Inspection on 09/12/08 for Oaklands (74)

This inspection was carried out on 9th December 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Oaklands (74) 19/02/07

Oaklands (74) 09/11/05

Oaklands (74) 27/04/05

Oaklands (74) 17/11/04

Oaklands (74) 12/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Oaklands (74) 74 Oaklands Chippenham Wiltshire SN15 1RQ     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: Elaine Barber     Date: 1 0 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Oaklands (74) 74 Oaklands Chippenham Wiltshire SN15 1RQ 01249765520 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Margaret Williams Type of registration: Number of places registered: United Response care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 74 Oaklands is a semi-detached house in a residential area on the northern side of Chippenham. Each person who lives in the home has their own single room. Two people have rooms on the ground floor and two on the first floor. There is a lounge, dining room, kitchen, utility room and toilet on the ground floor. The bathroom is upstairs. There is a large garden at the rear of the property. 74 Oaklands is part of North Wiltshire Community Living, which is run by the national charity, United Response. 74 Oaklands is each persons permanent home for as long as this remains appropriate to their needs and wishes. The people receive personal care and support throughout the day from a permanent staff team. There is a member of staff on duty when people are in the home. There are two members of staff on duty during evenings and weekends to enable people to participate in activities. The philosophy of care emphasises the importance of an ordinary home environment and the involvement of people with a learning disability within the wider community. The registered manager Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 4 Brief description of the care home is Mrs M. Williams. The fees range between 929 pounds 28 pence and 960 pounds and 42 pence a week. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: We asked the home to complete an Annual Quality Assurance Assessment (known as the AQAA). This was their own assessment of how well they were performing. It gave us information about what has happened during the last year, and about their plans for the future. We sent surveys to the home to give to people who used the service. We received four back. We made two visits to the home. The first was on 9th December 2008 when they did not know that we were coming and the second was the day after. We looked at records, policies and procedures and talked to the three members of staff. Care Homes for Adults (18-65 years) Page 6 of 30 We spoke to four people who used the service and observed some of the routines of the home. The judgments contained in this report have been made from all the evidence gathered during the inspection, including during the visits. The last time that we inspected this home was on the 19th February 2007. What the care home does well: What has improved since the last inspection? The staff had received training about person centred thinking and person centred skills. This meant that they took a more person centred approach to reviews so that they focused on things that mattered to people. Care Homes for Adults (18-65 years) Page 8 of 30 A new carpet had been laid in the sitting room, a new suite had been provided and there was a new computer desk and storage. 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 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each persons needs were assessed so that their needs could be met. Evidence: No new people had moved into the home since the last inspection when we confirmed that each persons needs had been assessed. Care Homes for Adults (18-65 years) Page 11 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples assessed needs were reflected in their support plans so that their needs could be met. People were supported to make decisions about their lives and to take risks as part of an independent lifestyle. Evidence: The manager told us in the AQAA that the service was developing person centred thinking and most of the staff had received training about this. She also told us that staff had received training about equality and diversity and addressed this through person centred care. During our visits we looked at the files of three people. Each person had a weekly routine and plan of activities. They also had detailed support plans for particular issues such as moving and handling, use of the stair lift and managing health needs. A member of staff told us that they had started to use a new person centred review process and one person showed us their person centred review notes. These contained Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: photographs of the review meeting and the flip chart notes that were taken at the time. The person and the member of staff told us that they had talked about things that were important to the person and made a record of these. We saw that they had produced an action plan at the end of the meeting to ensure that the things identified happened for the person. The member of staff told us that they had found it very useful working in this way as it brought out things that mattered to people and they had not realised before how important one thing had been to the person. They also showed us how the action plan was then put into a monitoring sheet so that progress could be monitored every two months. The staff member told us what progress had been made with each part of the action plan but there were no records of progress on the monitoring sheets. When we looked at the records we saw examples of how people had made choices and decisions about their lives including the decor of their rooms, times to get up and go to bed and where to go on holiday. When we looked at the review notes with one person they showed us how they had made decisions about what they wanted to do and things that were important to them. When we talked to people they told us about choices and decisions they had made including where to go on holiday, what activities they wanted to do, where they wanted to go out and what meals to have. Two people told us about how they had discussed the possibility of swapping bedrooms, because one of them was having difficulty going upstairs, and then decided to swap. We saw that each person had a series of risk assessments in their file, for example for bathing, going to college, staying home alone and swimming. The risk assessments focused on the benefits to the person of participating in activities which may pose a risk and they focused on promoting independence. The risk assessments had been reviewed annually and had been amended as needs changed for example when one person had moved their bedroom downstairs. Care Homes for Adults (18-65 years) Page 13 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had appropriate family and personal relationships. They had opportunities to be part of the local community and take part in appropriate day time and leisure activities. Peoples rights and responsibilities were respected. They had a choice of meals and enjoyed their food. Evidence: We read the records of three people and we saw that each of them had regular day time activities. We talked to one person who told us that they went to a resource centre most days and they enjoyed their activities there. Two other people told us that they had been to college. One of these people said that they also worked at a garden centre. They had recently planted some pots and made a Christmas wreath. A fourth person said that they went to a day service and made items for the shop there. Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: When we looked at the records we saw that people had a range of leisure activities including yoga, swimming, shopping and horse riding. The records also showed that people used a range of community facilities such as the shops, the pub, garden centres, the banks and the church. They showed that when at home people watched television and DVDs and listened to music. When we talked to one person about their review they told us that they did yoga and horse riding. On the day of our first visit they went Christmas shopping, to the bank and out for lunch to a cafe. They told us that they went to church and were part of a church music group. They said that they had made a lot of friends through church. They also told us that they were planning a theatre trip to London and they were planning a holiday in London the following year. They said that they had had a holiday to Butlins this year. Another person told us that they went to Gateway club and they were going to several Christmas parties and the pantomime. A third person told us that they went out for meals. People also told us about their interests and hobbies. One person said that they enjoyed yoga sessions, horse riding and music and movement at their day service. At home they watched the television and listened to music. Two other people said that they enjoyed their day time activities and they were going to a social club that evening. One of them told us that they liked playing music when they were at home. We saw in the records that people maintained their relationships with family and friends. A staff member told us that three people had regular contact with their family and they all had friendships. One person told us that they were going to stay with a member of staff for Christmas while the other people who lived at the house were going to their families for Christmas. This person told us that they had made several friends through going to church and through their day time activities. Another person told us that they were going to stay with their family at Christmas and they had seen their mother and sister recently. The third person said that they were going to stay with their parents for Christmas and they also stayed with them at weekends. They said that they also saw a friend from another United Response house on a regular basis. A member of staff told us that the fourth person was going to stay with their family at Christmas and they had regular contact with their family. We read in the records about how people were involved in the routines of the home including the cleaning, cooking, shopping and washing. When we arrived at the home one person was cleaning their room and polishing their furniture. We observed that when people were at home they chose how to spend their time and whether to be sociable in the shared areas or alone in their rooms. People had unrestricted access to the house and garden. The records showed that people had opportunities for independence and one person was able to go to activities on their own and stay in the house on their own. Staff supported people to manage their money and we saw Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: records of transactions. We saw that people were able to make drinks or snacks when they chose. In their surveys people told us that they made decisions about what they did each day. They also said that they could do what they wanted during the day, in the evenings and at weekends. We looked at the menu and saw that a variety of meals were served. There was a record of the meals each person ate so that staff could tell whether each person was getting a balanced diet. We saw from the records that sometimes people had different meals. A member of staff told us that people choose their meals and will cook their meals with staff support. One person told us that they went shopping for food and they enjoyed their meals. Care Homes for Adults (18-65 years) Page 16 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples physical and emotional health care needs were being met. One person was supported to manage their own medication. The arrangements for storing and recording medication ensured that people were protected. Evidence: When we read the support plans we saw that these showed how people liked to be supported. Information about support with personal care was included in the support plans and personal care took place in the privacy of the bedroom and bathroom. The times when people liked to get up and go to bed were recorded in their daily routines. Meal times were flexible and fitted in with peoples activities. People chose their own clothes and hairstyles and their appearance fitted with their personality. The records showed that people had access to advocacy and had support from their families and professionals. One person told us that they were part of an advocacy group. When we read the records we saw that each person was registered with a GP at a local surgery. Specialist support was being provided through the Community Team for People with Learning disabilities including community nursing, occupational therapy, Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: psychology and psychiatry. People also had access to physiotherapy and podiatry. Peoples individual health care needs were assessed and recorded. Each person had an annual check up. Visits to the dentist, optician and health care professionals were recorded. On the day of our first visit one person was going to the dentist. The manager told us in the AQAA that the medication policy had been reviewed in August 2008. We saw that a monitored dosage system was used and this was stored in a locked cupboard. A member of staff told us that there were no controlled drugs. The storage facilities would not meet the requirements for controlled drugs. People received support from staff with their medication. One person was able to administer their own medication and they received advice from a specialist nurse. We saw from the training records that staff had received training about medication. There were medication administration records and staff recorded on these when they administered medication. There were also records of medication received into the home and returned to the pharmacist. A weekly audit was made of each persons medication and a record was kept. Care Homes for Adults (18-65 years) Page 18 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People knew how to make a complaint and their views were usually listened to and acted upon. People were protected from abuse and harm. Evidence: The manager told us in the AQAA that the complaints and concerns procedure was last reviewed in January 2008. Each person was given an easy to read copy, with words and pictures. Three out of four people who completed surveys knew how to make a complaint. All four knew who to speak to if they were not happy. Two people said that the carers always and listened and acted on what they said and two said that they sometimes listened acted acted on what they said. The manager said in the AQAA that the service could improve by listening more to people. There had been no complaints since the last inspection. There were policies and procedures about prevention of harm, responding to allegations of abuse, responding to challenging behaviour, dealing with peoples money, and challenging bad practice at work. Copies of the guidance booklet about the local multi-agency safeguarding procedures were available to staff. Staff received training about prevention of harm. The service had in the past made a referral to the local vulnerable adults unit. There had been no recent referrals. We saw that people were supported to manage their money. During our first visit one Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: person was supported to go to the bank to withdraw money. We saw a staff member recording when money was given to people. We saw the cash records with details about income and outgoings, reasons for purchases and receipts. Care Homes for Adults (18-65 years) Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a comfortable, clean environment and adaptations were being made to the accommodation to ensure it was suited to their needs. Evidence: The house was similar to the others in the street. The home was generally maintained to a good standard and was kept in good repair. The accommodation was decorated in a homely and domestic style. There was usually a lounge and a dining room for shared use. However building work was being carried out to extend one of the bedrooms and install an en-suite for one person who needed a downstairs bedroom. While the work was carried out one person was using the dining room as their bedroom. This provided enough space for all their belongings and furniture. The manager told us in the AQAA that a new suite had been provided in the sitting room and there was a new computer desk and storage. We saw these when we visited. We also noted that a new carpet had been laid in the sitting room since our last visit. Each person had their own room. Sleep in facilities were provided for staff in a Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: separate room. The bathroom and toilet were on the first floor and there was a separate toilet on the ground floor. The home was clean and there were no unpleasant odours. A member of staff told us that there was a lot of dust because of the building work but the house looked clean despite this. When we first visited one person was cleaning their bedroom and polishing their furniture. They also told us that they did their own washing with support. Laundry was washed in a small utility room which was separate from the kitchen and communal rooms. Soiled items were not carried through areas where food was stored, cooked or eaten. There were infection control guidelines for staff and staff had received training about infection control. In their surveys people told us that the home was always fresh and clean. One person said We hoover and keep it clean. Care Homes for Adults (18-65 years) Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were supported by an effective team of competent and qualified staff. People were protected by the homes recruitment policies and practices. Peoples individual and joint needs were supported by staff who were appropriately trained Evidence: We saw that there was a staff rota for the month ahead. This took account of any activities and any special events that were coming up. The managers hours were not included on the rota. A member of staff told us that there were usually two members of staff on duty to support people with their activities but there was sometimes one member of staff on duty when no-one was at home. When we looked at the rota we saw that there were usually two members of staff on duty and one member of staff sleeping in at night. There was an on-call system to contact a United Response manager out of office hours. Two staff who completed surveys said that there were always enough staff to meet peoples individual needs. The manager told us in the AQAA that there were seven care staff and three of these had a National Vocational Qualification (NVQ) at level 2 or above. Some of the staff had worked with the people who lived in the home for many years and knew their needs very well. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: We found that there was no information about recruitment in the home. We went to the area office to look at the recruitment records. One member of staff had been recruited since the last inspection. We saw that they had completed an application form and a declaration that they had no convictions. There was a declaration from occupational health that the staff member was physically and mentally fit. Two written references had been obtained and copies of the birth certificate and passport were kept as proof of identity. There was an enhanced Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults (POVA) check. There was a record of the date when the staff member started work which was after all the checks had been returned. One of the people who lived in the home had been involved in interviewing the member of staff. We looked at the new member of staffs training record. We saw that they had had an induction using a shortened version of the common induction standards because they already had NVQ level 2. They had also had training in first aid, challenging behaviour, health and safety, food safety, the Way we Work (a course about the philosophy of the organisation), and manual handling. They had previous training about safe handling of medicines and NVQ level 2 in care. We saw that there was a training plan for all staff. The manager told us in the AQAA that staff have received training about person centred thinking and equality and diversity. Several staff had worked in the home for many years. We had noted at previous inspections that they had all the training required by the organisation and that they kept this up to date. We saw from the records that this year staff had received training about equality and diversity and developing the way we work. A member of staff told us that this training was about person centred thinking and it helped them to see what was important to people. Two staff who completed surveys told us that they were given training that was relevant to their role, helped them to understand peoples diverse needs and kept them up to date with new ways of working. The two staff who completed surveys said that the manager met with them regularly to give support and discuss how they were working. They said that they always felt that they had the right support, experience and knowledge to meet peoples different needs. We looked at the supervision records and saw that each member of staff had an annual appraisal and had peer supervision with the manager and their colleagues every two to three months. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were benefiting from a well run home. Further work was needed on the quality assurance process so that peoples views underpin all service developments. People were protected by the health and safety measures. Evidence: The manager had responsibility for a number of homes run by United Response in the North Wiltshire area. The manager had a Registered Nursing Qualification, a diploma in management studies and a qualification in the care of people with learning disabilities. She kept her training up to date. When we visited the home a member of staff showed us some of the quality assurance measures. There was a Getting it right manual which contained a range of policies and procedures to ensure that standards were met. The Area Manager conducted monthly visits under Regulation 26 of the Care Homes Regulations. There was a two year corporate plan for United Response. There were annual reviews and monitoring of objectives for each person who lived in the home. In previous years United Response Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: had sent questionnaires to people who lived in the home and their relatives to obtain their views and produced a report of the findings with areas for development. We did not see any new questionnaires or surveys and a member of staff told us that no recent surveys had been sent. When we visited the office we met with the Area Manager who told us that the organisation was now using the AQAA as their quality assurance report and to identify areas for development. When we read the AQAA we saw that some developments had been identified such as developing person centred thinking and reviews. However, we saw no evidence of how peoples views had contributed to the AQAA or a quality assurance process. There was a health and safety policy. We saw that there was a range of health and safety measures. There was a monthly hazard inspection. There was a fire risk assessment and a range of other risk assessments. There was information about Control of Substances Hazardous to Health (COSHH) and infection control guidelines. Staff had received training about health and safety. Appropriate checks of the fire safety measures were made and records were kept. One person told us that they had fire drills. We saw that there were thermostatic valves on the taps and we saw evidence that these had recently been serviced. Water temperatures were tested and recorded. We saw certificates to show that portable electrical appliances had been tested and the central heating system had been serviced. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 39 24 You must make sure that 28/02/2009 the views of people who live in the home and their relatives are obtained and form the basis of any quality assurance process and service developments. So that peoples views underpin any service developments and the home is run in peoples best interests. 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 6 The monitoring sheets for the review action plans should be completed every two months so that progress can be monitored by all people involved in the process and all actions happen for the person involved. A cupboard that meets the current storage regulations for controlled drugs, the Misuse of Drugs (Safe custody) (Amendment) Regulations 2007 should be installed so that any controlled drugs that are prescribed can be stored safely. 2 20 Care Homes for Adults (18-65 years) Page 28 of 30 3 34 When staff recruitment records are kept in a central office a checklist of all their recruitment checks with dates should be kept in the home. This will make it possible to tell whether all the required checks have taken place and that people are being kept safe from unsuitable staff. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!