Inspection on 21/05/07 for Premier Care (Plymouth) Ltd [Bud House]

This inspection was carried out on 21st May 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

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Premier Care (Plymouth) Ltd Bud House 257 Ham Drive Pennycorss Plymouth Devon PL2 3NG Lead Inspector Wendy Baines Unannounced Inspection 21st May 2007 09:30 Premier Care (Plymouth) Ltd DS0000068740.V335357.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 Premier Care (Plymouth) Ltd DS0000068740.V335357.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. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Premier Care (Plymouth) Ltd Address 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) Bud House 257 Ham Drive Pennycorss Plymouth Devon PL2 3NG 01752 510362 01752 510362 Premier Care (Plymouth) Ltd Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection First Inspection. Brief Description of the Service: Premier Care (Plymouth) Ltd has been established to provide care homes for adults with a Learning Disability Bud House is situated in the Pennycross area of Plymouth, and has been specifically established to meet the individual needs of people who may have challenged other services. This may include people with autistic spectrum disorders, behavioural needs, or specialised patterns of living. The home provides accommodation for a maximum of two adults of both genders aged between 18-65 years. The property is semi-detached with parking at the front and a good -sized enclosed garden at the back. The first floor of the home has two large bedrooms, a toilet/bathroom and toilet/ shower room. These rooms are accessed via the staircase and would therefore not be suitable for people with severe mobility problems. Downstairs there is a large communal sitting/ dining room, kitchen and separate office. Bud House is situated close to many local amenities and a main bus route into Plymouth City Centre. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Bud House registered as a Care home at the end of December 2006. The Commission inspects all new services within the first six months of registration, this was therefore the homes first visit. To help CSCI make decisions about the home the Provider gave us information in writing about how the home is run: any documents submitted to CSCI since the home opened were also examined; a site visit totaling 6 hours was carried out with no prior notice being given to the home as to the date and timing; discussions were held with the company Director, acting manager and staff on duty; various records were sampled, such as care plans and risk assessments; and a tour was made of the house and garden; time was spent with the service users and the inspector was able to talk with, and observe the staff on duty. A sample of service users were selected and their experience of care was tracked through records and discussions with staff and management from their admission to the current date, looking at how well the home understands their needs and the opportunities and lifestyles they experience. Where possible time was then spent with these service users, and questionnaires were sent to their advocates, care managers and other specialist services where possible. The service users living in the home at the time of the inspection had limited ability to express their view of the service verbally. Therefore it was necessary to gather this information through a range of sources as described and observation during the visit. This approach hopes to gather as much information about what the experience of living at the home is really like, and ensures that service users views of the home forms the basis of this report. What the service does well: Bud House opened in December 2006. All the evidence in the report is based on information gathered during the first inspection visit and since service users moved into the home at the beginning of the year. The home has demonstrated excellent pre-admission planning. Clear and detailed information is available about the home and services provided. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 6 Service users and their families are invited to visit the home to meet staff and to view their accommodation. The home undertakes a thorough assessment of need to ensure that the placement is appropriate and advises all concerned, in writing about how the assessed needs will be met. When a person moves into the home an individualised plan of care is agreed with all concerned and priority is given to promoting independence and choice. Feedback from the specialist Learning Disability services and Social Services was very positive and included comments such as ‘ This is the most Person Centred service I have worked with in a long time’. The standard of the environment is high, offering service users a homely, comfortable and safe place to live. Service users are encouraged and supported to think of Bud House as their own home. There is a clear, consistent care planning process, which provides staff with the information they need to meet service users needs. Staff have a good understanding about how people communicate and are able to use this knowledge and understanding to diffuse difficult situations and to encourage choice making and independence. There is a small, consistent and experienced staff team who are well supported by senior management and the Directors of the organisation. What has improved since the last inspection? What they could do better: The Registered Provider should ensure that all staff have a individual training record, which details the training they have attended and any training they need to attend as part of the homes annual training and development plan. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 7 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. Premier Care (Plymouth) Ltd DS0000068740.V335357.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 Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is excellent. Standards 1,2,3,4 &5 were inspected on this occasion. This judgement has been made using available evidence including a visit to this service. The home undertakes excellent pre-placement planning, which ensures that the placement is appropriate and all identified needs can be met. EVIDENCE: The home had a detailed document called a ‘ Statement of Purpose’, which is given to any person (representative) who may be interested in moving into Bud House. This document sets out clear details about the home and the services’ provided. The document states that; ‘ Bud House has been specifically established to be able to meet the individual needs of service users who may have challenged other services. This may include people with autistic spectrum disorders, behavioural needs, or specialised patterns of living. The admissions criteria places importance upon needs being matched so as not to disadvantage an individual’ Records were seen for one service user who had moved into the home since it opened in December. Relevant information was tracked to establish the quality Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 10 of the homes admission procedure, and the experience of all those involved in the move. Following referral the home met with the service user and all those involved in their care to complete an assessment of their needs, and to make a decision about whether or not Bud House would be a suitable placement. The home then provided written details to Social Services about how the identified needs would be met should the service user choose to move there. A transition plan and trial placement was then agreed, which included the service user and family visiting the home to meet staff and view their accommodation. During this transition stage the management and staff worked closely with Social Services and Health professionals, which included working alongside staff in the service users previous placement. At the end of the trial period a review meeting was arranged to confirm a permanent placement. A contract was then agreed and signed by the home and the service user/representative. The documentation and feedback from all other agencies involved confirmed that the home undertook excellent pre-placement planning, which is fully in keeping with their statement of purpose. A representative from Social Services said that ‘ it is remarkable what the home has achieved in such a short time, the staff and management worked closely with all concerned to ensure that the placement was appropriate and the transition from the other placement was as smooth as possible’ Throughout the inspection one service user was observed as being happy, relaxed and clearly content to be living at Bud House. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. Standards 6,7,8,9 &10 were inspected on this occasion. This judgement has been made using available evidence including a visit to this service. The home has a clear and consistent care planning process, which provides staff with the information they need to meet service users needs. Service users are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: A full assessment of need is completed prior to an individual moving into the home. This information is then used to develop a care plan for the home, which sets out in detail the action taken by staff to ensure that all aspects of the health, personal, and social care needs of the service user are met. A sample of care plans were seen during the inspection. These were found to be up to date, clear and detailed. A copy had also been provided in a pictorial format to the service user and were signed and dated. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 12 Care plans included guidelines and support provided by other agencies, risk assessments, an action plan, progress sheet and date of review. The manager said that as the home is small and staffing levels high, care and support can be planned around the specific needs and wishes of the individual. A representative from the learning disability service said that the home was one of the ‘ most person centred’ they had seen in a long time. An example was given by the manager of how the home had responded to the changing needs and wishes of a service user. Daily monitoring had identified that a service user was not happy about going out to activities early in the morning. With agreement from Social Services the weekly plan had changed to include a more relaxed morning at home. The staff felt that this had been a positive change. On the day of the inspection the service user was having a lie in and then enjoyed a leisurely breakfast before starting the daily activities. All staff spoken to had a good understanding of service users needs and said that the information about specific needs, guidelines and daily routines are clear and easily accessible. Care plans included detailed information about how an individual communicates and staff spoken to said they were able to use this knowledge to further encourage choice and independence. Signs, symbols and photographs were available around the home to help service users recognise and understand daily routines, different rooms and facilities in the house and the different staff on duty. All documentation was found to be written in a sensitive and appropriate manner and records were stored safely. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. 11,12,13,14,15,16,17. This judgement has been made using available evidence including a visit to this service. People who use these services are able to make choices about their lifestyle, and are supported to maintain social contacts and develop their life skills. EVIDENCE: Bud house is situated in a residential area close to all local amenities and a main bus route into Plymouth City Centre. As the home will only accommodate a maximum of two people there is plenty of communal and private space and a large, attractive, enclosed garden area. Service user bedrooms were spacious and contained plenty of personal belongings. Service users living in the home are likely to require high staffing levels to access opportunities inside and outside the home. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 14 Individualised activity programmes were available for service users currently living in the home and these had also been provided to the individual in a pictorial format. Activities had initially been planned using information received at the time of admission and then kept under review and changed as the individual settled into their environment. Service users are supported to develop their skills in and around the home and to partake in a range of activities within the local community. On the day of the inspection one service user was enjoying a relaxing morning at home and then went with staff to the local supermarket for food shopping. Information about the home states that ‘ The home believes that having social contacts and developing and maintaining personal and family relationships is a crucial part of living a fulfilled and healthy life’. Staff had supported one service user to put together an album of photographs of important people and events in their lives leading up to their move to Bud House. This was clearly something that the individual valued and helped them understand and remember the events that had occurred prior to moving into the home. Consideration had been given to helping one service user maintain contact with family by getting involved a regular weekly activity with their parents. Throughout the inspection staff were observed treating service users with dignity and respect at all times. Staff were very clear that Bud House is the service users home and that they are there to support them to live as independently as possible. Service users are provided with a key to their bedroom and the front door. Staff were observed encouraging service users to use their key and those spoken to consider this an important way of showing the individual that Bud House is their own home. As the home is small meal times and menu planning can be flexible. The manager said that in the early days of admission it has helped to have a weekly menu to ensure that service users are having a varied and balanced diet. However, it is anticipated that as people settle and staff become more familiar with each person this can be planned very much on individual needs and personal preference. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. Standards 18,19&20 were inspected on this occasion. This judgement has been made using available evidence including a visit to this service. Personal support in the home is offered in a way that promotes and protects services users privacy, dignity and independence. The health needs of service users are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: The manager said that at the point of admission information was gathered from a range of sources regarding an individuals’ health needs. This information was then used to start developing a care plan for the home, which would be amended as required during the early days of the placement. Care plans and health records were seen during the inspection. Records contained detailed information about individuals personal, emotional and healthcare needs. Information was documented in a way that helped staff understand their daily routines, likes and dislikes, and how they prefer to be supported. Records confirmed that service users are supported to register with Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 16 a local GP, attend regular routine health checks including hearing, sight and dental checks. Signs and symbols were available around the home to support service users with their daily personal care needs. The home has a small staff team who have worked in the home since it opened and have a good awareness of service users needs. The manager said that this consistency and the homes daily recording procedures ensures that health needs are closely monitored and any concerns are dealt with promptly. Information was available within care plans to advise staff about when they should seek external advise and support to avoid a crisis situation and possible breakdown of a placement. It was evident through discussion with the manager and staff that they consider liaison with other agencies very important to ensure that an individuals needs are being adequately met. Feedback from the specialist Learning Disability service was very positive; ‘ I have nothing but praise for the home, they have consistently sought advice, taken advice and followed it through as well as feeding back to the appropriate agencies any relevant information’ Throughout the inspection staff were observed treating service users in a respectful and dignified way. Despite the need for high staffing levels it was evident that staff were aware of residents need for privacy and personal space. The home has written procedures for the receipt, storage and administration of medication. Medication is safely stored and all staff responsible for the handling and administration of medication receive on-going training as part of their induction and training plan. All staff had received medication training within the first six months of the home opening and had also received specific training relating to a service user before they moved in. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. Standards 22&23 were inspected on this occasion. This judgement has been made using available evidence including a visit to this service. Systems in the home ensure that all service users are listened to and any concerns or complaints would be dealt with promptly and appropriately. Service users are protected from abuse and have their rights recognised. EVIDENCE: No complaints have been made directly to the home or the Commission since Bud House opened in December. A written complaints procedure is provided to all prospective service users and copies of this are displayed in the main entrance of the house. Service users living in the home had been given this information using a range of signs and symbols. Daily recording, hand-over meetings and charts to record incidents/behaviour are used to monitor the well being of service users and to ensure that staff are aware of any changes. The home had a written Adult Protection and whistle blowing policy and all staff had received training as part of their induction. Arrangements had been made for staff to attend local multi-agency adult protection training. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 18 Individual care plans include behaviour management guidelines, which had been provided by the specialist challenging behaviour service. This information is regularly reviewed and staff receive specific training to ensure that they understand behaviours and know how to respond to difficult situations. Care plans included information about service users finances, and any support they need. Staff support service users where necessary to manage their bank account and daily expenditure and a clear record is kept of these arrangements. Facilities are provided so that any money held in the home can be stored safely. Observation during the inspection confirmed that where possible service users are supported to be involved in the management of their money and where possible to maintain and develop these skills. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is (excellent, good, adequate or poor) Standards 24,25,26,27,28, 30 were inspected on this occasion. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good providing service users with an attractive, homely and safe place to live. EVIDENCE: Bud House is a spacious, semi-detached property situated in the Pennycross area of Plymouth. To the front of the house there is parking for two cars and at the rear a large enclosed garden with patio area. The home has been registered to provide accommodation for two adults and the homes admissions procedure ensures that individual needs can be met within this setting. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 20 The inside of the property has been decorated and furnished to a high standard. The provider has kept the colours plain so that people who move into the home can personalise it to meet their own needs and tastes. Accommodation is located on two floors; the ground floor has a large attractive sitting/dining room, communal kitchen and office/sleep-in room. The kitchen leads into a large enclosed garden and patio area. The washing machine and tumble dryer are located in the garage, and staff access this via the side of the house to avoid taking laundry through the kitchen area. The main entrance is bright and welcoming and has a notice board with a range of signs, symbols and photographs to assist service users who may have communication difficulties. The upstairs of the home has two large bedroom, a toilet/ bathroom and toilet/shower room. These rooms can only be accessed via the staircase and are therefore not suitable for people with severe mobility difficulties. One service user was keen to show the inspector around the house and their bedroom and clearly considered Bud House to be their home. The bedroom contained the required amount of good quality fixtures and fittings. Although the home has only been open for six months the service user had been able to personalise their bedroom and decorate it in a way that reflected their age, interests and personal taste. The home was found to be clean and hygienic throughout. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. 31,32,33,34,35,36. This judgement has been made using available evidence including a visit to this service. Service users’ needs are met by a sufficient number of competent, well-trained and motivated staff. The arrangements for the induction of staff are good, with the staff demonstrating a clear understanding of their roles. EVIDENCE: Service users living in the home have been assessed by Social Services as requiring 1:1 and at times 2:1 to access opportunities at home and within the local community. These staffing levels are documented and reviewed as part of the homes care plan process. The home has a small, consistent staff team who have a good understanding of the service users needs. Throughout the inspection staff were observed responding sensitively and respectfully to service users requests, and were able to use their knowledge to encourage choice and independence whenever possible. The staff spoken to were very clear about their role, and the role of others within the team and the organisation. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 22 Staff were friendly and good-natured. They interacted with service users and as well as being courteous and respectful were also humorous and fun, which the service users clearly enjoyed. Since the home opened all staff have received a structured induction programme, which has been supported by a designated training officer. Information was available about the courses that staff had attended and the manager said that this information would be translated into individual training records. A sample of staff records were seen and confirmed that the homes recruitment procedure is robust and ensures the protection of residents. Staff spoken to said they felt well supported by the staff team and management. Premier Care (Plymouth) Ltd DS0000068740.V335357.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): Quality in this outcome area is good. 37,38,39,40,41,42. This judgement has been made using available evidence including a visit to this service. The management approach is open and inclusive, providing clear leadership and guidance. Service users rights, health, safety and welfare are protected and promoted. EVIDENCE: Since Bud House opened the original Registered Manager has left and an acting manager has been appointed. The Director and Responsible Person for the organisation has kept the Commission fully informed about these arrangements. Premier Care (Plymouth) Limited is the Registered Provider for Bud House and is managed by two Directors and a company secretary. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 24 The Responsible Person and Director for the Company has worked within the care sector since 1995, and has also been involved in managing a college based NVQ training department. This has involved training staff that work with the elderly, physically disabled and people with a learning disability. The Director and Acting manager were present throughout the inspection and showed compassion and dedication to their work and the individuals they were supporting. All comments received by staff and other agencies regarding the management of the home were positive. Records and reports available to CSCI confirmed that senior management/Directors regularly visit the home and meet with the staff and service users. A recent report documented feedback about how they have settled during the first six months of the home opening and included an action plan of any issues that need to be addressed. All records were found to be well maintained and up to date. The acting manager said that she was still working on improving the recording systems to ensure consistency and to make them easily accessible to those providing the care. As the home has only recently opened the Quality Assurance system is in the early stages. Information available about the home stated that ‘ We will actively seek feedback from service users and others, which will be published and made available to all to promote continuous quality improvement via an annual development plan’. Since opening some questionnaires have been sent out to the families of service users who have moved into the home. The manager said that all feedback received has been positive. A recent management report highlighted an action plan to send out questionnaires to external agencies and significant others. No environmental safety concerns were identified during the inspection visit and the home provided details of servicing and maintenance of equipment including Fire checks, to show that it addresses the safety of service users at Bud House. Premier Care (Plymouth) Ltd DS0000068740.V335357.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 4 2 4 3 4 4 4 5 3 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 3 26 3 27 3 28 4 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 X Version 5.2 Page 26 Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc 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 YA35 Good Practice Recommendations Each staff member should have a training record detailing the training they have attended (including dates) and the training they have planned or need to attend as part of the homes annual training plan. Premier Care (Plymouth) Ltd DS0000068740.V335357.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Premier Care (Plymouth) Ltd DS0000068740.V335357.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!