Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 11/02/09 for Old Park Road Respite Unit

Also see our care home review for Old Park Road Respite Unit for more information

This inspection was carried out on 11th February 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The respite centre offers a friendly, clean and comfortable place for people to stay temporarily. People are encouraged and helped to continue with their normal daily routine whilst staying at the centre this provides people with some stability and enables them to settle quickly whilst on respite care. Relatives told us people are happy to go to Old Park Road, they told us `They pick up their bags to go and enjoy the time they spend there.` `The staff do know their needs.` Old Park Road repite unit has a established staff team who are able to provide people with the care they need. Peoples complaints are listened to and responded to, this helps the management to improve the service.

What has improved since the last inspection?

Improvements have been made to the environment, a new shower had been installed and the staff are making sure any thing which is a risk to health and safety is stored safely.

What the care home could do better:

Although the staff have started to updated peoples support plans, further improvements must be made to make sure people are safe and all their needs are met whilst they are staying at Old Park Road. Where people maybe at risk, a assessment of the possible risk must be completed, this helps to minimise the risk and to keep everyone safe. There needs to be better communication between peoples` representatives and the respite unit about what activities and personal care has been carried out whilst people are staying at Old Park Respite Unit. Where staff are transferred from working in another home in the Bradford District Care Trust. The way the registered manager makes sure the staff have the right qualities to work with people living in the home must be improved. This helps to protect vulnerable people. To help all the staff be more aware of peoples needs, a written record should be made and kept of the initial assessment the staff makes of people before they move in. The complaints records need to include the registered managers response and be stored following Data Protection Guidelines.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Old Park Road Respite Unit 51 Old Park Road Greengates Bradford BD10 9BG     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: Caroline Long     Date: 1 1 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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 © (2009) 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: Old Park Road Respite Unit 51 Old Park Road Greengates Bradford BD10 9BG 01274617905 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Bradford District NHS Trust Name of registered manager (if applicable) Miss Janet Bosomworth Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability physical disability sensory impairment Additional conditions: Date of last inspection Brief description of the care home Old Park Road is a Bradford District NHS Care Trust home, situated in the Greengates area of Bradford. The home provides respite care for up to six adults at a time who have learning disabilities. There are around forty people who currently use the service. There are enclosed gardens to the front and rear of the house and several steps lead to the front door. On the ground floor there is a lounge, dining room, kitchen, one single bedroom, and a toilet. The other five single bedrooms, the bathrooms and two toilets are on the first floor. The layout of the home makes staying there difficult for people who have restricted mobility. Care Homes for Adults (18-65 years) Page 4 of 30 care home 6 Over 65 0 0 0 0 6 6 6 6 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: Information provided by the registered manager on 17th February 2009 indicated that the current weekly fee for the home is from eight pound and seventy six pence per night. This is what we used to write this report. We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire. Care Homes for Adults (18-65 years) Page 6 of 30 We sent surveys to people who go to stay at Old Park Road Respite Unit, and eleven were returned to us completed. One inspector visited the repite unit unannounced. This visit lasted over five hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the respite unit has to keep. We spent time talking with people who live in the home and telephoned three relatives to ask about their experience of the respite unit. We looked at three peoples care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Although the staff have started to updated peoples support plans, further improvements must be made to make sure people are safe and all their needs are met whilst they are staying at Old Park Road. Where people maybe at risk, a assessment of the possible risk must be completed, this helps to minimise the risk and to keep everyone safe. There needs to be better communication between peoples representatives and the respite unit about what activities and personal care has been carried out whilst people are staying at Old Park Respite Unit. Where staff are transferred from working in another home in the Bradford District Care Trust. The way the registered manager makes sure the staff have the right qualities to work with people living in the home must be improved. This helps to protect vulnerable people. To help all the staff be more aware of peoples needs, a written record should be made and kept of the initial assessment the staff makes of people before they move in. The complaints records need to include the registered managers response and be stored following Data Protection Guidelines. Care Homes for Adults (18-65 years) Page 8 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with enough information to enable to them to decide whether Old Park Road Respite Unit will meet their needs temporarily. Evidence: People are referred to stay at Old Park Road by their care managers. The care manager will carry out an assessment of the persons needs and will then take this information to an allocations meeting. The allocations meeting is were the managers from the local authority and trust decide who will be allocated a place. If they decide this service is to be offered the registered manager will receive a copy of the assessment form. The registered manager will then invite the person and their relatives or carers to a tea visit. During the visit they will be shown around and provided with information about the repite unit. They will also be given a form to complete, which asks them for detailed information about peoples needs. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: When we looked at the records we found there were old assessments of peoples needs from the care managers and information provided by the relatives. However there were no initial assessment forms completed by the staff at the respite unit. For good practice staff should make written records when they carry out any assessments before people are offered a service. The registered manager explained how they will try to accommodate peoples requests about when they want to stay, three relatives also told us they receive information in advance of when people can stay at Old Park Road. One gave a example of how the registered manager had fitted their visit in with the persons normal weekly routine. One of the relatives told us they had seen a copy of the contract and agreed the content with the staff. The annual quality assessment questionnaire states tell us the respite unit has service users guides available in different formats using photographs and symbols. We received eleven surveys from people receiving this service who when we asked were you asked if you wanted to move into this respite unit, eight stated yes and three stated dont know. Also when we asked did you get enough information eight stated yes and three stated dont know. Care Homes for Adults (18-65 years) Page 12 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although people are making decisions about their lives and play an active role in specifying the care they receive, this is compromised by the respite units written records. Evidence: Three peoples case records were looked at in order to check that a plan had been formulated which would help staff provide support to people according to their needs and wishes. We found there was inconsistency in the records. Two did not have support plans or risk assessments in place, and the staff were relying on the information form completed by the relatives and their own experience of working with people to provide the care. However the third had a new support plan format and risk assessments in place that Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: would enable the staff to be aware of this persons needs. The registered manager explained the files were being reviewed and new support plans were going to be put in place for everyone using the service. To be sure new staff have enough information to provide support and care for people properly and safely both support plans and risk assessments must be in place. However the respite unit has a longstanding and established staff team who were able to tell us about peoples needs and people staying at the respite unit are often able to verbally communicate their choices. If they were not able to communicate verbally staff told us how they use makaton, or pictures or were able to recognise people preferences through their body language. We also saw how when supporting people they were sensitive to peoples needs and encouraged them to make choices. When we visited three people were staying at the respite unit. At the previous inspection we asked for people or their representatives to agree the care plan, the registered manager explained this would be part of the new care plan format and how the initial form they completed about their likes and dislikes showed they were involved in the process of developing the care plan. This was also confirmed by the three relatives we talked with who all made very positive comments about the staff and the service their relatives were provided with. They all told us their relatives were happy to go and stay at Old Park Road. The respite unit does have regular meetings with people staying at old park road and their relatives to find out their views of the service. Care Homes for Adults (18-65 years) Page 14 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 are given the opportunity to take part in some social activities despite staff being restricted in what they are able to offer due to people only staying for a short time. Evidence: Old Park Road is not open in the week during the day, because people generally attend day centres. People generally arrive after 3 pm and leave in the morning. People also only stay at the respite unit for a few nights, this means the amount and type of activities the staff can support people to do is limited. However they do try to make sure people are able to continue to carry out the activities whilst they are in the respite unit. Relatives and staff told us how they take people out for coffee or to the pub for a meal at weekends and will help them bake, Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: play board games or listen to their music on a evening. Staff told us relatives do not visit very often because people only stay for a very short time. Where a person is unable to easily communicate what activities they have done some people have communication book. This details the activities they have been involved in at their own homes and whilst at Old Park Road. This enables peoples relatives and staff to be kept informed so activities are developed and not replicated. However when we talked to the relatives they all said these were often not completed by the staff and how much they would like these to be completed so they could be aware of what their relative was doing whilst they stayed at Old Park Road. The information provided by relatives and carers, included information about peoples preferences of social activities. From the eleven people who returned their surveys,when we asked can you do what you want to do at the weekend nine stated yes and two stated no. Staff were observed cooking for people during the site visit, they explained generally everyone eats together and people are given a choice of menu. Also special diets are catered for. During our visit we saw people were enjoying pizza and chips. Three relatives also told us people enjoyed the food provided at Old Park Road. One person commented on their surveys nice teas. 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. People can be confident they will receive the health and personal care they need whilst staying at Old Park Road. The principles of respect, dignity and privacy are followed. Evidence: Three relatives told us people are treated with dignity and respect by staff whilst they are staying at the respite unit. All were also very happy with the care people were provided with. During out visit we saw two staff treating people with kindness and respect. Relatives told us in general peoples personal care needs were more or less met. Due to the length of stay most people access specialist services and general practitioner whilst at home. However the registered manager told us in the annual quality assessment questionnaire the staff have developed and maintained a good working relationship with two district nursing teams who support a person with diabetes. Staff also told us Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: where necessary they will contact the general practitioners or NHS Direct for advice. The Registered manager explained for people who are able to look after their own medication, a locked drawer is provided in their own room. However for those people who are unable to manage their own medication the respite unit has a medication system in place and procedures are followed accordingly. As this service is a respite centre, different medication systems maybe used according to what the person uses. There are currently no people who require controlled drugs. 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 and their representatives are able to express their concerns and whilst staying at Old Park Road people are safeguarded from harm. Evidence: From the eleven people who returned their surveys, ten told us they would know who to speak to if they were unhappy and nine told us they knew how to make a complaint. Three relatives also made comments about how they would feel comfortable in complaining to the registered manager and how they were sure she would respond to their concerns. Two relatives told us they could raise concerns at the relative meetings. We have not received any complaints and the respite unit told us in their annual quality assessment questionnaire they have only received one complaint and this was resolved by holding a meeting to discuss the issues. The registered manager explained how most complaints do not come directly to them but come via the care managers, who generally arrange a meeting with people and their relatives and Old Park Road to discuss any issues. However we found the records did not account always of how the registered manager Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: had responded and were all written in a small book. We discussed this with the registered manager who told us she would make sure these contained the response and were kept within data protection guidelines. At the last inspection we asked for our address to be part of their literature, so people can contact us if they want to tell us their views, we found this is now part of their statement of purpose and the service user guide. There is literature in the respite unit about how to follow the local policy and procedure for safeguarding adults. The registered manager was aware of the local procedure and who she would alert if she suspected abuse. Two staff also told us they would speak to the registered manager if they were concerned about abuse and that they had both completed safeguarding training. We saw the incident forms were completed and the registered manager explained she monitors these so she can identify any patterns and will contact the behavioural team if she has any concerns. The staff do have conflict resolution training. People are given the choice to manage their own finances. The registered manager explained people can keep some cash in the respite unit in the office in a locked filing cabinet or in their rooms in a locked drawer. Also, they account for peoples spending by recording the purchases and keeping 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. Old Park Road Respite Unit offers people a clean and comfortable place to stay. Evidence: Old Park Road has a communal lounge, dining room and kitchen, and six single bedrooms with a communal shower and bath room. The back garden is attractive and we were told is a very popular place for people to spend time when the weather is suitable. Since the last inspection a number of improvements have been made in the house. The house is two storey, there is only access to the first floor by steps, because the bathroom and shower room are both on the first floor, the registered manager explained people are only able to stay at Old Park Road if they are able to navigate the stairs. In the annual quality assessment questionnaire the registered manager told usrefurbishment work has been carried out during the year including new flooring to the dining room and cloakroom areas, new toilet and washbasin downstairs and the back of the unit has been rendered. Various furntiture has also been replaced such beds, bedding, curtains, dining tables and chairs, bedroom furniture, cooker, Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: fridge/freezer and cooker. All rooms have been decorated within the last two years and people were consulted regarding colours schemes etc. We found the respite unit to be well maintained and very clean. Staff explained how they carried out the cleaning and took pride in their work. The registered manager explained how she uses external people to carry out the maintenance at the respite unit. Nine people who returned their surveys told us the respite unit was always fresh and clean. The annual quality assessment questionnaire tell us four out of seven of the staff have had infection control training. This helps prevent the spread of infections in the respite unit. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the respite unit are trained, skilled and in sufficient numbers to support people who use the service. However to make sure only suitable people are employed they need to improve their recruitment procedures. Evidence: All of the people who returned their surveys told us staff always treat them well and seven said they always listen and act on what they say. Three relatives made positive comments about the staff. Relatives and staff told us there are generally enough staff available to meet peoples needs and if people needed more help or they wanted to plan extra activities then more staff would come into work. There are always two staff working in the respite unit and both stop overnight and will help people if they wake. When we talked with two staff we found they are clear about their role, knew what is expected from them and show a good understanding of the actions they needed to take to meet peoples needs in the way they prefer and need. At the previous inspection we asked for the staff recruitment files to include all Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: necessary documentation to make sure only suitable people are employed. We looked at the staff records to see if the respite unit were making the necessary checks before people started work. The respite unit has a long established staff team so we found only one person had been directly recruited to the respite unit. For this person all the necessary checks had been carried out before they started work. However other members of staff transferring from another part of Bradford District Care Trust did not have all of this information and we found the registered manager was not fully informed about their reasons for transfer. We discussed with the registered manager the need for her to be confident that staff who are transferred are all suitable to work alone with vulnerable people. Staff told us they received regular supervision and appraisals from their manager and do feel supported by the management. The annual quality assessment questionnaire told us in house training sessions have taken place including Disability Discrimination Act, fire safety and incident management. Staff told us they have had their training regularly updated and told us they have received training about health and safety, safeguarding, mobility assistance and safe handling of medications. However when we looked at the records they did not reflect this and the registered manager did not keep a training matrix, which would have enabled her to easily identify when staffs training needed updating. Also staff have not received training about the mental capacity act, staff need to be provided with this training to enable them to be aware of how this may affect their work and peoples rights. The registered manager told us over half of the staff have their or are working towards their National Vocational Qualification level two or above in care, this qualification helps to make sure staff are properly trained to carry out the work. 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. Old Park Road is generally managed in the best interest of the people who use the service. Evidence: The registered manager has worked for the provider since 2002 and has her registered managers award. Relatives told us they felt comfortable in approaching her with their views about the respite unit and staff told us they felt supported. The AQAA contains, clear, relevant information this supported by a range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA is completed. The registered manager told us quality assurance systems consisted of a regular survey for people to complete, regular meetings for people using the service and their carers and visits to look at the quality of the care by a senior manager. Any issues or Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: views about the respite unit will be addressed as part of the next staff meeting. The annual quality assessment questionnaire states the maintenance and service records are in order. The Fire Risk Assessment was reviewed in July and a Health and Safety Inspection was carried out by BDCT in September. A member of staff showed us how they regularly complete a health and safety audit of the respite unit. At the previous inspection we found oxygen cylinders were being stored in the kitchen area, which could be unsafe, the registered manager told us this no longer happens. 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 6 15 People must have a support plan in place. This is to make sure staff have the necessary information to care for people safely and properly. People must have risk assessments in place. This is to help identify any possible risk and provide staff with actions to take to minimise that risk. 17/03/2009 2 9 12 17/03/2009 3 34 19 When a member of staff is 17/03/2009 transferred to the respite unit, the registered manager must always be aware of the reasons for the transfer and be confident they are suitable to work alone with vulnerable people. This is to help keep people safe. Care Homes for Adults (18-65 years) Page 28 of 30 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 2 2 15 For good practice the staff should keep a written record of their own initial assessment. The staff need to communicate more with peoples relative or representatives, this helps the staff to provide people with better continuity of care. The registered manager should have a system in place which enables them to be confident all the staff have carried out the training they need to provide people with the care and support they want. 3 32 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 © (2009) 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!