Inspection on 16/07/09 for Maplin House

This inspection was carried out on 16th July 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Maplin House 14/05/08

Maplin House 05/12/07

Maplin House 30/07/07

Maplin House 21/06/06

Maplin House 09/06/05

Maplin House 20/04/05

Maplin House 10/02/05

Maplin House 29/09/04

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 16/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Maplin House 117/119 Church Road Shoeburyness Essex SS3 9EY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Sarah Axam     Date: 1 7 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Maplin House 117/119 Church Road Shoeburyness Essex SS3 9EY 01702297494 F/P01702297494 laycraftlimited@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Mohammud Yousouf Meeajun care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability Additional conditions: The maximum number of service users who can be accommodated is 16 The registered person may provide the following categories of service only: Care Home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Dementia - Code DE, Learning Disability - Code LD Date of last inspection Brief description of the care home Maplin House is a large detached care home set in a sought after residential area in Shoeburyness/Thorpe Bay. The home provides accommodation for up to sixteen older people with dementia and some degree of learning disabilities. Accommodation is provided on two floors, the home has eight single and four double bedrooms. There is a two bed roomed flat provided for staff living accommodation which is situated on the third floor of the building. The home has adequate communal areas on both floors and a shaft lift has been provided. There is limited outdoor space; the garden surrounds the property and has small areas that are suitable for seating. The home has its own mini-bus that is used for taking out residents that includes trips to the beach, shops Care Homes for Adults (18-65 years) Page 4 of 28 16 16 Over 65 0 0 Brief description of the care home and local parks. There is a bus route within a short walk of the home that goes to Southend town centre. There is a small car park at the rear to building. All prospective residents are provided with a Statement of Purpose and Service User Guide that supplies them with information on the home. The current range of fees is from £350 to £600 per week and there are additional charges for chiropody, magazines, newspapers, toiletries and day trips. Care Homes for Adults (18-65 years) Page 5 of 28 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 peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced site visit took eight hours to complete and was carried out as part of the annual inspection programme for this service. This visit was conducted with assistance from the manager. As part of the process a number of records relating to residents, care staff and the general running of the home were examined. The last key inspection for this home was held on the 14th May 2008. We looked at all the information that we had received, or asked for, or what the service has told us about things that had happened in the service since the last inspection. Five staff and one resident were spoken with during the site inspection. Prior to this site visit, CQC (Care Quality Commission) sent out surveys to all interested parties. Additionally the manager was sent an (AQAA) Annual Quality Assurance Assessment form by us (CQC) that asked how well the home is meeting the needs of the people who live at Maplin House. Care Homes for Adults (18-65 years) Page 6 of 28 All information obtained was triangulated and reviewed against the commissions key lines for regulatory activity. This helps us to use the information to make judgments about the outcomes for the people who use this service in a consistent and fair way. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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. A clear and comprehensive assessment process assures people that their needs could be met prior to moving in their home. Evidence: The manager told us in the Annual Quality Assurance Assessment that there is a statement of purpose and residents guide, which provides information about the home to help people decide if they would be happy there. The manager told us that a copy of the social services or local authority needs assessment is also obtained and that people are invited to visit the home before they move in and once they do a contract would be agreed. These were seen in all residents files. When we visited the home we looked at the way in which eight peoples needs had been assessed. We saw that the assessment covered details of the persons physical and health needs as well as the support the individual required to maintain personal and oral hygiene. In all documentation each persons communication needs, their likes, dislikes and hobbies would also be recorded to help determine that the home would be able to meet their needs. We saw that statement of purpose and residents guide is in place (but not fully up-to-date or not always made available in a friendly format of peoples choice, such Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: as braille or photographs). These documents gave information about the staff structure, their qualifications, the complaint process (which needed the correct contact numbers for CQC), support, accommodation, local area, health and specialist services and activities. Two relatives told us, they were asked if their relative wanted to move into the home and that they had enough information given to them before they moved into the service to make an informed choice. Care Homes for Adults (18-65 years) Page 11 of 28 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 using the service can be confident that their identified needs will be met appropriately and that they will be able to live the lifestyle they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that each person had a care plan and that they were involved in this process, looking within all residents files it showed us this was the case. All eight of the Care Plans seen were reviewed at least every twelve months or more often where this was appropriate. Reviews showed us that the residents, their families, advocates, social workers and community nurses were part of this process. The manager told us that emphasis was put on enabling residents to make decisions and choices about their daily lives. When we visited we looked at all care plans for all of the residents living in the home, we saw that staff recorded well the goals of individuals and there was evidence that the plans and goal setting had been carried out with residents. For example, in one resident notes, the staff set goals around wanting this person to maintain their independence around the home. Looking through information we saw that a number Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: of assessments with the local Occupational Therapist were arranged (to supply appropriate equipment) which showed us that this persons wishes, aspirations and goals were taken on board and good outcomes for this individual had been achieved. We saw that other residents were involved by having new activities introduced, having regular contact with family or friends and a wide range and choice of educational opportunities such as attending college classes. We discussed with the manager how recording could include to a greater extent what residents had directly said to staff when discussing their wishes, the manager acknowledged that staff were presently writing from their perspective of discussions and although this process is good, this inclusive style of writing (quotes from people) would further inform us that people are fully involved within their care plan process than at present, this is something that the manager wishes to develop further among the team. In other areas there was good evidence that residents were supported in making decisions, participating or contributing to the running of the home. The manager said that residents meetings were held that would help to enable residents understand them or to express their views about how the home was run. Meeting topics covered issues such as, new staff and manager, outings and feedback from each resident on how they were feeling. The manager told us that minutes for the recent meeting still needed to be typed up, however agenda and subjects covered in the meeting were seen. Overall recording all of the residents involvement could be improved upon by referring directly to what individuals say to staff. Risks to residents health and safety were well managed while allowing residents to participate in activities such as preparing meals or accessing the community. Where the level of risk to a person was assessed as high and there was the likelihood that the person may injure themselves (such as risks associated with mobility around the home or risks associated with travelling to places outside of the home) then staff imposed some limitations on access to adaptations or certain areas of the home and supervised residents as needed. Where this was necessary then it was recorded within the plan of care. Care Homes for Adults (18-65 years) Page 13 of 28 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 using the service can be assured that they will have the opportunities for personal development and build upon their daily living skills so that they are able to lead a lifestyle that they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that residents are supported to develop skills and to participate in activities of their choice both in and outside of the home. When we visited the home we looked at all of the residents care plans. We saw that all residents had a plan of care which described their wishes for the activities they wish to participate in. In very care plan there was a detailed description of support to be given. Staff recording of the plan of the week for all individuals,(what they had planned for the week, activities, visits etc) and good care notes written in a positive style, such as, supporting people in how they had asked staff to do that day(including interaction and direct quotes), rather than a blanket Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: approach or responce. We saw that some people attended educational day centres and classes to increase their knowledge about daily living skills they needed to achieve further independence. All people carried out domestic chores in order to give them a sense of purpose, such as laundry, cleaning of rooms and choosing from day to day their activities making sure people who live at Maplin House were involved generally around the home and according to their skill level. All people accessed activities such as clubs and pubs within the local community. A person from Batias (advocacy services) attended the home once a week and carried out group and 1-1 activities with people using the home facilities and out within the community. We looked at records kept by staff about the activities that all residents participated in. It was clear that the activities were suitable for the resident and they included pursuits, which the resident liked to participate in. We saw that within the all care plans that there was evidence of the person being supported to participate in these activities by means of daily recording. . Two people told us that they considered themselves retired and did not want any activities arranged for them, but choose to spend their time as they wished within the home. One person told us that they felt they had plenty of things arranged to keep them interested or busy and was of their choosing and preference. We looked at the arrangements for supporting residents when choosing and preparing food and meals. We saw that staff supported resident in buying and preparing food and that there was a planned menu, which reflected residents likes and dislikes within their care plans. Each resident had a care plan which described the support the individual needed. One person care plan described what support they needed and observation during the lunch time period showed us that Staff supporting this person to eat their meal, was doing so in a sensitively and unrushed way. Staff also joined residents to eat their meals with them at the dining room table which showed us that residents were respected and valued by the team. There was a four week menu in place that showed us that the likes of the resident were recorded in their information and were reflected in the meals provided. Menus showed us that they had a varied and good quality of diet. The lunch time meal seen was of good quality and home cooked and presented nicely.One persons meals had to be liquidized, this was observed not to be appealing, as all food had been blended together and not separated into meat and vegetables etc. The manager told us that this would be changed and that consideration to texture, smells and taste for this person would be addressed. Care Homes for Adults (18-65 years) Page 15 of 28 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. Residents assessed needs are followed through in good care plans that give staff the necessary information to provide good care outcomes. Evidence: The manager told us in the Annual Quality Assurance Assessment that the health and personal care needs of residents are met and that staff are trained to administer medicines safely. When we visited the home we looked at how the personal and health care needs of the residents were assessed and how people were supported. The health care plans of all 8 residents showed us that risk assessments were current and reflected the persons support needs. Health care issues assessed included, physical, mental, dietary, personal care, independence, emotional and wishes of individuals if their health deteriorated for any reason. Through all documentation held there were minutes of meetings, letters and conversation recorded with a number of other specialist services, such as Community psychiatric nurses, consultants, social workers and generally a number of NHS community facilities. We saw that all residents were supported in attending routine appointments for health care monitoring and that had access to medical, dental and optician services when Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: needed. It was recorded that residents enjoyed good health and residents looked well cared for. When we visited the home we saw that the administration records were maintained in accordance with agreed procedures and the royal pharmaceutical legislation. At the time of the inspection none of the residents living in the home were capable of safely keeping and administering their medicines, therefore a monitored medication dosage system is in place for each resident. We looked at medicine administration records and these were completed accurately to show that residents received the medicines, which were prescribed for them. We saw that not all staff medication training was up to date. The manager told us that this was in the process of being arranged and the only staff who administered medication had updated training and this consisted of two night staff, the manager and two carers and this was confirmed by us by certificates held and seen within their personal files. There have been no incidents reported around medication issues or practice would suggest that medication is kept to a strict protocol and is maintained consistently to a good standard. Care Homes for Adults (18-65 years) Page 17 of 28 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. There are systems in place to ensure that peoples views are listened to acted upon and support residents to be protected from abuse. Evidence: We were told in the Annual Quality Assurance Assessment that any complaints or safeguarding alerts would be dealt with openly and thoroughly. The manager told us that residents relatives are provided with information on how to complain and how their concerns would be dealt with. Two relatives confirmed this to us. The manager told us that there had been no formal complaints made about the service within the past twelve months, but there was still an outstanding safe guarding issue in progress. The manager told us that staff received information about dealing with complaints and whistle blowing when they commence work at the home. Four staff spoken with confirmed to us that this was the case and demonstrated to us that they knew their responsibilities well. When we visited the home we looked at the policy and procedure in place for recording and dealing with complaints. The manager has a good complaints procedure in place. It showed us that if a complaint was received then it would be recorded, monitored, and outcomes concluded. We observed that a pictorial format could be available to all people who live at Maplin House so that they could understand this procedure more clearly. All seven staff surveys returned told us that Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: they felt, they knew what course of action to take if there was a concern or complaint that was made. Three residents told us that they felt the manager and staff listened to them and felt that if they raised a concern then it had been dealt with satisfactory. There was a safeguarding policy and procedure in place and the manager told us that all staff were given this information when they commenced work at the home. Four members of staff were on duty during the inspection and they told us that they were aware of the whistle blowing policy which staff had access to . This helps assure staff that they will be protected from harassment should they need to raise concerns about the home or other staff. An ongoing safeguarding issue within the home showed us that the provider and manager were working well with the safe guarding unit and putting recommendations made by them into place. Safeguarding training has been last year with the local borough and the learning disabilities team. We saw that safe guarding packs from the local borough were in place in the staff room. Manager has also made up folders for staff consisting of the mental capacity act, complaints, safeguarding and specific conditions of the residents that live at Maplin House. The manager told us that the all members of staff will go on an eight week safe guarding course and an assessor from the national consortium of colleges will come and carry out a reflective workbook with individuals. This will include group activities and 1-1 sessions. The course is fully funded under the governments train to gain scheme. This will mean that all staff will get thorough safeguarding training and protection of all people they support will be secured. Care Homes for Adults (18-65 years) Page 19 of 28 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 live in a clean safe environment. Evidence: The manager told us in the Annual Quality Assurance Assessment that it is clean, comfortable and well maintained. That they have an action plan that addresses general maintenance issue so that the up keep of the service as a whole is gradually addressed and put into place. We carried out a tour of the premises when we visited the home. The home was seen to be clean and comfortable and was decorated and furnished with items which reflected the peoples personality and likes (such as pictures, ornaments, games and music and DVDs). Although in general the home needs to be updated as decoration is worn in most areas including carpets and re-painting of most areas, including some residents bedrooms.In general the front and back gardens of the home needs attention to make it a pleasant and more attractive for the people who live there. The manager informed us that there are plans in the future to get this carried out. Three residents told us that the house was decorated to their taste and their bedrooms were personalised how they wanted. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered positive relationships by well-supported and caring staff and are protected by staff recruitment. Evidence: The manager told us in the Annual Quality Assurance Assessment that the home did not rely on the use of temporary agency staff. That the recruitment policy is fully adhered to at all times including obtaining relevant references, POVA first check and CRB and identity check prior to commencing duties. We saw this was in place by all of the 8 staff files looked at, including three new staff. She also told us that appropriate training course are arranged as soon as practicable after commencing duties at the house.In-house induction is carried out immediately on commencement of duties. When we visited the home we saw by observation and by looking at the staff rota that there were enough staff to cater for all residents needs and that training was being arranged. Residents who completed surveys said that staff listen to them and act on what they say. When we visited the home we saw by observation that, staff interact well with residents, were motivated, competent and listened to people. The manager told us that they been interviewing for staff, they are fully staffed but need bank staff (staff covering shifts as and when) to cover periods of leave sick and annual leave etc. Since the last inspection three new staff have been employed. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: Looking through the three new staff files they showed us that all Criminal Records Bureau disclosure and PoVA First checks had been carried out and the people had been interviewed. Once staff commenced work at the home they undertook a period of in house induction to help familiarise themselves with policies, procedures and the needs of residents. The manager told us that they were implementing the Skill for Care Common Induction Standards induction. This is a set of nationally recognised standards and helps to ensure consistency in the delivery of care and support to people who receive social care. Speaking with two of the newest staff employed, they told us that they felt, they had up-to-date information provided to them regarding the people they care for, had a good thorough induction and covered everything they needed to know before starting the job and that they were given training relevant to their role and that they were updated regularly. We saw that staff had received training in safe moving and handling, safeguarding, administration of medicines, communication, infection control and health and safety. The manager told us that she has plans for all staff to receive specific training in respect of caring for people who have learning disabilities, such using makaton or training around supporting people to make choices. She told us that over 50 of the staff are being put forward onto the NVQ2 training. Four staff already hold this qualification. The last staff meeting was in April 2009, showed us that the manager and provider had open communication between them, for example, on the agenda it included residents, staffing practice issues and general sharing of important information. This shows us that the team are discussing the relevant issues and reducing of risks by highlighting what needs to be prioritised. This keeps the residents safe and maintains their health and welfare. The manager told us that the minutes were still in the process of being written up. We saw that all staff had yearly appraisals in place, supervisions were once a month and outcomes showed us that the manager discussed with them trying to get them the issues and tried to get the staff to use their own solutions whilst receiving support. This is good in terms of getting staff to think about practice and the persons views or preferences who they support. Care Homes for Adults (18-65 years) Page 22 of 28 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 strategies of the home were stable which ensures the health, safety and welfare of all residents. Evidence: The current manager has been in post since January 2009. The manager has been in post for many years (in a different role since 1999) and holds a wealth of experience and knowledge of the current resident group. She currently holds the NVQ3 qualification and is starting the NVQ4 in July 2009. The new manager is presently in the process of registering with CQC. The manager told us in the Annual Quality Assurance Assessment that there was a system in place for monitoring the quality of the service, including obtaining the views of residents. The manager told us that this is due to be carried out at the end of this year (2009). When we visited the home we looked at the arrangements in place for obtaining the views of the people who live in the home, people who are important to them such as family and advocates and other people who are involved in their care. We saw that people were provided with questionnaires and that residents were asked Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: if they were happy with their surroundings, lifestyles and opportunities available. They were also asked if staff allow them privacy, dignity, independence and choice. The manager told us in the Annual Quality Assurance Assessment that the new owners, managerment are approachable and friendly. When we visited the home three residents told us that the new manager has worked well with them, listens and that their opinions matter to her. Similarly four of the staff on duty felt that she supports them well and have confidence that she will do a good job of managing the home. We looked at how the home was managed and maintained. There were records and certificates to show that the home was maintained and fit for purpose. Checks were carried out to ensure that systems and equipment such as heating and hot water systems, fire detection installations and electrical equipment were maintained in good safe working order, the service has insurance cover for the registered managers legal liabilities to employees, people using the service and third parties. We looked at accident records and there had been no accidents or incidents affecting the health, safety or welfare of residents within the previous twelve months. We looked at 8 peoples financial checks and saw that all accounts were updated everyday and kept on the computer. We looked at all residents financial sheets, records and receipts. We saw all monies well accounted for with receipts for each person kept. The provider told us that all residents finances will shortly be monitored and managed by the court of protection, this will further protect individuals and keep the home free of any future financial responsibilities of peoples personal monies. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 1 5 That there is an up-to-date service user guide. This is because the service users guide has the wrong information regarding CQC and is not in a friendly user format. 01/09/2009 2 1 4 That there is an up-to-date statement of purpose. This is because the statement of purpose has the wrong information regarding CQC and is not in a friendly user format. 01/09/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The statement of purpose and service guide should be annually reviewed and updated and made available to all service users. The skills for care induction is implemented for all new Page 26 of 28 2 35 Care Homes for Adults (18-65 years) 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 staff. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!