Inspection on 19/12/06 for Chantry Gardens

This inspection was carried out on 19th December 2006.

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 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 Gardens 16/02/06

Chantry Gardens 18/07/05

Chantry Gardens 28/01/05

Chantry Gardens 06/09/04

Chantry Gardens 17/03/04

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 Gardens 69 Chantry Gardens Southwick Trowbridge Wiltshire BA14 9QT Lead Inspector Thomas Webber Unannounced Inspection 19th December 2006 09:05 Chantry Gardens DS0000036136.V317627.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 Gardens DS0000036136.V317627.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 Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chantry Gardens Address 69 Chantry Gardens Southwick Trowbridge Wiltshire BA14 9QT 01543 416106 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) londonroad@tiscali.co.uk Milbury Care Services Limited Miss Adele Lena Caroline Flegg Care Home 3 Category(ies) of Learning disability (3), Physical disability (3), registration, with number Sensory impairment (3) of places Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: 69 Chantry Gardens offers accommodation and personal care to three service users with learning disabilities. The home is one of a number of services run by the organisation called Milbury Care Services. The registered manager is Miss Adele Flegg. The home is a detached bungalow situated in a residential area in the village of Southwick, which is to the west of the county town of Trowbridge. There are a small number of shops within walking distance of the home. The premises are in keeping with the local community and have a style and ambience that reflect the homes purpose. Service users are provided with their own bedrooms and all other facilities are located on the ground floor. The home’s fees charged to service users for the care and accommodation range from £803 to £1,445 per week. Information about the care and services provided is available from the home by way of its service users’ guide. A copy of this document can be obtained in written form or a combination of pictorial and written form. CSCI inspection reports can also be seen in the home and interested people can download these directly from the CSCI website. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted over a period of two days on 19th and 21st December 2006 from 09:05 to 11:30 and 13:00 to 17:20 respectively. The judgements contained in this report have been made from evidence gathered during the inspection. Twenty nine of the forty three Standards were also assessed on this occasion which included the examination of various records, staffing levels, care practices and systems in place. Feedback was provided throughout the inspection to the manager. A tour of the premises was undertaken and the service users were observed during the inspection. This report also takes into account the views and experiences of the three service users and the views of two members of staff to ensure that service users care needs are being suitably met. What the service does well: There have been no new admissions to the home since 2003. However, prospective service users would only be admitted on the completion of a full assessment to ensure that the home can meet their needs. Service users have been provided with a written copy of the organisation’s service agreement as well as the placing authority’s terms and conditions. Service users benefit from living in a home which is well run and managed by a manager who is suitably experienced and qualified. The home ensures that there are sufficient numbers of staff on duty to meet the needs of the service users. The staff team undertake a multi purpose role, providing all aspects of care for the service users. Staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and within their environment. The staff team reflects the gender composition of the service users and one service user who was spoken with commented very positively about the care provided by staff. Service users continue to receive care and are supported by a dedicated, competent and experienced staff team who receive ongoing training to update their level of knowledge, skills and competence. Service users are supported and protected by the home’s recruitment practices and are supported by a staff team who are supervised. The staff, who were spoken with, commented that they feel well supported by the manager despite the shortfalls in the frequency of formal supervision being offered. The health, safety and welfare of the service users and staff are promoted and protected. Service users live in a warm, homely, comfortable and safe environment, which is maintained to a good standard and meets service users’ individual and collective needs. The home is kept clean and tidy and provides sufficient Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 6 communal space together with adequate toilet, bath, shower and laundry facilities. Service users are provided with individual bedrooms, which they have personalised to their individual wishes with the support of staff. Service users are provided with valued daytime occupation and opportunities are available to them to take part in appropriate leisure activities within the home and within the community. Service users are actively encouraged and supported to maintain contact with their families and their rights are respected by staff. Service users receive a varied and satisfactory diet which takes into account their preferences. Systems are in place to ensure service users are regularly consulted and any concerns would be addressed at an early stage. Staff receive appropriate training to protect the service users from abuse. Service users receive personal support in the way they prefer and are appropriately supported to ensure that their physical and emotional health care needs are being suitably met. Medication procedures are safe and staff have a good understanding of their responsibilities when administering medication. Service users’ needs, personal goals and care preferences are reflected in their individual plans. Service users are given every opportunity, with the assistance of staff, to make decisions and they are consulted in all things based on their varying degrees of ability. Risk assessments have been undertaken for the protection of service users. What has improved since the last inspection? What they could do better: Although the following suggestions contained, within the body of the report, may not necessarily further enhance the care provided to the service users, they will improve the existing practices within the home. The home could benefit from employing more permanent staff rather than relying on bank staff. The home should consider providing staff with external training in medication. A system should be established for the recording of any concerns and compliments received by the home. The frequency of formal supervision needs to be established. The home could benefit from providing equipment and resources necessary for the efficient and effective management of the home. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 7 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 Gardens DS0000036136.V317627.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 Gardens DS0000036136.V317627.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): 2 and 5 This judgement has been made using available evidence including a visit to this service. Prospective service users are only admitted on the completion of a full assessment to ensure that the home can meet their needs. Service users have been provided with a written copy of the organisation’s service agreement as well as the placing authority’s terms and conditions. Quality in this outcome area is excellent. EVIDENCE: There have been no new admissions to the home since 2003. However, as part of the admission process, the home would obtain a copy of the community care assessment in relation to any prospective service user admitted to the home. Prospective service users and their representatives would be informed in writing if the home cannot meet their assessed needs. The manager reported that all service users are due to be re-assessed in January 2007 as a result of the potential reduction of the day centre resource. Service users have been issued with a signed copy of the organisation’s service agreement, which provides details of any additional charges that apply. This document has been produced in a combination of pictorial and written form. Additional charges are also recorded within the home’s service users’ guide. Service users have also received copies of the terms and conditions from their placing authority. Service users’ mobility allowances are used towards payment of the leasing of the home’s vehicle, which is used for their benefit. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 10 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, 8 and 9 This judgement has been made using available evidence including a visit to this service. Service users’ needs, personal goals and care preferences are reflected in their individual plans. Service users are given every opportunity, with the assistance of staff, to make decisions and they are consulted in all things based on their varying degrees of ability. Risk assessments have been undertaken for the protection of service users. Quality in this outcome area is excellent. EVIDENCE: Detailed service users’ care plans have been established which have been dated and signed by a member of staff. The content of these were detailed, informative and well written, setting out service users’ wishes, choices, likes, dislikes, communication and people important to them. These have been supplemented with service users’ individual personal routines, which describe their needs and their preferences on how the delivery of care is provided. Manual handling appraisals have also been completed where specific issues have been identified. Placement reviews are normally held yearly and involve all relevant people. However, these have not taken place this year due to the need for a re-assessment being undertaken in January 2007. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 11 Service users have varying degrees of ability and verbal communication skills. Service users are provided with every opportunity to contribute and are consulted in the various aspects and routines in connection with the running of the home. These include the planning of the weekly menu, the choice of activities, when to get up and go to bed and whether or not to have a daily shower. Observations and service users’ records confirmed this. Although service users have access to the home and grounds, they require support when out. All service users have their own building society books but they require staff support with their finances including the withdrawal of money. Monies held on behalf of service users are kept in a locked facility. A spot check of service users’ financial records against monies held on their behalf were checked and found to be suitably maintained. Information is available to service users about independent advocacy by way of leaflets. Policies and procedures tend to be established by the organisation with specific ones being designed in user friendly formats such as the home’s service users’ guide, complaints procedure and the organisation’s service agreement. Service users are involved in the selection process of new employees and the admission of prospective service users. Feedback of their involvement is provided by the home. One service user sits in on staff meetings but does not contribute to the process. Individual discussions are held with service users rather than holding service users’ meetings as these are deemed as being more appropriate and are needs led. Detailed risk assessments have been established both on an individual basis and in relation to the building. Action is taken to minimise any identified risks and hazards to service users and these are reviewed annually or where changes occur to service users’ individual circumstances. However, the organisation has recently changed the frequency of these reviews to quarterly. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 12 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 and 17 This judgement has been made using available evidence including a visit to this service. Service users are provided with valued daytime occupation and opportunities are available to them to take part in appropriate leisure activities within the home and the community. Service users are actively encouraged and supported to maintain contact with their families. Service users’ rights are respected by staff. Service users receive a varied and satisfactory diet that takes into account their preferences. Quality in this outcome area is excellent. EVIDENCE: All service users have valued daytime occupations and attend Ashton Street for four to five days per week. One service user also attends the Gateway club in the evening with the other two attending No Limits. Service users access the local amenities and go out on trips when staffing allows. The home has its own people carrier for this purpose. Service users also go shopping for clothes and food. The home has established good relationships with their neighbours. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 13 The home actively encourages and supports contact between service users and their families and friends. Family contact depends on the individual circumstances of the service user. The home has an open policy regarding visiting times, although service users’ families are advised to phone in advance to ensure that service users are at home before visiting. Service users can choose whom and where to see any visitors, either in their bedrooms or in the communal areas. Staff cover the issue of respecting service users’ rights and responsibilities during their induction. Service users’ bedrooms are considered as their private areas and are treated as such by staff. Appropriate locks have been fitted to their bedroom doors as well as to the toilet and bathroom doors. Service users’ mail is given directly to them unopened but staff support them to understand the contents of their mail. Service users’ preferred form of address is used and is suitably recorded in their care plans. Service users can choose where to spend their time and when to get up and go to bed, particularly at weekends. Service users have unrestricted access to the home and grounds. In conjunction with the specialist services, staff from the home have developed a policy with regard to a particular service user around the issue of consent. Satisfactory and varied menus are in operation, which provide service users with a choice at all mealtimes. To this end menus for the week are planned in advance in consultation with the service users and takes into account their preferences. Service users have a choice of where and when to eat their meals. Service users now have their main meal in the evening and take packed lunches on the days they attend the day centre. They all choose their own packed lunches with one service user making her own. One service user who commented about the food spoke favourably about the quantity and quality of food, stating that she receives plenty. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 14 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 and 20 This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer. Service users are appropriately supported to ensure physical and emotional health care needs are suitably met. Medication procedures are safe and staff have a good understanding of their responsibilities when administering medication. Quality in this outcome area is excellent. EVIDENCE: A key worker system has been established within the home and personal support is provided in private to those service users who require it. The level of personal care and how this is to be achieved is recorded in service users’ respective care plans. Service users can choose when to get up and go to bed and what clothes to wear. Technical aids and equipment are provided to those service users who require them. One service user has an adjustable bed and specialist chair and requires support when walking. Specialist services are accessed to meet the needs of the service users. Prospective service users could maintain their own GP, although this would be dependent upon where they were admitted from and if the GP concerned was agreeable. Currently service users are registered with the same surgery and attend any appointments with the support of staff. Other health care services Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 15 are accessed as and when required such as dentist and opticians. Service users do not receive an annual health check due to the regularity of visits already made by them. Suitable records are maintained for all health care appointments and treatment. Service users are appropriately supported by staff, their families and specialist services to ensure that their physical and emotional health care needs are suitably met. Policies and procedures are in place regarding the administration of medication and at the time of the inspection, none of the service users were deemed capable of maintaining control or administering their own medication. However, the manager reported that any prospective service users would be supported to maintain control over their own medication if they were deemed capable following a risk assessment. Staff only administer medication to service users once they have received appropriate internal training and been deemed competent. Discussion was held about the need for staff to also receive external training. The home uses the Boots monitored dosage system for the administration of medication and examination of service users’ drug sheets showed that these are being suitably maintained. In addition, appropriate systems have also been established for the receipt, storage and return of any unwanted medicines. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 16 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 and 23 This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure service users are regularly consulted so that any concerns can be addressed at an early stage. Staff receive appropriate training to protect the service users from abuse. Quality in this outcome area is good. EVIDENCE: A complaints procedure has been produced for service users, which is in a user friendly format and language. The home’s statement of purpose and service users’ guide have also been designed in a suitable format and provide contact details of the Commission for Social Care Inspection. The home and the Commission have not received any complaints since the last inspection and service users’ views are continually sought on an individual basis by staff. The manager agreed to establish a system for the recording of any concerns and compliments received by the home. The home has established procedures for responding to suspicion or evidence of abuse and these include a Whistle Blowing procedure. The procedures have been updated to reflect the Wiltshire and Swindon Vulnerable Adults procedures. The manager has obtained copies of the shortened version of this document, which are in line with the Department of Health guidance “No Secrets”. These have been distributed to some staff. However, the manager acknowledged that further copies are needed for new staff recently employed. Staff receive training on abuse during their induction and through subsequent training provided by the organisation. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 17 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, 25, 26, 27, 28 and 30 This judgement has been made using available evidence including a visit to this service. Service users live in a warm, homely, comfortable and safe environment, which is maintained to a good standard and meets service users’ individual and collective needs. The home is kept clean and tidy and provides sufficient communal space together with adequate toilet, bath, shower and laundry facilities. Service users are provided with individual bedrooms, which they have personalised to their individual wishes with the support of staff. Quality in this outcome area is good. EVIDENCE: The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. The premises are homely, safe, and comfortable, being free from offensive odours. The home also provides sufficient light, heating and ventilation with the decoration, furnishings and fittings being maintained to a good standard. West Wilts Housing Society are responsible for the maintenance of the building and undertake any works required. Milbury Care Services have also employed a Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 18 maintenance person for all its Wiltshire homes and there are plans to redecorate all service users’ bedrooms and the bathroom by March 2007. However, the home is still waiting for the West Wilts Housing Society to replace the flooring to the bathroom and replace the shower door. Each service user is provided with their own bedroom. However, two of the bedrooms measure less than the required ten square metres although the level of communal space more than makes up for this shortfall. Service users’ bedrooms are suitably furnished and attractively decorated. Service users have brought a range of personal possessions to make their bedrooms more homely and to reflect their individual tastes. All bedroom doors are lockable to enable service users to exercise the right to privacy and a lockable storage space has been provided in each bedroom. The home provides sufficient bath, shower and toilet facilities to meet the needs of the service users and these facilities are situated close to service users’ bedrooms and communal areas. The communal space consists of an open plan lounge/dining room for shared use. There is also a separate smaller room located off this which is available for listening to music or used as a quiet area. These facilities are comfortable and suitably decorated and furnished. There is a no-smoking policy in operation throughout the home. The home continues to be maintained to a good standard being clean, tidy and comfortable. The laundry facilities meet the needs of the home and the staff primarily undertake these duties. However two service users undertake various aspects of this routine according to their level of ability. Some of the service users’ clothing is labelled, where their clothes are of similar design, to ensure they are returned to the appropriate person. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 19 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, 33, 34, 35 and 36 This judgement has been made using available evidence including a visit to this service. Service users are supported by a dedicated, competent and experienced staff team who receive ongoing training. The home ensures that there are sufficient numbers of staff on duty to meet the needs of the service users. Service users are supported and protected by the home’s recruitment practices. Service users benefit and are supported by a staff team who are supervised and feel well supported by the manager despite the shortfalls in the frequency of formal supervision being offered. Quality in this outcome area is good. EVIDENCE: Staff rotas confirm that there are always two members of staff on duty when all service users are in the home and two members of staff also sleep in each night. The manager and staff commented that the home are no longer using agency staff. Any shortfall is covered by existing or regular Milbury bank staff, who are well known to the service users, which aids continuity of care. However, the home could benefit from employing more permanent staff rather than relying on bank staff. The staff team undertake a multi purpose role, providing all aspects of care for the service users. Staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 20 within their environment. The staff team reflects the gender composition of the service users and one service user who was spoken with commented very positively about the care provided by staff. The file of the newly appointed member of staff was checked and this confirmed appropriate recruitment practices are being followed by the home and the organisation. This included obtaining a full employment history, two satisfactory references, medical clearance and a satisfactory Criminal Records Bureau enhanced check. A recent photo still needs to be placed on file. A training budget has been established for the year which includes more specialist and mandatory training opportunities for staff. All new staff receive structured induction and foundation training in line with the Learning Disability Award Framework. Each member of staff is provided with a training plan and staff can normally access a combination of training provided by Milbury and through external resources. Staff have various amounts of experience in the care of people with learning disabilities with some of them having worked at the home with the service users for a long time. The staff team is made up of four permanent and five regular bank staff. At the time of the inspection, the home had achieved approximately 56 of staff being trained in the National Vocational Qualification level 2. A further two staff should achieve the NVQ level 2 in Care award by the end of March. Clearly the home is working well to achieving a trained workforce by 2007. The home continues to ensure that staff attend and update their knowledge through training and this was confirmed by staff who were spoken with. The aim of the home is to provide formal and recorded supervision to staff every five weeks, which exceeds the frequency of this Standard. Comments from the manager, along with written records, show that this frequency is not being achieved, with staff receiving formal supervision approximately three times a year. However, the two members of staff who were spoken with commented that, despite this, they have felt well supported. The manager reported that she works alongside staff and informal discussions with them take place on a regular basis and staff meetings are held three to four times a year. Other communication systems used to ensure that staff are kept up to date include the use of a communication book and the recording in individual service users’ diaries. Handover meetings between staff are also held at weekends. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 21 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 and 42 This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home, which is well run and managed by a manager who is suitably experienced and qualified. The health, safety and welfare of the service users and staff are promoted and protected. Quality in this outcome area is good. EVIDENCE: The manager has appropriate management and supervisory experience in the care setting she manages. She continues to undertake periodic training and development to update her knowledge, skills and competence. The manager has completed the Registered Managers’ Award and is currently completing the NVQ Assessor’s Award. The manager has overall responsibility for the management of this and another home. The manager currently updates a number of records by hand, which can be very time consuming. Discussion, therefore, took place with the manager regarding the installation of a computer and associated equipment to assist in the efficient and effective management of the home. This would ultimately provide the manager with more time Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 22 enabling her to concentrate on other aspects of the running of the home, for example, providing formal supervision more frequently. The organisation ensures that there are safe working practices within the home and these comply with the relevant legislation. Risk assessments are in place to ensure a safe working environment. Since the last inspection radiator covers have been installed for the protection of service users. Evidence was available to show that appropriate servicing, tests, checks, drills and instruction to staff are being carried out in respect to fire prevention. In addition to safety valves being fitted to the bath, shower and wash hand basins, the temperature to the hot water outlets is also checked weekly. The Environmental Health Officer last visited the home on 13th January 2006 and no major issues were identified. Training records confirm that staff continue to receive training in the various core subjects which include Fire Awareness, Health and Safety, First Aid, Food Hygiene and Manual Handling and Infection Control procedures. A tour of the premises did not identify any major health and safety issues. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 4 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X X X X 3 X Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 24 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 YA22 YA33 Good Practice Recommendations The registered person should give strong consideration to establishing a system for the recording of any concerns and compliments received by the home. The registered person should give strong consideration to employing more permanent staff rather than relying on bank staff. Chantry Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Gardens DS0000036136.V317627.R01.S.doc Version 5.2 Page 26 - 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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