Inspection on 01/10/08 for Little Paddocks

This inspection was carried out on 1st October 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Little Paddocks 14/11/06

Little Paddocks 07/03/06

Little Paddocks 05/09/05

Little Paddocks 22/02/05

Little Paddocks 20/07/04

Little Paddocks 11/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Little Paddocks The Street Little Clacton Clacton on Sea Essex CO16 9LG 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: Ray Finney Date: 0 1 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. 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. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Little Paddocks The Street Little Clacton Clacton on Sea Essex CO16 9LG 01255860307/9 01473828057 coass@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Rohan Vasantha Kumara Dias,Mrs Velambah Dias Name of registered manager (if applicable) Mr Joseph Roy Nadin Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 2 0 0 care home 8 learning disability physical disability Additional conditions: Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 2 persons) The total number of service users accommodated must not exceed 8 persons Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) Date of last inspection 1 4 1 1 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Little Paddocks is a residential care home providing long stay care for up to eight adults with learning disabilities and physical disabilities. The premises are situated in a residential area of Little Clacton close to local shops and a few miles from the seaside town of Clacton on Sea. The service comprises of two separate bungalows, each with four bedrooms. Both properties have their own communal lounge, bathroom, kitchen and laundry. There is a large garden to the rear and side of the property. There is parking to the front of the property. 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 A range of evidence was looked at when compiling this report. Documentary evidence was examined, such as food records, staff rotas, care plans and personnel files. An Annual Quality Assurance Assessment with information about the home was completed by the manager and sent to us before the inspection. Throughout the report this document will be referred to as the AQAA. A visit to the home took place on 1st October 2008 and included a tour of the premises, discussions with some of the people living in the home, the manager and members of staff. Some of the people living in Little Paddocks are unable to communicate verbally, although we were able to have some communication based around facial expressions and gestures. Observations of how members of staff interact and communicate with people living there have also been taken into account. On the day of the inspection the atmosphere in the home was calm and relaxed. We were given every assistance from the manager and the staff team. The home charges between 783.58 pounds and 1,162.14 pounds for the service they provide. There are additional charges for personal items not included in Care Homes for Adults (18-65 years) Page 7 of 32 the fees such as toiletries and clothing. What the care home does well Little Paddocks provides a service that recognises the individuality of people who live there. Staff are able to provide support for people in ways that meet their wishes and needs. One person living in the home said, I love living here. The personal and healthcare needs of people living in the home are met and relevant healthcare professionals are consulted where appropriate. The home is bright, modern and homely. Peoples bedrooms are decorated to their personal taste and the furnishings are of good quality. Visitors are made welcome and people are encouraged to maintain contact with families and friends. People living in the home are encouraged to take an active part in the day to day running of the home. They have access to a range of leisure and learning activities designed to enhance their lifestyle and develop skills. Staff are positive about the service provided by Little Paddocks. There is a stable staff team who provide good quality care. A member of staff who completed a survey stated, I have worked in quite a few care homes but I have to say that Care Homes for Adults (18-65 years) Page 8 of 32 Little Paddocks is the one that seems to have got it right. What has got better from the last inspection There have been improvements to the environment as part of the homes ongoing programme of maintenance, repairs and renewals. This includes some redecoration and new furniture in the communal lounge. Care Homes for Adults (18-65 years) Page 9 of 32 What the care home could do better Staff who have commenced National Vocational Qualifications (NVQ) should continue to be supported to complete the award so that 50 per cent of the staff team hold an NVQ as recommended in the National Minimum Standards. The storage of medication could be improved to include the provision of a Care Homes for Adults (18-65 years) Page 10 of 32 controlled drugs cabinet. 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 Ray Finney CPC 1 Capital Park Fulbourn Cambridge CB21 5XE Care Homes for Adults (18-65 years) Page 11 of 32 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. Through the comprehensive admission process people choosing to live at Little Paddocks can be confident that their needs will be met. Evidence: The manager stated in the AQAA that they continue to provide information on the choice of home through the Statement of Purpose, the Service User Guide and brochures. As previously reported the Statement of Purpose and Service User Guide contain appropriate information for people who may wish to move in to Little Paddocks. Through discussion the manager was able to demonstrate that he is currently reviewing the Statement of Purpose and Service User Guide. Records examined confirm that everyone living in the home has a copy of these documents in their care plan files. The manager stated in the AQAA that they continually assess individual needs and, we continue to offer support not only to the service users but also their representatives and invite the service users to visit the home and for overnight stays Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: prior to admission. As at the last inspection, there continues to be an appropriate process in place to assess peoples needs before admission to the home. There have been no new admissions and everyone living in Little Paddocks has been there for between two and five years. Individual records examined contain comprehensive assessments of peoples needs that cover a range of areas including healthcare needs, leisure, social and cultural needs, communication, making choices and assertiveness. Staff spoken with on the day of the inspection were able to demonstrate a good knowledge of peoples assessed needs. 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 living in Little Paddocks receive good quality care, which is based on their assessed and identified needs. Evidence: The manager stated in the AQAA that what the service does well is, continuing to ensure that service users individual needs and choices are met on a daily basis, which are written into their care plans and individual service user plans are reviewed regularly by the keyworkers. A sample of three care plans examined all contained sufficient detail to ensure staff provide care in a way that meets the needs and wishes of the individual. Care plans identify the need or the problem, say what the objective is for the person and what are the planned interventions to meet the need. Records examined show that care plans are evaluated at least every three months so that peoples changing needs are addressed. Keyworkers have input into the care plans and also do a monthly report on how the care plan is working for the individual. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Care plans are written in a person centred way from the perspective of the individual and contain sufficient detail to ensure staff have the necessary information to provide a good standard of care. We observed during the course of the inspection that people living in Little Paddocks were confidently making their needs and wishes known to the manager and members of staff. People living in the home have varied communication skills, ranging from good verbal communication to others with more limited use of language who need more support to make their needs known. During the course of the inspection we observed good communication between members of staff and people living in the home. The manager and members of staff spoken with all demonstrated a good awareness of the support people need to make decisions and choices and they actively promote decision making. Individual records examined contained evidence that risks are identified through the assessment and care planning process. The risk assessments in place describe the identified risk and the measures taken in response to reduce or minimise any identified risk. 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 choosing to live at Little Paddocks can expect to enjoy a lifestyle that meets their wishes and interests. Evidence: As previously reported, people living in Little Paddocks are unable to access paid employment because of their complex needs, but they are encouraged to continue their education and training by attending college courses. The manager stated in the AQAA, each service user has an activity plan relating to activities such as work, leisure and education. Activity planners contain details of college courses including a drama group and cookery. People spoken with were happy to talk to us about what they like to do. One person spoken with on the day of the inspection had been to college that morning and said they enjoyed going there. Activity planners contain details of a range of activities that people take part in including bowling, hydrotherapy, trips out, shopping and visits to a sensory facility Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: called a Snoozelen. Through discussions the manager and staff team were able to demonstrate a commitment to ensuring that people living in Little Paddocks take an active part in the local community. People are supported to access community facilities including local pubs, shops and the village hall. As at previous inspections, during the course of the day people were coming and going to take part in various planned activities. When asked what the service does well, a member of staff who completed a survey stated, Caring for all the individual needs of service users and good community participation. Staff spoken with said they support people living in the home to keep in touch with their families and friends. Records examined contain evidence that input from families is strongly supported by the service. People living in Little Paddocks are encouraged to take part in daily routines such as shopping, cooking and cleaning, according to their abilities. The manager stated in the AQAA that people are encouraged to, be involved in all aspects of living in the home. In one of the two bungalows where people are more independent, there is a whiteboard with details of some of the domestic activities that people take it in turns to do. These include washing up, drying dishes, mopping or hoovering. At Little Paddocks people have their main meal in the evening because there is a wide range of activities going on during the day. As previously reported, the small size of the home and the domestic nature of the bungalows ensure that peoples individual needs and wishes around eating are taken into account. Meal times are flexible to fit in with what people are doing during the day or when they wish to eat. Through discussions with staff and people living in the home it is evident that people are encouraged to get involved in planning meals, grocery shopping and preparing meals. One person prepares their packed lunch for when they are going to college. Individual menu sheets examined show a range of traditional foods are eaten including jacket potatoes, curry and sausage and mash. There is always a bowl of fruit available. The manager stated in the AQAA that they are trying to encourage service users [to understand] the importance of a healthy lifestyle and diet. 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 using the service can expect their personal and healthcare needs to be identified and provided with the support to ensure these needs are met as they would wish. Evidence: Care plans examined contained sufficient detail to ensure people receive the personal care they need in ways that they wish. There are clear guidelines for staff about how people want their personal care carried out. During the course of the inspection we observed good interactions between members of staff and people in the home and saw that carers follow good practices around maintaining peoples privacy and dignity. Through discussions with the manager and care staff it is evident that they have a good awareness of peoples needs and wishes. Information about peoples individual medical and healthcare needs were well documented in the sample of records examined. Care plans contain ample evidence that people are supported with their healthcare needs. The manager was able to demonstrate an in depth knowledge and understanding of peoples needs in relation to health. Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: There is ample evidence in peoples personal records of input from a range of healthcare professionals including Speech and Language Therapy, orthotics, doctor and optician. One care plan contains a first aid management plan for seizures, which was compiled with input from the community nurse specialist for epilepsy. There are a range of documents for recording health related issues including weight charts and medication profiles. As previously reported the home operates a monitored dose system for medicines and there are appropriate policies and procedures in place to support people with their needs around medication. On the day of the inspection medication records and storage were examined. Medicine Administration Record (MAR) sheets were completed appropriately. The cupboard used for storing medication is secure and large enough to accommodate all the prescribed medication. There were no controlled drugs in use at the time of the inspection. However, through discussion the manager was able to demonstrate that he is aware of their responsibilities around appropriate storage and recording of controlled drugs. There is a cupboard for the storage of controlled drugs that meets current requirements. Overall procedures and practices around the administration of medication are good. 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 who use the service can be confident that their concerns about how they are treated are listened to and acted upon as stated in the complaints and safeguarding procedures. Evidence: Little Paddocks has an appropriate Concerns and Complaints policy in place, which has recently been updated by the manager and there is suitable documentation in place for recording complaints. The manager stated in the AQAA, We continue to improve the concerns and complaints procedure. All complaints received are recorded and acted upon within the appropriate timescales. Complaints forms are available for staff, service users and their representatives. Records examined confirm that there is a copy of the complaints procedure in peoples individual files. There have been no formal complaints recorded since the last inspection. Minor concerns are dealt with as and when they arise and also through discussions at meetings. Issues that are discussed in home meetings are recorded and each person has their own copy of the minutes. People spoken with on the day of the inspection said they would talk to their keyworker or the manager if they had any problems. As previously reported, Little Paddocks has a range of policies and procedures in place Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: that staff must be aware of and follow to ensure that people living in the home are safeguarded from abuse. These procedures include a whistle blowing policy so that staff may be assured that they will be protected if they feel the need to raise any concerns. The manager stated in the AQAA, CRB [Criminal Record Bureau] checks continue to be carried out on new staff prior to employment and this was confirmed in the sample of personnel records examined. Staff files also contain evidence that staff have received training around safeguarding (previously called Protection of Vulnerable Adults or POVA). On the day of the inspection one of the people living in the home had raised some concerns about issues at college and staff were seen to be alert in responding promptly and following up the concern. Staff spoken with were able to demonstrate that they understand their responsibilities around reporting any signs of abuse or poor practice. 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 can enjoy living in an environment that suits their lifestyle and which is homely, well maintained and clean. Evidence: A tour of the premises on the day of the inspection confirmed that Little Paddocks continues to provide a homely environment for the people who live there. The manager stated in the AQAA that they have a, continued a rolling redecoration programme for the home and have upgraded furniture in the communal areas. We saw that the home was maintained to a high standard and the standard of cleanliness was also good. The furnishings throughout the home, both in communal areas and in peoples individual rooms, are of good quality. Peoples bedrooms contain ample evidence of personal possessions, photographs, certificates, ornaments, music systems and football pictures. Bedrooms evidently reflect peoples individual personalities, likes and tastes. People spoken with displayed pride in their rooms. The kitchen in one bungalow has a lowered work surface so that one person who is a wheelchair user can be involved in food preparation. Each of the two bungalows has its own laundry, kitchen and bathroom with showers. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: Laundry areas in both bungalows are clean and well maintained and contain equipment for washing and drying clothes that is appropriate for the size of the home and the needs of the people who live there. Personnel records examined contain evidence that staff have received training relating to hygiene and control of infection. When asked what the service does well, one member of staff who completed a survey stated, providing a homely environment and maintaining it. 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 living in Little Paddocks are cared for by a competent, well trained staff team who can meet their needs and have been employed following thorough recruitment checks to ensure people living at the home are safeguarded. Evidence: Information provided in the AQAA dataset indicates that, out of a full staff team of fifteen carers, four people have completed a National Vocational Qualification (NVQ) at level 2 or above and a further six are in the process of completing the award. The manager explained that they have had difficulties with assessors in the past but people are now on course for completing their NVQs. A sample of three personnel files examined were well organised and contained all the documentation required by regulations. This included photographs, relevant proofs of identity, application forms with no unexplained gaps in employment, two written references, Criminal Record Bureau (CRB) enhanced disclosures and a declaration that the person is physically and mentally fit to carry out their role. Through discussion the manager was able to demonstrate a good awareness of the importance of following a robust recruitment process so that people are safeguarded by being cared for by staff who have been thoroughly vetted. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: Personnel records examined contained individual Training and Development plans, which record what training staff have had and what is due to be updated. Staff have received training that included Food Hygiene, Fire Safety, Moving and Handling, Infection Control, First Aid, Health and Safety and safeguarding (previously called Protection of Vulnerable Adults or POVA). The manager and two senior carers have recently completed training around the Mental Capacity Act and Deprivation of Liberty. Personnel records examined contained evidence of regular staff supervision. There was also evidence that annual appraisals of peoples performance are carried out. Staff spoken with felt well supported. 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. Little Paddocks is appropriately managed in the interests of the people living there. Evidence: Since the last inspection the manager has completed the Registered Managers Award (RMA) and is in the process of completing NVQ level 4 in care. Through discussions, the manager was able to demonstrate a sound knowledge of issues relating to the people living in Little Paddocks. He also demonstrated a good understanding of his managerial responsibilities relating to the Care Homes Regulations and the National Minimum Standards. As at the last inspection, Little Paddocks has an appropriate quality assurance process in place. Records examined show that surveys were sent to relatives and other interested parties. People also have the opportunity to express their opinions of the service through meetings, as stated in the AQAA, staff and service user meetings [are held] to discuss issues around the home. Minutes of staff meetings examined demonstrated that the views of members of staff are taken into consideration. Ample evidence was presented to confirm that the service actively seeks the views of Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: people living in the home and other interested parties and acts on the information received. The information obtained through the quality assurance process is collated into a report. Little Paddocks has a comprehensive range of policies and procedures in place relating to safe working practices, including infection control, control of substances hazardous to health (COSHH), fire safety, food safety, first aid and health and safety. A sample of maintenance records examined were found to be in order, including maintenance of hoists, slings and wheelchairs. Certificates relating to the servicing of the homes electrical installation, emergency lighting, the fire alarm system and the gas safety certificate were all up to date. 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 1 Refer to Standard 32 Good Practice Recommendations Members of staff who are in the process of working on National Vocational Qualifications should continue to be supported to complete the award so that at least 50 per cent of staff hold an NVQ as recommended in the National Minimum Standards. 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 © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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