Inspection on 03/12/08 for Chantry Care Services

This inspection was carried out on 3rd December 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.

Other inspections for this house

Chantry Care Services 07/01/10

Chantry Care Services 10/12/07

Chantry Care Services 07/03/07

Chantry Care Services 20/06/06

Chantry Care Services 01/03/06

Chantry Care Services 25/07/05

Chantry Care Services 11/09/04

Chantry Care Services 28/04/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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: Chantry Care Services 46 Dean Street Crediton Devon EX17 3EN     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: Vivien Stephens     Date: 0 3 1 2 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. that people have said are important to them: They reflect the things 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 30 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 30 Information about the care home Name of care home: Address: Chantry Care Services 46 Dean Street Crediton Devon EX17 3EN 01363772301 01363772348 intotal@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Chantry Care Services Name of registered manager (if applicable) Mrs Michelle Jane Dermott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home The Chantry is an old detached property that has been listed as having architectural interest. It is close to the centre of Crediton. The home is laid out over two floors and has an annexe known as The Coachouse at No. 47. There is a large garden behind the house. There is some private parking. The home offers accommodation and care for up to sixteen people with learning disabilities. There are lounges, a study/activities room and dining room on the ground floor. None of the bedrooms have en suite facilities, but all have wash hand basins. Since there is no lift between floors, those people with a bedroom on the first floor must have good mobility. Whilst the Home is registered to care for people with physical disabilities, careful assessments would be needed should any further admissions in this category be considered. The Home has its own transport. At the time of the inspection, fees ranged between £518 to £1050. On the Care Homes for Adults (18-65 years) Page 4 of 30 care home 16 Over 65 0 0 16 4 Brief description of the care home notice board in the hall there is information telling people that a copy of the inspection report is available for them to read. Care Homes for Adults (18-65 years) Page 5 of 30 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: Several weeks before this inspection took place we asked the home to complete an Annual Quality Assurance Assessment (AQAA). The completed form gave us useful information about the home and the way it is managed. We sent out survey forms to the people who live in the home, the staff team, and to health and social care professionals who regularly support the people who live there. We received 10 completed surveys from people living in the home, 8 from care workers, 4 from health professionals and 1 from a care manager. Their responses have helped us to reach the judgements we have made in this report. During our visit to the home we talked to most of the people living there, and most of Care Homes for Adults (18-65 years) Page 6 of 30 the care workers on duty, some briefly and some in greater detail about daily life in the home. We talked to the manager, Michelle Dermott. We walked around the home and looked in approximately half of the bedrooms, the bathrooms and toilets, the lounges and dining room, and the kitchen. We looked at the records the home is required to keep including care plan files, staff records, medicine administration and health and safety records. What the care home does well: What has improved since the last inspection? What they could do better: The home has advertised for a Deputy Manager but so far they have not managed to recruit anyone for this post. They should look at their management structure to make Care Homes for Adults (18-65 years) Page 8 of 30 sure there is always a manager or senior person on duty who is able to take charge of the home. 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 9 of 30 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 30 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. The home has good assessment procedures in place. They will give people plenty of information and opportunities to visit and get to know the home before any decision to move in is made. Evidence: In the last year no new people have moved into The Chantry. They told us about the procedures they will follow in the future if they receive an enquiry from someone who is interested in the home. Initially they would request a community care assessment from the persons social worker and if the information they received suggested the they might be able to meet the persons needs they would then carry out their own assessment. They have recording forms in place to guide them to ask questions about a wide range of aspects of the persons abilities, and to find out the help they need. The assessment period would not be rushed, and the person would be invited to visit as often as necessary, including overnight or short stays until everyone is satisfied that The Chantry is the right place for them. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: They have written information about the home that they will give to any person who makes an enquiry about the home. They told us they plan to improve this information in the next 12 months to provide a picture format that will help people who have difficulty reading text to understand what it would be like to live at The Chantry. We asked some of the people if they liked living at The Chantry and they were very definite in their responses when they said Yes. They gave us many reasons why they like the home, including examples of the things they do every day. Care Homes for Adults (18-65 years) Page 12 of 30 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. Peoples needs and choices have been well met by well trained staff and excellent care planning systems. Evidence: We looked at four care plan files to find out the information the home had gathered about each person and how it had been used to help the staff understand how the person wanted to be supported. We found that each care plan was clear and well written. We found they were all written in the first person, and wherever possible they used the exact words the person had said. Where the person had been unable to speak up for themselves we could see that a great deal of time and thought had been taken to try and tell the reader what the person would want to say. The plans were written in plain and easy to read language, and explained the strengths and weaknesses of each person, what they want to do, what they can do for themselves, what they need help with, and how they want to be assisted. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: The plans covered every aspect of the persons personal and health care needs in detail. Any anticipated risks had been identified and an assessment had been carried out to instruct care workers on the actions they should take to help the person minimise or eliminate the risks. The care plans included information on each persons cultural and religious needs and preferences. We talked to one person and their key worker about their religious background. The care worker had made contact with a local religious leader and had agreed a plan to introduce the person to the local religious community. Consideration had been given to cultural foods and daily routines while at the same time being sensitive to the persons own wishes regarding their religion. The care plans showed how the staff have been instructed on how to respect the persons privacy and dignity and how they will offer them choices. One health professional who completed a survey form told us There is much improvement in this area. All service users have individual detailed plans. Privacy for service users is given priority. The plans had been reviewed every month and updated where necessary. Each member of staff had signed to say they had read the care plans and understood them. The care plans explained how each person should be supported to make decisions about every aspect of their daily lives. In the last year the level of communication with each person has improved. There are various communication systems including picture boards and sign language for those people with limited verbal communication skills. Two relatives telephoned us before the inspection to give us their views about the home. They praised the home highly and told us about the ways the home has improved over the last year. One relative told us about the care plans and communication skills of the staff team and how this has transformed the lives of the people living in the home. They told us how much happier and relaxed people living in the home have become in the last year. Care Homes for Adults (18-65 years) Page 14 of 30 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 has improved the level of opportunities they offer to people to enable them to lead interesting and stimulating lives and to gain new skills. People are now beginning to feel fulfilled and gain greater satisfaction and self-confidence. People receive a varied and balanced diet with plenty of alternatives to suit individual dietary needs and preferences. Evidence: In the last year the level of activities provided for people has improved considerably. On the day of this inspection we saw groups of people busy doing the things they wanted to do and there was a happy and contented buzz throughout the home. People came up to us and wanted to show us the things they had been making, and to tell us about the things they enjoy doing. Around the home we saw some of the things Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: people had made on display. This included a striking wall scene in the small dining/activity room of the night sky with stars, sun, moon and rockets incorporating twinkling lights. We heard how people love to look at this scene and identify the parts they each helped to make. Each person had a weekly timetable of their regular planned activities. This was stored in their individual care plan files, and a copy of the overall main group weekly activity plan was seen on the daily activities notice board in the main dining room. The plans listed several activities each day. Some activities were specifically for an individual while others were for small groups. When we arrived at the home a group of people were out at a local coffee morning for the morning, returning at lunchtime. Another group had just been making papier mache models, and some had also been busy making cakes and they showed us what they had made. Later in the day the cakes were iced and people sat down to enjoy them with their afternoon drinks. We also saw one person sitting in the lounge listening to his favourite music and singing along to it. Another person was sat watching the television with a member of staff who was helping them to find the right programmes. We saw a member of staff walking with one person in the garden and we saw there was close communication and a sense of friendship and working together. During the afternoon an Occupational Therapist visited to work with one person to make a bird table. The person told us how much they looked forward to these sessions and how much they enjoyed working with wood, drills and hammers. Comments from health professionals who completed a survey form included, It is a busy happy house They are improving the levels of occupation/activity that the residents experience. I often see people out and about in different settings, church etc. Some of the other regular activities we heard about included gardening, drives to interesting places, walks into the town, art and crafts, aromatherapy and massage, skittles, story telling, hydrotherapy, pub nights, DIY and vehicle maintenance, and helping around the house with daily housekeeping. Throughout the day we saw evidence of the new skills people had gained and the differences this had made to their lives. The manager, Michelle Dermott, talked about some of the long term plans they have to introduce more facilities to provide an even wider range of activities. We were shown lots of photographs that have been taken in the last year of the many activities people have enjoyed. These included a holiday in Ilfracome. We heard that people chose where they wanted to go on holiday and they went in small groups or on Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: their own with the staff. One person chose to go on day trips. At lunchtime a person living in the home invited us to have lunch with them. We had a very tasty home made pasta meal. Some people did not want pasta and they were able to choose an alternative of their choice. Some people chose sandwiches and one person chose ham, egg and mashed potato. For pudding there was home made steamed pudding and custard or a choice of yoghurts. We were told that in the last year they have decided not to draw up a fixed weekly menu and instead they have a good selection of fresh foods in stock and offer people a choice every day. We heard that people are now far more involved in each stage of meal planning and preparation. The records of meals provided showed that a good variety of nutritious meals have been provided. Individual dietary needs were catered for. Those people with weight problems have been encouraged to adjust their diet to help them maintain a healthy weight. We watched as staff helped those people who needed assistance to eat their meals and we saw that they gave each person their full attention, and were sensitive and patient. Some people had special plates to help them eat without assistance. Some people chose to eat quietly in the small dining room or in the lounge rather than eating in the main dining room. The staff were happy to accommodate each persons individual wishes and preferences. The mealtime was an enjoyable time for everyone. Care Homes for Adults (18-65 years) Page 17 of 30 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. Each persons health and personal care needs have been met by well trained and experienced staff, good care plans, and good links with all relevant health and social care professionals. Medicines are stored and administered safely. Evidence: The care plans we looked at contained excellent detail about the way people wanted to be supported by the care staff in every aspect of their personal care needs. They gave very clear instructions to staff about how each task should be carried out in order to maintain the persons privacy, dignity, choice and independence. The plans contained information about every aspect of their preferred daily routine, for example, times of waking/going to bed, how the person wants to be helped with washing, dressing, brushing teeth, and brushing hair. They also showed where the person is able to carry out these tasks themselves, guiding the care staff to help the person remain as independent as possible. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The home told us they have a good male/female staff to resident ratio and they always make sure that females living in the home receive personal care from a member of staff of the same sex. We heard how the home has liaised closely with health professionals to ensure that people receive advice and treatment wherever necessary. The care plans we looked at contained evidence to show the home has liaised closely with the relevant health care professionals when people have developed health problems, and the plans also contained clear information about what staff should do if the conditions recurred. A health professional told us They have done their best to offer a particular client the correct management and have valued the encouragement and support from us - it was a good team effort. Another health professional told us This service is quick to react to service users physical and health needs. Needs and support of clients health are well met. We looked at the way the home stores, administers and records medicines. We found they had safe systems in place. The home uses a monthly monitored dosage system supplied in blister packs from a local pharmacy. The amounts of medicines received each month have been accurately recorded into the home, and each tablet or medicine had been recorded correctly when given. This meant that the home had good accounting systems in place to account for all medications handled by the home. Medicines that needed to be kept cool were stored in a secure fridge. Creams and lotions have been recorded after they have been applied. The administration records and care plans gave clear guidance on how, where and when the creams should be applied. Care Homes for Adults (18-65 years) Page 19 of 30 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 can be confident that the home will listen and act on any concerns or complaints they may raise. There is a well trained and competent staff team who can recognise any signs of abuse and know what to do to make sure people are safe from harm. Evidence: We found that there was a very open atmosphere throughout the home with good communication between the manager and staff team. We heard that the staff will always raise any concerns, issues or suggestions with the manager immediately and they were confident that she would take the right course of action. Since the last inspection the level of communication between the staff team and each person living in the home has improved and we heard how people are now more able to raise issues no matter how small or large. An example was given of a person with poor verbal skills who was able to tell the staff team that his curtain rail had broken and needed to be repaired. The home has good systems in place to record any cuts or bruises and the reasons. The home has informed the Commission of any accidents that have resulted in serious injury. We have received no concerns or complaints since the last inspection. In the last year the home has recorded four complaints. The records showed each Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: complaint had been fully investigated and actions taken where necessary. We found that each issue had a positive outcome for the person who raised the issue. The complaints procedure had been clearly written using straightforward language and also symbols and was displayed in the hallway. It had also been explained to each person living in the home. We looked at the way the home held cash and savings on behalf of those people who were unable or unwilling to look after it themselves. We saw that cash has been stored safely in individual wallets. Good recording systems have been followed with each transaction signed by two staff to witness the transaction and check the amounts and balances are correct. Receipts have been retained for all items purchased. Care Homes for Adults (18-65 years) Page 21 of 30 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. The Chantry provides homely, safe and well maintained accommodation for each person who lives there. Evidence: In the last year a programme of upgrading and refurbishment has been completed. We carried out a tour of the home, checking a random sample of approximately half the bedrooms, the toilets and bathrooms, and all the communal areas. All areas we looked at were in a good state of repair and decoration. In the last year some attractive finishing touches have transformed the look of the home, and some of the people wanted to show us the things that made it feel special. Each bedroom had been individually decorated and furnished according to the tastes and interests of the person whose room it was. We saw attractive bedding and curtains and co-ordinating colour schemes. People have displayed pictures and items of interest, and there were televisions and music equipment for those people who liked to spend time in their rooms. There were some attractive and fun lighting schemes around the home, including chains of twinkling lights, and a lovely chandelier in the main lounge. There were also some displays of arts and crafts by the people living in the home that provided lots of interest and gave people an opportunity to show off Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: their talents. We heard that the staff work alongside the people living in the home to keep all areas clean and tidy and there are good cleaning routines in place. The home employs a maintenance person and we checked the maintenance records to see that repairs have been carried out promptly as soon as possible after they have been reported. Work has taken place in the garden in the last year to make the paths safer and to create areas where people can sit and relax, or where they can safely walk around. Flower beds, lawns and vegetable plots have been well maintained. Some people living in the home have enjoyed working in the garden on specific projects. Care Homes for Adults (18-65 years) Page 23 of 30 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. There have been significant improvements in the last year to the staffing levels and staff retention, and people can now be confident they will receive the support they need every day from a well trained and consistent staff team. Evidence: When we arrived at the home there were six staff on duty. The manager was at a meeting but arrived shortly after. There were ten people living in the home, and three people also regularly visited the home for day care. We looked at the recruitment and employment records of staff employed since the last inspection. In the last year there have been six new staff employed. The recruitment files showed that all the required checks and references had been carried out before they had been confirmed in post. This demonstrated good practice and showed that the home had taken good care to recruit staff who were entirely suitable for the work they were employed to carry out. We looked at the induction training records and found that each new member of staff had received training that followed nationally recognised standards. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Six care workers held a nationally recognised qualification known as National Vocational Qualification (NVQ) to at least level 2. Five care workers were in the process of obtaining NVQ level 3. One care worker held a nursing qualification gained overseas that was equivalent to NVQ level 4. We were given a copy of the homes training matrix that showed that all staff have received regular training on a wide range of topics including all required health and safety related subjects. They have also received training on communication and working with people who have learning disability, and on specific health problems relevant to the people living in the home. Professionals who regularly visit the home told us they have seen an improvement in the level of skilled staff. Comments include Lots of training has taken place and is ongoing. In the last year only two care workers have resigned. We heard that these had left for personal reasons. During the day we met four care workers who had been present during previous inspections. The staff we talked to were happy in the work and told us there were good systems of communication, supervision and support. All of the staff who completed a survey form before this inspection were positive about their work. They told us about some of the things the home does well. Comments included Looking after all of the clients, support their every day needs, and giving them a higher quality of care. Getting the people more involved in the activities we do in the home and out. To know the individual needs. To work professionally. To provide the quality of life. To be engaged in everyday activity. To organise the work properly. To make team work. Staff meetings have been held at least every 8 weeks. We also saw records that showed that staff have usually received individual supervision at least every 8 weeks. The manager said she aims to supervise staff every month if possible. Care Homes for Adults (18-65 years) Page 25 of 30 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 well managed. People who live in the home, and their family, friends and representatives are encouraged to have a say about how the home is run, and what happens in the home every day. The home is a safe place to live and work. Evidence: The registered manager, Michelle Dermott, holds a relevant qualification in care and the management of a care home. She has had many years of relevant experience. People told us they have complete confidence in the way she manages the home. Comments included, Manager works well with professionals in the LD SS (learning disability social services) team. She is committed to making a difference to lives of people at The Chantry. However this has been difficult for her due to clients receiving very low funding. The manager, Michelle Dermott, shows good leadershop of her Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: team. Two relatives contacted us before this inspection. They were full of praise for the home and the way it had been managed by Michelle Dermott. In the last year Chantry Care Services have attempted to recruit a Deputy Manager but have so far failed to find a suitable person for this post. We heard that they are continuing to advertise the post. The Area Manager of Chantry Care Services visits the home on a monthly basis. We saw reports of visits carried out in the last year that showed that the company keeps a regular check on the management of the home, the services and care provided. The home has a variety of methods of checking the quality of the services they provide, and involving the people who live in the home to have a say in the management and daily routines. They have held monthly meetings for the people living in the home. They have also sent out annual quality assurance questionnaires. They have asked relatives and advocates to help those people who have difficulty in expressing thier views. They have also held regular reviews with each person to check their care, and these meetings have provided an opportunity for people to voice their opinions. The home gave us examples of the improvements and changes they have made in the last year as a result of these processes. These have included a greater variety of meals such as Chinese and Italian meals. The range of activities and outings have improved. They now have pets including guinea pigs and lop-eared rabbits after consultation with people living in the home. We saw records relating to the health and safety of people living and working in the home. All equipment has been regularly maintained and serviced. The fire log book showed that all fire safety equipment had been regularly checked and serviced and the staff have received regular training and fire drills. Policies and procedures were in place relating to health and safety. The staff have received training and updates on all required health and safety topics. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 1 37 Consideration should be given to the management structure within the home to ensure there is adequate senior/management cover at all times. Care Homes for Adults (18-65 years) Page 29 of 30 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). 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