Inspection on 06/09/06 for Barclay House

This inspection was carried out on 6th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 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

Barclay House 06/08/08

Barclay House 18/10/05

Barclay House 06/05/05

Barclay House 18/10/04

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

CARE HOME ADULTS 18-65 Barclay House St Peter`s Road Seaford East Sussex BN25 2HS Lead Inspector Nigel Thompson Key Unannounced Inspection 6th September 2006 09:30 Barclay House DS0000032162.V305360.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 Barclay House DS0000032162.V305360.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. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barclay House Address St Peter`s Road Seaford East Sussex BN25 2HS 01372 755000 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) SeeAbility Mr David Briant Care Home 9 Category(ies) of Sensory impairment (9) registration, with number of places Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users with a sensory impairment only to be accommodated. Service users may also have a learning disability, mental disorder and or a physical disability. The maximum number of service users to be accommodated is nine (9). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 18th October 2005 Date of last inspection Brief Description of the Service: Barclay House is a purpose built home, registered to provide residential care and support for up to nine adults who are blind or partially sighted and who may have additional special needs. The service is situated on a campus, which also includes two recently converted, self-contained flats for more independent living and a day centre. All accommodation for service users is provided on the ground floor and consists of single rooms with en-suite facilities. Communal areas include a spacious, open plan kitchen and dining room and a large and comfortable lounge. The building is designed specifically for people who have visual impairment problems. It is safe, accessible and fitted throughout with all necessary adaptations and specialist equipment, including assisted baths and hoists. To the rear of the premises, there is a pleasant and well maintained sensory garden laid to lawn with raised flowerbeds and a patio area. Seaford town centre with its shops and access to bus and rail routes is approximately half a mile away. Information about the service, including the recently updated Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 5 The annual base fee, as of 6 September 2006, is £63,181. Additional charges, not included in the fees include transport for non-medical/educational purposes. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in September 2006. The purpose of the inspection was to monitor care practices at the home. All of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was found to be very good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were nine service users living at the home. The inspection involved a tour of the premises, observation of working practices, examination of the home’s records and discussion with the Registered Manager. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. Six service users and three members of care staff were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: Barclay House is an established, well managed and well maintained service that continues to provide high quality care and accommodation for people with a sensory impairment. The comfortable, relaxed and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Thorough policies and procedures are in place for the admission and ongoing care and support of service users. Effective communication and consultation systems enable service users to be directly involved in developing and reviewing their individual care plans as well as many decision making processes within the home. All service uses are provided with a copy of the ‘Charter of Service User Rights’, which forms the basis of care provision at Barclay House and underpins the ethos of the home and the work undertaken there. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 7 The manager and staff are clearly committed to raising and maintaining standards of care and support services currently provided. It is hoped that the high quality of service provision, as reflected in satisfaction surveys and through discussions with service users can be maintained. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Barclay House DS0000032162.V305360.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 Barclay House DS0000032162.V305360.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): 1, 2, 3 & 4 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users have the opportunity to visit the home and know that it is able to meet their individual care and support needs. EVIDENCE: Information is available to prospective and existing service users in various formats, including large print, Braille and audiotape. The Service User Handbook, Statement of Purpose and Service User Guide have been thoughtfully and imaginatively produced to a high standard and are both comprehensive and informative. It was noted that the Statement of Purpose has been revised and updated since the previous inspection to reflect the recent increased number of service users, following the opening of two flats, providing supported but more independent living accommodation. The manager confirmed that, following a referral to the home, he will visit the prospective service user and carry out a full pre-admission assessment, ‘Initial Profile’. The thorough assessment process also routinely includes discussions Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 10 with parents, relatives, the individual’s GP and, where appropriate, college staff. Relevant documentation relating to the two most recent admissions to the home was inspected and found to be comprehensive, up to date and well maintained. As well as the individual’s medical, physical and social care needs, the Initial Profile contains assessed details including; ‘Functional vision assessment’; ‘other sensory abilities’; ‘communication’; daily living and personal care skills’; ‘mobility and orientation’; and ‘education, leisure and daytime activities’. The profile also includes reasons for the referral. In files that were examined there was documentary evidence of the prospective service user’s self-assessment form having been completed as well as a confidential relatives/carers assessment. The manager confirmed that, prior to moving in to Barclay House, a prospective service user is invited to visit the home and would typically make at least three separate visits to ‘look around, explore and get a feel for the place’. During these visits the individual would also have the opportunity to meet with members of staff and existing service users. This was supported by positive comments received from service users: ‘It seemed to be an ideal place to be’. Within five weeks of admission an ‘Initial Review’ is held, to monitor the situation and ensure that all assessed needs are being met. The review would usually involve the service user, relatives, the care manager and staff from Barclay House. The home’s commitment to meet an individual’s assessed needs was clearly demonstrated by one risk assessment, which identified an ‘epileptic condition’ and the recorded evidence that all staff had subsequently attended epilepsy awareness training. Barclay House DS0000032162.V305360.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Comprehensive, high quality care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: High quality, ‘person centred’ care plans have been developed for each service user, with a ‘Support Plan’ clearly linked to the individual’s assessed needs. The plan is formulated by the key-worker, manager, rehabilitation worker and parents and evidently with the direct involvement of the service user. It consists of short and longer term goals, how best to achieve them and what specific help, support and resources the individual will require. A ‘Support Programme’ sets out in detail the actions to be taken by staff to ensure that care is delivered in a structured and consistent manner. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 12 The role of the service user in this process was effectively described and adequately summed up by the manager: ‘More of a participant than a recipient’. Individual risk assessments are recorded in service users’ files and include: self-medication; control of finances; preparing cooked meals and ‘summoning support/assistance in the event of illness or emergency’. Through discussion with staff during the inspection, it is evident that support plans are reviewed, monthly, by the service users and their key-worker. However it was noted that plans are not routinely being signed by the service user, to agree the content and any changes and as evidence of their involvement. Service user and staff combined meetings are held once a fortnight, with an open agenda, providing opportunity for each service user to raise issues or concerns and discuss with staff and other residents. The manager confirmed that service users continue to be encouraged and supported to make decisions about their day to day living and there was evidence of effective consultation systems being in place. Service users are clearly consulted regarding many aspects of their day-to-day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. Monthly service users’ meetings are held and there is a weekly ‘Friday meeting’, involving service users and staff. The meetings have an open agenda and everyone is encouraged to contribute to the discussions. Meetings are well attended and minutes are taken. The home operates a key-worker system and regular one-to-one sessions take place between service users and their individual key-worker. This is evidently a successful and effective method of consultation and communication. A member of staff, spoken with during the inspection, clearly demonstrated her commitment and positive approach to her key worker role and the high but ‘realistic’ expectations she has for the service user she works closely with: ‘He can do anything he sets his mind to!’ ‘Rights and responsibilities go hand in hand with day to day living, at Barclay House’. Barclay House DS0000032162.V305360.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: Community participation has always been a focus for the home and the manager confirmed that with increased levels of independence, it is becoming a more significant part of the lives of many service users. Supported and enabled, as necessary, by staff or volunteers, service users have opportunities for social and educational development, including attending local colleges and visiting the nearby leisure centre, banks, pubs and restaurants. Some service users also regularly attend the church of their choice. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 14 A team of up to thirty volunteers, working part time throughout the day with regular members of staff, endeavour to meet all service users identified individual and collective social care needs. They continue to support and enable service users to access a wide range of social and recreational activities, including: tandem cycling, reading, gardening and taking part in discussions on current affairs. This was supported by positive comments received from service users: ‘I do have a timetable of regular activities’. The day centre, situated in the grounds of Barclay House, provides service users with various opportunities for personal development, including independent living skills, numeracy and keep fit. The nutritional needs of service users are regularly reviewed and recorded, including any risk factors associated with obesity, diabetes, and alcohol consumption with certain prescribed medication. Service users continue to be directly involved in menu planning, shopping and meal preparation. It was noted that the home provides a varied, wholesome and nutritious menu. Service users are able to make drinks and snacks as required. The kitchen is designed with adaptations, specialist equipment and appliances, to meet the specific needs of the service users. The manager confirmed that food provision within the home has recently been reviewed and proposals are in place to introduce menus with improved nutritional value. Service users’ views regarding the food they receive is regularly sought and they are encouraged to comment on meals provided in the ‘menu feedback’ book and in service users’ meetings. Service users are supported and encouraged to maintain and develop links with family and friends, as they choose. Several service users now own a mobile phone and all have access to a pay phone, which can be plugged into a socket in their room for privacy. Visiting is unrestricted and although service users often go on holiday or visit friends and family, there is an expectation that if they attend college, they will not take holidays during term time. The manager also confirmed that visitors are asked to be aware of service users’ individual ‘daily planners’. This was supported by comments from service users’ relatives: ‘We are always made welcome and can talk to any of the staff at Barclay House’. Barclay House DS0000032162.V305360.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: All service uses are provided with a copy of the ‘Charter of Service User Rights’. The manager confirmed that this charter forms the basis of care provision at Barclay House and underpins the ethos of the home and the work undertaken there: ‘Rights and responsibilities go hand in hand with day to day living, at Barclay House’. Service users spoken with during the inspection were aware of their rights and had clear expectations of the staff and the service and support they received. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 16 Service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, staff were observed interacting with service users in a professional and respectful manner. All service users are registered with local GPs and have access to other health care professionals, including psychiatric nurses, consultants, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. As service users have particular sight related problems access to specialist ophthalmic services is provided as necessary. Details of individual healthcare needs are recorded in service users’ care plans. Up to date, detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. The manager confirmed that, following risk assessments, one service user currently self-administers their own medication. As with all risk assessments, this situation is kept under regular review. In a positive development and evidence of good practice, lockable cabinets are being provided for all service users’ rooms, enabling medicines to be stored and administered individually and directly, rather than from a central location. Barclay House DS0000032162.V305360.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: An up to date complaints procedure is in place in the entrance hall for the benefit of service users’ relatives and other visitors to the home. All service users are provided with a copy of the ‘Service users’ Handbook’, which contains details of the home’s complaints procedure. This document is available in Braille or on audiotape. All complaints are recorded and include actions taken and outcomes achieved. Regular service users’ meetings provide an opportunity for concerns to be raised and discussed before they become complaints. Service users and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Similar positive comments were received from service users’ relatives: ‘If we have anything we want to know or disagree with, we can talk it over with the staff’. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 18 It was noted that there have been no formal complaints received by the home since the last inspection, although the manager confirmed that a log is maintained of all informal complaints and concerns. The home has produced detailed policies and procedures relating to adult protection, including a whistle blowing policy. The manager confirmed that he has recently completed the East Sussex Social Services Protection of Vulnerable Adults (POVA) ‘training for trainers’ and with the help of a training pack is able to ‘cascade’ information throughout the staff team. Detailed policies are also in place regarding the management of physical and verbal aggression and the handling and control of service users’ monies. All permanent staff have undertaken specific adult protection training, in accordance with the multi agency guidelines for the protection of vulnerable adults. This was confirmed through discussions with members of staff during the inspection and evidenced through individual training records. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 19 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, 25, 26, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from all necessary specialist equipment and pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. EVIDENCE: Environmental standards at Barclay House remain largely unchanged and the premises, including ground floor service user accommodation and spacious communal areas, continue to be safe, accessible and well maintained. Appropriate adaptations and specialist equipment, including tracking hoists, are provided as necessary, to meet the individual and collective needs of the service users. Positive comments from service users, spoken with during the inspection, reflected a high level of satisfaction with the home and the services provided: ‘This is my home and I’m very happy here’. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 20 The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of service users’ individual rooms, which clearly reflects individual tastes and interests. As previously documented, since the previous inspection, two self-contained flats, within the grounds have been converted, redecorated and refurbished for the benefit of service users, who have been assessed as requiring more independent living, within the supported framework of residential care. Also since the last inspection, a new carpet and comfortable new suite have been provided for the recently redecorated communal lounge. A new dining suite has been provided, the kitchen has also been redecorated and a new freezer, ovens and hob have been installed. The entrance hall and several service users’ rooms have been redecorated and new carpets have also been fitted in many bedrooms. A Housekeeper is employed in the home and it was noted that infection control policies and procedures are in place and clearly adhered to. Levels of cleanliness remain high throughout. Washing machines have adapted controls, enabling service users to do their own laundry, with support. Outside the building, it was noted that, since the last inspection, new handrails have been fitted and improved lighting has been installed, for the benefit of service users. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are protected from the home’s thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: The manager confirmed that SeeAbility recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, the ‘Common Induction Standard’, which is compatible with Skills for Care (Formerly TOPSS). Service specific training is provided covering such topics as learning disability and sensory impairment awareness, positive values and lifestyles and the care and protection of vulnerable adults. In addition to this, the manager confirmed that appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 22 This was confirmed through discussions with staff and supported by training records examined: ‘There is so much opportunity for training here – which suits me!’ There are currently seven care staff who hold the National Vocational Qualification (NVQ) level 2. In accordance with company policy, the manger confirmed that formal supervision is provided for all care staff on a monthly basis. Through discussions with members of staff, it is evident that the manager also operates an ‘open door’ policy, with staff feeling confident and able to discuss any issues at anytime. ‘Supervision is good. I find it very useful and the manager is always very supportive’. This was evidenced by supervision records examined and through discussions with staff, spoken with during the inspection, who acknowledged the benefits of effective supervision and confirmed feeling valued and supported by the manager: ‘Supervision is good. I find it very useful and the manager is always very supportive’. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users benefit from a well managed home, effective quality monitoring systems, thorough health and safety checks and guidelines and efficient record keeping. EVIDENCE: The experienced manager is a qualified Registered Mental Nurse (RMN) and he also holds the Registered Manager’s Award (RMA). He is clearly competent to run the home and has been in his current post for seven years. From direct observation and through discussions with service users and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. He is positive and approachable and creates an open and inclusive atmosphere within the home: ‘The manager is a top guy - very approachable and supportive’. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 24 The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for both service users and their relatives. Collated responses from the most recent survey indicate a high level of satisfaction with the home and the care and support provided: ‘My relative is treated like an adult here and has responded well’. ‘I think the environment is of a very high standard’. ‘Barclay House is very homely in its atmosphere’. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. It was noted that the most recent drill was carried out in July this year. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 4 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 X LIFESTYLES Standard No Score 11 X 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 3 X 3 X X 3 X Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Barclay House DS0000032162.V305360.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. 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