Inspection on 23/10/08 for Meadow View 3

This inspection was carried out on 23rd October 2008.

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

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

Other inspections for this house

Meadow View 3 15/11/06

Meadow View 3 19/01/06

Meadow View 3 06/07/05

Meadow View 3 03/02/05

Meadow View 3 05/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Meadow View 3 The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jean Dobbin     Date: 2 3 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. the things that people have said are important to them: They reflect 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 30 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 30 Information about the care home Name of care home: Address: Meadow View 3 The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ 01262401451 01262605029 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Clare Jane Blake Type of registration: Number of places registered: Royal Mencap Society care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: One specific service user over the age of 65 in category (LD) (PD), named on variation dated 23rd January 2007, may reside at the home. Date of last inspection Brief description of the care home 3 Meadow View is a purpose built semi detached bungalow owned and maintained by New Dimensions Housing Association. The care input is organised and managed by the Royal Mencap Society. The home offers long-term accommodation for four adults with a learning disability who may have associated health and behavioural problems. Activities are offered both at home and in the community. A minibus is available for people to use. The home is situated in a residential area of the town and public transport to the town passes nearby. There is an easily accessible garden and on street parking is available. A Statement of Purpose, Service User Guide and the latest inspection report by the Commission for Social Care Inspection are made available for Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 4 4 Brief description of the care home people and their families to read. The last inspection by the commission was carried out on 15th November 2006. The manager tells us that the weekly fees for living at Meadow View 3 on 23rd October 2008 are between £871 and £1760, depending on assessed needs. People living there pay additionally for hairdressing, chiropody, personal items, like clothes, toiletries and meals out, and taxi fares. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This is what was used to write this report. Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection, which the manager provides. This is called an Annual Quality Assurance Assessment or AQAA. Information from surveys, which were sent to staff and to other professional people who visit the home. The manager advised that the people living there would not be able to complete a survey. 9 were sent to health care and social care professionals and 2 were completed and returned. 5 were sent to staff at the home and all were returned Care Homes for Adults (18-65 years) Page 6 of 30 A visit to the home by one inspector, which lasted over 4 hours, between 1pm and 5.30pm. This visit included observing how staff interacted with the people living there and talking with staff and the manager about their work and training they had completed. It also included a brief walk around the home and checking some of the records, policies and procedures that the home has to keep. Information about what was found during the inspection was given to the registered manager at the end of the visit. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. 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 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 8 of 30 Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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 are assessed properly to make sure enough information is gathered to know that staff at the home can meet their needs if they decide to move there. Evidence: The people living at the home have been there for several years. The care files looked at contained written evidence of a pre-admission assessment process. The manager explained what would happen if they had a vacancy at the home, and how it would be filled. This would involve a number of meetings with the person and their family, getting to know about them and what is important to them. The manager would complete an assessment, however this would be one of several assessments also completed by health and social care professionals who would be involved in the individuals care. If the outcome for the person was positive then they would visit Meadow View a number of times, for increasing periods of time, including an overnight stay. This Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: would let the person meet the other people at the home and get used to the support workers who work there. This is all part of the assessment process to make sure the person would fit in and be happy at the home. If the person chooses to move there a meeting is held twelve weeks later, to make sure the move has been successful and the person is happy there. Professionals and family members are consulted at that meeting, to make sure everyone is satisfied that things have worked well. Information about the service in the form of a Statement of Purpose and service user guide is provided for prospective admissions and their families and is also available in the home to look at. This is produced in large writing with lots of photographs and signs and symbols to make it easier to read. This could be provided in alternative formats, for example a video, so that people have an alternative way of finding out about the services the home provides. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care plans comprehensively explore individuals strengths and personal preferences and staff are committed to helping people to maintain choice and control in their lives as much as possible. Evidence: People living at Meadow View 3 have comprehensive individual plans and two of these were looked at as part of the inspection process. These are written in the first person, as if the individual is telling others about themselves. These include peoples likes and dislikes, and what different gestures and behaviours mean. There are photographs of people that are important to them and information for staff about what support they want and need, in order to have some control of their lives. For example comments include I sleep with my door locked, though the key is on the outside for emergency access only, and in the morning staff to knock on my door and wait for me to get up and answer the door to them. Another example is likes Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: particular spoons and forks for meals and will choose these themselves. These plans of care demonstrate that although the people living there have severe disabilities the staff are committed in supporting them to lead purposeful and fulfilling lives as independently as possible. The plans looked at also provide good detail about how staff can tell if someone is happy or not and what types of activities and responses would make them feel happy again. Staff were observed talking and laughing with the people there and showed in their responses that they understood what peoples behaviours meant and what needed to be done as a result. They were seen consulting with people about day-today routines and listening to peoples responses, although these were not necessarily verbal responses. Comprehensive daily records are kept and are written in individual diaries, so information from particular days is easily accessible. People living there have a key worker who reviews all the records for their person each month to make sure they are still appropriate. Key workers are given allocated time on the staff rota, when they do not have any responsibilities for the activities in the home, but can spend time with their person, either in the home, or in the community. There are also comprehensive individualised risk assessments in the care files. These show that people are not stopped from taking risks as part of everyday living, but systems are in place to minimise the risk of harm. These include daily risks like those associated with simply having a bath, as well as assessments for social activities, like horse riding and swimming. The risk to them when mixing with other people away from the home, because of their disability, is also assessed and plans are in place so that these events can still happen. People are all allowed into the kitchen, but staff are alert to the need to distract, or guide them out of the kitchen, if anyone is working there and presenting a risk. Nobody at the home is able to look after their own money and the home has good systems in place to protect those monies. However the care plan describes how one person is supported to go to the bank with their key worker each week, to withdraw money to pay their rent. This again demonstrates that people are being supported to live as independent a life as possible. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live busy, stimulating and useful lives and staff support them in maintaining ordinary, normal lives. Evidence: None of the people currently at Meadow View 3 are able to undertake any sort of paid employment or further education courses because of their level of disability. This disability however, does not prevent people from enjoying stimulating and varied lives. On the day of the site visit one person went horse riding, another was shopping in Scarborough for items for a holiday that was coming up and the other two people were out with Outreach. East Yorkshire Council provides an Outreach service in Bridlington, which supports Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: people from the home in achieving individual goals and maintaining interests. This is provided on a one to one basis and activities include, for example, shopping, coffee and lunch stops, and visits to the library. These events enable people to be in the community, improving their life skills and having time away from people with whom they live. The manager explained that whilst people in the four bungalows have allotted times in the week, she is always alert to any extra times that may come available so that her clients can have extra time away from their home. Other activities enjoyed by people include trampolining, swimming, and visits to the pub, bowling and holidays. Staffing, for holidays, is organised in such a way that the persons gender is taken into account. For example a boys time, away from all the women. Other people have had holidays earlier this year. The bungalows have a minibus, but staff cars are used whenever possible as a more usual way of travelling. People are members of the Meadow View Social Club, where people can mix with people from the other bungalows. One person is a member of the walking group and likes to walk for miles and miles. They have all the appropriate gear. Another younger person attended a Queen tribute band concert earlier this year. The routines of daily living in the home are arranged very flexibly, according to what people want. Support, for example with bathing, is provided at a time when people want it, whether this is morning or evening. Staff were observed interacting with people, both in speaking and in non-verbal communications. The atmosphere was calm and relaxed. People are encouraged to contribute to the running of the home. This can be helping to prepare the meals, helping with the laundry, or putting their dirty plate in the dishwasher after theyve eaten. These skills are recorded in their plan of care, and helps to maintain life skills and ordinary living. None of the care plans identified that people had any religious beliefs. The manager agreed that the people currently at the home had no religious needs, however she recognised that this can be a very important part of an individuals values. She said support to maintain that belief would be provided if necessary. There is a four-week cycle of menus, which are in a pictorial form. These can be adapted according to peoples likes and dislikes. Each person has a healthy eating support plan, which describes in detail peoples likes and dislikes and the support they need to be as independent as possible, when eating. These were all very different. For example one says the person needs a high fibre diet with lots of fruit and vegetables and lots of drinks. And they could manage their food if it wasnt too hot and they had Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: adapted crockery and cutlery to assist them. A record is kept of what people eat each day, to show that they are having a nutritious and balanced diet. Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are well met with evidence of detailed person centred care and good liaison with health care professionals. Evidence: The care plans looked at were written in a way that promoted peoples dignity and privacy and emphasised healthy living as a way of maintaining good health. The personal care plans stressed the need for people to be supported in the way they choose to live, as much as possible. Both male and female staff work at the home so that people can express their preferences when receiving personal care. One care file said that an individual likes to wear the same clothes for several days. The records state that staff support them with this, whilst explaining to them why it would be better if clothes were changed more regularly. People buy their own clothes in town, with support, and also use facilities in the town, like the hairdresser and dentist. The care plans record peoples preferences, like liking to use perfume and liking to dress smartly. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The home works closely with health care professionals, like the doctor, speech therapist, dietitian and specialist nurses, both in the hospital and in the community. One health care professional said in their survey. The staff always take myself and the client to their room to talk in private. Another wrote that the care is quite client centred and sensitive to the needs of the individual. The individualised care plans include health action plans both about ongoing health issues, such as epilepsy management and bowel management, as well as healthy eating programmes to try to prevent future health problems. One care plan describes how to help a person to feel good about themselves following some surgery. Each persons plan of care has a hospital admission pack, which would go with them if they were admitted to hospital, so that staff there would have some understanding about the person and what particular behaviours may mean. Medication used by the home is dispensed by the pharmacist into a monthly bubble pack, which staff pop out into medicine pots for people to take. Nobody currently at the home is able to look after their own medicines, although staff support one person to open the packet containing the medicine and mix it themselves with water, before taking it. This is recorded in their care plan. This is good practice as it promotes that individuals independence. Medication record sheets are filled in properly, though it would be good practice for the manager to keep a list of all the signatures and initials of staff that administer the drugs, so that these are easily identifiable. The manager said she would introduce that immediately. The manager carries out monthly checks to make sure the drugs are being given correctly. There is also a written record of why all the drugs have been prescribed, and their side effects, so that staff can be alert to any possible effects a drug may have. All the staff have attended medication training from an external trainer and have been assessed as competent to carry out that task. Care Homes for Adults (18-65 years) Page 19 of 30 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. Staff are alert to both signs that people might have concerns about something so that it can be put right, and to signs of possible abuse, so that people can be protected from harm. Evidence: The home has a complaints policy, which is displayed in the home and is included in the information package given to people and their families when they are thinking of moving to the home. The complaints policy is in large writing, with pictures, symbols and photographs, to help people understand what they need to do if they are unhappy about something. There is a well-established staff team, who know the people living there well. They know what peoples gestures, mannerisms and behaviours mean. The care plans also record how people show whether they are happy or sad. Therefore even though people are not able to say if something is troubling them, staff are alert to changes in peoples behaviours and this knowledge can contribute to keeping people safe. There have been no complaints made since the last inspection. Peoples families, and professionals visiting the home are encouraged to comment if they have any concerns, and surveys about the home are sent to these people each year. Relatives were not Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: surveyed as part of this inspection process, but a comment from one of the surveys sent out by the home was that our relatives well looked after and is very happy in your care. When meetings are held, if people do not have a family representative, then the home makes sure an external advocate is also invited a so that they can make sure the persons best interests are not being overlooked by the other people in the meeting. All the staff at the home attend training in protecting vulnerable people and this subject is discussed in staff meetings. One support worker spoken with was clear about their immediate responsibilities should they see or hear something which may be abuse. The manager was also aware of her responsibilities and had contact details for the local authority close at hand in her office. Each person living there has a vulnerable adults risk assessment, which emphasises the level of support and supervision required. These inform staff so that support can be provided in a consistent way, which will contribute to people being kept safe. There are robust systems in place to make sure peoples personal monies are being protected. Two peoples financial records were looked at and all transactions looked at were confirmed with receipts. The actual monies, which are safely stored, tallied with the paper records. Care Homes for Adults (18-65 years) Page 21 of 30 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 warm, comfortable home, which has been adapted to meet the needs of the people living there. Evidence: Meadow View 3 is a semi-detached bungalow in a small cul-de-sac with three other similar properties, which are each used by MENCAP to provide accommodation for four people with a learning disability. The home has level access for people in wheelchairs, and small gardens, including a patio, with outside seating. The home is on one level. It has spacious corridors to make it easier for people with mobility problems to move around. There is a lounge, dining room and kitchen and all are furnished and decorated in a homely, domestic style. There are four single bedrooms, which are individually furnished and contain lots of items, which are important to that person. One room, belonging to someone with poor vision, has fairy lights fitted, as they enjoy looking at these lights. Meadow View 3 also has a very well equipped sensory room, which it shares with the next-door property. Sometimes people from the other two Meadow View homes also Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: visit to use this room. There are two toilets and a bathroom, which has a specialist bath and a normal bath, with shower over. Protective equipment is available in the home to reduce the risk of cross infection and pictorial signs are at the sinks, reminding people living there how to wash their hands properly. There were no unpleasant smells. Hazardous chemicals are safely stored and the laundry area is domestic in design. Care Homes for Adults (18-65 years) Page 23 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People at Meadow View 3 are supported by staff, who are well trained, committed and reliable. Evidence: There is an established staff team, most of whom have worked at the home for several years. There is a full complement of staff and there have been no new staff in the past two years. Both male and female staff are employed, of differing ages and backgrounds and all staff share the catering and domestic duties within the bungalow. The manager was able to explain the recruitment process she would follow. She stressed the importance of employing someone with the right beliefs and attitudes about disability so that the most suitable person, who understands the aims and ambitions of the home, would be chosen. Recruitment processes have been found to be robust at previous inspections. The staff are experienced and showed in discussion that they have a good understanding of their role in supporting people to have some control of their lives. Eleven of the twelve support workers have achieved a National Vocational Qualification Level 2 award in Care, and the twelfth person is working towards this award. People Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: are more likely to receive the right support if staff understand why they are doing what they are doing. Staff are well trained. They have attended training relevant to the people they work with, like abdominal massage to promote good bowel management, and medication treatments for managing epilepsy, as well as more general training like care of the feet. Staff say in their survey responses that they attend regular training to enable them to use their up-to-date skills to support people. The manager has introduced a continuous professional development scheme for all staff, where training needs are identified and then planned and organised, so that the staffs knowledge base is always increasing. Regular supervision, where their work is discussed and annual appraisals will contribute to making sure that support staff have the skills and knowledge to carry out their work safely and appropriately. A member of staff confirmed that they met regularly with the manager to discuss their work, and records were kept of this. However one person in their survey said that formal supervisions dont always happen regularly, but the manager works alongside staff each day so informal discussion can take place then. The induction programme, used when new people start working at the home was not looked at. MENCAP follow an established training programme, which is equivalent to Learning Disability Foundation Award Standards. A standard induction process means that all new staff receive the same learning and support so that they learn about good practices and how these can be provided. Care Homes for Adults (18-65 years) Page 25 of 30 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 home is very well run and the people living there are at the centre of all decisions made. Evidence: Since the last inspection a new manager has been appointed and registered with the commission. She has worked with people with learning disabilities for a number of years and has completed National Vocational Qualification Level 4 and the Registered Managers award in the past, to help her with her role. She showed in discussion that she had a good understanding of the needs of the people living there and the staffs responsibilities in providing person centred care to enable people to live meaningful lives. She has made some changes since her appointment to improve the way the home operates. MENCAP has a quality monitoring system where people with an interest in how the home runs are consulted each year. Annual reviews of peoples care also provides an Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: opportunity for people to comment on the service. The people currently living at the home are not able to say if they are concerned about something, however their care plans describe what would tell someone if they were happy or sad. Staff are alert to these signs, so on a daily basis peoples satisfaction can be monitored. The manager also completes monthly checks, which are written down, to show that the home is running well, and is in good repair. A senior manager employed by MENCAP visits the home regularly, without telling them they are coming so that they can check how the home is running. All these systems help to demonstrate that the home is running well and people can have the opportunity of saying what matters to them. The home has good systems in place to make sure that the health and safety of both the people living there, and staff are protected. Staff are supported in attending regular health and safety training to make sure their knowledge is up to date. One staff member has extra responsibility as the health and safety representative for the home. A small number of service safety certificates were looked at and all were in date. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 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. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!