Inspection on 22/06/07 for Champions Place

This inspection was carried out on 22nd June 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Champions Place 16/06/09

Champions Place 12/12/05

Champions Place 14/04/05

Champions Place 21/09/04

Champions Place 26/05/04

Champions Place 17/02/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Champions Place Kent Hatch Road Limpsfield Chart Surrey RH8 0TA Lead Inspector Susan McBriarty Unannounced Inspection 22nd June 2007 09:30 Champions Place DS0000013592.V344600.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 Champions Place DS0000013592.V344600.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 Older People and 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. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Champions Place Address Kent Hatch Road Limpsfield Chart Surrey RH8 0TA 01883 722006 01883 730268 sharonx1@btconnect.com 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) R & G Sparkes Limited Mrs Sharon Lesley Stankova Care Home 17 Category(ies) of Learning disability (17), Learning disability over registration, with number 65 years of age (17) of places Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 Brief Description of the Service: Champions Place was built in 1890 and is a large detached House that has been listed as a Grade 2 protected building. It stands in secluded and extensive grounds that have far reaching views of the surrounding countryside. Although the home is in a rural location it is close to community facilities that are easily reached by car or nearby bus and community transport. There is ample car parking space next to the building. The accommodation is spacious. A mix of single and shared rooms is situated over three floors of the main house. The first and second floors are reached by stairs and residents need to be mobile to access all areas of the building. Communal areas are very large and include a dining room, two sitting rooms, activity room and office accommodation. Fee levels for 2007 range from £500 to £600 per week. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and was the first key inspection carried out by the Commission. The inspection took place over six and a half (6.5) hours, commencing at 09:30am and ending at 4:00pm. Ms Susan McBriarty, Regulation Inspector, carried out the visit. The manager was available throughout the inspection and the registered provider also assisted the Commission. The inspection took into account the Annual Quality Assurance Audit (AQAA) completed as required by the home and records held at the home including residents’ files, staff personnel files, training, medication records and care records. The inspector made observations of interactions between staff and residents during the visit and spoke with some of the residents and staff. Twenty One (21) comment cards were received from health and social care professionals, relatives and residents in October 2006 and three in June 2007. The Commission needed support to communicate with some of the people living at the home. The members of staff who know the residents well are aware of how some residents use speech. What the service does well: What has improved since the last inspection? One requirement was made following the inspection of the 12th December 2005 that the member of staff responsible for the medication carries the key. The Commission observed the requirement as met during this visit. Health action plans had been developed that looked at all aspects of the residents’ health needs and how the needs were met and by whom. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 6 Some of the bedrooms had been painted, a new water tank fitted and the main kitchen redecorated. The registration of the home had been revised to recognise the changing needs of the people who use the service. The inspection will remain mixed category, majority older people. 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. The summary of this inspection report can be made available in other formats on request. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 and 5 for younger adults and Standards 2 and 3 for older adults were assessed. Standard 6 for older adults does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives could be confident that they would receive an assessment of need before moving into the home to make sure the home could meet their needs and that a contract would be provided to confirm their rights and responsibilities. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 9 EVIDENCE: No new resident had been admitted to the home for some years and information about the people who use the service on admission was not available. The manager said that, where possible, a social history had been completed that talked about the lives and experience of residents before they moved into the home. One survey received from a relative in October 2006 noted that their relative had lived at the home for 24 years. The completed AQAA received by the Commission said that a policy and procedure was in place that set out how the home would assess a prospective resident to make sure that the home could meet their needs before they moved in. This was confirmed by the Commission during the visit. A number of resident files were sampled and each had a contract of terms and conditions signed by the home and the resident. The contract set out what the resident could and could not expect from the home. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9 for young adults and Standards 7 and 14 for older adults were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessed and changing needs and personal goals of the people who use the service are shown in their care plans. The residents are treated with respect and dignity and they are encouraged to make decisions about their lives. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 11 EVIDENCE: A number of care plans were sampled. The home had completed person centred plans with each person using the service. The plans included information about all the residents’ daily living needs, including whether they needed assistance with personal care, likes and dislikes and risk assessments. All those sampled had been reviewed recently with the resident and, where possible, they had signed their agreement to the care plan. The AQAA received by the Commission and discussion with the manager confirmed that the home would be revising the care plan format during 2007 in order to further improve what they do. A recent change in the certificate of registration confirmed that the residents at the home were all now over the age of 65 years. The Commission was informed that the home would now be completing a review each month, as they would be working solely with the standards for older people. The standards for young adults do not ask for monthly reviews but the six monthly reviews that had been completed. Health action plans were also sampled. The documents recorded the health needs of each resident including dental needs, opticians and specific health needs such as diabetes. A separate record was kept of appointments with health professionals; the records had comments about the outcome of the appointment and had been signed and dated by the member of staff completing the record. Three surveys were received from health professionals during October 2006. One said that the members of staff were totally committed to the residents’ welfare, another said that the care provided was professional and compassionate and that the members of staff had a genuine affection for residents. Resident meetings were held on a regular basis and the Commission looked at a number of the minutes recorded. The minutes of the meeting showed that the people who live at the home were asked their opinion and that the home acted on their views. See also the Lifestyle section of this report. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 13 Standards 12, 13, 15, 16 and 17 for young adults and Standards 10, 12, 13 and 15 for older adults were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who use the service are able to take part in appropriate social and leisure activities and, where wished, have their religious beliefs supported. Meals are varied and residents enjoy both the meals and mealtimes. EVIDENCE: The AQAA received by the Commission, records kept by the home, discussion with the manager and residents and viewing the activity room confirmed that a number of activities took place. The activities varied according to preference and included horse riding, making rugs and painting. A number of the rugs and paintings were in use about the home and by other residents. A member of the care staff acted as activities co-ordinator twice a week. One resident talked about a barbeque that had taken place, and one who enjoyed dancing encouraged a member of staff to dance during lunch. In discussion with the manager, and the information provided by the AQAA, further opportunities were being considered including a local day centre that was due to open and attendance at college for those interested in cooking. Photographs around the home showed residents enjoying holidays, a visit to the home by a local school and other activities taking place at the home. As noted in the Individual Needs and Choices section of this report, resident meetings were held regularly. The minutes seen by the Commission showed that residents were asked about what activities they were interested in including where they wanted to go on holiday. Some of the residents spoken with talked about the holiday they were due to go on and said they were looking forward to it. In October 2006 the Commission received two surveys completed by relatives. One said that the home had a happy atmosphere and confirmed that holidays had taken place and that other activities had been provided, including horse riding. The care plans kept by the home recorded residents’ religious beliefs where known and the AQAA received stated that communion was provided at the home for those who wished. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 14 The majority of people who live at the home do not have a relative to visit or spend time with and are reliant on an external view of the service from the local authority that funds their placement. A number of the plans viewed by the Commission had documented information from reviews; the reviewing authority responsible for the placements looked at raised no concerns about the placement. A noticeboard was on the wall near the dining room that showed what was going to be served for lunch. A number of the residents at the home were not able to read but one said he did not know what was for lunch but the food was OK. A questionnaire sent round by the home in 2006 to the residents was completed with support from the staff and gave the opportunity for residents to say what they thought about the food, and all felt the food was good. The food served for lunch was freshly prepared and residents were observed assisting with serving lunch. Music was being played quietly and, where possible, residents talked to the inspector about what she had seen so far. Members of staff were observed taking their lunch with residents, assisting in making the mealtime relaxed and enjoyable. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 for young adults and Standards 8, 9 and 10 for older adults were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The personal, physical and emotional needs of service users are met. The home ensures that members of staff follow the policies and procedures for the administration of medication safely. EVIDENCE: The documents, records, care plans and health action plans sampled during the visit confirmed that personal support was provided in the way preferred and the physical and emotional needs of the residents were met. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 16 Only one member of the care staff was male and the resident group was male and female. The records held by the home did not indicate that this was a concern to the people using the service. The care plans sampled showed the preferred morning and evening routine for each resident and how members of staff were to make sure this preference was met. Specialist health care was available as needed and was set out clearly in the health action plans. As noted previously, a separate document was kept that showed what health appointments had been kept and the outcomes recorded and signed by a member of staff. Observations made by the Commission during the visit showed that the manager and the care staff were proactive in assisting residents. A situation had arisen with one resident that required medical care and the staff team made a clear plan to inform another specialist health professional of the outcome to make sure the person was safe. Another resident was also unwell and a member of staff was observed informing the manager that the care plan had been updated taking into account the most recent change. Policies and procedures were in place to make sure that members of staff knew what to do when giving medication. A number of medication records were viewed and no errors were found. Medication was stored in a locked cupboard in the staff room. The keys for the medication cupboard were observed as being held by the member of staff, meeting the requirement made during the inspection of the 12th December 2005. One member of staff spoken with during the visit said she had completed three training sessions about medication in the last year, one of which she paid for herself due to personal interest. The manager was still trying to get the certificates to evidence staff attending the training provided by the pharmacist and confirmed that they would be writing to the trainer and asking again for the certificates. The care staff had received training to give medication and the Commission saw other records that confirmed training had taken place. Three surveys received from health professionals in October 2006 and one received in June 2007 confirmed that the home dealt with medication appropriately. The health professionals also said that residents were treated with respect and dignity and that any advice given was acted upon by the home. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 for young adults and Standards 16,18 and 35 for older adults were assessed. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who use the service could be confident that their concerns would be listened to and acted upon and that the policy and practice of the home would help to protect them from abuse. EVIDENCE: A policy and procedure for dealing with complaints had been provided in an easy read format. A number of the residents were not able to read and would need assistance to understand the easy read version of the policy. A resident had made one complaint, and a member of staff had helped the person to fill out the form and say what had made them unhappy. The complaint had been recorded and dealt with appropriately by the home and the resident asked if they were happy with the outcome. A copy of the easy read version had been placed on a noticeboard in the home and the recent change of address for the Commission was in place. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 18 The Commission received eleven surveys completed by residents with the help of members of staff in October 2006. Where residents were able to or chose to respond, the Commission was told that they knew whom they would talk to if they were unhappy. A safeguarding (adult protection) policy and procedure was in place and set out in a clear way what was expected of the care staff if an allegation was made. The Commission had been informed of one possible safeguarding matter since the last inspection of the 12th December 2005, which the home discussed with the local authority. A copy of the local authority 2005 multiagency guidelines for safeguarding adults was held in the office and the manager was clear that any allegation would be referred for consideration to make sure the resident was safe. The home assists the people who use the service with their finances and clear accounts were kept. A separate folder was kept that included information about how weekly allowances were spent; original receipts were kept, as were copies of any bank statements showing where residents had any savings. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 for young adults and Standards 19 and 26 for older adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service are provided with a safe, warm and comfortable environment that is kept clean and hygienic. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 20 EVIDENCE: A tour of the home took place and the Commission looked at the communal areas including the garden and all but two of the bedrooms. There were a number of communal areas that were used by the residents. The areas offered space for privacy, small groups or larger groups and for activities. All of the bedrooms seen showed the personal preference of the person using the room. This included pictures, photographs or other personal items. Some residents either preferred to have no personal effects or were restricted because of what would happen to the items. Where restrictions were in place the home had tried to ensure that other options were available, for example a three-piece suite was in place in one of the bedrooms. The bedrooms varied in size and one was shared. The first and second floor can only be accessed by stairs. The manager told the Commission that at the moment all the residents are able to use the stairs but they are aware that this may change as the they get older. The home is an older listed building set back from the main road. During the visit the maintenance person told the Commission that they were in the process of making ready one part of the house for redecorating while the residents were on holiday. He said that painting does not happen when the residents are at home in case they brush up against or touch the wet paint. A very large garden is accessible to all the residents. The garden is well laid out with expanses of lawn and planting, including trees. A small conservatory and patio area are available for use at the rear of the home. All the areas viewed by the Commission were clean and hygienic. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35 for young adults and Standards 27, 28, 29 and 30 for older adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policy and practice of the home regarding recruitment and training support and protect the people who use the service. EVIDENCE: A number of staff had been working at the home for some time offering stability and consistency to the people who used the service. One member of staff spoken with said they had been working there for 18 years and still enjoyed going to work. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 22 The manager said that three members of staff worked in the mornings and two in the afternoon and two at night. One member of staff sleeps in overnight although most nights they are awake and working. The Commission was told by the manager that the home has a total of nine care staff. The Commission looked at a number of staff personnel files and other records. The home kept a separate record of the criminal record bureau (CRB) checks that had been received. All the staff working at the home had received a satisfactory CRB check and the home had stored the original documents. It is recommended that the home review the Criminal Record Bureau guidelines for the disposal of original documents to make sure that they are within the timeframe given. As noted, the home had a number of long standing members of staff and the recruitment checks expected by the Care Standards Act 2000 were not in place at the time they started work. In order to make this clear it would benefit the home to use a checklist or similar at the front of each staff file to confirm what documents are in place, when they were received or, where this is not possible, the reason why. For example, the Commission would not expect a member of staff working at a home for 18 years or more to now complete an application form. The owner and manager of the home both confirmed that all new members of staff are recruited in line with The Care Homes Regulations 2001. One file of a new member of staff sampled by the Commission confirmed this. The manager said that of the nine care staff, one has National Vocational Qualification (NVQ) to Level 4 and had just completed their NVQ assessor award and four members of staff have NVQ 3 equivalent qualifications. On each personnel file a record had been made showing what training had been completed and the date. Training completed included manual handling, first aid, dementia, visual impairment awareness and food hygiene. Two of the staff spoken with said that there was always training taking place and talked about recent training received and some of the training planned. The home had just started to use the common induction standards, although no new member of staff had started work since the home had revised their induction training. A copy of the previous induction training policy was seen and was found to cover all aspects of work at the home. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 24 Standards 37, 39 and 42 for young adults and Standards 31, 35 and 38 for older adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run by a person competent to do so and the views of the people who use the service are listened to and acted upon. The policy and practice of the home promotes and protects the residents and members of staff. EVIDENCE: The manager of the home was registered with the Commission and had completed the NVQ 2 and 3 in Care, had the Registered Managers Award and had nine years previous experience in care before making application for the post of manager at this home. In 2006 the manager sent questionnaires to the residents asking them their views about the home and what they could do better. The care staff team assisted the residents to complete the questionnaires and the outcomes were discussed in a team meeting where minutes where taken. The Commission viewed the questionnaires and the minutes of the meeting and found that the outcomes were discussed and agreement made about the action that needed to be taken. The questionnaires showed that the people who use the service were confident enough to talk to the staff about what they wanted. At the time of the visit the outcomes were not published in a format for residents or funding local authorities to view. A requirement is made for the home to collate and publish the outcomes. This will further confirm to the residents and inform the stakeholders of the outcome of the home’s quality assurance audits. The Commission looked at a number of policies and procedures including infection control, staff code of conduct, restraint policy and health and safety. The manager said that staff had received training in restraint from an accredited provider and this was confirmed by the records held by the home. One survey received by the Commission in June 2007 from a health professional said that Champions Place was an excellent, well run home. The AQAA received by the Commission said that safety checks had been made in the home including fire testing, water testing and electricity checks. This was confirmed through a sample of the outcomes looked at by the Commission during the visit. Accident and incident forms were viewed and had been completed appropriately. The manager was in the process of filing them individually to confirm confidentiality of resident information. Champions Place DS0000013592.V344600.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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 2 40 X 41 X 42 3 43 X 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Champions Place Score 4 3 3 X DS0000013592.V344600.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA39 Regulation 24 Requirement The information provided by the home’s quality assurance audit to be collated and a report of the outcomes be available for the residents and stakeholders to further confirm the outcomes and actions taken by the home following any audit. Timescale for action 31/08/07 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 OP29 Good Practice Recommendations It is recommended that the home review the guidelines for disposal set by the Criminal Record Bureau. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Champions Place DS0000013592.V344600.R01.S.doc Version 5.2 Page 28 - 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. 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