Inspection on 03/11/06 for Cowden Road, 52 - 54

This inspection was carried out on 3rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cowden Road, 52 - 54 18/10/05

Cowden Road, 52 - 54 29/10/04

Cowden Road, 52 - 54 05/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Whitworth Lodge

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

CARE HOME ADULTS 18-65 Cowden Road, 52 - 54 52 - 54 Cowden Road Orpington Kent BR6 0TR Lead Inspector Sue Meaker Key Unannounced Inspection 3rd November 2006 13.00 Cowden Road, 52 - 54 DS0000006911.V307482.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 Cowden Road, 52 - 54 DS0000006911.V307482.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. Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cowden Road, 52 - 54 Address 52 - 54 Cowden Road Orpington Kent BR6 0TR 01689 896591 01698 896591 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) The Avenues Trust Limited Mr Andrew Crees Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 Adults of either sex with a learning disability ( within the category of mental handicap) 18th October 2005 Date of last inspection Brief Description of the Service: Cowden Road comprises of two terraced houses converted into one property providing support in a residential setting for five adults, of either sex, with a learning disability. The home is situated in a residential area within a cul de sac, close to Orpington town centre, with a good range of shops, leisure facilities and public transport links. All five residents have their own well appointed bedrooms, one is on the ground floor and has an en-suite bathroom comprising of a walk-in shower and toilet. The other four bedrooms are on the first floor, accessed by steep stairs with banisters either side; all the bedrooms have a vanity unit and also have access to a family sized bathroom on this floor, there is also a separate shower room and toilet for the residents use. The residents have access to an attractive well-maintained garden to the rear of the house; in which staff and residents have planted a variety of vegetables as well as flowers and shrubs; the staff and residents have constructed a pond in which they keep fish. Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced key inspection comprising of a visit to the home, conversations with the home manager, staff and residents, an inspection of care plans, medication documentation, staff files, training records, policies and procedures, health and safety documentation and staff files. Complaints log and accident and incident reports were checked; the CSCI had not received any complaints about this home and there had been no adult protection issues. The home manager provided a completed pre-inspection questionnaire, copies of the staff rota, a weekly menu PCP reviews for the three residents currently in the home and quality assurance records in the form of Regulation 26 visits. All the residents in the home had completed the questionnaires sent to them by the CSCI – all the comments made by the residents in the questionnaires were positive and complimentary. What the service does well: The personal, health and social care needs of prospective residents are thoroughly assessed prior to admission to the home ensuring that the residents can be sure that their needs and aspirations can be met. Residents are their family are invited to visit the home before making a decision to move there and that they receive a contract specifying terms and conditions of residency. The care plans are personalised and individually prepared incorporating the complex needs of the particular resident; making sure that they promote independence and choice whilst respecting their dignity and privacy; enabling them to take acceptable risks and make decisions on how to achieve their aims and personal goals. Residents are supported and encouraged to participate in educational, leisure and local community activities within the local area and at various social and holiday venues; enabling them to lead independent and fulfilling lives within and outside the home environs. The manager and staff of the home have the skills and competency to understand and meet the complex health, personal and social care needs of each resident enabling them to maintain their privacy, dignity and independence The home has systems in place to make sure their residents feel safe and protected at all times. Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 6 The home provides a clean, hygienic, homely, comfortable and safe place for their residents to live in; enabling them to have rooms and facilities tailored to their individual needs. The manager and staff team are trained and supported to have the skills and competency necessary to meet the personal, health and social care needs of the residents; this is evidenced by the policies and procedures relating to recruitment and selection, appropriate training, and effective supervision and appraisal. The residents and staff benefit from efficient and effective management by a qualified, experienced and competent registered manager, enabling the residents to fell safe and secure and the staff supported and encouraged in their work What has improved since the last inspection? What they could do better: This was a good inspection and it the home continues to provide a good quality service to the residents. It is evident that the home manager and his staff are committed to promoting the well being of the residents in their care. The home is to be commended on the range of educational, leisure and social activities offered to the residents; the residents spoken to were very appreciative of the efforts of the manager and the staff of the home to help then enjoy life in and outside of the home. Cowden Road, 52 - 54 DS0000006911.V307482.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. Cowden Road, 52 - 54 DS0000006911.V307482.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 Cowden Road, 52 - 54 DS0000006911.V307482.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 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal, health and social care needs of prospective residents are thoroughly assessed prior to admission to the home ensuring that the residents can be sure that their needs and aspirations can be met. Residents are their family are invited to visit the home before making a decision to move there and that they receive a contract specifying terms and conditions of residency. EVIDENCE: Currently there are three residents in this home; who were assessed in the 1990’s. Residents personal, health and social care needs are re-assessed on a regular basis; an outcome of one of theses re-assessments was that a resident was deemed as being ready for the supported living key ring scheme, this meant that this residents’ skills had improved to a degree that she could move into her own flat. This resident has been supported by the manager and key worker at the home, in conjunction with the Bassett’s Centre via on going assessment and reviews, support plans are in place ensuring that needs are met. This resident is able to visit the home on a regular basis and attends social functions and outings. Since the last inspection one of the residents has passed away after a short illness. The home now has two vacancies for which there are prospective residents; one of whom is a transfer from another home within the organisation and another is a referral from Mencap. An assessment has been Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 10 completed for the resident transferring, it was identified that this resident required a smaller, quieter environment with support and encouragement, the resident and family were involved in the consultation process, family visited the home and the prospective resident had visited the home on numerous occasions to spend time with the existing residents and for social events. An internal pre-admission assessment has been completed by the senior carer at the current home and Bromley Social Services are to complete an assessment prior to the move. A meeting has been held with the Team Leader at the Bassett’s Centre relating to facilitating the move and it is hoped that the process is completed in time for admission in the new year; there will then be a six week trial period and review prior to the placement becoming permanent. The second prospective resident is currently living at home with his parents the placement has been approved by the care manager at the Bassett’s Centre and the resident and family have been involved in identifying the home and Bromley Social Services are involved in the assessment procedure for admission to the home. The home manager is in the process of arranging a pre-admission assessment and visits to the home by the prospective resident and his family. In both cases the dynamics of the residents currently in the home will be considered through discussions with the staff and during residents meetings, observations of the prospective residents interacting with current residents will also be a part of the assessment process. The three residents files were inspected and showed that the policy and procedure followed by the home ensured that the residents personal, health and social care needs are met, and this is monitored by a regular review and re-assessment process. All three residents have a written, signed contract in their personal files specifying the accommodation provided and the terms and conditions of residency; including details of the room occupied, the furniture provided and the fee to be charged. The contract also included a copy of the complaints procedure and this document is available in a format that is suitable for the residents in the home. Cowden Road, 52 - 54 DS0000006911.V307482.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The care plans are personalised and individually prepared incorporating the complex needs of the particular resident; making sure that they promote independence and choice whilst respecting their dignity and privacy; enabling them to take acceptable risks and make decisions on how to achieve their aims and personal goals. EVIDENCE: The care plans of all the residents in the home were checked and all contained information relating to the specific health, personal and social care needs of the resident; enabling management and staff to meet those needs. The assessment from social services in conjunction with the pre-admission assessment undertaken by the home manager forms the basis of the care plan. The process used by the home manager is known as “Person Centred Care Planning”, using a holistic approach to ascertain the individual needs of each resident and how best to achieve the aims and goals identified by the resident. It was evident from the care plans that this approach works well; and Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 12 that the residents are encouraged to discuss their personal aspirations and action plans are put in place relating to the best ways of achieving these goals. The care plan is included in the residents personal file, residents and their family are involved in the preparation of the file and it is compiled in a such a way that it gives a complete picture of the resident including family background, general medical history, environment, communication, education, leisure, behaviour, health and personal care, daily living, spiritual, and cultural needs, sexuality, psychological, personal choices, promotion of self esteem and financial requirements. Risk assessments are completed after a thorough assessment by the home manager in consultation with the resident and the key worker care is taken to minimise risks and enable the resident to maintain their independence inside and outside the home; residents confirmed that they felt safe and that staff were available to help if they needed assistance. The home manager explained that a new system is being implemented for risk assessment documentation that will be pictorial ensuring that the residents are able to fully understand how to keep safe particularly outside the home. Cowden Road, 52 - 54 DS0000006911.V307482.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): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported and encouraged to participate in educational, leisure and local community activities within the local area and at various social and holiday venues; enabling them to lead independent and fulfilling lives within and outside the home environs. EVIDENCE: The three residents currently in the home had their six monthly reviews in May 2006, this review determines the level of personal development for the resident for the next six months, and what has been achieved to date. The resident is present at the review as is the home manager, key worker and representatives from other professionals concerned in the care and well being of the resident. All the reviews were seen and the residents confirmed that they had been present when the discussions took place and stated that their wishes and preferences were considered, questionnaires received from the residents also confirmed their involvement in this process. The reviews detail the health needs, mobility. Personal care, domestic skills, day activities, holidays and contact with family; all these areas are discussed Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 14 with the resident and achievements are documented new goals are set and action plans are put in place and the care plan amended as necessary. One of the residents had achieved personal aspirations set in December 2005 for example learning to use a mobile phone, attending a Butlins 1960 themed weekend, participating in art and painting in the home and jewellery making at the local Adult Education Centre. Goal action plans set in June 2005 were also achieved including various adult education courses and employment with the Shaw Trust. This resident also attends a local day centre on a regular basis and undertakes various activities there including pottery and paper mache, using the library and the hydrotherapy pool. This resident maintains links with family and friends via visits, telephone calls, email and letters; and is a member of the partnership board and sub committee for people with learning disabilities attended via the day centre on a regular basis. This resident is also in the process of constructing a model railway with help from the manager and staff of the home. Another resident participates in regular activities organised by the home or through family contact and has had holidays with family members during the year. This resident attends a local day centre and undertakes various activities there, also visits the local library, attends pottery and arts and craft courses at the Adult Education Centre, attends the local church and goes on outings, spent a 1960’s weekend at Butlins, visits to the cinema and theatre and has been involved in purchasing new furniture for the bedroom The other resident follows a similar pattern of educational, social and leisure activities including regular attendance at local day centres, holidays with other residents and friends, and participates in voluntary work at the Ramsden Centre. The home manager and staff are to be commended on the range od educational, social and leisure activities they access for their residents being careful to establish that they are appropriate and that the residents will enjoy them. The six monthly review identifies any difficulties and these can be resolved very quickly as the home is able to liaise effectively with the organisations that provide assistance with activities for their residents. The home manager has organised a bonfire night party attended by the residents and friends and family; a Christmas day lunch was in the process of being organised, as were holidays for the coming year to include a trip to Lake Garda, a holiday in Turkey a boating holiday on the Lancashire canal and weekend breaks and day trips. Residents help to prepare the evening meal on a rota basis, this is with support and encouragement from the home manager and staff. All of the residents have input into the weekly menu and choose what they would like to eat, taking into account healthy eating information and the dietary requirements of the residents. Residents are involved in the weekly shopping for the home; all the residents sit down together with the staff on duty to the evening meal having the opportunity to discuss the days events and the residents spoken to said they enjoyed this social time together. Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 15 Cowden Road, 52 - 54 DS0000006911.V307482.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager and staff of the home have the skills and competency to understand and meet the complex health, personal and social care needs of each resident enabling them to maintain their privacy, dignity and independence. EVIDENCE: It is evident from looking at the care plans, and in particular at the six monthly PCP review show that the residents health, personal and social care needs are being meet. The residents visit the podiatrist, GP, optician and dentist on a regular basis. One of the residents had a hip operation and the follow up care was maintained by the home via the physiotherapist at the hospital and progress is being monitored by the home and the resident also has hydrotherapy sessions to help with mobility problems. Personal care is given using support and encouragement to the resident to perform tasks for themselves and help is given in a sensitive and unobtrusive manner, it was noted that the staff have empathy with their residents and that the help they give them is appreciated. Another resident was found to have high cholesterol levels through a routine blood test and it was discussed with the GP who recommended that it could be Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 17 controlled by diet; also high blood pressure was noted and medication prescribed and a medication review has been set up at the GP’s surgery every six months The home has a policy and procedure relating to the safe administration of medication to residents and from looking at the documentation in the home it was evident that the manager and staff follow them. Medication is administered from dossette boxes, the medication file has a photo of the resident; a MARS sheet signed and dated by the staff member when giving medication, staff signatures are recorded, medication delivered is checked against the MARS sheet and signed for; as is all medication returned to the pharmacy. Medication is kept in a locked metal cupboard in the office, this was safe and secure, medication was labelled correctly with a description, dosage and time, a risk assessment is in place relating to the what the medicine is for and possible side effects are identified. Homely remedies are listed in letter form by the homes’ GP and are individual to each resident and is reviewed annually. Staff training in the safe administration of medication, is supplemented by an annual medication assessment with the home manager, in the form of a question and answer sheet devised by the organisation, that is signed off by the home manager and staff member. One resident self medicates, a letter from the GP, a risk assessment and MARS sheet are in place; the medication is in a dossette box and is signed for by the home manager and resident on a weekly basis; the resident signs a book on a daily basis recording the date, time and signature. Unfortunately one of the residents in the home passed away at the home in June of this year; it was a difficult time but it was evident from speaking to the home manager that he was aware of how to explain the situation to the other residents, family members were kept informed of all developments so much so that the funeral was arranged by the home manager with input from family; all the residents family were present as were all the residents from the home. Cowden Road, 52 - 54 DS0000006911.V307482.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 at least once during a 12 month period. 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 the service. The home has systems in place to make sure their residents feel safe and protected at all times. EVIDENCE: The organisation responsible for the home have a concerns, complaints and protection policy and procedure, available in different formats mostly by using Makaton symbols. Copies of the complaints procedure are displayed in the hallway of the home; relatives can access this procedure in the Statement of Purpose and the residents in their Service User Guide. The complaints log was viewed and there have been no complaints recorded since the last inspection. The manager and staff of the home have had training relating to the Protection of Vulnerable Adults; the organisation has a robust policy and procedure for both residents and staff around adult protection and staff are aware of how to instigate this procedure if an allegation of abuse was made and they were also aware of the different kinds of abuse. The home has a copy of the London Borough of Bromley’s guidelines relating to the Protection of Vulnerable Adults to follow in the event of an allegation of abuse; this documentation is readily available to all staff. The organisation has a policy and procedure relating to “Whistle-blowing” available to staff. The manager of the home is aware of the procedure to be followed relating to checking prospective employees via requesting CRB and POVA checks prior to offering employment. Cowden Road, 52 - 54 DS0000006911.V307482.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home provides a clean, hygienic, homely, comfortable and safe place for their residents to live in; enabling them to have rooms and facilities tailored to their individual needs. EVIDENCE: A tour of the premises provided evidence that the home is kept clean and tidy and free from odours. The building is a domestic property adapted for use by five adults with learning difficulties it is decorated and furnished in such a way as to provide a comfortable and homely place to live. All residents have their own spacious bedroom decorated and furnished to their own tastes and interests. There have been some room changes since the last inspection and in consultation with the residents involved; two bedrooms and the dining room have been redecorated and one resident has moved to the ground floor because of mobility problems. One resident is in the process of buying new furniture for her bedroom and a new three piece suite for the communal lounge. The home has a garden with a seating area and patio and BBQ; the garden is used for social events and at the time of the inspection preparations were Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 20 being made for the bonfire night party. The home manager is hoping to purchase a new garden shed and greenhouse, as the residents have a keen interest in the garden and participate in planning and planting. The home has a cleaning rota in place and the residents are supported and encouraged by staff in carrying out their allocated tasks. Cooking, washing, ironing, cleaning and shopping are all risk assessed so that the residents are not doing anything not within their capabilities. There is a general environmental risk assessment that involves all the residents and all aspects of living in the home safely. Cowden Road, 52 - 54 DS0000006911.V307482.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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using evidence including a visit to the service. The manager and staff team are trained and supported to have the skills and competency necessary to meet the personal, health and social care needs of the residents; this is evidenced by the policies and procedures relating to recruitment and selection, appropriate training, and effective supervision and appraisal. EVIDENCE: The organisation has a policy and procedure relating to the recruitment and selection of staff; it was evident from information provided by the manager that these policies and procedures are strictly adhered to, making sure that information provided by the prospective employee complies with the National Minimum Standards. The staff have all been employed at the home have been at the home for a number of years and are supportive of the home manager and each other. They have regular supervision and an annual appraisal; training and development needs are identified at the annual appraisal and relevant courses are identified; all staff have completed induction training and have regular updates of mandatory training including moving and handling, food hygiene, fire, health and safety and first aid; evidence of training is documented in the staff members file. Staff are NVQ 3 trained and have completed specialised training in value and diversity, driving skills, epilepsy, Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 22 health and safety, adult protection, the management of aggression and personal and empathic care. The home manager has monthly staff meetings, key worker meetings every two months and resident meetings every two months; all these meetings are documented and outcomes recorded. Cowden Road, 52 - 54 DS0000006911.V307482.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, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service The residents and staff benefit from efficient and effective management by a qualified, experienced and competent registered manager, enabling the residents to fell safe and secure and the staff supported and encouraged in their work. EVIDENCE: The home manager demonstrates and evidences that he has the necessary qualifications and experience to run the home. He works effectively to continuously improve the quality of the service provided to his residents; by being transparent and open in all areas of the running of the home. The manager has completed the Registered Managers Award and the Certificate of Management studies; he has also undertaken pertinent training courses to update his skills and knowledge. It was evident during the inspection that the residents and staff were comfortable with the manager and responded to his management style; it was evident that residents and staff were included in the day to day running of the home and that their views were incorporated into the Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 24 decision making process. The residents and staff confirmed that the manager was approachable and listened to their worries and concerns and dealt with matters in a sensitive and compassionate manner. The organisation implements a monthly audit and an annual assessment of the homes’ development and future requirements. The residents and staff are asked for their views on all aspects of the homes’ environment and care services via regulation 26 visits by a representative of the organisation and through staff and residents meetings. The organisation has a questionnaire that is sent out to the residents relatives and professionals involved in the provision of services to the home, for their views on the quality of the service offered to the residents living in the home. The home has a good record of meeting relevant health and safety requirements and legislation as evidenced by the documentation inspected at the home and from information given in the pre-inspection questionnaire completed by the home manager. Records are of a good standard and are routinely completed. Residents confirmed that they are aware of safety arrangements and have confidence in the safe working practices of the staff. Cowden Road, 52 - 54 DS0000006911.V307482.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 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 3 34 3 35 3 36 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 26 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 Cowden Road, 52 - 54 DS0000006911.V307482.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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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