Inspection on 05/03/09 for Lodge (The)

This inspection was carried out on 5th March 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

Lodge (The) 14/03/08

Lodge (The) 17/08/06

Lodge (The) 28/12/05

Lodge (The) 13/10/05

Lodge (The) 26/07/04

Lodge (The) 13/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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: Lodge (The) Lodge (The) Roman Way Farnham Surrey GU9 9RE two star good service The quality rating for this care home is: 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: Suzanne Magnier Date: 0 5 0 3 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 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Lodge (The) Lodge (The) Roman Way Farnham Surrey GU9 9RE 01252717021 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): sandrap@ability-housing.co.uk Ability Housing Association Name of registered manager (if applicable) Ms Sandra Alexandra Passingham Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: The registered person may provide the following categories of service only: Care home only (PC) to service users of the following gender:Either whose primary care needs on admission to the home are within the following category: Learning disability (LD) The maximum number of people to be accommodated is 5 Date of last inspection A bit about the care home The Lodge is a care home providing personal care for up to five adults with learning disabilities. People using the homes services may have physical disabilities or sensory impairments as secondary conditions. The home is situated in a residential area on the outskirts of Farnham town and within walking distance of shops and public transport. The accommodation is arranged on ground floor level and is domestic in scale and character. It comprises of all single occupancy bedrooms, a lounge and separate dining room. The kitchen is suitable in design for the use of wheelchair and non wheelchair users. Other facilities include a utility room, office, wheelchair accessible shower and toilet, assisted bathroom and mobility aids and equipment. There is an enclosed garden with furnished patio. The garden is shared with the tenants of a supported living service next door. Parking facilities are available and service provision includes a wheelchair accessible vehicle. Ability Housing Association is registered to manage the home. This is a registered charity specialising in housing, care and support for people with disabilities. Additional charges are for hairdressing, some social activities, toiletries, clothing, holidays and use of the homes vehicle. 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 How we did our inspection: This is what the inspector did when they were at the care home This inspection of the care home was an unannounced Key Inspection. Following the previous key inspection on the 14th March 2008 the service has met all the requirements made. Ms S Magnier Regulation Inspector carried out the inspection and a senior support worker represented as the person in charge of the day to day management of the home was unable to attend the inspection. Feedback following the inspection was addressed to the person in charge during a telephone conversation. For the purpose of the report the individuals using the service are referred to as individuals or residents. The inspector arrived at the service at 10.00 and was in the home for six hours. As part of the inspection the commission invited an expert by experience and their personal assistant to be part of the visit in order to speak with individuals about their experience of living at the home. The expert by experience and their personal assistant have produced a report and the findings have been added to the commissions report. The inspection was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The commission had sent comment card requests to residents, healthcare professionals and staff. Four written comment cards were returned from residents and six from staff. No comment cards were received from healthcare professionals. The responses from the comment cards have been included within the report. The inspector spent time talking and observing the staff and residents in the home in order to gain their views and opinions about the service. The inspector looked at how well the service was meeting standards and has in this report made judgments about the standard of the service. Documents sampled prior and during the inspection included the homes Annual Quality Assurance Assessment AQAA, The Statement of Purpose and Service User Guide, residents care plans, risk assessments, medication procedures, the training matrix and several of the services policies and procedures including complaints and safeguarding vulnerable adults. One complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection which has been ivestigated and concluded. The commission have not been made aware of any safeguarding vulnerable adult concerns. The home had submitted the Annual Quality Assurance Assessment AQAA prior to the inspection, which was well written to inform the commission about the service. From the evidence seen by the inspector and comments received, the inspector considers that the home continues to be able to provide a service that meets the needs of people who have diverse religious, racial or cultural needs. What the care home does well The homes admission and assessment procedures ensure that an individuals needs are appropriately identified and met. The support and personal care that individuals receive is based on their needs set out in their care plans. Individuals are consulted about matters which affect their daily lives and are encouraged to be involved in the running of the home and maintaining their daily living skills and have choices. Peoples dignity and respect is promoted. Individuals are able to maintain bonds with family and friends and take part in social, cultural, religious and recreational activities. A choice of a healthy diet is provided. Peoples physical, emotional and health care needs are monitored and met. The homes medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. Residents rights to protection from abuse and harm are robust. The home was clean and orderly throughout and infection control arrangements are robust. Recruitment practices are well managed. The management and administration of the home is robust. The home continues to be run in the best interests of individuals and their views and opinions and those of others associated with the home are sought. Individuals welfare is promoted through monitoring of health and safety in the home. What has got better from the last inspection The homes management have met the requirement made from the previous inspection. What the care home could do better People and their representatives have information about the home in order that they can make an informed choice about moving to the home yet this could be strengthenned by use of photographs. Monitoring of risk assessments is well managed to ensure the safety of individuals yet needs to be further strengthened to include risks assessments for the use of bedrails. It has been recommended that the way the person prefers to take their medicines, the side effects, purpose of the medicine and the individuals photo and any known allergies also be recorded in order to instruct staff and promote further person centred care. The complaints process needs to be strengthened to ensure contact details of the commission are included within the homes complaints procedures in order that people can contact the commission if they choose to. The homes induction, mandatory and specialist training needs to be strenghtened in order to ensure peoples needs are met appropriately and safely. It is recommended that the staffing numbers be revised in accordance with the care needs of the people being supported at the home and arrangements made for increased staffing numbers following the review. 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 Suzanne Magnier 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 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 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 and their representatives have information about the home in order that they can make an informed choice about moving to the home yet this could be strenghened by use of photographs. The homes admission and assessment procedures ensure that an individuals needs are appropriately identified and met. Evidence: The Statement of Purpose and Service User Guide was sampled and the documents are written in a way which people could understand. One resident admitted to the home since the previous inspection has told the Ability Housing staff that they would have liked to have seen photos of The Lodge for example the areas within the home, the garden and surrounding area. It is recommended that photos and pictures be included within the Statement of Purpose and Service User Guide in order that prospective residents have visual desciptions of the home. The care plan of the resident newly admitted to the home was sampled. The documents seen confirmed that an assessment of the individuals needs had been undertaken in order to ensure that the homes staff were able to support the individual in their new home. The assessments involved the persons family, health care professionals and staff. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The support and personal care that individuals receive is based on their needs set out in their care plans. Individuals are consulted about matters which affect their daily lives. Monitoring of risk assessments is well managed to ensure the safety of individuals and peoples dignity and respect is robustly promoted. Evidence: The two care plans sampled were written in a person centred way and were clear with well written guidelines for the homes staff to read which enabled them to provide care and support in the way the individuals preferred. There was evidence that peoples lifestyle choices were clearly recorded and throughout the inspection it was observed that the individuals preferences were respected by staff. Documented agreed working practices and guidelines have been maintained to support individuals if they should become distressed and there were clear documented actions staff should take to reduce the individuals distress or anxiety. Account had been taken to ensure that individuals communication needs had been identified and a well documented communication profile was available to assist staff to understand the individuals way of communicating. The care plans were well managed, kept under review and reflected the current support needs of the individuals. Person centred plans have not yet been fully developed by the homes staff who it was Evidence: understood would be having training in person centred planning. It was evident where possible that individuals had assisted and been included in their plan which included a variety of aspects of their life including their aspirations, likes and dislikes, religious and spiritual needs and family and friends. Risk assessments were robust and had been signed and reviewed to demonstrate that the homes staff are aware of the hazards in peoples lives and ways in which to reduce harm to the individual. The recording and management of the files was robust and well managed. It was noted that there were no risk assessments for the use of bedrails and where these are used no agreement by the individual or their representatvive of their use. This was discussed on the telephone during the inspection with the person in cahrge of the day to day management of the home and it was confirmed, following the inspection that arrangements had been made that all individuals who have bed rails have had a documented risk assessment completed in order to ensure good practice and safeguard the individual. 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 . Individuals are able to exercise choice in their daily lives, maintain bonds with family and friends and take part in social, cultural, religious and recreational activities. Individuals are encouraged to be involved in the running of the home and maintaining their daily living skills. A choice of a healthy diet is provided. Evidence: Throughout the inspection it was observed that the two individuals at home were comfortable and happy in their surroundings and the two staff were attentive to the needs of each individual. The expert by experience report stated The two residents in the lounge looked very happy and were laughing and joking together. One resident said Sometimes I have a lazy morning in my room and stay in bed and that this place is better for him than his last place, as the last place was too big with 25 people there. He also said we take it in turns to go shopping and staff take us. He said we have a laugh together and we are like a family. The same resident said I am going to get a greenhouse soon. But I am not rushing into things, Im getting a new T.V. first. Im a happy man. Another resident told us that he did not want to speak with us and just wanted to have his lunch. Thats what he wanted and that is what he was going to do. They have a picture menu. They make their own menu, on Wednesday for the week and staff help but just with suggestions like not to only have fried food for the whole week, for health reasons. Evidence: They are helped to manage their own money and own bank accounts and have a mini meeting every week staff and residents get together to discuss the running of the home and about what is going on and if someone is coming to visit. The staff said they are involved because it is their home. Some areas which the expert by experience commented that the home should be aware of are that the residents do not have independent advocates. Family and friends can not stay over and the schedule of what they did everyday was only written and not accessible for the residents. The AQAA advises that the individuals have reguluar meetings to discuss what they would like to do over the next month and this was observed with one resident eager to buy a small greenhouse for planting seeds for the garden. Both individuals at home told the inspector that they enjoyed going to the local church and taking part in the service. Although the home has an adapted vehicle the staff advised that individuals are encouraged to use local public transport which can be used to access banks, leisure facilities, local shops and to attend health care appointments. Whilst speaking with staff it was evident that individuals family and friends are involved in the persons lives and contact with relatives and friends is promoted. The inspector observed one individual making their midday snack meal with staff being on hand if they needed assistance. The menu included a variety of meals which staff advised people make the choices by looking at the variety of pictures in the menu book and deciding what they would like to have for their meals for the week and encouraging people to assist in the food shopping where possible. The homes fridge and freezer were well stocked with fresh dairy products and fruit and vegetables available. Records of fridge and freezer temperatures and food temperatures were available and well recorded. 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 . Peoples physical, emotional and health care needs are monitored and met. Choice and dignity is promoted and the homes medication procedures ensure that medication is administered to all individuals in a safe and appropriate way. Evidence: The staff team consist of a multi racial mixed gender staff group and the person in charge advised that where possible gender based care is provided. It was observed that staff supported individuals in a sensitive way ensuring their privacy is respected when providing assistance care. The care plans and health care records have been maintained and included records of attended health care appointments which included visits to the persons general practitioner, chiropodists, dentist, dieticians, occupational therapists and specialist health care personnel. The medication cupboard continues to be located in a safe and secure area within the home and a monitored dosage system remains in place. Procedures regarding the safe handling, administration and disposal of medicines have been maintained. The home has a medication policy and procedure and medication administration charts were well recorded. It has been recommended that the way the person prefers to take their medicines, the side effects, purpose of the medicine and the individuals photo and any known allergies also be recorded in order to instruct staff and promote further person centred care. The training matrix identified some shortfalls for staff to have updated meidication training and following the inspection the inspector telephoned the person in charge who confirmed that training had been booked and the training martix would be Evidence: updated. 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 . The complaints process must be further strengthened to ensure peoples views and concerns about the home are listenned to and acted upon. Residents rights to protection from abuse and harm are promoted. Evidence: The home has a complaints policy and procedure which has also been adapted into pictorial form and is available within the home for individuals or any person associated to the home to see so that their views, opinions and complaints are recognised and acted upon. The policy and procedures within the office did not contain information about the commissions address should any person wishing to contact the commission could do so. Arrangements must be made that the homes complaints procedures include the name and address of the commission in order that people may bring their concerns to the commission if they choose to do so. One complaint has been received by the home and the commission since the previous inspection which was investigated by the organisation and concluded. The senior care worker in charge on the day of the inspection demonstrated that she was aware of the procedures for safeguarding vulnerable adults and confirmed there had been no safeguarding referrals. The inspector noted in the homes office that the Surrey multi agency procedures were not the current document and concern was raised regarding the homes policy on the protection of vulnerable adults which was not compliant with the local autjhority safeguarding protocols. These issues were discussed with the person in charge on a day to day basis over the telephone during the inspection. Following the inspection and it was confirmed that the home have the current 2008 local authority safeguarding protocols and the home has the current Ability Housing Association safeguarding procedures are now placed within the homes policies and proceedure manual. The person in charge of the day to day management of the home assured the commission that she would discuss the safeguarding procedures with all staff at the next staff meeting. Evidence: The expert by experience report stated that one resident asked us to come into his room and said there had been a scene and another resident playing up. Also, the noise of this resident falling out of bed and the neighbour upstairs was disturbing him. Later a staff member came in and he said he wasnt sure if he was safe there and asked if it was ok to talk to us, she reassurred him by letting him know it is safe here and just say how you feel, which was viewed as positive. Records confirmed that all staff had received safeguarding vulnerable adults training and updates had been identified and staff members had been booked onto courses within the next 3 months. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The physical layout and indoor and outdoor communal areas of the home enable people to live in a safe and well maintained environment and all areas of the home are clean and safe. Evidence: During the tour of the premises the inspector observed that the home was well maintained with appropriate access available to all people in the home. The home was clean and orderly throughout and no malodour was detected. The front and back gardens continue to be accessible for individuals to use. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The homes staff provides twenty four hour support to the individuals living at the home. Recruitment practices are well managed. The homes induction, mandatory and specilist training needs to be strenghtenned in order to ensure peoples needs are met appropriately and safely. Evidence: The homes staff are currently supporting five individuals. Several new staff have been recruited which the day to day person in charge advised the commission brings the home to a full compliment of staff. On the day of the inspection there were two staff on duty one of whom was an agency staff member who works regularly at the home. The staff were observed as skilled in supporting the people in their care and were knowledgeable regarding the specific needs of individuals to ensure their well being and offer reassurance. The expert by experience report stated one staff member said I dont really see them as disabled and I dont really treat them as disabled, I treat them like me. Staff carry out all roles within the home, which include personal care, shopping, cooking, housekeeping and laundry as well as assisting individuals to social activities and transporting them to these where necessary. The home has a recruitment and selection policy, which incorporates equal opportunities. The inspector did not sample any staff recruitment files as these were not accessible as they were secured within the homes premises. Following the inspection the person in charge of the day to day management of the home described over the telephone the process of recruitment to confirm that the homes management undertakes safe vetting procedures to ensure the safety and well being of individuals in their home. The standard of recruitment was sampled during the previous inspection Evidence: and was recorded as robust. The staff mandatory and induction training records evidenced that staff had received training yet shortfalls were noted where staff had not received training updates. It was noted that not all staff had received training in Epilepsy management and it has been required that arrangements be made for all staff to attend epilepsy training in order to promote the safety and well being of people in their care. These shortfalls were discussed with the person in charge of the day to day management of the home on the telephone following the inspection and it was confirmed that staff had been booked onto refresher courses, epilepsy training would be arranged, and the staff training matrix will continue to be updated. Written comments received by the commission from staff about the staffing and the home in general stated I am a new starter and still have some induction at Head Office but it was cancelled due to the weather. My house induction was excellent. The service listens and has a good relationships with service users. Carers take notice and involve service users helping them to lead as independent lives as possible. I am very happy working for Ability. We provide a lot of chioces for the service users.We have regular team meetings and supervisions are held every six to eight weeks. Concerns were raised by staff regarding the staffing ratios in the home and that some staff are lone workers and feel worried and concerned if they were ill on duty. Other concerns were that there are 2 members of staff looking after 5 clients Monday to Friday with the manager as an addition. If everything works well we can meet their needs. They sometimes have to wait eg for showering as personal care needs to be one to one support and if everybody gets up at the same time this is not possible.What we could do better is a health action plan and continue to encourage and participate independence for service users where possible. It is recommended that the staffing numbers be revised in accordance with the care needs of the people being supported at the home and arrangements made for increased staffing numbers following the review. The person in charge of the day to day management of the home confirmed that 2 staff have achieved their National Vocational Qualification in Care Level 2 awards. 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 . The management and administration of the home is robust. The home continues to be run in the best interests of individuals and their views and opinions and those of others associated with the home are sought. Individuals welfare is promoted through monitoring of health and safety in the home. Evidence: As documented within the report it was evident through observation that the pace of the home continues to be designed to meet the needs of individuals in their home and the staff present during the inspection had a good knowledge about the individuals. The expert by experience report stated overall, a good home but one resident didnt seem very happy or confident and the staff answered the door not the residents. Clean and tidy. Staff and residents gelled well. Some suggestions for improvement for the home to benefit individuals would be to work with residents on Person Centered Plans with pictures or photos as this could help to set goals for themselves and get control of their lives. To use independent advocates especially if they are to go into supported living soon and for staff to get the training they want. The person in charge of the day to day management of the home has applied to be registered with the commission and will within the next two months undertake the final process of her application. It was observed that the homes office space was unclutterd and there was space where staff could undertake administrative tasks. Evidence: Confirmation was seen that Ability Housing continues to seek peoples and their representatives views and opinions about the service through the Quality Assurance feedback, regular tenant meeting and staff commnuncation with indivduals on a daily basis. Food stored in the homes refrigerator was labelled and stored in compliance with food hygiene standards and hot food temperatures had been recorded to ensure as far as reasonably practicable the home is free from hazards to individuals regarding their mealtimes. Accident and incident records were sampled within peoples files and demonstrated that the homes staff are prompt in giving notice to the commission without delay regarding any event, which affects the safety and welfare of the people as this was a requirenment issued at the last key inspection which is considered met. Hand washing facilities remain available throughout the home and clinical waste disposal is appropriately managed. Records indicated that servicing of fire equipment had taken place and health and safety checks had been undertaken and recorded. A current insurance indemnity certificate was available. The gas and electric certification was not sampled at this inspection. 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 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 1 22 22 Arrangements must be made 13/04/2009 that the homes complaints procedures include the name and address of the commission. in order that people may bring their concerns to the commission if they choose to do so. 2 35 18 Arrangements must be made 11/05/2009 for all staff to attend epilepsy training. in order to promote the safety and well being of people in their care. In order to promote the safety and well being of people in their care. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 It is recommended that photos and pictures be included within the Statement of Purpose and Service User Guide in order that prospective residents have visual desciptions of the home. It has been recommended that the way the person prefers to take their medicines, the side effects, purpose of the medicine and the individuals photo and any known allergies also be recorded in order to instruct staff and promote further person centred care. It is recommended that the staffing numbers be revised in accordance with the care needs of the people being supported at the home and arrangements made for increased staffing numbers following the review. 2 20 3 33 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. - 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!