Inspection on 03/03/09 for Andelain

This inspection was carried out on 3rd March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Andelain 19/01/10

Andelain 10/03/08

Andelain 11/01/07

Andelain 01/02/06

Andelain 02/11/05

Andelain 10/03/05

Andelain 31/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Andelain 12 Eugene Road Preston Paignton Devon TQ3 2PQ one star adequate service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michelle Finniear Date: 0 3 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Information about the care home Name of care home: Address: Andelain 12 Eugene Road Preston Paignton Devon TQ3 2PQ 01803559336 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Miss Carole Louisa Byrne care home 7 Number of places (if applicable): Under 65 Over 65 7 7 learning disability Additional conditions: Registered for a maximum of 5 LD(E) Registered for a maximum of 7 LD Date of last inspection A bit about the care home Andelain is a home for up to seven adults who have a learning disability; Some of these people may be retired. The home has three floors. The owners live on the top floor. The home is near to shops and the sea front. There is a garden.The current range of fees are from 475 to 520 pounds per week. A copy of the last inspection report is kept in the dining room. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home To complete this inspection we askd the home to fill in an Annual Quality assurance document containing information about how the home was being run, but they didnt send it back to us, even though we gave them extra time to fill it in. We made a visit to the home without telling them the date we were coming; we spoke to people living at the home; we talked to some relatives by telephone to ask them their views about the home; we sent questionnaires for staff and people living at the home to fill in; we looked at the last inspection report and information we have received about the home since the last inspection; we looked at the records; we looked at medication records and storage; we looked around the building and spoke to the owner about how the home is run. On the day of the visit the owners were the staff on duty, so we were unable to talk to people employed by the home. What the care home does well Andelain provides a homely environment for people to live in. People live with the owners as a part of a family and the owners provide much of the staffing. Food is home cooked and the people living at the home have a say in the food cooked. People can take part in household tasks, learning new skills. People living at the home have regular holidays of their choosing. These can include holidays abroad as well as short breaks to hotels or holiday camps. People are helped to do things with the local community. The home is close to local shops and day centres, as well as the sea front. The home has a vehicle so people can go out together. Relatives spoken to said the home was very good. People living at the home said they were very happy there. A person working at the home said The home is run very well, and is friendly and has a family feel. I was made to feel very welcome when I started and feel I can talk to the owners about anything and my views are always listened to. What has got better from the last inspection Since the last inspection the home owner has worked on the care plans. Some of these seen showed they were person centred plans, and had good involvement from the person themselves. Areas of the home have been redecorated, and people living at the home are being asked about further changes planned. Night staff have been employed to ensure that the higher care needs of people at night can be met. Some additional staff are still needed. The home owners have made sure that people living at the home have their medical needs assessed. They are currently considering purchasing a chairlift, but this may not be possible due to the width of the staircase. The statement of purpose and service user guide have been updated to include pictures and simplified text. this makes it easier to understand for people who need support with reading text. What the care home could do better The new care plans should be used for all the people living at the home. This should help to ensure that all the files are the same and easy to understand. The first aid kit needs some new things in it and some staff need more training in first aid. All staff should be trained in how to give special medication to people with epilepsy. This should ensure they know what to do in case of a seizure. If the home has to make changes to medication by being told over the telephone then two people should listen to the message. This is to make sure the message was heard correctly. Staff need more training to understand what to if they suspect someone is being abused. The owners need to make sure the radiator that is not covered is safe for people. The owner needs to make sure that checks are carried out on everyone who works at the home. This helps to ensure that people are not being cared for by staff who may be unsuitable to be working with vulnerable people. All staff should have a full training and induction programme so they know how to look after people properly and to make sure they are all working in the same way. A quality assurance system needs to be implemented for the home. This helps identify what is working well and what can be improved. Some risk assessments need to be undertaken for health and safety issues at the home. These help to ensure that people who live and work at the home are kept safe. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Michelle Finniear 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive a full assessment before a decision is made about whether the home is the right place for them. Information is available about the home to help people make a decision about whether to move to the home. Evidence: Andelain has a statement of purpose and service user guide which contain pictures and symbols to help people understand the text. The service user guide contains information about the home and the services offerred which helps people to make a decision about whether the home is the right place for them. The service user guide was last reviewed in November 2008, and when it is next reviewed the owner told us that she has plans to include more photographs to help people understand it better. Since the last Inspection the home has admitted a new person to live at the home. Before a decision was made that Andelain was the right place for them the manager did an assessment of their needs. This helps to ensure that the home can support the person with their care and makes sure that any arrangements can be in place before the person moves in for example additionl equipment or required visits from Nursing staff. The assessment period also involved a number of trial visits, where people already living at the home got to meet the person thinking about moving in. Advice was also taken from professionals involved. Evidence of this could be seen in their file. Time was spent discussing this process from the viewpoint of the person who had been Evidence: admitted to the home. They confirmed they had received pleanty of information about the home and had visited before they made the decision to move in. Andelain has a contract for people living at the home; for those people who are funded by the local Care Trust there is a separate contract between the home and the Trust. This sets out the fees to be paid and what the home needs to do to look after people well. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are being assessed and reviewed. People have a say in the way their care is being delivered. Evidence: Each person at Andelain has a care plan which identifies the support they need in their daily lives and how that support is to be given. Some new plans were in a more person centred format which is much easier for people to understand. Those completed showed a good involvement from the person themselves in saying how they wished their care to be delivered. The plans had good infomation about the medical care people may need, and information about risk taking was seen in some files. Risk assessments should help to identify and where possible minimise risks while still ensuring people have chances to develop new skills and have new experiences. Plans also contained information about people of significance for example relatives and friends. The names of people who act on behalf of people at the home if they need this are recorded along with information on doctors and specialist assessments and support needed. This for example might be with behaviours that present challenges. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to be involved in the local community and undertake activities they enjoy. Evidence: People living at Andelain have opportunities to participate in the life of the local area as far as they wish and are able. For example one person attends their local church four times a week as a minimum, while other people now find they prefer to spend time at home. Some people attend local day services several days a week. One person who did so was spoken to, who said that they enjoyed this but liked to come back to the home at Lunchtime for a cup of tea rather than stay at the centre. The home is family run by the resident owners. People living at the home live as part of a family, which people seemed to enjoy. When at the home people have opportunities to take part in activities both inside and in the local community. On the day of the visit three people were at the home all day. Two were in the lounge watching television and playing games. One was in their room, where they had a bed sitting room reading and watching their own television. The owner said she plans to offer more day trips this year which is what people have said they want to do. People go out to local pubs and restuarants and have holidays of their choice as a group - last year for example to a holiday camp at Minehead. People spoken to on the Evidence: visit said they were largely able to do things they wanted to do. One person said Its very free and easy and a relative spoken to was confident that people had opportunities to be as active as they were able to be. People at the home have access to their own money, although some people need support to understand and manage it safely. Most people have access to direct payments which gives them greater independance with choosing how they wish to spend their money. This may include for example this year a summer holiday in Cornwall or France and a winter break at a holiday camp. The home contributes some money towards holidays chosen. The home has a menu plan, which showed the main meal of the day is in the evening. On the day of the site viit this was a choice of Roast beef or quiche and jacket potatoes or chips. People spoken to said the meals were very good, home cooked and flexible to fit in with peoples activities and schedules. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples healthcre needs were being met. Evidence: Evidence was seen in peoples care files about the assessments made of peoples medical needs and how these needs are being met. Information is available in the home about peoples health and in some files there were examples of easy to read health assessments people had filled in. Other evidence was also seen of people being supported to refuse treatment or screening if they wished. People at the home are getting older, and some are now retired. For some people this has made it more difficult to climb the stairs to go to their bedrooms. The owners have looked into fitting a chairlift but this may not be possible as the stairs are narrow. Nobody at the home needs to be lifted to help them move around or get out of a bath, but several people now need wheelchairs when out of the home. Some equipment is available in the home to support peoples health needs, and discuission was held on the use of an old style peak flow meter and the need for an asthma review for one person. The owner said she has been trained by the supporting district nurse to administer insulin to a person living at the home and records were seen for the monitoring of blood glucose levels. Medication systems seen were satisfactory with staff signinga record every time they give out medication, and records kept of how much medication is in the home. Medication is sent to the home in a series of blister packs. These help staff to make sure that medication has been given out properly and reduces the risk of things going wrong. The system seen is regularly checked by the pharmacist. It is recommended that when being told of changes to the dosage of a drug the information is received in Evidence: writing or if over the telephone two people listen to the changes. This is to reduce the risk of mistakes. The controlled drugs held were not inspected on this occasion. The home has a refrigerator for medication and a policy for homely or over the counter remedies that can be used. The homes first aid kit needed some re-stocking. Emergency medication for seizures was kept in a bag to be taken with the person for who it is prescribed when they leave the home. There is also a plan which clearly lays out the circumstances in which the medication is to be given. Some staff have not been trained in the use of this medication. Staff are currently advised to dial for an emergency ambulance if they are unable to give this medication. One person spoken to said the home knew how to manage their health needs and were providing an appropriate special diet for them. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People should be protected by the homes policies on complaints management and protection of potentially vulnerable people. Evidence: Andelain has a complaints procedure which is available in a picture and symbol format to help people understand the text. The owner has plans to include an individual complaints procedure in each persons file, as people at the home express dissatisfaction in different ways. For example some people may express concern through a change in behaviour rather then telling someone directly. No complaints have been received about the service since the last inspection. People spoken to on the visit were clear about what they would do if they were unhappy about something. A relative spoken to said they had full confidence in the owners. Another said that they had never had any problems but if they had they would feel free to talk to the owners about it. Some staff at the home have received training in the protection of vulnerable adults, but others still need to do this. This helps people to understand and prevent abuse and abusive practices. Information is available in the home about what to do in case abuse is suspected. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Andelain offers a comfortable and family orientated home for people. Some adaptations may need to be made to allow for the ageing of the people who live there. Evidence: Andelain is a three storey house, close to the sea front and local services at Paignton. The home is also close to a local day centre which several people at the home attend. Buses and other transport services are nearby and there is parking at the home or on nearby roads. The home is also near local churches. Peoples rooms are on the ground and first floor, with the owners private accommodation on the second floor of the home. Rooms are well furnished and comfortable. All areas seen were clean and free from odour and were well decorated. There is a lounge and dining area on the ground floor and some bedrooms are large enough to be bed sitting rooms. People have their own televisions in their rooms, so that they can choose to be together or spend some time apart if they wish. There is an attractive garden to the rear of the home, with seating areas and planted beds. Peoples rooms were all different and furnished with evidence of their hobbies and interests. At the last inspection a number of radiators were not covered which presented a potential risk to people living at the home from coming into contact with a hot surface, for example if they fell while having a seizure. All of these bar one have now been guarded according to the owner. The final one remaining is in a bathroom which is due to be refurbished. A risk assessment was not available in relation to this radiator. There is a laundry on the first floor which people living at the home could use with support. Evidence: The owner has considered fitting a chairlift to improve access to the first floor rooms for people with limited mobility. There is a near level access shower on the ground floor, which means people do not have to step up into it to use it. People spoken to were proud of their rooms and keen to show their belongings. One person said I really like my room. It was done how I wanted it. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some attention is required to staffing systems, but the staff are well respected and liked by the people they work with. Evidence: On the day of the site visit the owners were the staff on duty. People living at the home got on well to them and seemed happy in their ompany. One person spoken to said they were like a family to me. Another person said they liked the staff and owners and that they looked after them well. A small number of other staff are employed at the home, including recently some waking night staff. On some occasions the owners are also on the rota to be working night shifts as well as day shifts. The owner stated that they were trying to recruit two more night staff. Files for the employed staff were seen. These showed that a full recruitment and training programme is still not being followed through for all staff recruited. The home is taking up criminal records bureau checks on people, but one file only contained one reference and the Induction records were not completed for staff who had been working at the home for some time. The owner said that she was considering a new induction system for staff. No system was available to easily show the training that staff have received, but records could be seen in some files about courses undertaken. Some now require updating to make sure people are up to date with current practice. Staff also need to attend training on the Mental Capacity Act and Deprivation of Liberty safeguards which are being introduced. The owner has an in house training course for staff on the Protection of vulnerable adults but has not yet used this with staff. Discussions indicated a member of staff Evidence: wishes to do an NVQ award, which is a national award reflecting the competency of a person in their workplace. The owner is also to finish an award previously started. Supervision systems were not in use according to the owner. Supervision is a system that allows people time on a 1:1 basis with the homes management looking at their personal development and working. It should help to ensure people are working in the same way and to their full potential to support people living at the home. A staff member who completed a questionnaire said they received clear information about the people they were supporting and they were being given training which was relevant to their work. They also said The home is run very well, and is friendly and has a family feel. I was made to feel very welcome when I started and feel I can talk to the owners about anything and my views are always listened to. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Attention is required to some areas of the management to make sure people living and working at the home are safe. Evidence: The owners of the home have many years experience of owning and managing care homes for people with Learning disabilities. Mrs Burn holds the Advanced Care management certificate, and qualifications in foundation management and community care. She stated she will be re-commencing her National Vocational qualification at level 4, which is a management level in care. There is no written system for quality assurance at the home. People however live at the home with the owner and are encouraged to say what they think about the service at residents meetings and records are kept of any action taken as a result. The owner failed to complete an Annual Quality Assurance document for this Inspection, which is a legal requirement, despite several extensions being given to the completion date. Some areas of health and safety need reviewing, such as the homes infection control systems and audits, and some peoples first aid qualifications have expired. The home has recently been inspected byt he Fire officer and fire drills and instructions and regular tests are being carried out on the fire system. Some requirements from the last environmental health inspection are still outstanding however. There is a health and safety policy and procedure manual available. Some staff training updates in food hygiene are needed. Evidence: Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 1 6 14(1) (a)14 (2)(a) (b) The registered person shall 11/04/2008 not provide accommodation to a person at the care home unless, so far as it shall be practicable to do so (a) the needs of the person have been assessed by a suitably qualified person or suitably trained person The registered person shall ensure that the assessment of the peoples? needs is (a) kept under review and (b) revised at any time when it is necessary to do so having regard to any change in circumstances. Complete review and update risk assessments. Previous timescale of 12/04/07 not yet met 2 20 13(2) The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the home. This refers specifically to ensuring that correct procedures are followed in relation to the administration 11/04/2008 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action of any controlled medications. This is so that people who live at the home remain protected at all times 3 24 13 (4)(a) The registered person shall 11/04/2008 ensure that - (a) all parts of the home to which people have access are so far as practicable free from hazards to their safety. ( c ) Unnecessary risks to the health or safety of people are identified and so far as practicable eliminated. Radiators must be risk assessed and then guarded on a priority basis. This is to ensure that the people who live at the home remain protected from the risk of sustaining a burn. Previous timescale of 12/04/07 not yet met 4 34 19 (1) (b)(i) The registered owner must 11/04/2008 ensure that there is a robust recruitment programme operating within the home, which includes the receipt of Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action two written references. This will ensure that only suitable people are recruited to provide care to the people who live at the home and therefore protect the people who live at the home. 5 39 24 (1) (a)and The registered owner must 14/07/2008 2 introduce a structured system to monitor the quality of the service provided. This should include the views of service users and other stakeholders. An annual development plan must be drawn up after obtaining these views and this report must be made available to the Commission. This will ensure that all involved in the receipt of care are able to have a say into how that care is delivered and that the home has a structured plan to address any shortfalls and build on the positive aspects of the home. (Previous recommendation) Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 39 24 A quality assurance system must be provided to help maintain and improve the quality of care provided at the home. 03/07/2009 This helps to ensure that people have a say in the way the home is run, and helps the home owner identify what is working well and what could be improved from the perspective of other stakeholders. 2 42 13 Risk assessments and some 03/07/2009 staff training is required. This includes training in First aid, infection control and Food hygiene. This is to ensure that the health and safety of people living and working at the home is safeguarded. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 The owner should continue with the development of the person centred plans seen so that everyone at the home has a plan in the same basic format. Staff should receive accredited training in the use of specialist medication for the management of Epileptic seizures. Two staff should listen to any changes in medication dosage made verbally. 2 20 3 4 5 20 23 34 The homes first aid kit needed some re-stocking. All staff should receive training in the protection of potentially vulnerable people. The home should ensure a full recruitment process is followed through for all staff. This helps to ensure people at the home are not cared for by people who may be unsuitable. Staff should receive a full training and induction programme. This helps to ensure staff are working consistently and in the best way to support people. Systems should be in place to ensure staff training is recorded and updated regularly. Staff should receive training in the Mental capacity Act and Protection of vulnerable adults. This is to ensure people are protected and their rights respected. 6 35 7 36 The home should have formal systems for recording supervision of staff. Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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