Inspection on 17/05/07 for Fourways

This inspection was carried out on 17th May 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 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

Fourways 19/12/05

Fourways 21/07/05

Fourways 13/01/05

Fourways 20/07/04

Fourways 12/03/04

Fourways 12/11/03

Fourways 28/11/02

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

CARE HOME ADULTS 18-65 Fourways Fourways Benton Terrace Stanley Durham DH9 0NT Lead Inspector Michaela Griffin Unannounced Inspection 17th May 2007 09:30 Fourways DS0000007471.V338044.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 Fourways DS0000007471.V338044.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. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fourways Address Fourways Benton Terrace Stanley Durham DH9 0NT 01207 281788 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) Mrs Janette Heslop Mrs Andrea Heslin Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: Fourways is a registered care home for up to seven adults with a learning disability. The home was opened in 1991 by the owners Mr William Heslop and his wife Mrs Janette Heslop. Mr Heslop, sadly, died earlier this year and his wife continues to run this home and two others in the Derwentside area. The people who run and manage these services are members of the same family and have been involved with the homes since they opened. So they have a strong commitment to making them happy places to live and work. The home is a two-storey end terrace house located in the same terrace as its sister home 2 Benton Terrace. It is in Stanley, County Durham and is close to the town centre, where there are shops, services and places people go for entertainment and leisure. The home is also close to major bus routes. The two homes share the same registered manager and staff team. The home is like a large family house. There is one ground floor bedroom, which two people share. This room is suitable for people who have mobility problems. The other five residents have single rooms upstairs. The home has a well-kept garden , with a large, pleasant conservatory and a paved back yard. The two homes in Benton Terrace share the use of a mini bus and a car, to go and about. The weekly charges were £ 672 to £1100, in May 2007. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days. It was the only inspection planned for the year. The inspector visited the home and met all seven residents and the manager and two support workers. She saw some of the daily life in the home and spent some time with two people who live there. She also checked files and paperwork. The mother of one resident came to the home to meet the inspector. Before the visit, survey forms were sent out to the people who live in the home and their relatives, to ask them what they think about the home. Seven of these survey forms were filled in and sent back. The inspector also spoke to three professionals who visit people in this home. What the service does well: What has improved since the last inspection? The people who visit this service say that the staff know how to do their jobs well. But every year they get more training so that they keep up to date with what they need to know to care for people safely. The manager has had more training and now has another qualification. This shows that she keeps learning and trying to get even better at doing her job. Staff know that people are different but they all must get the help they need to live their lives the way they want to. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 7 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 Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 8 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People got a chance to visit the home before they moved in. Their relatives and representatives were given information to support them in making an informed choice. Every person’s needs were assessed fully. EVIDENCE: The people who live in the home all have a service user guide, which explains what they can expect from the service. This is very detailed and would be hard for someone who does not read English to understand. But before the people who live in this home moved in, they visited it and spent time there and had the chance to find out what the service would be like. Their families were also invited to visit, to look around and to have their questions answered. The owners of the home made sure that they could meet people’s needs, before they offered them a place to live there. A relative described how the owner of the home got all the parents of the people who were going to live there together, before they moved in. This was so that they could meet each other and the staff and talk about anything that worried them. She said that she was very glad that her son was offered a place, especially as it is near to his family and his own community. She said ‘It was the answer to my prayers.’ Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 9 The home already provides some information in an ‘easy to read’ form. It should continue to improve all the information it gives to service users, in this way. English is the first language of the current residents of this home, and their families. The manager can get information in other formats (like Braille or an audio recording) or in other languages, through the network of services this home is linked to. The home should also make sure that the information on the fees charged is kept up to date. The people who live in this home are all white, British men. People are happy here so they do not plan to move on. But a place could become available in the future, and if it did the home would make sure that it could provide a service based on the individual needs and wishes of any new resident before they moved in. So, the home should make it clear, in its statement of purpose and service user guide, that it welcomes everyone whatever their background, race, culture, impairment, age, gender, religion or sexual orientation. The manager and staff of the home visited people before they moved in, to get to know them. And they found out about them from the people who were already caring about them. The service users’ files showed that the home obtains copies of the assessments carried out by other agencies and professionals, and carries out its own detailed assessment of every aspect of each person’s needs (under twenty headings). These assessments are reviewed regularly, and health and social care professionals are consulted and involved in these reviews, as appropriate. Fourways DS0000007471.V338044.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): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident has a person centred plan, which is based on his or her needs and wishes. People are encouraged to make decisions, to be independent and they get support to take risks EVIDENCE: Individuals’ case files were checked. They showed that the home develops person centred care plans for each individual to meet all the areas of need identified in their assessments. And they involve the person and their relatives in the planning process, as far as and whenever possible. The home also has a key worker system, which allows staff to work on a one to one basis and contribute to the care plan for the individual. The records checked showed that care plans are reviewed once a year. Staff understand the importance of residents being supported to take control of their own lives, and they are aware that it is easier for some people to have their say than others. Individuals are encouraged to make their own decisions and choices. A social worker said: ‘They offer a very good service. They really promote independence.’ Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 11 The home ensures that residents are consulted on a regular basis, individually and through residents’ monthly meetings, to ask them if they are happy with service. The home should develop ways of involving service users in both the development and review of the service. Staff should find ways of showing that people who cannot communicate clearly, with speech or in writing, are still given the chance to express their views and feelings. The individual care plans checked included risk assessments, which had also been reviewed regularly. They identify the ways in which people may be at risk of harming themselves or others (for example while feeding or bathing themselves, going out or managing their money or medication). They also tell staff how to reduce the risk of any harm occurring, without stopping the person concerned from leading a full and interesting life. A relative said: ‘My son doesn’t talk, but he lets them know what he wants and they understand.’ Fourways DS0000007471.V338044.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): Standards 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. The service users get help to do the things that other people of their age, from their community, can do . The home supports them in maintaining their relationships with family and friends. Their rights are respected and they get support to make choices, as far as is practical. They enjoy their meals. EVIDENCE: The records showed that each service user has a person centred plan and individual programme of activities. There is a picture based version of this called an ‘essential life-style plan’, which staff talk to the individual service user about . They do different things everyday, inside the house and in the local community. The house is close to the town centre, so they can walk to pubs, shops and the community centre. The home shares the use of a mini bus and a car with the other home in the same street. This gives the residents of both homes lots of choices about how they spend their time and where they go. People went in and out, individually or with one or two other people, on both days that the inspector was there. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 13 The home makes visitors welcome and staff do all they can to help the residents to keep in touch with their family and friends, and their own community. A relative described how she pops in to the home whenever she wants, because she lives in Stanley. She said that she does not mind if her son is out when she calls, because she knows he will be doing something he enjoys. Even though she visits regularly the staff still bring her son to her home for tea once a week and come back and collect him, because she does not have a car. She said ‘ I know that he likes to come back, because he goes and gets his shoes. That is one way he tells me he is happy here.’ The staff enable residents to celebrate special occasions and to remember family birthdays. A mother described how she always gets nice presents and cards that the staff have helped her son to choose. Some of the residents like to go on holiday every year. The home also has a caravan that some people enjoy going to for the day. They can also call there when they are out enjoying the countryside or outdoor activities, to have their personal care needs met in comfort and privacy, without having to return to the home. The manager and staff at this home respect the rights of the men who live here and try to support them to make the choices that other adults make, while having the privacy and respect that most adults enjoy. Five of the seven residents have their own bedrooms. The two people who share have some privacy provided by curtains. They are used to sharing and like each other’s company but it would be better if they could have the choice to spend more private time apart sometimes. The home employs its own cook, who makes the meals that people like and prepares them in ways that they can manage to eat them most easily. The residents can eat together, at the kitchen or dining table, or separately if they prefer. The inspector observed that the atmosphere at meal times is relaxed and sociable. A support worker explained that she knows that it is important to give people the help they need to enjoy their meals, without making them feel different or left out. A relative of one resident said: ‘He can sit and enjoy his meals. He is not rushed. The meals always look and smell nice.’ The home keeps records of the meals provided and what people eat. The residents are all weighed regularly and records are kept that include comments about why someone may have gained or lost weight. This is so that the manager can make sure people get medical checks if there is a problem, or she can get advice about diet or exercise for individuals if the records show there is a need. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 14 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): Standards 18, 19 and 20. Quality in this outcome area is excellent. People get the care and support they need in the way they prefer and that promotes their physical and emotional wellbeing. This judgement has been made using available evidence including a visit to this service. There is a system to make sure that medication is handled and given to residents safely, by trained staff. EVIDENCE: Three service users’ files were checked. They each contained a plan which explained what the individual’s needs were, how they prefer them to be met and how they can have as much independence as possible. This is so that support workers know how to care for people safely. And they know how to care for them in a way that they are able to understand and cooperate with, to the best of their ability. The service users’ records that were checked showed that health care needs and the advice and treatment given by doctors, nurses and other therapists are carefully recorded. The records also showed that people’s needs are reviewed regularly and that the staff monitor all aspects of each person’ health and well-being. The manager asks for specialist assessments if she is concerned that an individual’s needs are increasing or the care plan is not longer meeting them fully. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 15 The residents are weighed monthly and their weight is recorded, along with any reasons that it may have changed. If the manager is concerned about anyone’s weight they are weighed more often. This was the case with one of the people whose file was checked by the inspector. Careful notes were made about what the person had eaten and the exercise they had taken. Relatives noticed improvements in the health and welfare of service users. One said: ‘My son is all smiles and he is putting on a bit of weight. We are delighted.’ Two of the residents are currently getting treatment from physiotherapists, who visit them at home. They were there on both days of the inspection. Each of these residents has a detailed mobility plan that describes in detail the exercises that the physiotherapists recommend that the staff carry out. The plans clearly tell staff what needs to be done and why, to help the person improve or recover movement. Staff record carefully the different sorts of exercises and the extent to which the person takes part. The physiotherapists confirmed that the staff are very good at following their guidance and in recording and reporting any changes to the person’s needs or the treatment recommended. Professionals commented on how effectively the manager and staff communicate and cooperate with other professionals and agencies. A social worker said: ‘Any problems they ring straightaway. They are very proactive in engaging and contacting other professionals.’ There is a system to make sure that medication is handled and given to residents safely, by trained staff. Records showed that it is followed consistently. None of the current residents manages their own medication. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home and their relatives feel that their views are listened to and acted upon. The home’s policies and procedures protect service users from abuse, neglect and self-harm. EVIDENCE: The home has a complaints policy and procedure and this is provided in a form that is easy to understand, with pictures as well as words, but there have been no complaints recorded since the last inspection in December 2005. A relative said that she was aware of the Complaints Procedure. She said ‘If I had any serious complaints, my husband would see into it. But I never have any complaints. The manager is very understanding and helpful.’ The people who live in the home do not have independent advocates who visit them and know them. But most have relatives who visit and attend personcentred planning meetings. They can also be consulted on decisions about the residents’ lives. Relatives have signed the contract on behalf of the service users. This is the written agreement the home gives each service user to tell them what the home will provide and what the charges will be. The home can get someone independent to come to speak up for any person who does not have a relative to support them or act for them in this way, if there is a major problem or decision to be made. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 17 The home has policies and procedures to protect the people who live there from harm, through neglect or abuse. The policies explain the rules about keeping people safe and the procedures explain how the home expects the staff to follow those rules. For example who to report any concerns to and what records to make. The staff have had training about the signs and symptoms of abuse and neglect and what to do if they think it has happened. The staff interviewed showed that they have understood this training and would know what to do, although they have not had any direct experience of being in a situation where an allegation of abuse was investigated. The manager has had experience of reporting her concerns that a vulnerable person had been abused in another service and being involved in the investigation. She recognises that it is important that staff are kept up to date with Adult Protection training. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 18 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): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, safe and clean. EVIDENCE: The home is like a large family house. It has an open plan living room and dining area, and a large kitchen, with a table that all the residents can sit around together. It has a well-kept front garden, with a large, pleasant conservatory, and a paved back yard. There is free parking on the street outside, for staff and visitors. There is one ground floor bedroom, which two people share. This room is suitable for people who have mobility problems. The two people who share it have separate sleeping areas with curtains for some privacy. They are friends and have known each other for many years, and they were used to sharing a bedroom with other people, before they moved in. If one of these two people ever moves out, this room should only be used in future for one person or for two who choose to live together as a couple. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 19 The other five residents have single rooms upstairs and have the privacy to do what they want in them. One resident showed the inspector his room. It is large and pleasantly furnished. There are lots of things in it to show that it belongs to one person, like bedding, ornaments, family photos and drawings. The resident said: ‘This is my bedroom. That’s my bed. I like it.’ It is important that people have their own rooms to help them to have privacy and dignity, particularly when they need help with their personal care. And also so they can make choices about their lifestyle, personal relationships and activities, without offending or disturbing anyone else. There are enough bathrooms and equipment so staff can help people with their personal care, comfortably, safely and while preserving their dignity. The manager is always looking for ideas and advice on how she can improve the home and the equipment to make life better for residents who have mobility problems or need help with their care. The home is in a good location, near the centre of Stanley and in walking distance of local shops, pubs, open spaces and community and health centres. It is also close to the bus station, this helps relatives who do not have cars to visit and some service users like to go out on buses with staff. The manager keeps records that show that the home itself is well maintained and that health and safety checks are carried out regularly. Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 20 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): Standards 32, 33,34, 35 and 36. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff have the skills and knowledge to meet people’s needs. Service users are protected by the home’s recruitment policies and procedures. EVIDENCE: Staff rotas, daily records and care plans showed that there are enough carers working in this home and that the manager is involved in the daily routine. The team works between the two homes in Benton Terrace. So there are always enough staff on duty to give people the care they need as well as to take them out and about and to help them to do the activities that they enjoy. The home has a part time cook who comes in every day to plan and prepare meals. It also employs a part time domestic worker to do housework. Most of the staff have worked in the home for several years, some since it opened in 1991. This means that the staff know the residents, their families, and the local community and services well. They also know each other and what the manager expects of them and they work well together as a team. A relative said: ‘The staff are not changing all the time and that’s a good sign.’ Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 21 The manager also manages this with the sister home that is also in Benton Terrace, this means that the staff can be used flexibly between the two services, so that the staff are there when they are needed to suit the people who live in the homes. A social worker said: ‘They have static staff, so people get continuity of care.’ The home has policies and procedures for recruiting staff that treat all applicants fairly, but checks that individuals who are unsuitable to work with vulnerable people are not given jobs. The current staff team are all white women. This is not unusual in a care home in the area, even though the home has a policy of treating all applicants for jobs fairly. One support worker commented that she thought that some of the residents had liked it when there was a man on the team. But none of the men in this home seem to dislike having their personal care provided by women. Relatives agreed that all the residents like the women staff and are happy being cared for by them. Only one new person has started to work in this home since the last inspection, in December 2005. Her file showed that the home had followed its procedures in appointing her and had done all the checks required. New staff are put through a structured induction programme called the Learning Disabilities Award Framework. This makes sure that they have the basic knowledge they need to care for people safely. The new member of staff was interviewed. She has already also got her National Vocational Qualification in Care (NVQ) level two in care, which is the recommended qualification for care staff. Staff get regular supervision through one to one meetings with their manager to talk about how they do their jobs. The manager also gets good support from the operations manager for all the homes. The support worker interviewed said that she gets good support from the manager and her colleagues. She also described how the manager had supported her when she had become pregnant soon after starting to work in the home and made sure that she was not at a disadvantage in her future career. She was also very understanding about her childcare responsibilities, when there was a family crisis. Service users benefit because this home makes sure that it does not lose good staff, by having employment and management practices that recognise that people who have caring responsibilities at home often make very capable, reliable carers. The staff have the knowledge and skills they need to care for people safely. A relative commented: ‘They are always going on training. They know what to do.’ The home has an annual training programme. The records show that all the staff have the training on the most important things they need to know to care for people safely. Their knowledge is also kept up to date by refresher training every year or every three years. A support worker said: ‘I have had enough training to feel confident.’ Seventeen of the twenty care staff already have achieved the National Vocational Qualification in care at level two or Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 22 above. That means the home has done much better than the national target that 50 of care staff should have a suitable qualification. Fourways DS0000007471.V338044.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,38, 39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run. Service users benefit from the shared ethos and values of all the people involved in developing and managing this home. Service users’ views and interests inform service developments and their welfare is protected. EVIDENCE: The registered manager has worked in this home since it opened in 1991 and has managed it since 1995. She is a member of the family that runs the home and shares their beliefs in the rights of people with leaning disabilities and the importance of respecting the differences between individuals. She has a Registered Manager’s Award and a Level 4 National Vocational Qualification in Care. These are the recommended qualifications for managers of care homes, because they show that managers have achieved the standard of knowledge they need to run a service. She has other qualifications that her help to do her job properly and keeps trying to learn new skills and ways of improving the Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 24 services she runs. The manager gets good support from the operations manager for all the homes in the network. A social worker who visits this home said that she considers that it is well run and in the interests of the people who live there. She explained: ‘They work towards being a family unit and achieve a family atmosphere.’ The service also has an ‘Investors in People’ Award, which it achieved in 2004. This is a national accreditation system that shows that an organisation has met the standards set in all aspects of being a good employer. The service managers are working towards having this renewed in July 2007. The home has begun to develop a system for checking that its services are of a good enough quality and that they are providing what people need and want. The home carries out a survey every year, when it sends out questionnaires to relatives to ask them what they think about the service. The answers given, on the forms that are returned, are put together and summarised in a report. The last survey was carried out in November 2006, when half the forms were returned. The home also gives service users a picture based survey form to complete. Some do this with the help of relatives, others get help from their key workers. Key workers are also aware of how people who cannot speak up for themselves, or fill in forms, respond to different aspects of the service; how they show what they like and dislike. The home should also find ways of asking professionals for their views about the service and their suggestions for how it could be improved. All this information can then be used to produce a plan for developing the service each year. The manager makes sure that the health and safety of residents and staff are protected. Records show that regular safety checks, fire drills and maintenance are carried out. The operations manager also visits the home at least monthly and carries out spot checks on quality and health and safety issues, which are recorded in a systematic way. The relatives who gave their views said that they did not think that the service provided by the homes could be any better. But the team who run and work in the homes still seek ways of improving it. Fourways DS0000007471.V338044.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 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 4 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 4 4 3 x x 3 x no Fourways DS0000007471.V338044.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. 1 Standard YA39 Regulation 24 Requirement The home must continue to develop and improve its quality assurance system and produce an annual plan using the views and ideas of service users and their representatives. Timescale for action 01/04/08 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 YA1 Good Practice Recommendations The home should provide information for service users and their families in different forms, so that people who can not read English easily can understand it. Information on charges, in each service user’s guide, should be kept up to date. The home should make it clear that it welcomes everyone whatever their background, race, culture, impairment, age, gender, religion or sexual orientation. All the staff should have training in equality and diversity, to increase their understanding that residents may have different needs and choices because of their background, race, culture, impairment, age, gender, religion or sexual orientation. Those who have had equality and diversity training should have opportunities to talk to each other and their manager about how they can put these principles into practice at work and make sure everyone is treated fairly and individual differences are respected. DS0000007471.V338044.R01.S.doc Version 5.2 Page 27 2 YA35 Fourways Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Fourways DS0000007471.V338044.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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