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Inspection on 25/04/07 for Polesworth Group Pooley View

Also see our care home review for Polesworth Group Pooley View for more information

This inspection was carried out on 25th 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.

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

What the care home does well

What has improved since the last inspection?

Work continues on gathering photographs for life storybooks and key workers are planning to sit with people and write down comments about each particular photograph, which will then be placed in the life story albums.

CARE HOME ADULTS 18-65 Polesworth Group Pooley View 19 Pooley View Polesworth Tamworth Staffordshire B78 1BN Lead Inspector Sheila Briddick Lead Unannounced Inspection 25th April 2007 15:15 Polesworth Group Pooley View DS0000004450.V336793.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 Pooley View DS0000004450.V336793.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 Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polesworth Group Pooley View Address 19 Pooley View Polesworth Tamworth Staffordshire B78 1BN 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 Ms Sue Black Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd December 2005 Brief Description of the Service: 19 Pooley View is a care home registered to provide care for up to four people who have a learning disability. It is managed by Polesworth Group Homes Limited. The home is a modern house situated in the village of Polesworth, close to all village amenities. It has five bedrooms (one is used as a sleep in/office for staff). There is a bathroom on the first floor and the ground floor bedroom has en-suite facilities. There are two WCs upstairs and an additional shower facility. There is a well established rear garden that leads onto open fields and parking facilities for one car on the driveway at the front of the property. The current scale of charging is £334 - £632. Additional costs that have to be met by people include toiletries, outings, holiday spending money and hairdressing. Polesworth Group Pooley View DS0000004450.V336793.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 people 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 four service user and one relatives 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 early evening on Wednesday, April 25th 2007 between 3.15 pm and 5.30pm. A small number of records for this service, i.e., staffing records and some service user information, are not kept in the home but at the manager’s main office. These were looked at on 26th April 2007 when the manager was met with to give feedback on the inspection visit. The inspection involved: • • • Discussions with people who use the service and two staff on duty at the time. Observation of working practices and of the interaction between people and staff members. Two people 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 people. A person using the service showed us around the home, 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 the people living in the home and staff for their hospitality and co-operation during the inspection visits. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 6 What the service does well: The service continues to provide a warm, friendly home of exceptionally high environmental standards, where four people of 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 and 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. During the visit people were asked what they liked best about living in the home and they made the following comments. • • • The staff are kind, they do anything for us. Staff talk to us nicely. Everyone here is friendly. Staff spoken with felt that one of the things they did well for people was to provide enjoyable activities which people enjoyed and preferred. A comment card completed by a relative also included a separate comment. I am very pleased with the care my son gets at Pooley View, with the staff they now have, they are excellent. What has improved since the last inspection? What they could do better: High standards continue to be maintained all round and no requirements were made at this inspection. Please contact the provider for advice of actions taken in response to this Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 7 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 Pooley View DS0000004450.V336793.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 Pooley View DS0000004450.V336793.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): Standard 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. New people coming to live in this home can be confident that their needs will be assessed and reviewed in a manner that is relevant to them, and that they will be fully involved in the process. EVIDENCE: Since the last inspection there has been three new people coming to live in the home and the records for one of these was looked at. The new person was known to the service prior to their coming to live in the home as they had used a Polesworth Group Home for respite care prior to a permanent residential placement being agreed. The care plan was up-to-date and demonstrated that assessed needs were being reviewed regularly as the person settled into their new environment. There was documentation to show that the placing authority had been involved in their admission and specialist services, for example, psychologists and continence advisers, had been included in the assessment and planning of the care plan which was based on the care management assessment. Service level agreements and contracts were in place on the care plan. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 10 The person whose care plan was looked at told us that they had been able to visit the home before they came to live there and that they knew some of the other people living there when they were younger. They said that staff knew all about them and how to care for them. They said they felt safe and everyone is friendly and has made me feel welcome. It was noted that they had developed good relationships with the other people living in the home and with the staff working there. Polesworth Group Pooley View DS0000004450.V336793.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): Standard 6, 7 and 9. 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 can be confident that their needs and wishes will be met and that they will be fully consulted and kept informed concerning the ways in which this is done. EVIDENCE: The care plans for two people were looked at and this included their risk assessment information and review forms. Each care plan looked at had clear written guidelines for staff to follow to meet specific needs, this included keeping people safe from harm in their environment and activities, communication and significant behaviours. The daily routines for each person were very detailed and included the specific times preferred for their daily activities, for example times for getting up and times for going to bed. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 12 Each care plan in place to meet an identified need focussed on positive outcomes for people. For example, a care plan in place for a person who enjoyed ‘collecting’ newspapers and magazines encouraged them to re-cycle their ‘collection’ on a regular basis and this was supported by provision of a recycling box which, when filled, they took to the local recycling centre. Staff spoken with felt that care plans gave them satisfactory information to meet needs and supported their role in the care home. Team meeting records were looked at and showed that staff have opportunity to discuss care planning and working with people at their meetings and this is ensuring consistency of care practices with people. Risks to people are assessed and strategies put in place to keep people from harm. There is evidence to suggest that people are involved in their risk assessment strategies. Psychology services are also included in the decisionmaking process regarding risk management and in agreeing guidelines for staff to meet identified needs. One person told us that staff knew them well and supported them with their emotions, which at times they found difficult to manage. People told us they felt safe living in the home and demonstrated a good understanding of the risks to them in their environment. For example one person said, If there was a fire in this house we would go outside. They talked about the dangers in the kitchen, which included electrical appliances and hot food. People said they had opportunity to talk with the provider about life in the home. They said they are asked what choices of food they would like and said that if they were not happy they knew whom they home could talk to. One person said that they had wanted to see a friend who they hadnt seen for some time and the manager had arranged for their friend to visit for a cup of coffee. Polesworth Group Pooley View DS0000004450.V336793.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 people whose care was being looked at were read with their permission. This determined that activities for people are varied and regular and support a meaningful lifestyle. People spoke about the activities they enjoyed and this included their holidays away from the home, working in the local supermarket, attending their day centre, shopping, eating out and being involved in activities around the home such as cleaning and cooking. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 14 Three of the people had been out for a meal at a local restaurant on the day of the visit and were happy to talk about what they had eaten whilst there. One service user talked about their job at the local supermarket and that they had been doing this for a number of years. People also talk to us about the courses they are taking at local colleges, which included community living skills, cookery and flower arranging. One person talked about a hobby that they have had for many years and how they are able to still do this since moving into the home. The people living in the home had lots to talk about regarding their lifestyle. They talked about shopping for new curtains for their bedrooms and bed linen for their beds they talked of buying newspapers and of the television programmes they enjoyed. People said that they go on regular holidays and they were very excited about the planned holiday for this year, which was to Blackpool. They had chosen to stay at a holiday camp rather than a hotel. People were happy to talk about their friendships with friends at their day centres and other care homes locally and care plan records and diaries show that visits to friend’s are made regularly. The manager said that work on life storybooks is to continue and these will be recorded with photographs and people own words in specially bound booklets. Staff spoken with felt that providing enjoyable activities that met people’s needs and choices was one of the things that they did well. They said that people love shopping and although this can be difficult for one of the people living there, they provided the same opportunity for them as the others saying, We give extra support for someone who presents significant challenges when they are out, it would not be fair to deny them an opportunity they enjoy. People were complimentary about the food provision in the home and said that this was one of the things they liked best about living there. There is good evidence on care plans that the specific dietary needs of individuals has been identified and appropriate specialist support, i.e., dieticians, sought. One person told us that they met with the dietician for dietary advice and that it had been explained to them that they may a hereditary condition and that they were at particular risk. They said I may get this, so I am on a special diet now. They said they are weighed regularly and a record is made of their ongoing weight. They told us very proudly that they had lost a stone. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 15 People enjoyed a light evening meal as they had been out for their main meal during the day. The meal, pasta, salad and chicken looked appetising and nutritious. One person whod been at the day centre and had had a packed lunch was enjoying a more fulfilling meal of chicken pie salad and pasta. It was noted that people were encouraged well by staff supporting them to see the home as their own. People were not asked where they were going or what they were doing as they went about their preferred routines. Staff on duty at the time of the visit did not monopolise our time at the home and encouraged people to take the lead with us during the visit. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 16 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 excellent. 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 care plans and discussion with staff found that the personal care needs of the individuals continues to be offered to them according to their needs and that the staff have a good knowledge of how people wish their care to be supported. Care practices observed during the visit were sensitive and respectful and people appeared satisfied with their care received. They said, Staff are kind, they do anything for us. They talk to us nicely. There is significant evidence that the advice has been sought when care planning from continence advice specialists, learning disability nurses and behavioural therapists. Staff spoken with said the advice and guidance from specialist plays a significant part in enabling them to meet individuals specific Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 17 needs appropriately and safely. They were able to describe how strategies advised by psychology services had significantly improved the lifestyle for one person and the impact this had on the lifestyle for others in the home. A person told as about the support they have from staff and psychology services to manage their emotions. They said that seeing a psychologist would help them, which demonstrates further that people are encouraged to make decisions for themselves regarding their health-care and lifestyle. Care plans looked at show that during the assessment process people are asked about their gender preference and any decisions being made about their health-care and medicine management. Medicine management in this home is to a good standard with evidence that competencies of staff when administering medicine to people 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 Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 18 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 excellent. 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. They are protected from abuse and have their rights protected by through effective policies and procedures. EVIDENCE: Discussion with people using the service 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 Pooley View. The complaints record for the home confirmed that they have been no complaints made about the service since the last inspection and relatives comments on the returned questionnaire indicated they were aware of the home’s complaints procedure. There are policies and procedures in place regarding protection from abuse and possible harm; the most positive safeguard however continues to be the ethos and atmosphere apparent in the home. Staff on duty at the time demonstrated a good understanding of their role and responsibility within the policy and procedures for the protection of people from harm and this included reporting any such incident to social services. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 19 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 were able to talk to the manager about things that concerned them. The company has a clear and appropriate policy concerning the management of service user’s finances. One person’s money held in the home was counted and found to be compatible with the record being maintained by staff. People said that the manager looks after their money and that they could have this when they wanted to. One person told us that they keep their wages earned from their job in their ‘tin’ Information for people about how to complain if they are unhappy is available to them in symbol and written format, which enables them to have a good understanding of how to do this. . Training information looked out indicates that staff receive regular training in abuse and that this is planned for again in 2007. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 20 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 person was happy for their bedroom to be looked at. They talked about where they used to live and all about their family and photographs displayed around the bedroom reflected this. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 21 People were very comfortable in the way they showed us around the home. They were pleased with the bathroom facilities and the recent decoration that had taken place, which had included painting and decorating their bedrooms. Decor, furnishings and fittings were all clean and to a high standard and the home smelt fresh and pleasant. Specialist equipment has been provided when necessary and this included handrails in bathrooms and toilets and provision of a commode toilet chair. 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 Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 22 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 who live 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 had taken place. This included confirming satisfactory Criminal Record Bureau checks and obtaining two references, one of which is from the employee’s previous employer. Pre-inspection information looked at prior to the visit to the home demonstrated that there is a comprehensive training programme in place for staff. This includes 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 Epilepsy and Autism. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 23 There is a rolling programme of assessment of care staff towards an NVQ Level 2 or above. One staff spoken with had achieved an NVQ at level 3 and one was working towards an NVQ at Level 2. Spoken with were satisfied with their training opportunity and knowledgeable on all areas asked about. They were complimentary about the induction process for new staff saying that this had been particularly useful when working in other Polesworth Group Home services. They said that as staff are working to the same procedures in all homes this is better for people, providing consistency in their care. Observation of care practice and discussion with staff on duty at the time determined that positive relationships exist between people and the staff supporting them. Staff were seen to be approachable by, and comfortable with people, they were good listeners and communicators. One person 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 time. Comment cards received from a relative indicated that they felt there were always sufficient numbers of staff on duty and that they were always made welcome by staff when they visited the home. The staffing levels at the home have been reviewed to provide an increased level of support during the daytime, as individual’s needs have recently changed. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 24 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 people using the service, 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 people, and that staff feel valued and their opinions matter. The manager is supported by a senior carer and makes regular visits to the home although their main office is within a short walking distance from Pooley View. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 25 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 people using the service, relatives and friends, health-care professionals and staff through seeking their views by questionnaire or consultation meetings. The Provider maintains regular contact with people using the service and staff and makes a written report on the running of the service monthly. People 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. One person said, If I am not happy I can talk to Sue Black 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. Safety procedures are displayed in written and symbol format so that people using the service can understand these and one person talked about the fire safety course they were completing as part of the college course they were attending. A record is maintained in the home of any accident or incident that happens to a person using the service. All records seen during this visit were stored securely and in good order. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 26 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 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 4 23 4 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 4 4 X 4 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 4 4 X 4 X 4 X 3 4 X Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? N/A 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 YA6 Good Practice Recommendations The planning for the development of life stories for people should continue so that they have a record of life memories that can be taken forward with them as they grow older or move on. Polesworth Group Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 28 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 Pooley View DS0000004450.V336793.R01.S.doc Version 5.2 Page 29 - 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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