Inspection on 04/03/08 for Montpelier Terrace (3)

This inspection was carried out on 4th March 2008.

CSCI 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

Montpelier Terrace (3) 15/03/07

Montpelier Terrace (3) 01/02/06

Montpelier Terrace (3) 03/02/05

Montpelier Terrace (3) 11/08/04

Montpelier Terrace (3) 23/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Montpelier Terrace (3) Ashbrooke Sunderland SR2 7TZ Lead Inspector Miss Andrea Goodall Key Unannounced Inspection 4th March 2008 11:00 Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Montpelier Terrace (3) Address Ashbrooke Sunderland SR2 7TZ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0191 565 6205 F/P 0191 565 6205 European Services for People with Autism Limited Susan Dimmick Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 2007 Brief Description of the Service: The home at Montpelier Terrace is a modern three-storey house that has previously provided accommodation for up to 6 people with Autism. The care service is operated by ESPA (European Services for People with Autism), whilst the building is owned and maintained by a Housing Association. The home has been registered for over 10 years. The home is close to the City centre and to a number of local facilities such as parks, library, shops and pubs. Over the past year the home has not been occupied, as the previous residents all moved to new accommodation that is also operated by ESPA. However the home remained registered while ESPA considered proposals for semiindependent services that could be provided within this house. Over the past 3 months, three people have moved to the house (and one person has occasional short breaks here with their own team of staff). It is intended that the house will provide a base for people to improve their independent living skills with the aim of moving on to their own accommodation in the future. The house is currently divided into three ‘flats’, one on each floor. Each flat has 2 good-sized bedrooms, a pleasant lounge/dining room, a small domestic kitchen and a bathroom. At this time, a bedroom in one flat is used as an office and the other bedroom is used by one person for occasional overnight stays. The home has a large back garden with access via a ground floor room. The design of the house means that it is not suitable for people with physical disabilities or mobility needs, as the entrance and all areas of the home are only accessible via steps. ESPA have given every consideration to how this may be addressed. Charges to live at 3 Montpelier Terrace vary according to individually assessed levels of funding. This currently ranges from approximately £75,000 to £94,187 per year. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • information we have received since the last visit on 15th March 2007 • how the service dealt with any complaints & concerns since the last visit • any changes to how the home is run • the provider’s view of how well they care for people • the views of people who use the service & their relatives, staff & other professionals The Visit: An unannounced visit was made on 4th March 2008. During the visit we: • talked with people who use the service, staff, and the manager • looked at how staff support the people who live here • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked around the building to make sure it was clean, safe & comfortable • checked what changes had been made since the last visit What the service does well: This service helps people to learn how to do things for themselves so that they become more independent. People can make their own choices about how they lead their lives and this is respected. People live in their own ‘flats’ in the house and have a key to their door. One person said, ““It’s my flat. I can choose if I want people to come in or not.” People choose the decoration in their own flats. One person said, “I’m very pleased with my room - it’s got my own things in it.” Staff have lots of experience and training so they are the right people to work here. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 6 The manager and ESPA make sure that the home is run in the right way for the people who live here. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 People who use the service experience adequate quality outcomes in this area. Full assessments of each person ensure that the home can meet their needs, but information about the service is still being developed so people do not currently have sufficient guidance about the service. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The house has recently re-opened and proposes to provide a different service than previously. This transitional residential service intends to support people to increase their living skills in order to move on to more independent living in the future. As this service is still being developed the Statement of Purpose has yet to be developed to reflect its aims and objectives. This will be depend largely on the individual needs of people as they move in, so that the service can be tailored to meet those needs. At this time there is not a published Statement of Purpose, but many of the corporate principles and procedures of ESPA remain the same. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 9 At this time a written Service Users Guide is also still being developed. However, before the service re-opened, people were fully involved in discussions about what the service expects to provide. They also had opportunities to visit the house and to meet the staff before moving here. ESPA has clear written guidelines about referrals and assessments. The three people who are currently living here had all previously been receiving educational or residential service from ESPA, and so their needs have been continuously assessed and reviewed over the past years. The manager indicated that two more people are to move here in the summer. It is intended that the assessed needs of those people will be fully reviewed at that time. Before they moved in the current residents, their relatives and ESPA staff were fully included in making a decision about whether the home could meet people’s needs. The people who live here described how they came to look around first. One person moved into a ‘flat’ in the house on his own first so that he could get used to it. At the time of this visit people had not yet been given a licence agreement (a contract about their rights and responsibilities) about living at Montpelier Terrace. (However shortly after the visit the three people were given the agreements.) Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. People have good opportunities to make their own decisions and take acceptable risks so that they lead an independent lifestyle. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: There are care files for each of the three people who live here. These contain assessment and care records from previous placements, and very detailed daily records about people’s well-being, achievements, communication and activity since moving to this house. At this time there are no specific support plans and the manager is aware that this is an area for development. As the service has only been operating for 3 months it is intended that reviews will be held to assess the goals, capabilities and needs of each of the people now that they have been living here for a short time. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 11 It is intended that people will be fully involved in their own support planning, and computer pictures will be used to help people’s communication needs if this is needed. Key workers are to be trained in support planning so that they can record people’s progress towards their goals. The people who live here are able to make their own choices and decisions about their daily lives, including appearance, activities and menus. This is respected by staff and people are able to lead their own individual lifestyles. For example one person has recently joined a nearby religious organisation and has visits from the church members in his own flat. One person makes all his own decisions with minimal guidance from staff. Two people who share a flat make their own choices with some support from staff to plan their menus. It was evident from discussions with people and staff that the service positively promotes the independence of the people who live here. There are clear risk assessments records for acceptable risk-taking activities as part of their independent lifestyle, and how those risks can be minimised. For example, there is a risk assessment for one person who can spend short periods of time on his own in the house. The assessment shows the many strategies in place to support this, including the ways for the person to contact staff or fire services in the event of an emergency. Some risk assessments have been signed by people to show their involvement and agreement. Some risk assessments have been agreed by people but they have chosen not to sign them. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. The service supports people to have excellent opportunities for personal development so that their individuality and independence is fully promoted. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The three people who live here have a good range of occupations that can support them towards an independent lifestyle. It is very good practice that the home has helped one person to get a paid work-experience position within ESPA offices, carrying out administrative and postal duties. The home wrote out a job description and ‘rules of work’ for him so that he is aware of his rights and responsibilities, as having a job is a completely new experience for him. This promotes his independence and also his budgeting skills. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 13 One person also does voluntary work at a farm one day a week, and is very proud of his work there. He said, “I really like it. There’s always loads of work to do.” He also enjoys leisure activities at the local Croft Centre a couple of days a week and a staff goes with him. The third person is still in full-time education at the local South Hill College, which he completes this summer. The home is very close to the city centre so residents have a good range of shops and leisure resources nearby, as well as easy transport to Newcastle. The people who live here also make good use of local facilities in the community including local shops, pubs, and post office. One person has been provided with a mobile ‘phone by the service so that he can keep in touch with friends, and with staff if he needs to. Other people living here do not have mobile phones but can use the home telephone if they want to contact friends and family. Two people spend some time at their family homes. The three people who share the house have different lifestyles, and each has a different circle of friends outside the house. All the people who live here have time to carry out their own household tasks in their flats. Some people are already very independent in this area and so need little or no support with domestic chores. Other people are being coached by staff to learn how to do these things for themselves so that they can increase their independence with a view to eventually moving on to more independent living. In discussions people were very clear about their own future plans to become even more independent. One person spoke enthusiastically about all the personal skills he is achieving since moving here. For example, he said, “I’ve been washing my shower curtain and bath mat today. It’s not something I’ve done before.” Each person chooses their own menu, sometimes with advice from staff about healthy eating. One person is fully independent in this area. He has his own budget for groceries, and he shops, cooks and dines independently. The two people who share a flat take it in turns to plan menus, do the grocery shopping, and prepare meals. At this time they need some guidance from staff to do these things. The three people said they were “happy” with this area of their daily living. One person said, “I choose my own meals and cook them. I have my own tastes.” Another person said, “I know how to make garlic bread and pasta now!” Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good quality outcomes in this area. People receive the right support, where it is needed, to access health care services so that their health care is well met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The three people are able to manage all or much of their own personal care needs (such as washing and shaving). One person is fully independent, one person is guided by pictorial symbols to do this, and another has some verbal encouragement from staff. Future support plans will guide and record people’s on-going progress in this area. Since moving to the home the three people have registered with a local GP practice. There are clear records in the home about people’s heath care needs and health care contacts, such as dentists, optician, psychology, and language services. The records show that there is good contact between the home and health care services. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 15 The people who live here are generally young and physically fit. One person is fully able to attend his own health care appointments and does so by his own choice. Occasionally he may choose to share the details of the appointments with staff, but staff respect his privacy and independence. At this time the other two people need staff support with health care appointments. It was evident that the home encourages people to manage their own medication if they can, and this is recorded on a risk assessment. At this time two people have prescribed medication or medicated creams. One person is able to manage the medicated creams himself. The other person currently needs staff support with medication. The home uses blister packs to show the days and times that the medication has to be taken. It is hoped that this will help the person learn how to manage this themselves in the future. There are lockable cupboards in each of the bedrooms for people to keep things safe, and one person keeps his medicated creams in this. Other medication that is managed by staff is kept in a metal, alarmed medication cabinet in a locked room. Medication records are in good order, and all staff receive suitable training in safe handling of medication. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. People have good information so they know how to make a complaint, and staff are trained in safeguarding adults so residents are protected from abuse. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The three people who currently live here have all used other ESPA services, and so may be familiar with the Provider’s complaints procedure. However, at the time of this visit, people had not yet been given a written copy of the complaints procedure for this house. Shortly after the inspection people were given a copy of the complaints procedure and this was also been verbally explained to them. Relatives of two people have been sent a copy of the complaints procedure. During time spent with people living here, it was clear that they were comfortable and vocal around staff. In discussions people said that they would “talk to staff” if they were “not happy” about the service. People were able to give examples of their dissatisfaction with some of the actions of other residents and how they had resolved these by speaking about them at house meetings. The house meetings are also another opportunity for people to comment on what they think of the service they receive at Montpelier Terrace. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 17 The home has a complaints file. There has been one concern received from a neighbour. The record about this is very detailed and shows the appropriate action that was taken, and how the matter was resolved to the satisfaction of the neighbour. All staff receive training in prevention of abuse as part of their induction training. ESPA has adopted the local council Safeguarding Adults procedures and has a good history of commitment to this. All staff are nominated for training in the local council Safeguarding Adults procedures. The manager has already received training in this area and has demonstrated her good knowledge of the protocols. In this way staff would know what to do in the event of suspected abuse. None of the current people who live here have behavioural needs that challenge the service. All staff have had training in behaviour management and all staff are to receive suitable training in physical interventions, so that they will be well trained in this area of care. The three people here each receive a weekly allowance from their benefits. It is very good practice that one person manages all their own money, and another person keeps their own receipts so that they can see how much they have spent. Two people keep some of their money and, at this time, the rest is safely looked after by staff. All three people sign for receipt of their own money, which is good as it gives them responsibility for their own money. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30 People who use the service experience good quality outcomes in this area. People live in good quality accommodation that is comfortable and safe, and promotes their independence. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: This three-storey house lends itself to semi-independent living for a smaller number of people and small staff team. There are 3 ‘flats’ within the house, each with its own front door, two bedrooms, lounge, kitchenette and bathroom. It is intended that there will only be 4 or 5 people living here at any one time. The top flat is used as a single person’s flat by a person with very good independent living skill. Two people currently share the middle flat. On the ground floor there is one bedroom used for occasional short breaks by one person, and the staff office. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 19 The building is owned by a Housing Association (Places for People), which remains responsible for any repairs and maintenance. The premises are well maintained and safe. Over the past year, while the house was unoccupied, gas services and maintenance checks have continued to be carried out, and new electrical circuit breakers have been fitted. It is very good practice that people were invited to choose their own colour schemes for their bedrooms and flats before they moved here. This demonstrates their full involvement in choosing whether to live here, and helps to give them a sense of ownership of their accommodation. One person said, “It’s my flat. I can choose if I want people to come in or not.” The quality of the accommodation is good. Bedrooms are of a reasonable size, and one person said, “I’m very pleased with my room - it’s got my own things in it.” Everyone has a key to their own ‘flat’, and all bedrooms are lockable so that people can choose to be private when they want. The current design of the radiator covers means that people cannot individually control the temperature of their room. Potential solutions to this were discussed with the manager. Before people moved in the small kitchenettes on each floor were fitted with new units, cookers and worktops. One person said that there is not enough cupboard space in their kitchenette to store all his equipment and food. This was reported back to the manager so that additional wall units can be considered. Everyone carries out their own household tasks to keep their flats clean. Each flat has domestic laundry equipment. Some people can manage this on their own; others are being supported to learn how to do this as part of their plan towards greater independent living. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience good quality outcomes in this area. The home provides competent, well-trained staff in sufficient numbers to ensure that the needs and choices of residents are met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: At this time the staff team consists of the manager, one senior support staff, four full-time support staff, and one relief support staff. There is also a service development manager who is based at the home for a few months to help the manager and staff team set up this new service. At most times there are a minimum of two staff on duty and this is sufficient to meet the needs of the current residents when they are at home. For example, one staff can support people inside the home (e.g. to prepare meals) and one staff to support people if they want to go out (e.g. shopping). One person needs very little help from staff for household or care tasks but does need some social and psychological support and advice with budgets. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 21 It was clear that the staffing rota is very flexible to offer the most support to people at the times that they need it. For example, during college holidays there are 3 staff on duty to support everyone to go out on holidays and trips. At other times there is only one staff person on duty, for instance overnight, but there is always another “on-call” staff. There will be four new staff appointed before two new residents move here in the summer. ESPA operates robust recruitment and selection processes, including all necessary checks and clearance, to ensure that only suitable people are employed. ESPA has clear equal opportunities protocols and welcomes applications from all ages, gender, cultural, and ethnic backgrounds. All except one of the current staff team were already working for ESPA before coming to work at this new service. It is good practice that they were all interviewed by the manager and service development manager to ensure that they had the specific qualities to work in this new, transitional service. All staff receive Induction training with ESPA, which includes specific training in autism-awareness. All staff, except one new staff, have achieved a national vocational certificate, which show that they have passed specific training in the care of people with a learning disability (that is, NVQ/LDAF training). Staff said that they have very good training opportunities that support them in their role. For example, the manager and key worker staff for people who use TEACCH (symbols) have had training in this communication tool. They are going to use their knowledge from this training to provide those people with computerised picture-schedules. This will guide them to follow their own daily living task so that staff do not have to verbally prompt them. This will help them to independently self-manage their own care needs. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. People living here benefit from a well-run service, and their views are used to make sure that the service is run in their best interests. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Since the home re-opened the new manager has been registered with CSCI. She has many years experience of working in health and social care settings for adults with Autism Spectrum Disorders, and has worked for ESPA for 14 years. She was previously a deputy manager at another ESPA service. She has recently started training in NVQ level 4 in care and will continue on to the Registered Managers’ Award once this is completed. (These are recognised qualifications that are suitable for the management of a care service.) In this Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 23 way, she has demonstrated that she has suitable skills that are necessary for the role of manager. As this is a new service it will be monitored and reviewed to see how it is meeting people’s expectations and goals. At this time a service development manager is based at the house for the first six months to support the manager to set up this new service. A senior manager of ESPA also visits the home to carry out the required monthly visits and to report on its operations. The reports over the last 3 months indicate a very positive start to the service, with new people settling well. The 3 people who live here have held their own monthly meetings to make group and individual decisions, and to discuss the progress of the service they receive. They have set their own ‘House Rules’ about respecting each other’s privacy, noise levels and visitors. This shows that they are involved in directing the way the house is run. Training records show that all staff have training in health and safety matters, such as first aid, food hygiene and fire safety. It is good practice that the people who live here are also going to have training in fire safety. This will support them in their independent living and in any employment placements that they have. At the time of this visit water temperature checks had not yet been carried out, but a form has been designed for this and suitable thermometers were being purchased. It is good practice that one person who has a specific interest in maintenance is to be involved in some routine checks in the house. This will support him in his goal to be employed in this area of work. Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 5 Requirement A Statement of Purpose and Service Users Guide must be developed for each resident in an accessible format that meets their individual communication skills. This is to ensure that people have information about what the service intends to provide to for them. Following the three-monthly reviews there must be support plans in place for each person with their involvement. This is to ensure that staff work consistently to support people towards their goals. Timescale for action 01/09/08 2. YA6 15 01/07/08 Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA9 Good Practice Recommendations If people choose not to sign risk assessments, staff should record this to show that people were involved in the discussions and decision-making. Additional kitchen cupboards should be considered for one kitchen, in consultation with the person who lives in this flat. Radiator covers should be altered to ensure that people can individually control the temperature of their rooms. 2. 3. YA24 YA26 Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Montpelier Terrace (3) DS0000015737.V356813.R01.S.doc Version 5.2 Page 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. 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