Inspection on 07/03/07 for Chantry Care Services

This inspection was carried out on 7th March 2007.

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

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

Other inspections for this house

Chantry Care Services 07/01/10

Chantry Care Services 03/12/08

Chantry Care Services 10/12/07

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 08/07/2008.

CARE HOME ADULTS 18-65 Chantry Care Services 46 Dean Street Crediton Devon EX17 3EN Lead Inspector Vivien Stephens Unannounced Inspection 7th March 2007 9:30 Chantry Care Services DS0000022048.V325311.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 Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chantry Care Services Address 46 Dean Street Crediton Devon EX17 3EN 01363 772301 01363 772348 intotal@aol.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) Chantry Care Services Michelle Jane Dermott Care Home 16 Category(ies) of Learning disability (16), Physical disability (4) registration, with number of places Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: The Chantry is a listed building, in Dean Street, close to the centre of Crediton. The premises are two-storey and detached and has an annexe previously known as ‘The Coachouse’ at No. 47. The large gardens include various outbuildings at the rear. There is some private parking. The home offers accommodation and care to sixteen service users 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, clients accommodated on the first floor must be fully ambulant. 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 notice board in the hall there is information telling people that a copy of the inspection report is available for them to read. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Several weeks before this inspection a pre-inspection questionnaire was sent to the home. The completed form was returned to the Commission, and from this information questionnaires were sent to residents, staff and visiting professionals. Completed questionnaires were received from 3 professionals, 7 residents and 4 staff. Comments were also received from one relative. On the day of this inspection 11 people were living at The Chantry. In addition 3 people were visiting the home for day care. The manager plus 5 care workers were on duty. This inspection was unannounced and began at 9.30am, finishing at approximately 6pm. During the day a tour of the premises took place, the administration of medicines was checked, and records required by legislation were inspected. Discussions took place with 3 care workers and 4 residents, plus the manager. Most of the residents have limited verbal communications skills and therefore observations of interactions with staff were made throughout the day. What the service does well: The home has good procedures in place to carefully assess any prospective new residents before they move in, therefore ensuring that the home is suitable and will meet their needs. The procedures indicate that care will be taken to enable the person to visit the home and get to know the people and environment before any decision to move in permanently is made. Trial visits are encouraged. Menus seen during the inspection showed that the home provides nutritious and balanced meals to suit all individual dietary needs and preferences. Residents are encouraged to participate in all aspects of meal planning and preparation. Medicines are stored, administered and recorded in a safe manner. Staff records seen during the inspection showed that the home follows satisfactory recruitment procedures, including receipt of satisfactory references and criminal records checks before new staff are confirmed in post. New staff receive good induction training when they begin work. Ongoing training has been provided on relevant health and safety topics. Good procedures are in place to regularly check on the quality of the services and facilities and to ensure continuous improvements are made. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? At the last key inspection many areas of concern were found. The home was found to be in breach of 18 regulations, and requirements were made for action to be taken to address these. A further 11 recommendations were also made. A meeting took place between the Commission and the providers to discuss these concerns and agree the action necessary. Since that inspection a new manager has been appointed and the owners have spent considerable money improving the standard of decoration and furnishings of the home. Works carried out include the complete renewal of the roof. During this inspection standards in all areas of the environment, care and services were found to be much improved. While a number of recommendations have been made, no major concerns were found, and no regulations were found to be breached. Many areas were considered to be either adequate or good, and there are clear indications that more improvements are being made to raise standards further. Risk assessments have been improved and these now show that the home has considered all obvious risks and will support residents to lead their lives as they wish, with safeguards provided wherever possible. The home recognises residents’ rights to make choices. Many improvements have been made to increase the level of activities provided for residents. The home has a new minibus and residents can go out and about far more than previously. Increased staffing levels have enabled the home to provide social activities and to meet educational needs on a more individual basis, although there is still room for further improvement. Since the new manager has been employed the number of complaints and concerns about the home has fallen. Records have been kept of all matters raised and these showed that the home has investigated them sensitively and taken appropriate action to reduce the likelihood of recurrence. Good procedures are in place to protect residents from abuse. Staff have received training in this subject in the last year. Most areas of the home have now been decorated and furnished to a high standard. Just a few areas were still in the process of being upgraded. Rooms appeared bright and modern, and the residents and staff have clearly enjoyed choosing colour schemes and personalised touches. The bathrooms are significantly improved – one has a ‘state of the art’ bath/shower with jaccuzzi that is much enjoyed by the residents. All areas were found to be clean and free from any odours. The ratio of staff to residents has improved and this has allowed staff to spend more time on a one-to-one basis with residents, or with small groups. Staff training has improved. The staff said they felt the standard of care is improving and felt much more confident in the management of the home. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 7 Confidence in the management of the home has increased. Health and social care professionals and relatives praised the new manager and her approach 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. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective new residents benefit from a thorough assessment and careful admission procedure. However, written information about the home should be made available in different formats suitable for those residents who may have difficulty reading. EVIDENCE: The home has a statement of purpose and a service user guide/residents’ handbook. These documents provide a range of information about the home that is useful for relatives or professionals. However, the information has not been transferred to formats that might be more accessible for people who have difficulties with reading. Since the last inspection no new residents have been admitted and therefore it was not possible to check that needs assessments have been carried out. Documents seen during the inspection for those people who have lived at the home for several years showed that assessments have been carried out satisfactorily in the past. The home has an admission policy in place that states that any new residents will be carefully assessed in future by obtaining as much information as possible from the individual, their family, Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 10 representatives and any health or social care professional involved in their care in order to ensure that the home is suitable and can meet their needs. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can feel confident that staff understand their needs through the care planning process, although this could be improved through greater involvement and consultation with both residents and care staff. Residents’ rights to take risks are recognised and encouraged by the home, with safeguards provided where necessary. The home recognises residents’ rights to make choices, although greater use of communication tools could increase residents’ level of involvement in the running of the home. EVIDENCE: Care plans seen during this inspection contained a wide range of information covering each resident’s health and personal care needs. The level of information in the plans indicates that the home has a very good knowledge and understanding of the residents. However, the plans have been written by Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 12 the manager and staff and there was little evidence to show how the residents have been consulted and involved in the process. It is recommended that the plans are developed to enable the residents to participate fully in the process, and to allow them to clearly express their views and feelings about the way they want to be assisted by the staff. The plans should be presented in a format that individuals can access and understand. They should also provide an easy-to-follow working tool for care staff. Some of the information was duplicated in different places. Two examples were seen where information about the application of a prescribed cream, and the administration of a medicine that has been prescribed on an ‘as required’ basis were not explained in the care plan. (See standard 20). Care plans include risk assessments covering all identified risks and clearly show that the home has considered ways of assisting residents to follow their chosen lifestyles as safely as possible. Residents are encouraged to make choices in their lives in a variety of ways. They are involved in group decision making through residents’ meetings, and recently they have discussed the choice of menus, group activities, and how the home will function with workmen in the home during recent upgrading and repairs to the house. The care plans direct staff to provide residents with choices in certain areas. Examples were seen during the inspection of how residents have chosen the bedroom they want, colour schemes, furniture and furnishings. Residents talked about the things they like to do, and their daily routines, including the times they get up and go to bed. Discussions with staff showed how some residents choose the clothes they buy, while others prefer staff to buy clothes for them. The manager said that residents are consulted when new staff are recruited, although residents are not in staff interviews. While the home has shown a commitment to providing choice for residents, further improvements in the communication methods with those residents who have limited communications skills could provide a greater range of tools to improve residents’ choice and involvement in the running of the home. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have benefited from improvements to their social, educational and leisure activities, although there is still room for improvement. Residents receive nutritious and balanced meals to suit their individual dietary needs and preferences. EVIDENCE: Since the last inspection many improvements have been made to the level of activities provided. A new minibus has been purchased and this has increased the level of access to facilities in the local community. Residents now attend various local education and day care services in the community, including East Devon College, ‘Magic Carpet’ arts and crafts club, Coffee Morning club, the Tuesday Club, the Donkey Sanctuary, and a day care provider known as ‘Grannies Meadows’. On the day of this inspection residents were seen sitting in small groups doing arts and crafts, and the colourful results could be seen Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 14 proudly displayed around the home. There are plans to improve the garden, and to involve the residents in these improvements. Residents have individual timetables drawn up to show the regular activities and occupations they want to participate in. Residents and relatives who responded to this inspection through completion of questionnaires indicated that the level of activities is much better recently, although more work is necessary to further improve the way that individual plans of activities are carefully tailored to meet individual resident’s rather than group interests. This can be achieved through improved communication skills with all residents, especially those with limited verbal communication. Links with the local community have improved since the last inspection. On the day of this inspection six residents went on an outing. Residents enjoy going out with staff on shopping trips, visiting the pub, or attending local social clubs. Relatives also indicated that links with the home have improved. There is now a sense of greater confidence in the management of the home and a feeling that relatives and professionals can speak to the manager at any time, and that the manager and staff are more welcoming and encourage them to be more involved in the home. Copies of regular menu plans were provided as part of the information supplied by the home for this inspection. The menus have been adjusted regularly in order to provide a balanced and varied diet. These include plenty of fruit and vegetables. The home provides choice and suitable alternatives for those residents who do not like the main meals offered on the menus. They also provide an increased level of individual meals for those residents on special diets, or those who have cultural preferences. Where food has to be puree’d there was good evidence to show how health professionals have been consulted and involved in order to try to find a balance between safety and meeting individual preferences. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they will receive sensitive and effective personal and heath care support from staff, although some further improvements are recommended. Medicines are stored, administered and recorded in a safe manner, although instructions for administration of creams and lotions should be explained and recorded. EVIDENCE: Care plans seen during the inspection, and discussion with the staff and manager during the inspection, showed that the home is now focussing more closely on providing effective support to individuals with personal and health care needs. At the last inspection a requirement was made for the home to follow the advice from a speech therapist in relation to puree’d food for one resident – this is now being carried out. Specialist equipment has been provided where necessary – this includes a nursing type bed that enables staff to assist the resident to get in and out of bed more easily. Comments from Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 16 health and social care professionals about the way the home meets the health needs of their clients included “I feel more confident than previously with the introduction of a new manager”, and “Current manager has referred appropriately for a speech and language therapist.” Care plans showed how residents choose their daily lifestyles, including clothes and friends. Through discussions with staff and residents it was evident that the staff are sensitive to individual support needs. However, one professional who responded to this inspection by completion of a questionnaire commented “I am uncertain how consistent the staff approach is, especially when dealing with individuals with autism.” Some further improvements to the care plans are recommended to show how residents and staff have been involved in discussions about how personal care tasks should be carried out. An example of this was discussed with the manager – she explained how one resident is assisted to help them clean their teeth thoroughly, but this wasn’t explained in the care plan. In this case, a few staff have developed ways in which the resident finds more comfortable to be assisted with cleaning their teeth – these methods should be discussed and agreed with the resident and staff and preferably also with the dentist before setting out clearly in the care plan. On arrival at the home two staff were in the process of administering the medicines. The staff worked closely together to check and double check that the medicines were being administered and recorded correctly. This demonstrated good practice. Medicines were found to be stored securely. Staff have received training in the last year on the safe administration of medicines. It is recommended that where creams and lotions are prescribed there are clear instructions in the care plans or on the medicine administration charts on how, where, when and why the creams should be applied. None of the residents are able to administer their own medicines safely. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can feel confident that their complaints and concerns will be handled sensitively and to their satisfaction. Good procedures are in place to protect residents from abuse. EVIDENCE: Since the last key inspection the home has received 16 complaints, many of which have been substantiated. The home has kept good records of the complaints and how they have been investigated and acted upon. The records showed that home has responded positively to each complaint, whether the complaints were minor or major. Action has been taken appropriately in each case to prevent or reduce the likelihood of similar problems happening again. Residents and staff consulted during this inspection said they were happy with the way complaints relating to the care of residents are handled. In the last year most of the staff have received training on the protection of vulnerable adults. Good systems are in place for staff to raise concerns if they saw or heard anything that might be considered abusive, including regular staff meetings, individual supervision sessions. All of the staff felt able to speak to one of the owners or a senior manager if they felt unhappy with the way any resident was treated. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of decoration and furnishings throughout the home is much improved and all areas now appear bright, stylish and homely. All areas of the home Some improvements to the regular maintenance of the home and heating in one bedroom are recommended. All areas were found to be clean, although hygienic methods of drying hands in toilets is recommended. EVIDENCE: During the visit a tour of the home was carried out. Since the last inspection lots of improvements have been made in all areas of the home. The roof has been completely renewed, new carpets have been laid in many areas, walls have been repainted, new furniture, curtains pictures and mirrors provided. Where possible residents have been consulted over the changes. The home now appears stylish, comfortable, bright and modern throughout. One bathroom has been completely refurbished with a wonderful new jaccuzzi Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 19 bath/shower that residents all enjoy using. Other bathrooms have been partially refurbished, including new tiles in some rooms. Work was still in progress, with more redecoration about to be carried out. Wherever possible residents have been consulted over the improvements. Bedrooms have been personalised to reflect the tastes and interests of each resident. The home does not employ a regular maintenance person. On the day of this inspection a toilet was found to be broken. The staff did not appear to have noted that the toilet was broken, and the manager had not been notified or suitable action taken to prevent the room being used until repairs were carried out. It is recommended that arrangements are made for residents and staff to record all repairs and maintenance needed, to notify the manager of the problems, and for the work to be carried out promptly. At the time of this inspection no residents were living at 47 Dean Street. The premises were in the process of being redecorated and refurbished. The manager said that any residents who previously lived there would be given the option to return there when the work is completed if they wish. Some staff enjoy gardening and have some enthusiastic ideas about what they can do to improve the garden and at the same time involve the residents, and raise some money by planting seeds and selling plants. Most areas of the home were found to be bright, warm and free from any odours. However, one room felt very cold. It is recommended that the home finds out why the room was cold and suitable action should be taken to ensure the room is heated to the temperature required by the resident at all times of the day. All areas of the home were found to be clean and hygienic. Disposable gloves were seen in toilets, although no hand towels were provided. It is recommended that hygienic methods of drying hands (for example, paper towels) are provided. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of suitably qualified and experienced staff are employed to meet the needs of the residents accommodated. Residents are protected by good recruitment procedures. EVIDENCE: At the time of this inspection 11 residents were accommodated and 3 people attended the home for day care. The manager and six care staff were on duty. This represented an improvement in the ratio of staff on duty to the numbers and needs of residents accommodated, since the last inspection. The manager and care staff interviewed said they felt the staffing levels were now satisfactory. Four files were checked for staff recruited since the last inspection. These showed that all required references and checks have been received as required. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 21 Records of staff induction training were seen. These provided good evidence to show that staff have received good instructions before they begin working with residents. Some of the staff were in the process of undertaking a nationally recognised qualification (known as NVQ). Information supplied by the home prior to this inspection showed that 50 of the staff have achieved a nationally recognised qualification (known as NVQ) or equivalent. Ongoing training to all staff has included a course known as ‘gentle teaching’, epilepsy, safe administration of medicines, protection of vulnerable adults, and managing challenging behaviour. Further training on a range of topics relevant to the needs of the residents has been planned for the near future. No staff have undertaken the training recommended at the last inspection known as the Learning Disability Award Framework – this continues to be recommended. Records show that staff receive regular supervision. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39. 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-managed home. Good procedures are in place to check and constantly improve the quality of the services and facilities provided. Residents’ finances and valuables are protected by safe methods of handling and recording of all transactions. The health and safety of staff and residents are protected by safe systems and well-trained staff. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 23 EVIDENCE: Michelle Dermott has recently been registered as the manager of the home. She holds a nationally recognised qualification in the care of adults known as the National Vocational Qualification at level 4. She is in the process of obtaining the Registered Managers’ Award. Residents’ relatives, staff and health and social care professionals who were consulted during the inspection were generally satisfied with the way the home was being managed. Many praised the positive improvements to the management of the home. At the time of this inspection no Deputy manager was employed. A comment received by on care worker was “Friendly atmosphere. The manager listens the people when they come to her with some problems. The door of the office is open for the staff at any time, no matter how busy she is.” The home uses a variety of methods to check and improve on the quality of the service provided. An area manager visits the home at least monthly to monitor the service, and surveys were sent out to all residents, staff, relatives and professionals last September. Actions were taken to address any individual matters raised, and individuals received responses to confirm the actions taken. Records of money and valuables held by the home on behalf of residents were checked. These were found to be well recorded and safe systems were in place to prevent or reduce the risk of financial abuse. Records of money held in bank accounts and managed by the home on behalf of residents were also checked and found to be satisfactory. Records seen during the inspection showed that all equipment has been regularly maintained. Fire alarm systems have been checked and maintained regularly and fire training and drills carried out. However, the names of staff attending have not been recorded to provide clear evidence that all staff have received regular training – this is recommended. Risk assessments have been carried out on the premises. Health and safety policies and procedures are in place and staff have received training on health and safety topics. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 2 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 3 x 2 x x 2 x Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA1 YA6 Good Practice Recommendations The service user guide/residents’ handbook should be available in alternative formats suitable for people who may experience difficulties with reading. Care plans should be developed in consultation with the residents and staff to provide a clear and accessible format. The plan should be presented in a language and format that the resident can understand. It must also provide clear information to staff about how the resident wants to be assisted The home should find ways of improving the level of communication with those residents with communication difficulties in order to increase their levels of choice and involvement in the home. The level of activities provided should continue to be increased through consultation and improved communication with all residents in order to tailor their weekly activities plans to individual interests and activities. Residents, staff and health specialists should be consulted DS0000022048.V325311.R01.S.doc Version 5.2 Page 26 3 YA9 4 YA11 5 YA19 Chantry Care Services 6 7 YA20 YA24 8 9 10. 11 YA24 YA30 YA35 YA42 on the most suitable methods of assisting with personal care tasks such as cleaning teeth. The agreed methods should be clearly explained in the care plans and these should be followed by all staff to ensure consistency. Care plans should include information about how, where, when and why prescribed creams should be applied/administered. Arrangements should be made for the staff to record any areas where repairs and maintenance are necessary. Arrangements should be made for regular routine repairs and maintenance of the home to be carried out. All areas of the home should be warm. Residents should be able to heat their bedrooms to the temperature they require at all times of the day. Provision should be made for hygienic methods of drying hands (such as paper towels) by hand basins. It is recommended that the induction and foundation training is accredited by the Learning Disability Award Framework. The names of staff attending fire drills and training should be recorded in order to provide evidence that all staff have received training at suitable interviews. Chantry Care Services DS0000022048.V325311.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Chantry Care Services DS0000022048.V325311.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. 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. 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