Inspection on 27/11/06 for Pia - Princes Street, 46

This inspection was carried out on 27th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pia - Princes Street, 46 04/11/08

Pia - Princes Street, 46 26/11/07

Pia - Princes Street, 46 13/12/05

Pia - Princes Street, 46 08/07/05

Pia - Princes Street, 46 12/01/05

Pia - Princes Street, 46 06/08/04

Pia - Princes Street, 46 23/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Pia - Princes Street, 46 46 Princes Street Nuneaton Warwickshire CV11 5NW Lead Inspector Kevin Ward Key Unannounced Inspection 27th November 2006 08:00 Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pia - Princes Street, 46 Address 46 Princes Street Nuneaton Warwickshire CV11 5NW 02476 353581 02476 640146 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) People in Action Ms Angela Rynn Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 46 Princes Street is a registered care home for seven adults with learning disabilities. People in Action provides 24 hour care and support for the people living in the home. The home is located in the centre of the town of Nuneaton, North Warwickshire, and as such is close to all local services and facilities the town has to offer. It is a two-storey building with gardens to the front and rear of the property. There are 8 single bedrooms, one having a shower en-suite facility. One of the bedrooms is used as the sleeping/office for staff. Two of the bedrooms are located on the ground floor. The ground floor bathroom/toilet has a walk-in shower facility and bath, which has an electrically operated bath seat. There is another shower facility and separate toilet and bathroom/toilet located on the first floor. The shared facilities in the home consist of a large lounge, kitchen with dining area and well maintained garden to the rear of the property. The garden provides separate areas of privacy, has a greenhouse and a vegetable patch. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission such as notifications of accidents and incidents. A pre inspection questionnaire was also completed by the manager, which provided more helpful information about the home. The inspection involved meeting 6 service users at the home; one person was in hospital and was not seen. Due to people’s communication needs it was only possible to get verbal feedback from two people at the home. The inspection also involved meeting a member of support staff, a team leader and the manager. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. The current fees for the service range between £491 and & £924 per week. The people living at the home pay a contribution to the cost of the care based on an assessment of their individual financial circumstances. The fees do not include the cost of people’s clothing, entertainments, holiday’s transport and toiletries. What the service does well: Care plans are in place containing satisfactory levels of information about people’s needs. The care plans also include details of people’s likes and dislikes and their preferred routines so that their care can be provided in the way they like. regular basis. Staff are friendly and there is a relaxed atmosphere in the home. The home is good at keeping people’s relatives informed of changes in their care. When commenting on the care provided by the home, a visiting relative said, “the staff are great”. The people living at the home are supported to go out regularly and enjoy a good social life. Everyone has been away on holiday his year with support from staff. People regularly go to town and are supported to go shopping for groceries and to choose clothing and other personal items. There have been no complaints at the home since he last inspection. Regular house meetings take place, which provides an opportunity to check that people are happy and enables them to pass comment on the service. Staff have been trained to recognise and report any suspicions of abuse so that people are properly protected from harm. Overall the home is well maintained and provides a comfortable and homely place for people to live in. People have been supported to personalise their bedrooms and to choose their own décor colours and furniture. Good work has been undertaken to provide a wheelchair user with the appropriate equipment Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 6 necessary to meet his needs properly. The home has a downstairs walk in shower room that provides good disability access for people. New staff are properly vetted before they start at the home to ensure that they are suitable to work there. Staff at the home are well trained to carry out their work. In addition to being trained in National Vocational Qualifications, many staff have received training in Disability Awareness, Diversity, personal relationships and sexuality and other care courses. Good arrangements are in place for monitoring the quality of the service and for ensuring that the home runs properly, such as satisfaction questionnaires, shift handover checks and monthly monitoring checks by the Operations Manager. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are properly assessed and they are encouraged to visit so that they can make an informed decision to move into the home. EVIDENCE: There have been no new people admitted to the home during the last year. People’s files contain assessment information and care plans, provided by placing officers at Warwickshire Social services Department that have been used to inform the home’s assessments. The manager explained that the last person who moved in visited before hand with the support of her relatives. This was verified in the person’s records. The people living at the home have been issued with helpful, illustrated information about the home and contracts are in place explaining the terms and conditions of their placement at the home. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are planned for and regularly reviewed and their choices are recorded and respected. EVIDENCE: Three people care plans were examined. These documents have been re written this year to present the information in a different format that makes it easier to find information. Some of the new records have yet to be dated. The manager agreed to address this so that there is no confusion later regarding dates of care plan reviews and amendments. People’s care plans and records were examined. Overall the plans contain satisfactory levels of information to enable staff to support people to meet their needs. This includes information about people’s preferred care routines so that staff are able to provide care support to people in a sensitive manner. People’s likes and dislikes are also recorded so that staff can carry out people’s wishes. This is particularly Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 10 important information and a good way of helping the people with high communication needs to express their choices. Staff explained that people’s care is reviewed each month in a meeting involving the service user, their keyworker and the team leader. Evidence of these meetings was seen in people’s care records. The manager explained that relatives are encouraged to take an active involvement in people’s care reviews and are kept informed of changes in people’s needs. A relative who was visiting the home on the day of the inspection visit verified that staff at the home are very good at keeping her updated regarding her daughters care. Two people confirmed that regular house meetings take place to discuss plans and check if they have any concerns. The records of these meetings demonstrate that the home seeks to involve people in everyday decisions and choices. People have been involved in choosing the colours of the décor and floor coverings in their bedrooms and in other areas of the home. Sample colour cards were seen that have been used to help people to make such choices. Risk assessments are in place for people covering advice on reducing the risks associated with range of everyday living hazards that people are likely to encounter. These documents have also been tailored to take account of individuals’ specific needs, such as risks associated with people’s physical disabilities and mental health needs. A behavioural protocol was seen on one person’s file that has been drawn up with the involvement of support from health professionals. Discussions with staff demonstrated a good knowledge of people’s individual needs and their support requirements. One person is currently in Brooklands hospital. The manager explained that this person’s return to the home would be underpinned by a robust multi disciplinary risk assessment, including close monitoring and support from health professionals. The manager said that the risk assessment would also consider the need for restraint training. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to enjoy a satisfactory range of activities and to have regular access to the community. People are provided with meals that they like and that meet their dietary needs. EVIDENCE: All except one person attends day service provision the majority of the week. One person stays at home and is supported to access a satisfactory range of community and home based activities. Two people confirmed that they are supported to go out on a regular basis and this was verified in people’s records and in information provided by the home in the pre inspection questionnaire. Examples of leisure activities enjoyed by people include, bowling, cinema, pub, day trips, keep fit, swimming, college, dancing, computers, art group, horse riding and foot spa. Discussions with the people at the home and comments by staff confirmed that people are encouraged to take part in everyday living Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 12 chores about the house, such as washing up, cleaning and shopping, to maintain their independence. People confirmed that they receive frequent opportunities to shop and choose their own clothes and other personal items or to simply visit town as a social event and have a drink or a meal. The manager expressed a commitment to supporting people to remain in touch with their relatives and evidence of this was seen in people’s review notes and daily diaries. A visiting relative spoke very highly of staff at the home and the way in which they welcome her and keep her informed of important matters. The manager confirmed that the majority of staff have previously been provided with personal relationships and sexuality training so that that they are better equipped to offer appropriate support where necessary. The manager explained that an advocate had been appropriately used to support one person to make decisions about is future, during the last year. Comments by two people living at the home confirmed that they regularly take part in shopping for groceries at the local ASDA supermarket. The recent menus indicate that people are being provided with a balanced and varied diet. The manager explained that two people have received dietary advice and ongoing monitoring from the community dietician and this was verified in people’s health records. People’s food likes and dislikes are recorded in their care plans. Two people were seen to eat breakfast cereals that were in keeping with their recorded preferences, indicating that staff respect people’s choices. A staff member was seen to provide sensitive assistance to enable a person to eat safely in an unhurried fashion. Two staff confirmed that they had received dysphagia training and were aware of the safe practice issues when providing assistance with eating. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home are provided with the support they need to meet their personal care and health needs and suitable arrangements are in place for the safe administration of medication. EVIDENCE: The people living at the home were seen to rise in an unhurried fashion and to go about their breakfast routine in a relaxed manner. Staff are friendly and were seen to provide assistance in a caring, helpful way. People looked very comfortable and ease when approaching staff for help and advice. A relative visiting the home commented very positively regarding the quality of the care provided at the home. All personal care tasks took place behind closed doors indicating that staff show a suitable regard for people’s privacy and dignity. People were dressed in well laundered, age appropriate clothing, indicating that they are supported to retain a pride in their self-image. Information in people’s care plans and comments by staff demonstrate that people’s bed times are age appropriate and vary according to their personal choice. Three people’s health records were sampled. Entries in these records confirm that people are supported to gain access to relevant health professionals in Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 14 keeping with their needs. The needs (and medication) of several people are monitored and reviewed by a consultant psychiatrist and one person receives regular support from the psychology service. Advice and support has also been sought for people from the community dietician, speech therapist and occupational therapist and continence nurse advisor. A specialist bed and lifting equipment have been provided for a wheelchair user at the home, so that his needs are met correctly. Entries in people’s health records confirm that they are provided with access to routine check ups, such as well person checks, dental checks, eye tests and chiropody service. The manager reports that no one at the home has any pressure sores and said that she had recently received skin care awareness training as part of a moving and handling training course. The manager agreed to arrange a skin care risk assessment for a wheelchair user, as a precautionary measure. Discussions with staff confirmed that the pharmacist has provided them with medication training and many have also completed more advanced distance learning courses as well. Certificates and workbooks were seen on people’s files verifying this fact. Recent medication records were sampled and the medication procedure was discussed with the manager. The records indicate that suitable arrangements are in place for recording the amount of tablets received at the home and for accounting for medication as it is given out. The medication cabinet was tidy and well ordered. The manager confirmed that due to the high support needs of the people at the home no one currently holds their own medication. The manager explained that following a medication recording error earlier this year additional training has been provided to the person concerned to reinforce the correct procedures. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Suitable procedures are in place for dealing with complaints and staff are trained to recognise and report abuse so that the people living at the home are properly protected from harm. At least two signatories are necessary for all withdrawals on people’s savings accounts, managed by the home, to ensure people’ finances are effectively safeguarded. EVIDENCE: There have been no complaints made directly to the Commission for Social Care Inspection during the last year and the manager reports that no complaints have been made directly to the home during the same period of time. The complaints log was examined and contains evidence to demonstrate that where complaints have been made previously they have been investigated and recorded properly. The service user guide contains an illustrated complaints procedure. The manager explained that in practice, staff tend to pick up people’s concerns during the course of their everyday contact and seek to resolve them at an early stage. This is made easier by the fact that the manager is in close contact with people most days of the week. A relative visiting the home confirmed that she had been made aware how to complain and felt confident that any concerns would be properly followed up the manager. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 16 Staff confirmed that they have recently received vulnerable adult abuse training. This was verified in a sample examination of staff training certificates and training records. Staff also confirmed that they had read the adult abuse and whistleblowing procedures informing them how to report any suspicions of abuse or other concerns about the running of the home, should they need to do so. Lockable storage arrangements are in place for the safekeeping of people’s money. Expenditure records were seen to account for how people’s personal money is spent and receipts are being retained appropriately. The money is checked each shift by the shift leader and a record is signed to verify that the money balances correctly. Periodic audits are also carried out by an officer of the organisation to check that people’s money is correctly accounted for. The manager is currently the only signatory on one persons account. The manager agreed to arrange for a second named signatory to be added to the account (both people to sign for withdrawals) to build in greater accountability. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 46 Princess St provides homely, clean and comfortable accommodation for people to live in. EVIDENCE: 46 Princess St provides accommodation for 7 people. The main lounge is comfortable and equipped with domestic style furniture. The lounge suite is showing signs of wear and the manager explained that a new replacement suite had been ordered. Overall the home is well decorated and in good condition. People’s bedrooms are clean and well furnished and people have been encouraged to choose the colours to match their personal tastes. One person has recently had new fitted bedroom furniture and the manager explained that he had been involved in planning this work with the bedroom fitters. A wheelchair user has a bedroom situated downstairs in the home. Good work has taken place to arrange for track hoisting to be fitted to support safe moving and handling practices. A specialist bed is also in place for this person Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 18 and a very attractive, colourful mural has been painted on the ceiling. A shower room is available providing good disability access and a shower chair has been provided to enable a wheelchair user to use the shower safely. The rear garden is well maintained and provides an attractive area for people to sit outside during the summer. The front fence is broken and poor condition. The manager said that a new fence had been ordered and would be erected shortly. Overall the home is clean and free from unpleasant odours. A suitable waste disposal contract is in place at the home so that continence products can be disposed of hygienically. Protective aprons and gloves area available for staff to use when carrying out personal care tasks and the home has an industrial washing machine with sluice facilities. The policy file contains a range of infection control policies. Training information provided by the manager and comments by staff confirm that they receive infection control training. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained to equip them for their work and satisfactory recruitment procedures are in place to ensure that suitable staff are employed at the home. EVIDENCE: The manager said that recruitment has taken place to fill a vacancy at the home and that the new person would start work shortly once all the correct recruitment checks have been fully completed. The recent rotas show that there is typically 3 or 4 staff on duty and very occasionally this reduces to two staff. The manager said that recruitment has taken place to fill a vacancy at the home and that the new person would start work shortly once all the correct recruitment checks have been fully completed and that this would further improve rota cover. One person with high support needs is currently in hospital, leaving 6 people living at the home. Discussions with staff, entries in people’s records and comments by people living at the home indicate that the current staffing levels are satisfactory and allow sufficient time for people to go out socially. People in Action have effective and established procedures for the recruitment of staff. This includes POVA and Criminal Record Bureau checks taking place on Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 20 all staff prior to their working in the home. A record is maintained in the home of all staff recruitment checks. This includes CRB information, copies of references, application forms and interview report. There have been no new staff recruited to the home since the last inspection. The file of the last person recruited to the home was examined and found to contain evidence to confirm that all relevant recruitment checks and references have been properly carried out. Information provided by the manager in the pre inspection questionnaire reports that in the region of 70 of staff already hold NVQ qualifications. Comments by staff and information provided by the manager in the pre inspection questionnaire confirmed that staff are provided with access to an excellent range of training opportunities, including Health and Safety updates, e.g. first aid, food hygiene, fire safety, moving and handling, infection control and abuse, as well as care courses such as, understanding learning disability, mental health, awareness, equality and diversity, supervision, positive communication, counselling and mental health training. New staff are provided with an immediate induction when they start at the home, including emergency procedures, such as fire safety procedures. Staff confirmed that they had also been provided with access to the learning disability award framework induction-training scheme and certificates verifying this were seen on staff files. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place for ensuring a quality service and good systems are in place for maintaining a safe living environment for people. EVIDENCE: The manager holds the Registered Managers Award and the Diploma In Welfare Studies. The manager said that she is also in the process of completing the National Vocational Qualification in Care, level 4. The manager has worked for People in Action for 10 years and is very experienced in working with people with learning disabilities. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 22 Comments by a team leader and staff member confirmed that they are provided with access to supervision sessions on a regular basis. This was verified by entries in staff supervision records. Discussions with staff demonstrated a good understanding of the procedures and contact numbers for securing out of hours management support when they are sleeping in at the home. Since the last inspection good work has taken place to send questionnaires to visiting relatives and professionals to gain their views about the work of the home. The completed questionnaires contain many positive comments about the home, including a number from health professionals acknowledging good practice by the home in supporting people to meet their health needs appropriately. As previously noted, regular meetings take place with the people living at the home to seek their views about everyday matters. The reports of regular monthly monitoring visits were seen on file along with action plans provided by the manager to improve the service. The manager has also started to keep checklists and notes as evidence of the monitoring she carries out at the home, e.g. checking care plans, money and medication. Information provided by the manager in the pre inspection questionnaire indicates that appropriate Health and Safety tests and maintenance checks are carried out at the home. Fire safety records were sampled. The records demonstrate that fire alarms and lights are tested at the correct frequency and that 3 monthly fire drills are carried out at the home. Invoices and records were seen that confirm lifting equipment is being routinely maintained and electrical equipment is checked to ensure it is safe to use. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 13 (6) Requirement Where the home is involved in helping people to manage their savings accounts there must be a minimum of two staff signing for cash withdrawals to safeguard everyone’s interests. Timescale for action 15/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA19 Good Practice Recommendations The manager is recommended to complete a skin care risk assessment for the wheelchair user at the home as a precautionary measure. Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pia - Princes Street, 46 DS0000004447.V313954.R01.S.doc Version 5.2 Page 26 - 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. 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