Inspection on 30/09/08 for Ash Care Home

This inspection was carried out on 30th September 2008.

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

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

Other inspections for this house

Ash Care Home 26/09/06

Ash Care Home 12/10/05

Ash Care Home 19/04/05

Ash Care Home 03/11/04

Ash Care Home 05/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ash Care Home Ash Care Home 41 Court Farm Road Mottingham London SE9 4JL     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Meaker     Date: 1 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Ash Care Home 41 Court Farm Road Ash Care Home Mottingham London SE9 4JL 02088571183 02084022416 s.aubeeluck@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Rajwantee Aubeeluck,Mr Ashok Kumar Aubeeluck care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care Home Only Code PC to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories: Learning disability Code LD Date of last inspection Brief description of the care home Ash Care Home is a detached house situated in a quiet residential areaof similar properties, overlooking playing fields. The home is within walking distance of local shops, amenities and public transport. The home provides care and accommodation for six people with a learning disability. The residential accommodation is on two floors accessed by steep stairs with a banister fitted to the wall, which makes it partly unsuitable for people with significant mobility problems. Central heating is provided to all areas of the home and the residents can control the temperatures in their own rooms. Each of the residents have their own bedroom, fitted with a vanity unit with hot and cold running water. There is a shared bathroom on the first floor and a toilet on Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 6 Brief description of the care home both levels. Residents have full use of the kitchen, a comfortable lounge, a dining and conservatory area and access to a very pleasant garden, with patio furniture. Residents are also able to access to a telephone, computer and television/DVD/Video and may have these items in their own rooms, at their own expense, if they wish. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a statutory unannounced key inspection undertaken over a period of six hours and comprised of a tour of the home, and a discussion with the proprietor. Conversations were held with two of the residents and one member of the staff team. Information was taken from the AQAA that was completed by the home manager prior to the inspection visit. Five residents files were seen as were all the personnel files. Documentation was seen relating to health and safety, medication, staff development and training, menus, activity programme, the statement of purpose and service user guide. Four questionnaires were completed by people who use the service; three questioniires were completed by healthcare professionals; all of which were positive and complimentary about the service. Care Homes for Adults (18-65 years) Page 6 of 30 This was a very good inspection and justifies its level 4 - three star rating. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 30 Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All the people who usse the service receive specific information about the home detailing how their specific personal, health and social care needs will be met; enabling them to make an informed choice about whether they wish to live in the home. People who use the service receive a copy of their contract ensuring that they are aware of the terms and conditions of their residency. Evidence: This service has a Statement of Purpose and a Service Users Guide for people who would like to use the service. These documents detail the philosophy of the home setting out the aims and objectives of the services given to the people resident in the home. It was evident from conversations with the residents, questionnaires received that they have had access to both documents; as they were in the rooms of the people resident in the home. Currently there are five residents in the home, all of whom have been there for number of years; it was evident from looking at their personal files that a preaddmission assessment had been done by the homes registered manager, prior to Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: them being offered a place; all the residents had been referred to the home by Bromley Social Services who had sent an assessment of need to the home, a copy of which is kept on the individuals personal file. The assessment process also incorporates a Coping Skills Assessment, that covers all aspects of daily living; this assessment is done by the home manager and becomes part of the person centred care plan for the individual who uses the service. The person going to use the service, their relatives and healthcare professionals are all involved in the assessment process making sure that the home is aware of the specific health, personal and social care needs of the individual and that the staff in the home have the experience and skill to meet those needs ensuring that the people who use the service are able to maintain their independence by respectiong their wishes and preferences about how they want to live their lives in the home. Residents spoken to confirmed that they had visited the home, and spent time there prior to moving in; they meet the other people living there and had conversations with the home manager and the staff team; making sure they felt comfortable, enabling them to make a decision about whether their specific care needs would be met and they would be happy living in the home. The contract detailing the Terms and Conditions of residency are on the residents personal file; this document is signed by the resident and the home manager and sets out details of the room to be occupied, the furniture fittings provided and the facilities within the home. It was evident from the residents and relatives questionnaires, complemented by the informaation in their personal files, that the assessment and assessment policies and procedures are adhered to, residents and relatives consulted at every stage and that the processes are managed with compassion and sensitivity. Care Homes for Adults (18-65 years) Page 12 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person centred care plans are personalised and individual to each person who uses the service, promoting their independence, incorporating their wishes and preferences, ensuring their privacy and dignity at all times; thereby enabling them to take prescribed risks and to make informed decisions about how they want to live their life and achieve their personal goals and aspirations. Evidence: All of the five residents in the home have a person centred care plan giving specific details of how their individual personal, health and social care needs need to be met. The person centred plan of care uses information from the social services assessment; the pre-admission assessment and the coping skills assessment done by the home manager. Each of the homes residents is involved in the development of the person centred care plan as are their relatives, the home manager, the key worker and the professional healthcare team. All five care plans were seen and all gave general information about Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: the resident, identifing the next of kin, key worker, details of GP, dentist and optician and also focussed on all the activities of daily living giving information about the residents ability to carry out tasks relating to personal care, mobility, shopping, education and travelling. The care plan showed achievable aims and objectives for the individual resident looking at any element of risk, the residents said that they had been involved in saying what they wanted to do and that the manager and staff helped them. It was evident from looking at the care plans that they were pertinent to the individual and that there were regular reviews with them, relatives, if appropriate, with the manager of the home and their key worker. The people who use the service are given the opportunity to make their own decisions about how they wish to live their life within and outside the home as set out in the homes Statement of Purpose. The management and staff of the home offer support and guidance to the people who use the service making sure that the decisions made are appropriate and in the residents best interests. As the people who use the service enjoy freedom of movement within and outside the home; risk assessments are in place to minimise any risk; these assessments are part of the care plan, the individual is made aware of any risk surrounding an activity they wish to undertake and appropriate systems are put in place to minimise the risk particularly in the case of one resident who goes out on his own using public transport; and another resident who goes to stay with family on weekends. From speaking to the residents and from looking at the questionnaires received it is evident that they are encouraged and supported to participate in the day to day aspects of living in the home, such as planning menus, doing the shopping, keeping the home clean and tidy, helping to do laundry, discussing and planning days out, social functions and holidays. Resident meetings are held on a monthly basis and are documented; residents said that any ideas, suggestions and concerns they had were listened to and acted upon by the home manager. The people who use the service have a moving and handling and environmental risk assessments; they also have specific ones around things like using public transport, going out alone, attending appointments at the GP, dentist or optician, going shopping or attending their day centre, Care Homes for Adults (18-65 years) Page 14 of 30 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. The people who use this service are encouraged and supported to enjoy a wide range of leisure, educational and work related activities, making sure they can live fullfilling liveoutside as well as within the home The people who use the service are involved in the planning of menus and the shopping, preparation and cooking of their meals ensuring that they eat healthily. Evidence: The people who use this service enjoy a varied programme of leisure, educational and work related activities to suit their individual aims abjectives and capabilities. From looking at the personal files of the people who use the service and from speaking to them, from talking to the home manager and the staff team it was clear that there were a lot of activities on offer and that the people who use the service participated in those they Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: found enjoyable and appropriate to them. Three of them attend local day centres on a regular basis, one of the residents likes to organise his own activities and do my own thing; another of the residents is retired. One of the residents attends a day centre three times a week where he enjoys keep fit, various arts and crafts, nature gardening and learning life skills. He also does paid work for the Shaw Trust being involved in Tuck by Truck and recycling projects. He goes to the Gateway Social Club in the evenings, going swimming and bowling. He also visits his family at the weekend. Another resident attends a local college enjoying a pootery class, as well as attending the local day centre, doing some paid work and attending the local church also going home on weeekends to visit his family. The resident also do things together and enjoy going to the local pub, local restaurants, the cinema and theatre and out for walks; they also attend their local club and leisure centre. The people who use the service are encouraged to do their own personal shopping and going to the supermarket on a weekly basis to shop for their menus - decided at a weekly meeting where all the residents have input into deciding what they like to eat that week. Last year, february 2007, all the residents went on holiday to Morrocco, a deision made by them all, two of the residents in the home at the time of the visit said they had a great time and showed the photos taken whilst they were on holiday. The home also has a range of activities for the residents including the use of a computer, watching Sky TV, listening to music, reading and playing board games; they have a have a spacious lounge and dining area in which to enjoy group activities; they are also able to entertain their relatives and friends in their own rooms or enjoy watching their own TVs or listening to music of their choice. The home has a good size garden and the residents participate in growing flowers and vegetables and generally keep the garden tidy in the summer they have BBQs and social events. The people who use the service are supported and encoraged to attend events organised within the local community such as church fetes, boot fairs, garden parties; they also use the local library and leisure centre. The residents said that they can ask their relatives and friends to visit them and that they are always made welcome; they are invited to reviews if the residents wish them to attend. The home has a weekly menu and it is decided by the residents, healthy eating options are included in the menu and the residents are encouraged to eat lots of fresh fruit and vegetables and meat. The fridges, freezer and cupboards are well stocked, and the kitchen is kept clean and tidy and there is a cleaning rota in place and the residents help out encouraged and supported by the staff. The residents sit down together for their evening meal, this is a social occasion and they said they enjoy finding out about what the others had been doing during the day; Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: and discussing days out, weekends away and planning holidays. Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and staff of the home have a good understanding of the personal and healthcare needs of the people who use the service; thereby continuing to maintain their independence by listening to their wishes and preference ensuriing that they live the life of their choice. Evidence: Currently the people who live in the home require some level of support and encouragement to be able to manage their own personal and health care needs. Stall will help, if they are needed to, with washing, dressing, bathing and showering. The coping skills assessment, part of the person centred care plan, looks at the capabilities of the individual and the level of support they may need to be able to care for themselves. This assessment covers all aspects of daily living and clearly identifies the type of help each of the residents need to achieve their personal care; the personal care needs of each resident are reviewed on a monthly basis and amended; the personal files seen clearly identified the individuals care needs, how they were to be achieved, how much the resident wanted to be involved and exactly how much help was needed. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The people who use the service have access to a local GP; they either go to the surgery accompanied by a staff member or the GP will visit the home. The GP arraanges via the district nurse for any test the residents may need, such as blood tests; the home is also able to access podiatry and dental services via the community health clinic; optical services are provided by a local optician. Specialist services relating to learning disabilities and mental health are accessed via the Bassetts Centre part of the local primary care trust in Bromley. THe input from all specialist services are documented on the residents file and a record is kept for refferal purposes; evidence of this being done was seen on the files seen during the visit. The people who use the service have their medication delivered to the home by the local pharmacy; the medication is in blister packs and administered by a trained member of staff. The medication administered is given to the resident and is recorded on the Medication Administration Record Sheet, which is kept in a file, a photo and profile of the individual accompanies the MARS which comes from the pharmacy, the MARS is computerised, and details the name of the medication, the dosage and the time to give, the MARS is signed by the member of staff giving the medication. All the staff have received training in the Safe Adminstraion of Medication, as detailed in their personal files, medication training is also part of the induction process and is covered in the NVQ 2 qualification. The homes policy and procedure is kept in the medication file so it can be easily accessed by staff. Currently none of the people who use the service self medicate, there are no controlled drugs kept at the home; alll drugs are kept in a locked cupboard in the office, all the MARS were checked on the visit and were completed correctly and signed appropriately. It was evident from speaking to the manager and staff in the home that they are continuing to promote good healthcare for all the people who use the service by observing and listening to their health concerns. Care Homes for Adults (18-65 years) Page 19 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place, relating to complaints, concerns and protection ensuring that the people who use the service, their relatives and staff of the home feel safe and protected inside and outside the home. Evidence: The service has a very good policy and procedure relating to concerns, complaints and safeguarding vulnerable adults. These policies are part of the homes Statement of Purpose and is also documented in the Service User Guide; a copy of the policy and procedure is also displayed in the hallway of the house. THe people who use the service said they knew about how to voice a concern and/or make a complaint; questionnaires received from relatives also stated that relatives were aware of how to voice a concern and how to make a complaint should the need arise, all questionnaires received from relatives confirmed that they had not felt the need to voice a concern or make a complaint; all said that if they had a problem they would go to the home manager and discuss it with him; the people who use the service said that they would do the same; as they had every cofidencethat their problem would be listened to, dealt with in a sensitive and compassionate manner and acted upon. The home has monthly meetings with the people who use the service and with the management and staff team where they can discuss issues, arrange holidays and social events; relatives can also attend these meetings details are recorded were seen Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: at the visit. The home has a copy of the local authoritys guidelines about safeguarding vulnerable adults; supplemented by the homes policy and procedure. Staff files seen confirmed that staff had attended training relating to safeguarding and abuse. Staff spoken to demonstrated that they had an understanding of issues relating to the identification of different types of abuse. Staff were also aware of the homes Whistle-Blowing policy and procedure and knew how to instigated it if it ever became necessary. Care Homes for Adults (18-65 years) Page 21 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home supports and encourages the people who use the service to achieve their chosen way of life by providing appropriate accommodation and facilities to meet their personal, health and social care needs. Evidence: The home prodes the people who use the service with a homely, comfortable and safe place to live; the home is decorated and furnished to a high standard and well maintained by the owners of the house. On the ground floor there are two comfortable lounges, both well decorated and comfortably furnished, where the residents are able to entertain visitors or socialise with each other either watching TV or DVDs, listen to music, read or play board games. The other lounge is used as a quiet area where the residents can have cofidential meetings with relatives, friends and healthcare professionals. The home has a conservatory that is used as a dining room where the people who uses the service eat and socialise together. Adjacent to the dining area is the kitchen which is light and airy and well equipped, the owners do have plans to refurbish this area in consultation with the people who use the service to ask them what they would like in the new kitchen and how they would like it decorated; the kitchen has been awarded a Clean Food Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Award by the environmental health department of the local authority. The home has good laundry facilities and there is now a ground floor shower room and toilet for the two bedrooms on the ground floor. On the first floor there are a further four bedrooms, one of which is in the process of being refurbished; the bathroom on the first floor has been refurbished and there is also a seperate toilet.The managers office is also on this floor, where confidential records are kept in locked cabinets; medication is also kept in a locked cupboard in the office and all monies are kept in the safe. The people who usse the service have acces to a large, enclosed, well maintained garden and there is also off road parking for visitors. All the bedrooms were seen on this visit and they were decorated to the persons taste, comfortably furnished. The rooms reflected the individuals interests and hobbies; there were pictures, posters, photographs, ornaments and books; residents confirmed that they had been asked what furniture they wanted and how they would like their room decorated. The residents have their own televisions, DVD or Video players and music systems in their rooms and one resident has his own computer. Al the bedrooms have wash hand basins and the resident have access to toilets and bathroms near to their bedrooms. Care Homes for Adults (18-65 years) Page 23 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and staff of this service have proved that they have the skills, competency and experience to meet the personal, health and social care needs of the people who use the service; this is achieved by having effective and efficient recruitment and selection, supervision and training systems in place. Evidence: The home is run by a team of six staff including the registered manager and the proprietor who has nursing qualifications. All the staff employed are trained to NVQ 2 standard and above; evidence of these qualifiactions were found in the personnel files seen on the visit. The files also showed that there was an application form, two references, a CRB check, photographic ID and interview notes. The files also contained evidence of the induction programme being completed, a personal and development plan, supervision and appraisal forms being completed, evidence of training being undertaken, a copy of the homes code of practice, disciplinary and grievance procedure and equal opportunitiy policy and procedure.It was evident from observing the people who use the service that they had a very good relationship with the manager and staff; the staff were encouraging and supportive toward the residents thereby maximising their independence it was obvious that they felt comfortable approaching the manager and staff and that they were Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: treated with respect and sensitivity. It was evident from looking at the staff files and from speaking to the home manager that the homes policies and procedures relating to recruitment and selection are followed. The staff now have an individual, structured ,personal development plan and they have opportunities to attend and contribute to in-house training sessions that are designed to meet the specific requirements of the service; they participate in staff meetings, group and individual superviosion sessions and have an annual appraisal; these meetings are used to address a wide range of topics for training and to improve their practice and performance. All staff attend mandatory training courses relating to moving and handling, health and safety, food hygiene and first aid. The staff receive certificates for successfully completing each training course. Care Homes for Adults (18-65 years) Page 25 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service benefits from efficient and effective management enabling the people who use the service to feel safe and protected. The management of the home ensure that the staff and supported and encouraged in their work; theough training, suppervision and appraisal and being involved in the day to day running of the service. Evidence: The home has a stable staff team and they are able to offer the people who use the service good quality care. It was evident that the proprietor and registered manager of the home are very involved in the day to day running of the home; and thaat the people who use the servie, their relatives and friends and the staff feel comfortable in speaking to them about and concerns or issues. The five people who live in the home have been there for a umber of years and this is reflected in the atmosphere and ambience of the home and in how well everyone relates to each other in a family like situation. The management team undertake to run the service effectively in order that the home complies with its stated puropse and objectives and meets the personal, health and Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: social care needs of the people who use the service. The registered manager has the qualifications, skill, competency and experience to run the service effectively. The people who live in the home can expect openness and flexibility from the management of the service; making sure that the residents are a part of the day to day operation of the service, new developments and innovation and any changes are discussed and residents are fully involved in new projects. Policies and Procedures are implemented, reviewed and updated in line with regulation. The home continuously monitors improvements, changes and gain feedback from residents, relatives and othe stakeholders giving a comprehensive picture of the services provided. Accounting and financial procedures are adopted to ensure the efficient and effective running of the home and continued financial viability, all thiese records are maintained and kept in compliance with the dData Protection Act. The safety of the people who use the service are maintain by robust fire procedures and maintaining health and safety through risk assessment and maintaining the building to a high standard. Health and safety records were checked at the time of the visit . Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 Care Homes for Adults (18-65 years) Page 29 of 30 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 © (2008) 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. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!