Inspection on 02/10/08 for Minstead Lodge

This inspection was carried out on 2nd 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

Minstead Lodge 04/10/06

Minstead Lodge 15/11/05

Minstead Lodge 13/05/05

Minstead Lodge 19/10/04

Minstead Lodge 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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: Minstead Lodge Minstead Lodge Minstead Lyndhurst Hampshire SO43 7FT     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: Patricia Trim     Date: 0 2 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 29 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 29 Information about the care home Name of care home: Address: Minstead Lodge Minstead Lodge Minstead Lyndhurst Hampshire SO43 7FT 02380812297 02380812297 info@minsteadtp.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Martin Lenaerts Type of registration: Number of places registered: Minstead Training Project Limited care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 16. The registered person may provide the following category/ies 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 categories: Learning disability (LD). Date of last inspection Brief description of the care home Minstead Lodge is a registered care home set in the rural village of Minstead, some ten miles from the city of Southampton close to the New Forest town of Lyndhurst. It provides residential care for up to 16 people aged 18 to 65 years, who have a learning disability. The service helps them develop their abilities through independence training and the use of horticultural and agricultural activities on its 16 acre site. The home occupies part of the ground first and second floors of a large country style. Single bedrooms are grouped in small clusters around the building, each group having access Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 16 Brief description of the care home to its own bathing and toilet facilities. There are communal areas on the ground floor, which include dining and lounge facilities. There are well maintained and accessible gardens around the building with a covered swimming pool and ample car parking. Care Homes for Adults (18-65 years) Page 5 of 29 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: We got lots of information from different places to write this report. Minstead Lodge sent us a big report about how they make sure the people who live there get the help they want and are looked after properly. This report is called an Annual Quality Assurance Assessment (AQAA). It also gives us some information about the people who live and work at Minstead Lodge. We asked some of the people who live there to fill out a form, telling us what they like and dont like about living at Minstead Lodge. We sent four forms out and got four back. We also sent some forms to five staff and got five back. We asked other people, like care managers, what they thought about Minstead Lodge. Care Homes for Adults (18-65 years) Page 6 of 29 We also looked at any information we had got about Minstead Lodge since the last time we visited and found that no-one had made any complaints about it to us. One of our inspectors visited Minstead Lodge and stayed for four and a half hours. During the visit time was spent talking to most of the people who live at Minstead Lodge. There was also an opportunity to talk to some of the staff and to look at some of the bedrooms, lounges, dining room, kitchens and bathrooms to see that people lived in a clean, comfortable and safe place. Three people were case tracked. This means following what happened to people from when they wanted to move into the home and looking at what has been written down about them. We also looked at some of the records Minstead Lodge has to keep to make sure they were being kept up to date. The people who run Minstead Lodge told us it costs Pounds 593.40 per week to live there. 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 29 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 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are actively involved in deciding to move into the home. They have the opportunity to try it out before they move in and these visits, together with detailed assessments and good information ensure they are only offered a place if the home can meet their needs. Evidence: The AQAA recorded that the organisation was trying to ensure people who use the sevice are given as much information as possible to help them make a decision about moving in. They wished to identify a more comprehensive statement of purpose/service users guide in a student friendly format. A updated version was seen that had been completed in August 2008. This was easy to read and gave detailed information. People who use the service felt the information helped them make their decision. The head of care said people could come and try out the service before deciding to move in. People spoken with confirmed they had been able to do this. One person Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: commented I did a trial stay before I moved in. People who use the service also said they had lots of meetings to talk about what they wanted to do and what help they needed. Very detailed assessments are completed before the person moves into the home. These include information about what the person can do for themselves and what they will need help with. They are asked what they think they would like to do and long term objectives such as living independently are also discussed. People who use the service said they had been involved in looking at what they needed and there was evidence to show they had been. Any potential risks are identified and temporary action plans put in place to manage them in the early stages. For example, no-one is allowed to go out alone until time has been spent assessing their ability to do so. There was evidence that information gathered during the assessment was used to plan the persons support. For example, one person had expressed a wish to continue with a hobby he did before moving in. The head of care said arrangements were being made for him to continue with this hobby. The person concerned confirmed this and said how much he was looking forward to this. Care Homes for Adults (18-65 years) Page 11 of 29 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. There is a clear and consistent care planning system in place, which ensures the needs of people who use the service are met within a risk management policy. People who use the service are involved in making decisions that affect them. Evidence: The AQAA recorded that as well as our traditional student centred approach and individual programmes a number of students have completed or are in the process of completing Person Centred Packs. The home also plans to give further training for speech therapists and to develop more communication tools. People who use the service are actively involved in writing and reviewing their care plans. Those spoken with said they had regular meetings with their key workers to look at their progress and to decide what else they want to achieve. Evidence of these reviews were seen on the files of the people who were case tracked. They clearly recorded what people who use the service thought and their short and long term Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: goals. Feedback from care managers showed they valued the service and felt The service provides realistic targets and individual goals within clients care plans. People who use the service said the home helps them develop their independence in personal care and daily living skills. One person said the home had helped her learn how to look after herself and she now lived independently in her own house. Another person was waiting to move into a house with some friends. Both people said they had learnt how to do things through ICAN, a risk assessment and review process that enables people who use the service and staff to assess and monitor their progress in specific activities. For example, it is used to help people who use the service learn how to use public transport safely. Limitations are only imposed if the risk assessment shows it would be unsafe for the person. For example, anyone moving to the home is not permitted to go out unaccompanied until they have been assessed as safe to do so. People who use the service were very clear about this and comments were made such as you have to pass your bus training, then you can go out on your own and I have passed my train ICAN. People who use the service are given clear information about their rights in their statement of purpose. They are told that if there is something they cannot do because it may put them in danger it will be discussed with them, their family and care manager, recorded and regularly reviewed. People who use the service have the information they need to contact advocates and the statement of purpose says the home will arrange this for them if necessary. The head of care said the local advocacy group had supported several people who use the service for a number of different reasons. Care Homes for Adults (18-65 years) Page 13 of 29 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 who use the service are supported to join in a wide range of activities that enable them to develop their skills and that they enjoy. They receive the social and emotional support they need to enable them to develop and maintain relationships. Evidence: The AQAA recorded that Citizenship Training had been accessed by some students at Brockenhurst College. The statement of purpose told people who use the service wherever possible we will help a student to work towards recognised qualification (award or certificate) or our own ICAN award. People who use the service said some of them went to college. One person was hoping to complete a National Vocational Qualification in catering and attended a local college every day. Others had the opportunity to do work experience in a wide range of Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: settings such as schools, garden centres and older persons homes. Everyone had the chance to complete ICAN awards and had certificates to show what they had done. Where care plans identify it as an objective, people who use the service are able to learn a wide range of skills such as gardening, woodworking and catering. People who use the service said they enjoyed driving the tractor and looking after the chickens and geese. Several people said they worked in the kitchen and enjoyed helping prepare and serve meals. People are also encouraged to develop daily living skills and care plans record when they want to learn washing, ironing, cleaning, shopping and cooking. There is a kitchen that people can use to practice their cooking skills. People who use the service said they enjoyed learning these skills, although some did not like ironing. Comments from care managers showed they felt people who use the service had good opportunities for educational and occupational activities. Comments included they have a chance to make progress in lifeskills, horticulture and supported work, although one felt the service could improve by training being more individualised. The service had already identified this as an objective, recording in the AQAA we want to increase the availability of small groups and individual social and leisure activities. People who use the service felt they were able to use the local facilities and regularly went out using public transport. They went to local clubs and pubs supported by staff. They said they had recently taken part in a 3 day challenge, which included camping out. The statement of purpose says residents have the opportunity to go away on holiday with their keyworker or other members of the staff team as part of their life and social skills training. People who use the service said they had a holiday planned and were looking forward to going. The statement of purpose says people who use the service will be supported with help and advice to manage relationships. The AQAA recorded that 1 to 1 support sessions had been introduced to help people look at their individual personal, social and health care needs. People who use the service said they liked these sessions and found them helpful. The statement of purpose explains peoples rights and responsibilities to them in easily understood language. for example, that they must not smoke in the house or outside, except where it is allowed. The statement of purpose also tells people they are free to worship as they choose and that they will be supported to go to church if they wish. Several people attend various Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: services. The home has a telephone that people may use to contact family in private, but people who use the service said they usually used their mobile phones to call. They said they were given their post unopened and one person was seen asking staff to help him read a postcard that had arrived. People have a key to their room and were seen using it. People said staff do not go into their rooms uninvited. Meals are served in a large dining hall. People said they liked the food offered and always had a choice. The daily menu is pinned on the door so people know what is being cooked. They are also able to cook their own meals in the unit kitchens and make snacks and drinks when they wish. Care Homes for Adults (18-65 years) Page 16 of 29 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. The health and personal care that people receive is based on their individual needs and given in a way that respects their rights to privacy and dignity. Staff receive guidance and training that enables them to manage medication safely and, if identified as a personal goal, people who use the service are supported to manage their own medication. Evidence: Talking with people who use the service and looking at the comments made in 4 survey forms showed they felt staff listened to what they had to say and only gave them the help they wanted. The head of care said no-one needed physical help with personal care unless they were unwell, but some people needed to be reminded to do things. For example, someone might need reminding to have a bath or shower, or to change their clothes. Care plans recorded what sort of help each person needed. Peoples health care needs are monitored and appointments made to see health care professionals such as doctors when necessary. People who use the service said staff went with them if they needed them to. The care plan identifies whether someone can Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: go to the doctors on their own or whether staff need to go with them. A record is kept of any visits to health care professionals. Staff have the guidance they need to support peoples individual health care needs. For example, they had clear guidance on how to identify if one person was going to have an epileptic seizure, together with information about what to do if they did. The statement of purpose says Staff help with medication for those who need it, and know about any medication that you are taking yourself and the AQAA identifies that the home will help people be as independent as possible when looking after their medication. The three people who were case tracked had all chosen to learn how to manage their medication independently. Risk assessments had been completed to make sure it was safe for them to do so and an action plan agreed with each person as to how this would be achieved. The plan was kept under review. Staff had a medication procedure to follow and had training in the safe management of medication. There was evidence that the procedure was followed and records completed in accordance with the Royal Pharmaceutical guidance. Medication was stored correctly. Care Homes for Adults (18-65 years) Page 18 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have the information they need to be able to make complaints and are confident their concerns will be listened to. Staff have the guidance and training they need to be able to minimise the risk of abuse. Evidence: The statement of purpose tells people What to do if you dont like what people do or say to you. It also tells people What happens if a student upsets or hurts another person. This gives information about how the student will be supported. People who use the service said they knew how to make complaints and were confident they would be listened to. Feedback from the surveys completed by four people who use the service also showed they had the information they needed to complain. Comments included We are able to speak out. I would speak to the head of care or Martin Lenaerts. They would definitely do something and We have student meetings to talk about what we have done. We have key workers and talk to them about living here. Everyone can see the complaints procedure as it is on the notice boards in easy read and pictorial formats, together with information about contacting advocates. Staff are Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: told to make sure they help people who use the service complete complaints slips. The service recorded that it had received four complaints since the last inspection. The records showed these had been fully investigated. They were not upheld. The commmission had not received any complaints about the service. The AQAA identified that the service had shown people who use the service a film to help them understand why and how they should make complaints. They also had a meeting to explain about advocacy. The service wants to improve its written information about advocacy by finding an easy way to explain what advocates do. The service has a policy and procedure about safeguarding people who use the service. This has been recently reviewed to make sure it is up to date. Two people who work at the service have completed a training course that enables them to give training to other staff about safeguarding and all staff are required to do this. Staff spoken with knew about the whistleblowing policy and that they needed to report any allegations of abuse. The amount of support people need in managing their money is identified in their initial assessment. The statement of purpose says the service will help residential students with their money in a way agreed with them. Comments from people who use the service showed this was done. People who use the service said they got wages each week for the work they did. They said We save some but go shopping too. Some of us look after our own money but for others staff look after it and we go and get money when we need it. The care team leader said the service provides support to people who may be verbally challenging but not to people who can be physically aggressive. Risk assessments and care plans give staff guidance on how to work with individuals who may become upset and present with challenging behaviour. Care Homes for Adults (18-65 years) Page 20 of 29 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 who use the service are able to live in a clean, comfortable environment that meets their needs and that they like. Evidence: People who use the service said they liked living at Minstead Lodge. They know when they are moving in which will be their room. Everyone has their own room and can choose what they keep in there. They can choose the colour scheme when the room is due for redecoration. The service has communal lounges and kitchens as well as the central dining room and kitchen. People who use the service said they liked to meet up in the large lounge after work and chat. They also said they liked watching football on the large television. They were seen spending time in all areas of the service. People who use the service are told in the statement of purpose that they will be expected to keep their rooms clean and to join in doing housework. This is to help them develop their independence skills. There is a rota so people who use the service know what they are expected to do. People are also supported to do their own laundry and ironing. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The AQAA recorded that the service wants improve monitoring that areas not covered by the student cleaning rota are adequately cleaned. Several communal areas have been improved by replacing carpet with a more easily cleaned floor covering. The service does not have to deal with large amounts clinical waste but does have a policy and procedure to give staff guidance. There is a policy and procedure for infection control and some staff have had training. The AQAA identifies that this is an area the service plans to improve. Care Homes for Adults (18-65 years) Page 22 of 29 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. Well trained staff are provided in sufficient numbers to meet the needs of the people who use the service. A robust employment procedure is consistently used so risks to people who use the service are minimised. Evidence: The home has a comprehensive recruitment procedure which includes requiring applicants to complete an application form, give information about their previous employment, provide two references and have Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) checks. They have to attend an interview by a panel which includes one of the people who use the service. The AQAA recorded that four out of nine staff had completed their National Vocational Qualification (NVQ) 3 and two more were completing it. Staff joining the service complete the Learning Disability Qualification (LDQ) to ensure they have the skills they need to work with people who have learning disability. Five staff completed survey forms which showed they felt they had the training and supervision they needed to be able to support people who use the service. They confirmed they were able to complete LDQ and NVQ training as well as other courses Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: such as abuse awareness and communication. New staff complete an induction course and are monitored to ensure they complete all sections of the workbook. Comments received from staff surveys showed they felt their induction always or mostly covered everything they needed to know to do the job when they started. They also felt they had good supervision and support from the management team. The service has a training matrix that enables the registered manager to monitor staff training and to provide refresher courses as required. Feedback from two care managers showed they felt staff had the necessary skills to meet the needs of people who used the service. People who use the service said they liked the staff who worked at the home and felt they treated them well. Care Homes for Adults (18-65 years) Page 24 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a well-managed home where the management actively seeks their views and opinions. The health and safety of people who use the service is promoted through the implementation of safe working practices. Evidence: The registered manager has a management qualification and many years experience of managing the project. The information included in the AQAA gave good evidence of how the service is run to the benefit of people who use the service. There was good evidence to show there are systems in place that monitor every aspect of the day to day running of the service and that the information is used to identify where improvements can be made. Staff felt the home was well managed and responsive to the needs of the people who use the service. Comments made included The project is very good at being flexible enough to provide individual programmes for each student and to be able to make changes quickly as and when required and I feel the project offers a great deal of Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: choice to each individual. People who use the service felt they were able to contribute to the running of the home and that they could always speak to someone if they were unhappy about anything. They had lots of opportunity to give their opinion about the service they received. They were constantly given information about what was happening in the service. Other people with an interest in the service, such as parents and care managers, are also asked to give their views by completing a questionnaire. The service has a system for monitoring staff training to make sure mandatory training is up to date. Staff have regular training and refresher training such as food hygiene, first aid and moving and handling. Information included in the AQAA, together with a range of service contracts and certificates seen provided evidence to show the home is maintained safely and equipment regularly serviced. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 28 of 29 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 29 of 29 - 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!