Inspection on 06/01/09 for Abberleigh Grove

This inspection was carried out on 6th January 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abberleigh Grove 20/02/07

Abberleigh Grove 13/03/06

Abberleigh Grove 16/03/05

Abberleigh Grove 16/12/04

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Abberleigh Grove 6 Queens Road Weston Super Mare North Somerset BS23 2TA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paula Cordell     Date: 0 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Abberleigh Grove 6 Queens Road Weston Super Mare North Somerset BS23 2TA 01934625582 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dr Joseph Conlon,Mrs Jacquetta Miner care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Age of persons who may be received in the home - 18 - 64 years and 65 years and over May accommodate up to 11 persons aged 18 years and over Date of last inspection Brief description of the care home Abberleigh Grove is a large Victorian house providing residential care for younger adults with learning disabilities. The home is set in a quiet residential area on a hill above the town and seafront. It has a large garden with a pre-fabricated craft workshop. Its sister home, Abberleigh House, is in the next road and individuals from the two homes share many social events together. Most staff work in both homes as well as in the supported living service run by the owner. The home aims to support individuals to develop their independent living skills in a family environment with a view to moving on to more independent living if appropriate. Staff support individuals to access community facilities and pursue their social, vocational and leisure interests. The home has one respite care bed. Fees vary depending on the needs of the individual but the basic rate is 450 pounds per week. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 11 11 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced visit as part of a key inspection. The purpose of the visit was to review the progress to the requirements and recommendations from the visit in February 2007. In addition to monitoring the quality of the care for the people living at Abberleigh Grove. There have been no complaints received in respect of the service provided at Abberleigh Grove. The visit was conducted over six hours. An opportunity was taking to speak with a number of people living in the home and the staff on duty. The providers made themselves available during the visit. In addition a number of records were looked at in Care Homes for Adults (18-65 years) Page 6 of 31 respect of running the care home. These included personal care files, staff documentation, finances, health and safety records and a tour of the home in respect of the safety. The visit was planned using information that has been received between this and the last visit. This included the annual quality assurance assessment and surveys from people who use the service (4). What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 Care Homes for Adults (18-65 years) Page 8 of 31 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals have information about the home prior to moving in this could be improved by including information about the respite care service provided by Abberleigh Grove. Individuals can be confident that their assessed needs can be met by the home. Evidence: The home has a statement of purpose and a service user guide, which has recently been amended. However this did not include information about the home providing a respite service to individuals living in the community. Presently the home has one respite bed and the home works closely with North Somerset Council in allocating the service to individuals in the community. From conversations it was evident that many of the individuals have been using this service for a number of years and are known to both the staff and the people living in the home. From conversations with the provider and the deputy manager it was evident that individuals are fully assessed prior to moving to the home. Many of the individuals that come to live at Abberleigh Grove have used the respite service. Care files seen Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: included copies of the placing authorities assessment and care plan. It was evident that these were reviewed by the placing authority annually and amended. From conversations with the provider and the deputy manager it was evident the views of the individuals living in the home are sought in respect of new people moving to the home with the intention that the harmonious balance is not disrupted. The statement of purpose clearly describes who the home can support. Contracts were not inspected on this occasion. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals can be confident that their assessed care needs are being met, however this could be better documented with clearer measurable goals. Individuals are encouraged to take risks with safe measures in place to protect them. Evidence: Three care files were looked at during the course of the visit to determine outcomes for individuals living in the home. This included talking with staff and individuals living in the home. Each person had a profile detailing their support needs, including their likes and dislikes. However, it was noted that some of these did not fully capture the changing needs of individuals for example assistance with personal care, relationship issues, behaviour traits and how staff should effectively support them. This was true of risk assessments which identified the risk but failed to detail the actions that staff were taking to minimise the risk for example one persons risk assessment detailed the Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: behaviour but not the triggers or the support required. Whilst these shortfalls are not posing a risk to individuals there is potential that staff especially new staff are not consistent in their approach to individuals. Staff spoken with were knowledgeable about the needs of the people living in the home and the support that is given. However the documentation in place does not fully capture this. Copies of the placing authorities care plan and assessment were seen in each file. The home completes an annual review with the placing authority, relatives and the individual. One individual commented that they were doing well and enjoyed attending their meeting. In addition to the annual review the home completes a six monthly review which includes setting goals. Concerns are raised in that the goals are not broken down into measurable steps with clear guidance for the staff and the individual to follow. For example one persons goal was weight management but there was no guidance for staff and one person was anxious about attending the dentist but it did not detail how the home was supporting them with this. Whilst this was not clearly recorded staff were aware of both areas of need and detailed the support that was in place. It may be beneficial to review the present system of recording care to ensure that it is in line with current best practice for supporting individuals with a learning disability for example Essential Lifestyle Planning, PATH or MAP. From talking with individuals living in the home it was evident that they liked living in the home. One person said they were happy living here but sometimes people did not get on. The individual stated that this was part of living with others. From conversations with the provider, the deputy manager and staff it was evident that individuals are treated in a respectful manner and are encouraged to be active members of the household. Individuals spoken with stated that they liked the staff that supported them. From talking with the deputy manager it was evident that the daily routine of the home is planned around the people living in the home. House meetings happen every three months and individuals are consulted on menu planning and activities. From talking with the deputy manager all the individuals sit in the large kitchen for their meals and it is evident that this is a social occasion with individuals chatting about what they have done during the day. Care Homes for Adults (18-65 years) Page 14 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are encouraged to lead active lifestyles based on choice and maintain contact with friends and relatives. Individuals rights are promoted with a good level of involvement. A healthy and balanced diet is offered to individuals living in the home. Evidence: From reading care records and the daily diary it was evident that individuals are supported to lead active lifestyles both in the home and the community. Each person has a structured timetable of activities the majority of the individuals attend a day care five days a week. Activities include work experience, college and accessing the community. One of the individuals prefers to spend time at home engaged with staff it is evident Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: that they are supported with meaningful occupation. In addition to the daily activities some of the individuals go to clubs and complete activities organised in the evenings and at weekends. Individuals were looking forward to going to a pantomime and this was a focus to much of the conversations. The home has an activity night on Wednesday and all the individuals are involved in designing the programme. Activities include arts and crafts, games nights, bingo, theme nights and going to the pub. Individuals have been supported to go on holiday either with staff from the home or families. One person said they would like to go to Disneyland and another said they wanted to go to Butlins. The deputy manager was vague on how individuals were supported to go on holiday and said that the provider would need to be consulted. Individuals are actively encouraged to maintain links with relatives and friends. Relatives are encouraged to visit the home. The home maintains a record of significant dates which includes sending cards on birthdays. Some of the individuals go to relatives for holidays or for the weekend. A record of visitors is maintained. One person is involved in North Somerset People first and another is on the student council at the day centre. Individuals are encouraged to participate in the daily running of the home including household chores. Individuals confirmed that they were actively involved in cleaning their bedrooms and assisted with cooking and the washing up. It was evident that they were happy to help and felt valued. Menu planning is completed with the individuals on a weekly basis. Individuals spoken with said that they enjoyed the food. One person was observed assisting with the food preparation. From talking with the deputy manager and the people living in the home it was evident that much of the food is freshly prepared. Individuals were seen helping themselves to tea and coffee. A large fruit bowl was available for individuals to help themselves. Care Homes for Adults (18-65 years) Page 16 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals health and personal care needs are being met. Individuals are protected by the homes medication procedures and policies. Evidence: Individuals are evidently supported with their personal care as evidenced in their daily diaries. Information is available in the individuals profile on how they like to be supported. From conversations with staff it was evident that people are supported to be as independent as possible. The routine of the home is dictated by the individuals and times for getting up and going to bed are evidently led by the individuals. Each person had their own distinctive style both in dress and personality. The home has responded to a requirement to ensure that each person has a health action plan detailing the support they need to remain healthy. This includes information about appointments attended. Information was clear and evidenced that individuals have access to a range of health professionals including a GP, dentist, Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: opticians and health professionals who support people with a learning disability. The home maintains a record of accidents and incidents, it was evident that the home was taking appropriate action in the event of emergencies occurring. Staff records seen confirmed that they had attended training in first aid and manual handling. The home has a policy on safe administration of medication as seen at the last visit to the home. This includes a homely remedy policy and protocol for each person. The home uses a monitored dosage system which is supplied by a local pharmacist. Records were maintained of all medication entering the home and of disposal. Medication administration records sampled were in good order including the signatures of staff. Staff have received medication training from an external company who supply the medication. One member of staff said that they had received this training as part of their induction and the deputy manager had spent time going through the procedures and policies. Care Homes for Adults (18-65 years) Page 18 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals can be confident that their concerns would be listened too and acted upon. Individuals can be assured that their rights and wellbeing are being protected. Individuals have responsibility for their own finances which is good practice however auditing of this could be improved and clearer direction given to staff in their responsibilities. Evidence: The home has a complaints procedure. Completed surveys from individuals living in the home confirmed that they were aware of the procedure. One person said that they would speak with staff on duty if they were unhappy whilst another said the manager. The Commission for Social Care Inspection has not received any complaints. The deputy manager said that there have been no complaints received. Complaints are recorded in a section of the care file. The deputy manager said that there is no central record for complaints. A record must be maintained of the nature of the complaint, the actions and the outcome. The deputy manager has agreed to rectify this. From talking with the provider, the deputy and staff it was evident that they were aware and promoted good values in relation to supporting individuals with a learning disability including their rights, making decisions and having control over their day to day lives. Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: Policies and procedures relating to safeguarding were in place as noted at the last visit. Staff receive training from the provider who has attended a train the trainer course specifically on abuse with North Somerset Council. Staff were aware of the policy and the importance of reporting poor practices and concerns to the senior management team. It was evident from talking with the providers that there is commitment to ensuring that staff are confident and competent in their roles in relation to protection. Staff receive training on supporting individuals that may at times be challenging. As mentioned staff are knowledgeable on the support needs of individuals but this could be better recorded. An opportunity was taken to review how the home safeguards individual finances. From talking with the deputy manager and the providers it is evident that individuals are encouraged to take responsibility for their own money from going to the bank to keeping all money in their rooms. There was no risk assessment or care plan relating to the support people need in respect of their finances. It was not clear how the providers were checking that finances of individuals were being protected for example a monthly audit of receipts against the bank statements. Further safeguards could be put in place for example a record of all money withdrawn from the bank which is signed by the member of staff and the individual. The home must ensure that the person has capacity to sign. The financial policy was reviewed whilst this clearly stated individuals should have as much control as possible it did not guide staff on their role or the expectations of the provider in protecting the finances of the individuals in the home or where a person does not have the capacity to look after their money. Care Homes for Adults (18-65 years) Page 20 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Abberleigh House provides a suitable, homely and comfortable environment for the people living there. Evidence: Abberleigh Grove is in a residential area in keeping with the local neighbourhood. The home is within walking distance to the town centre and close to local amenities. Abberleigh Grove is decorated and furnished to a good standard. Communal areas are spacious, there are two large lounges on the ground floor which are well equipped with a Television and a DVD, a pool table and a variety of board games. There is a prefabricated building in the garden which is used as an arts and craft room. All bedrooms are single and personalised to reflect the taste of the individual. The home has one bedroom which is used by individuals who require respite. This was comfortably furnished. In addition there is a self contained flat which is presently being used by an individual with supported living funding. There are sufficient bathing facilities situated throughout the home including toilets. It was noted that there was no lock on the bathroom and where previously it was noted Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: that only individuals use this facility with staff support this has changed as discussed during this visit. A suitable locking device which can be opened in an emergency must be installed. All individuals have been asked whether they would like a key to their bedroom with many declining. It was noted that many of the rooms have no lockable device. Consideration could be taken to install locks so that if a person changes their mind about having a key this can quickly remedied. Individuals spoken with on a previous visit stated that they preferred not to lock their bedroom door. Individuals have lockable storage in their bedrooms and a safe place to keep their money and valuables. Individuals were observed making full use of their home, including all communal areas and their private space in their bedrooms. All areas of the home were clean and well maintained. The home employs a maintenance person to complete minor repairs and decoration. A record is maintained of repairs and it was evident that these were responded to promptly. The deputy manager stated that there is a programme of decoration in place which will include decorating bathrooms and the hallways. The home has a separate laundry facility which is meeting the needs of the home. Care Homes for Adults (18-65 years) Page 22 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient and competent staff support the individuals living at Abberleigh Grove. Evidence: Abberleigh Grove is staffed 24 hours a day with two staff during the day and evening and one member of staff providing sleep in cover at night. This was confirmed in the duty rotas seen and in conversations with staff and the deputy manager. It was advised at the last visit for the home to review the staffing levels to enable individuals to have opportunities to go out in the community. From conversations with staff, the deputy manager and from reviewing the homes duty rota it was evident that at least twice a week additional staff are employed to enable individuals to go out. This is good practice. There is an expectation that staff will work in Abberleigh Grove, Abberleigh House and Abberleigh Care. Abberleigh Care is an agency supporting individuals in the community. Twenty staff in total work for the company. A member of staff viewed this as positive in that their role was varied. Whilst another said that it makes it difficult to ensure that staff work in a consistent way with each person and for the staff to belong to a small team. This has its pros and cons but the provider believes that this is Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: beneficial to the company and the people they support. Due to the above the deputy manager said it is difficult to organise team meetings specifically on issues relating to Abberleigh Grove. However, it is evident that the provider organises these on a regularly basis and the meetings include an element of training. Two staff files were seen in respect of staff recruitment. All information was contained in a file in a logical sequence and in accordance with the legislation. Staff personnel files are held in the home of the provider for security reasons. Evidence of staff training was held in the home including induction. A member of staff stated that they have been really impressed with their induction which was completed over a three month period. Clear records were maintained in respect of what was covered. It was evident that new staff are shadowed by more experienced staff until the carer has been assessed as competent. Presently the home does not complete the Learning Disability Qualification in respect of induction as recommended in the National Minimum Standards. The provider should explore this to ensure that the home is keeping up with current good practice. Training records provided evidence that staff have recently attended food hygiene, manual handling and first aid. The provider stated that there is a rolling programme of training to ensure staff are up to date. In addition to the statutory training staff have attended training in supporting individuals that challenge, relationships, abuse awareness, specific training around supporting individuals based on their needs and epilepsy to name a few. The home has responded to a recommendation to ensure that training records are kept up to date and reflect the level of training that is offered. From talking with the provider it was evident that fifteen out of the twenty staff have an National Vocational Qualification in care. It is evident that the providers are committed to meeting the governments target of 50 of the workforce having an NVQ in care. In addition senior managers have either completed the Registered Managers Award or are in the process. The deputy manager who has day to day responsibility for the management of the home has completed the Registered Managers Award. A member of staff confirmed that once they have completed their induction they would be completing their NVQ in care. Staff supervision is completed by the senior management team which consists of the deputy managers in both Abberleigh House, Abberleigh Grove and Abberleigh Care and the providers. Records were seen confirming this. A member of staff stated that she felt supported both by the provider and the deputy manager. Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: Care Homes for Adults (18-65 years) Page 25 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Abberleigh House is a well managed home that puts the interests of the people receiving a service first. Individuals benefit from a safe place to live. Evidence: Abberleigh House is privately owned. The providers have a dual role in managing the homes. From conversations it was evident that they visit the home on a regular basis. Ms Jacquetta Miner is the registered manager she holds a qualification in eduction, a certificate in management studies and is a National Vocational Qualification Assessor. The day to day management is cascaded down to a deputy manager. The deputy manager has worked for the company for six years and has worked in the home for six months. From conversations it was evident that they were plans to review the recording of care to ensure that it gave clear measurable guidance to individuals and staff. The deputy manager has recently completed the Registered Managers Award. Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: Staff described a relaxed working atmosphere with good support mechanisms in place. It is evident that staff and the individuals in the home have a good rapport with each other and the owners of the home. Staff are encouraged to contribute their ideas and question practice. Senior staff regularly spend time discussing principles of care with the staff group. It is evident that the senior management team are regularly reviewing the quality of the care provision. The home has a policy on quality assurance. However it is not clear how the views of individuals receiving a service, their relatives and significant stake holders views are sought on a more formal level in relation to the quality of the care provided. The home completed the annual quality assurance assessment as required prior to this visit a reminder letter was sent. The information in the assessment was minimal and stated in the main that they were continuing with the provision with no areas noted for improvement except to ensure individuals are aware of the complaint procedure and to ensure activities and choice is promoted. It is strongly recommended this assessment is completed with more information as this will provide evidence on how well the service is supporting the people in the home. The home has a good rolling programme of maintenance and clear records are maintained. The home has a current gas and electrical testing certificate. Appliances are checked annually. This was confirmed in conversations with the maintenance person and the deputy manager. Whilst the appliances have a sticker determining the date of when they were checked there was no record in the office. This should be rectified. A fire log book is maintained which details the checks on the equipment and staff participation in training and fire drills. The home could better evidence fire training to ensure that all staff attend training every six months for day staff and three monthly for night staff. However this had recently been undertaken by all staff working in the home. Care Homes for Adults (18-65 years) Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 To include in the statement of purpose information about the respite care service. Ensuring a transparent service is provided. 07/03/2009 2 6 12 Where a person exhibits challenging behaviour that a care plan is drawn up detailing the triggers, the behaviour and how staff should support them. To ensure a consistent and transparent service is provided. 03/03/2009 3 6 12 To ensure that individuals 07/03/2009 care needs are clearly recorded demonstrating how the home is supporting individuals. So that care can be evaluated effectively. Care Homes for Adults (18-65 years) Page 29 of 31 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Review the care planning tool in the home to ensure based on current good practice guidelines for supporting individuals with a learning disability. To risk assess individuals in respect of their finances and clearly document their support needs. Review the financial policy to include the role of staff and the safeguards that are put in place in respect of safeguarding the money belonging to the individuals. To implement an audit tool in respect of money belonging to the people living in the home. For the providers to devise a questionnaire for individuals using the service, relatives and other stakeholders in seeking their views on the quality of the care provided. 2 3 23 23 4 5 23 39 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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