Inspection on 11/04/07 for Polesworth Group Laurel End

This inspection was carried out on 11th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Polesworth Group Laurel End 19/02/09

Polesworth Group Laurel End 07/11/05

Polesworth Group Laurel End 04/07/05

Polesworth Group Laurel End 21/02/05

Polesworth Group Laurel End 15/10/04

Polesworth Group Laurel End 04/02/04

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 Polesworth Group Laurel End Laurel Avenue Polesworth Tamworth Staffordshire B78 1LT Lead Inspector Sheila Briddick Key Unannounced Inspection 11th April 2007 15:15 Polesworth Group Laurel End DS0000004284.V335834.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 Polesworth Group Laurel End DS0000004284.V335834.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. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polesworth Group Laurel End Address Laurel Avenue Polesworth Tamworth Staffordshire B78 1LT 01827 896124 01827 892500 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) Polesworth Group Homes Limited Paul Bickley Care Home 9 Category(ies) of Learning disability (9), Physical disability (2) registration, with number of places Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Laurel End is part of Polesworth Group Homes, which was established as a Limited Company in June 1991 with the aim of providing accommodation and support to adults with learning disabilities. The home cares for nine service users with medium to high levels of need, including two service users with physical disabilities as well as learning disabilities. The home is a large detached dormer bungalow in extensive grounds sited discreetly on the edge of Polesworth. It offers seven single and one double bedroom. On the ground floor there are the shared facilities of a large conservatory and kitchen, dining room, lounge, laundry and bathroom. The bathroom is fully adapted to meet the disability needs with a walk-in shower and Parker bath. There are five bedrooms and a staff office also situated on the ground floor. On the first floor, extensions to the dormer roof space have created one double and three single bedrooms, one of which is a staff sleep in room. There is also another large bathroom with shower facility on this floor. Four bedrooms also have en-suite facilities. The Companys offices and training room are based in the converted and extended former garages adjacent to the home. Land to the rear is used for an outdoor bowling green and agricultural and smallholding use where much of the fresh fruit, vegetables and eggs provided to all of the care homes in the Company is produced. The current scale of charging is £632 - £820. Additional costs that have to be met by service users include toiletries, outings, holiday spending money and hairdressing. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. Prior to the inspection visit the manager had forwarded to the Commission a pre-inspection questionnaire, a staffing rota, training information and menu records for the home. Service user and relative questionnaires were sent out and nine service user and one relative responses where returned. All prerequested documentation returned was examined as part of the inspection process and the evaluation included in this report. The inspection visit was unannounced and took place over two visits. The first visit took place early evening on Wednesday, April 11, 2007 at 3.00 pm and ended at 6.15pm. A second visit was made the following morning, Thursday, 12th April at 10.00am, which ended at 3.15pm. The inspection involved: • • • • Discussions with service users and staff on duty at the time. Formal interviews with two staff. Observation of working practices and of the interaction between service users and staff members. Four service users were identified for close examination by reading their, care plans, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for service users. A tour of the environment was undertaken, and home records were sampled, including staff training, health and safety, and quality assurance records. Finally, feedback took place with the Manager about the inspection findings. • • I would like to thank all service users and staff for their hospitality and cooperation during the inspection visits. What the service does well: Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 6 The service continues to provide a warm, friendly home of exceptionally high environmental standards, where nine people of greatly varying needs and skills live together and are cared for in a very positive way by a dedicated, motivated and well organised staff team. All information gathered during the visit demonstrated that the ethos of the home is to achieve positive outcomes for people, which includes ensuring that the facilities, staffing and lifestyle meets the diverse needs of the people living there. Central to the home’s aims and objectives is the promotion of people’s right to live an ordinary and meaningful life both in the home in the community in which they live. Mealtimes are flexible and relaxed, staff are patient and helpful and allow people the time they need to finish their meal comfortably. The relative who responded to the questionnaires sent to them made the following comment, The care home gives the people that live there the help and independence they require. The home is really excellent, I dont think it can get any better. Staff at the home are very friendly when I phone or go over. They are a lovely lot of people. They all deserve a medal.” During the visit service users were asked what they liked best about living in the home and they made the following comments. • • • • The best thing is the food, its gammon tonight. We get on with the manager, hes a good listener and anything you dont know hell find out. This is better than a hotel. The food is good, we have a choice. What has improved since the last inspection? High standards continue to be maintained all round. Work continues on gathering photographs for life storybooks and one service user was very proud of their folder saying they had been supported by their key worker and family to put the album together. They also had their life story information recorded on a DVD. Work on life story books is to continue and staff plan to expand on this by further work in a similar fashion on present-day activities and likes and dislikes. To this end they have recently purchased a digital camera to record activities as they happen, which can then be placed on life story records. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 7 Staff spoken with felt that they were always looking at different ways of working when supporting service users to ensure that this was inline with service users choices and changed needs. 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. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 8 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 Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 9 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): Standards 1 and 2. Quality in this outcome area excellent. This judgement has been made using available evidence including a visit to this service. Service users can continue to be confident that their needs are assessed and reviewed in a manner that is relevant to them, and that they will be fully involved in the process. EVIDENCE: Pre-inspection information received stated that the Statement of Purpose has been revised to reflect the change of registered manager. Since the last inspection there has been three new service users coming to live in the home and the records of two of the service users were looked at. The service users were known to the service prior to their coming to live in the home as they both had used a Polesworth Group Home for respite stays prior to a permanent residential placement being necessary. Both care plans were up-to-date and demonstrated that assessed needs were being reviewed regularly as the people settled into their new environment. There was documentation to show that the placing authority had been involved in the admission of the service users although the manager said that the record of the care management assessment for one person was taking some time to be forwarded to the home by social services. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 10 One service user told me about their experience of coming to live in the home. They said they had visited before coming to live there with their Mum and Dad and that they were very happy living there. It was noted that the service user had developed good relationships with the other service users and the staff working in the home. One service user said that they are asked about new people who come to live in the home and whether they are happy with the person living with them. They said that on one occasion they felt that one service user was not suitable and after this was talked about it was decided that this person should live elsewhere. The service user said that they had been to visit the person in their new home and they appeared much happier living there. There was evidence on care plan records that service users are supported to maintain relationships with friends at their previous home after they have moved to Laurel End. A service user spoken with said that they liked visiting their friends. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 11 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): Standards 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. The people living in this home can be confident that their needs and wishes are met and that they are fully consulted and kept informed concerning the ways in which this is done. EVIDENCE: The care plans for three service users were looked at and this included risk assessment information and review forms. Completed review forms show that service users needs and wishes are fully considered and that this information is recorded with relevant photographs, clear pictures and captions in a way that is of value to service users. Each service user has a colour copy of these regular reviews. The manager and staff spoken with explained that care plans are currently being amended and updated to ensure the information on them, following reviews is current. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 12 Each care plan in place to meet an identified need focussed on positive outcomes and promoting the independence of the service user. For example, XXX does not need to be called in the morning, he has an alarm clock but will ask staff to set the alarm the night before. and XXX will ask for the next course of the meal at the point of finishing the first.” Each care plan looked at had clear written guidelines for staff to follow to meet specific needs, this included manual handling, keeping people safe from harm in their environment and activities, communication and significant behaviours. Staff spoken with felt that care plans gave them satisfactory information to meet needs and supported their role in the care home. Service users told me they met regularly with the provider for consultation and discussion about the care service. They said they discussed things that are important to them and were confident that they will be listened to. Risks to service users are assessed and strategies put in place to keep people from harm. There is evidence to suggest that service users are involved in their risk assessment strategies. Psychology services are also included in the decision-making process regarding risk management and in agreeing guidelines for staff to meet identified needs. The manager said that work on life storybooks is to continue and staff plan to expand on this by further work in a similar fashion on present-day activities and likes and dislikes. To this end they have recently purchased a digital camera to record activities as they happen, which can then be placed on life story records. A service user was very proud of their folder and said that they had been supported by their key worker and family to put the album together. One service user said that they had their life story information recorded on a DVD. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in this home have excellent support to live ordinary and meaningful lives and to participate in and contribute to the community in which they live. EVIDENCE: The activity diaries and lifestyle records of the three service users whose care was being looked at were examined. This determined that activities for service users are varied and regular and support a meaningful lifestyle. Service users spoke about the activities they enjoyed and this included their holidays away from the home, swimming at the local baths, attending their day centre, craft shops and being involved in activities around the home such as cleaning and cooking. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 14 The home has a number of vehicles, which are used for supporting social and leisure activities in the community. On the day of the first visit service users had been out for a pub lunch as their day services were closed for the Easter break. After tea two service users went out to attend a local Weight Watchers Club which they said they really enjoyed. One of the service users was then going on to have their hair done at the hairdressers before returning home. Service users were happy to talk about their friendships with people at their day centres and other care homes locally and care plan records and diaries show that visits to friend’s are made regularly. Staff spoken with felt they worked hard to provide different activities for service users and that the introduction of life story records for service users will complement the work they do in this area. Service users were all complimentary about the food provision in the home and said that this was one of the things they like best about living there. Tea and lunch the following day was taken with the service users and on both occasions this was a relaxed, easy-going occasion. There is a permanent cook in the home, which has enabled staff to concentrate on care and support during mealtimes. Care plan records show that the support and advice of speech and language services is sought during the assessment of service user’s needs and care plans looked at contained clear written guidance from these services on safe ways of supporting people when eating and drinking. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 15 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): Standards 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 in this home can be sure that the health and personal care they receive is based on their individual needs and that the principles of respect, dignity and privacy are put into practice when care is offered to them . EVIDENCE: Examination of two care plans found that the personal care needs of the individuals continues to be offered to them according to their needs and that the people providing care to them have a good knowledge of how service users wish their care to be met. Care practice observed during the visit was sensitive and respectful and service users appeared satisfied with their care received. For example at meal times service users have 1 – 1 staff support if they need this to enable them to have a relaxed mealtimes that is not disruptive to other people enjoying their meals also. This helps a person to be involved in the activity and to eat their food in a way that promotes their dignity. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 16 Care plans looked at show that during the assessment process service users are asked about their gender preference and any decisions being made about their health-care and medicine management. There is significant evidence that the advice has been sought in care planning from continence advice specialists, learning disability nurses and behavioural therapists. The management is keen to further develop risk assessment practices in the home to include the possibility of risk of pressure sores for people who spend long periods of their time sitting in a wheelchair. One care plan looked at showed that the level of support to service users from continence advisers is to a high standard and includes explaining continence management through the use of video information. Medicine management in this home is to a high standard with good evidence that competencies of staff when administering medicine to service users is regularly monitored. All records relating to medicine management seen on this occasion were up to date and care plans clearly identified the preferred way of the service user when taking their medicine. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 17 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. EVIDENCE: Discussion with service users and staff and examination of the complaints record for the home demonstrates that there continues to be an open and positive approach regarding the service at Laurel End. There are policies and procedures in place regarding protection from abuse, the most positive safeguard continues to be the ethos and atmosphere apparent in the home. One service user continues to play a major active role in a variety of self-advocacy forums, and ensures that the viewpoints of her fellow service users are heard. The company has a clear and appropriate policy concerning the management of service user’s finances. This includes the contributions made by service users towards the petrol costs incurred in the many journeys they have in the organisations three vehicles provided for their use. All finances are externally audited by a named accountancy firm. People living in the home said they felt safe in their environment and with the people who were caring for them. People said that they are able to talk to the Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 18 manager about things that concern them and this included a time when they felt that a new service user was not fitting into their living environment. Information for service users about how to complain if they are unhappy is available to them in symbol and written format. Training information looked out indicates that staff received training in abuse during 2006 and that this is planned for again in 2007. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 19 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): Standards 24 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in this home have a living environment that is appropriate for their particular lifestyle needs and is homely, clean, safe and comfortable and well maintained. EVIDENCE: There is a warm and welcoming atmosphere in the home and at the time of the visit it was homely, comfortable and safe. People who use the service are encouraged to see the home as their own and are able to move around easily and freely and to go to their bedroom if they wish. One service user was happy for their bedroom to be looked at. They said they had everything they needed in their bedroom, which was clean and reflected their lifestyle interests. Decor, furnishings and fittings were all clean and to a high standard and the home smelt fresh and clean. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 20 There is a wide range of up-to-date specialist equipment and adaptations to meet the individual needs of people who use the service. This includes hoists, walk-in shower facilities and handrails in bathrooms and toilets. People spoken with the quite happy with the equipment provided to them to enable them to move around safely and access facilities in the bathrooms. One service users said, I have a shower now because I cannot manage a bath any longer. I feel safer in the shower. There are established policies and procedures in place for the control of the risk of infection in the home and staff practices during the visit were seen to be safe. Infection control training is included in mandatory training for all staff and when being assessed towards NVQ Level 2. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 21 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): Standards 32, 34 and 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in this home are supported by an effective and competent staff team who have the skills and knowledge to meet their individual and collective needs, which promotes their health and well being. EVIDENCE: The recruitment files for newly appointed staff were looked at and demonstrated appropriate recruitment procedures. This included confirming satisfactory Criminal Record Bureau checks and obtaining two references, one of which is from the employee’s previous employer. A service user said that they are involved in the recruitment of new staff. They said, When we interview we look for smiling and good eye contact.. Service user involvement in the recruitment practice was also found in recruitment records, this was in the format of questions the service user had asked and a record they made of the responses made by the prospective staff member. Provider information looked at prior to the visit to the home demonstrated that there is a comprehensive training programme in place for staff which includes Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 22 safe working practices, care of medicines, person centered planning, protection of vulnerable people, Learning Disability Award Framework, (LDAF), Induction and training in the specific needs of the people living in the home, which includes Downs Syndrome and Autism. There is a rolling programme of assessment of care staff towards an NVQ Level 2 or above and eleven staff have an NVQ at Level 2, which is 67.4 of the staff team. Staff spoken with were complimentary about the induction process for new staff saying, Training is intense at first and includes training in specific service user needs.. They were positive about their training opportunities and knowledgeable on areas asked about. Induction for new staff includes ‘shadowing’ an experienced staff member and it was particularly noted that this is discreet and sensitive as the senior member of staff was inducting a new member of staff in their role and responsibility within the home at the time of the visit. Observation of care practice and discussion with staff on duty at the time determined that positive relationships exist between service users and the staff supporting them. Staff were seen to be approachable by, and comfortable with service users, they were good listeners and communicators, using Makaton signing when appropriate and were interested and committed to the work they were doing. Service user spoken with said that the staff always listened to them. They said that there was always enough people to support them during the day and at night. A comment received from a relative of a service user said, Staff at the home are very friendly when I phone or go over. They are a lovely lot of people. They deserve a medal. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 23 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): Standards 37, 39, 41 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people living in this home continue to benefit from a well-run home that has effective systems in place to ensure their health and well-being is promoted and maintained. EVIDENCE: Discussion with staff and the manager, examination of home records and observation of care practices demonstrated that the service is managed by a competent and skilled manager who fosters an atmosphere of openness and respect with service users, and that staff feel valued and their opinions matter. The manager is supported by two assistant managers and five senior support workers who assist with practical management issues. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 24 A service user spoken with said, “ Everyone gets on with the manager, hes a good listener, anything you dont know hell find out for you. A good relationship was observed between the service users and staff and the manager. There are affective quality assurance and monitoring processes in place to ensure the home is meeting the needs of the people living there. Quality monitoring covers all areas of the service and includes, training and development of staff, food provision, staffing levels and complaints. Quality assurance records looked at show that the service has a commitment to involving service users, relatives and friends, health-care professionals and staff through seeking their views by questionnaire or consultation meetings. The Provider maintains regular contact with service users and staff and makes a written report on the running of the service monthly. Service users said that they regularly meet with the provider of the service to discuss issues in the home. An annual Carers Consultation is held and this includes discussion about future development plans for the service. Health and safety management in this home is to a high standard and all records seen relating to this were up-to-date and in good order. Safe practices were observed in the home and records show that this is further promoted through training for staff in manual handling, food hygiene, first aid, fire safety and infection control. Pre-inspection information received shows that maintenance of fire fighting equipment, electrical appliances and central heating systems takes place on a regular basis. Excellent systems are in place for ensuring that food hygiene is maintained and monitored, this includes recording fridge and freezer temperatures and cooked meats. Fire safety management includes regular testing of fire alarms and emergency lighting and all records relating to fire safety management were up-to-date and in good order. A record is maintained in the home of any accident or incident that happens to a service user. All records seen during this visit were stored securely and in good order. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 25 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 3 2 4 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 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 4 X 3 4 X Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 YA9 Good Practice Recommendations Risk assessment in the care planning process should include the possibility of risk of pressure sores for people who spend long periods of their time sitting in a wheelchair. Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Polesworth Group Laurel End DS0000004284.V335834.R01.S.doc Version 5.2 Page 28 - 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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