Inspection on 03/03/09 for Rosehill

This inspection was carried out on 3rd March 2009.

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.

Other inspections for this house

Rosehill 12/03/07

Rosehill 24/01/06

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rosehill 31 Thornholme Road Sunderland SR2 7JX     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: Andrea Goodall     Date: 0 3 0 3 2 0 0 9 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. that people have said are important to them: They reflect the things 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 © (2009) 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.cqc.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: Rosehill 31 Thornholme Road Sunderland SR2 7JX 01915108145 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): rosehill@tawas.org.uk Tyne and Wear Autistic Society Name of registered manager (if applicable) Peter James Mountain Type of registration: Number of places registered: 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 Rosehill is a care home for 6 younger adults with Autistic Spectrum Disorder. It is owned and operated by the Tyne & Wear Autistic Society (TAWAS), which operates several care and educational services for children and adults in Sunderland. The home was registered in May 2006 to replace the residential accommodation at Thornbeck College. The 6 residents moved here from their former care home at Thornbeck College, which is directly across the road from Rosehill. Rosehill provides 6 single bedrooms and 2 bathrooms over 3 floors of accommodation. On the ground floor there are also a large comfortable lounge, a good-sized dining room, and a large family kitchen. The home has a large garden to the back and a sheltered patio area to the side. The quality of furnishings and decoration are of a very good standard throughout the house. 6 Over 65 0 care home 6 Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home The home is a domestic dwelling, previously used as a family house. It is not intended for people with a physical or mobility needs. However the home has ramped access from the driveway into the dining room, and one bedroom is on the ground floor. There is a large toilet on the ground floor for any visitors with disabilities. The home is near to the City centre shops, pubs and sports centres. Residents also have use of a family-sized vehicle for transport to other facilities. The weekly fee is determined by individual assessment of needs with the placing authority. The Provider should be contacted for up-to-date fee levels. Care Homes for Adults (18-65 years) Page 5 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: Before the visit we looked at information we have received since the last visit on 29th March 2007, and the last annual service review on 21st April 2008. We looked at how the service has dealt with any complaints or concerns since the last visit. We looked at any changes to how the home is run. We asked the Provider for their view of how well they care for people in their annual quality assurance assessment (called an AQAA). We visited the home on 3rd March 2009. We only told the manager about the visit a short time before, so that we could make sure people would be at home. During the visit we talked with people who use the service, staff and the manager. We joined residents for a meal and looked at how staff support the people who live here. Care Homes for Adults (18-65 years) Page 6 of 29 We looked at information about the people who use the service and how well their needs are met. We looked at other records which must be kept by a care service. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around parts of the building to make sure it was clean, safe and comfortable. We checked what improvements had been made since the last visit. We told the manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? The home now has a computer and Internet access. This means people use websites on the computer to make their own choices (like holidays) and they can now send emails to their relatives. The home is going to put care plans onto computer so that people can see their own goals in pictures and DVDs. There is now an activities instructor so people can experience new activities, like Outward Bounds events. There are now two Speech and Language Therapists and an Occupational Therapist who work for the Provider. This means people have had lots more support with their communication, and now have more equipment that helps them with this. The kitchen has been fitted with new kitchen equipment. There are new carpets and flooring in hallways, the lounge, bathrooms and one bedroom. All bedrooms have been redecorated. The last remaining windows have been replaced with uvpc double glazing. New entrance doors have been fitted. There are also plans to get new dining room flooring, new dining furniture and a new suite for the lounge. Care Homes for Adults (18-65 years) Page 8 of 29 The manager gets more information about possible new staff before they start work here to help him decide if they are the right sort of people. 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. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 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 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a full assessment of their needs before they move here so that it can be determined whether Rosehill can meet those needs. Evidence: The home has a Statement of Purpose and a Service Users Guide that are written in plain language. These have recently been amended to be more specific about the management arrangements at this home and the contact details of TAWAS (Tyne & Wear Autistic Society). Following a requirement at the last inspection the Service Users Guide was also amended to include some information in pictures and photographs to help people understand what it is like at Rosehill. However the home has since run out of copies of the pictorial information and TAWAS have not replaced these. This means prospective residents would not have this information about the service before they visited it. (Discussions were held with the manager about engaging current residents in producing a picture brochure about Rosehill so that they could give it to prospective Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: new residents.) TAWAS has very clear guidelines about referral and assessment to its services. Before any new resident moves to Rosehill, their needs are fully assessed by social and health care professionals. The prospective resident, their relatives and the registered manager of the home are also involved in making a decision about whether the home can meet their needs. Since the last inspection one resident has successfully moved into Rosehill. This person was already a day student at the nearby TAWAS college so was familiar with some of the other residents. This person had several evening visits to the service and a threeday residential assessment at another TAWAS home. All new residents have a period to adjust to the home and to see if the home can provide the right care for their individual needs. A review is then held after around three months to see if the placement is successful. Care Homes for Adults (18-65 years) Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear care planning means that residents are supported towards achieving their goals. People are supported to make their decisions and to take acceptable risks so that they have a lifestyle that promotes their independence. Evidence: Support plans (or care plans) are records that are used by all care services to show what sort of support each person needs and how staff should provide that care. At Rosehill there are individual support plans in place for each of the people living here. These records are detailed and show each persons abilities and strengths, as well as a baseline assessment of their support needs. From these assessments a small number of independent lifestyle goals (SMART targets) are set out for each person to work towards. For example, keeping their room tidy, and learning how to do their laundry. It is very good that a new goal for one person is to learn how to manage their own front door key. The plans show detailed Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: instruction for staff about how to help that person towards their goals, and a record is kept of the progress they have made so far. Residents may be present when staff are completing their care records, and some residents have an understanding of their own support plans. Other people find it very difficult to understand the concept of the support plans due to their Autistic Spectrum Disorder. At this time there is still no record in the support plan documents to show whether people are involved or not in their own support planning. However the manager commented that new plans are to be developed that will be based on personcentred planning, and will be put onto computer (and memory sticks) so that residents can take them to college too. The home is also trying to develop plans where residents would set out their own aspirations on computer. This would fully involve residents (and their relatives,if they wanted), and the home would use photographs and DVDs on the computer to help them towards their goal. For example, one person has said that they would like to grow a plant from seed. The people who live here use a range of speech, gestures or pictures to show their likes and dislikes. They are encouraged and enabled to make their own choices and decisions wherever possible, such as their appearance, clothes, menus, activities and holidays. The home computer has helped people make their decision in a more informed way by the use of websites and pictures. It is very good practice that since the last inspection the people who live here now have access to two Speech and Language Therapists. Individual assessments of their communication needs are being carried out and more picture-aids are being used with people to support their communication and decision-making skills. Staff are also having training in Makaton to help them communicate better with one person who uses Makaton to support his communication needs. The people who live here are supported to take acceptable risks to maximise their independent lifestyle. There are risk assessment records in place to show whether the risks are acceptable and manageable. For example, making meals, going swimming and using the bathroom independently. It is good practice that the assessment records are sent to parents for their information and are reviewed at least annually. The last review was February 2009, so these records are up-to-date. Care Homes for Adults (18-65 years) Page 14 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 have excellent opportunities to engage in leisure activities so that they enjoy a fulfilling lifestyle. Evidence: The young people who live here have busy, and purposeful daytime occupations such as college, workshops, gardening and sports activities. Every evening and at weekends the home makes sure that they also have very good opportunities to take part in leisure activities that they enjoy. For example some people like the theatre and cinema, and other people like golf, swimming, bowling and cycling activities. The home is a former family residence and is indistinguishable from other properties in this area. It is very close to the city centre so people have a good range of shops and Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: leisure resources nearby. In this way people participate fully in their local community. Since the last inspection TAWAS now also employs a specific activities instructor, who has a team of activities staff, and arranges big activity events like Outward Bound trips, kayaking, rock climbing and go-karting. This has broadened the experiences of the young men who live at Rosehill. All the residents take part in choosing an annual holiday. Last year they all decided to go to Cornwall together as a group, and staff stated it was a very successful holiday. Most of the people who live here are not from Sunderland so they are supported to keep in touch with their relatives, if they want, by telephone, email and visits to their family home. Rosehill has records to show that it continues to have very good contact with all parents, sending them any new information from TAWAS and informing them of incidents or events. Staff encourage and promote conversations with residents to help their communication skills, but also to involve and include them in discussions and decisions about their own home. Staff are supportive and clear in their discussions with the people who live here. Residents are also involved in regular informal house meetings to help them make decisions as a group. Staff use picture boards for residents to make menu suggestions at their meetings, and this supports their communication and decisionmaking skills. All of the people who live here are involved in some household tasks, with staff support where necessary. For example, grocery shopping and washing up. Three people can make their own drinks and snacks, with staff supervision if necessary. In these ways the residents continue to take an active part in the running of the house. The home has a large, well-equipped family kitchen and an adjacent large dining room where residents and staff can dine together. Meals continue to be nutritious, healthy and suit the age and preferences of the young people who live here. 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 excellent support to access health care services so that their health and welfare is well met. Evidence: The six people who live here are young and physically fit. They need some support, guidance and verbal prompts to help them carry out their own personal care tasks, such as washing and brushing teeth. A couple of people need some hand-over-hand support to complete some tasks, for example shaving, but no-one needs any physical support with intimate care needs. There are three male staff who can provide gender-appropriate care whenever possible for the six male residents. It was clear that the young men who live here respond very positively to male staff. Due to Autism the people who live here have limited communication skills and find it very difficult to express thoughts or feelings. It is very good practice that since the last Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: inspection the people who live here now have access to two Speech and Language Therapists and an Occupational Therapist who are employed by TAWAS. In this way people now have better access to resources that support their communication, for example using picture exchange systems. The home also makes sure that everyone has access to any community or specialist health care services when needed, such as psychology and specialist nursing services to support their behavioural needs. At this time all medication continues to be managed by senior staff as none of the residents have been assessed as able to manage this themselves. All staff have had suitable training in safe handling of medication. Each persons care records includes comprehensive information about their medical background, and consent from their GP about medications that they can (or cannot) take. Medication is delivered to the home by a local pharmacist in suitable containers that make it easy for staff to give the right medication at the right times. Medication is securely stored in a locked, alarmed medication cupboard. Records of the administration of medication are in good order and up to date. 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 have good information so that they know how to make a complaint. Staff are well trained in safeguarding adults so residents are protected from potential abuse. Evidence: The home has a clear complaints procedure that is also in picture format to help the communication needs of the people who live here. It is periodically explained to the people who live here. Staff ask residents for their comments at their house meetings to see if they are unhappy with anything. The people who live here can show their dissatisfaction with a situation, often by their physical reaction to it. Staff have a good understanding of the different behaviours that people use to express their likes or dislikes. Relatives also know how to contact the home is they are dissatisfied or concerned, and can also discuss their views of the service at annual reviews. There have been only two minor complaints from a relative and a neighbour over the past two years. Clear records show how these were looked into and resolved. All staff receive training in the City of Sunderland Safeguarding Adults procedures, which are robust procedures for dealing with suspected abuse. In this way staff are aware of their responsibilities to report suspected abuse. A senior manager of TAWAS has been designated as the organisations Safeguarding Adults Manager, and he takes Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: responsibility for co-ordinating information and training about the safeguarding adults policies. All staff are trained in CALM (Calm Aggression-Limitation Management) which is a method of using the minimum of physical intervention if someones behaviour places them, or others, at risk of injury. The manager is a trained Trainer in CALM so he is able to ensure that any new staff also receive this training. CALM methods mainly use redirection, and time and space for people to calm down by themselves. It is approved by BILD (the British Institute of Learning Disabilities) and ensures that all staff present a consistent, safe approach when supporting residents when they are upset or angry. Detailed records are kept whenever people have needed CALM support. 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 excellent quality accommodation that values their lifestyle. Evidence: Rosehill is a large family house that provides spacious accommodation over three floors for six young people. There are six good-sized single bedrooms, a large lounge and large dining room, two bathrooms and a separate toilet, large kitchen, staff office and a staff sleep-in room. The house also has a rear garden and sheltered patio areas for use by the residents in better weather. All areas of the home are decorated and furnished to a very good standard, in keeping with the age and interests of the residents. TAWAS continues to ensure that a redecoration and refurbishment programme keeps the accommodation in an excellent state for the people who live here. Since the last inspection the kitchen has been refurbished and new kitchen equipment fitted. New carpets and flooring has been fitted in hallways, the lounge, bathrooms and one bedroom. All bedrooms have been redecorated. The last remaining windows have been replaced with uvpc double glazing. New entrance doors have been fitted. Future plans include new dining room flooring, new dining furniture and a new suite for the Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: lounge. The six bedrooms can be used by residents for privacy whenever they wish. Some people can manage their own bedroom key, and this is not ruled out for other residents in the future. During this visit some residents showed the inspector their bedrooms. These were spacious, warm and comfortable. Bedrooms were very individual in style and colour scheme. Residents had lots of their own possessions in their bedrooms. TAWAS has its own maintenance team that regularly visits the home to carry out fire tests and to address any minor repairs. In this way these items can be addressed quickly. Most staff have had training in Infection Control and new staff receive this as part of their induction training. The home was very clean throughout. Residents are supported by staff to carry out their daily household tasks. There is no longer domestic staff at this home, instead main domestic duties are now carried out by waking night 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. The home provides suitable, competent, well-trained staff so that peoples needs are met. Evidence: The staff team currently consists of three senior support workers and seven support staff. They are led by the registered manager and a deputy manager who are both also responsible for the running of another small care home nearby. At this time there are three male staff on the team, which is important as all the residents are male and respond well to positive male role models. TAWAS promotes a clear equal opportunities policy for residents and staff. Staff level are usually a minimum of four staff on duty during evenings and weekends, and this is sufficient to meet the needs of the people who live here. Since the last inspection there has been a change to night staffing arrangements. There is no longer a permanent night staff team. Instead day staff are also rostered to carry out some night time duties. This has presented some challenges to the service, as there have been a number of changes of staff so there are fewer experienced staff to carry out all the night shifts, and its also its even harder to cover for sickness and holidays. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Some senior staff also commented that there are now different staff on each night who then support people with their morning routines. This means different patterns to those routines and this can have a significant impact on people with Autism Spectrum Disorder who find it very difficult to cope with such changes. TAWAS operates very thorough recruitment and selection procedures. Staff are only employed after suitable clearances and checks have been received, for example a satisfactory CRB disclosure (police check). Residents have the chance to meet applicant staff during evening visits to see if they have a suitable personality that values and supports young people with Autism Spectrum Disorder. Since the last inspection recruitment practices have changed so that the manager is now fully involved in the recruitment process, including shortlisting and interview. TAWAS has an HR department that deals with personnel records. It is good that home managers will now also have copies of the personnel records in order to support them in their management of staff. All new staff receive thorough induction training that includes in-depth workbooks in Autism Spectrum Disorder, Safeguarding Adults, CALM and all health & safety training. They then have the opportunity to train towards a professional care qualification called NVQ (national vocational qualification) in care. At this time 8 out of 12 staff have achieved NVQ level 3 (including the manager and deputy manager). The remaining staff are new and will be working towards NVQ awards after they complete their induction training. In this way TAWAS aims for all staff to be trained in a care qualification. The home keeps a clear records of individual learning plans and training course that each member of staff has attended. It is evident that TAWAS remains committed to staff training and their professional development so that residents receive support from a well-trained, competent staff group. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live here benefit from a well-managed service. Systems, procedures and practices make sure that the health & safety of the people who live here are promoted. Evidence: The current Registered Manager has several years experience of working in care settings with younger adults with autism, and has been registered as the manager of Rosehill for the past few years. He has attained NVQ level 4 and the Registered Managers Award, which are suitable qualifications for a manager of a care home. He is also currently undertaking a certificate in Autism Spectrum Disorder, which demonstrates his commitment to updating his skills and competence in this specialised area of care. The manager is also responsible for the day-to-day management of a similar small home that is opposite Rosehill. He is supported in the management of both services by a deputy manager and senior support staff. His hours are supernumerary to the staff Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: rota to allow him the time to deal with the many managerial, supervisory and administrative tasks involved in running the two homes. During the inspection the manager informed us that there are several changes taking place to the management of the TAWAS homes. Following this inspection the deputy manager will become the manager for Rosehill, and she is to submit an application for registration as manager in the near future. Also TAWAS is to change its name to North East Autism Society to take account of the services it provides in other areas such as Durham. The manager confirmed that all residents and their relatives have been kept informed about these changes. In the meantime there remain clear lines of accountability and management support within the organisation. In this way the residents, and staff, benefit from a well managed service. TAWAS has a comprehensive quality assurance process to review the service provided at Rosehill. This includes seeking the views of residents through house meetings, annual reviews and occasional picture questionnaires. For example a pictorial survey was carried out in February 2009 to ask residents about their likes and dislikes at the home. One person wrote that he liked the staff, the peaceful sitting room and making my own food - but he did not like meetings. It is also very good practice that TAWAS employs an external consultant to visit all its homes, including Rosehill, on a monthly basis and report back on its operations. Staff training records demonstrate that all staff receive statutory training in all health & safety matters. The home carries out monthly health & safety audits, including checks of appliances, windows, and door security.All staff receive in-house fire instruction every three months, and all residents take part in a monthly fire drill to help them understand what to do in the event of a fire. In this way the safety and welfare of residents is promoted and protected. 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 1 It would be better if there was pictorial information in the Service Users Guide about Rosehill so that prospective new residents had meaningful information about the service. It would be helpful if each persons care file included a record of whether or how the resident is involved and included in their own support planning. 2 6 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) 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. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!