Inspection on 29/09/08 for Natalie House

This inspection was carried out on 29th September 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Natalie House 27/04/06

Natalie House 17/01/06

Similar services:

Flint House

The Ley Community

Yeldall Manor

Cherwood House Care Centre

The Manor Clinic

Francis House

1 Butler`s Drive

Stoneleigh

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: Natalie House 34 - 36 St Marys Road St Marys Southampton Hampshire SO14 0BG     The quality rating for this care home is:   two star good 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: Mark Sims     Date: 2 9 0 9 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 31 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 31 Information about the care home Name of care home: Address: Natalie House 34 - 36 St Marys Road St Marys Southampton Hampshire SO14 0BG 02380220580 02380220580 lee.comach@homegroup.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Home Group Limited care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Natalie House is a ten-bedded residential project, which provides accommodation to single men and women with enduring mental health problems. Support is provided 24 hours a day throughout the week. Accommodation is of a hostel model and is provided over three floors, lower ground and first floor providing the ten single bedrooms each with shower / WC en suites, and the ground floor, which provides the communal areas and staff office. The property would not be suited to people who are wheelchair dependent as access is poor. There is a communal kitchen/dining room, two lounges and a meeting room. Outside there is a large enclosed garden to the rear of the property. There are close links and specialist support available from the Southampton Community Mental Health services, supportive outreach services and the Department of Psychiatry. The home is situated in the city of Southampton in an area called St. Marys, which is residential and is also close to local shops and amenities and a short Care Homes for Adults (18-65 years) Page 4 of 31 10 10 10 Over 65 0 0 0 Brief description of the care home distance to the centre of Southampton. The service does not intend to provide drug/alcohol residential rehabilitation in-house, but may admit service users who have these needs identified secondary to mental health problems, and support such residents to attend community rehabilitation services. There is no intention for residents to be accommodated long term, as the main aim of the service is to enable residents to re-gain and learn new independent living skills and to move on into move independent living/lifestyles, with appropriate support packages. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was, a Key Inspection, which is part of the regulatory program that measures services against core National Minimum Standards. The fieldwork visit to the site of the service was conducted over 5.5 hours, where in addition to any paperwork that required reviewing we (the Commission for Social Care Inspection) met service users, staff and management. The inspection process involved pre fieldwork activity, gathering information from a variety of sources, surveys, the Commissions database and the Annual Quality Care Homes for Adults (18-65 years) Page 6 of 31 Assurance Assessment information provided by the registered manager. The response to the Commissions survey was poor, with no surveys returned by people involved with the home. 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 31 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 31 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 may use the service and their representatives have access to information when choosing a home that will meet their needs, although this is not always presented in the most appropriate format. Evidence: The records of a person planning or being supported to plan their move to Natalie House were reviewed during the fieldwork visit. The documentation established that the process of ensuring the placement is right for the individual has no timescales attached and that the process is guided by the person and their needs and wishes. The purpose of the assessment and familiarisation process is that it enables the person to become familiar with the home, the surrounding area, the staff and most importantly the other people living at the property. Care Homes for Adults (18-65 years) Page 10 of 31 Evidence: Professionals, involved with the person seeking the move, are invited to attend planning and support meetings and asked to provide information relevant to the persons current status, which can then be used to support the Care Programme Approach (CPA), a set of principles used to ensure the person at the centre of the process remains involved throughout the assessing, planning and reviewing of their support needs. The records maintained by the service also document any visits made by staff to the potential service user and any visits they may make to the property. During the fieldwork visit one member of the Natalie House staff team, was observed leaving the home to undertake one such visit with the potential service user, returning later to report back to the manager and update the appropriate records. Since we (the Commission) last visited the service the provider organisation have introduced new documentation, which is colour coded and works in tandem with a flowchart to guide staff through the various stages of record keeping, i.e. records bordered in white are general records, records bordered in red are admission and planning records, etc. The new system has not been in operation long, however, the evidence indicates that it provides a good structured tool for the staff team, which guides people step-by-step through the development and maintenance of the service users plans. In discussion with the Registered Manager, it was determined that all people moving into the home do so on a six-week probationary period. This allows the person time to settle and decide whether or not the service is meeting their needs and for the service to confirm that they are able to provide the appropriate levels of support to the person, after this initial six-week period terms and conditions / contractual documents are signed and agreed. Whilst all of the above information indicates that the assessment and admission process are being well managed at Natalie House, it was felt that their was a lack of written information provided by the organisation, which could be shared with the potential service user. During a conversation with the manager it was established that the only documentation or literature made available to the potential service user is a copy of the homes house rules, which provides little insight into the facilities and amenities available both at the home and within the wider local community. Care Homes for Adults (18-65 years) Page 11 of 31 Care Homes for Adults (18-65 years) Page 12 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in making decisions about their lives, and play an active role in planning the care and support they receive. Evidence: The service uses a person-centred-planning system when document the needs and wishes of the service users and to planning the support required to achieve the individual service users goals. The support plans are well-completed documents, which contained detailed information about both the service users actual support needs and how the staff should assist the service user in managing these needs and achieving their aims/goals. The services keyworker system is used to support the person-centred-planning programme, with keyworkers and service users involved in both the initial planning stages and the ongoing reviews and updating of the support plans. Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: During conversation with the manager and the staff it was established that every three months the keyworker and service user will review the support plans and every six months a full CPA review occurs, when external professionals are invited to review the agreed person-centred-plans and discuss additional support systems, which might be available to the service user to continue achieving their aims/goals. Risks to the service users are also managed well within the home, with a managing risk with individuals process used to ensure that all aspects of the persons life/activities, which might potentially result in harm, having been identified and a plan to reduce the risk produced. In discussions with service users it was established that people felt life within Natalie House was good and that they were provided with a lot of freedom and space. However, comments were made around some of the restrictions placed on visitors, with some people finding it difficult to accept that some visits to the home, by friends were chaperoned, whilst other peoples visits were not. In discussion with the manager it was established that some service users, had the right to bring friends back to the home but due to their vulnerable status the visits were managed in as safe a manner as possible, which placed restrictions on where the visitations took place. These restrictions are fully assessed and agreed as part of the CPA process and records were seen during the visit, which identified such occurrences. Lifestyle: The feedback from the service users, as evidenced above, indicates that they feel they are provided with choice over their day-to-day activities a belief that is supported by the evidence contained within the support and/or person-centred-plans. Observations also indicated that people were being supported to live the lifestyle they require, with three service user observed going out and a further two people observed returned to Natalie House during our time at the service. The person-centred-plans contained detailed information about peoples support needs when accessing community based services and facilities, which could range from shopping independently to being able to attend hospital and or General Practitioner appointments. Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: Whilst reading through one persons plan it was noted that they had expressed a wish to visit the local football teams ground and to watch some games of football. Within the home each person has their own individual bedroom, which is accessible only to them, as the doors are locked and can only be opened by the key-holder, or the staff via the master key. Several empty rooms were viewed during a look around the home and the accommodation was found to be spacious and to offer people separate en-suite facilities. We were also shown the laundry and kitchen facilities, the laundry offering people the opportunity to learn and undertake their own laundering, whilst the kitchen was large enough for each person to be able to have their own individual cupboard to store food items. In discussions with staff it was established that the people residing at Natalie House are able to access a number of local amenities, local library, cafes, health centres, shops, pharmacy, etc. People can also make use of local leisure facilities with through a local council scheme. Within the main hallway a notice board is used to display information about local events, groups, etc and the staff were very knowledgeable about the local area. Meals can be taken, as and when the service users wish, with some people able to cook independently and therefore not requiring staff support, whilst other service users either need assistance in preparing their meal or eat the meals prepared by the staff, everyday one cooked meal is made available to the service users, as part of their terms and conditions of residency. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle, and receive support to develop their life skills and make use of opportunities for social, educational, cultural and recreational development. Evidence: The feedback from the service users, as evidenced above, indicates that they feel they are provided with choice over their day-to-day activities a belief that is supported by the evidence contained within the support and/or person-centred-plans. Observations also indicated that people were being supported to live the lifestyle they require, with three service user observed going out and a further two people observed returned to Natalie House during our time at the service. Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: The person-centred-plans contained detailed information about peoples support needs when accessing community based services and facilities, which could range from shopping independently to being able to attend hospital and or General Practitioner appointments. Whilst reading through one persons plan it was noted that they had expressed a wish to visit the local football teams ground and to watch some games of football. Within the home each person has their own individual bedroom, which is accessible only to them, as the doors are locked and can only be opened by the key-holder, or the staff via the master key. Several empty rooms were viewed during a look around the home and the accommodation was found to be spacious and to offer people separate en-suite facilities. We were also shown the laundry and kitchen facilities, the laundry offering people the opportunity to learn and undertake their own laundering, whilst the kitchen was large enough for each person to be able to have their own individual cupboard to store food items. In discussions with staff it was established that the people residing at Natalie House are able to access a number of local amenities, local library, cafes, health centres, shops, pharmacy, etc. People can also make use of local leisure facilities with through a local council scheme. Within the main hallway a notice board is used to display information about local events, groups, etc and the staff were very knowledgeable about the local area. Meals can be taken, as and when the service users wish, with some people able to cook independently and therefore not requiring staff support, whilst other service users either need assistance in preparing their meal or eat the meals prepared by the staff, everyday one cooked meal is made available to the service users, as part of their terms and conditions of residency. Care Homes for Adults (18-65 years) Page 17 of 31 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. The principles of respect, dignity and privacy are put into practice. Evidence: The service users are provided with person-centred-plans, which as discussed earlier, require the service user to provide input, where possible into the development of their support plan. The person-centred-plans seen during the fieldwork visit provided staff with good levels of information, which did indeed include details of how the service user wished to be supported with their development and the attainment of their goals or aspirations. Each service user is allocated a keyworker and it was understood from discussions with the manager and the staff that it is the keyworkers responsibility to ensure the plans are reviewed and updated and that the service user has been consulted, as part of the process, the plans reviewed containing entries verifying that the plans are reviewed Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: and updated every three months and that a full CPA review takes place every six months. Peoples health care needs are well catered for at the home, with each plan containing written details of the persons health care needs and evidence both in the records and via copies of correspondence maintained on the persons plan of their involvement with both health and social care professionals. The storage of the service users day-to-day medication was reviewed during the fieldwork visit and found to be safe and secure, whilst the records appertaining to the handling and administration of the residents medicines accurate and up to date. The service uses a local pharmacist for the supply of all medications and where possible medications are dispensed using a monitored dosage system (MDS). All staff involved in the handling of service users medicines receiving training via a work book developed by Brockenhurst College and which has to be completed within six months of joining the service. Care Homes for Adults (18-65 years) Page 19 of 31 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. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. Evidence: The dataset, which forms part of the AQAA documentation, establishes the existence of the homes complaints and concerns procedure and that this was last reviewed in the April of 2006. The dataset also contains information about the homes complaints activity over the last twelve months: No of complaints: 0. No of complaints upheld 0. Percentage of complaints responded to within 28 days: NA. No of complaints pending an outcome: 0. The home also tells us, via their AQAA and dataset, that policies on the protection of service users are in place, Safeguarding adults and the prevention of abuse and Disclosure of abuse and bad practice, the policies updated/reviewed in the May of 2008 and January of 2005 respectively. The dataset also establishes that over the last twelve months one safeguarding Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: referrals has been made to the Local Authority, a statement support by a review of our database, this incident having been resolved. The manager advised us that Stonham provide all staff with training in areas such as safeguarding adults, and that the home has guidance about local adult protection procedures. The manager was able to demonstrate an understanding of his responsibilities in this aspect of the service and promoting the protection of vulnerable people in his care. Care Homes for Adults (18-65 years) Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables residents to live in a safe, wellmaintained and comfortable environment, which encourages independence. Evidence: A look around the home was undertaken in the company of a member of staff. The home was noted to be in clean and tidy throughout and the general decorative state of the home good. One room was in the process of being redecorated and prepared for a potential new service user, whilst in the lower ground-floor, we were shown the new combination boilers that have recently been installed to improve the homes heating and hot water delivery. Maintenance, the manager explained is not the direct responsibility of service and is arranged via Stonham, who have a contractual agreement with a local firm who undertake all repairs and remedial works, the staff or manager having to ring the firm and book all required works in over the phone. Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: Stonham have also established service level contracts with specialist firms who are contactable in emergencies and who also ensure domestic appliance and services remain operational, during the tour the homes dishwasher was observed being repaired under such an agreement. The communal areas of the home are well furnished and offer a comfortable environment within which people can relax and socialise, there are two main lounges available, the second used as a quiet room, for meetings, entertaining and/or quiet reflection away from the TV lounge. The grounds are well tended and offer people the opportunity to either relax outside on the patio or grassed areas or become involved in growing vegetables, as a vegetable garden has been developed. Security around the premises is ensured by the CCTV, which covers all entrances and/or exist, the front door having the added extra of an intercom system, which can be used by staff to verify a persons identify before allowing access to the home. The manager in conversation stated that every month he undertakes a quality review of the premise to ensure it remains in good condition and explained via the AQAA that a five yearly redecoration cycle is in place. Care Homes for Adults (18-65 years) Page 23 of 31 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. The staff are provided in sufficient numbers to appropriately support the people who use the service and have access to appropriate training and development courses. Evidence: The dataset, which forms part of the AQAA documentation, indicates that the home employs ten permanent staff and one bank or pool staff member. During the fieldwork visit the manager and six members of the staff team were meet, as various shifts finished and commenced, the home normally staffed by three members of the staff team daytime per-shift and one sleep-in carer at night. In discussions with the staff the sleep-in shifts normally commence with when the person comes on duty in the afternoon and ends the following afternoon once they have completed a morning shift. At night the staff member retires to bed around 22:00 hours and are back on duty the following morning around 06:00 hours. Overnight the service users can contact the night staff via the intercom, mobile phones, and telephone or directly by knocking on the sleep-in room door. Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: Staff stated during conversation that they had good access to training and development opportunities, with most people spoken with having completed or commenced a National Vocational Qualifications at levels two or above. The staff also discussed attendance and/or completion of other courses that were relevant to their roles, the Mental Capacity Act, Medication Training and Safeguarding Adults, etc. The manager also made clear via the AQAA that a new formal induction training programme for new staff had been introduced and that this is based around the common induction standards, as set out by Skills for Care. Stonham also require the manager to carry out a Managing and Assessing Performance audit (MAP), which the manager states via the AQAA: identifies not only work based tasks but also competency issues / needs of the staff team. The dataset indicates that two of the ten care staff have completed a National Vocational Qualification (NVQ) at level 2 or above and this provides the home with a ratio of 20 of its care staff possessing an NVQ at level 2 or above. The dataset also indicates that a further three staff are currently undertaking their NVQ and once these staff have completed their course the homes ratio of staff possessing an NVQ could rise to 50 . Information contained within the dataset establishes that a recruitment and selection strategy/procedure exists to support the manager when employing new staff. It also indicates that all of the people commencing work within the home over the last twelve months have undergone satisfactory pre-employment checks. No files could be reviewed during the fieldwork as Stonham retain all employment records at a central office. This unfortunately means the manager has no evidence available to substantiate that the person employed has completed all of the required checks before the commence work at the home. The manager has undertaken to speak with his line manager about this situation and to seek a resolution to the problem that complies with the Care Homes Regulations and the Organisations own policies and procedures. Care Homes for Adults (18-65 years) Page 25 of 31 Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect and the manager demonstrates good leadership qualities. Evidence: The manager tells us via the AQAA that: the manager is a qualified mental health nurse, which has enabled a good level of understanding of the needs of our clients. Natalie House management team meets on a quarterly basis with the local Primary Care Trust (PCT) and Southampton City Council (SCC). We also have six monthly steering group meetings with representatives of the Community Mental Health Team, Psychiatric Rehabilitation Service and Housing Co-ordinators. In discussion with the manager and the staff team it was evident that they had a good appreciation for the needs of the service users and that the team functioned well as a group in achieving or supporting the service users achieve their goals wherever possible. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: The provider organisation ensures the manager has the tools at his disposal to undertake his role, with the MAP audits and monthly quality reviews of the premise being good examples of these tools. The service also has access to good Information Technology (IT) systems, with both the staff office and managers office linked to a central server and the Internet. In addition to the auditing tools mentioned above the manager and his team are regularly involved in ensuring that the quality of the service provided at Natalie House is meeting peoples needs. The staff completing three monthly care reviews and arranging and attending the CPA meetings every six months. The manager also ensures that service user and team meetings occur at regular intervals and that staff are completing supervision sessions every six to eight weeks, the MAP system referred to earlier part of the managers planning pre supervision. The service tells us, via the dataset that health and safety policies and procedures are made available to the staff and that Health and Safety training is provided with courses such including: health and safety, infection control and food hygiene attended. The look around the home identified no immediate health and safety issues, and the risk assessments documentation does consider both potential areas of harm and how these can be managed. The house benefits from a modern, fully integrated, fire alarm and smoke detection system and security cameras (CCTV) is sited above each entrance and exist and an intercom system for admitting visitors in place. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 34 19 Sch 2 All staff files, including new 10/06/2006 staff must contain evidence to demonstrate adequate recruitment procedures that protect residents as required under schedule 2. The manager must make application to be registered with the CSCI. 10/06/2006 2 37 8-9 3 38 26 The registered person shall 10/06/2006 make arrangements to visit the home each month and provide a report to the home and the CSCI with regard to the conduct of the home. The service must report any incident as identified under Regulation 37 to the CSCI. 10/06/2006 4 42 37 Care Homes for Adults (18-65 years) Page 29 of 31 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 1 34 The manager should ensure that details of the recruitment process undertaken by new staff and the outcomes of the process and any checks undertaken are retained and available within the home. Care Homes for Adults (18-65 years) Page 30 of 31 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. 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