Inspection on 17/04/07 for Cleveland House

This inspection was carried out on 17th April 2007.

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

Cleveland House 19/12/05

Cleveland House 23/05/05

Cleveland House 08/11/04

Cleveland House 07/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Cleveland House 20 Granville Road Broadstairs Kent CT10 1QB Lead Inspector Christine Grafton Key Unannounced Inspection 17th April 2007 10:30 Cleveland House DS0000023377.V306302.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 Cleveland House DS0000023377.V306302.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. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveland House Address 20 Granville Road Broadstairs Kent CT10 1QB 01843 866509 01843 600939 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) Miss Nicola Marie Huitson Mr Christopher Peter Ewins Miss Nicola Marie Huitson Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Increase registration from 21 to 22. The Owners bedroom to be temporarily included in the schedule of accommodation. 19th December 2005 Date of last inspection Brief Description of the Service: Cleveland House is a detached property with accommodation on three floors. The home has increased in size over the last few years and now has twentytwo single bedrooms, four of which are within a flat on the second floor, and a fifth is within its own flat. There are further communal lounges, games room, conservatory, and there is a computer for residents’ use. The home offers accommodation to a high standard. The registered providers, Nicky and Chris, both work full time at the home. Nicky is the registered manager of the home and Chris co-manages the home. Cleveland House offers care on an individual basis encompassing the physical, social and emotional needs of the residents. The statement of purpose is reflective of the care actually being provided in the home. The home is located close to the seafront, and is a short walk away from local shops, amenities, Thanet College and public transport. The home has its own minibus and people carrier in which to take the residents out and about. Information provided by the manager in February 2007 indicates that the fees for the home are £470.00 to £900 per week. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 19th December 2005, including a visit to the home. An unannounced visit took place on 17th April 2007 between 10.30 hours and 17.10 hours and was conducted with the assistance of the two deputy managers. The manager also attended for part of the time. When the inspection commenced, most of the residents had gone out on their daily activities and the last three left shortly after the start of the visit. Therefore the morning was spent looking round communal areas of the home, checking some records and speaking to one of the deputy managers. The second deputy manager came on duty in the afternoon. The visit included talking to a number of residents on their return from their day activities in the afternoon and talking with some of the staff, as well as observing the interactions between them. Various records were checked in discussion with the deputy managers, or the manager. At the time of this visit there were twenty-two residents living at the home. A pre-inspection questionnaire was completed and returned by the manager prior to the visit and the information was used in the planning for the visit. The last two inspections have indicated good standards at this home. This inspection has focussed on the key standards, looking at the well-being, safety and quality of life for people living in this home. This has been assessed by talking to some residents individually and spending time with a group of residents and a staff member in the lounge, plus observational information, and discussion with staff, together with the records examined at the time of visit. The findings of this inspection indicate that Cleveland House provides very good outcomes for the service users living there. What the service does well: This is a home where the residents are enabled to enjoy a very good quality of life. Residents spoken to said they are happy living at the home and spoke about it with great pride. Residents and staff work together to keep the home clean and homely. The building is attractive and well maintained. Furnishings are of good quality and comfortable. Each resident has their own bedroom that is individual and not entered without their permission. Residents and staff respect each other. Staff said how much they like working at the home and it is clear that they care about the residents and show great empathy. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 6 Residents are encouraged to make choices and are involved in the decisionmaking processes of the home. Staff and residents share household tasks, which are agreed in discussion and residents know what is expected of them. Residents are involved in the recruitment of staff, with their own representation on the interview panels. Residents have lots of opportunities for personal development and are enabled to experience a wide variety of stimulating activities to enrich their lives. They attend college courses, day centres, social clubs and community leisure facilities. They choose where they want to go for their holidays each year, which are then arranged in groups of varying sizes according to choice. All residents are encouraged to enjoy independent lifestyles. If to do so would involve an element of risk, this is assessed and strategies put in place to enable them to pursue their chosen activities. Staff support residents to go out if they are not ready to do so alone and give training on such things as road safety. The providers deal with complaints in a very positive way. Staff were seen listening to residents and encouraging them to talk about any worries they might have. Residents are given their own pictorial copy of the home’s complaints procedure and if a complaint is made, the providers respond promptly by listening to everyone concerned and making sure that all relevant people are kept informed at all stages. Residents spoke about talking to staff members, or “Nicky and Chris” (registered providers) if they are unhappy and they are clearly confident that their concerns will be looked into. Residents are involved in their own care plans and one review record seen contained a statement that the person “loves living at Cleveland House”. A staff member said, “I’ve done lots of training courses – Nicky and Chris are very good about training for all staff.” What has improved since the last inspection? Lots of work has been completed on the continual improvement of the environment for the residents. Work has continued on the creation of a café on the premises so that residents will have work opportunities there. It has nearly been finished and the work has been done to a very high standard, with high quality kitchen equipment, tables and chairs. Several residents are doing a catering course at a local college and one spoke of looking forward to the café’s completion. It is ideally situated to attract customers, being not far from the seafront. A new residents’ laundry room is nearing completion so that residents will be able to do their laundry independently. This is in addition to the already wellequipped laundry room and other facilities already provided in the top floor flat for independent living. The providers have bought a flat along the road, with the aim that three residents will be able to move on to more independent Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 7 living. Work has also started on the conversion of two garages at the back of the home to create two more single bedrooms. Medication procedures and practices have improved since the last inspection to ensure safety. 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. Cleveland House DS0000023377.V306302.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 Cleveland House DS0000023377.V306302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People moving into this home can be confident that their needs will be met and that they will be supported to achieve their aspirations. EVIDENCE: A number of residents have lived together at Cleveland House for some time now, but there have been three new admissions since the last inspection in December 2005. The admission process was discussed for one of them and it was clear that a comprehensive assessment had been carried out prior to the decision being made to admit them to the home for a trial period. The two registered providers are highly qualified and carry out the assessment visits to meet with the prospective resident where they are living. This might be living at home with their parents, or at their school, or in another residential service. They request written information from care managers and other professionals, such as school reports and reports from healthcare professionals. The prospective resident is then invited to the home for several visits and overnight stays to look round, meet other residents already living there and meet staff. The assessment process is continued during these visits and the needs and wishes of existing residents are taken into account. The manager Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 10 stated that they always take care to make sure that the right balance is maintained. There is an initial six-week trial period, which can be extended for a further six weeks if necessary. All residents are given their own copy of the Residents Charter in an A5 bound booklet form, written in Rebus symbols, which covers their rights, responsibilities and the complaints procedure. A similarly bound copy of the service users’ guide is also provided to parents/relatives. This explains the terms and conditions of residence. Fees are agreed with care managers within local authority contracting arrangements. Cleveland House DS0000023377.V306302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are enabled to make their own decisions and are supported, within a developmental risk management framework, to enjoy independent lives. EVIDENCE: Service user plans have been developed for each resident and written in a way that is easy to understand. The manager is constantly striving to improve practices within the home and has recently introduced a new care plan package that makes it easier for staff to use and enhances resident involvement. The manager is currently working through each person’s plan to change it to the new format. A recently completed plan seen for one of the residents’ case tracked covered a wide range of needs and aspirations, focusing on things such as: choices, involvement in home life, promoting independence, activities and personal development. Service user plans are very much ‘person centred’ and residents are fully involved in the goal planning process. One file contained a resident’s own personal planning book, written in simple terms, with photos, symbols, Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 12 drawings of signs and gestures used to communicate and pictures of important people in the person’s life. Key workers write monthly reports and phone the person’s parents, to keep them informed about what has happened during the month. The deputy managers use these reports, together with their own knowledge and information from any health care professionals involved, day centre and college staff, to inform the formal review reports. Residents spoken to indicated that they are happy in the home and it was clear that they are involved in decisions about the day to day running of the home. A resident had his weekly rota for household chores and said he liked helping in the kitchen and cleaning his room. Staff and residents share household tasks, which are agreed in discussion, to make sure that people know what is expected of them. Regular residents’ meetings take place and residents are involved in the recruitment of staff. Residents are supported with the management of their finances. There is a system in place to make sure that they have their own weekly spending money that is easily accessible to them with records kept. From discussion with a deputy manager and some of the residents, it was clear that residents choose how to spend their money, with staff support as necessary. The promotion of an independent lifestyle is a key aim for all residents. Risk assessments are carried out and strategies put in place to enable residents to pursue their chosen activity, even if some safety risks have been identified. Staff support residents to go out where they are not ready to do so alone and give training on such things as road safety, ‘stranger danger’, banking, money management and use of public transport. Any significant incidents are recorded and risk assessments reviewed and updated. Cleveland House DS0000023377.V306302.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from the many opportunities for personal development available to them and they are enabled to experience a wide variety of stimulating activities to enrich their lives. EVIDENCE: Residents spoke about their various college courses and day centre activities. These include attendance at colleges in Broadstairs and Canterbury, a local adult education centre and a day opportunities centre. Several residents said how much they enjoy their college courses, such as a catering course, drama classes, music and literacy classes. A resident showed the inspector his workbook from his college course and was very proud of his achievements. A small group of residents have been attending a joint catering course put on by the local college and day opportunities centre. A coffee shop is being created on the premises and it is planned that when the residents have completed this course they will work in the coffee shop. The manager and Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 14 assistant managers look for new courses and activities to stimulate and motivate residents. The home also has good links with local employers and job centres to access employment opportunities. The home has its own well-equipped games room and there is a computer for residents’ use. A variety of different leisure centres and social clubs are accessed to pursue other activities such as: swimming, archery, bowling, horse riding, football, creative arts, discos and socialising at clubs and visits to pubs. Some residents attend a local church on Sundays. Residents choose where they want to go for their holidays each year. Last year two groups went to Euro Disney Paris, one group went to the Algarve and two residents went to Blackpool by aeroplane. This year’s plans so far include: a group of sixteen residents going on a three night cruise to Jersey in September and another group of four residents going to a caravan park at Hastings. Residents were seen respecting each other’s privacy and treating each other with respect. No one enters a resident’s bedroom without permission. Residents are supported to develop personal relationships with people of their choice. Staff have a good understanding of equality and diversity issues and were sensitive in their discussions about individuals. Residents regularly go to stay with parents and families for weekends and holidays. The home provides a varied and well-balanced menu. Residents are fully involved in menu choices and in food preparation. Special diets are catered for; these currently include one diabetic diet and one vegetarian choice. Several residents commented that the food is nice. Some residents prepare their own meals independently in their flat on the top floor. Another resident has his own kitchenette adjacent to his bedroom and prepares his own breakfast and packed lunches. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. 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. Personal support is provided in a sensitive manner that promotes dignity and independence. Residents have good health care support and are protected by the home’s procedures for managing their medication. EVIDENCE: From the case tracking, discussion with staff and talking with some of the residents, it was clear that residents are encouraged and enabled to manage their own personal care, such as bathing, showering, dressing themselves appropriately for the weather and taking their washing to the laundry. Residents’ choice of clothes, hairstyle and their appearance clearly reflects their personalities. Some residents spoke about shopping trips to buy new clothes, which they clearly enjoy. The service user plans cover health care needs with specific goal plans for any medical conditions that need to be monitored. Records seen indicated that residents have regular health checks, attending doctors’ surgeries, dentists, opticians and hospitals where necessary. Some residents see community nurses or specialist nurses and speech and language therapists. Involvement from psychiatrists and psychologists is sought where necessary. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 16 Medication practices have been completely reviewed and improved since the last inspection, when a requirement was made. The home uses a monitored dosage medication system. Medication is stored securely and records are well maintained and up to date. Good weekly auditing procedures have been introduced. Several senior staff have attended an in-depth medication course and all staff have to attend a one-day medication course and be supervised on three separate occasions by one of the seniors before they are allowed to administer medications. All staff have to complete an annual written medication assessment of their competence. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they will be listened to, their complaints acted on and they will be protected by the home’s good practices and procedures to safeguard them from abuse. EVIDENCE: The manager and deputy managers have a clear understanding of local policies and procedures for Safeguarding Adults and make sure that complaints and incidents are fully recorded and details forwarded to the appropriate people. They have notified the social services adult protection coordinator and the commission about anything that poses a suspicion of abuse and make sure that the appropriate people can investigate and the right follow up measures put in place. They have been very open and respond well to complaints. A very detailed complaint investigation report was forwarded to the commission prior to this visit that indicated the complaint had been taken seriously and thoroughly investigated. Residents are given their own copy of the home’s complaints procedure, which is written in a simplified pictorial and symbol format. Staff said that they encourage residents to talk about their concerns and key workers play an important role in identifying and following up anything that is worrying them. Some of the residents spoke about talking to their key worker, and referred to the deputy managers and to the manager as people they could talk to if they were unhappy. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 18 Staff attend training courses on adult protection and are trained to understand behaviour and deal with any incidents of physical and verbal aggression in a confident manner. One of the deputy managers emphasised that the home does not use restraint and explained that staff use talk-down methods to deescalate situations when residents become agitated. Examples were seen of staff talking to residents calmly and with empathy. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home where the environment is attractive, homely and maintained to a high standard. The on-going improvement programme, with additional facilities underway, continues to enhance the residents’ quality of life. EVIDENCE: Cleveland House has been decorated and furnished to a very high standard throughout. It is situated close to the seafront, shops, public amenities and public transport links. The front of the house is very individual, with a paved parking area, attractive front doors and flowerbeds. There are two spacious lounge areas, a large dining area with conservatory, games room and computer area on the ground floor. All bathrooms and toilets are attractively tiled, clean and well equipped. Two toilets have been decorated with various ornaments in themes, one has Titanic memorabilia and seashells and the other theme is “The Black Pig”. There is a four bedroom flat on the top floor, with its own kitchen, dining room, bathroom and lounge and a one bedroom flat with kitchen and shower room on Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 20 the first floor, used to promote independence. A resident showed the inspector round his flat and is clearly very pleased to be able to make his own breakfast, packed lunches and hot drinks when he wants. Occupants of the top floor flat were seen on their return from their day activities doing their vacuum cleaning and one was doing his own ironing. Part of the home’s on-going improvement plan is to convert two garages at the back of the building into two more single bedrooms and the providers have bought a flat further along the road to enable three residents to move onto more independent living in the future. The coffee shop being created on the premises is nearing completion and has been fitted out to a high standard. It is planned that some of the residents will work there on completion of their catering course. Three residents’ bedrooms were seen on this occasion and they were each individual, spacious, comfortably furnished and personalised to suit the residents’ tastes and interests. The residents showed great pride in their rooms, which were kept very clean, as were all areas of the home seen. There is a well-equipped, clean, laundry room, with industrial washing machine and tumble drier. In addition to this a new smaller laundry room has recently been created with domestic equipment for the residents to use independently. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. 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. Staff are well trained and work positively with residents to improve their whole quality of life. Good recruitment practices ensure the protection of residents EVIDENCE: Staff spoken to were knowledgeable about the various needs and specific conditions of individual residents. The providers operate a comprehensive training programme that includes an induction programme to the Skills for Care specification, National Vocational Qualifications (NVQ) and a wide range of courses to equip staff with the skills necessary for the tasks they are expected to do. Staff were very complimentary about the training provided, saying they only have to ask at supervision and the manager makes the necessary arrangements. One staff member said she had done lots of training courses and referred to the providers in the following way: “Nicky and Chris are very good about training for all staff”. She went on to say that there were courses on autism, anxiety and Aspergers Syndrome coming up. Both deputy managers are well qualified and have relevant previous experience working with children and young people with special needs. Both Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 22 were enthusiastic about their work and said that they like working at Cleveland House. They said there is a good staff team who all work together to make sure that residents have continuity of care. They were appreciative of the support they receive from the providers, saying that they are “always at the end of the phone if needed”. Staff demonstrated calm confidence as they went about their work. Residents are involved in the recruitment of new staff. Interview panels include two of the residents with the manager and one deputy manager. Residents have their own interview records written in Rebus symbols and they decide what questions to ask at a residents’ meeting, when the group decides which two residents will sit on the panel. Applicants are expected to spend time with residents over a mealtime if possible. Staff records seen contained all the required documentation, including references and criminal records bureau checks that are obtained prior to employment. Several of the residents spoken to said that they like the staff. One resident spoke of their key worker with warmth and appreciation for the support provided. Interactions between residents and staff were respectful and goodhumoured. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 23 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well-run home where their health, safety and welfare are promoted and protected. EVIDENCE: The providers are both well-qualified and competent to run the home. Their qualifications and those of the two deputy managers are set out in the home’s statement of purpose and service users’ guide. They have had a long-term development plan for the home since they first opened it, which has evolved each year, providing residents with a supported lifestyle and route to independence. Each stage of the plan has been for the benefit of the residents, as has been demonstrated throughout this report. Residents spoke of being very happy at the home and staff spoke of liking working at the home. There is a clear sense of direction from the management team, which is relayed to staff through supervision and regular staff meetings. Residents are Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 24 involved in the home’s decision making via residents’ meetings, informal group discussions, and involvement in the recruitment process. The management team have a clear understanding of equality and diversity issues and they act as role models to other staff and to the residents. The service user plans seen indicated the residents’ year on development and good risk management strategies. Staff are trained in safe working practices including: first aid, basic food hygiene, fire safety, moving and handling and risk assessment. Two staff have been trained to do the weekly fire bell tests and records of these tests were seen. Monthly health & safety checks are carried out, including testing the bath water temperatures. Hazardous liquids are kept safe in a cleaning cupboard with coded lock and the boiler cupboard has a similar lock with emergency phone inside. The kitchen is maintained to a high standard and the home has received a gold award from the Food Safety Officer. A staff member said that Mr Ewins (one of the providers) does the environmental risk assessments and ensures that anything identified as a hazard is promptly dealt with. Nicky Huitson, the other provider, who is also the registered manager, holds regular individual risk assessment meetings for each resident, which are well recorded and clearly show the risk management strategies. Fire doors that need to be kept open in communal areas have been fitted with magnetic closures to ensure they close in the event of a fire. The tour of communal areas of the building clearly showed that health and safety is given high priority in this home. Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 25 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 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 x 26 4 27 4 28 4 29 x 30 4 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 3 X X 4 x Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 26 No 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 Cleveland House DS0000023377.V306302.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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