Inspection on 03/08/07 for Autism Initiatives - Redpoll Lane

This inspection was carried out on 3rd August 2007.

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

The inspector 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

Autism Initiatives - Redpoll Lane 07/09/06

Autism Initiatives - Redpoll Lane 14/09/05

Autism Initiatives - Redpoll Lane 18/05/05

Autism Initiatives - Redpoll Lane 23/03/05

Autism Initiatives - Redpoll Lane 06/07/04

Autism Initiatives - Redpoll Lane 23/02/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Clover House

Thornton Lodge

Parkside

Park Lodge

Mere Hall View

St Bonaventures

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

CARE HOME ADULTS 18-65 Autism Initiatives - Redpoll Lane 29 Redpoll Lane Birchwood Warrington Cheshire WA3 6NP Lead Inspector David Jones Unannounced Inspection 3 and 8 August 2007 2.10 Autism Initiatives - Redpoll Lane DS0000027045.V342083.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 Autism Initiatives - Redpoll Lane DS0000027045.V342083.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. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Autism Initiatives - Redpoll Lane Address 29 Redpoll Lane Birchwood Warrington Cheshire WA3 6NP 01925 837004 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.peterhouseschool.org Autism Initiatives vacant post Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 2 service users to include: * Up to 2 service users in the category of LD (Learning disability) * Up to 2 service users in the category of MD (Mental disorder, excluding learning disability or dementia) Date of last inspection 7th September 2006 Brief Description of the Service: 29 Redpoll Lane is on a side road of a housing estate in a residential part of Warrington new town. The home provides care specifically for younger adults with Autistic Spectrum Disorders. The home is a three bed roomed house with a lounge, dining room and kitchen on the ground floor and private gardens to the rear. Aids and adaptation have been provided to meet the needs of one resident. However, the premises do not provide level access and are not designed to meet the needs of people who have a physical disability. Access to local shops and public transport is good and residents have their own car that is used each day. Information about Redpoll Lane, including copies of the most recent inspection report, is made available to each resident and their representatives and can be obtained by contacting Autism Initiatives on 0151 9500 330. Fees range according to the needs of the individual and are agreed with the local authorities that fund the placements of the people who live at the home. There are no additional charges other than transport costs shared between the two residents. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The visit to the home took place on two days over 6 hours in total. It started at 2.10pm on the first day. This visit was just one part of the inspection. Before the visit, the manager was asked to complete an annual quality assurance assessment and provide up to date information about the home. CSCI questionnaires were also made available for people who live at the home, their families; staff, health and social care professionals, such as nurses and social workers, to find out their views. Other information received by CSCI since the last inspection was also reviewed. The inspector spoke with both of the people who live at the home, the acting manager and five staff members. Information was received from relatives and their views have been taken into account. The case records of both of the people who lived at the home were examined as part of the inspection, in respect of the care they receive. Records of medicines, care plans, staffing rotas and staff training were also examined. The home’s policies and procedures were also checked. What the service does well: 29 Redpoll Lane is an established and well managed home for two younger people who see it as their own home. They have good relationships with the staff who work with them so they know their carers well. Relatives of a person who lives there say the standard of care at the home is excellent. Managers and support staff at the home know how it important to know about the different needs of the people who live there so they can provide care that is right for the person. The assessment and care planning processes used at the home are centred on the individual person so they receive the right care for them in the way they prefer. Each person and their representatives, including relatives and health and social care professionals, is involved in drawing up their own care plans that are continually reviewed and updated to make sure their care needs are met. There is a strong commitment to helping the people who live at the home to their skills. They are helped to identify their goals so they can then work towards achieving them. The staff are well trained and have developed positive relationships with the people who live at the home. They work well together and receive support Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 6 from the managers to help them work effectively as a team. Relatives and other people who are involved in the care of the people who live at the home have confidence in the staff’s abilities and commitment to working in partnership so each individual’s health and social care needs are met. There is an effective complaints procedure for the home so people who live there are able to express their views and are listened to. Effective adult safeguarding procedures are in place so the people who live at the home are protected from abuse. What has improved since the last inspection? What they could do better: A manager needs to be appointed and registered with CSCI to ensure that staff receive consistent management guidance and support to provide the care needed by the people who live at the home. The documents called “What I need”, used by the organisation that runs the home, should be available and updated so staff can ensure that they are providing the right care in the right way for each person. All staff should be told of any changes made to people’s care plans so they know how they should be providing the right care for people to meet their needs. Recommendations made by the speech and language therapist should be put into practice so that the people at the home can develop their communication skills. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 7 Staff should receive supervision so they know how to carry out their jobs and provide care and support that is consistent with each individual’s needs. 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. Autism Initiatives - Redpoll Lane DS0000027045.V342083.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 Autism Initiatives - Redpoll Lane DS0000027045.V342083.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 and 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service have their needs assessed to make sure they receive the care and support they need. EVIDENCE: There is a statement of purpose that sets out the objectives and philosophy of the home and a service users guide, which provides information on facilities and services provided. The acting manager is looking at ways of making these documents available in formats that would be easier for people to understand, such as using photographs. The files showed that Autism Initiatives, the organisation that runs the home, operate effective assessment and admissions procedures. This was confirmed by comments from relatives, staff and social workers. The person who is looking to move to the home and their representatives are very much involved in making the decision about whether to live there. Care at the home is provided in a person centred way so people receive support in the way they prefer. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 10 Support plans for each person are drafted from initial care management assessments from social workers and health care specialists. The plans are then developed further through working closely with each person who moves into the home, monitoring, review and evaluation so the person receives all the care they need in the way they prefer it. Autism Initiatives - Redpoll Lane DS0000027045.V342083.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, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that a person living at the home receives is based on their individual needs, so they receive the care they need in the way they prefer. EVIDENCE: The principles of person centred planning are followed and are reflected in the care and support practices at the home. Each person who lives there has a support plan, which is developed in partnership with them, their representatives including family members, and health and social care professionals. The relatives of one person who lives at the home confirmed that care is provided in a person centred way. They spoke highly of the staff team’s professionalism and skill. They said that their son has very complex needs but the staff work closely with them and care professionals to find the best way to care for him. Social workers confirmed that staff work in partnership so the needs of the people who live at the home are met in the way that is acceptable to each individual. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 12 The assessment, risk assessment and care planning system has been revised to make the information more accessible to staff, the people who live at the home, their families and other people who work with them. Assessments and support plans are signed dated and shared with each person’s representatives, including relatives, so they know how each individual’s needs are to be met. Staff help the people who live at the home to take control of their lives. They respect each individual’s rights to make decisions and those rights are limited only if a thorough risk assessment, involving the individual and their representatives, has been done. A planning meeting known as a “WIN (What I Need) meeting” is arranged to help the people who live at the home to talk about their needs and wishes. These are recorded in a “What I need” document. However, these documents could not be found at the time of the inspection. As these documents are an important part of the care planning processes at the home, they should be found and updated as needed to make sure that each person is receiving the support they need in the way they prefer. Communication aids recommended by a speech therapist, such as photographs of meals, are used to improve communication and help the people who live at the home to make choices. However it was noted that recommendations made by the speech and language therapist for one individual in May 2007 had not yet been put into practice. It is essential that staff act on the advice and recommendations of health care professionals so the needs of the people who live at the home continue to be met. Thorough risk assessments to make sure that each person is safe in all that they do are carried out. Each plan sets out how specialist requirements will be met through positive and planned interventions and focuses on current needs and development of skills of each individual. The support plan is used as a working tool and staff generally have a good knowledge of the needs of each person who lives at the home. However, the two staff on duty did not know that the support to be given to one person to prevent some difficult behaviour had recently changed on the advice of a healthcare specialist. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home are able to make choices and are supported to take part in social and recreational activities so they lead active and busy lives as they prefer. EVIDENCE: The staff have a strong commitment to enabling the people who live at the home to develop their skills, including social, emotional, communication, and independent living skills. Each person is helped to identify their goals, and work towards achieving them. Each has an activities programme covering the seven-day week, which is designed to meet their needs and personal preferences. Visits include going to pubs, shops, parks, swimming baths and other places of interest. These visits happen often and additional staffing is provided when needed to make sure that each person can make choices about what they do and where they go. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 14 The people who live at the home take part in the day-to-day domestic routines, including cleaning and tidying the house and shopping. One of the people who lived at the home said the food was nice and the records showed that a healthy, varied, nutritious diet is provided. People who live at the home are helped to keep in touch with their families and relatives are kept informed of significant events in the home. Relatives said that the standard of care, facilities and services provided is excellent. They said that communication with staff at the home is good and they are made welcome when they visit the home. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The health and personal care that people receive is based on their individual needs and given in a way that respects their dignity and privacy so they receive the care they need in the way they prefer. EVIDENCE: Comments by social care professionals and relatives indicate that staff provide flexible personal support to each of the people who live at the home, with skill and understanding. The records show that each person’s health care needs are monitored and regular contact is kept with health and social care professionals. Discussion with staff confirmed this to be the case. Both people who live at the home have received the structured support they need to enable them to visit health care professionals such as doctors, dentist in the community, rather than the health care professional visiting them at there home. Considerable time and effort has been spent in achieving these goals so the people who live at the home lead ordinary lives and have a presence in the community. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 16 Medicines are managed appropriately in the home. Staff receive training on the safe administration of medication; this is reviewed and updated regularly. They are able to demonstrate their competence when handling and recording medicines. However, there was an error found in booking in and booking out a medicine, which is prescribed to be taken as required, when the people who live at the home go out. Arrangements were made at the time of the inspection to improve the current system to prevent any further errors. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to the service. There is an effective complaints procedure and safeguarding procedures so that people who live at the home are able to tell about any concerns they have and are protected from abuse. EVIDENCE: No formal complaints have been received since the last inspection. The complaints procedure for the home includes information on to how to make a complaint and there is an easy to read version with photographs to help the people who live at the home to understand it. There are thorough procedures for responding to suspicion or evidence of abuse or neglect, including whistle blowing. These include the Autism Initiatives’ adult protection policies and procedures and those provided by the relevant local authorities. All staff had received guidance on how to use the adult safeguarding procedures. Any further training needs identified during staff appraisal sessions would be addressed as needed. Training, supervision, review and quality monitoring are used to make sure that care staff fully comply with the policies and procedures on protecting and safeguarding the rights of people who use the service. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The home is well-maintained so the people who live there have comfortable, clean and hygienic surroundings that suit their needs. EVIDENCE: The home is spacious, bright, cheerful, airy and clean throughout. The premises are in keeping with the local community and the style and atmosphere reflects the home’s purpose. The home has two reception rooms and an enclosed rear garden, which is enjoyed by both of the people who live at the home. The premises are well maintained and some interior redecoration is ongoing. Bedrooms are decorated and furnished to reflect individual needs and personal preferences. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 19 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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and provided in sufficient numbers so the people who live at the home receive the care and support they need. EVIDENCE: There is an effective staff team working at the home. Staff have developed positive relationships with the people who live at the home. They work together to meet shared aims and objectives and appreciate the support and guidance provided by management. Relatives and social care professionals have confidence in their abilities and knowledge. Managers and staff at the home are aware that continuity of care is very important to the well-being of the people who live at the home. Staff rotas are thought out to make sure that there are always enough staff on duty to meet the needs of the people who live at the home. The core staff team has remained relatively stable with only one staff member leaving in the last 12 months but additional staff have been required to meet higher staffing levels. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 20 Rotas show that the acting manager has used staff from other social care establishments operated by Autism Initiatives who are familiar with the needs of the people who live at the home so continuity of care is maintained. Where agency staff have been used they have worked alongside experienced staff. The manager has worked with the agency that supplies the staff to make sure that the same carers are provided as often as possible. Information provided as part of the inspection shows that one of the home’s six support workers has an NVQ in care at level 2 and a senior support worker has an NVQ level 3. In addition two other staff were working towards an NVQ in care at level 2 or above. All but one member of staff had received an annual appraisal. Senior staff confirmed that Autism Initiatives has an effective staff training programme and support staff said opportunities for training and development were good. Staff training needs had been identified and arrangements were being made to meet them. Staff spoken with during the inspection visit were able to discuss equality and diversity in relation to the care. They also spoke of the support and services they provide and were aware of the importance of recognising, respecting and meeting the diverse needs of each of the people who live at the home. Staff recruitment records were not checked during this inspection. However a recently recruited senior staff member had a copy of records that showed that Autism Initiatives uses effective, thorough recruitment procedures to make sure that the people who live at the home are safeguarded from abuse and poor practice. All new recruits follow the structured induction programme for the home. They are then supported to develop their skills, knowledge and competencies through a personal development programme. Support staff said that they appreciated the guidance and support provided by the acting manager and other senior staff. However, regular one to one supervision had not been provided. Supervision records showed that two staff members had not had one-to-one supervision in 2007 and some of the staff were not familiar with recent developments in care practice that had been in place for a number of weeks. All staff should receive the support and guidance they need so they are able to provide care for each person who lives at the home that is consistent with their needs. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 21 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who live there so they receive consistent care and support and their needs are met. EVIDENCE: The House Manager’s post (registered manager) is vacant. A temporary manager who is qualified and experienced in the care of people with autism is in place and is supported by an effective team of staff. The home is generally well managed with positive outcomes for the people who live there. They receive a consistent and reliable service and managers and support staff work in partnership with relatives, health and social care professionals to ensure their needs are met. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 22 However, action needs to be taken to make sure that staff have all the information and guidance they need to provide the right care for the people who live at the home. The documents that are missing from the care files should be found and updated. All staff must be made aware of any changes in support plans, as soon as these changes are made. Staff one to one supervision should take place more regularly. The people who live at the home and staff have coped with numerous changes in manager over recent years and there has been no registered manager for the home more than two years. Whilst there have been circumstance beyond the control of Autism Initiatives to appoint and register a manager it is important that a suitably qualified and experienced person is appointed and registered with CSCI to manage the home as soon as possible. This will ensure that staff receive the supervision and guidance they need to meet the needs of the people who live at the home. Autism Initiatives has a structured quality assurance monitoring system. An annual report detailing the action taken to address quality issues is made available to the CSCI, the people who live at the home and their representatives. All interested parties are consulted including relatives, advocates and health and social care professionals. There are processes in place to ensure the health and safety of all staff and residents. The acting manager and senior support worker ensure that risk assessments are carried out for all safe working practices and significant findings are recorded and reviewed. Information provided indicates that fire safety precautions are in place and routine maintenance checks of gas and electrical systems, electrical appliances, heating system, water temperatures and fire alarms, are undertaken and are up to date. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA37 Regulation 8 Timescale for action A suitably qualified and 31/12/07 experienced manager must be appointed to manage the home so staff have consistent guidance to provide support and care for the people who live at the home. The manager must apply to be registered with the Commission for Social Care Inspection in accordance with Section 11 of the Care Standards Act 2000. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The “What I need” documents, which are an important part of the care planning system used at the home, should be found and updated so staff have the guidance they need to provide care in the way the people living at the home prefer. Staff should be made aware of any changes in the content of each person’s support plan as soon as they are made and before they work with that person so they know how DS0000027045.V342083.R01.S.doc Version 5.2 Page 25 2 YA6 Autism Initiatives - Redpoll Lane 3 4 5 YA7 YA32 YA36 to meet each individual’s needs. Recommendations made by the speech and language therapist should be followed so that people receive the support they need to develop their communications skills. Care staff should achieve an NVQ in care at Level 2 or above. Staff should receive regular formal supervision to make sure are providing care to meet people’s needs in the way they prefer it. Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Autism Initiatives - Redpoll Lane DS0000027045.V342083.R01.S.doc Version 5.2 Page 27 - 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!