Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk
Inspection on 20/10/08 for Cardinalls Road
Also see our care home review for Cardinalls Road for more information
This inspection was carried out on 20th October 2008.
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.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.
Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Cardinalls Road 43 Cardinalls Road Stowmarket Suffolk IP14 5AA 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: Tina Burns Date: 2 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area
Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information
Document Purpose Author Inspection report CSCI
Page 2 of 33 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home
Name of care home: Address: Cardinalls Road 43 Cardinalls Road Stowmarket Suffolk IP14 5AA 01449677527 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): h2005@mencap.org.uk Royal Mencap Society Name of registered manager (if applicable) Miss Christine Anne Smylie Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Cardinals Road is a 3-bedded home for people with learning difficulties and is centrally placed in relation to facilities and transport in the town of Stowmarket. All three service users are female and form an established group who have lived together in this environment for a significant period. The primary role of staff in this service is to prompt, encourage and support the service users to maximise their skills, abilities, and interests and provide service users with opportunities to pursue active lives within the community. The home has a detailed statement of purpose and service users guide, which are available in different formats on request. These documents provide information about the service and give details to prospective service users how to obtain a summary of the most recent Commission for Social Care Inspection (CSCI) report. The property
Care Homes for Adults (18-65 years) Page 5 of 33 is owned and structurally maintained by Mid Suffolk Council and Mencap provides the direct care. Each service user is provided with a licence to occupy setting out their basic rights and responsibilities with the Council and Mencap. The current fees are £327.00 per week for each individual service user. Not included in these fees are service users own personal items such as toiletries, clothes, hairdressers, chiropodist, theatre trips, concerts, holidays and meals outside of the home. Care Homes for Adults (18-65 years) Page 6 of 33 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 Care Homes for Adults (18-65 years) Page 7 of 33 How we did our inspection: This is what the inspector did when they were at the care home This is what we did when we were at the home. We talked to everyone who lives at the home. We also spoke to three people that work at the home. We looked at care plans and records so that we could see if people at the home were being well supported. Care Homes for Adults (18-65 years) Page 8 of 33 What the care home does well The home is good at helping people to make choices and decisions about their own lives. The home is very good at making information easy for people to understand. All the people who live at the home have a weekly timetable of what they are doing in easy words and pictures. The home supports people to have interesting lives. People who live at the home are able to enjoy things like shopping, going to the cinema, going swimming and going to pubs and restaurants. Care Homes for Adults (18-65 years) Page 9 of 33 The home is good at helping people to keep in touch with their friends and families. The staff team respect people that live at the home and treat them well. Care Homes for Adults (18-65 years) Page 10 of 33 What has got better from the last inspection What has got better since the last inspection. Last time we visited we noticed that people did not have up to date information about the fees that they are charged to live at the home. The manager has made sure that this information is now provided. They have also made sure that a new washing machine has been installed with programmes that can wash dirty linen safely. Lots of work has been done on care plans so that people can be sure that they get the support they need and want. Care Homes for Adults (18-65 years) Page 11 of 33 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 12 of 33 If you want to speak to the inspector please contact Tina Burns Eastern Regional Contact Team CPC1 Capital Business Park Fulbourn Cambridge B21 5XE 01223 771300 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 13 of 33 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 14 of 33 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 can expect to have their needs fully assessed and be supported to access suitable information about the home. Evidence: 43 Cardinalls Road is home to three people that have lived there since 1993. There has been no new admissions since that time and therefore it was not possible to fully assess standards 1 to 4. However, documentation examined and information provided in the Annual Quality Assurance Assessment (AQAA) confirms that an appropriate admissions procedure, including assessments and trial visits would take place should the current circumstances change. The three people that use the service were assisted to complete have your say surveys and they told us that they were asked if they wanted to move into the home. They also confirmed that they were given enough information about the home before they moved in. There is a user friendly Service User Guide in place that includes pictures and photographs and the homes Statement of Purpose has been updated since the last inspection to include current fees. The terms and conditions, including current fees, were also laid out in residents license agreements. The license
Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: agreement seen during the inspection had been signed and dated by a mencap representative and a relative of the person concerned. Records examined confirmed that the home had regularly assessed and reviewed residents needs. The assessments were thorough and detailed and a clear record of updates and changes was maintained. There was also good evidence that relatives were consulted in the assessment and review process and staff regularly signed their names to confirm that they had read and understood any changes. Care Homes for Adults (18-65 years) Page 16 of 33 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: People living at the home have highly individual support plans that set out in detail how their current needs and preferences are to be met. The plans are based on an up to date and comprehensive assessment and focus on the individual’s strengths and personal preferences. They include personal profiles and are written in a style that is respectful and promotes person centred support. Detailed information includes strategies to manage risks appropriately, preferred communication styles and methods, a health action plan and guidance on how to engage and involve individuals in decisions about their everyday lives. Key workers actively provide one to one support, keep the care plan up to date and make sure that other staff know about the persons needs and wishes. Observations made, records examined and feedback received confirmed that people living at the home are appropriately supported to make individual choices and
Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: decisions. Where appropriate relatives, representatives, professional practitioners or advocates are consulted in decision making processes. Innovative methods of communication, such as communication boards, are used as a matter of routine and staff receive training in person centred planning and total communication. There was also good evidence that the home works creatively with other services and organisations to address people’s needs and goals and recognises when to seek advice and support from others. Comments from people using the service included; I chose what I want to eat and drink and when. I chose what I want to do and where I want to go., and from staff; Any changes in need are communicated by day to day information exchange at handover or at regular staff meetings. As a key worker for one resident it is my responsibility to make sure my colleagues know of any changes in support or care needed for the resident for whom I am key worker, I am encouraged to read care plans and risk assessments, indeed I am expected to and time is allowed for this, This service supports and encourages individuality, allowing service users plenty of choice and decision making in every aspect possible in their daily lives. Support plans are always up to date and accurate and risk assessments are accessed by each staff member and always adhered to. Care Homes for Adults (18-65 years) Page 18 of 33 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service
. People living in the home are supported to make decisions and choices about their daily lives and have a lifestyle that is meaningful and meets their expectations. Evidence: Evidence confirmed that the service continues to support people to live ordinary and meaningful lives. People have individual programmes that detail their day time activities. Each person had a copy of their own, in a user friendly format that they could use as an aid to communication or as a diary. Everyone’s programme included one day each week where they are supported on a one to one basis at home; this is to carry out personal and domestic tasks within the home or in the community. They are actively encouraged by staff to take part in the day to day running of the home by helping to keep their rooms tidy, hoovering, washing up, assisting with laundry and shopping for groceries. Other day time activities included attendance at the local adult resource centre, although as a means of enabling a more person centred and flexible approach to day time occupation the service was supporting people with applications
Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: for direct payments. Information provided in the AQAA, discussion with staff and residents and records seen confirmed that people living at the home access a wide range of social and leisure activities together or on a one to one basis. One resident spoken with said that they had been to see the film Mamma Mia at the cinema and enjoyed a holiday to the Isle of Wight with the support of staff. People also attended regular clubs and activities such as a monthly disco in Ipswich, Gateway club and Target club, meals out, pub outings, swimming and shopping trips. One person also attends church with assistance from staff every other Sunday. Examination of the staff rota and feedback from staff evidenced that the rota is devised to take into account residents social and leisure activities. People are supported to maintain relationships with their friends and family. Records evidenced that the home actively involves relatives in assessment and care planning processes where appropriate and residents are assisted to maintain contact with them by phone and correspondence and the sending of birthday cards for example. Information provided in the AQAA, records seen and discussion with residents confirms that the home helps people celebrate special occasions such as birthdays. Since the last inspection they had held a party to celebrate 21 years at Cardinalls Road and hired a local venue to hold a big party for one residents 40th birthday. Meal times are flexible according to people’s needs, preferences and routines. Residents are encouraged to assist with the grocery shopping and preparation of meals. The kitchen was domestic in style and appropriately equipped. On the day of inspection it was clean and there was an appropriate selection of food available in the cupboards, fridge and freezer. Two of the residents are assisted to follow the weight watchers at home programme to maintain their weight. One resident said We have lovely food in this home. We all chose different types of food like sandwiches or a hot meal. Care Homes for Adults (18-65 years) Page 20 of 33 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
. 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: Support plans were very detailed and clearly set out the support people required in relation to their personal and health care needs. Personal support was provided in private and routines were flexible according to each person’s preferences and plans. Residents dressed in styles that reflected their personal choices and personalities and they looked well cared for and appropriately supported. Each resident had a health action plan that was person centred, addressed a wide range of health needs and had been developed in consultation with appropriate health professionals. Records examined documented individuals health care appointments and provided good evidence that people are appropriately supported to access community health care facilities such as dentists, GPs, opticians and chiropodists. There was also evidence that where appropriate residents families were kept up to date with information about their relatives health. It was very positive to see that resident’s records included documentation entitled
Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: How to help me when I am in hospital. These documents had been devised so that they could easily be taken with a resident if they needed to go into hospital. They included some basic information about them, a summary of their needs and guidance on how to support them. Pictures and photographs were also used as a communication aid to help prepare one resident for routine health care appointments such as blood tests. Since the last inspection the home has changed its procedures for administering from blister packs so that they are now stored in their original packaging instead of being fastened to the box with an elastic band. Medication profiles for each resident were up to date and detailed and Medication Administration Records (MAR sheets) were fully complete. Staff were trained in the administration of medicines and records evidenced that one tablet administered to a resident in error earlier in the year had been immediately reported and appropriately addressed. On the day of inspection the secure medication storage cabinet had been left with the key in the lock, although there was no immediate risk as the only resident in the house was being provided with one to one attention it is poor practice and does not comply with the Royal Pharmaceutical guidelines or the homes medication policy. A tube of antiseptic cream that was not labelled had expired in April 2008 was also stored in the medication cabinet. Both of these matters were immediately addressed by the support worker on duty. Care Homes for Adults (18-65 years) Page 22 of 33 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
. People who use the service can expect to have their complaints listened to and addressed, further more they can expect to be protected from abuse. Evidence: The homes AQAA submitted to us in August 2008 told us that the service had received no complaints in the previous twelve months. During our visit we could see that residents had been given a copy of the complaints procedure that was in a style and format designed with the service users needs in mind. The AQAA also told us that a complaints leaflet had been given to residents families and in addition information on how to make a complaint was seen displayed at the home. One resident spoken with told us that they knew how to complain and who to speak to if they were unhappy. They also confirmed that staff listened to them and acted on what they had to say. Everyone that lives at the home has networks of support that include people such as advocates, care managers or relatives so there is independent support available to everyone. Records seen and people spoken with confirmed that residents are asked their views through formal quality assurance processes such as reviews and service user questionnaires. They also have more informal opportunities to discuss any issues that arise on a daily basis with support workers and the manager. In relation to the protection of residents the home has appropriate policies and
Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: procedures in place including a whistle blowing policy, a safeguarding adults policy and a physical intervention policy. Care staff had also undertaken adult protection training and training on dealing with challenging behaviour and managing conflict. There were clear strategies in place for handling the behaviour of one resident that had been developed in consultation with multi disciplinary professionals and showed a professional and caring approach to the individual concerned whilst being mindful of the safety of others. Staff recruitment files evidenced that the home undertakes Criminal Record Bureau Checks (CRBs) before new employees start work at the home. Comments from permanent and relief staff included; There is a formal complaints procedure in place if needed. Depending on the concerns it may be dealt with informally by the manager or key workers, I have worked in many care settings and have always found that the standard of care at Cardinalls Rd is one of the highest I have ever seen. It is also open and transparent and I would be able to advise a person what to do if there was a concern, and Posters advertising how to make a complaint are displayed. I have read the procedures and policies and it is in the staff handbook which I have at home. Also I have attended protection of vulnerable adults training. Care Homes for Adults (18-65 years) Page 24 of 33 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
. People can expect to live in a safe and comfortable environment that promotes their independence and meets their needs. Evidence: 43 Cardinalls Road is situated in a row of houses in Stowmarket. It is close to local amenities and has good access to public transport. The premises provide a safe, clean, comfortable and homely environment that is appropriate for the lifestyle and needs of the people that live there. At the time of inspection there were no unpleasant odours. The home was well maintained and nicely furnished and decorated throughout. Accommodation comprises of three bedrooms, a toilet, a bathroom with additional toilet, a lounge and dining area, a utility room, a kitchen and a separate staff sleep in room which doubles as a staff office. The lounge area has large patio doors which provide access to the enclosed rear garden. Two of the three residents were happy to show the inspector their bedrooms. They were highly individual and reflected the needs, interests and personalities of the residents. The carpet at the top of the stairs that was lifting and needed attention had been replaced or repaired. The home has a separate utility area for dealing with laundry; it is situated at the rear
Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: of the house and has access to the garden. The laundry area was clean and suitably equipped. A new commercial washing machine had been purchased which eliminated the need for the home to soak soiled linen and addressed the requirement made at the last inspection. Staff were provided with disposable gloves and aprons and confirmed that their training had included awareness of infection control procedures. The manager had recently attended a training day with Suffolk County Council on the management of infection control. Observations made during the inspection and discussion with people that live and work at the home confirmed that there are no ancillary staff employed. Support workers take responsibility for the cleaning, gardening and even some of the routine maintenance and decorating of the home encouraging residents to participate where they can and it is to their credit that the premises and grounds were maintained to a high standard. Care Homes for Adults (18-65 years) Page 26 of 33 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
. People who use the service can expect to be protected by the homes recruitment procedures. Further more they can expect to be supported by a team of qualified and competent staff that know them well and understand their needs. Evidence: The Annual Quality Assurance Assessment (AQAA) tells us that there are six permanent and five relief care staff. Of these, eight have NVQ level 2 or above and two are working to wards NVQ level 2 or above. Records seen and feedback from care staff confirmed that new staff are provided with appropriate induction programmes that include shadowing experienced staff and core training provided by mencap in line with the skills for care induction and foundation standards. Each member of staff had individual training and development files that included personal development plans and a record of training undertaken. Core training undertaken included food hygiene, first aid training, fire training, health and safety training, medication training and adult protection training. Further, more specialized training included epilepsy, total communication, person centred planning, managing challenging behaviour and care planning and risk assessment. Feedback from staff and residents, care plans examined and observations made during the inspection confirmed that staff are highly committed, respectful, competent,
Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: knowledgeable and skilled to do the job. There was good evidence of regular one to one staff supervision and appraisals, residents told us that they are supported by very nice staff that respect them and treat them well and comments we received from support workers included; There is an ongoing training programme in place and any needs are identified by the individual or manager at supervision sessions or staff meetings and arranged accordingly, Mencaps training has always been outstanding and up to date...., and Christine gives us constructive feedback aimed at improving the service. Information provided and staff feedback confirmed that the home has thorough recruitment processes in place that include Criminal Record Bureau checks (CRBs), written references, health checks and verification of ID. It was also very positive to hear that people that live at Cardinalls Road are involved in the staff recruitment process. Potential employees are invited to visit the home to meet the residents who are then asked for their views. Care Homes for Adults (18-65 years) Page 28 of 33 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
. People using the service benefit from a well run home. Further more, their health, safety and welfare is promoted and protected. Evidence: The registered manager, Miss Christine Smylie, has worked at the home since it opened in 1986. She is suitably experienced with twenty two years of management experience with mencap and holds a professional social work qualification (CQSW). She also has relevant management qualifications (CMS and RMA), is a qualified NVQ assessor and keeps her core training up to date. Comments received from staff and residents confirm that she is an effective and approachable manager with a good understanding of individual residents and their support needs. The home has appropriate self-monitoring systems in place that include annual service user satisfaction reviews. The AQQA said Our improvement plan is live and active and monitored by our area services manager. This was reflected in the quality of the AQAA submitted which was extremely detailed and evidenced that the manager was very clear about what they do well, how they evidence it and how they can do better.
Care Homes for Adults (18-65 years) Page 29 of 33 Evidence: Information provided in the AQAA, a tour of the premises and records seen confirmed that routine maintenance and health and safety tests and checks are carried out. Workplace monthly inspection reports are also carried out and cover general health and safety matters, fire exits, fire extinguishers, fire practices, first aid, electrical equipment, service isolation points, chemicals, accidents and incidents, vehicles, information transfer, health, garden, drugs and risk assessments. Feedback from staff and training records examined confirmed that staff undertake appropriate health and safety training. Appropriate policies and procedures for reporting and responding to incidents and accidents were in place. Care Homes for Adults (18-65 years) Page 30 of 33 Are there any outstanding requirements from the last inspection? Yes ï£ No ï 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 31 of 33 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 Description 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 Description 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 32 of 33 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website.
Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 33 of 33 - 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!