Inspection on 09/03/09 for Phoenix Court

This inspection was carried out on 9th March 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Phoenix Court 22/11/06

Phoenix Court 27/02/06

Phoenix Court 06/09/05

Phoenix Court 03/03/05

Phoenix Court 02/09/04

Phoenix Court 03/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Phoenix Court 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ     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: Dawn Navesey     Date: 0 9 0 3 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: Phoenix Court 16 & 18 Phoenix Court Todmorden Lancashire OL14 5SJ 01706819608 01706819608 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: St Anne`s Community Services care home 7 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 Phoenix Court is a care home registered to provide nursing care and accommodation for seven adults with learning disabilities. The home is operated by St Anne?s shelter and Housing Association, a charitable organisation. The charge is 421 pounds per week. The accommodation is divided into two self-contained areas, first floor and ground floor. There are four bedrooms on the ground floor occupied by four women. There is also a kitchen, lounge, bathroom, bathroom/ toilet, and a laundry on this floor. Upstairs the accommodation comprises three single bedrooms, occupied by three men. There is a kitchen, lounge, bathroom, bathroom/WC and an office upstairs. Externally the service users have safe access to a garden at the rear of the property. 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 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 peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk This visit was unannounced and was carried out by one inspector who was at the home from 11:15am until 5:30pm on 9 March 2009. The purpose of the inspection was to make sure the home was operating and being Care Homes for Adults (18-65 years) Page 5 of 30 managed for the benefit and well being of the people living there. And also to monitor progress on the requirements and recommendations made at the last inspection. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visit. An AQAA (Annual Quality Assurance Assessment) was completed by the home manager before the visit to provide additional information. Survey forms were sent out to people living at the homes relatives, staff and health care professionals. A number of these have been returned and this information has also been used in the preparation of this report. During the visit a number of documents and records were looked at and some areas of the home used by the people living there were visited. Some time was spent with the people who live at the home, talking to them and interacting with them. Time was also spent talking to staff and the manager. Feedback at the end of the visit was given to the manager. The last inspection of this home was on 22 November 2006. What the care home does well: What has improved since the last inspection? In the AQAA the manager said the environment in the home had been improved. They said, 3 bedrooms,ladies lounge,small toilet have been redecorated, ladies bathroom has been retiled, office has had a new carpet, tile transfers/borders put up in mens bathroom and shower room extractor fan system fitted into one service users bedroom for whom it is a designated smoking area. In the AQAA, the manager said the service had improved saying, now have monitored dosage medication system and since using there have been no medication administration errors. Toilet seats in the home have all been replaced with new ones as required at the last inspection. Care Homes for Adults (18-65 years) Page 7 of 30 People are now being supported to attend the church of their choice. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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 who use the service can be sure that the home will meet their needs following assessment. Evidence: There have been no new admissions since our last inspection of the home. The home has an admissions procedure in place and peoples needs are assessed every year by their care managers to make sure the home can still meet their needs. People said they were happy at the home. One person said, I have a good home here. Care Homes for Adults (18-65 years) Page 10 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 are encouraged to make decisions about their lives and are involved in planning their care and support. Evidence: In the AQAA, the manager said, All service users have a person centered individual plan with objectives that are reviewed regularly. Service users now all have postive risk assessments aiming to minimise potential risks but not to stop people from doing activities. They also said they Involve relatives in supporting the service user to make choices at their p.c.p. (Person Centred Planning) meeting. When asked what the service could do better, the manager said, look at a more varied leisure provision, still need to improve on reviewing of care plan objectives and to improve care plans to detail any restrictions on choice and freedom in line with the Mental Capacity act. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: We looked at care plan and risk assessment records for some people who live at the home. We found them, in the main, to be person centred and individual to each person. Some plans had clear and detailed instruction on how the needs of people who use the service are to be met. They had some good information about how people should be supported with personal care, communication, social and health needs. There were however, some shortfalls with the care plans and risk assessments. Some plans did not give the detail of how care needs are carried out. For example, one person had no support plans regarding their personal care needs. This could lead to needs being overlooked. Some risks had been identified for people but were not supported by a risk management plans. For example, risk assessments on people who were at risk from choking. This does not tell staff how to meet the individual needs of people. The new manager has identified the shortfalls and is currently looking to introduce a new format for care planning based on the tools of person centred planning. We saw the new documentation, which if completed properly, will give detailed and specific instruction to staff on peoples care and support needs. Staff were familiar with what was written in peoples care plans and could talk confidently about the support they give. They had very good knowledge of peoples individual support needs and could describe peoples routines well. Staff, when asked what the service does well said: Promote person centred planning Person centred approaches/planning works very well within the service One relative said the service Always meets the needs of their relative, two people said they Usually do. Care plans are reviewed and evaluated regularly to make sure they are still relevant for people. One staff said, Care plans are completed annually and reviewed as and when necessary in view of service users needs and changes in condition. People are encouraged to make choices and decisions about what they do. Staff said that people choose what to wear, what to eat, where to go on outings or holidays, when to go to bed or get up. We saw people were supported to make choices, using a variety of communication methods such as pointing, touch and facial expression. Staff showed they had a good understanding of how people communicate. Care Homes for Adults (18-65 years) Page 12 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 who use the service are able to make choices about their lifestyle. In the main, social, educational, cultural and recreational activities meet peoples expectations. They also benefit from a good, healthy and varied diet. Evidence: In the AQAA, the manager said they, plan with individuals what they want to do utilising community facilities eg pubs, church,library, cafes cinema,etc. and leisure time is organised around individual likes/dislikes. We looked at records of peoples activities. These showed that people are involved in a variety of activity based on their individual needs. These included, attendance at a Catholic church service, hydrotherapy sessions, bowling, theatre visits, out for meals and coffees, shopping, meeting up with family and going to the pub. However, the records showed that some planned activity did not always take place for people. We Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: noticed that some weeks people had not been out of the house more than once per week. This does not meet their needs properly. Staff and the manager said activity levels could be affected by staff shortages due to sickness or high amounts of annual leave to be taken. The level of activity that people take part in should be reviewed to make sure people benefit from regular leisure activity that they enjoy. On the day of the visit, there were no staff shortages and a number of people went out on activities within the community. Staff said they also provide activity in the house for people. They said people enjoy baking, manicures, taking a leisurely bath, playing the organ, listening to music and watching DVDs. Staff, when asked what the service does well said, Leisure sessions provided benefit the service users and they get ample opportunities whilst out on leisure. Provides a good standard of leisure services. Promotes individuality of service users. Promotes independence and community presence and participation. The new manager has been monitoring levels of activity for people who live at the home and is looking to introduce further flexibility in to the staffing rota to allow for more unstructured activity to take place. Relatives of people who live at the home said: (name of person) has no choice as he doesnt speak but the staff do their best to let him do the things he wants to do. He has quite a lot of holidays, usually walking as he enjoys this. Take (name of person) out for meals and theatre and holidays. Also to church. People are encouraged to keep in contact with their family and friends. Staff said they encourage relatives to visit and assist people who live in the home to keep up with family birthdays and other occasions. In the AQAA the manager said, healthy eating is promoted and also said they had improved the amount of fruit and vegetables offered at meal times and as snacks. They also said they were looking to improve the service and said, to look at the possibility of some staff undertaking study on nutrition,to look for nutrition assessments to ensure we are providing each person with food/fluids that meet their individual nutritional needs. Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: We looked at menus at the home. These are planned around peoples likes and dislikes. Staff said they can always make an alternative to what is being cooked if peolpe dont like it and snacks are readily available. Staff record what is eaten. Staff said they know peoples likes and dislikes well. People who live at the home said they enjoy the food, smiling and nodding when asked. One person said they enjoyed having fish and chips. A relative of a person living at the home said, The kitchen is well stocked with fruit and vegetables, milk etc, things I feel are good for him. Care Homes for Adults (18-65 years) Page 15 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 general healthcare needs are well met and based upon their individual needs. Evidence: In the AQAA, the manager said they meet peoples health needs well, saying, all service users have an OK health check /diary/action plan, all service users are supported to access the appropriate health professionals as required, staff respond appropriatley to service users health needs, we involve other agencies when our expertise is not enough, service users have aids/adaptations as necessary to meet their needs and maintain their independence. They also said, all service users have guidelines on how they like to be supported with their personal care. Despite the gaps in care planning as mentioned in the individual needs and choices section of this report, staff had good knowledge of peoples personal support needs. Staff were thoughtful, discreet and respectful of peoples dignity when attending to any needs. People who live at the home, in the main, looked well cared for, well dressed and groomed. However some people did not seem to be dressed warmly Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: enough on what was a cold day and the heating in the home was not working properly (See environment section). Some people only had short sleeved t-shirts or shirts on. In a survey, a relative said, I bought (name of person) thermol underwear for christmas which she doesnt seem to wear. Also my sister bought a fleece throw to keep (name of person) warm. Good records are kept of health appointments and their outcomes. Staff make sure that people are given support to attend appointments to meet their health needs. People are referred to health professionals when needed. Staff have identified and monitored health needs well through the use of the OK health checks as mentioned above. Staff have also started advance care planning with people who live at the home, looking at peoples last wishes and who they want involved in their care at that time of their life. Staff said they had received some training on meeting the specialist health needs of people who use the service such as mental health awareness, depression and bi-polar disorder and palliative care. The manager told us there is also more training planned this year on peoples specialist health needs such as epilepsy. In the AQAA, the manager said the service had improved saying, now have monitored dosage medication system and since using there have been no medication administration errors. We checked some medication administration records (MAR) sheets. These were found to be in good order. There are good ordering and checking systems in place too. Care Homes for Adults (18-65 years) Page 17 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 who use the service are able to express their concerns and are protected from abuse. Evidence: In the AQAA, the manager said they had a complaints leaflet available and all relatives had been sent a copy of this. All relatives who completed a survey said they knew how to complain. The home has not received any complaints since the last inspection. The manager also said, staff have attended adult protection training refresher or if they have not attended are booked on it. Staff were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. They were also able to describe the different types of abuse. Some were familiar with the whistle blowing procedure and said they would have no hesitation in using it if they thought they needed to raise concerns outside of the home or organisation. Others did not fully know the procedure but said they would find out if they ever neded to use it. Since our last inspection there has been one safeguarding adults issue. This was properly dealt with by the home. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Records are kept of the finances of people who live at the home and their monies are kept safe. Care Homes for Adults (18-65 years) Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Overall, the environment is homely, and in the main, comfortable and safe for people who live at the home. Evidence: In the AQAA the manager said the environment in the home had been improved. Theysaid, 3 bedrooms,ladies lounge,small toilet have been redecorated, ladies bathroom has been retiled, office has had a new carpet, tile transfers/borders put up in mens bathroom and shower room extractor fan system fitted into one service users bedroom for whom it is a designated smoking area. A tour of the home was carried out. Communal areas, bathrooms and bedrooms were visited. The home looked fairly clean and homely. Peoples bedrooms were very individual to them and showed their interests and personalities had been taken into account. However, the floor coverings in the kitchens, bathrooms and hallways are in need of replacement as they are old, worn and dirty looking. Some of the decor in the communal areas of the home is looking tired and worn and needs re- decorating. The manager said that decorating was to be done in the new financial year and had highlighted the areas most in need of doing. On the day of the visit, all the rooms in the home felt cold. A relative had commented Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: they found the home cold when we carried out our annual service review last year. Another relative told us this year, The home when we visit is not very warm, more often than not we sit with our coats on. On examination, the radiaters in the upstairs part of the home were not working and only on low in the downstairs part. Staff had also opened many windows in the home to air the rooms. This meant the rooms were cold. When this was raised with the staff, windows were closed and staff began to investigate why the heating was not working. Staff said there had been an ongoing problem with the heating in the home, that had been reported to their maintenence department but they felt fobbed off with the repairs that were done. The manager said they would get someone out to look at the heating on the day of the visit and acquire portable heaters if necessary to make sure people were warm enough. The heating system must be repaired or replaced to make sure the home is kept comfortable for the people who live there. Clinical waste is properly managed. Staff have received training in infection control as part of their induction and were able to say what other infection control measures are in place. Hand washing and hand drying facilities were available in most areas of the home. However, there was no liquid soap or paper towels available in the laundry. One of the staff said they would rectify this during the visit. Care Homes for Adults (18-65 years) Page 21 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. Staff are, in the main, trained, skilled and in sufficient numbers to support people who use the service. Evidence: In the AQAA, the manager said, all staff are appropriatley trained/qualifed to deliver/support the needs of the service users, staff are deployed to maximise efficiency and meet service users needs, staff receive training appropriate and relevant to their roles, all staff have regular supervision and an annual appraisal, all recruitment is carried out in line with equal opportunities following the organisations policies and procedures. We looked at the rota and records showed that in the main, there are enough staff on duty to meet the needs of the people who live at the home. However, there are times when there are only two staff on duty, one working in the upstairs part of the home and one downstairs. At these times, staff could be called away from either part of the home to assist with moving and handling of people or behaviour management. This means that people could be left unsupervised in a part of the home for a short period of time. The manager said people who live at the home were not at risk during these times. We recommend that staffing levels are reviewed to make sure peoples needs are being fully met and no-one is being placed at risk of harm. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: In the main, staff said they felt they had enough staff to meet peoples needs well. One did however say, The service is occasionally compromised with unexpected staff sickness. May result in a shift with one person less. And another said they felt the service could do better by, Increased staffing levels to ensure that even more time could be spent fulfilling personal needs and wishes. A relative had completed a questionnaire sent to them by the home and said, The staff do a difficult job well, under, I think I am right in saying, usually poor staffing levels. There is an agreement in place with the organisation that a CSCI Provider Relationship Manager examines the actual recruitment records at the organisations head office. We looked at the recruitment records that are kept in the home. These take the form of a pro-forma showing that all the required recruitment checks have been carried out. This is then signed by the organisations human resources personnel. Two of the three pro-formas we looked at had not been fully completed. One did not say if references had been taken up for a staff member and two of them did not record the CRB (Criminal Records Bureau) check number. The manager said he would make sure this was properly recorded in future. Induction training is based on the Skills for Care common induction standards. Most staff said their induction had been good and prepared them well for their job. However, one said, I felt that my induction was very brief and I had to ask numerous questions and ask for further support from the manager to help me in my new position. We also looked at training records and these showed that most staffs training was up to date or if updates were needed, they were planned. Over half the staff team have achieved NVQ (National Vocational Qualification) in care at level 2 or above. This means they are qualified to carry out their job. Staff spoke highly of their training. Comments included: We are being encouraged to diversify into a specific speciallity which promotes health of service users. We always follow up training with discussion of what we have learnt in our supervision We get good training and regular updates. Most staff felt they worked well as a team to enhance the life of the people who live at the home. However, one said, I feel that management could work together as a team and qualified nurses on the whole could work together not against each other. I feel if Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: this was implemented phoenix court would have a very good staff team The new manager has arranged regular team meetings since coming in to post and made sure all staff have received supervsion to see if they are clear on their roles and responsibilities. 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. Overall, the home is well managed, the interests of the people who use the service are seen as important to the manager and staff and are properly safeguarded. Evidence: The manager of the home took up this post as acting manager in December 2008 and has now been appointed by the organisation on a permanent basis. He is a registered nurse for people with learning disabilities and has many years experience of working with people who have a learning disability. He is aware of the need to register with the CSCI and has already started the process. He is also due to commence the NVQ 4 in leadership and management, which will make him suitably qualified for his role. Staff spoke highly of the management support they get. Comments included: He is very approachable Appears to be a good leader, sets a good example Has the interests of the people that live here at heart Nice and fair Communicates well The new manager is an improvement. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: Records we looked at showed that regular health and safety checks are carried out and maintenence issues are reported. There should be closer monitoring of these issues and ongoing faults should be followed up in a timely fashion to make sure repairs get done or renewals are made. In the AQAA the manager said relevant health and safety policies and procedures were in place, and reviewed. They also said equipment has been serviced or tested as recommended by the manufacturer or regulatory body. Records showed that certificates on gas safety were up to date. The electrical safety certificate could not be located at the time of the visit but information given in the AQAA said this was up to date. The organisation provides a comprehensive manual of policies and procedures for staff to refer to. We looked at accident reporting and spoke to staff about this. Staff were clear on their responsibilites and how to report and record accidents or incidents. The organisations service manager conducts monthly provider reports with detailed requirements for improvement. The manager receives regular supervision from the service manager to support him in his role. The organisation seeks the views of people who use the service and their relatives by sending out a questionnaire so that they can get feedback on how people think the service can improve. We looked at some of the questionnaires returned. They were overall, very positive about the service. Comments included: As always happy with my brothers care, he seems very happy and settled They always keep me informed. 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 24 23 Floor coverings in the kitchens, bathrooms and hallways must be replaced as they are old, worn and dirty looking. This will make the home more comfortable for the people who live there. 30/06/2009 2 24 23 The heating system must be repaired or replaced. This will make sure the home is kept warm and comfortable for the people who live there. 30/04/2009 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 1 6 People who use the service should have more detailed care plans and risk management plans, clearly outlining all their support needs. This will ensure that they receive person centred support that meets their needs fully. Page 28 of 30 Care Homes for Adults (18-65 years) 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 2 14 The level of activity that people take part in should continue to be reviewed to make sure people benefit from regular leisure activity that they enjoy. Staffing levels should be reviewed to make sure peoples needs are being fully met and no-one is being placed at risk of harm. The recruitment pro-forma kept in the home should be completed in full, showing that the organisation has made the necessary checks on people before they start work at the home. 3 32 4 34 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). 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