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Please note that the information on this website is now out of date.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 24/02/09 for Paks Trust Hatfield House

Also see our care home review for Paks Trust Hatfield House for more information

This inspection was carried out on 24th 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 1 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 home offers information and an assessment for those people considering moving to Hatfield House so that they can make an informed decision about living at the home. The inspector met three people who live at Hatfield House. All three people said they were pleased to be living at Hatfield House and liked living there. Two people gave permission to the inspector to view their rooms. Bedrooms were very clean, personal and private. The home have produced detailed care plans and risk assessments so that people living at Hatfield House know staff understand their needs and there is clarity on how to take action to meet those needs. There was evidence to show staff give attention to detail on getting to know each person`s preferences and choices. The inspector read two care plans belonging to people who live at Hatfield House. Each person said the care plan was true. The people living at Hatfield House can be independent in their daily living but with a reasonable level of risk taking. Where a person might need to have assistance from a member of staff this had been discussed and agreed with people living at Hatfield House so that they were able to make a realistic and informed decision. The people living at Hatfield House do receive their medication as prescibed and do have their health care needs met. Staff had a good working knowledge of types of medication and why the medication was prescribed for each individual. Some actions taken by the staff team to meet health care needs were not reflected in the care plans but the outcomes for people living at the home were still positive. A member of staff demonstrated a good working knowledge of conditions which can present high risks to a person`s safety including diabetes, epilepsy, water retention and use of blood thinning medication.

What has improved since the last inspection?

The AQAA sent to us did not show any improvements to the service. There has been work on the detail of care plans. Care plans contained description of personal preferences and choices. It listed how people communicated and showed how someone might respond differently depending on situations and how they are approached. This indicates a person centred care approach to providing assistance.

What the care home could do better:

Medication was availble to people living at Hatfield House and records showed all medication had been given correctly. Some medication had excess stock. The management of medication stock was identified as needing improvement to ensure accuracy and to enable auditing to be meaningful. The acting manager said the home will address this promptly and work with the supplying pharmcist to achieve accuracy.The home had very clear records of information received about changes to medication doses. Communication about changes to medication was an area identified as needing review so that the risk of error could be further reduced. Whilst staff had good knowledge of health conditions and how the health conditions directly affected each individual it was identified the staff had not been offered refresher training. The home had not provided training in management and administration of medication, management of epilepsy, management of diabetes and tissue viability (skin care). The acting manager said training will be addressed promptly.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Paks Trust Hatfield House 17 New Road Ash Green Coventry West Midlands CV7 9AS     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: Paula Dutton     Date: 2 4 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.cqc.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: Paks Trust Hatfield House 17 New Road Ash Green Coventry West Midlands CV7 9AS 02476362326 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: PAKS Trust care home 4 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: 4 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 (LD) 4 Date of last inspection Brief description of the care home Hatfield House is a detached mid twentieth century house situated on a corner of a culde-sac in a residential area with garden at the front, side and rear. The house has an entrance porch, which serves as cloakroom and smoking area; dining room, lounge, kitchen and utility/shower room and one residents bedroom on the ground floor. Stairs lead off the dining room to the first floor where there are four bedrooms for residents and a bathroom and toilet. There is a very large garage at the back of the property Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 4 Brief description of the care home and parking for three cars. The home is close to some local shops and a bus route. The current fees for the home range from #590 to #800 per 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: The quality rating for this service is two star. This means people who use this service experience good quality outcomes. The focus of the inspection undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live at the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of the service provision that needs further development. The visit to the home was undertaken by one inspector over a period of four hours. During this time people living at the home, staff and the acting manager were able to assist the inspection process. They did not know that we were coming on this day. Three people living at the home took part in the inspection. Care Homes for Adults (18-65 years) Page 6 of 30 Information was gathered by speaking to and observing people who live at the home. Two people were case tracked which involved discovering their experiences of living at the home by meeting or observing them, looking at medication records and storage, reading personal care plans and reviewing areas of the home used by those people so that we can focus on outcomes. Case tracking helps us to understand the experiences of people using the service. In addition a range of documentation was viewed including rotas, cleaning diary and a staff file. Discussion took place with two staff, three people living at Hatfield House and the acting manager. Piror to the inspection a registered manager had completed and returned an Annual Quality Assurance Assessment (AQAA). This tells us how well the home thinks they are performing and gives us information about their achievements through improvement and their plans for further development. Surveys were sent out to people living at the home and to staff working at the home so that we could consult those directly affected by the performance of the home. The AQAA and the surveys were taken into account as part of this inspection process. There were no requirements and no recommendations made as a result of this inspection. What the care home does well: What has improved since the last inspection? What they could do better: Medication was availble to people living at Hatfield House and records showed all medication had been given correctly. Some medication had excess stock. The management of medication stock was identified as needing improvement to ensure accuracy and to enable auditing to be meaningful. The acting manager said the home will address this promptly and work with the supplying pharmcist to achieve accuracy. Care Homes for Adults (18-65 years) Page 8 of 30 The home had very clear records of information received about changes to medication doses. Communication about changes to medication was an area identified as needing review so that the risk of error could be further reduced. Whilst staff had good knowledge of health conditions and how the health conditions directly affected each individual it was identified the staff had not been offered refresher training. The home had not provided training in management and administration of medication, management of epilepsy, management of diabetes and tissue viability (skin care). The acting manager said training will be addressed promptly. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.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. People considering living at Hatfield House have access to information and participate in an assessment to ensure they can make an informed decision about whether or not the service can meet their needs and aspirations. The quality in this outcome group is good. Evidence: The AQAA sent to us by the home said that people considering living at Hatfield House are treated as individuals. On the day of inspection the home had a folder available in the front porch showing the Service User Guide. This contained information about the home and what services it could offer to someone coming to live there. Information was also available in pictures so people could independently gather information too. There were examples of the assessments completed before moving in and copies of contracts. One person has moved to the home in the last twelve months. In addition to Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: completing an assessment themselves, the home had gathered as much information as possible from assessments completed by outside professionals too. The home works towards providing person centered care which begins at the beginning during assessment. A trial period is available for people to try out living at Hatfield House. A pen picture of a person s life history was viewed. This was detailed and helped to inform new relationships between the person and staff. The person who had moved in showed the inspector his room and said he was very pleased with it. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home know their assessed and changing needs are reflected in their care plans and they receive medication as prescribed by their doctor accurately. Quality in this outcome group is good. Evidence: The AQAA said the home are consistently using care plans to show needs and actions to address those needs. They said the care plans are regularly reviewed. A person living at Hatfield House said he knew there were care plans and that these had written information about what he needed help with. He said the staff were good at doing documenting all of the time. Two people sat with the inspector and shared information contained within their care plans. Each person confirmed the details were true and agreed with the content. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Care plans were detailed and offered good descriptions of the needs of people living at Hatfield House. The care plans addressed a range of needs including personal care, health and mental health, communication, risk taking and cultural needs. There were two files seen where information relating to mental health and physical health had not been addressed, this resulted in some needs not being met completely and reduced the outcome for these two people. It was also seen that a prescribed dressing had not been properly used, this may result in further discomfort for the individual. Discussion took place with Alan Sheppard the acting manager, about improving the care plans to address specific needs. He said they woudl look into expanding the details of the care plan after discussion with the psychiatric consulant or their department. He will ensure care plans contain enough information for staff to monitor mental health needs and alternate ways will be found for the person to access services offered by the psychiatric team such as domiciliary visits and working with Community Psychiatric Nurses. Two personal files showed risk taking was a key part of maintaining independence but this was assessed so that any risk taking was reasonable and safe. 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 living at Hatfield House enjoy a range of social experiences, maintain relationships and participate in the local community. They benefit from a varied and nutritionally balanced diet which can accommodate special dietary needs such as diabetic diets. Quality in this outcome group is good. Evidence: The home operates so that people living at Hatfield House are independent and can fulfill their lifestyle choices and aspirations. Care plans showed that people had been asked about their lifestyle choices and preferred routines of daily living. Two staff said that people living at the home are assisted to live their lives fully and there are no restrictions unless there is a safety issue. A person living at Hatfield House discussed their lifestyle choices and confirmed the staff assist him to participate in the Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: community and to maintain key family relationships. Discussion with this person showed staff had talked to him about risk taking in relation to using public transport and driving. He had clear decisions about seeking the support of staff to travel with their assistance so that he did not take any unnecessary risks. Some comments made by people living at Hatfield House included: Staff are very helpful. They help me with my computer and mobile phone. I do the gardening. I walk to the shops. Cant really improve. Only problem is getting a driver when you want one. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Hatfield House have their personal care, health and welfare and medical needs met. The quality in this outcome group is good. Evidence: The home said they have a safe system of management and administration of medication. The medication was stored securely in a locked room within a metal lockable trolley. The AQAA said they do not stored controlled drugs and had not had any serious medication errors in the last twelve months. A member of staff who administers medication talked to the inspector about medication management and administration. He had not received training in management and administration of medication in over twelve months. The acting manager said this training would be provided within the next few weeks. The member of staff demonstrated a good knowledge of how the process of dispensing tablets and signing Medication Adminsitration Records (MAR) charts. He was able to account for types of medication prescribed and the reason for prescribing. He had access to a resource book to assist in understanding medications. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: This member of staff stated he had received training from a nurse responsible for diabetic care for a person living at Hatfield House. He demonstrated a good understanding of how to safely handle and dispose of needles. He knew how diabetes affected the person living at the home and knew what actions to take if the person became unwell. Records showed the person living at the home had benefited from the diabetic care offered by the team and had achieved a degree of stability in his health. The member of staff administering medication assisted the inspector to audit some medications. Records were seen of audits completed by the registered manager. The outcome of the audit showed the home generally keeps accurate records however they could improve the accuracy of their stock management recording systems. Evidence of the manager completing audits showed staff adminsiter medication carefully and accurately. The member of staff had a good understanding of the importance of recording changes in medication in a changes log. This applied to a warfarin record and an insulin record. All entries were signed and dated. The member of staff stated changes to medication are communicated by telephone. Discussion took place with the acting manager Alan Sheppard about communication with the supplying chemist and outside health professionals. The acting manager said the company will provide a fax machine so that changes of medication can be written and signed for by the prescribing health professional to reduce the risk of a communication error. In addition the acting manager said the company would develop a communication protocol for in the event of taking medication changes over the telephone. This will list specific ways of checking the details of the instructions to reduce the risk of a communication error. Some medication stored in a box was checked to see if the records reflected how many tablets were available. The record showed medication had been administered however the stock available exceeded the number listed on the record. The acting manager said stock control and management will be reviewed and the supplying chemist would be consulted. There was no evidence of photocopies of prescriptions and no medication product information sheets available for staff to refer to. The acting manager said this will be addressed and discussion will take place with the supplying chemist about providing audits, information, copies of prescriptions and training sessions. The home will gain an up to date resource book for staff to refer to about types of medication to replace the book currently used. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Some people were in receipt of medication to be taken as they need it such as Paracetamol. This is referred to a as prescribed or PRN. The care plans did not address pain management where a person was in receipt of PRN pain relief. The manager said they would ensure care plans contain the range of dose and reason for monitoring pain therefore bringing about better outcomes for people with periodic pain. Care plans showed health needs were addressed by the home. There was good detail in care plans about how personal health care needs should be met. Some health care needs were not detailed enough including mental health, managing depression, skin care and tissue viability. The acting manager said this will be put in place promptly. Care Homes for Adults (18-65 years) Page 19 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 living at Hatfield House have their opinions listened to and acted upon. They have their rights and welfare protected from abuse or harm at all times. Quality in this outcome group is good. Evidence: The home has policies and procedures in place for the safe recruitment and induction of new staff. A file was viewed which had an application form, two written references and a Criminal Record Bureau check. Evidence was seen of a formal supervision which had taken place to support a new member of staff in understanding roles and responsibilities. The acting manager said there is a comprehensive booklet new staff complete which includes training on how to prevent abuse of vulnerable adults. This was not available on the day of inspection. A discussion took place with the acting manager Alan Sheppard about safe recruitment practices. The acting manager said risk assessments would be used to address any issues when criminal record bureau checks are returned. Discussion took place about people living at Hatfield House having cash on the premises. Their money is stored securely in metal tins. A person living at the home explained to the inspector he could access his money at any time and staff were always helpful in assisting him to get to his money. The home has a complaints Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: procedure, which is readily available in the Service Users Guide, which stays in the front porch. A person who lives at Hatfield House said staff would listen to me and put it in the book. He said I would change nothing. Im alright. Discussion took place with a member of staff who said he had access to training for the prevention of abuse in vulnerable adults. This member of staff knew of the Whistleblowing policy and procedure. He said he would report anything that gave concern. The acting manager said there would be refresher training in safeguarding adults. Care Homes for Adults (18-65 years) Page 21 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 living at Hatfield House can enjoy a comfortable, homely and safe environment. Quality in this outcome group is good. Evidence: The home offers a safe and well maintained environment. A tour of the premises found all areas were clean and tidy. A person living at the home took the inspector around the gardens and garage. He showed the inspector how there were different cleaning mops and buckets in different colours for bathrooms and kitchens to prevent spread of infection. He explained the laundry was washed and dried in the machines and how the cleaning chemicals were stored securely. He showed the inspector a diary listing all of the daily cleaning tasks for staff to complete and confirmed staff always complete these jobs. He said he could take part in cleaning the house and he has set tasks he is responsible for particularly in his own bedroom. Another person living at the home took the inspector to view two bedrooms. Each room was lockable and keys were available. Each room was very well managed and looked comfortable. Evidence was seen of personal property and soft furnishings being available to personalise the private rooms. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Some comments from people living at Hatfield House included: There is always enough hot water and I love my showers. Staff clean the bedrooms but I can strip my own bed. Care Homes for Adults (18-65 years) Page 23 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 living at Hatfield House receive assistance from professionally competent staff at all times. Responsible recruitment is completed to ensure there are sufficient and suitable staff available. The quality in this outcome group is good. Evidence: The home provides training for staff so that people can have assistance from staff who work in line with current good practice. Discussion with staff and the acting manager identified some training is being provided within the next month. This applied to medication training. The acting manager said he would seek evidence of insulin administration training that had taken place through the diabetic nursing services. A member of staff discussed some key needs including mental health, epilepsy and diabetes. The member of staff clearly knew the needs of people living at the home and had an understanding of how to monitor these needs. Discussion took place with the Acting Manager Alan Sheppard who said he would gain training in mental health, medication administration and epilepsy for all staff. A rota was available and was displayed in the kitchen. A person living at Hatfield Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: House explained the rota and said it also showed the on call rota. Staff are deployed at times of peak activity and sleep in. Staff were not on the rota at times when all of the people residing at Hatfield House are out for example at day care services. A person living at Hatfield House said he could return home and had access to a key. He knew how to call the on call manager if he needed anything. The acting manager said there is a robust system of recruitment for all new staff to follow. He said all staff are interviewed and appropriate checks are made including Criminal Record Bureau checks. A file was viewed showing a person who had recently joined the team. Evidence showed checks were carried out including Criminal Record Bureau checks and two written references prior to starting work. Care Homes for Adults (18-65 years) Page 25 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. Hatfield House operates in the best interests of people living there. People have their health, safety and welfare promoted and protected at all times. Quality in this outcome group is good. Evidence: The home is organised and operates within the companys policies and procedures. The registered manager was not available on the day of inspection. An acting manager was available named Alan Sheppard who was also responsible for the on call support. He assisted in the inspection process. The AQAA was completed and returned to us but it was very brief. It did not contain information to demonstrate the service is well run. On the day of inspection a tour of the premises found there was a room for office use and a range of written information was available about the operation of the home. Discussion with the acting manager established there are support meetings with staff to ensure their good working practices. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: The acting manager said the responsible individual does visit the home to ensure the standards of the home are meeting the companys expectations. A person who lives at Hatfield House said Mrs Sheppard (Responsible Individual) comes to see everyone sometimes. Care Homes for Adults (18-65 years) Page 27 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 28 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 20 13 Medication The home must provide a sufficiently robust system of management of medication so that people living at the home are protected from medication error. 23/04/2009 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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!