Inspection on 15/01/09 for Bradbury House, Salisbury

This inspection was carried out on 15th January 2009.

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

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

Other inspections for this house

Bradbury House, Salisbury 21/12/06

Bradbury House, Salisbury 24/04/06

Bradbury House, Salisbury 15/11/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bradbury House, Salisbury The Portway Salisbury Wiltshire SP4 6BT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline Lintern     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Bradbury House, Salisbury The Portway Salisbury Wiltshire SP4 6BT 01722349144 01722349166 jemmadowdney@wiltshire.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Wiltshire County Council care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 10. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD Learning disability over 65 years of age- Code LD(E) Date of last inspection Brief description of the care home The building is a purpose built residential unit offering respite care for up to 10 adults with learning disabilities. The building has 10 single bedrooms, some having hoisting facilities, several assisted baths and toilets, as well as equipment for people with a sensory impairment. There are two high dependency rooms and one room for emergency placements, as well as several lounges for communal use, a large dining room and a well-equipped kitchen. There is also a training kitchen which is used by service users hoping to increase their independence. It is envisaged that a respite period would not last more than 8 weeks, and an emergency placement would be reviewed after 48 hours. However, some emergency placements last longer than this if no appropriate accommodation can be found. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 2 8 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This home was previously inspected on 21/12/2006. This unannounced inspection took place 15th January 2009 between 10am and 4.30pm. The registered manager, Ms Jemma Dowdney was available to assist us, throughout the day. We were unable to speak to the four people who were currently receiving a service as they were all out during the day. Although, we were able to meet one person, when Care Homes for Adults (18-65 years) Page 6 of 31 they returned from their day services. Prior to our visit, we sent out satisfaction surveys to the people using the service. Five people responded. Their comments are included within this report. We sent Ms Dowdney an Annual Quality Assurance Assessment (AQAA) to complete. This was their own assessment of how well they are performing and it gave us information about their future plans. Information from the AQAA is detailed within this report. We reviewed the information that we had received about the home since the last inspection. We looked around the home and saw a number of records, including care plans, risk assessments, health and safety procedures, staff files and medication records. The judgements contained in this report have been made from all the evidence gathered during the inspection, including the visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 31 Care Homes for Adults (18-65 years) Page 9 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with sufficient information about the service, to enable them to decide if it is the right place for them. To ensure that the home can meet peoples needs a full assessment is carried out prior to them being offered a service. Evidence: The home has a Statement of Purpose and Service User Guide, which provide people with information about the service. Both documents are made available in large print, if required. There is a copy of the complaints procedure within these documents. It was noted that the contact details for CSCI were incorrect. However, the manager was aware of this and is currently waiting for the Wiltshire County Council to amend the document. It had been previously raised within the monthly management audit. Information is gathered about new people to the service, by talking to the people themselves, through a community care assessment or discussions with relatives or the persons representatives. The assessments are comprehensive and provide information Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: on all aspects of the persons life, including what they wish to gain from their stay at Bradbury House. The manager told us that some people, who stay, like to remain as independent as possible. They are therefore situated when possible, in a room where they have easy access to the training kitchen. Other people look forward to the break and prefer staff to support them with meal preparation etc. Ms Dowdney reported that they like to think of the home as a hotel. One person commented within their survey X and her caer had a lovely look round the home, before she had her first night there. X likes it very much, they are always very helpful. Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service have a care plan, which reflects their assessed needs. People are encouraged to make decisions about the way they wish to live their lives. Mechanisms are in place, to enable people to take risks, where appropriate, which enables them to remain as independent as possible. Evidence: As part of the inspection process, we sampled three peoples care plans in detail. The plans were well ordered and in a format, which enabled the reader to easily locate the information they require. All areas of the persons health and care needs were included, such as mobility, personal care, cultural needs, health care, social needs, accommodation, communication and mental health needs. Evidence shows that care plans are kept under review. Plans are updated and signed by the staff member completing the review, the manager and the person using the service, if they are able. Relatives and representatives are also involved in the care Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: planning process, if appropriate. One persons plan showed that their religion is very important to them. Records show that they go to chapel independently, where they have established friends. They also enjoy reading religious books in their leisure time. Ms Dowdney told us that she had recently held her first person centred review. She reported that this had been a great success and an area she plans to develop further. This involved the staff and the community care officer, going to the persons home. As the person enjoys sitting on the floor, everyone present also sat on the floor with them. The manager confirmed that although the person using the service could not fully contribute to the meeting, there was lots of smiles and positive body language displayed by them. Ms Dowdney added that on the 26/2/09 Wiltshire County Council are holding a Person Centred Celebration day. This will be an opportunity for service managers in the county, to get together, and share their good and successful practices, regarding working with a Person Centred Approach. As mentioned previously, people can decide, what they wish to accomplish by staying at Bradbury House. The home provides people with the opportunity to return to the same room, if it is vacant. This can be reassuring and provide consistency for some people. One persons file states that they are unable to express a preference regarding a choice of clothes. They, therefore require staff members to support them in this to ensure appropriate clothing is worn. Within our surveys, one person commented, I rely on someone to do everything for me, from feeding, changing etc, to whatever outing or activities I choose to do. People can choice whether they wish to join others in communal areas or have their own space. Guidelines are in place for managing behaviours, which are supported by a risk assessment. Some rooms are individualised to support people who may display certain behaviours. Risk assessments are in place and reviewed as necessary. Each risk assessment is clearly linked to a section of the care plan. This enables easy reference for staff members. Risk assessments are completed for every area of the persons life, which may present a potential risk, such as manual handling or possible self-harm. Once completed assessments are signed and dated by the manager, staff member and the person Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: using the service if they are able. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well equipped to offer many internal activities, as well as providing the opportunity to access the local community. People can have as much or as little contact with family and friends as they wish, and are supported to do so by staff. Menus are developed to meet the needs of the people who are staying there at the time. This judgement has been made using available evidence including a visit to this service. Evidence: Within the AQAA it states, the home offers a good range of activities. Recently the clients have been to watch an England match, to see Salisbury football club, Chessington, cinema, bowling, pubs and walks. They report that they have improved Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: by implementing an activity newsletter to ensure and empower clients to makes choices in the activities they wish to participate in. One staff member showed us the activity file, which had pictures representing activities and outings people could choose from. This included activities such as, camping, trips to the zoo, cinema, go karting, bowling, pub, London, dog racing and speedway. Once activities have taken place, letters are sent out monthly to three randomly picked people, to ask for their comments on how they felt the activity/outing went and whether it is something they would like to do again. Within our surveys, one person commented sometimes I would like to go to the shops or walk, but no staff take me. We dont do out much. There is a Friends of Bradbury House support group, which play an active part in fund raising for the home. One member of staff we spoke to told us that they are also involved in fundraising for the home They were planning to do a sponsored swim and bungee jump. The staff member told us that they are currently, in the process of obtaining information for a barge holiday. The home has a mini bus, which is used to take people to places such as Bournemouth for the day. The home has many facilities for people to participate in, if they wish to do so. This includes a large pool table, darts board, karaoke machine, a sensory room, play stations and a wii console. The manager explained that one member of staff had developed the sensory room. This has proved to be very popular, so with money raised by the Friends of Bradbury, they now have sufficient funds to fully equip this area and are busy looking through catalogues. Many of the people who visit Bradbury house, attend day services, such as Focus Point or Gateway club. People who use the service are able to see friends and family as frequently as they like. People are also able to visit friends outside of the service. The manager reported that one person likes to prepare and cook food in the training kitchen and then have their friends and family join them for a meal. The home employs a cook from Monday to Friday. The cook told us that she does not run a set menu, but prepares meals according to who is staying at that time. She uses Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: a card index, with the dietary requirements, likes and dislikes of each person visiting the home. She confirmed that she has prepared menus to suit the needs of people with diabetes, wheat free diets and dairy free diets. Choices of meals are available. On the day of our visit one person had specifically asked for sausage and mash, so that was being prepared for them. The cook carries out daily checks of the fridge and freezer temperatures. Large storage areas are available for all dry goods. Care Homes for Adults (18-65 years) Page 18 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support, as detailed within their care plan. People using the service have access to healthcare professionals, as required. People are supported to self-medicate where possible, and are protected by the homes medication policies and procedures. Evidence: Each person staying at Bradbury House has a support plan in place, which clearly details the amount of support they require for any personal care. One persons support plan states that they need monitoring, whilst in the bath, due to their specific health needs. Where there may be a potential risk, an assessment has been carried out to minimise this. The completed risk assessment states that all staff must complete epilepsy training. People with epilepsy have a management plan within their care plan. Staff receive training in the use of emergency rescue medication, such as rectal Diazipam or Madazolam. It is noted within one persons care plan, that they have an allergic reaction if stung by a bee. There is a risk assessment in place, which relates to this situation. There is clear guidance on how to use the Epi pen if needed to minimise the effect of the sting. Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: A feature of Bradbury house is the various adaptations and equipment, which are in place to support people with their physical needs. These include assisted baths, grabrails and various hoists. Support and advice is sought from various healthcare professionals, such as occupational therapists, chiropodists and speech and language therapists. The manager reported that they have excellent support from the district nurse. Records show that people are supported to attend medical appointments, if required. This includes doctors, dentists and opticians. The arrangements for medication are well managed. There is a designated medication room and medication officer. Medication is delivered from the pharmacy in blister packs. At the time of our visit no residents collected their own medication from the chemist. All medication administration records (MAR) were sampled and no gaps in recording were found. There is a photograph of the person receiving the medication on the front of their MAR sheet to identify them. All medication is stored appropriately. The home was not storing any controlled medication at the time of our visit. On 6/11/08, the home had an inspection carried out by the local pharmacist. They were satisfied with the home storage and recording of medication. One member of staff reported that one person using the service, who self medicated had forgotten to take their medication on one occasion. The staff team have now arranged for them to come to the medication room, to take their own medication. This enables staff to observe that the medication has been taken, but still promotes their independence. This is supported by a risk assessment. Staff members receive regular medication refresher training. Medication is discussed at every staff meeting to ensure that staff is up to date, with any changes. All staff have received training in peg feeding. Laminated guidance for emergency medication, such as rectal diazepam is found on the notice board in the medication room. This enables staff to retrieve it quickly if guidance is needed. Care Homes for Adults (18-65 years) Page 20 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place, to enable people to raise any concerns they may have. People using the service are safeguarded from any form of abuse, where possible. The judgements contained in this report have been made from all the evidence gathered during the inspection, including the visit. Evidence: Within the AQAA it states, we hold a complaints and compliments register at Bradbury. All complaints and compliments are followed up and actioned and it clearly shows the time frame it took to resolve a complaint. All clients have an information pack sent to their homes on an annual basis, which includes the service user guide, statement of purpose and complaints procedure. All clients have a copy of the complaints procedure within the service user guide, which is in each bedroom at Bradbury House. All clients can also complain through Quality assurance questionnaires and client meetings. Within our surveys we asked people if they knew who to speak to if they were unhappy. One person commented I cant talk, I would just get upset and cry, so the staff need to know me really well. Another person reported that relatives do not have the ability to make a complaint themselves. It was noted that the home had received Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: many letters and cards of gratitude and thanks for the service they had provided. Within the AQAA it states that there has been two safeguarding referrals made in the last twelve months. Both referrals have been made within the guidance of the local safeguarding procedures. One referral to the Protection of Vulnerable Adults (POVA) list has been made. The home has copies of the No Secrets document, which details local protocols for responding to allegations of abuse. They also have an organisational policy and procedure on responding to allegations of abuse. Records evidence that most of the staff team have attended the Salisbury Vulnerable Adults Unit for training. Staff members receive Positive Response Training, to enable them to deal with challenging behaviour safely. Care Homes for Adults (18-65 years) Page 22 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Bradbury house provides a clean, safe and well maintained environment for the people who stay there. The judgements contained in this report have been made from all the evidence gathered during the inspection, including the visit. Evidence: Bradbury House is a purpose built residential unit, which offers respite care for up to 10 adults with learning disabilities. The premises have 10 single bedrooms, some having hoisting facilities, several assisted toilets, as well as equipment for people with sensory loss. There are two high dependency rooms and one room for emergency placements, as well as several lounges for communal use, a large dining room and a well-equipped kitchen. Within our surveys we asked, is the home fresh and clean? Three people said always and two said usually. One person commented as a parent I am happy with the cleanliness of the establishment. Another person commented, sometimes the toilet smells. As part of the inspection process, we toured the premises. All areas were found to be Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: clean and hygienic and well maintained. Facilities for washing laundry are separate and not sited near food preparation areas. Protective clothing such as gloves and aprons are made available to staff, as is anti bacterial hand wash. There is also a training kitchen which is used by more independent people or people wishing to increase their daily living skills. A feature of this home is the feeling of space within it. The hallways are spacious and light and airy. The home is pleasantly decorated and furnishing and fittings are of a high standard. The manager reported that they have planned maintenance to ensure that all areas are re-decorated before they show signs of wear and tear. The home employs a full time caretaker, who attends to all small maintenance jobs. They are currently recruiting to this post. The manager told us that they have plans to have a games court built within the grounds. This will enable people using the service to play, tennis, football and basketball. The garden is fenced off and provides a safe environment for people to access, if they wish. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Records show that new staff members are properly recruited, inducted and trained. The judgements contained in this report have been made from all the evidence gathered during the inspection, including the visit. Evidence: Ms Dowdney confirmed that the home runs a flexible rota, according to the number of people staying and their needs. At the time of our visit four people were staying. There is a designated shift leader on duty, at all times. This is a senior member of the staff team. There is always an emergency first aider on duty. The manager reported that they have recently recruited two new members of staff and are currently waiting for their safeguarding checks with the Criminal Records Bureau (CRB) to be returned, before they commence employment. Within the AQAA it states, that 8 members of staff have achieved their National Vocational Qualification (NVQ) level 2 or above. Four staff are currently working towards their level 2. The manager has an NVQ level 4 in management. One relative commented in our surveys, X is autistic, communication skills and Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: interaction, are therefore limited, but Bradbury House offers plenty of space and a large garden for him to wander in, which is very important to X. Staff appear helpful and dedicated. Another person reported that staff always treats them well. We observed one person, when they returned from their day services, interacting positively with a member of staff. The staff member gave them space and was patient, when communicating with them. Wiltshire County Councils human resources department assists staff recruitment. All references and CRBs are held at the human resources department. All files held at the home contained the appropriate documentation, such as a photograph, a contract and a record of their experience. Records demonstrate that staff receive training in all mandatory areas, such as manual handling, fire safety, health and safety, first aid, basic food hygiene and medication. Other training received includes, stoma care, safeguarding, mental health issues, Makaton, Autism, substance use and abuse and catheter care. One staff member told us I am happy with the training and the refresher courses. Supervision records demonstrate that staff members regularly receive one to one time with their line manager. Since the last inspection, Ms Dowdney has attended a training course on staff supervision. Regular staff meetings also take place. One member of staff commented, meetings are useful to discuss things. Another staff member reported, we do not have key workers here, we all work together, it is nice as the families know all the staff. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run by a qualified and competent manager and in the best interests of the people who stay there. Policies and procedures are in place to promote the health and safety of the people staying at the home. The judgements contained in this report have been made from all the evidence gathered during the inspection, including the visit. Evidence: The home is run in the best interests of the people, who stay there, by a qualified and competent manager. Ms Dowdney was studying for her Registered Managers Award, however she explained that she is now transferring to the new Management and Leadership Qualification. She has a Diploma in Psychology and an NVQ Level 4 in care. Ms Dowdney confirmed that she regularly attends training courses, which are appropriate to her role. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: The last residents meeting was held on 21/11/08. People using the service were asked if they are happy with the service and the support they received. They were also asked if they had any issues or concerns. All attendees responded positively. When asked, if people were happy, the majority said yes. One person said yes, but I would like more cooked breakfasts. Questionnaires are regularly sent out to people who use the service and their relatives. Ms Dowdney has written individually to each person who responded to the surveys, to feedback on their comments. Surveys are sent out in an easy read format, with pictures to support them. A senior manager completes monthly management audits. These were sampled during our visit. Policies and procedures are in place to ensure peoples health and safety is promoted. Training records indicate that staff are trained in areas relating to health and safety. This includes manual handling, fire safety and infection control. Environmental risk assessments are carried out and kept under review. The home regular flushes little used water outlets to prevent against Legionella. Records show that all adaptations and manual handling equipment is regularly serviced. The fire risk assessment was completed on 9/1/09 and is updated annually. Small electrical appliances were checked on 12/12/08. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - 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!