Inspection on 17/10/08 for Helen Ley House

This inspection was carried out on 17th October 2008.

CSCI found this care home to be providing an Excellent 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

Helen Ley House 17/10/06

Helen Ley House 07/02/06

Helen Ley House 30/09/05

Helen Ley House 20/01/05

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Helen Ley House Helen Ley House Bericote Road Blackdown Leamington Spa Warwickshire CV32 6QP     The quality rating for this care home is:   three star excellent 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: Yvette Delaney     Date: 1 7 1 0 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. that people have said are important to them: They reflect the things 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 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 31 Information about the care home Name of care home: Address: Helen Ley House Bericote Road Helen Ley House Blackdown Leamington Spa Warwickshire CV32 6QP 01926313550 01926888972 idurney@helenley.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Multiple Sclerosis Society care home 25 Number of places (if applicable): Under 65 Over 65 0 physical disability Additional conditions: Date of last inspection Brief description of the care home 25 Helen Ley House is a 25 bedded care home providing 24 hour nursing care for adults with physical disabilities who have Multiple Sclerosis. The home provides long-term accommodation to two service users; the remainder of the 23 beds are for respite care. There are 23 single bedrooms and one shared bedroom all bedrooms have en-suite facilities. The home has a physiotherapy department with a hydrotherapy pool for residents to use during their stay. Helen Ley House offers people wishing to use it accessible single storey purpose built accommodation. The home has recently been refurbished and extended to improve the accommodation and facilities available. The home is set in mature landscaped gardens, which are maintained. The home is situated in the Warwickshire countryside, a short drive from Kenilworth and Leamington Spa. It is close to all amenities, which includes a variety of shops, pubs and places of worship. Care Homes for Adults (18-65 years) Page 4 of 31 Brief description of the care home There are vehicles at the home to transport the residents on trips and for appointments. Information about the home is given to prospective residents and their families via the Statement of Purpose and other information brochures. There are three fee bands, which are applied based on the dependency of people choosing to use the home. For 2008 the fees are: Band A 798 pounds, Band B 917 pounds and Band C 1064 pounds per week. Additional charges are made for hairdressing, toiletries and sundries such as newspapers and service users are asked to contribute to activities and outings. Care Homes for Adults (18-65 years) Page 5 of 31 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: three star excellent 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 was a Key unannounced inspection which addresses all essential aspects of operating a care home. This type of inspection seeks to establish evidence showing continued safety and positive outcomes for residents. The inspection focused on assessing the main Key Standards. As part of the inspection process the inspector reviewed information about the home that is held on file by us, such as notifications of accidents, allegations and incidents. Questionnaires were completed and returned by eight people living in the home, a relative and three members of staff, giving their views of the service. An annual quality assurance assessment (AQAA) was completed by the home and given to us on the day Care Homes for Adults (18-65 years) Page 6 of 31 of the inspection. Information provided in the annual assessment by the home manager has been used to inform this report. The inspection included meeting most people living at the home and case tracking the needs of three people. This involves looking at peoples care plans and health records and checking how their needs are met in practice. Other peoples files were also looked at in part to verify the healthcare support being provided at the home. Discussions took place with some of the people that live at the home in addition to care staff and the home manager. A number of records, such as care plans, complaints records, staff training records and fire safety and other health and safety records were also sampled for information as part of this inspection. Three people who were staying at the home were case tracked. This involves establishing an individuals experience of living in the home, meeting or observing them, discussing their care with staff and relatives (where possible), looking at their care files and focusing on the outcomes for the resident. Tracking peoples care helps us to understand the day-to-day life of people who use the service. What the care home does well: What has improved since the last inspection? The home manager has put into place a formal training programme, which makes sure that staff receive both statutory training and training related to the care of people who use the services of the home. This will help to make sure that people living in the home are cared for by competent staff who have an understanding of their needs. A training matrix and records are available to show training attended by staff working in the home. This will support the home to audit training attended by staff and identify those in need of updating. Staff working in the home are supervised by the home manager or the clinical manager. This will help to measure the standard of care delivered to residents and help to make sure staff practice safely at all times. Care Homes for Adults (18-65 years) Page 8 of 31 What they could do better: 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 31 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 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 1, 2, 3 and 4 were assessed. Information about Helen Ley House provides up to date information for people who wish to use the service. People have the opportunity to visit the home before making the decision about where to live. People entering the home for short stays have their needs re-assessed before re-admission to the home. The home will know whether they can continue to meet each persons needs. Evidence: The manager of Helen Ley House has recently updated the statement of purpose and service user guide. These documents provide up to date information for people with multiple sclerosis (MS) who wish to use the services provided by the home. The home provides a specialist service for people with multiple sclerosis. Due to the limited availability of homes that provide this service enquiries about the home come from a wide geographical area. The system for pre admission assessments involves Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: telephone interviews with prospective residents. Set questions are asked to find out about the persons health, physical, social and psychological wellbeing. This assessment is supported by information obtained from health and social care professionals. The potential residents GP is also asked to complete a questionnaire. A conversation with the deputy manager and examination of the admission paperwork showed that the information gained was sufficient to determine whether the home could meet the persons needs. The assessment is completed when the person is admitted to the home. The home offers respite care, records show that people make repeat visits to stay in the home. People making subsequent visits to the home have their assessments updated to find out if there are any changes in their care needs. This information provided staff with up to date information on changes in a persons condition. Assessment documents seen confirm that thorough assessments are completed by the nursing and physiotherapy staff. Care Homes for Adults (18-65 years) Page 12 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 6, 7, 8 and 9 were assessed. Individuals are involved in decisions being made about their lives and play an active role in planning the care and support they receive. Evidence: The care plans of three residents were examined during the inspection. The care plans show that people who choose to move into the home for respite care are involved in the initial assessment and re-assessment of their care needs. The plans show what a resident hopes their stay at Helen Ley House will help them to achieve. For example an increased level of independence within a safe, purpose built and risk assessed environment. Residents usually stay in the home for one to two weeks. Information gained from residents through the preadmission process, discussions with their families and staff Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: and information available in the home help the residents decide how they wish to spend their time during their stay in the home. Personal choices were identified and risk assessments carried out to help make sure residents would be safe in whatever activity they wish to be involved in. The individual programme of activity tries to make sure that people who wish to do so are encouraged and supported to take risks. Personal needs and wishes were identified in relation to the gender of the carer preferred, and recreational and spiritual needs. One person spoken with followed the Buddhist faith. Care staff working in the home were able to support the resident to practice their belief and prepare for a weekend of silence. Care Homes for Adults (18-65 years) Page 14 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 12, 13, 14, 15, 16 and 17 were assessed. Opportunities are available in the home to ensure that residents day-to-day living experience offers a positive and varied lifestyle. Evidence: One of the purposes of the home is to encourage people to try out new experiences and be as independent as possible. People attend events and take part in a programme of activities that they might not be able to take part in their home environment. People living in the home are able to undertake activities in a risk assessed environment with people who are able to support them. People are able to socialise with a mixed age group and take part in group or individual Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: activities of their choice. Residents are informed before admission, about what activities will be taking place during their week, and asked to indicate what they would like to take part in. They are then given an opportunity to discuss this with the care staff at the beginning of their stay and an individual programme is drawn up, and a copy given to each guest and staff so that every one is fully aware of what is taking place. The activities displayed as available for the week were varied. These include going out for lunch, movies in the afternoon based on clients choice and followed by fun and games in the eveing. One of the evening entertainments was provided by a team of girl guides from the local area. Craft sessions are held, residents are supported to go shopping and were given the opportunity to go greyhound racing. The home provides a selection of computers, which are connected to the internet, and during the inspection residents were observed using the computers. Each resident also has access to televisions, DVD and freeview. Staff are available to help people living in the home access this equipment when needed. A Sunday religious services is planned are held by an interchurch group. The activities coordinator is responsible for planning and arranging activities both in and outside the home. This is good practice and allows entertainment and outings to be planned in a way that meets the needs of people using the home. Comments and thank you cards sent to the home by guests and their families were read. Positive comments had been received from residents and their families to express their thanks for the good service, the attentiveness of staff and the facilities available to them during their stay. The inspector ate lunch with the guests in the main dining room. Work had been completed to provide a larger dining room for the guests. This provided a comfortable environment for residents to eat and socialise. The menu on the day of the inspection was fish and chips or poached fish. Residents spoken with said they were happy with the choices available, and that the standard of food had improved. Care staff showed a good knowledge of the dietary needs of people in their care. Staff sat next to residents at the dining table and gave one to one support to help people to eat their food. Residents were not rushed to eat their meals and staff were attentive towards the people in their care. Catering in the home has been taken over by an independent company. The menu is on a four weekly cycle and is changed regularly to take the choices of residents into consideration. Menus seen showed a good balanced diet with plenty of choice. The cook was aware of residents different dietary needs and soft diets were prepared for Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: some residents. Care Homes for Adults (18-65 years) Page 17 of 31 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. Standards 18, 19 and 20 were assessed. Residents healthcare needs are identified. Care plans do not allow staff to document clearly any changes in care needs and the action staff must take to meet the changing care needs of people re-admitted to the home, which could leave residents at risk of omission of care. Staff follow safe medication practices at all times to make sure that the management and administration of medicines in the home is maintained at a safe level. Evidence: Care plans read indicate that the level of personal and health care offered to people during their respite stay is based on a thorough assessment of their needs. Two of the residents followed through the case tracking process spoke highly of the care they received. Comments made in conversation include The staff are very good, they are there when I need them. They (Staff) always ask me if any things (Care needs) has changed and This is a good place to be. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: On each admission to the home residents receive a full physiotherapy assessment during their stay. Physiotherapy sessions are an important part of the residents stay and a course of treatment is offered as part of the care package. Residents are encouraged to attend and the physiotherapy area has been improved to provide access to a good range of varied and suitable equipment. Some of the residents told us that they found the physiotherapy sessions beneficial to their health and felt an improvement to their state of well being. Discussions with the deputy manager, examination of care files and conversations with residents showed us that nursing staff carry out thorough health screening during the assessment process. The care plans do not consistently give staff the opportunity to document clearly any changes in care needs with details of the action staff need to take to meet any new needs that may be identified. The home has secured the services of a local GP to provide short term care and treatment to people admitted to the home for respite care. Dental, optician and chiropody services are available to people during their stay in the home if required. Each resident is asked if there are any changes to their medication before they come into the home. They are asked to bring their medication with them and a repeat prescription if needed. Confirmation of the medication prescribed and details of each residents medical history or concerns since their last visit to the home is requested from the persons own GP. The majority of residents have their medication administered by staff there are those however who prefer to continue taking their medication themselves. Risk assessments are carried out to make sure residents are able to do this safely. Staff are available to offer support if needed. Medication Administration Records (MAR) seen had been completed, and all files had a photograph of each person living in the home to minimise the risk of medication errors occurring. There were no controlled drugs in the home at the time of this inspection visit. Suitable storage and register is available to store and record the drugs safely if they are brought into the home. As the majority of medicines are brought into the home by the residents, nursing staff do not routinely order and check prescriptions. Medicines that are ordered and checked by nurses working in the home are those for the two permanent residents living in the home and emergency medicines such as antibiotics prescribed at the time of the residents stay. All medicines that residents bring into the home with them are checked by the nurses. Where there are concerns these are discussed with the persons GP, the local temporary GP or the persons carer if appropriate. Care Homes for Adults (18-65 years) Page 19 of 31 Care Homes for Adults (18-65 years) Page 20 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 22 and 23 were assessed. Residents and their families are confident that their concerns will be listened to and acted upon in an objective and timely manner. Procedures and training available to staff supports the protection of residents from abuse, neglect and self-harm. Evidence: The registered manager showed us a folder that contained all the complaints, concerns and comments received. There are a large number of people who use the service throughout the year and the amount of comments and complaints received reflect this. Information in the folder shows that the manager responds to each complaint and carries out an investigation as appropriate to each concern. A response either verbally or in writing is forwarded to the complainant. Records are kept, with outcomes recorded. We, the commission have not received any complaints or concerns about Helen Ley House. The home has a detailed complaints procedure, which is easily accessible to residents, relatives and staff. Policies and procedures for the protection of vulnerable adults against abuse are in place, as well as a policy for whistle blowing. The home does now have a copy of the Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: Warwickshire multi agency policy for responding to potential abuse and a copy of the Department of Health No Secrets document. Staff recruitment records show that appropriate pre employment checks for all new staff are undertaken. Recognising the potential signs of abuse, are introduced to staff during their induction period. The protection of vulnerable adults is also covered by staff that have completed the National Vocational Qualifications NVQ. Training in Protection of Vulnerable Adults (POVA) is included as part of the staff training programme. The manager has told us that they have not had to make any referrals related to concerns about adult abuse. Care Homes for Adults (18-65 years) Page 22 of 31 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. Standards 24 and 30 were assessed The home provides a purpose built homely, private, comfortable and safe environment, which meets the needs of people living in the home. Evidence: The changes to the home have had a positive impact for the residents. Helen Ley House is spacious and offers people moving into the home appropriate facilities, which meet their needs. People spoken with who have been visiting the home for a number of years told us that the bedrooms have more space and the aids provided such as the overhead tracking hoist have made living in the home easier. All areas of the home are well used by the residents. Bedrooms reflect each persons individuality personal items reflect the persons culture, religious, and gender. Rooms in the home are well presented and decorated to provide a relaxing and cheerful environment. Rooms are large enough to allow the use of specialist equipment and lifting aids. Storage cupboards such as wardrobes are accessible to promote independence. A room in the home has been called The serenity Room. The room provides a space to help residents meet their individual spiritual or religious needs while living in the Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: home. The room also offers residents who may not have any religious or spiritual needs a space to just be quiet by themselves. The room is well used and enjoyed by residents and families who want to spend time quietly whether as a time of reflection or to meet their spiritual needs in a peaceful setting. Care Homes for Adults (18-65 years) Page 24 of 31 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. Standards 32, 33, 34 and 35 were assessed. Recruitment practices, employment of permanent trained and experienced staff promotes the safety and continuity of care for residents. Evidence: Helen Ley House has sufficient staff on duty with appropriate knowledge and skills to meet the needs of people living in home. Staffing levels in the home is constantly reviewed and changed, based on the needs of the resident group at any one time. Each shift is covered by a registered nurse assisted by care assistants. The manager and duty rotas told us that staffing levels are consistently maintained. The shifts are covered as follows early shift three registered nurses and twelve care assistants. On a late shift one or two registered nurses and six care assistants and on a night shift one registered nurse and three care assistants. The care needs related to staffing levels is assessed before people are admitted to the home and additional staffing is put in place as required. Each residents stay in the home usually begins and ends on a Saturday. This makes the day busy as people are admitted and discharged on the same day. To support the Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: admission and discharge process the number of staff on duty is increased. Helen Ley House has a number of bank staff working in the home, this helps to provide consistency for people using the service on a regular basis. The home does use agency staff occasionally to make sure staffing levels are not depleted. Two staff files examined show that good recruitment and selection procedures are followed, which will support safeguarding service users from the risk of harm. Files also contained evidence that staff had received induction training. Induction includes providing staff with practical training and knowledge on meeting the care needs of people with multiple sclerosis (MS). Volunteer recruitment follows approved procedures. Information in the homes completed AQAA, staff files and speaking to staff show that staff have regular supervision meetings with the home manager or clinical manager. Supervision is supported by ongoing daily contact and observation of day to day practice. Further information in the AQAA and training records told us that more than 50 percent of care staff have an NVQ level 2 qualifications or above in care. The turnover of staff in the home is minimal. Many of the staff have worked in the home for some time hence they have the experience and knowledge needed to support and work with people with MS. The Clinical Manager has meetings with the care staff, nurses and meetings are also held at night for staff working night shifts. Residents spoken with said that they felt the staff team were supportive. Care Homes for Adults (18-65 years) Page 26 of 31 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. Standards 37, 39 and 42 were assessed Management and operation of the home ensures the safety of residents at all times, which supports and increases their self-worth and quality of life. Evidence: The manager has been in post for just over two years. She is a registered nurse and her previous experience working within the care industry has had a positive impact on the improvements made in the home. Staff spoken with, remain positive about the manager and her management style. The manager is suitably qualified having completed a number of management and teaching courses. She is involved in training staff. The home manager is supported by a clinical manager. The relationships and interactions in the home between the residents, relatives, staff and the manager was observed to be positive. Residents spoken with said that the manager and staff are approachable. Meetings are held to determine the views of Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: residents, relatives and staff on the running of the home. Minutes are maintained for all meetings are some of these were read during the inspection. These were informative and gave an indication into the discussions that had taken place. Training records show that staff have received training in first aid, Health and Safety, Food Hygiene, and Fire Safety. Attendance at this training will support staff to protect people who live in the home and themselves from the risk of harm. The manager advised in the completed AQAA received by us that equipment within the home has been regularly maintained and serviced such as Pat testing of portable electrical equipment, fire alarms and fire fighting equipment. Maintenance records examined show that regular health and safety checks are carried out and recorded. Checks made include testing the fire alarms weekly and fire drills are carried out twice a year. Care Homes for Adults (18-65 years) Page 28 of 31 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 29 of 31 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 1 2 18 The home should make sure that care plans are updated to provide clear and legible guidance for care staff to follow. This will make sure that clear and up to date guidance is available on residents changing care needs. Care Homes for Adults (18-65 years) Page 30 of 31 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). 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 31 of 31 - 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!