Inspection on 08/10/07 for Renaissance

This inspection was carried out on 8th October 2007.

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

The inspector 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 Renaissance Renaissance Care Services Limited 56 St Marychurch Road Torquay Devon TQ1 3JE Lead Inspector Peter J Wood Unannounced Inspection 08 October 2007 10:00 Renaissance DS0000069433.V345764.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 Renaissance DS0000069433.V345764.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. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Renaissance Address Renaissance Care Services Limited 56 St Marychurch Road Torquay Devon TQ1 3JE 01803 201513 01803 201513 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) Renaissance Care Services Limited Mrs Wai-Lee Adroit Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to people who live at the home of either gender whose primary care needs on admission to the home are within the following categories: 2. Learning disability (Code LD) The maximum number of people who live at the home who can be accommodated is 17. 22/08/06 Date of last inspection Brief Description of the Service: Renaissance is a large house with level access, situated within walking distance of Torquay town centre. Care and support is provided for up to 17 adults with learning disabilities including some who have reached retirement age. People who live at the home are encouraged and supported to participate in the daily life and routines of the home. Activities outside the home are supported including paid work, work experience, attendance at college courses and the pursuit of leisure interests such as horse-riding. The home’s fees range from £307 to £790 per week. People who live at the home buy their own toiletries and newspapers and contribute to holidays, day trips and activities. Copies of previous inspection reports are in the hallway for anyone to read. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We visited the home on Monday 08 October 2007 at 10:00 o’clock in the morning and stayed all day. Before the visit to the home Mrs Adroit, the manager, sent some information. Some people who live at the home sent a form to say how they like the home. Some staff sent a form to say what it is like working there. Some friends, relatives and people like nurses and social workers also told us what they think about the home. At the visit to the home the inspector looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. The inspector also looked at some care plans. The inspector looked all over the home and a lot of people showed him their bedrooms. The inspector also talked with Mrs Adroit and with her deputy and other staff, but most importantly, spoke to some people who live at the home in private and also spoke to all the others who were at home at the time, at lunch or in the lounge. What the service does well: What has improved since the last inspection? Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 6 Some bedrooms have been decorated with new furniture. Some people who live at the home do not look after their own money. Their accounts are now checked by someone who does not work at the home. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs, abilities, disabilities and aspirations of people who may come to live at the home are properly assessed before they come. They have sufficient information to help them make up their minds, and have a contract when they come. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “Mission Statement & Service Users guide are given to prospective clients & their carers/ purchasers. New Service Users are admitted only after assessment by people that are competent & know the person; follow by visits, formal & informal chats with Staff & Service Users with the prospective clients & people that support them,meals and over night stay at Renaissance. The proposed admission is then discussed at House Meeting to discussed suitability/compatibility with SU & staff; and decision made to prepare for the welcome or rejection and reasons for rejection. Key-worker is identified before the admission and introduce to the client and his/her then carer, the Clients needs are discussed and plan set up to support the person on admission to maintain consistency & minimise disruption to the client as well as existing SU.” Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 9 We examined a selection of files of four people who live at the home. These demonstrate that most referrals are from members of specialist learning disability teams. These are therefore usually appropriate, made on the basis of professional assessment prior to admission. The manager also undertakes her own assessment to ensure that only those prospective residents whose needs can be met are admitted. “A care plan & pen picture are implemented within the first week of admission with all the needs covered by multi-disciplinary team when possible. Renaissance continues to liaise with clients ex-carers & family after admission to ensure clients needs are fully met”. The home has a statement of purpose and a service user guide which contains details of the services and facilities provided. These are “written” in accessible formats, including using photographs, drawings, simplified text and “widget”. The range of abilities of people who live in the home is quite large. Many are able to read ordinary text. At the other extreme, much of this information, in any format, would not be understood by some of the people who currently live at the home. They need all such information to be explained to them in very simple terms, which the home seems to do. People who may come to live at the home have the opportunity to visit the home, meet other people who live at the home and stay overnight as part of the assessment process. All those who live at the home have a valid contract which includes the number of the room they live in. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home can feel confident that their individual needs will be recognised and their choices supported. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “Service Users have care plan that tailored to their needs. They are encouraged to make decisions and be independent, and take calculated risks with regular assessment & support from multi- disciplinary team. Some are supported to plan and organise their own meeting and agenda. Care plans and risk assessments approved and supported by Zone Nurse, Families, purchasers, friends and voluntary services, evident that Service users are growing in confident and independent. Comments & letters from ex-SU & others.” Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 11 As part of the inspection process we examined a selection of files of people who live at the home. These plans had been reorganised to reflect recommendations made at a previous inspection. Each person who lives at the home has at least two files – a “working file” and an “archive file” (our terms). Together, these contain as much information about each client as the home needs in order to meet their needs. Daily records are also kept. Although daily recording has improved and is now more closely linked to clients’ individual plans, they still do not provide a true system of assessment which generates a plan which is implemented. While the individual’s plan of care is generated from the individual’s assessment, the recording of what the client does on a daily basis has no such close connection. What people who live at the house do on a daily basis, and the way that is recorded, could be linked better to their care plan. The daily recording does not record how the care plan is implemented on a daily basis, though periodic reviews do. This was confirmed in discussion with staff, the Registered Manager and people who live at the home. The home uses the principles and practice of Total Communication as required whilst communicating with and writing about people who live at the home. Signing, including the use of Makaton, is used as appropriate directly with clients. Photos and drawings are used as well as ordinary text and Widget symbols in “written” format. These methods have variable utility. The plans contained evidence of the involvement of a variety of professionals and agencies appropriate to individual needs. For example, the Learning Disabilities Team, medical professionals and the local college. Survey forms were returned from five health professionals which verify the statements of the home that they are involved, for example by attending review meetings. “I cannot fault the home” said one health professional. All nine people who live at the home who returned their survey form said that they always or usually made decisions about what to do each day. All stated that they could do what they wanted during the day, evening and weekend. People who live at the home told us about decisions and choices they were making about their lives. This was reflected in individual plans and included issues of leisure, work and involvement in a local advocacy group. A service user was supported to attend a national conference. The five relatives/friends who returned their survey form said that they would be consulted if the service user was unable to make decisions about their care. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The interests and aspirations of people who live at the home are well reflected in the choices of activity and lifestyle available at the home. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “Service Users live a good quality of life with a variety of social, educational, leisure activities in the community, 3 have paid employment. One in voluntary employment. Many have achieved NVQ qualification and are continuing to do different training & courses. They are supported to form friendship & relationship, liase with families; attend churches, join support groups/committees, be aware of their health needs and monitor their own health with support. Each SU is taught & supported to manage their finance to the best of their ability; budget for their expenses, and has their account audited regularly by outside agency. SU are encouraged to self medicate after Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 13 risk assessment. We celebrate each individuals birthday with their friends and families with menu/method of their choice. SUs regularly invite friends and families for meals & visits throughout the year and also for parties. Staff are trained in healthy living skills, menus are reviewed to promote healthy eating respecting service users wishes & preferences. Key-workers attend support groups & special clinic (e.g. diabetic; smoking, wellman / wellwoman) with service users. Staff plan with SU and escort them on holidays of their choice / daytrips or any activities. Many are more mobile and independent with support to obtain their free bus pass and training to use the buses. Few SU have formed consent and healthy relationship, with safe sexual practise.” We looked at the files of four people who live at Renaissance, all of whom have an individual activities plan. The weekly activity plan for those individuals who benefit from it are laid out using pictures and words on a laminated piece of paper and placed at the individual’s place at table to remind the client what he or she will be doing throughout the week. Together with discussions with the manager and those who live at the home themselves, these verify that activities recorded on individual plans include paid and unpaid work, voluntary child care, work experience, attendance at day centres, local college courses and involvement in advocacy groups. Evidence of these activities were seen in care plans, photographs and certificates of achievement of people who live at the home. Older people who live at the home are encouraged to take part in activities in the home. Records showed evidence of both individual and group leisure activities in the local community including visits to local shops, cafes and pubs. People who live at the home spoke enthusiastically about the holidays they recently enjoyed in separate groups. These vary from Weymouth, Butlin’s in Weston-Super Mare, to Spain. People who live at the home told us they were able to maintain contact with their friends and families. The home provides two payphones, though most people who live at the home have their own mobile phones. One person who lives at the home had his friend around on the day of inspection to share his birthday tea. Other people who live at the home prefer to have their special birthday meal out of the home. Whatever the client chooses. In a survey of relatives and friends, all of those who visit the home were made welcome and able to see people who live at the home in private. Some of the people who live at the home enjoy close personal relationships. These are supported with appropriate counselling and advice. Menus are displayed in the home in pictorial format. Meals are taken at a large communal table arrangement in the dining room. We joined people who live at the home for lunch at this inspection. The atmosphere was relaxed and informal, reflecting what several relatives said: “happy, atmosphere”; “worry free care”. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health needs of people who live at the home are well met. They are kept safe by the home’s medication policies and practices and are able to take control of their own medication within a risk assessment framework and with support as necessary. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “Each service user is supported to be aware of signs & symptoms of illness, and sensitive and flexible care is ensured to meet individual needs, making sure the best service is facilitated to each individual inhouse and in the community. Encouraging self medication.” People who live at Renaissance include those who need a great deal of support to those who need less support and some with physical disabilities, including one person who is visually impaired. The client with a visual impairment enthusiastically showed us some of the aids he had to promote his independence. He told us that he is eagerly awaiting delivery of a computer Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 15 with sophisticated software to allow him to take the minutes of official meetings he and others in the home attend with such as the local council. Some of the people who live at the home are enabled to be active members of self help and advocacy groups including Speak Out in Torbay (SPOT). Aids for people who live at the home with physical disabilities such as walking aids, grab rails and wheelchairs were also seen in the home. Individual care plans contained details of both routine and specialist healthcare treatments. Correspondence was seen in files concerning specialist appointments regarding the treatment of longer term physical and mental health needs. Other documents were seen relating to routine dental and eye care. Three people who live at the home in the home administer their own medication. Each of these had a current risk assessment and a secure place to store their medicines. Records concerning the use of other medicines was examined. The medicines administration records and records of receipts and returns appeared up-to-date and in good order. The Registered Manager stated that no controlled drugs were in use though appropriate additional secure storage was available. The use of homely remedies was supported by a medically approved list. Patient information leaflets were held for all the medicines in use. Senior staff had received external training in the administration of medicines. Other staff had received training through supervised practice. Five health care professionals returned their survey form. It is evident from these that professionals external to the home are involved in the health and social care of people who live at the home. All made favourable comments such as “very good care home, excellent care, cannot fault it”. Communication between health care professionals and the home is nearly always good. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home can feel confident that staff will listen to and act upon their views and protect them from abuse. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “Open door management where everything is transparent. Service users watch the No secret policy with staff regularly, followed with discussion. All Service users, families & friends have copy of the complaint policy, and are aware of the procedure.They know the staff, and management structure well, and are usually happy to discuss issues directly. When incidents occur, family is informed ASAP and together with supporting agency to discuss and find the most appropriate solution for it.” Renaissance has a complaints policy and procedure. A copy of the complaints procedure in a user-friendly format was on a notice board in the dining room. All nine people who live at the home who completed a written survey stated that they knew who they would speak to if they were not happy. Most people who live at the home felt that staff always listened to and acted upon their comments and two stated that this was usually the case. None of the five relatives / friends who returned their survey had made a complaint. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 17 Renaissance has a key worker system which enables people who live at the home to consult with an individual member of staff. There are also regular recorded meetings at which people who live at the home can air their views. Staff and people who live at the home had watched the “No Secrets” video and had the opportunity to discuss its implications. In discussion with the manager and deputy, it was clear that they knew what to do should they identify abusive practice or receive an allegation of abuse. Some people who live at the home do not look after their own money. When staff give them money this should be signed for by the person and the staff member. Cash held temporarily for people who live at the home was securely stored. Records were kept detailing expenditure and receipts were retained for reference. All people who live at the home hold their own bank accounts. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Renaissance enjoy a comfortable, sufficiently wellmaintained and homely environment EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “The home is clean, comfortable, meeting individual needs as well as collective needs. It is designed to meet all legislation requirements but retains a homely atmosphere, with regular updates and checks to uphold safety and comfort. SUs contribute to the deco and day to day running of the home. Some have their own front doors key and bedrooms key. They are encouraged to decorate their room to their taste. Service users feel safe and comfortable in the home, and all safety regulations are met.” Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 19 Renaissance is a large house within walking distance of local amenities and close to Torquay town centre. The home is on main bus routes and has ample parking for visitors. Ramps are provided for those who use a wheelchair. In general the home is comfortably decorated and furnished in a homely rather than a luxurious style. All parts of the home were reasonably clean and free from offensive odours. The home’s laundry is separate from kitchen facilities and has cleanable floors and washable walls. Hand washing facilities are available in the neighbouring staff toilet. Systems were in place for the disposal of infected waste. The home has a fire risk assessment and fire plan and policies and procedures regarding fire safety and infection control. Few radiators have been covered like the one in the hall, though they have been assessed for the risk they pose, which is said to be low. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 20 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): 31, 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are supported by an effective staff team who are aware of their needs. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: The staff team has a good skills mixture, of variety of background. All trained or training in NVQ, all required trainings and other relevant trainings that meet the needs of the service users. 2 staffs doing NVQ 2, the rest all achieved NVQ3 and above.” Four staff returned survey questionnaires. These indicate the pride they take in their work and the value and respect they see their colleagues pay to the people who live at the home. People who live at the home are supported by a total of seven staff, (three of whom live on the premises), the Registered Provider and her husband who provides full-time administrative and maintenance support. Support staff roles include an Assistant Manager and support workers, three of whom are described as senior. Support staff are Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 21 responsible for cleaning, cooking and support work. Support to people who live at the home is organised through a key working system. Both the Mrs. Adroit and the Assistant Manager hold the Registered Managers Award. Three other staff hold NVQ qualifications at level 3. A training plan and timetable have been produced which includes individual development, core training, induction / foundation and NVQ training. The training programme included topics relevant to the needs of the people who live at the home including dementia and falls training in respect of older people who live at the home. The files of recently recruited staff revealed a safe recruitment process including criminal records checks, checks of the national list of unsuitable staff (POVA) and the taking up of two references. Staff recruited from abroad had UK criminal records checks and confirmation that work permits had been issued. Staff had received statements of terms and conditions. There was recorded evidence of regular staff supervision which focussed on people who live at the home needs and identified individual staff training needs. It was evident from observations during the inspection that the staff enjoy a good relationship with individuals and the group as a whole. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Renaissance is a well-managed home run in the best interests of the people who live at there. EVIDENCE: The manager writes in the Annual Quality Assurance Assessment (AQAA) that: “The manager has been running the home for over 13 years and the deputy manager has been working at Renaissance for 7 years. Together with the Director support, an overt and consensus management is in practise. We have good employment record and even staffs that have left in the past are wanting to return. Supervisions sessions and annual appraisal upheld. Staff are trained to meet statuatory requirements, clients needs and personal interest. SUs are well care for and happy; families feel confident and comforted with the Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 23 member of their family in our care. The environment is clean, comfortable and progressive, with a happy and motivating atmosphere, with all comfort provided and catered for.” Since the last inspection the home has changed its status from a partnership to a limited company. Mrs. Adroit retains overall management responsibility for the home. She holds the Registered Managers Award. Management tasks are shared with an Assistant Manager who holds an NVQ level 4 in care and the Registered Managers Award. Additional administrative support is provided by Mr. Adroit. We spoke at some length with the manger and her deputy, to people who live at the home, staff who were on duty, and examined a number documents, particularly in relation to client assessment and care planning, and health and safety. We also examined the Annual Quality Assurance Assessment, which has been liberally quoted in this report, and received survey forms from nine people who live at the home, five health professional, four staff and five relatives or friends of people who live at the home. We saw effective systems for people who live at the home to feed back their views to staff and managers. These include a key working system and meetings with people who live at the home. Systems and practices to safeguards the health and safety of people who live at the home and staff were examined. Core training in the home’s staff development plan included health and safety topics such as fire safety, first aid and moving and handling. This was confirmed by certificates seen in staff files or on the wall in the entrance hall. The Commission has received routine reports from the Registered Provider concerning notifiable incidents in the home in accordance with regulation. Taken together, all the evidence as above indicates that the home is well managed and run in the interests of those who live there. Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 YA3 Good Practice Recommendations 2. YA23 Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 26 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 Renaissance DS0000069433.V345764.R01.S.doc Version 5.2 Page 27 - 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!