Inspection on 01/12/06 for Chestnut Street, 57

This inspection was carried out on 1st December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Chestnut Street, 57 25/01/06

Chestnut Street, 57 22/11/05

Chestnut Street, 57 10/02/05

Chestnut Street, 57 17/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Chestnut Street, 57 57 Chestnut Street Southport Merseyside PR8 6QP Lead Inspector Mrs Janet Marshall Unannounced Inspection 1st December 2006 10:00 Chestnut Street, 57 DS0000005274.V326327.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 Chestnut Street, 57 DS0000005274.V326327.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. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Street, 57 Address 57 Chestnut Street Southport Merseyside PR8 6QP 01704 540993 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection Brief Description of the Service: 57 Chestnut St is a three -storey property, located near central Southport, on a quiet residential street. The home provides care & accommodation for up to 3 young adults with Learning Disabilities. All three residents must attend Arden College as this home is linked to college placement. The home is owned by Speciality Care Limited, which is a subsidiary company of Craegmoor Healthcare. The Registered Manager is Greta Morphet. The house has 4 bedrooms, a lounge, a dining area and a bathroom. The home is close to the college, local shops/leisure facilities, sports facilities, entertainment and restaurants. Local transport is good and buses access Southport centre, Lancashire & Liverpool. Trains are available reasonably nearby. Parking is available on the street outside the home. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection visit was unannounced and took place over one day for a total of 4 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection. During the site visit the requirements from the last inspection report were discussed and checked with the unit manager. They have all been met. A tour of the home was carried out. Care records and other required records were inspected. Records that were examined included a selection of students care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. 2 students were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was not returned to the Commission prior to the inspection. Discussion took place with the registered manager, the unit manager and all students. Comments made during discussions, results of surveys, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: Detailed assessments are carried out to make sure that the home will meet student’s needs. The assessments have been used to put together each persons, care plan. They provided a lot of good information about the students needs. For example, support needs, likes and dislikes, education needs, communication needs, social needs and medical needs. Students are supported to make choices and decisions and take responsible risks as part of an independent lifestyle. This was supported by the following comments made by students: “I pick my clothes each day” “I help to shop for food and choose what we buy” “I decide what to do and where to go at evenings and weekends” Each of the students had a care plan, which provides staff with important information about how best to support them. Support needs which were described in good detail for each person covered things such as health and personal care, education, therapy and counselling, contact with friends and family, independent living programmes, daily living Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 6 skills and social and emotional support. Students had a good understanding of their care plans and are fully involved in putting them together. Comments made by students to support this included: “I know about my care plan and why I have one” “I help to review my care plan, I understand why this is done”. “My care plan is so staff know how to support me” Students are encouraged and supported to live active and healthy lifestyles. Each of the students care plans included a lot of information about their education and training including progress and achievements. They each had a timetable and an individual learning plan, which tells people about the things that they are involved in at college and the support that they need. Students are provided with appropriate personal and healthcare support, which ensures their physical and emotional well-being. Each students care plan had information about bout the type and level of personal and healthcare support that they need. Policies and procedures ensure that students are protected from abuse harm or neglect. Students live in a home, which is comfortable safe and attractively decorated and furnished. All parts of the home were looked at. They were decorated and furnished to a high standard. There was a warm and friendly feel at the home. Student’s benefit from competent and qualified staff team and the home is well managed. Students made the following comments about the staff and managers: “I like all the staff, they are very nice and helpful” “The staff are kind and caring” “They are like our friends” “Staff treat us like adults” “The staff treat us well” “The managers are very good, they take time to listen” “I can ask the managers anything and I know they will help” “The home is run well, I would tell the managers if it wasn’t” What has improved since the last inspection? Since the last inspection up to date gas and electricity certificates have been made available. The certificates show that the systems have been checked and are safe. Safety certificates and records of safety checks were kept at the home and showed that the required health and safety checks have been carried out. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 7 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. Chestnut Street, 57 DS0000005274.V326327.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 Chestnut Street, 57 DS0000005274.V326327.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed assessments are carried out to make sure that the home will meet student’s needs. EVIDENCE: There are three female students living at the home. They have all moved in since the last inspection. The manager of the home said full assessments were carried out before the students moved in. Those assessments were not available at the home the manager said that they are kept in the main office at Arden College. There was however assessment documents at the home for each of the students, which have been put together using information from those initial assessments, which are kept at the college. Assessments for two of the students were looked at in detail. The assessments, which have been used to put together each persons, care plan provided a lot of good information about the students needs. For example, support needs, likes and dislikes, education needs, communication needs, social needs and medical needs. The home had written assessment procedures, which is information about how assessments are carried out. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 10 Chestnut Street, 57 DS0000005274.V326327.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 good. This judgement has been made using available evidence including a visit to this service. Students are supported to make choices and decisions and take responsible risks as part of an independent lifestyle. EVIDENCE: Each of the students had a care plan, which provides staff with important information about how best to support them. As part of the case tracking two students care plans were looked at in detail. Support needs which were described in good detail for each person covered things such as health and personal care, education, therapy and counselling, contact with friends and family, independent living programmes, daily living skills and social and emotional support. Case tracking showed that the care plans were put together using information from assessments. The manager said that students helped to put together their own care plan. All three students confirmed this during discussion. Care plans were signed by the student to say that they understand and agree to it. Records, which were Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 12 looked at and discussion with students showed that care plans are reviewed and updated regularly with their involvement. Students showed a good understanding of the care planning and reviewing processes. Comments made by students to support this included: “I know about my care plan and why I have one” “I help to review my care plan, I understand why this is done”. “My care plan is so staff know how to support me” Each student has a key worker, this is a member of the support staff at the home that knows the student well. They also have a personal tutor at college. These people and students’ family and other people important to them such as social workers take part in reviews. Students are encouraged and supported to make choices and decisions about all aspects of their lives. During discussion students said that they make choices about things such as what to wear, where to go and what to eat. The following comments made by students supported this: “I pick my clothes each day” “I help to shop for food and choose what we buy” “I decide what to do and where to go at evenings and weekends” Students care plans included a section about communication. This described the support, assistance and information that students need to help them communicate effectively. Information displayed around the home in picture format and large clear print included menus, house rules and routines. Risk assessments were part of each students care plan. Risk assessments are important so that students can take risks as part of an independent lifestyle. Risk assessments were available for students for such things as travelling, handling money and activities both inside and outside the home. Risk assessments for one student were looked at. They detailed activities, which pose a risk to the student and information about the support that staff need to provide to enable them to take risks safely. Chestnut Street, 57 DS0000005274.V326327.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, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are encouraged and supported to live active and healthy lifestyles. EVIDENCE: All of the students attend college five days a week. Each of the students care plans included a lot of information about their education and training including progress and achievements. They each had a timetable and an individual learning plan, which tells people about the things that they are involved in at college and the support that they need. Records showed that student’s progress at college is well monitored and supported both at home and in college. One student talked about the things that they do at college this included music, history and catering. One student described their timetable, which was displayed, on their bedroom wall. The timetable was in picture format, which the student clearly understood. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 14 One student said that they have taken part in the Duke of Edinburgh Award. The unit manager said that another student has a work placement on one day in the week. The student said, “I enjoy my work placement”. Care plans had a section which tells people about the things that students like to do in their spare time, for example at weekends and in the evenings. They also tell people about the help that students need so that they are able to do these things. Records that were looked at and discussion with students showed that they are supported to take part in their preferred leisure activities, interests and hobbies. One student said, “I go out a lot to places such as the shops, cinema and visiting friends”. Another student said, “I love going out, I go out at lot with my friends,” During the visit all of the students were seen getting on well. They all said that they are good friends and enjoy doing things together. Students spoke about the things that they do at home which included watching television, DVDs and videos, listening to music, playing board games and relaxing in their rooms. One student said, “We spend a lot of time talking to each other which we like to do.” Another student said, “our friends come over to visit and we sit listening to music and talking in our rooms”. Students own rooms and shared rooms in the house were equipped with such things as Televisions, music systems and comfortable chairs. Each persons care plan had information about travelling. For example if they use public transport such as buses, trains and taxis and any help that they need. One student said, “we go on the bus, train, in a taxi or sometimes we walk, it depends on where we are going”. One students care plan had a travel programme, which has been put together to help the student cross roads safely on his or her own. The programme which was drawn up with the involvement of the student includes information about the help that they need and Each of the students said that they have regular contact with their family and friends. During the visit one student was on the telephone to her mum. She later said, “ I talk to my mum a lot on the telephone”. Each students care plan had information about important personal and family relationships and how to support them. Discussion with the unit manager and students showed that family and friends are welcomed and they are encouraged in the daily routines and activities at the home. Students are expected to take some responsibility as part of an independent lifestyle. For example keeping their own rooms and other shared parts of the home clean and tidy. Discussion with students and records looked at showed that students are involved in the daily routines of the home. Displayed in the dining room was a daily rota of household tasks that students are responsible for carrying out e.g. cooking, laundry and cleaning. Case tracking showed that these tasks are Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 15 within the person’s capabilities and are part of their care plan for encouraging independence. Each student said they have a key to their own room and a lockable cabinet. During the visit students were seen using their keys. Students do not enter each other’s bedrooms unless they are invited. Staff were seen knocking before entering students bedrooms. There are some house rules which students are expected to follow for example rules on smoking, alcohol and drugs, information about house rules was available at the home. Students said that they know about the house rules and are happy with them. The kitchen and dining rooms are separate rooms at the back of the house. The dining room was nicely decorated and furnished with an attractive dining set. The kitchen was bright and clean. It was equipped with domestic style appliances such as a microwave, washing machine, fridge and freezer. There was plenty of cutlery, pans, cups and dishes which were in good condition There was also plenty of food at the home. Students all said that they like the food and have plenty to eat. There was a picture menu displayed in the dining room so that students have an idea about meals for the week. The menus were varied and healthy. One student said, “If I don’t like what is on the menu I can have something else. The food is healthy we have plenty of food that is good for you like fruit, vegetables and yoghurts”. Another student said, “We all help to shop for food and we choose the food we like”. Discussion with students and records that were looked at showed that students help with cooking their meals. One student said that they all have snacks and drinks in between meals if they wish. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 16 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 good This judgement has been made using available evidence including a visit to this service. Students are provided with appropriate personal and healthcare support, which ensures their physical and emotional well-being. EVIDENCE: Each students care plan had information about bout the type and level of personal and healthcare support that they need. The students are encouraged to carry out their own personal care as part of their plan of independence. The unit manager talked about how important it is to ensure students privacy, dignity and independence. The manager gave the following examples of how the staff team ensure this. “Students are encouraged to carry out their own personal care” “If they do need help with personal care it is carried out in the privacy of their own room or the bathroom with doors and blinds shut” “ I would not enter a students bedroom without knocking and waiting to be invited in” During the inspection the unit manager was seen treating the students with respect, she spoke to them in a polite way and responded to them positively. Case tracking showed that the level of support given to students is in accordance with their plan of care. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 17 During discussion students said that all the staff respect their privacy and dignity. They made the following comments supported this: “The staff never come into my room without knocking” “I wash and dress myself and I get in the bath or shower on my own but I know if I need help I can ask the staff” “The staff are always nice” Each of the students care plan had a section about their healthcare needs and information so that staff know how best to support them. Records within this section showed that students are offered minimum annual checks and that their health is regularly reviewed and monitored and dealt with in a respectful way. As well as visits to primary healthcare services such as dentist, opticians and doctors students are also supported to attend specialist services if they need to. Records detailing the visits were available in good detail as was information about specialist health care needs and requirements. Healthcare records, which were looked at, are used to keep a check on student’s general health and personal care, A record of medication received and leaving the home was seen. Medication was stored securly. Medication and medication administration records were examined. They were properly completed. A policy for the safe handling and administration of medication was availble at the home. The manager said that medication is only administered by staff that have completed medication awareness training. Records that were seen evidenced this. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 18 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. Policies and procedures ensure that students are protected from abuse harm or neglect. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Discussion with the unit manager and the students showed that there have been no complaints made at the home in the last 12 months. There was a complaints procedure on display at the home. It was available in written and picture format. The manager said that students friends and family also have the information that they need to make a complaint if they wish to. Discussion with the unit manager and the students showed that would tell somebody if they were uphappy and they were confient that something would be done. The following comments supported this: “I would tell the manager or a member of staff if I was unhappy about something”. “I know how to make a complaint and yes I would complain if I had to”. “I am sure that any problem would be sorted”. A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. The unit manager was able to describe what action they would take if they suspected or evidenced that a student was being abused. The unit manager Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 19 said that that all staff that work at the home have completed protection of vulnerable adults training. Records evidenced this. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students live in a home, which is comfortable safe and attractively decorated and furnished. EVIDENCE: The home is a well-presented semi-detached house in a popular residential area of Southport Merseyside. There are gardens to the front and back of the house. The home is close to shops, pubs and other community facilities including transport links such as bus stops and the train station. The students said that they get on well with other people that live in the Street. All parts of the home were looked at. They were decorated and furnished to a high standard. There was a warm and friendly feel at the home. Students were keen to show off their own bedrooms. All bedrooms were comfortable and included personal items such as photographs, ornaments, TVs and music systems. Comments made by students about their rooms included, “I love my Room”. “I keep my own room clean and tidy” Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 21 “My bed is comfortable and I have plenty of space for my things”. The lounge dining room and other shared rooms were cosy and attractively decorated. They had pictures, photographs and ornaments displayed. All areas of the home were very clean and tidy at the time of the visit. Students are encouraged to help keep the house clean and tidy as part of their independent living programme. Care plans included information about the things that students are able to do and the help that they need to do some things. One student said, “We all help around the house with things such as cleaning, cooking and laundry”. Another student said, “ Its our home so it is important for us to keep it clean and tidy”. A cleaning programme in picture format was displayed on the wall in the dining room. One student clearly explained it. It showed that each student is involved in helping to keep the home clean and tidy. The home had Policies and procedures, which are rules that people have to follow so that the home is clean, tidy and safe for students, staff and visitors. For example rules about infection control and health and safety. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 22 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. Student’s benefit from competent and qualified staff team. EVIDENCE: The unit manager was on duty at the time of the visit. The staff rota, which was looked at, showed that there is enough staff on duty to support the students during the day and night. Records and discussion with the unit manager showed that staff that work at the home are fit to do so. Staff records, which were looked at showed, that before they are allowed to work at the home they fill in an application form, have an interview and the required checks such as references and police checks are carried out. The unit manager said that all new staff take part in an induction programme when they first start work at the home. Records, which were looked at, showed this. The unit manager said that there is an ongoing programme of training for all staff that work at the home. Training that staff have recently completed includes medication awareness, food hygiene, fire safety Protection of vulnerable adults and health and safety. Staff also take part in other specialist training so that they have the skills that they need to support students. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 23 Specialist training includes sign a long, this is a type of sign language, which enables staff to communicate with students that have limited verbal communication skills. More than half of the staff group have completed a National Vocational Qualification (NVQ) in care level 2 or above, records, which showed this, were seen at the home. All of the students made good comments about the staff. Below are some of the comments that they made: “I like all the staff, they are very nice and helpful” “The staff are kind and caring” “They are like our friends” “Staff treat us like adults” “The staff treat us well” Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 24 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. The home is managed well to the benefit of the students and staff. EVIDENCE: Greta Morphet is the registered manager of this home and a number of other similar homes in the area, which are also run by the company. As the registered manager Mrs Morphet has overall responsibility for the running of the home. There is a unit manager who is responsible for the day-to-day management of the home. The inspection was carried out with both the registered manager and the unit manager. The managers both have a management qualification and take part regular training to update their knowledge and skills. Discussion with the management and the students show that that the home is run well to the benefit of the students and staff. Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 25 Students made the following comments about the managers and the way the home is run: “The managers are very good, they take time to listen” “I can ask the managers anything and I know they will help” “The home is run well, I would tell the managers if it wasn’t” The unit manager said that students meetings take place regularly. The students confirmed this. One student said, “At the meetings I can say what I want and how I am feeling” another student said, “I know I can say if I am not happy about something and it will be made better”. Questionnaires are given out to students and relatives. They ask people what they think about such things as the environment, the staff, personal care and communication. The answers that people give are used to measure the quality of the service. A number of completed questionnaires were seen. They showed that the people are happy with the home. A person that works for the company but is not involved in the day to day management of the home visits the premises each month. This has to be done by law to make sure that the home is run well. The visitor meets with the students and staff, looks at the premises and checks some records. After the visit they write a report about the visit. Copies of the reports were kept at the home. Availble at the home were health and safety policies and procedures , these are rrules that people have to follow to make sure that the home is safe for students and staff. The rules say that the manager and staff have to carry out checks at the home. They include checking the fire alarms, gas and electricity systems and equipment. Records showed that the checks are carried out when the need to be. One student said, “I hear the fire alarms being tested every week” Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 26 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 4 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 4 25 4 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Chestnut Street, 57 DS0000005274.V326327.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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