Inspection on 09/02/09 for Inchmahome Residential Home

This inspection was carried out on 9th 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.

Other inspections for this house

Inchmahome Residential Home 07/02/06

Inchmahome Residential Home 26/07/05

Inchmahome Residential Home 07/03/05

Inchmahome Residential Home 10/11/04

Inchmahome Residential Home 23/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Inchmahome Residential Home 11 The Avenue Trimley St. Mary Felixstowe Suffolk IP11 0TT 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: Julie Small Date: 0 9 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 32 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 32 Information about the care home Name of care home: Address: Inchmahome Residential Home 11 The Avenue Trimley St. Mary Felixstowe Suffolk IP11 0TT 01394285675 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) : margaret@cephas-care.co.uk Mr Christopher James Hewson care home 4 Number of places (if applicable): Under 65 Over 65 4 0 learning disability Additional conditions: Date of last inspection 2 5 0 9 2 0 0 6 A bit about the care home Inchmahome was opened as a residential home for adults with learning disabilities in 1994. It is registered to accommodate and care for up to four residents. The home is part of the Cephas Community Care group. Inchmahome consists of a single storey building in a residential area of Trimley St Mary, close to all local facilities including the train station. The residents use all parts of the home. There are four bedrooms, one of which has en-suite facilities. There is a communal lounge Care Homes for Adults (18-65 years) Page 4 of 32 and small dining room. There is a large garden to the rear. There is parking to the front of the home. The home is easily accessible by car and was situated off the main A14. Both the towns of Ipswich and Felixstowe were within easy reach by car or public transport. The fees for this home at the last key inspection ranged from £446 to £1397 per week. Care Homes for Adults (18-65 years) Page 5 of 32 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 32 How we did our inspection: This is what the inspector did when they were at the care home The unannounced inspection was undertaken by Julie Small Monday 9th February 2009 from 11:45 to 15:45. The inspection was a key inspection, which focused on the core standards relating to adults. We met the four people that lived at the home and one person that lived at the home was spoken with. We talked with a relative of a person that lived at the home. Care Homes for Adults (18-65 years) Page 7 of 32 We spoke with the manager and two staff members that worked at the home. We looked at the care plans of three people that lived at the home. Other records that were viewed included staff recruitment records and staff training records. Other records that were viewed are identified in the main body of this report. The Annual Quality Assurance Assessment was sent to us by the agency before the inspection and this detailed their views about the service that they provided. Care Homes for Adults (18-65 years) Page 8 of 32 We received surveys from two staff members that worked at the home. What the care home does well People are provided with a clean, homely and well maintained environment to live in. Peoples choices were listened to. Care Homes for Adults (18-65 years) Page 9 of 32 Peoples care plans showed that they were consulted with about the care that they were provided with. Staff were provided with the training that they needed to enable them to meet peoples needs. What has got better from the last inspection Peoples prescribed medication was clearly recorded in their care plans. Care Homes for Adults (18-65 years) Page 10 of 32 The medication records showed that people were protected by the homes medication procedures. What the care home could do better Records of compliments that were made about the home were not maintained in the home, the manager agreed that they would be recorded in the future. Care Homes for Adults (18-65 years) Page 11 of 32 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 Julie Small CSCI Eastern Regional Contact Team CPC1 Capital Business Park Fulbourn Cambridge CB21 5XE 01223 771300 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 12 of 32 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 13 of 32 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 . People who use the service can expect to be provided with information about the home to help them to make decisions if they want to live there, to be provided with a contract and to have their needs assessed before they move into the home. Evidence: People were provided with the information that they needed about the home that clearly explained the services that were provided in the Statement of Purpose and The Service Users Guide. The Statement of Purpose was viewed and included details about the services that were provided by the organisation, the aims and objectives of the service, information about the proprietors and the manager, photographs of the premises and the managers, training that was provided to staff and a summary of the complaints procedure. The Service Users Guide and a contract were present in the care plans of three people that lived at the home that were viewed. The Service Users Guide identified the terms and conditions of living at the home, the managers qualifications, details the environment, choices, activities, the care plan and the role of the key worker. The contracts were signed and dated by person that lived at the home to show that they Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: had been made aware of the terms and conditions. The records of three people who lived at the home were viewed and each held a detailed needs assessment, which identified the persons needs and preferences of the support that they required in their daily living. The AQAA stated the company sends two staff out to all referrals. Care Homes for Adults (18-65 years) Page 15 of 32 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 . People who use the service can expect to be provided with a detailed care plan, which identifies how their assessed needs and preferences are to be met and to be supported to make decisions about their lives. Evidence: The care plans of three people that lived at the home were viewed, which detailed how their assessed needs and preferences were to be met. The care plans included the details of the support that people required and preferred in areas such as with their personal care, communication and behaviour and the areas of their care that they could attend to independently. The records were updated regularly to reflect peoples changing needs and preferences. A staff member was spoken with and stated that the care plans included the information that they needed to enable them to meet peoples assessed needs. They stated that they were a key worker to one person and that they ensured that the care plans were reviewed on a monthly basis to ensure that their changing needs were addressed. Two staff surveys stated that they were always provided with enough information about the people that they supported and that the ways that they passed on information worked well. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Daily records were maintained in an individual daily diary for each person that lived at the home. They clearly identified the support that people had been provided with on a daily basis, the activities that they had participated in and the choices that they had made. The care plans held risk assessments, which identified the assessed risks in peoples lives and the methods of minimising the risks to ensure that people were safeguarded. Risk assessments included issues such as manual handling, mobility, personal care and activities. The AQAA stated care plans, risk assessments are updated when felt there are any changes in the service users needs. A person that lived at the home was spoken with and stated that they felt that their needs were met at the home. They confirmed that they chose what they wanted to do each day and that the staff at the home had supported them in making decisions about their future. A relative of a person that lived at the home was spoken with and they confirmed that the staff at the home ensured that their relatives preferences and choices were respected. People were provided with opportunities to express their views and choices about the service that they were provided with in monthly key worker reviews, care reviews and monthly house meetings. The records of monthly key worker meetings and minutes from a recent house meeting were viewed and identified that people were asked if they were happy with the support that they were provided with. Care Homes for Adults (18-65 years) Page 17 of 32 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 . People that use the service can expect to be supported to participate in appropriate activities, to be supported to maintain their chosen contacts and to be provided with a balanced diet. Evidence: The care plans of three people that lived at the home were viewed and they identified the daily activities that people chose to participate in, such as the day services that they regularly attended. Each care plan included information about each persons chosen daily routines, such as with their personal care. A person that lived at the home was spoken with and told us about the day services that they attended Monday to Friday of each week. They stated that they enjoyed their chosen day services and that the staff at the home supported them to participate in other activities, such as shopping and going out to eat. They said that they regularly used public transport and that there was a train station and a bus stop within walking Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: distance of the home which they could access to visit local towns. The person stated that they had a key for their bedroom, which they kept locked when they were out of the home, that the staff treated them with respect and that their privacy was respected. The interaction between staff and people that lived at the home was observed to be friendly and professional and they included the people that lived at the home in their discussions. During the inspection staff were observed to read a book with a person, dance to music with another person and they played monopoly with two people. It was noted that there was lots of laughter in the home from both staff and the people that lived there. Peoples care plans included information of the contacts that they maintained with their family and friends and the support that they required in maintaining the contacts. During the inspection a relative was visiting a person that lived at the home. The relative was spoken with and said that they were always made welcome in the home and that they made telephone calls to their relative on a regular basis. They said that when they visited the home they were offered drinks and meals. A person that lived at the home said that a relative had visited them and that they were made welcome in the home. The AQAA stated service users have no restrictions on family and friends visiting the home or being accompanied out to walks and lunch with family. The menu was viewed and it was noted that people were provided with a balanced diet, which included fresh vegetables and fruit. A person that lived at the home was spoken with and said that they enjoyed the meals that were provided, they said that they chose what they wanted to eat. During the inspection staff were observed to offer people choices of what they wanted to eat for lunch and people were offered choices of drinks throughout the day. The care plans of three people that were viewed identified their dietary requirements and the specific support that they needed with their meals. Records of regular weight checks were maintained. We had received information from an anonymous source, regarding the weight gain of a person that lived at the home. The records of three people that were viewed showed that two people had gained seven pounds since August 2008 and one person had gained fifteen pounds. The records of one person showed that support had been sought from their doctor regarding their weight and nutrition. The manager was spoken with and they explained how they had promoted healthy eating at the home and that the staff team were currently undertaking a distance training course on health and nutrition. They explained that people were provided the opportunity to go out for walks to ensure that they exercised. However, one person had refused the offers to exercise and that they had sought support and guidance from their doctor and a dietician to ensure that the person was healthy. Care Homes for Adults (18-65 years) Page 19 of 32 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 . People that use the service can expect to have their health care needs met and to be safeguarded by the homes medication procedures. Evidence: The care plans of three people that lived at the home were viewed and each detailed the personal support that people needed and preferred to meet their assessed needs. They identified the areas of their personal support that they could attend to independently. Each persons care plan held a detailed record of their preferred routines, such as what time they usually got up in the morning, what time they usually went to bed, when they chose to bathe, for example how many times each week and in the morning or evening. A person that lived at the home was spoken with and stated that they were consulted with about the support that they required with their personal care and that the staff respected their privacy. They said that they shopped and purchased their own clothing and they chose what they wanted to wear each day. They said that if they felt ill then the staff helped them to see a doctor when they needed to. Peoples health care needs were met. Peoples care plans that were viewed showed Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: where they had attended health care appointments, such as with a doctor, optician or dentist, the outcomes of the appointments and the follow up actions that were needed to be undertaken by the staff at the home. The AQAA stated all service users have access to specialist health authorities should they need it. Service users have regular health checks, these are then recorded in there individual files. The AQAA also stated that one person had been provided with the service of a speech therapist. People were safeguarded by the homes medication procedures. Peoples care plans held a medication profile, which identified the medication that was prescribed and the arrangements for the administration of their medication. Where people were prescribed PRN (as required) medication there were clear guidelines, which identified at what points of behaviour should the medication be administered and the methods of administering the medication. The medication was stored in a secure cabinet and MDS (monitored dosage system) blister packs were used. The MAR (medication administration records) charts were viewed and it was noted that there were no unexplained gaps. Staff had signed the sheets when medication had been administered and when medication had not been administered codes were used, for example when people were on home leave. A book was viewed, which showed when people had taken their medication with them to their home leave. Two staff members were spoken with and stated that they had been provided with training on the safe handling of medication, which was confirmed by the staff training records that were viewed. They said that they were confident that they had been provided with the training that they needed to ensure that they handled and administered medication safely. Care Homes for Adults (18-65 years) Page 21 of 32 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 . People that use the service can expect to have their complaints listened to and acted upon and to be protected from abuse. Evidence: There had been no complaints made since the last inspection. The complaints procedure was viewed and detailed how people could complain about the service that they were provided with and the actions that would be taken as a result of the complaint. People were provided with a summary of the complaints procedure in the Statement of Purpose and the Service Users Guide. A person that lived at the home and a relative of a person that lived at the home were spoken with and said that they knew how to make a complaint if they were unhappy about the service that they were provided with. A staff member that was spoken explained the support that they would provide to people if they wished to make a complaint. Two staff surveys said that they knew what to do if a person wished to make a complaint. The manager was spoken with and stated that compliments that were received were forwarded to the homes head office. There were no records of compliments kept in the home. The manager agreed that they would ensure that compliments were recorded and maintained in the home. The staff training records that were viewed showed that staff were provided with safeguarding and Unisafe training. Two staff members that were spoken with confirmed that they had received the training and they clearly explained their roles Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: and responsibilities when working with people who displayed aggressive behaviours and if they had concerns about the well being of people that lived in the home, which included whistle blowing. There had been no safeguarding referrals made since the last inspection. Peoples care plans that were viewed identified the support that they required with their behaviour. The manager explained that the staff at the home were provided with Unisafe training and they had been advised of methods of diverting aggressive behaviours. They said that they audited incident records to check if there were patterns to behaviours and if there were improvements that could be made in the support that people were provided with to minimise incidents. Incident records were viewed and clearly identified actions that were taken to support people with their behaviour. The finance records of one person that lived at the home were viewed, which included the incoming and outgoing of money. The finance records were signed by two staff members for each transaction which ensured that their finances were safeguarded. Care Homes for Adults (18-65 years) Page 23 of 32 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 . People that use the service can expect to be provided with a clean, comfortable and well maintained environment to live in. Evidence: The home was observed to be clean, well maintained, homely, warm and tidy. A person that lived at the home that was spoken with stated that they were satisfied with the environment that they lived in. They showed us their bedroom, which was clean and held items of their personal memorabilia. People were observed to use the communal lounge/dining room and a smaller sitting room next to the kitchen. The AQAA stated we support our service users to help to keep the home clean and tidy and that improvements that had been made in the last twelve months were lounge decorated, new carpet. Carpet to 1 service users bedroom. The manager explained that a staff member was responsible for checking the maintenance and safety of the home on a regular basis and when the need for repairs were identified requests were forwarded to the homes head office for action. They stated that the homes guttering had recently been replaced. The laundry was of domestic style, which was suitable for a smaller care home. Two staff members that were spoken with were aware of their roles and responsibilities in infection control. The manager stated that training for infection control was due to be Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: provided to staff 24th February 2009. It was noted that there were hand washing facilities available for staff to minimise cross infection, which included disposable had drying towels and liquid soap. Care Homes for Adults (18-65 years) Page 25 of 32 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 . People who use the service can expect to have their needs met by staff that are trained and supported to do their jobs and to be protected by the homes recruitment procedures. Evidence: The AQAA stated that there were nine staff that worked at the home, five had achieved an NVQ (National Vocational Qualification) and three were working on their awards. At the time of the inspection the manager told us that since the AQAA had been completed there had been six staff members employed at the home and three had started to work on their NVQ awards and three were due to register for their awards the week after the inspection. A staff member that was spoken with stated that they had achieved their NVQ level 3 award and another staff member said that they were due to start on their award. The home had met the target of 50 of staff to have achieved an NVQ level 2 by 2005, which was identified in the National Minimum Standards relating to adults. People were protected by the homes recruitment procedures. The recruitment records of three staff that worked at the home were viewed and it was noted that the appropriate checks had been made to ensure that people were safeguarded. The records held POVA (protection of vulnerable adults) first checks, two written references, identification and a record of their work history. Two of the recruitment Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: records held CRB (Criminal Records Bureau) checks and one did not. The manager was spoken with and reported that two newly recruited staff members had not yet received their CRB checks, however, POVA first checks had been completed and that the staff members did not work unsupervised with people until their CRB was received. A concern from an anonymous source had been received which stated that a staff member who had not received a CRB check was working unsupervised with people. The manager said that this was not the case and they provided the rota to show that the two staff members who had not yet received a CRB check were supervised when on shift. Two staff surveys stated that the appropriate checks had been undertaken when they started work at the home and one commented I am still waiting the arrival of my CRB certificate I have had constant supervisions when with clients at all times. Staff records that were viewed showed that they were provided with regular supervision and probationary report meetings when they started working at the home, which provided staff with the opportunity to discuss issues. Newly recruited staff were provided with an induction which met with the Skills for Care Common Induction Standards. Two staff surveys and two staff members that were spoken with stated that they had been provided with an induction when they started working at the home and that the induction provided them with the information that they needed about their roles and responsibilities. The training records of staff that were viewed, which included training certificates, showed that staff were provided with the training that they needed to meet peoples needs. Training included first aid, manual handling, Unisafe, medication, safeguarding, epilepsy and food hygiene. Two staff surveys stated that they were provided with training which helped them to understand peoples needs and that kept them up to date with new ways of working. Two staff members that were spoken with reported that the training provision at the home was good and one explained that the staff team were undertaking a distance learning course on food and nutrition. Care Homes for Adults (18-65 years) Page 27 of 32 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 . People who use the service can expect that the home is appropriately managed, is run in their best interests and that their health and safety is promoted and protected. Evidence: The home was run by a person that had been successful in the CSCI registered manager application process. The manager was spoken with and stated that they had achieved an NVQ level 4 in management and RMA (registered manager award). On the day of the inspection the manager had attended a first aid training update and the manager stated that they kept their knowledge up to date by attendance of training courses, such as the first aid course and that they were undertaking a distance learning course on health and nutrition. The home was run in the best interests of the people who lived there and they were provided with the opportunities to express their views about the service that they were provided with in regular house meetings, their care reviews and regular key worker meetings. The manager told us that people who used the service and their relatives were provided with the opportunity to comment on the service that they were provided with in annual satisfaction surveys and in the monthly Regulation 26 visits. The Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: satisfaction surveys which were undertaken in 2008 were viewed and it was noted that the comments made were positive. The manager told us that they if issues had arisen from the satisfaction surveys they would ensure that actions would be taken to resolve them. The Regulation 26 visit reports were viewed and it was noted that they were undertaken on a monthly basis. The manager explained that they were responsible for completing annual quality assurance reports on all areas of the home, such as record keeping and health and safety. People that lived at the home were safeguarded. A fire risk assessment was in place and the fire safety records were viewed, which showed that fire safety checks and evacuation drills were regularly undertaken. The manager stated that a staff member was responsible for making regular health and safety checks in the home to ensure that the home was safe and well maintained. Areas that were in need of repair were reported and remedied in a timely manner. The records of people that lived at the home that were viewed included risk assessments, which identified the risks in their daily living and methods of minimising the risks. Staff training records that were viewed showed that staff were provided with training to ensure that they were aware of methods of safeguarding people, such as health and safety, manual handling, fire safety, medication, safeguarding, Unisafe and food hygiene. Care Homes for Adults (18-65 years) Page 29 of 32 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 30 of 32 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 Care Homes for Adults (18-65 years) Page 31 of 32 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. 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