have received external training and been deemed competent. The home keeps information leaflets about medication in use in the home and individual people have a list of current medication and information relating to the tablets such as potential side effects in the folder with the Medication Administration Records. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 16 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. People at the home are able to complain and protected from abuse. EVIDENCE: The provider Islecare ‘97 has a complaints policy which is made available to people or their representatives in the service users’ guide. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book and has received no complaints in the past twelve months. Staff spoken with were aware of what procedure they should follow should a service user or their representative make a complaint. People stated they would tell staff if they were unhappy about something at the home. People who live at the home are cognitively able to make a complaint and it is the inspector’s opinion that should they wish to do so service users are able to complain. The manager stated in the homes Annual Quality Assurance Assessment that the provider has now developed an audio version of the complaints procedure. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare ‘97 adult protection and whistle blowing policies. Staff spoken with during the inspection were all aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. The manager and staff confirmed that staff have received adult protection training. People living at the home told the inspector that their Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 17 bedrooms contained a secure lockable facility where valuables or money may be stored. The employment procedures followed by Islecare ‘97 should ensure that unsuitable people are not employed at the home and include POVA and enhanced CRB checks. The manager showed the inspector a list provided by Islecare ‘97 that confirmed that all staff employed at the home have received an enhanced CRB disclosure. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a comfortable homely house suitable for their individual and collective needs. EVIDENCE: A tour of the building, including two bedrooms (with their occupants), was undertaken during the inspection. The home is safe, generally well maintained and at the time of the unannounced inspection clean. The home meets service users’ needs in a homely and domestic way. Bedrooms are all single and spacious with communal areas, lounge and kitchen/diner appropriate for the people who live at the home. The home has a rear garden, which is mainly laid to lawn with seating. The home is situated close to local amenities and transport links and is maintained with the help of a handyman employed by Islecare ‘97. As previously stated, one of the four service users living at the home smokes. The home has a no smoking policy therefore he must smoke Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 19 outside in the back garden. A limited shelter has now been provided at the back door to provide some shelter from the extremes of winter weather. Everybody has their own single bedroom, one of which has en-suite shower facilities. Bedrooms seen were both pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedrooms. Since the previous inspection one seen had been redecorated. The communal space provided is domestic in nature and appropriate in size and furnished to meet peoples needs. There is a kitchen/dining room and lounge. The home does not have separate area for visitors to be received in private. The hallway was redecorated in the summer of 2006 and the main lounge had been redecorated shortly before the inspectors visit with people living at the home confirming that they had been involved in the choosing of wallpaper and colours for paintwork. The home has a reasonable sized level rear garden which people are able to enjoy during the summer months. Handrails and are provided at the rear door from which there are two shallow steps to the garden. On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. The people who live at the home and care staff undertake all domestic and laundry activities. The home has policies and procedures in place for the control of infection. The manager confirmed care staff have received initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves, aprons and paper towels were seen during the inspection. Laundry facilities are able to wash to high temperatures if required. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 20 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): 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. People are supported by a very consistent staff team who are provided in sufficient numbers to meet their individual and collective needs. EVIDENCE: People stated that they liked the care staff, that they were helpful and they could ask their help with any problems. Interactions observed during the inspectors visit indicated that people and staff have a warm friendly relationship with people feeling able to express themselves in all respects. There are five permanent care staff employed at the home. Staff rotas and discussions with staff confirmed there is one staff member on duty in the daytime with two staff available from about 4.00 p.m. throughout the evening and all day at weekends. One staff member sleeps in during the night with the manager available on call. Staffing rotas are designed to ensure staff are available at times when people are at home and where possible key workers are on duty for home days. Staff spoken with felt that the staffing levels and Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 21 arrangements were appropriate to meet the peoples needs and that activities relating to social and leisure were organised during the evenings and weekends. Staff are accompanying people on their holiday the week following the inspectors visit. All staff have worked at the home for several years. Both male and female staff are employed. People informed the inspector that they liked the staff and were able to name their key workers. The home has not needed to use agency staff as staff cover each others annual leave and occasional sickness. This was observed during the inspectors visit when one staff member arranged to cover a shift for another who would still be on her own holiday and unable to work her weekend shift. As stated all care staff have worked at the home for a number of years. The inspector has previously viewed all their recruitment information and discussed their recruitment procedures. The manager confirmed that in the event of new staff being required the home would use the Islecare ‘97 recruitment procedure. This should ensure that only suitable people are employed to work at the home. The manager showed the inspector a list provided by the Islecare ‘97 administrator confirming that everybody who works at the home has undertaken an enhanced CRB disclosure. The manager stated that four of the five care staff have at least an NVQ level 2 in care and have undertaken all mandatory training. The inspector has previously seen the NVQ certificates for these staff. The manager could not provide the certificates or evidence that staff have undertaken all the mandatory training updates. Care staff confirmed to the inspector that they have undertaken all update training. The manager stated that she will request a copy of the training register from the company office and forward this to the commission. A requirement is not made as the inspector believes that mandatory training has been undertaken however the home must ensure that it is able to demonstrate this, and should keep a record of the information supplied by the providers training manager at the home. The manager stated that in future training is planned to be geared more to each home and relevant to the specific needs of the people living at the home. The inspector viewed supervision records within staff files; this indicated that staff do not receive regular formal supervision at least six times per year. The manager confirmed that she sees staff most days but that although discussions occur these are not always recorded as supervision sessions and that she is aware she needs to improve this. As the manager identified this, a requirement is not made however supervision records will be viewed at the next inspection. All staff receive a copy of the Islecare ‘97 handbook that provides them with information about the grievance and disciplinary procedures. The company has procedures for dealing with physical aggression towards staff, however this is not an issue with existing service users. Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 22 Winton Street (8) DS0000012557.V338690.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, 41 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a well run home however the manager must ensure that records are fully maintained and that essential checks on services (gas) are undertaken every year, and fire detection equipment is checked weekly. EVIDENCE: Since the previous inspection a new manager has been registered for the home. The manager is also the registered manager for another small learning disability home owned by the same provider and located very close to 8 Winton Street. The manager stated that she is regularly at the home and interactions observed with the people whose home it is indicated that they know and like her. The manager is appropriately qualified with an NVQ level 4 Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 24 and Registered Managers Award. The manager stated that she now has access to a computer with Internet link at the other home she manages. The manager confirms that she has attended update and other training relevant to her role. Interactions between the manager and people who live at the home were warm and friendly. Within care plans were copies of a quality assurance questionnaire/survey that had been sent to the people who live at the home by the provider. However these had not been dated and neither the manager or people who had completed them had received any feedback from the provider as a result of the questionnaires. The provider has nominated a person to undertake Regulation 26 visits to the home. The home does undertake meetings for the people who live there. The provider and manager must ensure that information gained from quality assurance work such as the surveys people took the time to complete are used to assess the service provided and where appropriate influence change to improve the service. During the inspectors visit to the service a variety of records identified earlier in this report were viewed. All were stored appropriately and generally well maintained however the manager must ensure that care plans, risk assessments, health action plans and the records of the weekly fire detection systems are up to date and relevant to the people who live at the home. Records in respect of the weekly fire equipment were incomplete. The manager completed the section of the annual quality assurance assessment that asked about the checks on the services provided to the home. This stated that the homes gas and healing systems had not been checked since October 2005. These should be undertaken every year by the homes landlord and if the landlord does not undertake them the manager should have reminded/requested these essential safety and maintenance checks and if necessary organised for these to be carried out herself. The manager must ensure that the home has an urgent gas safety check and service of the homes gas appliances and that this is undertaken yearly. It was also noted that the weekly checks of the homes fire detection equipment had not been undertaken every week. Winton Street (8) DS0000012557.V338690.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 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X 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 2 3 X 3 X 2 X 2 1 X Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 26 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 YA6 Regulation 15 Requirement Timescale for action 01/09/07 2. YA9 13 (4) 3. 4. YA19 YA39 12 (1) 24 Care plans must reflect people’s current needs and abilities and should be provided in a person centred format. Risk assessments must be 01/09/07 reviewed and accurately reflect the current abilities and needs of people living at the home. People must be involved in their own risk assessments as part of the Person centred approach. Everyone must have a Health 01/09/07 Action Plan. The provider and manager must 01/09/07 ensure that information gained from quality assurance work such as the surveys people took the time to complete are used to assess the service provided and where appropriate influence change to improve the service. The manager must ensure that the home has an urgent gas safety check and service of the homes gas appliances and that this is undertaken yearly. The manager must ensure that the homes fire detection DS0000012557.V338690.R01.S.doc 5. YA42 23 (2)(c) 01/07/07 6. YA42 23 (4) 01/07/07 Winton Street (8) Version 5.2 Page 27 equipment is checked every week and recorded in the appropriate book. 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 Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Winton Street (8) DS0000012557.V338690.R01.S.doc Version 5.2 Page 29 - 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!