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Inspection on 27/10/08 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 27th October 2008.

CSCI found this care home to be providing an Excellent service.

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

The service is good at getting all the information they need about people before they move in, so people can be sure Pooley View is the right place for them. People are supported to keep in touch with their families and friends so that they do not lose relationships that are important to them. Care plans have lots of information about each person. This helps staff give the support to people in the way they want and need it. People get the personal care and health support in the way they prefer. Regular residents meetings are held. This helps people living at the home become involved in making decisions about the service they receive. The home is clean and tidy making it a comfortable place for people to live. The expert by experience said, "On arriving at the home today I was very happy to see the home located in a lovely residential area. The home itself was very nicely presented from outside and looked very much part of the community. It did not stand out as a care home and I was extremely happy to see this home as home. Excellent!"

What has improved since the last inspection?

The service has continued to maintain its very good standards for the people living here. People`s bedrooms and communal areas of the home have been redecorated. New flooring and carpeting has been fitted in most areas.

What the care home could do better:

We have made one good practice recommendation as a result of this visit. Staffing levels should be reviewed to ensure the home is meeting all the needs and expectations of the people living there. The expert by experience commented, "Overall, I had a very mixed feeling about the home, on one hand I thought the location and size of the house was fantastic and to meet someone with a paid job. But the staff levels concern me greatly as I feel people are doing things in a group too often and not having the opportunity to access things in the community that suit their needs and wants. The balance of people also worried me as some personalities are very strong and I was concerned for those who are quieter and don`t express themselves as much as others."

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Polesworth Group Pooley View 19 Pooley View Polesworth Tamworth Staffordshire B78 1BN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Patricia Flanaghan     Date: 2 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Polesworth Group Pooley View 19 Pooley View Polesworth Tamworth Staffordshire B78 1BN 01827896124 01827892500 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Polesworth Group Homes Limited care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home 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. Fees charged for living at the home vary. People should contact the home for this information. Additional costs that have to be met by people include toiletries, outings, holiday spending money and hairdressing. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three star. This means the people who use this service experience excellent quality outcomes. We carried out this inspection over one day on 27th October, with the home being given no prior notice of the visit. Time was spent examining records, talking to people who use the service, staff and observing care practices, before giving feed back on our findings to the registered manager. Prior to the inspection the home supplied information us in the form of its Annual Quality Assurance Assessment (AQAA). This document contained helpful information about the home. We also received two completed surveys from people living at Pooley Care Homes for Adults (18-65 years) Page 5 of 29 View and one survey from a staff member. Information from both these sources was also used when forming judgements on the quality of service provided at the home. The inspection included meeting people living at Pooley View and case tracking the needs of two people. This involves looking at their care plans and health records and checking how their needs are met in practice. An Expert by Experience accompanied us during part of the inspection. This is someone who receives a service themselves and also has a disability. Their findings are also included in this report and used as evidence when deciding on the quality of service provided at the home. We would like to thank the people who live at Pooley View, the manager and staff for their assistance during this inspection visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 7 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident the service can support them. They have a full assessment to make sure the service can meet their needs. They have information and are able to visit before they move in. Evidence: We looked at the care files of a recently admitted person to assess the admission process. Care files contain all the information about the persons care needs. We saw the person had their own service user guide. The guide was very detailed with pictorial support and photographs. It contained a summary of the purpose of the service, what a person can expect from care plans and reviews, satisfaction and complaints procedures and a copy of their contract with the home. The person had personalised their guide by detailing their likes and dislikes and activities they like to undertake. The manager had carried out a detailed assessment before the person moved in. This included their personal details, biographical background, medical information, likes and dislikes and daily living skills. The file also contained their social services needs Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: assessment and a psychiatric report. All this documentation gave good sources of information about the person. This means that staff are able to plan good care with people because they have all the information they need to do it. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and goals are met through a detailed care plan. People are supported to make choices and decisions about their lives and staff promote their rights and individuality. Evidence: We looked at the care files of two people using the service. Each care plan had a photograph of the person and background information. Care plans were based on their assessed needs and shows the support or guidance they need. Plans cover all relevant areas in their lives and include their individual skills, likes and dislikes, preferred daily routines and goals. For example, their preferred times for getting up and going to bed were recorded. They specify the action and support needed to meet their identified goals with progress evaluated regularly and outcomes. People told us that they could make decisions about what they do weekdays, evenings and weekends. The manager is also aware there may be implications, in the future, Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: when people are unable to make choices or give informed consent about serious issues affecting them. Plans include pictures, are written in plain language and look at relevant areas in each persons life. Whenever possible people sign their own plans and if not their family or a representative do so on their behalf. The AQAA told us that many of the service users have a copy of their care plan in picture format. Each person has an allocated person from the staff team called a keyworker who can spend some individual time with them. Keyworkers are also involved in care planning and help to ensure their needs and goals are reviewed regularly. Other people such as families are also involved in reviews if people want them to be. We saw that people are also involved in making decisions about the home, their own lives and the daily running of the household. Meetings are held monthly when they are all encouraged to discuss their everyday experiences and make choices about, for example, activities, holidays and menus. The manager told us in the AQAA that Service users are encouraged to play a full and active part in the running of the home. They choose their bedding, furniture etc for their room. They are consulted each day about the meals being served and offered a choice. Those that wish to be involved also join in with general household activities, such as cleaning. Relevant risk assessments are carried out as part of care planning to ensure that necessary action is taken to minimise any possible risks to an individuals health, safety and welfare. Risk assessments also focus on peoples rights to be independent and to lead a normal lifestyle, for example, going out alone and having their own bedroom key. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in appropriate activities that meet with their personal interests and to be part of their local community. They are supported to maintain links with their family, friends and relevant other people and their independence and rights and responsibilities in their daily lives are respected. Evidence: The home supports people to lead full and interesting lives and to develop their social and independent living skills. The manager reported in the AQAA that the home provide a variety of activities suited to the individual wherever possible. We encourage and enable service users to attend day services outside of the organisation if this is their wish. We access courses at local colleges and actively seek work for those that are able to and want to work. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: The home provides its own day care programme, which includes bowling, meals out at local pubs, shopping and cinema. On the afternoon of the visit three people went bowling and met with other people from homes within the organisation. Staff reported that social events for all homes are organised on a regular basis, to enable people to maintain existing friendships. People have opportunities for individual shopping trips, outings and holidays with their keyworkers. People told that they can always make decisions about what they do every day and at the weekends,although most activities are undertaken as a group. Three people told us how they enjoyed their summer holiday to a caravan in Minehead with their keyworkers. They also told us of plans to go clothes and Christmas shopping later in the week. People are supported to be involved, take responsibility for and make decisions about the day-to-day running of their home. Regular meetings are held when they make choices about such as menus, decor and activities and can raise any issues or concerns and make any general plans. Each persons plan reflects their interests and social and developmental needs and they all have an activity plan and social interaction records. Those people able to can attend college courses or have work placements. One person told us about their job at a local supermarket and charity warehouse. We saw that staff take and collect the person from their place of work. The expert by experience said, 3 people arrived back from bowling for the afternoon and were pleased to see me and were happy to sit down and chat. They said they had been bowling and someone said they had a strike and all enjoyed themselves. They then went on to tell me about their holidays and things they enjoy doing. One person said they have paid work in the local supermarket which they loves doing. I was really pleased to hear this. One person was upset as the craft afternoon they normally have today (the day of the inspection) has been changed to bowling and they would rather craft. I also felt sad this persons craft day needed to change to bowling with the others, as they did not want the change. People should have as much control over their lives and choose what they do and not have to do things in groups. We discussed this with the manager who said that people choose which activity they would like to participate in and sometimes this has to be a majority decision. For example, she said if three of the residents choose to go out for an evening pub meal, the fourth person would have to go with them or go to another of the companys homes close by. It would not be possible for the person to stay alone at Pooley View as, due to staffing levels, there would not be a staff member available to support Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: them. As the home does not have a lot of drivers amongst the staff she has had to change the bowling session to the same afternoon as the craft session. She assured us that the person who likes crafting could choose to attend the craft session if they wished, but as they also liked bowling, they had to make a choice. We were told that another weekday had been arranged for crafting which the person could attend. Families and friends of residents are made welcome by staff, who keep them involved and updated. One person told us how they telephone their family and will also be staying with them for a weekend shortly. Another person told us that they had spent the previous weekend with their family. It was stated in the AQAA All service users are offered healthy options for their meals, they can choose in advance what they would like. The dietician is available to offer advice when problems arise. People told us they enjoyed the meals in the home and help prepare them by chopping vegetables. They help set and clear the tables after meals. The evening meal was freshly prepared cottage pie with vegetables and it looked tasty. The expert by experience commented, One person showed me a Rota of cleaning duties for people in the home. I was pleased people all get involved and share the cleaning duties. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive their personal support in the way they prefer. The service has good procedure in place for staff to follow. People are supported to take their medications in a safe way. Evidence: People using this service have care plans in place which cover all their personal support, medical and healthcare needs. The AQAA tells us that care plans and risk assessments are reviewed as a matter of course every six months, but when necessary, more frequently. The six monthly reviews held with all service users are in picture format and address issues that have been identified as important to the individual. These reviews are attended by the key worker (named staff to work with an individual), home manager and sometimes the chief executive of the organisation. Relatives are invited to attend with the permission of the service user. Other people may also be invited to attend such as social workers or other professionals. The reviews involve looking at the care plan as a whole, for example, the persons well being and happiness, personal comfort and relationships with others. The care plans we looked at evidenced regular reviews. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Peoples plans show that all health needs and health appointment records are being recorded. Letters and communication from doctors and other health professionals are filed in the care file. Daily notes show there is good communication with healthcare professionals and concerns about health are followed up. The key worker system, up to date records and good contact with outside professionals will make sure peoples needs continue to be met. Medications are stored in a secure locked cabinet. There is a policy for the management of medications. We saw that people had the correct medications that were written in their care plans. Recording sheets are kept separately and record all medication adminstered correctly. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can express their views and any concerns about the service and feel confident that they will be listened to and dealt with appropriately. The home safeguards people living there from abuse, neglect and self-harm. Evidence: The home provides a written complaints procedure that is also available in a suitable format for the people living there. Copies of this procedure have been given to each resident and are displayed in the home. People say they can always talk to the manager and their keyworker. They told us they like all the staff and are very happy living at the home. They confirm they know who to speak to if they are not happy, how to make a complaint and that staff always treat them well and listen and act on what they say. We have not received any complaints and no issues have been raised about the service, which would adversely affect the health, safety and welfare of the people living there. The manager told us that any complaints would be recorded with details of the investigations and outcomes. The expert by experience commented, I asked people how they could complain if they need to, one person showed me the complaints poster on the wall. The poster was in easy read and I was pleased the person was able to show it to me. The staff member also supported the person to say the big bosses on the homes come in twice a week and talk to people about any concerns they have. I thought this was really good that Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: the top bosses come to the home and talk to people about their concerns. One lady then went on to tell staff she was unhappy with other staff members who put things out for breakfast that she doesnt like, the staff said she will look into it. I was pleased to hear this lady feeling confident to speak out about other staff members about things she was unhappy with. We saw there was an open rapport between staff and residents. There are policies and procedures provided relating to abuse, safeguarding adults and whistle blowing. The manager and staff know where and how to refer concerns relating to protection and inter-agency safeguarding procedures. Staff all receive instruction about complaints and safeguarding as part of their induction, and through NVQ (National Vocational Training) and ongoing training. They are clearly aware of their responsibility to safeguard residents and would take any necessary steps to do so, although feel that the practice and climate within the home ensures that such issues would not arise. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe and comfortable environment that meets their individual needs. Evidence: As at the previous inspection, there was a warm and welcoming atmosphere in the home. People living there see the home as their own and are able to move around freely and go to their bedroom if they wish. We looked at all the bedrooms, with the permission of the people. All bedrooms were personalised to a high degree with individual possessions, including pictures and photographs on display. The expert by experience commented The home inside seemed very clean and tidy, I liked the pictures of the people living here on the walls and seeing the photographs. I also really liked the size of the home, for 4 people it seemed a good size. The home felt like a home and not care home, this was excellent. I asked about the neighbours and the manager said they have had the same neighbours for many years and have a great relationships with them, one neighbour is a bit of a celebrity and the home has mugs of her and people are really supportive of her music career. This was all nice to hear and I felt comfortable in the home. Two people showed me their bedrooms and were really proud and pleased to show me. This was really nice to see and the Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: bedrooms felt very personal to the people who showed us. The home has a rolling programme of maintenance and redecoration. All bedrooms had been redecorated since the last inspection visit with one room having new flooring fitted of the persons choice. Decor, furnishings and fittings in communal areas were clean and of a high standard. The hall, stairs and landing have had new carpets fitted and walls have been painted. The kitchen was clean and well organised. There are policies and procedures in place for infection control. Infection control training is included in mandatory training for all staff. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a competent staff team, who are recruited safely, trained appropriately and who understand peoples needs. Evidence: There have been no newly appointed staff since our last inspection visit. We looked at the recruitment file for one staff member and saw appropriate recruitment procedures had taken place. We saw from training records and information provided in the AQAA that all staff have a National Vocational Qualification (NVQ) in Care. The home has a training chart which shows all mandatory training and safeguarding training has either been undertaken by staff, or they are booked to take or update the training. The rota for the home indicated there is one staff member on duty throughout the waking day and one person sleeping in. The expert by experience expressed concern at staffing levels and explained, I asked about the staff levels and people said they have 1 staff member on every day, some staff shifts tend to be 24 hours. I was quite shocked that staff work such a long shift, I Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: dont think it is appropriate to work for 24 hours at all. I dont think staff can give 100 of their time and support to people over 24 hours, I think it is unfair to staff and the people that live there. I also asked if all 4 people needed support when they go out, and I was told yes they do. For me I think the staff levels are not adequate at all. If one person needs to go out, they all have to, this is very unfair and not a person centred way of working. From meeting people today they seem to have very individual needs and wants and this has to be respected in what they do with their lives. One person in their early twenties should be going out and accessing things other young people do, but this may not suit the other people in the home that are in their forties, but with only one staff member on per day they have to do things as a group. One person did say they would like extra staff to enable them to do more things that they want to. This really needs to be addressed as its very unfair and holding people back from having individual lives. The company should review staffing levels at Pooley View to ensure they are meeting the needs of the people living there at the moment. The expert by experience also noted, During our visit one person spoke with a staff member about a concern and the telephone rang so the staff member turned and answered it. I though the staff member was quite rude to the person, as they did not say excuse me or anything just turned and answered the phone. I did notice that people seemed to have a good relationship with the staff but at times I though it may be a good idea for staff to have some value base training. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service benefit from a well run home that has effective systems in place to ensure their health and well being is promoted and maintained. Evidence: The manager has been in post for a considerable amount of time and is well qualified for her role. She demonstrated a good knowledge of the needs of the people living in the home. It was evident throughout the inspection that the relationships between the manager, the people living in the home and the staff were good. The expert by experience told us, I spoke with the manager who was very friendly and happy to answer my questions, I felt very at ease with her. The Annual Quality Assurance Assessment (AQAA) was completed and sent to us on time. It was completed to a high standard and gave us the information we requested. Quality assurance systems continue to be implemented. These include a number of quality audit checks including health and safety, resident meetings, environment and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: care planning. Questionnaires have been sent to residents, stakeholders and families. The analyses of these are being incorporated into a development plan for the home. Monthly staff meetings are held. The minutes of the last two meetings were looked at. They showed that standards of care and where improvements to the service could be made were discussed. The health and safety of people using this service is promoted by safe working practices, training and maintenance of the building. We saw that staff have access to regular mandatory training; this included fire safety, first aid, infection control and moving and handling. The AQAA received before the inspection indicated that the equipment in the home was serviced as required. We spot checked some safety certificates such as the Landlords Gas safety certificate, five year fixed electrical wiring certificate and the fire records. All were up to date. The recording and reporting of accidents were appropriate. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 33 The manager should review staffing levels to ensure the home is continuing to meet the needs of the people currently living there. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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