Inspection on 02/10/08 for Norwood 54 Old Church Lane

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

Norwood 54 Old Church Lane 22/09/06

Norwood 54 Old Church Lane 01/02/06

Norwood 54 Old Church Lane 18/10/05

Norwood 54 Old Church Lane 02/03/05

Norwood 54 Old Church Lane 10/09/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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: Norwood 54 Old Church Lane 54 Old Church Lane Stanmore Middlesex HA7 2RP     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: Brian Bowie     Date: 0 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 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: Norwood 54 Old Church Lane 54 Old Church Lane Stanmore Middlesex HA7 2RP 02089546498 Telephone number: Fax number: Email address: Provider web address: 54oldchurchlane@norwood.org.uk Name of registered provider(s): Name of registered manager (if applicable) Farida Bano Juma Type of registration: Number of places registered: Norwood care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home 54 Old Church Lane is located in a residential area of Stanmore. It is a registered care home that offers personal care to a maximum of six service users who have learning disabilities. The organisation has voluntarily reduced this number to five so that the double-room need not be shared. The registered provider is Norwood, a national care organisation that specialises in providing services to people of a Jewish culture. The home is situated within a residential area of Stanmore. It is in keeping with other homes in the area. There is parking available in the forecourt for up to three cars, and on surrounding roads. Local transport links and shops are within 10 to 15 minutes Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 6 Brief description of the care home walk. The building includes a lounge, a dining room, a ground-floor bedroom, a ground-floor shower room, four upstairs bedrooms, and a separate upstairs bathroom and shower room. Access to the first floor is by passenger lift or stairs. The home had a secluded and fair-sized garden. The manager noted that the fees depend on individual needs. The Service User Guide is available both on request and on the notice-board within the dining area. 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection took place over two days and lasted 9 hours. The inspection began at teatime so that the early evening routines in the home could be observed. The manager was interviewed and assisted with the inspection. One of the residents showed us around the home. All four people resident in the home at the time of the inspection were seen and spoken to. Time was spent with residents in order to get their thoughts and experience of living at 54 Old Church Lane. Some residents have difficulty communicating verbally. Throughout the inspection the way in which staff communicated with and supported residents was observed, as well as how residents got on with staff. We also interviewed staff, the service manager and a visiting therapist to get their views and comments on the home. We received two surveys completed by members of staff. A wide range of records, including care plans, Care Homes for Adults (18-65 years) Page 6 of 31 staff files and health & safety documents, were also looked at. The homes Annual Quality Assurance Assessment also provided considerable detail about the running of 54 Old Church Lane . We would like to thank the residents and staff for their assistance with the inspection. 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 Care Homes for Adults (18-65 years) Page 8 of 31 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 9 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 10 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. Detailed information about the home is available so that residents and families know what they can expect from 54 Old Church Lane. People moving into the home can be confident that their needs and wishes will be fully assessed and an appropriate plan for meeting these needs will be drawn up. As a result their needs are met. Evidence: The statement of purpose and service user guide are both clearly written and contain detailed information about 54 Old Church Lane. Both documents are available in a simplified form so that it is easier for residents to make sense of them. As a result residents and families are fully informed about what they can expect from the care provided at 54 Old Church Lane. It is recommended that these documents are made even more user-friendly with the use of either pictorial symbols or digital photographs. Where I lived before it was noisy- here it is quiet. I like it here. I can do what I want. This was the comment of one resident and indicated that they considered that 54 Old Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: Church Lane was the right place for them. All 4 residents had moved together into 54 Old Church Lane from their former home at Harperbury Hospital over ten years ago. Before residents moved in full assessments had been made to ensure 54 Old Church Lane was able to meet their needs. A careplan had then been drawn up by the home showing how these needs were to be met. All four residents indicated either verbally or from observation that they liked living at the home. A high standard has been achieved in this area that has contributed to residents being able to continue having their needs met as they have grown older. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Careplans provided detailed information so that the needs of residents are met. The staff team at 54 Old Church Lane is good at finding ways for residents to make as many decisions for themselves as possible. Residents are protected by risk assessments that are comprehensive and indicate clearly how risks to the safety of residents are reduced, whilst still promoting independence. Evidence: Three of the four residents verbally confirmed that they enjoyed living at the home. The remaining resident was able to show by their behaviour and interaction with staff that they are very settled at 54 Old Church Lane. Throughout the inspection residents were observed in their daily routines and their contact with staff. Residents were clearly relaxed with staff and looked to them where necessary for support and guidance. The records for 3 residents were looked at and indicated that for each one there was a current plan of care. Each careplan sets out the needs of the resident and how they are to be met by the home. One careplan had identified a residents wish to Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: have more outings. This had been followed up so that the individual had enjoyed fishing and sailing trips. It is recommended that careplans are more accessible and meaningful for the residents by the use of photos and or pictorial symbols and are written even more simply and clearly. Careplans are updated monthly with an internal review twice yearly and an annual review with other agencies. As a result the changing needs of residents are identified and responded to. In some cases this had resulted in additional funding being provided by the funding authority so that extra staffing support could be provided to residents with increasing physical and cognitive difficulties. Careplans record the cultural and religious needs of residents. The home is based on providing a Jewish way of life to the residents, including building links with the Jewish community. The residents are encouraged to develop their appreciation of Jewish faith and culture by following Jewish law, celebrating major festivals and reflecting on faith and culture in religious teachings. The residents independence is being promoted by staff at 54 Old Church Lane who offer them choice in choosing activities they enjoy and assisting them to develop in all aspects of their daily living skills. Throughout the inspection residents made choices about when they got up in the morning, when they had their meals, what they ate, and whether they went out or not. One resident said: Its up to me when I go to bed, often its around 11pm. As a result residents feel they have more control over their lives and this is contributing to their life at the home being such a positive experience for them. Norwood is providing training for staff so that they can support appropriately residents at the home who may not have the capacity to make informed choices and decisions in line with the requirements of the new Mental Capacity Act. Residents files contain detailed risk assessments . These set out ways in which to minimise risks to residents whilst not undermining the independence of residents. For example staff supported a resident with mobility difficulties in a way that encouraged the resident to do as much as possible for themselves, even if this took some time,whilst ensuring there were sufficient staff on hand to prevent a fall. Regular meetings are held individually and as a group with residents so that they can raise any concerns about the life they are able to lead in the home. Staff respond to these issues in a way that respects the views and wishes of each resident. As a result residents benefit from living in a home that promotes their independence wherever possible. Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is good at enabling residents to get out and about so that they lead as ordinary a life as possible. Residents are getting a better quality of life because of the good links with the local community and the range of leisure activities available. Staff support residents to keep in close contact with friends and family, as well as respecting their rights and encouraging them to act responsibly. Residents enjoy their meals and benefit from being offered a healthy diet. Evidence: During the inspection residents went out and about in the community, including shopping and to a cafe. One resident has been supported to go sailing as well as going on a boat trip on the Thames which they had enjoyed. Staffing levels have been increased so that residents are able to go out more regularly. The experience of residents at the home therefore is that they are part of their local community. In Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: August 2008 all four residents had enjoyed a holiday in Blackpool. Families of two residents visit very regularly and have built up close relationships with staff at the home. Residents said they enjoyed seeing their families. As a result residents have felt very settled at the home. One resident had died earlier in the year. Several letters and cards from relatives had been sent to the home expressing their great appreciation of the care provided by the home and the support provided by the staff team. One relative had written: Thank you all for being so kind and caring to our relative. Observation throughout the inspection indicated that staff treat residents with respect and are polite when requesting a resident to do something. This attitude was reflected in the personal approach of the manager that sets an example for staff to follow. Both lunch and teatime meals were observed and seen to be relaxed and informal with help provided where needed. One resident enjoyed having a banana dish for dessert, and later said his favourite dessert was bananas. A volunteer came in to lead prayers at the Friday evening meal. Two residents went out with staff and had lunch at a cafe. Residents said that they enjoyed mealtimes and get a choice about what they eat. Healthy eating is encouraged with regular weight checks made. Norwood has provided a nutrionist to advise on healthy eating. As a result residents now have a healthier and more balanced diet. Staff files showed that staff have valid food hygiene certificates. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are good at meeting the physical and emotional health needs of residents. As a result residents feel more at home and relaxed at 54 Old Church Lane. The residents are protected by effective arrangements regarding medication in the home. Evidence: Residents were suitably dressed and looked smart throughout the inspection. One resident had had their nails painted by staff. The resident said they were very pleased about this and as a result felt better about themselves. Staffing levels have been increased so that staff now provide more individual support to residents. As a result peoples needs are identified and responded to quickly. For example residents who need assistance with continence issues get support appropriately and discretely. Staff interact well with people at the home with communication difficulties, using touch and gesture to facilitate communication as needed. The careplans also indicate the specific needs of residents in this area. As a result residents with communication Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: difficulties feel understood and supported by staff. There is close and regular contact with local health services, including the GP. Staff interviews showed that they have a good understanding of residents health needs, including specific conditions such as epilepsy and ageing issues. Relatives were very positive in their written feedback about how staff had supported a resident with increasing health problems. Medication arrangements were gone through with a member of staff and are satisfactory. A monitored dosage system is in place which helps to reduce the likelihood of errors and was reported to be working well. The records relating to the administration of medication to residents were seen and indicated that a detailed record is being kept. The daily staff handover meeting checks the medication administration sheets. In this way any errors are picked up quickly and put right. All staff have had guidance about the homes procedures regarding medication and have had specific training in the administration of medication. A pharmacist visits the home to check and advise on the medication arrangements in place. As a result of the good practices in place the residents get their medication reliably and safely. 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. Residents and relatives can be confident in the complaints procedures in the home that make sure their concerns are responded to. The residents benefit from safeguarding adults procedures that make sure that they are safe and secure whilst at 54 Old Church Lane . Evidence: Systems, policies and procedures are in place for ensuring that complaints are taken seriously and are handled objectively and sensitively. The manager confirmed that 54 Old Church Lane deals with any concerns from residents or relatives promptly so that complaints are minimised and largely prevented. The complaint record showed no complaints had been made in the last year. As a very small home with high staff ratio any concerns of residents are quickly picked up and responded to, with evidence throughout the inspection of staff being attentive to peoples needs. This was also confirmed by a professional who has very regular contact with the home. The home has clear and effective safeguarding adults policies and procedures which are accessible to all. The home also has a copy of the London Borough of Harrows safeguarding adults procedures. Staff are all CRB checked and have had training in the protection of vulnerable adults. There are various in-house procedures which protect residents from potential abuse, such as body charts, financial record keeping forms. The handover meeting between staff shifts was observed. Finance procedures and Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: records are checked at this meeting in order to ensure residents monies are correctly accounted for,with 2 staff signatures needed to add greater security. As a result of procedures and practices the home has in place residents are kept safe at 54 Old Church Lane. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents at 54 Old Church Lane enjoy a very attractive and comfortable living environment that adds considerably to their quality of life, with a high standard of cleanliness and hygiene maintained in the home. Evidence: One of the residents took pride in showing us around their home, as well as the garden at the rear of the property. They showed us their bedroom which reflected their individual personality and interests, with photographs, certificates and lots of personal possessions. This is a well established home that has been opened for more than ten years. There is a very homely and welcoming atmosphere in the home at all times which stems from the positive and enthusiastic manner of the manager and her staff team. 54 Old Church Lane has the feel of a family home reflecting the Jewish culture of the residents. During the inspection there were signs that the home had been celebrating the Jewish new year. A member of staff has a special responsibility for health and safety in the home. As a result all necessary checks are made and the home is made safe for residents and staff at all times. Safety is further enhanced by regular visits from a lay inspector from Norwood who focuses on health and safety in the home. In 2008 the home had been Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: awarded a high rating from the Environmental Health department. Throughout the home furnishings and equipment were of a high standard with evidence of a regular programme of replacing and renewing as needed. A professional who visits regularly said: Its a very good home...it never smells, its always clean. The rooms are very nice. Throughout the inspection the home was very clean and tidy with staff paying attention to hygiene issues by wearing gloves when appropriate. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met by the committed, competent and experienced team of staff at the home. Residents are protected by the homes rigorous recruitment procedures for new staff. Residents enjoy a good quality of life because staff have the training and support they need to provide a high standard of care. Evidence: The staff are terrific. They always stop what theyre doing and attend to the residents needs. This was the comment of one professional that works very closely with the home. Throughout the inspection staff were seen to take time in listening to and responding to the needs and wishes of residents. Most staff have supported the residents for several years and have got to know them very well. As a result close relationships have built up with residents feeling very relaxed and confident with staff, and staff feeling committed to meeting the needs of residents. Most members of staff have either achieved the NVQ Level 2 in care or are currently working towards this. Staff interviews showed that staff have built a good knowledge of each residents needs and wishes and how to support them in a way that develops their confidence and skills as far as possible. Staff meetings are held regularly so that staff can exchange Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: information and further develop their care practice. Notes of these meetings showed that close attention is paid by staff to responding to the needs of residents in a professional and consistent manner. Staff files were looked at and contained the information needed to make sure that all new staff in the home have had the appropriate checks made, including obtaining written references and satisfactory CRB (Criminal Records Bureau) disclosures. As a result residents are protected by the procedures 54 Old Church Lane has in place when recruiting staff. Staff turnover at the home has been low, with most staff having worked at the home for a number of years. New staff receive a comprehensive 12 week induction training programme from Skills for Care together with the homes own induction programme. As a result new staff are properly prepared to take on the duties and responsibilities of care staff at the home. Staff interviews confirmed they had a good knowledge of each residents needs and wishes, including religious and cultural factors. The staff team has attended a range of relevant courses, including safeguarding adults, medication, first aid, food hygiene and health and safety. As a result staff are more effective in how they support residents, as confirmed by the feedback received from both relatives and professionals involved with the home. Staff interviews indicated that they have knowledge of person-centred planning, with many elements of this approach in place in the home and some training provided. Given the importance of this approach in working with people with learning disabilities it is recommended that all care staff have further training in person-centred planning so that the home responds even more to the needs and wishes of the residents. The manager said that Norwood would shortly be introducing training for all staff in person-centred working. We have very good training here. This was the comment of one member of staff. One of the senior workers has a special responsibility to coordinate training for all staff at the home. This person had devised up to date and thorough systems to ensure all staff undertook any mandatory training they had to attend, such as manual handling, protection of vulnerable adults. In addition systems were in place that made sure all staff had refresher training when required for areas that need follow up after a given period, for example in areas such as first aid, food hygiene. As a result staff get the training they need to do the job well. A high standard has been achieved in this area which is contributing to residents being able to maintain a very good quality of life. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a well run home, where members of staff respond to and act on comments and suggestions from residents about how the home is run. The home has good procedures in place in relation to health and safety that help to ensure residents are protected at all times. Evidence: Its a very good staff team, managed very well and is a very organised home. This was the comment of the Norwood service manager who was doing a monthly visit to the home during the inspection. The service manager also said the staff team were always wanting to improve the service further, with new initiatives planned in the area of person-centred support to residents. We found the assessment of the service manager of the home to be an accurate one reflecting the fact that the home has a very experienced and well qualified manager. The home is run in a very organised way that means that staff know what is expected of them and are also able to find up to date information readily so that they can support residents effectively at all times. A Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: business plan had recently been drafted setting out aims and priorities for the home for the year ahead. It is recommended that this includes issues and options faced by the home in relation to the ageing profile of the residents. The manager had already begun discussions with the service manager about this area. In addition to the monthly inspections by the service manager the home has visits from lay people within Norwood as well as regular visits from the rabbi to advise on and support the cultural and religious life and practice of the home. Residents meetings are also held regularly so that residents can put forward their ideas and suggestions on the running of the home. Notes of these meetings show that staff respond to these suggestions by setting up new activities or revising the menu accordingly. As a result 54 Old Church Lane is responsive in the way it runs to the wishes of the people living there. A range of records was looked at, including health and safety and fire safety. These records were detailed, up-to-date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted on. The home had current certificates covering gas, electricity, portable appliance testing, and the hoists used in the home. A fire evacuation procedure is in place and displayed around the home. A fire safety risk assessment is in place and kept under review. Fire drills take place at 3 monthly intervals. A senior member of staff has designated responsibility for health and safety in the home. They were knowledgeable about what checks had been made and which were due. Systems had been developed that ensured all checks take place in a timely way. As a result of this pro-active approach to health and safety the home is kept safe for both residents and staff, with a high standard achieved. Care Homes for Adults (18-65 years) Page 28 of 31 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 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 1 The statement of purpose and service user guide should be made even more user-friendly with the use of pictorial symbols and/or digital photographs. Careplans should be made as accessible as possible to residents by the use of simple language and pictorial symbols or photographs. All staff should have further training in person-centred planning. The business plan should include issues and options for the home concerning the ageing profile of the residents. 2 6 3 4 35 37 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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