Inspection on 01/12/08 for Fritham Lodge

This inspection was carried out on 1st December 2008.

CSCI found this care home to be providing an Good service.

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

Fritham Lodge 04/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fritham Lodge 36 Shirley Park Road Shirley Southampton Hampshire SO16 4PU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mick Gough     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Fritham Lodge 36 Shirley Park Road Shirley Southampton Hampshire SO16 4PU 02380770770 02380774221 manager.fritham@truecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Joanna Elizabeth Watkins-Fellows Type of registration: Number of places registered: Truecare Group Ltd care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 10. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD). Date of last inspection Brief description of the care home Fritham Lodge is a residential home providing care and accommodation for up to ten younger adults who have a mental disorder. It is operated by Truecare Group Limited. The home is situated in a quiet residential area of Shirley and is close to local shops. Accommodation is arranged on two floors providing ten single bedrooms all of which are en-suite and there is also a range of communal facilities and bathrooms. There is an enclosed rear garden, which is laid to lawn. Fees at the home are determined on Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 10 Brief description of the care home the type and amount of support required for each individual service user. Full details of fees are available from the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report details the evaluation of the quality of the service provided at Fritham Lodge and takes into account the accumulated evidence of the activity at the home since the last inspection of the home in January 2007. The inspection took into account; the previous key inspection report and the last annual service review which was carried out in December 2007 when comment cards were sent out to staff and residents at the home. Included in the inspection was an unannounced site visit to the home, which took place on the 1 December 2008 The inspection took into account the views of the people who use the service and further evidence for this report was obtained from reading and inspecting records, Care Homes for Adults (18-65 years) Page 6 of 29 touring the home and from observing the interaction between staff and service users. The inspector had the opportunity to speak with 5 service users, and 6 members of staff. The homes manager was not available at the start of the inspection and a worker who was on duty assisted the inspector until the manager arrived. The home is registered to provide support for 10 service users who have a mental disorder and at the time of the inspection the home was full. What the care home does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this visit. Points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report. General observations were: Generally there are good care plans in place, however the home must ensure that if the care plan identifies any areas, which could put residents or others at risk then suitable risk assessments must be put in place. The homes medication policies and procedures help protect residents and currently the home does not hold any controlled drugs, however should there be a need to keep any controlled drugs, they must be stored in a proper Controlled Drugs Cupboard. In brief, the requirements for CD storage are; Metal cupboard of specified gauge, Specified Care Homes for Adults (18-65 years) Page 8 of 29 double locking mechanism, Fixed to a solid wall or a wall that has a steel plate mounted behind it, Fixed with either Rawl or Rag bolts. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective users of the service can be confident that their needs would be fully assessed before they move into the home. Evidence: The home has a clear admissions policy and both of the service users who were case tracked had had comprehensive assessments in their care plans. Referrals are handled by a referral team from the organisation and they carry out a full needs assessment and also obtain social service assessments if appropriate. The completed AQAA told us that the home meets with potential new users of the service after reading an initial assessment by the referral team. Potential new users of the service then visit the home to look round and meet other residents. The manager confirmed that visits are arranged and these are day visits, overnight stays and weekend stays. Once visits have taken place the home and also the potential new service user can make an informed decision on whether the home can meet the individuals needs. Service users spoken with confirmed that the assessment process was thorough and Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: felt confident that the home could meet their needs. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessed needs and personal goals are reflected in an individual plan of care and people who use the service are supported to make decision about their lives with assistance given by staff. Generally residents are supported to take responsible risks and this allows them to live an independent lifestyle as much as possible. Evidence: Care and support plans were seen for two residents and these were comprehensive documents and were clear and easy to follow. Care plans were made up from individual support plans and also and gave clear information on individual, problems and needs and included information on daily routines, mental health, physical aggression, alcohol use, behaviour, self help, personal hygiene and communication. Care plans also had detailed support plans, which identified needs, gave information on desired outcomes and provided an action plan to achieve this. Plans were made up with the involvement of service users and were signed by them together with a member of the key work team. The AQAA stated that care plans were agreed with Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: residents and were reviewed and updated regularly and this was confirmed by recording in the care plans seen and also by residents who we spoke with. Care plans were reviewed every month and the reviews provided an evaluation of how the care plan was working and also detailed any changes that were required. Daily recording was clear and provided good evidence of care delivery. Residents are actively involved in the decision making process in the home and were consulted on all aspects of their lives and their wishes were respected and acted upon. Staff offered support to enable residents to make informed decisions and some had a key to the front door and could come and go as they wished but were asked to inform staff when they were going out and when they were planning to return, other residents needed staff support to go out and this was provided. Residents are able to express their views and wishes to staff who then ensure that their wishes are acted upon and it was clear by talking with residents and observing the staff interacting with them that they are able to make their own decisions and staff respect their wishes and views. There are regular one to one support sessions and residents meeting are held monthly. Care plans looked at contained risk assessments and these were linked to individual support plans and gave details of the assumed risk, the level of risk and also details of the risk. They detailed control measures to minimise the risk and they gave staff good information on any support that was required, however one resident had a support plan for dealing with knives but there was no risk assessment in place with regard to this and the manager told us that she would ensure that a risk assessment was put in place for this issue. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to take part in appropriate activities and they have opportunities for personal development and are encouraged and supported to be part of the local community where they engage in appropriate leisure activities. The homes visiting policy supports residents to maintain family links and their rights are respected. Residents are offered support to plan their own menu are provided with a balanced diet in pleasant surroundings. Evidence: The homes completed AQAA told us that residents are supported to be involved in a variety of activities of their choice and that individual plans were in place, which promote independence, positive risk taking and choice. This was confirmed by the activities plans for each resident. The home employs a day care co-ordinator who organises and arranges activities and educational and occupational courses. There is Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: an activities board in the office at the home and this is made up weekly by the day care co-ordinator and she talks with residents each week about what they would like to do. A number of college and occupational courses are regular activities but other activities are geared to individual choice. Educational courses include, literacy, numeracy and safety awareness, other courses include IT and photography. 5 residents attend a sheltered workshop for adults and this provides them with educational training in a work based environment, there is a woodwork workshop and this makes items such as bird tables, nest boxes and rabbit hutches, there is also a garage/mechanical workshop. The workshops are designed to support and encourage people who want to work and this helps build confidence. The day care co-ordinator also arranges trips into the community with staff support and she also organises a day trip each moth to encourage residents who do not get involved in regular day activities to get out into the community. The home has a 7 seater utility vehicle and also a car, which provides transport for residents. During our visit we saw a number of residents coming and going from the home to participate in various activities and staff were arranging drivers for the transport. The home supports residents to maintain contacts with family and friends and there is a clear visiting policy. Some residents have regular visitors and some go home for short visit or even overnight and weekend stays. The completed AQAA told us that residents are encouraged and supported to maintain links and that the home has a clear visiting policy and visitors are always welcome. Staff spoken to told us that they would respect residents wishes on who they wish or do not wish to see. Daily routines in the home promote residents independence as much as possible and they are encouraged to participate in day to day routines. During the visit staff were observed interacting with residents and they got on well together, staff used residents preferred form of address and those residents we saw appeared happy at the home. The manager and staff told us that residents could be involved as much or as little as they want. Mail is given to residents unopened and staff support is available if required. Residents are encouraged to keep their own rooms tidy and staff support and encourage them with this. Residents are able to move about the communal areas freely and can choose whether to be alone or in company. Food menus are devised on a week-by-week basis with service users involved in planning the menu. Alternative meals are available if requested and drinks and snacks are freely available. At present staff prepare the main meal of the day, which is in the evening. There is one vegetarian and 2 residents who eat only hal hal meat and the home caters for these residents. We were told if cottage pie was on the menu then they would make regular cottage pies for residents but would also make one with vegetarian mince and 2 with hal hal mince so that that no one was singled out as Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: having anything different. The completed AQAA and staff spoken with told us that alternative choices are available if the main choice is not to anyone liking. The kitchen has 3 cookers so that residents can be as independent as their skills allow and staff can support them with cooking if required. We were told that residents can if they wish, choose a particular meal and go out and buy the ingredients and then come back and cook the meal and staff will support them with this. Residents normally make their own breakfast of cereals and toast and also lunch, which is a snack type meal, they can make these independently and staff are on hand to support them if needed. Residents have 24 hour access to the kitchen and are able to make their own drinks and snacks throughout the day. Residents spoken to were very happy with the meals provided and said that the food was good. Care Homes for Adults (18-65 years) Page 17 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, personal and social care needs of residents are set out in an individual plan of care and residents have access to all relevant health care professionals and their health care needs are met. Residents are protected by the homes policies and procedures regarding medication. Evidence: The homes completed AQAA told us that support needs are included in care plans and health care needs are monitored and this was evidenced by the individual plans of care for residents, the plans detail what support was needed and also how residents wanted their support to be given. The home has a mix of both male and female staff and there is a policy on staff members giving cross gender personal care. We were told by the manager that all of the current residents are able to undertake their own personal care tasks but some need verbal prompts. Residents are all registered at 2 local GP surgeries, however may have different GPs. Dental checks are obtained through a local NHS dentist and sight tests are obtained from local opticians. Community nurses are available from the GP surgery and the Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: home has the support of Community Psychiatric Nurses. Residents are able to access other healthcare professionals through GP referral. Residents folders contained medical information and there were details of any health care appointments or visits recorded and these also provided evidence that residents health needs are monitored and met. Residents told us that they were well supported by the staff team. The home has a clear medication policy and procedure and all staff have received training in the administration of medication. The information for the receipt, storage, disposal and administration of medication was clear and there was a protocol regarding any when required medication. The home uses a monitored dose system for medication and records were inspected and found to be accurate and up to date. The completed AQAA told us that some service users have started a self medication programme to help develop their skills and level of independence. One resident spoken to who self medicates told us that he receives good support from staff to help him with his independence. The homes storage arrangements for medication are satisfactory and currently the home does not hold any controlled drugs. However it was pointed out that the law concerning the storage of controlled drugs has recently changed and should there be a need for any controlled drugs to be held at the home, they must be stored in a proper Controlled Drugs Cupboard In brief, the requirements for CD storage are; Metal cupboard of specified gauge, Specified double locking mechanism, fixed to a solid wall or a wall that has a steel plate mounted behind it, fixed with either Rawl or Rag bolts. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are protected by a simple, clear and accessible complaints procedure and are protected by the homes policies and procedures for responding to any form of abuse. Evidence: The home has a clear and accessible complaints procedure and this was in a format suitable for the residents at the home. Staff members spoken to were aware of the complaints procedure and they told us that they would assist and support any resident who wanted to make a complaint. Residents who we spoke with were aware of the homes complaints procedure and told us they would speak with a member of staff if they had any concerns. The home completed AQAA told us that there have been 8 complaints received since the last visit to the home and these have all been dealt with in a timely manner and to the satisfaction of those concerned. The home has a copy of the Hampshire Adult Protection procedure and has a whistle blowing policy. Staff training records showed that staff receive training with regard to adult protection and POVA as part of their induction, there is also annual training in Safeguarding. The manager and staff members spoken to confirmed that they had received training and were aware of their responsibilities in this area. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. Evidence: We toured the building with a member of staff and found that communal areas were bright and airy, accommodation is over two floors and all bedrooms are en suite with their own shower and WC, there is also a communal bathrooms fitted with a bath and WC. The homes completed AQAA told us that the environment is well maintained and that the main communal areas of the home have recently been decorated. There is a large communal lounge/dining room with a large wide screen TV where residents can relax, there is also a smaller, quiet lounge with a computer, TV and DVD. The kitchen was spacious with 3 separate cooking areas and residents were supported to make drinks and snacks. Residents we spoke with were very happy with the home and said that they were happy living there. There is a small utility room, which has separate facilities for laundering clothing and this is equipped with a washing machine and tumble drier. Residents are encouraged to do their own laundry and staff are on hand to provide support if required. Residents have specified days for doing their laundry but can also use the machines at other Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: times if required. Staff confirmed that they are provided with protective clothing and the home has policies and procedures on infection control and staff confirmed that they receive training in this area. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Competent, qualified and appropriately trained staff supports residents and meet their needs. The homes recruitment policy and practice protect residents. Evidence: The homes AQAA told us that the home employs 18 permanent care and of these 13 have achieved NVQ2 or above. We looked at the homes staff rota and this showed us that there is a minimum of 6 staff members on duty between 0800 and 2000 and from 2000 to 2200 there are four staff members on duty. At night between 2200 and 0800 there are two staff members on duty who are awake throughout the night. The staff rota allowed for flexible shifts to enable staff to support residents out in the community and additional staff are provided to facilitate activities and appointments if required. The manager told us that she has a stable staff team who are reliable and flexible to meet residents needs. The manager, staff and residents that we spoke with all told us that they felt that staffing levels were sufficient, however one resident said it was frustrating at times if he had to wait for staff to support him. The manager told us that she would keep staffing levels under review as residents needs changed. We had the opportunity to speak with 5 members of staff who were on duty and they all had a good knowledge of the needs of residents, they told us that they felt well Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: supported by the manager and the organisation and were all very positive about the support they were providing for residents. Staff told us that the organisation was good to work for and provided them with the training they needed in order to carry out their roles effectively. The homes AQAA told us that the home has a robust recruitment procedure and we looked at the recruitment records for 2 staff members, records are kept centrally at the organisations head office but copies were available at the home and files contained application form, references x 2, CRB, POVA, photo, passport and birth certificate. The organisation has a human resources department who assist in the recruitment of new staff and staff spoken with told us that their recruitment was thorough. The homes manager told us that there is low staff turn over. The organisation that runs the home has a training co-ordinator who provides training for all staff employed at the homes. Staff undertake induction training in line with skills for care and the induction is carried out over 5 days. Mandatory training is carried out in; moving and handling, fire safety, adult protection, medication, first aid, health and safety, food hygiene and infection control. Additional training is also made available to meet the needs of residents and this includes; Autism awareness, epilepsy, mental capacity act, schizophrenia, diabeties care person centre planning, SCIP interventions and managing challenging behaviour and communication. The manager told us that training needs are discussed at supervision and also at staff personal development planning, she told us that the organisation would support any training that would benefit the residents. Staff members spoken with confirmed that they had received a good induction and said that there was regular training provided at the home. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home and the views of residents and other interested parties are sought on how the home is meeting needs. The health, safety and welfare of residents and staff are promoted and protected. Evidence: The Registered Manager has completed the Registered Managers Award and NVQ4 in Management. We spoke with the manager who confirmed that she has been managing the home for the past two years and she told us that she regularly updates her skills through regular training. Currently the manager is also overseeing and supporting the manager at another of the groups homes and the deputy manager is currently in charge of day to day operations but is supported by the manager and also the area manager. During the visit the manager and all of her staff was able to answer any questions asked of them and all records and documents were up to date and readily available. The staff team works well together and staff and residents appeared to get on well together. The organisation carries out regular quality assurance audits and surveys are sent to residents, staff, care managers and other interested parties, these Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: are received back at the organisations head office and results are collated and a report is provided. The provider carries out regular regulation 26 visits to the home in accordance with the regulations and reports of these visits were available at the home. There are monthly staff and residents meetings and minutes of these meeting are kept and the home acts on issues that are raised at these meetings. The manager of the service has recently started an investors in people programme and she hopes to use this to encourage and support staff to become more involved in the running of the home. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for gas safety, fire alarms systems and equipment, private electrical equipment and fixed wiring. There is an in date fire risk assessment for the building and regular health and safety monitoring takes place. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!