Inspection on 01/11/07 for Aeolian House

This inspection was carried out on 1st November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Aeolian House 30/09/09

Aeolian House 11/12/06

Aeolian House 05/01/06

Aeolian House 25/08/05

Aeolian House 07/10/04

Aeolian House 21/04/04

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

CARE HOME ADULTS 18-65 Aeolian House Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ Lead Inspector Suzanne Magnier Unannounced Inspection 1st November 2007 12.30 Aeolian House DS0000013545.V352102.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 Aeolian House DS0000013545.V352102.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. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aeolian House Address Aeolian House Horsham Road Cranleigh Surrey GU6 8DZ 01483 276561 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) www.mencap.org.uk Royal Mencap Society Kerry Louise Elliot Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1), Sensory impairment (1) of places Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents may be admitted to the home from the age of 40 years. One person may be over 65 years of age. 11th December 2006 Date of last inspection Brief Description of the Service: Aeolian House is a care home for adults with a learning disability. The home is a large Edwardian detached house on the outskirts of the village of Cranleigh. All bedrooms are for single occupancy, three on the ground floor, and seven on the first floor. There is a large lounge/dining room and kitchen. One sitting room can be used as a quiet room. There are two bathrooms and a downstairs shower room. The home is situated in its own grounds, laid mainly to lawn. There is adequate parking to the front of the premises. A bus stop is a few minutes walk away. It is some considerable walking distance into the village of Cranleigh. The fees range from £477.75 per week to £517.00 per week. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. Some additional standards were assessed and have been included within the report. Ms S Magnier, Regulation Inspector, carried out the inspection. The registered manager represented the home. For the purpose of the report the individuals using the service are referred to as people/individuals/residents living in the home. The inspector arrived at the service at 12.30 and was in the home for three and a half hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The inspector spent time talking with people living at the home in order to seek their views about the home and the care they receive. Responses to questionnaires that the Commission had sent out and the written comments have been included within the report. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the home’s Statement of Purpose and Service User Guide, care plans, person centred plans, daily records and risk assessments, medication procedures, a variety of training records, and several of the services policies and procedures. Following the previous key inspection in December 2006 the service has met all the requirements made. The home had submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, some details of which have been added to the report. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The inspector would like to thank the people living in the home, the staff and the manager for their time, assistance and hospitality during this inspection. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has started to implement Person Centred Plans with the inclusion of individuals. The plans highlight peoples future goals and aspirations and the assistance they need to attain their aspirations. Some of the residents have had their bedrooms redecorated. Staff have completed person centred planning training and two staff have completed their National Vocational Qualification (NVQ) Level 3. Several staff have received specialist training to support individuals living in the home with diverse needs. The results of the resident’s surveys and family surveys have shown that both residents and families are happy with the support, lifestyle and environment at Aeolian House. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Aeolian House DS0000013545.V352102.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 Aeolian House DS0000013545.V352102.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): 1, 2, 3, 4. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. People and their representatives have information, including trial visits to the home in order that they can make an informed choice about moving to the home. The home’s admission and assessment procedures ensure that individual’s needs are appropriately identified and met. EVIDENCE: The home has had no admissions since the previous inspection. The home has a statement of purpose and service user guide. Both documents were sampled by the inspector and were well written, contained pictorial forms, symbols, large print and were interesting and engaging to assist people to make a choice if they wanted to live in the home. Comments received on the day of inspection from some people at home were very positive about the home and the staff. One comment card received from an individual living in the home stated that they would ‘like to leave and move back to London if they could’ and external agency stated ‘the clients who come from Aeolian house always seem happy about where they live’. The inspector discussed the admission procedures of the home with the manager who confirmed that a full assessment would be undertaken prior to Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 10 individuals moving into the home with additional information being sought from the persons care manager or previous residencies. The manager demonstrated that she was knowledgeable regarding the criteria and the importance of individuals needs assessment in order to ensure that the home could meet the needs and aspirations of the individual. The manager explained that people are supported to visit and stay at the home, share meals and get to know the home prior to moving in to ensure that they have compatibility with their home companions. This information was supported by comment cards received by the commission, which stated that individuals had visited the home and had some say in moving in. The inspector noted that the home have tenancy agreements for people in the home which detailed what the service offered and was informative regarding costs of services. The home has maintained close bonds between people living in the home and staff and it is apparent through observation that the individuals diversity of needs and preferences of lifestyles are promoted to ensure that all people continue to have a sense and awareness of their individuality. Aeolian House DS0000013545.V352102.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): 6, 7, 8, 9. Quality in this outcome area is good. This judgement has been made using a range of evidence including a visit to this service. People’s needs are clearly set out in their care/person centred plans. Monitoring of risk assessments is maintained to ensure the safety of people in the home. Individuals are encouraged to make decisions about their lives both inside and outside of the home. EVIDENCE: The home has developed and maintained a good standard of care/person centred plans. The format of the plans was engaging and interesting and contained evidence that each person had been involved in some way with the development of their plan. Each plan contained clear documentation of how the person liked to be addressed, their preferred way to communicate, people that were important in their life, their likes and dislikes, how they like and choose to receive support and personal care, how staff could support them with difficulties in their lives, and the individuals ethnic and cultural background. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 12 The care plans contained well-documented clear agreed working practice which staff implemented to offer a consistent and predictable response to the needs of people in the home. It was noted that the home offers support to individuals with a range of complex needs and this diversity was well managed by the home. Within the person centred plans the inspector sampled photographs of family, friends, special events and occasions, holiday memories and the individuals aspirations, dreams and achievements. The manager explained that for people with sensory impairment the care/person centred plan would be developed into a talking book, which could then be accessed more readily by the individual. It was also noted that each care plan had been kept under a three monthly review to reflect the changing needs of the individual and arrangements in place to continue to support the person through the home’s key working practice. Comments received by CSCI regarding the home included ‘I like our cats that live in the house,’ ‘I enjoyed my annual review this year with my care manager and Aeolian’, ‘I have lived here a long time and would like to live somewhere else before I am too old’. ‘I enjoy living here’. ‘The atmosphere of the home is good and the clients have a big input in how the home is run’. Two people were at home during the inspection and the inspector noted that both individuals were at ease and able to move freely around their home. One individual left the home to go to work and this was undertaken with confidence and they advised the inspector that they were happy to be so independent. There was evidence to support that residents meetings are held and the views and opinions of individuals sought about their home and what they would like. During the inspection the inspector noted that the ethos of the home promotes individuals to view the home as their own which is supported by the homely and comfortable atmosphere in the house. During the inspection it was noted that people are encouraged to be involved in the running of the home. Tasks that individuals undertake include laying/clearing the table, washing/drying up after meals, loading and unloading the dishwasher, feeding and caring for the home’s two cats and helping to prepare supper/packed lunches. The manager explained that the residents developed the rotas of tasks during their house meetings and people support each other by reminding and offering peer support to maintain the shared responsibilities. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 13 The home has maintained robust risk assessments, which include a variety of activities undertaken by individuals. The manager advised that Mencap were reviewing the format of the risk assessments and the assessments sampled had been appropriately reviewed and signed by staff to ensure the safety and welfare of the individuals and staff. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using a range of evidence including a visit to this service. The home promotes and maintains peoples involvement in their community, offers opportunities for personal development, employment, appropriate activities and maintaining friendships. Individuals are encouraged to be involved in the running of the home and improving daily living skills. The available choice of food provided was of a good standard. EVIDENCE: On arrival at the home the inspector was met by one member of staff and was advised that two residents were at home. The inspector met both residents one of whom was listening to the television and another who was going to go out to work. Both individuals spoke highly of the home, the staff and stated they felt very happy. Whilst sampling the care/person centred plans it was noted that all individuals at the home were encouraged by staff to lead purposeful and meaningful lives Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 15 and take part in social activities. The inspector met one person who had returned home from their voluntary work and the individual told the inspector how valued and included they felt in their workplace. The activities and occupations which people undertake include working in the local village, doing voluntary work, working in charity shops, gardening and growing flowers and vegetables, having a Barbeque, visiting the zoo and seaside, going up to London, shopping trips, doing personal laundry, attending day services and clubs, visiting cinemas and places of interest, going on holidays, going to the pub/restaurants and some individuals attending local advocacy projects and meetings. The AQAA advises that some individuals have told staff that they do not want to attend some day service activities and as a result the manager advised staff continue to support individuals to find more meaningful activities or hobbies. Comments received by CSCI regarding the home included ‘I go to the day centre 5 days a week and we take turns in helping with dinner and hoovering at the weekends’, ‘at the weekend I go home to see my mum’, ‘we have parties on our birthdays, Christmas and other times’ ‘I get on with all the other people in the house’. The home are planning days out which will include going to London at Christmas to watch skating on ice. The home are currently seeking ways to purchase a vehicle for the house and some individuals have been on holidays which included going to Hastings and Disneyland Paris. The home incorporates the Mencap family charter, which encourages and maintains relationships with family and friends. The manager advised that one relative visits the home and runs an activity evening which includes playing Bingo, having a party, and any other activities that people may have an interest in. During the inspection the inspector observed one individual speaking on the telephone to their relative. The home has an open house visiting policy and a spare bedroom if any relatives need to stay over in an emergency. Individuals are encouraged to stay with relatives and one individual has a holiday with their family each year. The manager explained that the home has strong links with their neighbours and that individuals are known in the local village and supported by accessing the local community by a free bus pass. Individuals are supported and encouraged to maintain their spiritual and religious beliefs by attending bible study, taking part in outreach Christian fellowships and being supported by staff to adhere to religious observances Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 16 with regard to food at holy times of the year. The AQAA advises that in the evenings residents attend bible study groups, social clubs which are held at the day centre, and enjoy going to the pub. One resident goes to another Mencap home once a fortnight for their evening meal then goes to a social club with one of the residents who lives there. Also during the evening the residents like to play games, catch up with the soaps, watch dramas, go to the pictures with friends and families. The inspector observed that the home’s dining area was spacious and airy and contained suitable furniture to support people to eat their meals in a comfortable setting and fresh fruit and vegetables were available. One member of staff was in the kitchen preparing sandwiches and it was noted that they were not wearing protective clothing. In addition open packages of food in the fridge had not been appropriately labelled and dated following opening. The manager explained that this was a difficulty in the home as individuals help themselves to the fridge contents when they are making their packed lunches and food is not labelled and dated when replaced back into the fridge. A requirement has been made that all foodstuffs must be appropriately stored in order to ensure the safety and wellbeing of all persons in the home. The inspector sampled the home’s menus and noted that they offered a variety of meals, which were nutritious. The manager advised that residents get together once a week to plan the following weeks menu with support from staff and choose healthy meals from cookbooks. It was noted that light suppers were available if individuals had had a main meal outside of the home during the day. The AQAA advises that as part of a person centred approach to support planning, the home actively encourages individuals to be health aware and provide support in healthy eating and lifestyles, particularly where an individual has identified a need or wish to improve their health. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 17 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has consistent recording and documentation to evidence that individuals receive personal care and attend health care appointments to ensure their wellbeing and welfare. The home’s medication procedures are robust to ensure the safety and wellbeing of individuals. EVIDENCE: The two care plans sampled included clear records to demonstrate that the individuals receive personal care in the way they prefer and health care appointments in the community were attended, for example visits to the dentist, GP and chiropodist. The manager explained that some appointments, for example the optician and hairdresser, might be attended within the home, which is the individual’s preference. Records to monitor individuals specific health care concerns were also well documented and health care records also evidenced that the home had close working relationships with specialised health care professionals. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 18 Records indicated that care plan reviews had taken place and the home were active in seeking advice and support from healthcare professionals should the need arise to ensure the safety and well being of individuals. Comments received by CSCI from health care professionals included ‘The care service has always been proactive in seeking advice regarding the mental health and behavioural needs of the service users I have input with’. ‘The service has always attempted to implement interventions suggested. This approach, has in my opinion, led to a reduction in the service users behavioural and mental health difficulties’. ‘The service has always proactively supported the service user to access primary and specialist health care facilities and complete person centred plans, which reflect clearly the wants and needs of the individual’. The home has a comprehensive, medication policy and procedure regarding administration of medication. Authorisation had been obtained from individuals GPs regarding the administration of homely remedies. The medication is stored in a locked cabinet in the home in order to protect people from harm. The inspector sampled two medication administration charts, which detailed clear records of safe administration of medicines. Staff records demonstrated that they had received training in the administration of medicines. Additionally some staff members had been trained to support one individual, when necessary, with specific medication needs. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made a range of evidence including a visit to this service. The home has a robust complaints procedure to demonstrate that complaints will be acted upon and a Safeguarding Adults (Adult Protection) policy and procedure to ensure that individuals are adequately protected by the same policy and procedure. EVIDENCE: The home has a complaints procedure and the manager explained that one complaint had been received by the home. Whilst sampling the complaints log it was clear that the home had investigated the complaint thoroughly and assured that the complainant was satisfied with the outcome. Comment cards received by the commission also indicated that people knew how to complain or raise concerns and comments included ‘ Id speak to a member of staff’ ‘Id speak to my key worker’ ‘staff at Aeolian House’, ‘Inform line managers’. The home has not been subject to any safeguarding referrals since the previous inspection. The manager explained that staff had received training in safeguarding vulnerable adults and awareness of safeguarding issues was also explained in the staff induction training. The inspector, to verify this information, sampled training plans. The manager explained that a new manager has been appointed to undertake the in house refresher courses for safeguarding vulnerable adults. Aeolian House DS0000013545.V352102.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): 24, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises and arrangements for hygiene are good enabling people to live in a homely, clean, hygienic and comfortable environment. EVIDENCE: On the day of the inspection the home was clean, well ventilated and free from offensive odours. Observations confirmed the home had a good standard of décor with good quality furniture and fittings. The home had a policy on infection control and adequate laundry facilities. Hand washing facilities were prominently sited in the kitchen and laundry area and staff practiced infection control measures by washing their hands regularly to prevent the spread of infection. Comments received by CSCI regarding the environment included ‘ the facilities could be brought up to date. Clients would like showers installed’. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offer a good induction and training development programme to ensure that staff are competent to support the needs of the individuals. Robust staff recruitment practices have been maintained to ensure the protection of individuals. EVIDENCE: Comments received by the commission regarding the staff at the home included ‘ The staff always have time and listen to the clients and act for the best interests of the clients ’. ‘The staff are approachable’. ‘Caring staff who always put the individual client first’. The staff team of five is multi cultural and have mixed gender. The home has one full time vacancy, which is currently being advertised. Bank staff are employed in the home to offer continuity and care for individuals. The inspector was advised that no staff have been employed since the previous inspection in December 2006 and no staff files were sampled as the standard of recruitment was assessed as good at the last inspection. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 22 The manager explained the process of the recruitment/selection, induction and training that staff undertake in order to ensure that the individuals living in the home are protected and supported by appropriately trained staff. All staff receive a copy of the General Social Council Care Code of Conduct document and policies and procedures are available to staff. Records sampled by the inspector indicated that all staff have completed training for first aid, safeguarding vulnerable adults, equal opportunities, manual handling, food hygiene, person centred planning, fire safety and safe administration of medication. The manager confirmed that staff need to undertake infection control training and this would be planned in the near future. Additional specialised training had also been undertaken by some staff to support individuals in their care. Two members of the staff have completed their National Vocational Qualification (NVQ) 3 in care. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The overall management of the home is robust and individuals and their representative’s views are considered. Health and safety arrangements are in place to ensure the safety and welfare of all people in the home. EVIDENCE: The management of the home has been maintained to provide a consistent, effective and happy atmosphere for people living in the home and also for staff working in the home. One comment received regarding the management of the home stated ‘If there are any problems with the service user there is always a two way dialect with us and Aeolian House’. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 24 The registered manager has achieved the registered managers award and throughout the inspection demonstrated a sound knowledge of the responsibilities of her position and skills in management of the home. Individuals in the home spoke highly of the manager stating that they felt the home was well managed and the manager was approachable. The inspector observed that people felt at ease with the manager and the management style promoted a happy and calm atmosphere, which was beneficial to the individuals living in the home and the staff. The inspector observed that the office location was central to the home and people and staff have access to the manager. It was evident during the site visit that some individuals were encouraged and able to voice their opinions about the service and attend home meetings if they chose to. The manager explained that Mencap are currently undertaking a review of the way they seek and gain feedback from the people using the service. The home has developed a quality assurance process, which actively seeks the views of all people connected to the home. Documents sampled indicated that the previous quality assurance from people’s relatives was very positive about the home. The inspector sampled a variety of health and safety records, which included water, fridge and freezer temperatures, cooked food temperatures, accident and incident records, fire drills, practices and noted that the fire extinguishers had been serviced. The inspector sampled two resident’s financial records and cash tins which are held securely within the home. The records sampled were well recorded and accurate with receipts for expenditure available. The manager discussed ways in which staff continue to support individuals with managing their finances in order to promote independence and confidence in their financial affairs. Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 2 23 2 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 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 26 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. 1 Standard YA17 Regulation 13.(4)c Requirement Timescale for action 06/11/07 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 Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South East Regional Contact Team The Oast Hermitage Court Hermitage Lane Maidstone, Kent 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 Aeolian House DS0000013545.V352102.R01.S.doc Version 5.2 Page 28 - 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!