Inspection on 07/09/06 for Autism Initiatives - Redpoll Lane

This inspection was carried out on 7th September 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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 03/08/07

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 7th and 11 September 2006 02:10 th Autism Initiatives - Redpoll Lane DS0000027045.V306229.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.V306229.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.V306229.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 9999 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 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.V306229.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 14th September 2005 Brief Description of the Service: Number 29 Redpoll Lane is located on a side road on a housing estate in a residential part of Warrington new town. The home is established to provide 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 on a daily basis. Information about Redpoll Lane including copies of the most recent inspection report is made available to each resident and their representatives and can be acquired by contacting Autism Initiatives on 0151 9500 330. Fees range according to the needs of the individual from £1813.42 to £1964.32 per week according to presenting needs. There are no additional charges other than transport costs shared between the two residents. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key unannounced inspection of Redpoll Lane included a site visit to the home. This started at 2.10pm and was completed on two days over six hours and fifty minutes in total. The inspection, takes into consideration the developments in the home since the last inspection. It is focused on the experiences of residents and the people who support them. The views of residents’ representatives including family members health and social care professionals were gathered by survey questionnaires before the site visit. One of the two residents were spoken with but discussion was limited due to communication difficulties. Time was spent with the resident observing their interactions with staff. The manager and some staff were spoken with and the inspector looked around the building to assess its suitability to provide a comfortable, safe and homely environment. Examination of the home’s documentation, policies and procedures formed the basis of the visit. What the service does well: Redpoll Lane is the established and well managed home of two younger adults. Residents identify with their home it is valued by them and their representatives, including family members and health and social care professionals. The house is in keeping with the local community and the style and atmosphere reflects the home’s purpose. It provides bright, cheerful and wellequipped accommodation suitable to the needs of both residents. The home’s assessment and care planning processes involve residents` representatives including family members and health and social care professionals. They focus on the diverse needs of each individual, putting them first and make sure their needs are met. The service has a strong commitment helping residents to develop their skills, including social, emotional, communication, and independent living skills. Residents are supported to identify their goals, and work to achieve them. Residents are helped to explore and take advantage of new opportunities for activities and social interaction in the local and wider community. Both residents take part in a range of chosen activities including visits to shops, the pub, cafes and the swimming baths. Visitors are made welcome at all reasonable times, and support staff help the residents to keep family links and personal relationships whenever possible. Staff encourage residents to join in domestic routines and healthy eating is promoted by offering choice. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 6 There is a dedicated and well-managed team of staff who conduct their work with care, good humour and respect for the residents. Visiting health care professionals speak highly of the staff team. Staff are said to work in partnership, demonstrate a clear understanding of the care needs of each resident and communicate effectively. The manager ensures that residents are protected and their needs met through person centred support planning, staff training, staff supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of people who use the service. What has improved since the last inspection? What they could do better: All staff should receive appropriate levels of training in the administration, storage and recording of medication, moving and handling and infection control. This will make sure that staff members have the skills they require to meet residents’ needs and ensure their safety and well being. The manager should ensure that all staff including those providing cover have read each residents support plan and have had opportunity to ask any necessary questions to clarify matters and ensure they have a good understanding of residents’ needs and the plans and strategies to meet them. Support plans, assessments, coping strategies and risk assessments should be shared with each residents’ representatives including family members and health and social care professionals to ensure good communication and confirm agreement where required. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 7 The home’s quality assurance systems should be developed to ensure that the views of residents’ representatives including family members, advocates and health and social care professionals are sought as to the quality of service provided. 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. Autism Initiatives - Redpoll Lane DS0000027045.V306229.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.V306229.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Residents’ individual needs and aspirations are identified and planned for. EVIDENCE: This service is designed to meet the precise needs of two individuals. Autism Initiatives operate effective assessment and admissions procedures that make sure the resident and their representatives are placed at the centre of decisionmaking. These procedures involve the resident; their family members and their health and social care advisors. Support plans are drafted from initial care management assessments provided by placing agencies and are further developed by monitoring, review and evaluation on an ongoing basis. Some of the assesments and support plans seen were not dated or signed by the author. This would help with monitoring, review and evaluation processes. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. 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 site visit to the service. Residents needs and personal preferences and goals are planned for and they make decisions about their lives with assistance as needed. EVIDENCE: Each resident has a support plan, which is developed in partnership with them and their representatives including family members and health and social care professionals. Risk assessment is central to the development of support plans. Each plan sets out how specialist requirements will be met through positive and planned interventions and focuses on current needs, development of skills, and future aspirations of the individual. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 11 Arrangements for the support and care of each individual are reviewed and developed on an ongoing basis to reflect changing needs and circumstances. A planning meeting known as a “WIN (What I Need) meeting” is arranged to assist residents aided by their representatives to express their needs and aspirations. This involves the resident, family members and health and social care advisors. Where family members are not involved the feasibility of appointing an independent advocate on behalf of the resident is being explored. The principles of person centred planning are followed and are reflected in the home’s care and support practices. Staff work to help residents to take control of their lives. Staff respect residents rights to make decisions and that right is limited only through the assessment process, involving residents and their representatives. Some of the assessments and support plans had not been shared with the respective residents’ health and social care advisors. It is recommended that all assessments, risk assessments and support plans are shared with the respective individual’s health and social care advisors in the interests of confirming agreement and facilitating evaluation and review. Support plans include photographs of the resident engaged in the various activities and are illustrated with pictures and symbols to aid communication. The manager advised that the layout of the home’s support plans is being revised to improve access for residents and staff. The support plan is used as a working tool and is understood by the majority of staff. However, one member of staff who was on duty in the home alone, advised that they were familiar with residents but had not had opportunity to read the support plans. All staff working in the home should read each residents’ care plan and be given ample opportunity to ask any necessary questions and confirm their understanding. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a site visit to the service. Residents are supported to maintain and develop social and independent living skills and take part in valued and fulfilling activities. EVIDENCE: The atmosphere in the home is relaxed and welcoming. Only one of the two residents was in at the time of the visit. They were confident and relaxed in the presence of staff and took the initiative to welcome the inspector. Discussion with staff and observation confirms that they engage residents in the day-today domestic routines associated with running the home including cleaning and tidying the house and making shopping trips in the local community. Staff interact with residents on a frequent basis engaging them in two-way communication. Communication aids recommended by a speech therapist such as photographs of meals are used to improve communication and help residents make positive choices. Reading of records and discussion with staff confirms that a healthy varied and nutritious diet is on offer. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 13 The service has a strong commitment to enabling residents to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. Each individual has a flexible activities programme covering the sevenday week. These are designed to meet individual needs and personal preferences. Visits to community facilities include the pub; shops, parks, swimming baths and other places of interest take place frequently. Staff help residents explore and take advantage of recreational and occupational opportunities in the local community. One of the residents has been assisted to develop the skills required to attend the day centre. Staff say that this has been a major achievement and step forward in the resident’s development. The manager aims to develop these initiatives by the home’s person centred support planning processes. One of the residents requires a high staff ratio when going out into the local community. The manager advised with additional staffing this resident would have wider opportunities to get involved in more community based activities in line with his needs and wishes. Autism Initiatives are working closely with the placing social services department to address these needs. Links with family members are supported and relatives are kept informed of significant events in the home. Visiting relatives indicate satisfaction with the standard of care, facilities and services provided. Communication is said to be good and they are made welcome when visiting the home. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. 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. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Staff provide sensitive, and flexible personal support to each of the residents and demonstrate skill and understanding in their approach. Reading of records and discussion with staff indicates that residents’ health care needs are monitored and contact is maintained with health and social care professionals on an ongoing basis. Visiting health care professionals speak highly of the staff team. Staff are said to work in partnership, demonstrate a clear understanding of the care needs of each resident and communicate effectively. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 15 Continuity of care is central to the needs and well being of each of the younger adults who live at Redpoll Lane. Whilst there have been high levels of staff turnover in the previous 12 months period the home has been successful in recruiting a number of permanent staff. The need for agency staff and staff cover from other establishments has reduced and the home’s ability to provide continuity of care has improved significantly. The manager will still need to draw on support from other staff working in other social care establishments operated by Autism Initiatives until such time as the recruitment process is complete. In the interim it is essential that all staff working with residents have read each individual’s care plan and are conversant with their specific requirements. Medicines are received, stored, administered and recorded appropriately. The majority of staff have received appropriate training in the administration of medication and are able to demonstrate their competence when handling and recording medicines. The manager advised that two members of staff require training in medication and arrangements were being made to address this. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. 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. Robust polices and procedures are in place for the protection of residents and ensuring complaints are acted upon and residents are listened to. EVIDENCE: No formal complaints have been received since the last inspection. The home’s complaints procedures provide appropriate guidance and information as to how to make a complaint and include an illustrated version to assist residents and aid their understanding. Robust procedures for responding to suspicion or evidence of abuse or neglect are in place including whistle blowing as in accordance with the Public Interest Disclosure Act 1998. These include the Autism Initiatives adult protection polices and procedures and those provided by the relevant local authorities. All staff had received guidance on the implementation of adult protection procedures. Any further training needs identified via the home’s staff appraisal systems would be addressed in due course. The home ensures through training, supervision, review and quality monitoring that care staff fully comply with the policies and procedures provided in relation to protecting and safeguarding the rights of people who use the service. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. 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. Residents live in a homely, clean and comfortable environment that has been equipped to meet their personal requirements. 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 accommodation has two reception rooms and an enclosed rear garden. The premises are well maintained and some interior redecoration has started. The manager advised that work in this respect is ongoing. Resident’s bedrooms are decorated and furnished to reflect individual needs and personal preferences. Radiator guards have been removed from the ground floor radiators. The manager said these were not required and the radiators did not work well when they were enclosed. A risk assessment completed by the manager indicates that neither of the residents are at risk of hazards presented by unprotected heated surfaces. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. 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 site visit to the service. Staff are trained, skilled and employed in sufficient numbers to support residents and ensure the smooth running of the home. EVIDENCE: The staff group present as an effective team. They work together with the benefit of shared aims and objectives and appreciate the support and guidance provided by the new manager. Visiting relatives and health and social care professionals have confidence in their abilities and knowledge. Visiting relatives are made welcome in the home and are involved in the development of plans to meet residents’ needs. They are kept informed of important developments and express satisfaction with the standard of care provided. Health care professionals, including two General Practitioners and a Social Work Team Manager indicate that staff communicate clearly, demonstrate a clear understanding of residents’ needs and work in partnership to ensure needs are met. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 19 Staffing rotas, discussion with the manager and staff confirms that appropriate numbers of staff are employed for well being of residents. Information provided indicates that the current staff team includes a full time House Manager’s post (Registered Manager), one full time senior support worker post and one full time and three part time support worker posts. In addition there is one vacant 25-hour support worker post. The home’s recent recruitment drive has been extremely successful with four new staff members recruited on a permanent basis since the date of last inspection. As previously noted in this report the use of agency staff has reduced significantly with only three shifts being worked by agency staff in the previous eight-week period. This represents a significant improvement in the home’s ability to provide continuity of care, which is so important to each of the residents. Where there are gaps in the staff roster the manager is able to utilise experienced staff from neighbouring social care establishments operated by Autism Initiatives. One of these staff was on duty on their own in the home with one of the residents. Whilst this staff member had worked with the resident on a previous occasion they had not read the care plan before being left unsupervised. It is imperative to the care and support of each resident that all staff members are conversant with each individuals’ respective care plans and the various strategies designed to meet their needs. All staff working in the home should read each residents’ care plan and be given ample opportunity to ask any necessary questions and confirm their understanding. Information provided prior to the inspection indicates that two of the home’s seven care staff have an NVQ in care at level 2. The manager advised that in addition all other staff are working towards the qualification or are waiting to register for a place on the NVQ programme. Progress has been made to address staff training needs. The new manager has completed a training needs analysis for all staff members and working with them has produced a personal development portfolio. All staff training needs have been identified and arrangements are being made to address them. Records show that two staff require training in medication and others require training in moving and handling and infection control amongst a number of other identified topics. Reading of staff recruitment records and discussion with staff confirms that Autism Initiatives employs effective recruitment procedures in the interests of the protection of vulnerable adults. All new recruits pursue the home’s structured induction programme and thereafter are supported to develop their skills, knowledge and competencies through a personal development programme. The manager was able to demonstrate that the staff supervision programme was up to-date and arrangements were being made to start staff appraisals. Staff spoke highly of the new manager advising that she is supportive and approachable. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. 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 site visit to the service. Residents benefit from the management approach of the home, which creates an open, positive and inclusive atmosphere. EVIDENCE: The new manager is experienced in the care and support of people with autism and is in the process of registering with the Commission for Social Care Inspection. She has a BTech care award and is registering on an NVQ programme to commence the registered managers award. There is evidence that the manager is working to continuously improve services and provide an increased quality of life for residents. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is person centred in her approach, and leads and supports a strong group of staff who present as a team. Staff speak highly of the manager indicating that she is supportive, approachable and provides good leadership. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 21 Arrangements for care and support of the two residents are centred on their respective needs and are progressive in outlook. Staff are helping residents to explore and take advantage of an ever-wider range of opportunities for personal development and social inclusion. Autism Initiatives employ a structured quality assurance monitoring system. A report detailing the action taken to address quality issues is made available to the CSCI, the residents and their representatives on an annual basis. The manager advises that the home’s quality monitoring systems do not routinely seek the views of residents’ representatives including relatives or associated health care professionals. The registered persons should ensure that residents’ representatives including, relatives, advocates and associated health and social care professionals are consulted as to the quality of service provided, and their views acted upon and recorded in the home’s quality assurance processes. Autism Initiatives seeks to ensure the health and safety of all employees and residents. Risk assessment and risk management is central to the conduct of the home. The manager and senior support worker ensure that risk assessments are carried out for all safe working practice topics and significant findings are recorded and reviewed. Information provided indicates that fire 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.V306229.R01.S.doc Version 5.2 Page 22 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 X 2 3 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 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 3 x Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes. 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 YA33 Regulation 18 Requirement The registered person must review staff training needs and subsequently take appropriate action to ensure that all staff are appropriately trained and skilled (Previous timescales 31/03/05 31.07.05 and 31/10/05not met.) Timescale for action 31/12/06 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 registered persons should make sure that assessments, risk assessments and support plans are signed and dated and where appropriate provided with a review date. The registered persons should make sure that all support plans, risk assessments and assessments are shared with the respective residents representatives including health and social care professionals without delay. 2. YA7 Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 24 3. 4 YA32 YA39 The registered persons should ensure that all staff achieve an NVQ in care to level 2 or above. The registered persons should ensure that residents’ representatives including, relatives, advocates and associated health and social care professionals are consulted as to the quality of service provided, and their views acted upon and recorded in the home’s quality assurance processes. Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Autism Initiatives - Redpoll Lane DS0000027045.V306229.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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