Inspection on 16/10/07 for Cornish Close Respite Unit

This inspection was carried out on 16th October 2007.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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 Cornish Close Respite Unit 1 Cornish Close Woodhouse Park Wythenshawe Manchester M22 0GJ Lead Inspector Val Bell Unannounced Inspection 16 October 2007 11:00 th Cornish Close Respite Unit DS0000069542.V342060.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 Cornish Close Respite Unit DS0000069542.V342060.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. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornish Close Respite Unit Address 1 Cornish Close Woodhouse Park Wythenshawe Manchester M22 0GJ 0161 436 3848 0161 436 4250 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) www.unitedresponse.org.uk United Response Sandra Webb Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Learning disabilities over 65 years of age - Code LD (E) Learning disabilities -Code LD The maximum number of people who can be accommodated is:6 Date of last inspection New service Brief Description of the Service: The home was registered in April 2007 to provide emergency respite care for a maximum of six adults with a learning disability who may also have additional needs such as mental ill health and/or a physical disability. The registered provider is United Response. Manchester Social Services commission all six beds for use by people living within Manchester. The service is intended to admit people at very short notice, usually due to a breakdown in the person’s home situation with accommodation only provided for short periods. However, people tend to stay for much longer periods due to the absence of suitable long-term accommodation. The home is based in the Wythenshawe area of south Manchester. Bedrooms are located on the ground and first floors, with communal areas, kitchen and laundry facilities on the ground floor. There is a small, enclosed outdoor space with seating for use by people staying in the home. United Response has offices located on the first floor, which are accessed by a separate entrance. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on information gathered by the Commission for Social Care Inspection (CSCI) since the home was registered in April 2007. The manager said that she had completed and returned to the Commission, supporting information in the form of a self-assessment. However, this could not be located at the time of this inspection. Site visits to the home form part of the overall inspection process and the lead inspector conducted a visit on Tuesday 16th October 2007. The opportunity was taken to look at the core standards of the National Minimum Standards (NMS). This inspection will also be used to decide how often the home needs to be visited to make sure that the required standards are being met. During the visits time was spent in discussions with support staff, the registered manager and an administration officer. Relevant documents, systems and procedures were assessed and a tour of the home was undertaken. ‘Experts by Experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ is used to describe people whose knowledge about social care services comes directly from using a care service. Miss Rebecca Ferguson an Expert by Experience and Judy Vaughan, Rebecca’s support joined the inspector on the site visit. Rebecca asked people living in the home about choice, decision-making, the food provided, their relationships with staff and whether they felt safe. Rebecca told the manager what people had said and what she had seen at the end of the inspection. Some of Rebecca’s findings are added to this report and can be seen in bold text. Rebecca’s questions to people living in the home are highlighted in italics. What the service does well: People using this service have a thorough assessment of their needs, which identifies the type of support that must be provided to meet their personal goals. Any risks identified during this process are assessed and action is taken to ensure that people are supported in a safe way. Care plans tell staff what they must do to support people to learn new skills and develop their preferred lifestyles. People are supported to do the things they like to do in their spare time and to continue their relationships with family and friends. People using this service have access to the full range of social and healthcare services for advice, guidance and treatment if they are feeling ill or need special support. People are treated with respect and their personal care and support is provided in private. People spoken to described staff as ‘nice, chatty Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 6 and friendly.’ People also said that staff were kind and listened to them if they were worried or upset. Staff have the right kind of training to provide support to people living in the home. Careful checks are made with the police and previous employers before new staff are allowed to work in the home. Similarly, there are procedures for staff to follow to make sure that people are safe from harm. Staff are trained to give people their medicine safely and offer support for people to look after their own medicine wherever possible. The home is nicely decorated and the furniture in the lounges and bedrooms is comfortable. What has improved since the last inspection? What they could do better: One requirement and five recommendations were made during this inspection. A copy of the current gas safety certificate must be obtained from the home’s landlord to ensure that equipment in the home is safe to use. A person-centred approach should be introduced to show how people are supported to make decisions that affect their daily lives. Particular attention should be paid to considering the cultural and ethnic needs of people using the service. One person spoken to by the Expert queried what her state benefits were being used to pay for. People admitted to the home should be informed that their care and accommodation is funded from their entitlement to state benefits. Improvements should be made by developing communication aids to ensure that everyone admitted to the home is able to participate in decision-making and to express their choices. People should be asked about their food preferences. Particular attention should be paid to providing food that is suitable in meeting preferred cultural diets. It was recommended that staff be provided with a safe place to store their belongings while working in the home. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cornish Close Respite Unit DS0000069542.V342060.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 Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service have their needs assessed to make sure that care and support can be provided in a safe way. EVIDENCE: A ‘Service User Guide’ in easy read format had been provided to each person admitted to the home. Copies of these were held in each bedroom. The manager said that staff explained the contents of the guide to people to ensure that they understood their rights and what services they were entitled to during their stay in the home. Records belonging to three people were examined for evidence that their needs had been assessed prior to moving into the home. Care managers had provided needs assessments and individual’s needs continued to be assessed by staff in the home following admission. The assessments identified risks to the safe delivery of care and support. Expert by Experience findings: First impressions was a ‘calm relaxed place to live.’ Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are encouraged to do things on their own in a safe way. EVIDENCE: Three care plans were looked at and these contained guidance for staff on the action to take in meeting individuals’ personal and social support and healthcare needs. People living in the home had been asked about their likes, dislikes, preferences and routines and these had been recorded in the care plans. Where risks to a person’s safety had been identified, care had been taken to make sure the person was safe. For example, one person wanted to go into Manchester on her own, although she was not familiar with the area and staff were concerned that she might get lost or be at risk of abuse. An occupational therapist was asked to assess this person to make sure she was safe to travel into the city on her own. Additionally, this person was also introduced to support workers from a project called ‘Safe in the City’. This project provides advice, information and support to keep people who might be Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 11 vulnerable safe. This provides evidence that people are encouraged to do things on their own safely. Expert by Experience findings: We weren’t sure how or if people were making choices in their daily lives, unless they were able to go out independently. Who will decide what meals to have next week? Staff, the staff, sometimes staff asks what do you want. Staff decide. They do ask us but they decide. There should be a house meeting – so people can be involved, they put a rota up, don’t ask people what to do. One person asked about petty cash and said she would like to learn more about what income and benefits money is used for. ‘How is the petrol for the van paid, where does the petrol money come from?’ This home is registered to provide accommodation and care and people admitted to the home pay the weekly fees with their income from benefits. No additional charges are made. The people accommodated at the time of the inspection visit were in receipt of their personal allowances to dispose of as they wished. The manager said that the home did not have a petty cash float and all fuel for the van was paid for by the organisation. It is recommended that this be explained to people during the assessment process. As stated by the Expert it was not clear if people using this service were encouraged and supported to make decisions that affected their daily lives, such as helping with the housework or deciding what to eat at mealtimes. However, care plans did record the activities that people liked to do during the day. Helping with jobs around the home could be discussed and agreed by having a meeting and individual choices, such as what to eat should be written down for each person. Additionally, staff should ask each person, wherever possible, what they would like to be written in their daily records. These improvements would provide evidence of a person-centred approach to supporting people using this service. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are encouraged and supported to develop their independence by learning new social and daily living skills. EVIDENCE: The three care plans seen contained evidence that people admitted to the home receive support to do the things they like to do in their spare time. Their care plans had been looked at regularly to make sure that the information was up to date. One person had been supported to learn new skills and she told the inspector that she would be moving into her own flat very soon. Care plans also provided evidence that people had been encouraged to maintain and develop relationships with their family and friends. One person’s mother visited during the inspection. She said that she was very happy with the support that her son was receiving and that staff always made her welcome. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 13 Throughout the inspection staff were observed to talk to people and to treat them with respect. People living in the home were seen to move freely about the building. Care plans explained if choice and freedom had been restricted to keep a person safe. Such decisions had been taken by talking to all the people involved in a person’s care and support. Expert by Experience findings: Where do you like to go when you go out? Manchester all over. It’s too much expensive. In town expensive. This afternoon, shopping for clothes. I go out on the bus a trip. Pictures, swimming, shopping. Are you going out this week? Don’t know yet. I would like to go out. Halloween soon. This week town, week end visiting my sister in Birmingham, it’s her 22nd birthday. Wednesday, going to see my flat. What new places you would like to try? Different areas, Manchester not Wales. I would like to try Wolverhampton, visit London. Horse riding. I would like to go on holiday. Can you invite a friend over? Yes. Ask the boss, man with a beard. No I don’t want to. This is the wrong place for me. Yes got to ask other people first. My friend used to come, staff thought he was hassling me. Can you use the phone here? Yes ask permission, ring mum. Mum likes me being here. Yes I can use the phone here. Yes. What happens when you go out? Wear my coat, bus pass, Manchester one runs out March 2008. Is it nice round here? Yes better. I can see my mum every day. Ask staff first invite my mum to dinner. OK feel OK in the area. I don’t really know. Feel alright. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 14 I would like to talk about making a relationship. I don’t want to make the same mistake. I would like to learn how to keep safe. Confidence building up again. Do college, child-care. We arrived mid morning and left mid afternoon. We were offered and given a hot drink and at lunchtime invited to make our own drink and wait in a lounge. After lunch we were asked if we would like a sandwich, although we weren’t given any sandwiches. We think it is good that peoples food money is spent on them. We wondered how welcomed other visitors might feel if they are not invited to any meal that is being eaten while they are there. We understood sometimes one person would support staff to shop for weekly food. People might like to be included in buying fresh food daily? There is a menu kept to record what food has been offered. We understand people are sometimes asked what meals they would like. One person suggested having a house meeting for people to discuss places to go, food to try and rules for the house. One person reported wanting some African food and said, ’I don’t taste this food very well. I would like to have African food here, I have it when I visit my sister.’ There was no information in easy read or picture format. People might like to choose meals or places to go from photos. We think people should be supported with different diets. We learnt this from conversation. We don’t think this person would ask for these things unless she was invited to. Can you have snacks? Not allowed snacks. Breakfast 8 till 9.30 – only fruit after got to ask, lunch 12 – 12.30 can’t have a snack. No fruit they haven’t been shopping. The manager said that the person who said she would like to eat African food had not requested this. However, there was no evidence in her care plan that she had been asked about her cultural and dietary needs. This should be discussed with her and her preferences in relation to her culture and diet should be written down so that staff can provide the necessary support. The manager was also asked if people could have snacks in between meals. She said that staff encourage people using the service to eat a healthy, balanced diet and that yoghurts and fruit are provided and sandwiches can be provided in between meals. It is recommended that people be asked about what food they would like to eat, including snacks during the day. This information should be written down. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 15 Communication aids, such as photographs and pictures should be available to support people in making decisions where necessary. Cornish Close Respite Unit DS0000069542.V342060.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Access to the full range of community healthcare and specialist services ensures that people’s personal and healthcare needs can be met. EVIDENCE: Two of the three care plans seen contained written evidence that people had been asked about their preferences in how their personal care is provided. Personal support was provided in private and people were generally encouraged to choose their own clothes and hairstyles to reflect their personalities. However, the third care plan failed to record the person’s specific cultural preferences in relation to her African origin. People had access to specialist support such as occupational therapy, physiotherapy and speech therapy. People using this service had access to the full range of community healthcare facilities and were encouraged to manage their own healthcare wherever possible. One of the people using this service was ordering and storing her own medication. She also returned her unwanted medication to the pharmacy. Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 17 Staff were regularly monitoring people’s health and prompt referrals had been made to the relevant health professional when concerns had been identified. The outcome of healthcare appointments had been written down. A sample audit of medication held on behalf of people living in the home was assessed. Medication was securely stored, records were accurate and balances of medication agreed with the stocks of medication held. Three staff were currently working towards a level 2 certificate in the management and safe handling of medicines. Expert by Experience findings: What happens if you are not feeling well? ‘Press a button in my room they come to me. I ask staff, I’m not well. They talk and make appointment, take me to the doctors. They are good, give me paracetamol and say go to bed.’ ‘Nice to me, nice polite. All nice chatty friendly. I don’t know if they could help me with African things. Don’t think so.’ ‘Hate being called a service user.’ The manager was asked about staffs’ use of the term ‘service user.’ She said that this was never used directly with people living in the home. It is recommended that people living in the home are asked their views about this. Cornish Close Respite Unit DS0000069542.V342060.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust policies and procedures are in place to keep people safe from harm. EVIDENCE: The home’s complaints procedure was available in an easy read version. The procedure explained how complaints would be investigated and how long it would take to do this. No complaints had been made at the time of this inspection visit. Several thank you cards and a complimentary letter from a care manager had been received by the home, praising staff for the care and support provided to people using this service. Manchester Social Services policy and procedures for the safeguarding of adults from abuse was in place at the home, although no safeguarding referrals had been made in the previous twelve months. Staff working at the home had been trained in how to recognise abuse and the action to take if abuse was alleged or suspected. Staff were also aware of the whistle blowing policy and procedures they should follow if they became aware of poor practice in the home. Expert by Experience findings: People expressed liking staff and felt they could always talk with someone if they needed to or were feeling unwell. ‘Nice, chatting, friendly,’ What do you do if you feel upset? Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 19 ‘Tell somebody. Tell staff. I be quiet. Talk to my sister.’ We think this is important for people to feel safe and content. Cornish Close Respite Unit DS0000069542.V342060.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service are provided with a safe, clean and comfortable living environment. EVIDENCE: The inspector walked around the home to assess cleanliness, health and safety and the facilities provided in bedrooms and communal areas. The home was found to be clean and hygienic and no unpleasant odours were present. All rooms were attractively decorated and well maintained. Furniture and fittings were of good quality and domestic in nature. The home had been suitably adapted to meet the needs of people with physical disabilities. These facilities included overhead tracking hoists in bedrooms and assisted bathrooms. Each person was accommodated in a single bedroom and had a choice of bathing and showering facilities. No health and safety issues were found during this inspection visit. Expert by Experience findings: Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 21 Separate staff toilets were first noticed, prompting the checking out of toilets used by the people who live at the unit. We thought this might link in with the inspector’s first question about relationships within the unit and dignity. We learnt each person who lives at the unit has their own bathroom. Is there anywhere you can go to spend time alone? ‘In my room. Two lounges. In my room watching TV music. My room or lounge. Not allowed to go in each other’s bedrooms. Not allowed in each other’s rooms for a private chat.’ The issue of separate toilets raised by the Expert was discussed with the manager. She said that staff used the toilet facilities next to the office because they stored their belongings in there while they were working. However, the manager removed the sign from the toilet door that said ‘Staff only.’ It was recommended that this door is kept locked to ensure that staff have a safe place to store their belongings. It was not possible to establish why the person mentioned above had told the Expert that they were ‘not allowed in each other’s rooms for a private chat.’ The manager confirmed that people were not prevented from visiting each other in their rooms, although in certain circumstances there may be risk elements that would be considered as part of the assessment process. Cornish Close Respite Unit DS0000069542.V342060.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Careful checks are undertaken before employing new staff to ensure that they are suitable to work with people using this service. EVIDENCE: Staff had access to a range of training and development opportunities to ensure that they had the knowledge and skills to meet peoples assessed needs. This included mandatory training in health and safety and certificates in National Vocational Qualifications (NVQ). Newly employed staff undertook a programme of induction training in line with the specifications of ‘Skills for Care’ induction programme. One member of the team said that she had just completed her NVQ and was awaiting her certificate. Staff on duty at the time of the visit understood the needs of the people admitted to the home. The file belonging to a newly recruited member of staff was examined for evidence that the required pre-employment checks had been undertaken prior to being confirmed in post. This file contained evidence that a Criminal Record Bureau check had been obtained along with two written references prior to starting work at the home. Copies of proof of address, identity, application Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 23 form and employment contract were also held. Written records were also held of one-to-one supervisions and appraisals of staff performance. Cornish Close Respite Unit DS0000069542.V342060.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 and 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 in the best interests of people living there. EVIDENCE: The registered manger was suitably qualified and experienced to manage this home. The manager continued to undertake periodic training and development to update her knowledge, experience and skills. The ethos of the home was open and inclusive and staff said that the manager was approachable and supportive and offered a clear sense of direction to the support team. A system was in place for monitoring and evaluating the quality of the service provided and policies and procedures were regularly reviewed and updated in line with changing legislation and good practice guidance issued by the Department of Health. Satisfaction surveys are undertaken with people who use the service. It was pleasing to note that two days after admission people Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 25 are asked for their views of the admission process and whether they are aware of the facilities they are entitled to during their stay at the home. This is a good opportunity to check that people have understood all the information they were given when they first came into the home. This is an area of good practice. A sample of health and safety records was examined. Weekly checks of the nurse-call system, fire alarm, food stocks and hot water temperatures were up to date. The most recent fire drills were held on 5th and 17th September, the last one being undertaken to make sure that people could safely evacuate the building in the event of a fire during the night. Harmful substances used in the home such as cleaning fluids, had been risk assessed and the servicing and maintenance of electrical equipment was had been undertaken at regular intervals. Portable electrical appliances had been tested in October 2006 to make sure they were safe to use. One shortfall was noted in that the gas appliance safety record had expired on 4 September 2006. The manager explained that the landlord was responsible for organising annual safety checks of the gas equipment used in the home. Several requests had been made to the housing officer for a copy of the certificate without success. The registered person must obtain a copy of the certificate to provide evidence that gas equipment in the home is safe for use. Cornish Close Respite Unit DS0000069542.V342060.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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 27 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. 1. Standard YA42 Regulation 16 (2) (g) and (h) Requirement The registered person must obtain a current copy of a safety certificate for gas equipment used in the home to ensure that people accommodated in the home are safe. Timescale for action 16/12/07 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 YA7 Good Practice Recommendations A person-centred approach should be introduced to show how people are supported to make decisions that affect their daily lives. Particular attention should be paid to considering the cultural and ethnic needs of people using the service. People admitted to the home should be informed that their care and accommodation is funded from their entitlement to state benefits. People using the service should be provided with appropriate communication aids to enable them to participate and make decisions and choices. DS0000069542.V342060.R01.S.doc Version 5.2 Page 28 2. YA7 3. YA8 Cornish Close Respite Unit 4. YA17 People should be asked about what meals and snacks they want to eat. Particular attention should be paid to providing food that is suitable in meeting preferred cultural diets. It was recommended that staff are provided with a secure place to store their personal effects. 5. YA24 Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Cornish Close Respite Unit DS0000069542.V342060.R01.S.doc Version 5.2 Page 30 - 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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