Inspection on 12/09/05 for Clearview

This inspection was carried out on 12th September 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Clearview 14/08/07

Clearview 07/09/06

Clearview 17/01/06

Clearview 18/01/05

Clearview 25/08/04

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Clearview 48 Lipson Road Lipson Plymouth PL4 8RG Lead Inspector Wendy Baines Unannounced 12 September 2005 09:15 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 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Clearview Address 48 Lipson Road Lipson Plymouth PL4 8RG 01752 256980 01752-256980 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Jeffery John Nicholson Mrs Amanda Jane Nicholson Mrs Amanda Jane Nicholson Care Home 7 Category(ies) of Learning Disability (7), Learning Disability over registration, with number 65 years of age (7), Physical Disability (7), of places Physical Disability over 65 years of age (7) Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Learning disabled adults some of whom may have a physical disability Date of last inspection 18th January 2005. Brief Description of the Service: Clearview is a home which currently accommodates six people with varying degrees of Learning Disability and Challenging Behaviours. The service users have complex care needs and require a high level of support. The home is owned by Mr Jeffery Nicholson and Mrs Amanda Nicholson. Mrs Nicholson is also the Registered Manager. Clearview is situated in the Lipson area of Plymouth within easy access to local amaenities, including shops and parks. The home is a large terraced property, which has a large lounge, adjoining dining room and domestic style kitchen and utility room. Service users are accomodated in single bedrooms, three with en-suite facilities. There is a patio area at the rear of the premises. Service users are supported partake in a range of opportunities inside and outside the home. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place on the 12th September at 9.15am. The Registered Manager and home- owner Mrs Amanda Nicholson was present throughout. A tour of the premises took place and records relating to service users, staff and the running of the home were made available. The service users at home on the day of the inspection were spoken to as were staff and management on duty. The atmosphere of the home was warm and welcoming. What the service does well: What has improved since the last inspection? Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 6 Since the last inspection the laundry has been fitted with a wash hand basin. Due to concerns about the hot surface of the radiator in the ground floor shower room this has now been removed. The Registered Manager has sought advice from the Occupational Therapy department and fitted handrails in response to the changing mobility needs of a service user. As part of the homes rolling programme of training several members of staff have attended courses in Dementia Care and updated their and Health and Safety training. 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. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. Current and prospective service users are provided with sufficient information to make an informed choice about where they live. Staff undertake relevant training to ensure they have the skills to meet current and changing care needs. EVIDENCE: The Statement of Purpose and service user guide were available. Current service users had a copy of this information, which included pictures and symbols detailing information about the home and services provided. There was a written admissions policy and procedure, which included a preadmission assessment, visits and trial placements. The home has had no recent admissions. Individual records are kept for each service user, and these contained assessments, care plans, risk assessments, and behaviour guidelines. Staff Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 9 spoken to demonstrated a good understanding of service users needs. Training records confirmed that all staff under-take a range of training courses relating to the home and individual service users. Service user contracts had been completed and were signed and dated. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 Service users are encouraged and supported to make decisions and choices regarding their life and issues concerning the home. Service users can feel confident that their personal information is treated with confidence and kept safe. EVIDENCE: A sample of service user care plans were seen during the inspection. Each service user has a care plan and risk assessments, which are regularly reviewed. Service user plans documented where restrictions/ guidelines had been agreed as part of a care management review. Discussion took place with Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 11 the Registered manager for the need to ensure that any restrictions placed on a service user have been agreed as part of a multi-agency meeting, are documented and reviewed on a regular basis. The manager has liaised regularly with Plymouth Social Services, care managers and day services to ensure that service user contracts and care plans are reviewed when required. Discussion took place with the Registered Manager for the need to ensure that more complex needs are reflected in the care plans by ensuring that sufficient detail and guidelines are available to staff. Staff had a good understanding of service users individual communication methods and were observed supporting and encouraging service users to make choices about events in the home and their daily routines. The home has a large staff office and all records were found to be well maintained, up to date and safely stored. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. Service users are encouraged and supported to maintain and learn life skills, participate in community and leisure activities, and enjoy a healthy diet of their choice. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 13 The home recognises the need for service users to maintain contact with family and friends and make considerable effort to support these arrangements. Staff are aware of service users rights and treat them with dignity and respect. EVIDENCE: Information in care plans, as well as discussion with service users and staff showed that they were enabled to live as full a life as possible and have a range of opportunities to develop and maintain skills. Discussion took place with the Registered manager regarding the benefits of Person Centred Planning to help identify further opportunities. All service users require staff support to access opportunities away from the home setting and the level of support needed is documented within care plans and risk assessments. Service users are supported to attend day centres, and other regular weekly activities as well as a range of leisure activities in the local community. The Registered Manager has continued to liaise closely with Plymouth Social Services and The Learning Disability Team to secure the current day care arrangements and explore additional options where it is felt there is a need. Contact with family and friends is encouraged and any restrictions had been recorded as part of the individuals care plan. It was evident through discussion that staff recognised the importance of these relationships, and examples were given where the home had worked closely with family members to re-establish contact and to support regular contact arrangements. Throughout the inspection staff were observed responding sensitively and promptly to service users needs and requests and treated them with respect at all times. Service users privacy is respected as far as is feasible within the limits of the assessed risk. A restriction was in place in relation to access to a service users bedroom, and discussion took place with Manager for the need to document this agreement as part of a multi-agency review and to review any guidelines as part of a the care plan process. Service users are involved in choosing meals, shopping, and food preparation. Snacks and drinks are available throughout the day and service users can choose if they wish to eat in their room or the communal dining area. Special dietary requirements were recorded as were any arrangements for monitoring food intake and recording weight. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,21. Service users can be confident that their healthcare needs are met. Staff have a good understanding of the changing needs of service users due to age/illness because they access services and training opportunities that ensure needs continue to be met. EVIDENCE: Service user plans and records provided information about personal, emotional, and health care needs. Discussion took place with the Registered manager regarding the need to ensure that when health needs become more complex that recording is sufficient in detail to ensure that the staff are aware of their responsibilities and the responsibilities of other agencies providing support. Service users health is monitored and potential problems are identified at an early stage. An example was given of the home seeking advice from the Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 15 Occupational Therapy Department and fitting handrails to support the needs of a service user with deteriorating mobility. Two service users have Dementia and are monitored by the Dementia Screening Service. In relation to this area of care the home has sought advice and guidance from the specialist Learning Disability services and staff have attended Dementia Care training. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Service users are protected from abuse, neglect and self- harm. Service users can feel confident that any complaints are taken seriously and all service users are given the opportunity to express their views and concerns. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure, which was available within the homes Statement of Purpose. Due to the high dependency and limited verbal communication of most service users it is necessary for the home to have a range of methods to establish if service users have a problem or if they wish to express any concerns. It was evident that staff are very aware of the communication methods of service users and were responding promptly to individual requests. A key-worker system is in place, as well as daily recording and staff meetings. One service user has a communication book, which is used on a daily basis, and passed between the home, family and day services. Staff have also attended Total Communication training. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 17 The management and staff team were aware of Adult Protection issues and procedures, and training had been undertaken or is planned as part of a rolling programme for all staff. There is an Adult Protection procedure in place, as well as a copy of the Local Alerters Guidance. Throughout the inspection staff demonstrated a good understanding of service users behaviour and in picking up clues when service users were unable to express themselves verbally. The manager said that arrangements have been made for staff to attend ‘Behaviour management’ training. Service users have been assessed as requiring total support to manage their finances. Individual accounts have been set up and a clear record is kept of all in-coming and outgoing expenditure. Service users contribute their Disability Living Allowance towards their transport arrangements and this is documented within the Statement of Purpose, Service User guide and Individual contracts. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30. The home has sufficient space and facilities for the number and needs of current service users. Consideration is given to the changing needs of service users and alterations made to the environment when necessary. EVIDENCE: Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 19 A tour of the premises took place and several of the service users bedrooms were seen during the inspection. The home was found to be clean and hygienic and the facilities and space are suitable for the needs of current service users. The manager advised that there is a rolling programme of renewal and redecoration, and any major work is usually planned to coincide with service user holidays. It was evident that the manager was aware of the changing needs of service users, and handrails had recently been fitted to support a service user with mobility difficulties. Service user bedrooms were well decorated with lots of personal items, and locks were available for those who choose or who are able to use this facility. Bathrooms and toilets were clean and tidy and various items of equipment had been provided to assist with daily personal care tasks. Risk assessments had been completed for the need for water temperature valves, radiator covers and window restrictors and the manager said that these had been fitted where a risk had been identified. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. The home has a small, experienced staff team who work well together to meet the current and changing needs of service users. The homes recruitment procedures are robust and protect service users. Staff are well supported by each other, outside agencies and the management team. EVIDENCE: The home has a small, experienced staff team who work well together to meet the service users needs and to create a homely environment. The Registered Manager said that the staff team has recently been more settled with fewer changes and this has improved staff moral and consistency for service users. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 21 The staff spoken to on the day of the inspection were very clear about their role, the role of others and the needs of service users. Staff are very keen to attend and update training opportunities. Since the last inspection another member of staff has completed NVQ 2 in care, and two staff have registered to begin this qualification. Staff have also completed POVA training and are due to complete a ‘ Behaviour Management’ course. On the day of the inspection four members of staff were attending a course as part of the home rolling programme of Health and Safety training. Staff files inspected showed that the home has a robust recruitment procedure and all necessary checks had been completed. Of the sample of staff files seen Criminal Record checks had been completed. The manager said that CRB checks had been completed for all staff and staff appointments would not be approved until this check had been completed. All staff are provided with a contract of employment and a job description. Regular staff meetings take place and all staff have formal supervision every 6-8 weeks. This information was documented and made available for inspection. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42. Service users and staff benefit from an open, positive and inclusive style of management. The homes record keeping, policies and procedures allow for the effective, and efficient running of the home and ensures the protection of service users. Service users rights, health, safety and welfare are protected and promoted. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 23 EVIDENCE: Mrs Nicholson, the joint provider and Registered Manager has obtained the Registered Managers award. She also holds a RNMH, and has extensive management experience in working with people with a Learning Disability. Mrs Nicholson continues to update herself, and attends a range of training opportunities relevant to the home and individual service users. Throughout the inspection staff and management were open, supportive and demonstrated a positive and inclusive style of working. Staff spoken to were aware of their role and the roles of others within the home and other agencies. Records within the home were well maintained and the Registered manager was aware of where information needed to be more detailed as service users needs changed and increased. The home has a Quality Assurance system, which includes service user and relatives questionnaires. Feedback from the questionnaires are discussed within team meetings and an action plan agreed. The feedback from relatives seen during the inspection was very positive and included comments such as ‘We’re very happy that our son is at Clearview’, ‘ Caring and loving staff’. The homes Policies and Procedures were dated and relevant to the setting and needs of service users. The Manager said that this information is regularly reviewed and any changes discussed within team meetings. Staff also sign to say they have read and understood the policies and procedures as part of the staff induction plan. In addition to daily contact, supervision and handover meetings the home also has three formal full staff meetings per year. A system of monthly checks is in place to address health and safety in the home. Staff receive Health and Safety training and on the day of the inspection 4 staff members were updating this training as part of the homes on-going training programme. Risk assessments had been completed for water temperature valves, radiator covers, and window restrictors. The manager advised that necessary devices had been fitted where a significant risk had been identified. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 3 3 3 3 Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 3 3 3 3 4 2 3 Standard No 24 25 26 27 28 29 30 STAFFING 3 3 3 3 3 3 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 3 3 3 3 3 3 3 3 3 3 3 3 x Version 1.40 Page 25 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Clearview Score 3 3 x 3 37 38 39 40 41 42 43 D52-D04 S3465 Clearview V240064 120905 Stage 4.doc yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA16 Regulation 12 Requirement The Registered Provider must ensure that any arrangements that may restrict a service user to access their bedroom, has been agreed as part of a multiagency review meeting, and must be documented and reviewed as part of the care plan process. Timescale for action 07/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations All staff should receive Behaviour Management training. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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. Clearview D52-D04 S3465 Clearview V240064 120905 Stage 4.doc Version 1.40 Page 27 - 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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