Inspection on 19/02/08 for Acorn

This inspection was carried out on 19th February 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Acorn 20/02/07

Acorn 02/02/06

Acorn 01/08/05

Acorn 31/01/05

Acorn 02/09/04

Acorn 01/03/04

Acorn 07/11/03

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 Acorn 20 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH Lead Inspector Julie Willis Unannounced Inspection 19 February 2008 10:30 th Acorn DS0000011169.V359121.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 Acorn DS0000011169.V359121.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. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Acorn Address 20 Huckleberry Close Purley on Thames Reading Berkshire RG8 8EH 0118 9439462 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) Purley Park Trust Limited Mrs Kim Marie Facer Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2007 Brief Description of the Service: Acorn House is one of the three original outlying houses within the Purley Park Trust, and is now one of eight separate small units within the estate. The unit accommodates up to five adults of either gender, with a learning disability, in a pleasant building providing each service user with their own individualised bedroom. Communal accommodation consists of a shared lounge/kitchen/dining area, with comfortable furnishings, bathroom and toilet. The service users in this unit are relatively able and independent and work together with staff on various aspects of the day-to-day running of the unit. The fees for this home range from £625 to £1148 per week. There are additional charges made for toiletries, holidays, chiropodist, newspapers/magazines, some recreational activities and public transport. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspection took place on Tuesday 19th February 2008 between 10:30 am and 3.30 pm. and covered all the standards for adults. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents. Any replies were used to help form judgements about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met all of the residents. The inspector also spent time talking to staff and observing how care was being delivered to the residents. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. This service is good at meeting the needs of residents with a range of diverse and complex needs. The inspector gave feedback about her findings to a support worker at the end of inspection. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection. What the service does well: This is a well-run happy home where residents are given good quality care by a cheerful team of workers. The whole of the staff team work well together and are highly skilled and experienced. They know the needs of residents well and are liked and trusted. The Manager takes time to listen to resident’s opinions and is quick to respond to any requests or suggestions made. It is clear that residents lead fulfilling lives and can make choices about what they do each day. Residents have a say in how the home is run and what happens at the home each day. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 6 Residents say that they like living at the home, which is comfortable and clean. They have their own rooms which are decorated and furnished to their own tastes and liking. The staff that work at this home are very good at encouraging residents to learn new things that help to make them independent. The staff encourage residents to make choices about their lives. The activity programme is varied and interesting and includes trips out to local places of interest. Residents say that there is plenty to do and enjoy taking part. Residents attend various clubs where they can meet new people and make new friends. The staff work well together and most of the staff at this home have worked there for a long time and know the needs of residents well. They work with other professional people to improve the quality of life for the residents and to enable residents to be make choices about how they live their lives. Written records are good and help staff to know what care residents need. What has improved since the last inspection? What they could do better: There were no new legal requirements arising from this inspection. Please contact the provider for advice of actions taken in response to this Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 2, 4, 5 Quality in this outcome area is excellent. Prospective residents are fully assessed prior to their admission to ensure their needs will be met effectively by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From examination of the Homes Statement of Purpose and Service User Guide it is evident that both documents are up-to-date, clear and concise. The service user guide has been produced in a user-friendly pictorial format and provides residents with an overview of services on offer. The home has a comprehensive admissions policy in place which details the holistic assessment that will take place prior to admission. From examination it is clear that the policy emphasises the need to fully involve the person to be admitted, their family, advocate and a multi-disciplinary team of professionals. From discussions with senior staff and management it is clear that significant time is spent planning the admission. The prospective resident is central to the process and the home endeavours to put both the family and resident at ease by fully involving them in the admission process from the outset. From examination of documentation it is evident that all new residents receive a comprehensive needs assessment before admission, which is carried out with Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 10 skill and sensitivity by experienced and qualified staff. The home is efficient at obtaining a copy of the care management assessment and insists on receiving a copy of the care management care plan before the individual is admitted. Information gathered forms the basis of an initial care plan. The involvement of the resident is central to the process and a range of methods is employed to gain the views of the prospective resident. This may involve the use of advocates. Information is gathered from a number of sources including the resident themselves; family members and a range of health and social care professionals. The assessment focuses on achieving positive outcomes for the resident and ensuring that any equipment or specialist support needed by the resident is available on admission. The cultural and diversity needs of the resident are considered and specific needs are catered for. Examination of the most recently admitted resident’s documentation evidenced that great care is taken to admit people in a staged way. Gradual introductions are made to the home to ensure that the resident is comfortable in their new surroundings and accepting of their move to the home. Formal reviews are held at frequent intervals to ensure that the resident is settling into their new surroundings. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 9 Quality in this outcome area is excellent. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations, goals and lifestyle choices of people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The ethos of the home promotes resident’s autonomy and self-sufficiency. From examination of care documentation and discussion with management, staff and residents it is clear that the home positively encourages residents to develop new skills and helps them to achieve a level of independence. Residents are encouraged to participate in the routine activities of the home within the limits of their individual capabilities. Several of the current residents have chosen to be involved in the preparation of meals, the laundering of their clothes and the cleaning of their bedroom as part of their documented care plan. Examination of care records and risk assessments evidenced that the Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 12 necessary support and supervision are provided to keep residents safe whilst they engage in these everyday tasks. There was evidence that the home positively encourages and supports people to develop life skills. This has led to a degree of risk taking. The management of risks takes account of the specialist needs of the individual balanced against their personal aspirations for independence, choice and normal living. Risks have been fully assessed and guidelines have been put in place to minimise the risk to people using the service. One of the residents said, “I go into town on my own, I catch the bus to the shops and walk home.” They said, “I like to do what I want. I can get to town on my own. I don’t need staff to help me”. The inspector case tracked 3 peoples care. Records were up-to-date and accurate. It was clear that the staff have tried to involve people that use the service in the care plan process from the outset and their input was clearly recorded in the care files. Where necessary external advocates have been involved to support the resident in routine decision-making. All residents have an ‘Essential Lifestyle Plan’, which includes a personal profile and detailed life history. All of the documentation is person centred and takes into consideration the cultural needs of the resident. The plan is entirely individualised and has been developed in a pictorial format to help residents to understand the content. Plain English and simple terms are used wherever possible All residents had an up-to-date social work review on file and it was clear that the home works in partnership with other agencies to benefit residents. The care records were comprehensive and holistic in detail and provided sufficient information for staff to provide the appropriate care. Residents had agreed their personal programs and goals and these appeared realistic and achievable. Residents confirmed that they are encouraged to make choices about everyday life and are supported in their decisions by the staff. One resident said “I’m going to France later this year”. Another said, “I don’t go on holiday, I like days out”. The home has successfully put in place the necessary staffing to ensure that both residents are supported in their choice. At the time of inspection three residents were going to a local church luncheon group ‘The Link’ which they were looking forward to. However, the two remaining residents said that they preferred to stay in the house and extra staff had been rostered on duty to ensure that both groups could be supported in their choice. Acorn DS0000011169.V359121.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): Standards 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. Residents are provided with the opportunity to participate in a range of leisure activities suited to their needs. Residents are encouraged to maintain contact with the local community, their friends and relatives. The meals in the home offer residents choice and variety. Special dietary needs can be catered for effectively. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of care plans, daily records and discussion with staff and residents evidenced that residents are encouraged and supported to lead meaningful lives. The home positively promotes citizenship and the rights of the residents to enjoy an ordinary life. Residents are provided with the opportunity to engage in activities that are both stimulating and worthwhile. They are encouraged and supported to make good use of communal facilities including Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 14 local restaurants, cinemas, sports facilities and public houses and are actively encouraged to be an integral part of the community in which they live. Acorns is part of the ‘Purley Park’ complex which provides residents with a range of on-site facilities including a ‘clubhouse’ where residents can enjoy discos, parties and other social entertainments. Several residents told the inspector how much they enjoy the parties held there. One resident said that they had recently won a raffle at the recent Valentines party, which they had particularly enjoyed. There is a large horticultural therapy centre and several of the homes residents engage in horticultural pursuits as part of their scheduled activity programme. All of the residents leave the home regularly to visit friends in other houses in the complex and there are many visitors to the home. One resident told the inspector that they had a boyfriend that lives in Purley Park and enjoys spending time at his home on a regular basis. ‘Pool cars and mini-buses’ are available to transport people further a field to appointments, shopping or trips out. The residents regularly go to Reading, Goring, Pangbourne or Woodcote to do their shopping. One resident said “we are going to see Bjorn Again at the Hexagon next week”, “we are all looking forward to it”. Resident’s choices in relation to activities are well documented and their activity programme is well monitored and forms part of their ongoing review. At home residents are involved with the shopping, cooking, cleaning and laundry activities. These activities form part of the individuals care plan. Whilst at home residents listen to music, watch television or DVD’s, or go for local walks with their friends. People at the home are encouraged to be part of the broader community and attend local church groups such as ‘The Hand of Friendship’ group or ‘Bible Studies’ class and local clergy are regular visitors to the home. Lecturers from Thames Valley University visit Purley Park weekly to teach drama and communication skills and a number of the residents have joined in these sessions in the past. One resident is attending a local day centre several times a week supported by the homes staff. The resident is provided with oneto-one support whilst participating in activities such as cookery, pottery, games, exercise classes and beauty and sensory therapy. Another of the residents told the inspector that the home is holding a ‘coffee morning’ to raise funds for its chosen charity ‘McMillan cancer relief’. All of the residents are going to be involved and the local community have been invited. It is clear that the residents are avidly looking forward to the event. Most residents choose to participate in an annual holiday and have recently attended a meeting to decide where they will go on holiday this summer. There Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 15 was evidence in the residents meeting minutes that the residents had decided to go to a caravan park in Weymouth. Residents are encouraged to maintain their relationships with family and friends and one resident is going to France to stay with their family. The home provides a nourishing menu, which meets the cultural needs of residents. Residents are provided with choice and variety and there was evidence that residents are regularly consulted about the menus. The menu has been provided in a pictorial format. Mealtimes are a social occasion and to encourage socialisation residents are encouraged to eat together in the dining room. Acorn DS0000011169.V359121.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): Standards 18, 19, 20 Quality in this outcome area is good. Peoples physical and personal support needs are well met at this home by well-trained and competent staff that administer residents medication safely and appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of resident’s documentation and discussion with staff and management indicated that all residents are registered with a local doctor. The local GP visits Purley Park each Tuesday to see residents from other homes in the complex. However, the majority of the residents from Acorns consult the doctor in the normal surgery. Regular health checks and routine screening and treatments are offered by the practice and several residents regularly see the practice nurse for blood tests and other advice and treatment. The doctor also offers residents regular vaccinations against flu and other illnesses and the decision as to whether or not to have treatment is documented in the resident’s records. There was evidence that residents also have regular dentistry, podiatry and attention to their vision and hearing and their attendance is appropriately recorded in the care records. A number of the residents are regular attendees at hospital. Details of the outcome of these appointments and any changes in Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 17 treatment or medication are well documented in the care plans and daily records. From examination of 3 care records it is evident that residents physical and personal care needs are well met by the home. All care given is documented in the daily diaries and was observed to fully validate the content of care plans. Observation of practice demonstrated that care was provided in a manner, which maintained the users right to dignity, privacy, independence and choice. The home has in place robust medication policy, procedure and practice guidance. Staff are aware of their responsibilities in relation to the safe administration of medication and have been properly trained. None of the current residents self medicate. The system used for the safe administration of medication is the ‘Nomad’ system. This system reduces the likelihood of medication error and provides an accurate record of administration. All staff have been fully trained in the safe use of the system. Acorn DS0000011169.V359121.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): Standards 22 & 23 Quality in this outcome area is good. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has a complaints procedure, which is clear and accessible to residents. It has been produced in a user-friendly pictorial format to aid residents understanding. Residents are provided with information on how to make a complaint to the home, the time scale for response, and the stages and process of the Organisations complaint procedure. Residents told the inspector that they knew how to make a complaint if they needed to. One resident said “I would talk to Kim if I was unhappy”. Examination of the complaint records indicated that there have been no complaints made to the home since 1st January 2007 and no information about complaints has been reported to the CSCI since the last inspection. There was evidence in staff files and from discussion with staff, that they receive training in safeguarding adults as part of their formal induction to the home. This learning is later consolidated when undertaking NVQ training in which it forms a core module. Staff interviewed were aware of the homes Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 19 whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. There have been no safeguarding adult investigations about this home since the last inspection and no referrals made to the POVA (Protection of Vulnerable Adults) list. Acorn DS0000011169.V359121.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): Standards 24 & 30 Quality in this outcome area is good. Standards of hygiene, décor and furnishings in this home offer residents a comfortable and homely place to live This judgement has been made using available evidence including a visit to this service. EVIDENCE: From a tour of the building it was evident that service users live in a warm, clean and comfortable environment. All areas of the home were found to be clean and hygienic. The home is tastefully decorated and is furnished in a modern and comfortable way. Residents are encouraged to see it as their own home and to add their own personal touches to the environment. The home is well maintained and has the specialist equipment it needs to accommodate its residents. The home is fully accessible to its current residents who are accommodated in single rooms on the ground and first floor. The home has been designed for small group living where residents can enjoy maximum independence in a discrete non-institutional environment. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 21 All bedrooms are furnished and decorated to an excellent standard and they are individually personalised to meet the needs and preferences of the residents. There are suitably equipped bathrooms and toilets conveniently situated around the home. The laundry has appropriate facilities for the laundering of resident’s clothes and linens and there are appropriate infection control procedures in place to protect residents from harm. Residents commented on the quality of the décor and furnishings in the home. Comments such as “its lovely here”, “I chose pink for my room its my favourite colour”. Acorn DS0000011169.V359121.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): Standard 32, 34, 35, 36 Quality in this outcome area is good. Residents are provided with care and support by a team of well-trained and caring staff that have been robustly recruited. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of three staff records and discussion with staff and management indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. It is clear that the homes policy on recruitment is robust, transparent and meets the requirements of current good practice guidance and legislation. Examination of the staff files and training records evidenced that most of the current staff have either gained or are in the process of attaining NVQ qualifications at levels 2,3 & 4. The Registered Manager has already achieved an RMA and NVQ 4 and the Team Leader is near completion. Purley Park has an on site training manager who supports, guides and assesses candidates on the NVQ programme. Additionally, regular refresher training is provided in core skills as well as more specialised training in non-violent crisis intervention, Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 23 medication administration, epilepsy, loss & bereavement, computer skills, communication skills, care planning and record keeping. Records indicate that all staff have been properly inducted and complete a period of shadowing senior staff to ensure that they are confident and competent to carry out the tasks of the job. Staff confirmed that they had undertaken an in-house induction and foundation training to Skills for Care specification. The staff records were well kept and contained copies of induction training, job descriptions, application forms, two written references, training certificates, supervision and appraisal records. These were examined to evidence compliance with good practice. The home has an up-to-date training record, which provides the dates of all training that has been undertaken by staff. The Homes Manager undertakes regular audits of the training records and identifies future training needs and requirements linked to fulfilling the business and financial plan for the home. Staff confirmed that Purley Park offers regular training updates to staff. One staff member commented, “The training opportunities here are excellent”. The following comments were made to the inspector about the qualities of the staff. One resident said, “the staff are lovely, ever so kind” and “I like it here people are nice to me”. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39, 42 Quality in this outcome area is good. The home is safe and well managed by a competent manager and professional staff team. The home seeks and focuses on the views of its residents on an on-going basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager in charge of the home Kim Facer has been working at the home for 14 years and is an effective and popular leader. She has attained an NVQ 4 in care & Registered Managers Award to further her skills and knowledge. Staff confirm that the Homes Manager demonstrates effective leadership skills and is ‘hands-on’ accessible and supportive. They say that Kim is caring, efficient and is always keen to support individual members of staff’s personal and professional development. The Manager is supported by a stable staff Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 25 team who aspire to providing high quality care to the residents in line with the aims and objectives of the home. The staff say they are kept well informed and up-to-date and that they have the opportunity to express their opinions openly in staff meetings, supervision sessions and staff handovers. They say that they are provided with plenty of opportunity to express concerns, share information and to feel included and involved in the way the service is delivered. Purley Park Trusts board of governors are regular visitors to the home and carry out quality monitoring checks. There has been some slippage in the frequency of formalised and recorded (Regulation 26) Proprietors Representative visits but this deficit has been identified by senior management and is currently being addressed. In future the eight care home managers in the complex will carry out audits of each other’s homes. These audits will be in addition to visits carried out by management and the board and will focus on and identify practice issues. The home has recently carried out a satisfaction survey to measure its success in meeting its objectives. The surveys were produced in a user-friendly format to aid clarity and understanding for the residents. The results indicate a high level of satisfaction with the quality of the service offered by Acorns. Questionnaires were also sent to relatives, care managers and other stakeholders. The outcome of questionnaires was collated to identify trends and to help identify where improvements could be made to services. Examination of three residents cash accounts indicated that a safe procedure is followed for deposit or withdrawal of resident’s monies. Receipts are kept of all cash spent on behalf of residents and there are signatories to all transactions. All of the resident’s monies are subject to Corporate Appointee-ship and cash is held communally in the finance office for all of the residents. A number of health and safety records were examined including fire records, hot water records, and fridge & freezer temperature records. These checks evidenced that essential servicing and maintenance of equipment is undertaken routinely to safeguard the health and welfare of residents. Servicing and safety certificates were available on file. Unnecessary risks to the residents are identified using comprehensive risk assessments that are reviewed at regular intervals. So far as possible risks are reduced or eliminated. Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 26 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 4 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Acorn DS0000011169.V359121.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Acorn DS0000011169.V359121.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!