Inspection on 19/09/06 for Adrian House

This inspection was carried out on 19th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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

Adrian House 15/10/09

Adrian House 09/08/07

Adrian House 01/11/05

Adrian House 02/06/05

Adrian House 26/01/05

Adrian House 14/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Adrian House 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ Lead Inspector Sue Dunn Key Unannounced Inspection 19th September 2006 13:15 Adrian House DS0000001407.V311126.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 Adrian House DS0000001407.V311126.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 Older People and 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. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adrian House Address 15/17 Spencer Place Chapeltown Leeds West Yorkshire LS7 4DQ 0113 249 0341 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) Adrian Maguire Adrian Maguire Care Home 11 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (11) of places Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Adrian House is a family run home which was registered before the introduction of the Residential Care Homes Act as a care home for men with a mild learning disability. The accommodation is in two joined terrace houses with large garden in the Chapeltown area of Leeds, close to bus routes and local amenities. The home is three storeys high with bedrooms on the first and second floors and no lift. All bedrooms, which can offer single occupancy, are in excess of the minimum size requirements. None have en suite facilities. Communal areas are on the ground floor. The proprietor/manager has lived in the house with his family for many years. The adult members of the family, with the assistance of a paid part time care worker provide support. Most of the residents are over 65 and have lived like members of the proprietor’s extended family. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. One inspector undertook the inspection, which was unannounced. The inspection started at 1:15pm and finished at 4.15pm A pre inspection questionnaire sent to the manager had been completed at the time of the inspection and was used to support judgements made during the inspection visit. Comment cards with pre paid envelopes were sent to the home inviting people to express their views about the service. None had been returned at the time of writing. The report is based on information received from the home since the last inspection in November 05, observation and conversation with residents and staff, discussion with the manager, examination of 3 care files (which included case tracking one) The inspection of the premises was, on this visit, restricted to communal areas. The fees for the home are £310 per week. The fees do not include, hairdressing, chiropody or personal clothing. What the service does well: The home has a clear easy to read Statement of Purpose, which has been designed with the needs of the service users in mind. Relatives of people recently introduced to the service have been very pleased with the support and care provided by the home. This is done in a nonjudgmental way, which recognises the diversity of people in the group and does not take away their independence and rights. The relatives’ comments confirmed that the information seen in the documentation was accurate. Service users are consulted about matters which affect their lives. Their views are considered when agreeing to accept a new resident. The progress of people on respite visits is well documented and reviewed during each visit. Mr and Mrs Maguire ensure that people are suitably dressed and groomed to avoid the risk of stigmatisation when they are out in the wider community. The staff are mindful of Adult Protection and familiar with the procedures. The men are reminded that rights also carry responsibilities. They feel they are listened to and receive common sense advice in a non-patronising way. The premises, which are leased, are well maintained and always clean and free from unpleasant odours. Mr and Mrs Maguire have adopted an enthusiastic approach to training that they have put into practice to develop the service and their approach to care. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality outcomes in this area are good. This judgement is based on all the available evidence, which included examination of documentation, discussion with the managers and information from a relative. The Statement of Purpose is very informative and takes account of the needs of people who may have poor literacy skills. Visits to the home are seen as an important part of the admission process and involves the views of men already living in the home. Pre admission assessments identify how the home will meet needs. EVIDENCE: The Statement of Purpose has been developed and amended over time and is easy to read with visual interest and prompts. The manager as part of his quality monitoring system asked a social worker to read the document for the Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 9 purpose of giving him feedback on its quality. The document has been amended to include information about the changes to accommodate people on respite care. A relative of a person who now has periodic respite care in the home said that they had been able to visit, meet the other residents and discuss care needs The home can now offer all single rooms by reducing the bed allocation to 9. The home had received a good care plan from the social work team for a person who used the respite service. The home’s pre admission assessment included a summary of the staffs’ views about how they felt the person’s needs could be met. The home reviews progress at the end of every period of respite care. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 The quality outcome in this area is good. This judgement is based on all the available evidence which included examination of care files, computer and daily records, Information volunteered by relatives, discussion with the manager and conversation with the residents. The home continues to consult with residents about matters which affect their lives and make choices about the support available to them. Detailed records provided evidence of the care and support given but could be improved by consolidating the information in one place and in chronological order to make for easy cross-referencing. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care files of three people were examined, including two for people who had used the respite service. The files contained good background information about each person, their food preferences, spiritual needs and mobility. There was evidence that the information in one came from a relative but the person’s non-verbal responses had been noted. There was evidence that peoples’ views were listened to. An example was given of how a person was given options about whom they could talk to about their problems. This included a learning disabilities advocate or an advocate from Age Concern. The person made the choice to speak to a social worker and an appointment was arranged. Detailed daily logs were kept for people on respite care but no recent information could be found recorded in the file of a person who lived in the home permanently. However, with the help of the manager this was found in the computer records. It was easy to cross reference information on the computer but information in the written files was less easy to cross- reference. The manager was asked to update the written records, as any new member of staff will need to access the information and add to the daily records. Two relatives had contacted the inspector since the last inspection to express their satisfaction with the support the home provides. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 16 Quality outcomes in this area are good. This judgement in based on all the available evidence, which included discussion with the manager and the residents and observation. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 13 The residents follow a lifestyle which provides them with the security of a routine which suits their expectations and ages. As new people are introduced into the home the range of activities is becoming wider. EVIDENCE: The daily logs gave a good picture of life in the home. The men were consulted and encouraged to make choices and express views. Those who find this more difficult are given support by the staff to ensure stronger members of the group do not make all the choices. The staff gave an example of how all the DVD’s are taken out of the cupboard to allow one person to see the options and make a choice. People who have lived in the home for many years follow a regular routine of going out for walks, visiting local neighbours and the local café. One person likes to go to the bookies. Everyone still enjoys watching films and DVD’s. A new large screen television has been purchased since the last visit. There is a Snooker table in one person’s room and some play dominoes and cards. The younger and more recent residents have a wider range of contacts such as working at the urban farm, helping at Age Concern and the RSPCA, attending an Adult Training Centre and going to church. The men have said they would like to go to the illuminations this year. A trip is to be arranged when the new member of staff starts. Another person wants to go to the coast for the day. This will also be dependant on when the new member of staff starts work. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 The quality outcome in this area is good. This judgement is based on all the available evidence, which included discussion with the manager and service users, information received from the home, observation and examination of documentation. The home offers a very personal approach to health and personal care which takes account of choice and dignity. Mrs Maguire uses her nursing experience to attend to the details of care which ensure people are safe and comfortable. EVIDENCE: Two care files were examined. One for a person who uses the respite service. The permanent residents are registered with the local health centre, which is in walking distance of the home. It is recommended that details of access to medical treatment for people on respite care be recorded in their file, as GP’s Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 15 may not travel out of area. The home said that if medical attention is required they go to the outpatients department of the local hospital. It was evident that peoples’ ability to self medicate had been discussed. Where information had been provided by a relative the records showed that the person was present and their non-verbal responses were taken into consideration. The home uses a system of pre-dispensed medication and medication sheets from the pharmacy. Mrs Maguire checks and administers the medication at the request of the service users. The home is clear that they are unable to care for people who are unable to manage the stairs or require high levels of personal care. The staff have the experience to observe any changes in behaviour and look at possible reasons why. This enables them to act appropriately if there is a decline in health or well-being. The CSCI is kept informed if anyone is admitted to hospital. The hospital is close enough for other residents to visit. Comfortable socks and footwear and footrests have been provided for people who have swollen feet. Residents have been well supported as they have approached the end of their lives. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality outcomes in this area are good. This judgement has been based on all the available evidence, which included discussion with the manager, discussion with residents and examination of the care files. People are able to express their views and are made aware of their rights and responsibilities in a straightforward common sense manner. There is a good understanding of the adult protection procedures. EVIDENCE: There have been no complaints about the home. People are encouraged to express their views and discuss their rights. After listening to one person the manager made a complaint to the transport department on his behalf as he felt his working day was being shortened as he was being picked up too early. Adult Protection procedures were followed for the protection of one person after and incident during a home visit. An action plan had been put in place for the protection of all the people involved. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30 The quality outcome in this area is adequate. This judgement is based on all the available evidence, which included discussion with the manager and service users, knowledge of the home over a period of time and observation. The standard of cleanliness and hygiene in the home is high. The accommodation is basic but meets the needs of the service users. The managers continue to make progress to improve the facilities. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 18 EVIDENCE: The gardens were neat and well tended and there is a rolling programme of redecoration. All areas of the house seen were clean and free from any unpleasant odours. As numbers in the home have decreased rooms that were shared from choice have been made into singles. The manager is aiming for all rooms to become single. A ground floor room, which was previously family living quarters, is being considered for a respite care room subject to alterations to install an en suite facility. This will increase bathing and toilet facilities within the building, as there is only one bathroom and toilet for the men, unless they use the family facilities. A first floor room may be used in the future for a second lounge. The men continue to prefer to sit in rows in the main lounge despite several attempts to change this. The managers give a great deal of time and thought when purchasing new furniture and consulted the service users to ensure it suited everyone. The room has been made to look homely with pictures and ornaments. The dining kitchen continues to be the hub of the house. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 and 35 The quality outcome in this are is good. This judgement is based on all the available evidence, which included discussion with the manager and service users, examination of the documentation and feedback from relatives. The service has benefited and developed as a result of the positive approach to training. The introduction of a new member of staff who is known and liked by the service users is seen as an opportunity to organise the trips and outings which service users have requested. It is important that the minimum staffing level is maintained to allow for any unforeseen circumstances arising. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 20 EVIDENCE: Mr and Mrs Maguire, who live on the premises with their family, were the only staff at the time of the inspection. They provide prompting and support for five permanent service users. The numbers increase to six with the addition of people for periodic respite care. This ratio of staff to service users is satisfactory for the numbers and care needs of the service users but does not provide any back up in the event of sickness. A part time care worker has been recruited for this purpose. Mrs Maguire had almost completed the NVQ3 programme and felt she had learnt from it. Mr Maguire, the registered manager has approached training with enthusiasm and the service has been seen to develop as a result of his training and contact with other care services and professionals outside the home. A part time care worker of many years recently left the home for personal reasons. The service users nominated a local neighbour whom they visit, and who has had previous experience in care work, to apply for the post. This is the first time the manager has had to test out the homes recruitment and interview procedures. An application form had been completed, notes kept of the interview questions and answers and the outcome of the POVA (Protection of vulnerable Adults) check had been documented. The manager was awaiting the outcome of the Criminal Records Bureau check and was reminded that he must send for two suitable written references before the person starts work. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 41 and 42 Quality in this outcome area is good. This judgement is based on all the available evidence, which included discussion with the proprietors/manager, discussion with service users, examination of documentation and observation. The manager has taken advantage of training opportunities and has achieved the qualifications required to manage the home effectively. He has put his learning into practice and continues to develop the service in order to maintain Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 22 its viability. Documented information is detailed enough to show the care provided to the men in the house and their involvement in decision making about matters which affect their lives. The family continue to live on the premises and Health and Safety checks are given a high level of importance. EVIDENCE: The registered manager has achieved a lot academically in the last two years and his increased confidence and knowledge is apparent. He has had to defer the Open University course he has been doing due to the current staffing situation, but plans to return to it when the new care worker is established in post. The home is a small family run business, which is dependant on maintaining minimum occupancy levels to remain viable. The service users are kept informed about any matters which may affect them and upset their sense of security. The five-year electrical test had been completed and the report was awaited. The home has always been diligent in the upkeep of their Health and Safety checks. The building meets fire safety standards and common sense measures reduce the risk of fire. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 2 3 3 3 4 3 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 3 26 x 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT Standard No Score 37 4 38 4 39 x 40 x 41 3 42 3 43 x 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Adrian House Score 3 3 3 3 DS0000001407.V311126.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1 2 3 Refer to Standard OP7 OP29 OP38 Good Practice Recommendations Care plans should be written in a way which clearly shows each need and the action plan put in place to meet each need The manager should ensure that he sends for two written references for new employees during the recruitment and selection process. Written records should be kept updated from information recorded on the computer. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 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. Adrian House DS0000001407.V311126.R01.S.doc Version 5.2 Page 26 - 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. 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