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Inspection on 16/02/09 for Glenholme Residential

Also see our care home review for Glenholme Residential for more information

This inspection was carried out on 16th February 2009.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home have a good team of staff who work well together. The home is led by a good Manager who is very involved in the day to day lives of each of the residents. The care plans are very detailed and reviewed regularly with the residents. They are written in an easy to understand format that includes pictures as and when required. The residents lead a full and active life with many and varied activities that have been risk assessed to suit the individual.

What has improved since the last inspection?

The home has recruited more staff to cover the busier times of the day to ensure residents get their care support at times that match their lifestyles. Residents now have more say about who they would like as their key worker. More thought has gone into what the resident would like when they go on holiday, who they share with etc.

What the care home could do better:

The home could improve on the documentation available to residents by ensuring it is all in the same font and size with spacing that is appropriate for easy reading. The staff supervision could be more timely to ensure 6 sessions a year are recorded properly. The residents personal money could be safer if placed in an appropriate locked safe and that all transactions are signed by two people.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Glenholme Residential 20/22 Cabbell Road Cromer Norfolk NR27 9HX 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: Ruth Hannent Date: 1 6 0 2 2 0 0 9 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 29 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) 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: Glenholme Residential 20/22 Cabbell Road Cromer Norfolk NR27 9HX 01263511101 01263517098 davidhales@halesdavid.fsnet.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): D & D Care Services Ltd Name of registered manager (if applicable) Mrs Debbie Hales Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 17 0 care home 17 learning disability Additional conditions: Seventeen (17) people of either sex with learning disabilties may be accommodated. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home Glenholme is a care home providing personal care and accommodation for 17 adults with learning disabilities. The home is owned by Mr David Hales and Mrs Debbie Hales. The manager is Debbie Hales. The home is located in the coastal town of Cromer and is close to the sea and all other local facilities including pubs, shops and local transport. The home comprises of a pair of large three storey Edwardian terraced houses that are connected to make one home. There are in practice two distinct groups of residents that are only linked at ground floor level. Each group has their own communal areas. The home has 9 single rooms and 4 double rooms. Some of these rooms have en suite facilities. The current range of weekly fees is #330 - #501 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 Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home This inspection report has been completed following a visit to the home. Information received prior to the site visit has also been included such as the Annual Quality Assurance Assessment (AQAA) completed by the Manager, comment surveys received from relatives, residents, staff and health care professionals. The Home had sent one notification since the last inspection and this was also discussed and taken into account. The Commission has not received any complaints and no further information has been received. On the day of this visit 7 residents and 3 staff were spoken to, a tour of the building took place and records were looked at such as care plans, medication, personnel files, training records and health and safety records. What the care home does well The home have a good team of staff who work well together. The home is led by a good Manager who is very involved in the day to day lives of each of the residents. The care plans are very detailed and reviewed regularly with the residents. They are written in an easy to understand format that includes pictures as and when required. Care Homes for Adults (18-65 years) Page 7 of 29 The residents lead a full and active life with many and varied activities that have been risk assessed to suit the individual. What has got better from the last inspection What the care home could do better The home could improve on the documentation available to residents by ensuring it is all in the same font and size with spacing that is appropriate for easy reading. The staff supervision could be more timely to ensure 6 sessions a year are recorded properly. The residents personal money could be safer if placed in an appropriate locked Care Homes for Adults (18-65 years) Page 8 of 29 safe and that all transactions are signed by two people. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ruth Hannent 33 Greycoat Street London SW1P 2QF 02079792000 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 . Information about the home and the service it offers is available and helps people make a decision as to if the home is suitable. Prospective residents are assessed and will only be offered a place if the home think they can meet the needs of the individual. People do have the opportunity to visit and try the home prior to admission if they so wish. Evidence: This home has a clear procedure for ensuring the correct people are admitted to this home by using good assessment procedures and allowing people to stay or visit on a few occasions prior to an offer of a placement being given. In the entrance to the home is a service users guide that has recently had pictures added to it to help people who may not find reading easy. The details are clear but some of the print is small and in coloured text making the print not so easy to read. I did look round the home Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: before moving in and my Social Worker helped me to find the right place for me are just two of the comments given by the residents showing that time and consideration was offered to each one prior to being offered a place. All the observation noted throughout this visit showed that residents appeared to be suitably placed with good interaction between each other and with staff. 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 . Each resident has a comprehensive care plan that reflects their individual needs. Residents do make decisions about their individuals lifestyles. Residents are supported to take risks as part of an individual lifestyles. Evidence: Each resident has a comprehensive care plan. Three were looked at in detail on the day of this visit. Residents were spoken to who talked of the involvement with their folders and the support they get to ensure that their needs and desires are logged and are aimed to be achieved. The care plans were noted to be reviewed monthly and that Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: each person had a designated key worker who is the person that the resident relates to when updating the care plans. Many areas of information and paperwork is also done in picture format but the home does need to look at the size of print when using words that is used and the font is in an easy read style. The Manager tells us in the AQAA of the Review Choices that the staff talk through with each resident at least a week prior to the care plan review that has pictures and print which enables the resident to think about their review before the event actually happens. These documents were seen and had been completed recently. The residents talked about all the various choices they have and how the home try hard to allow the freedom of choice according to the individual need. Group meetings are held as well as individual meetings to ascertain likes and dislikes. On talking to the residents in their lounge it was evident in the way they were talking to staff that they have their say and are listened to. Each person in the home appears to have very active lives and with this goes the risk assessments that were noted in the three care plans seen. The Manager explained the complex travel arrangements for one resident to ensure he gets to visit his family and the liaison with the family to make these visits work. 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 do take part in appropriate occupation and activities. Residents are part of the local community. Residents are supported with their choice of who they wish to have a relationship with. The daily lives of residents are respected to aid and promote independence. Meals are offered with choice and at suitable times. Evidence: The residents have been unhappy with some of the day care provided outside of the home and further activities have started, with extra staff being available to encourage more to be happening in and locally around the home. Two residents, according to the AQAA now attend a support group for people with mental health problems and both Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: have found this supportive. The residents spoken to (4) all talked of the various sessions they attend that included music, Break cluster groups and computer training. Each resident was keen to talk and appeared happy and motivated. The home have varied and enjoyable activities that can meet any of the residents needs. There is a games lounge in the basement and two large lounges for watching the television. The residents have various outside leisure activities and the home has a people carrier to take and fetch people. They go swimming, to the cinema, music club, holidays or just for a drink. The home Manager talked of the support offered to any resident who wishes to have a personal relationship with someone. They have recently had a wedding in the home and the couple now have a bedroom and a sitting room to allow them there privacy when wanted. The gentleman of the couple was introduced to us and appeared very happy and contented. During the walk around one resident had two visitors who had arrived at the home for the first time and were made welcome with a cup of tea. The resident was really pleased to see them and the Manager spent some time chatting with them, hoping they will call again as this person does not have many visitors. 2 comment surveys received from relatives were very complimentary saying they would not wish their loved one to live anywhere else. The residents work with the staff to ensure their rooms are clean and they have routines that suit each person throughout their planned weeks to include the cleaning of their own rooms and doing their own laundry. The menus for the week are on display and each day there is a choice for the residents. They have a four weekly turn around menu and if they do not like what is on offer they can always choose something else. It was noted that the menus were on display in very small print and as mentioned with other paperwork it needs to be in a standard size so that all text that is read by residents is in a large size and in the correct easy read font. There were no comments about the food on the surveys received and residents seen on the day of this visit were talking to the staff about the meals they were having that evening. Fruit was noted to be available with anyone able to have some from the fruit bowl in the dining room. Care Homes for Adults (18-65 years) Page 16 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 residents do have help as and when it is preferred. The home does call on all expert help to ensure the full health support is in place to address all health needs. Medication procedures are in place and safe guard the residents. Evidence: The home have a number of residents who do not need full personal care needs but do need prompting with some elements of their care. Each resident seen appeared suitably dressed and one spoken to showed us her wardrobe full of clothes that she had chosen. The latest outfit she had received for Christmas was a favourite and she loves to wear it on special occasions. The staffing levels are higher first thing in the morning (staff rota seen) to ensure the residents are supported appropriately and that they are up and ready for the transport to take those who go out during the day to Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: their various placements. Residents are supported well for their health care needs by local community services. A comment survey received prior to this visit gave very positive comments such as this is a very observant, supportive home,very person centred,extremely good reports and staff always helpful and professional. One gentleman has problems with his leg and has commented that the staff really help him with this. The Manager also talked about the different outside health agancies that visit according to the support required by the individual. The Manager is very positive and proud of the efforts the home has made to ensure the medication procedures are safe. The locked trolleys are in each dining area and house the Boots dosset systems. Each resident has a photograph to ensure their identity at administration and recently the home has written and laminated a sheet that is relevant to the individual on any homely remedies that the person may require. The details on this sheet were read and were very clear to guide staff appropriately. All staff who administer medication are trained by Boots and then shadowed prior to administering medication alone to ensure the person is competent. The staff talked in their surveys of the training offered as and when required. All the medication administration charts were completed and checked by the Manager regularly to ensure the staff are carrying out the procedures safely. People who attend day services outside the home and need medication through the day have a separate blister pack issued by the chemist. Some difficulty arises when the person has a one off visit somewhere and needs to take the medication with them. The home then has to place the medication in a single dosset box and sends this with the person once risk assessed as to the capability of the individual. Care Homes for Adults (18-65 years) Page 18 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 . Residents views will be listened to and acted upon. Residents are protect from abuse, neglect and self harm. Evidence: The home Manager has not received any complaints and the Commission has not received any notifications to say a complaint had been made. There is a complaints procedure available but again this is not in clear large print for the residents. The comments received, prior to this visit, were that they would always talk to the Manager but some said they did not know how to complain if they were still unhappy. The Home needs to consider a picture format that is understood by residents and then fully explained to them so they do know the procedure to go through if they are unhappy. On talking to the residents they all said it is easy to talk to the staff or Manager and that they had nothing to complain about. The Home has had an issue since the last inspection that required the intervention of the Adult Protection Team. The home acted responsibly and appropriately and nothing further was required in this particular situation. The staff, according to the AQAA and also the seen training certificates have taken advantage of the County Council training days on Protection Of Vulnerable Adults. There has not been any concerns and nothing has been notified to the Commission. Care Homes for Adults (18-65 years) Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is comfortable, safe and homely. Individual rooms are individualised and suitable for the residents. The communal areas are suitable and supplement residents own rooms. Specialist bath equipment is in place to maximise independence. The home is clean and hygienic. Evidence: The home is two older properties knocked through for ground floor access but has two separate facilities in each side. (9 people in one side and 8 in the other). The rooms are all individual and residents have the facility to go somewhere quiet or be with the other residents as they wish. The home was clean and tidy and has character that offers a homely environment. Fire records are up to date (seen) alongside a comprehensive fire risk assessment. One resident showed us her own room that had many personal items that she was proud to show us. The furniture was suitably arranged and there was a large bathroom for individual use. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Two adequate sized lounges were in use and had comfortable furniture for people to relax in. The two dining rooms had small tables that were shared between 4 people. Access to the games room and laundry room is down the stairs to the basement. There the residents have access to table top games, jigsaws or a computer. The house does have stairs to access most communal rooms in the home and is therefore not suitable for people with mobility problems. The home has recently had installed a bath aid to help someone transfer in and out of the bath on a battery powered seat. The home, to date, does not have a service contract in place for this item and needs to contact the company to ensure it is serviced regularly. The home has one small laundry that has one washing machine and one tumble dryer. On the day of this visit the washing was being dried in the staff bathroom and some outside as the dryer was not working. The home has a lot of laundry to manage with 17 residents and although a good quality washing machine is in place there is no second machine if this goes out of action and with 17 residents a second machine would be advisable. There was not any unpleasant odours throughout the home and residents and staff do keep the home clean. Care Homes for Adults (18-65 years) Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents do benefit from a staff team who know what their roles are. The staff team are competent and qualified. The home could improve on the methods used for monitoring, reviewing and forward planning. The homes recruitment procedures do ensure the correct people are employed and that residents are supported by suitable staff. Supervision and support to benefit residents is in place but needs improvement. Evidence: 4 staff had completed the comments survey prior to this visit and all 4 were full of positive comments. They understand there role and are very much involved as a team to work with the residents to acheive the best support required. The residents discuss, and plan with the Manager, the staff member they would like as their key worker. Throughout observation and seeing the interaction with staff the residents are empowered by the right staff employed in the home. The staff team are led by seniors who are all NVQ 3 qualified. The Manager is striving Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: to get all the staff with an NVQ qualification working in the home. The surveys from the staff all talk of the comprehensive Skills For Care induction that has been suitable. They also feel able and have asked for more details as they develop their own knowledge to ensure they can carry out their role competently. The Manager has a clear procedure for recruiting new staff. Two personnel files were picked at random to look at in depth. All staff have a photograph to identify them and each file seen had all the paperwork expected that included CRB and POVA First, two references, three forms of identification, application form, copy of a contract and training certificates. The staff comments state they are supported well throughout the probationary period and can ask questions of any senior staff member. The training for staff is shown on a training matrix enabling the Manager to prioritise training support required. The staff all commented on the training available and how specialist training is found when a residents needs are identified. Examples given by staff is the stoma care and epilepsy recently offered. The most recently recruited staff member had records of her completed induction as 09/09/08. She then had fire safety completed on the 19/01/09 with more training planned on the matrix for person centred planning. It was noted that some training was a little over due fot refreshing and needs to be programmed in. The Manager does have an annual appraisal system in place but the 6 supervision sessions recommended per year are not up to date and noted on 2 staff comments were the missing one to one sessions that would be appreciated. They also say that they have no problems in talking to the Manager who will always have time to listen to them. The home is also in the process of recruiting a Deputy Manager who will, once inducted be able to take on some of these supervisions and training sessions required. Care Homes for Adults (18-65 years) Page 23 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 do benefit from a well run home. Residents are confident that their views underpin the service offered but wider surveys of other stakeholders would benefit the home further. The health, welfare and safety of residents is promoted and protected. Evidence: The Registered Manager has managed the service at Glenholme for many years. She has over 20 years experience, has an RMA qualification and is an NVQ Assessor. The Manager has the correct policies in place (not checked) and throughout discussion and from the feedback from relatives, residents, staff and health professionals this person runs a very well organised and person centred residential home. A form of residents surveys was carried out over a year ago but this was not a detailed quality assurance survey that included all stakeholders in the quality process. Nor has feedback on the outcomes been written and then used to plan the development of the service. Monitoring, reviewing and development needs to be a regular cycle within the Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: home to be able to evaluate and improve the service. Many training sessions have taken place to ensure that staff are aware of health and safety. The Manager also tell us in the AQAA that residents health, safety and welfare is promoted. The fire safety training had been carried out on the 19/01/09 and certificates were seen. The fire officer has commended the Manager on her thorough fire risk assessment of the building. The electrical system was serviced on the 12/01/09, food hygiene training is booked for March. The COSHH safety data sheets are in place and seen but have not been reviewed for some time and need to have a review planned to ensure nothing has changed. It was noted that the residents personal money was stored in individual tins and held in the office and not in a safe. Although the Manager told us the office is always kept locked it is advisable that money is in a safe. The records of residents money was discussed and noted was the involvement of residents who are able to sign. Those who are not, at present only have one staff member sign the money in and out. There are emergency contact numbers for all call outs in case of an emergency and all main utilities have an up to date certificate of safety.(seen). Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes  No  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 26 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 Description 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 Description 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 1 1 The home should consider the text used when offering information to potential residents ensuring it is in the easy read font and of a suitable size. The home should ensure that the formats used for residents to enable them to make a complaint are understood by the individuals. The home should ensure the bath hoist for one resident is serviced regularly and a record maintained. The home needs to ensure the training courses are up to date as noted on the training matrix. The Manager needs to plan regular supervision sessions with all the staff using the line management in the home to ensure sessions are carried out. The safety data for all chemicals in the home should be reviewed to ensure that up to date information is in place. It is recommended that the residents personal money should be locked in a safe and not in money tins stored in Page 27 of 29 2 22 3 4 5 29 35 36 6 7 42 42 Care Homes for Adults (18-65 years) the office. 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 © (2009) Commission for Social Care Inspection (CSCI). 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