Inspection on 01/05/07 for Roxby House

This inspection was carried out on 1st May 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

Roxby House 28/07/09

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Roxby House Winterton Road Roxby Nr Winterton Scunthorpe North Lincolnshire DN15 0BJ Lead Inspector Stephen Robertshaw Unannounced Inspection 1st May 2007 09:00 Roxby House DS0000066603.V338488.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 Roxby House DS0000066603.V338488.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. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roxby House 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) Winterton Road Roxby Nr Winterton Scunthorpe North Lincolnshire DN15 0BJ 01724 733777 01724 733666 www.optionsgroup.co.uk Wider Options Ltd Mrs Lesley Sharon Fisher Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/02/06 Brief Description of the Service: Roxby House is registered for the care of fourteen young people between the ages of 16 and 25 years who have disorders associated with Autistic Syndrome and associated emotional, behavioural and learning disabilities. The home is situated approximately five miles from the centre of Scunthorpe. The accommodation for the service users is divided in to four flats, each flat contains a dining area, lounge, kitchen and bedroom facilities. One of the flats is adapted for disabled service users, but at the time of the inspection there were no disabled service users residence. The accommodation is provided over two floors. Recent developments on the same site include Rawton House and Rigby House. These units are registered separately from Roxby house, however the company are in the process of making an application to the Commission to have these units included with the registration of Roxby House. The home has a gym on site. This includes facilities for indoor games such as basketball and includes a separate weight training area. Also included are changing rooms and shower facilities, to assist the service users in developing their social skills when attending outside venues and sport centres. Included on the site is an agricultural area, a bird centre, a pottery room and stable blocks that includes small animals including pigs and rabbits. The staff promote diversional therapies through these facilities as an alternative to hands on approaches when faced with aggressive or threatening behaviours. Roxby House also provides education to support the service users to develop their social, interactive and life skills, at the same time as promoting recreational and occupational activities. The service users are encouraged and are supported by the staff to gain vocational and educational qualifications. The current fees for the home begin at £2155 per week. Individual service users are then assessed and the final costs are agreed between the home and the service users funding authority dependent on the individual assessment of need for the service user and their dependency levels. The home’s statement Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 5 of purpose and service user guide contain all of the details of what services are provided for the agreed fees for the service users. A copy of the homes last inspection report is made available to all of the service users, staff and visitors to the home. A copy of the report is kept in the main foyer of the home alongside the services public information documents. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was unannounced and took place on 01 May 2007. The inspector was in the home for approximately seven and a half hours. Evidence gathered from the site visit is included in this report. The inspector also sent out a pre-inspection questionnaire to the manager of the home and this was returned before the site visit took placer. Surveys were sent out to all of the service users and five were returned to the inspector. Forty-three surveys were sent out to the staff group and only four were returned to the inspector. The homes quality assurance records also showed that their staff questionnaires also received a poor response. The inspector also case tracked three of the service users living at the home and had contact with their social workers. At the time of the inspectors visit to the home there were twelve service users living there and the inspector case tracked three of them. What the service does well: What has improved since the last inspection? What they could do better: Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 7 The environment of the home is not as good as it used to be and in general it all needs redecorating on the inside of the building to make it a more homely environment. 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. Roxby House DS0000066603.V338488.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 Roxby House DS0000066603.V338488.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): 1,2,3,4 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This means that the service users are provided with the opportunity to visit the home before they make a decision to move there on a more permanent basis. EVIDENCE: The home’s statement of purpose and service user guide included the details of all of the services available through Roxby House. The information is also made available to the service users in a pictorial guide. The inspector case tracked three of the service users living at the home. All of their files included comprehensive assessments of their needs that had been completed before their admissions in to the home. The assessments were a combination of information provided through their placing agencies, educational psychology departments, psychiatric assessments and the homes pre-admission assessment of need. Once admitted in to the care of the home the assessment were evidenced to be re-evaluated until a period of settlement had been identified for the individual service users. The care needs identified in the home’s pre-admission assessments reflected those identified through their placing authorities. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 10 The home can clearly demonstrate its ability to care for the service users that are placed there. This was supported through the inspectors contact with three of the service users social workers. One social worker stated to the inspector that ‘all of the assessed needs (of the service user they placed) were fully met at the home’. All of the care files observed by the inspector included evidence that they had been provided with the opportunity to visit the home before they made a decision to live there. In a survey returned to the inspector by a service user they said that before they were admitted to the home ‘I saw pictures, someone talked to me’ and ‘I looked around college’. This was good supporting evidence that the service users are provided with all of the information that they need to make a decision about moving to the home. There are no unplanned or emergency admissions made to the home due to the complexities of the needs of the existing and prospective individuals to be involved in the service. All of the care files that were observed by the inspector included a contract of their placement at the home and this included a breakdown of their fees. Where appropriate the service users files also included their residency contracts with provided though their care management team. Roxby House DS0000066603.V338488.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): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the individual needs of the service users are met at the home. EVIDENCE: The inspector observed all of the care file information in the home for three of the service users. All of their files included clear care plans to show how their needs must be met through the services provided at the home. These had all been evaluated on a regular basis to make sure that they were still relevant to the service users. The home’s care plans also reflected the needs identified in the placing authorities care plans. One of the service users’ social workers stated that ‘all of my care plans are followed by the home, and when we review the service users care the home always provide very good and clear information to the meetings’. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 12 Service users’ care files include risk assessments and associated care plans when there are identified restrictions in their freedom of movement or if there are restrictions in their ability to make decisions for themselves. Different areas of individual service users’ lives are supported with appropriate risk assessments. These minimise any risks and hazards that are identified for the service users. This includes information to be distributed to appropriate agencies if service users go missing from the home. Most of the service users have control over their own personal finances, however they need support to appropriately budget their finances and have care plans to support this part of their lives. The inspector observed the pocket money accounts for three of the service users and the records were up to date and had been accurately recorded. The service users have regular meetings with the care staff and management to make sure that they can participate in the running of the home and the development of the service. This is also supported through the home quality assurance system and the questionnaires that they distribute to the service users. All of the confidential information kept t the home is stored in accordance with the Data Protection act 1998 and other associated legislation and good working practices. Some of the information that was held on individual service users files had not been signed to identify who had gathered the information together. Roxby House DS0000066603.V338488.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): 11,12,13,14,15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the service users are supported and encouraged to develop their personal lifestyles and interests at the home. EVIDENCE: Individual care plans and direct observations support their personal lifestyles and provide opportunities to maintain and develop their social, emotional, communication and independent living skills. One service user had experienced some difficulties living in a flat with another service users. A clear transition was provided for them to move to an alternative flat where they soon settled. The social worker for the service users supported that the service had taken all of the responsible actions to support the individual needs of the service user and promoted their independence. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 14 The complexity of the individual service users needs means that most of them could not sustain routine employment. However service users are encouraged to access the community and to become involved in voluntary work. One service user told the inspector ‘I work at the Red Cross’ and said that they had ‘been left alone to work on the tills’ and they appeared to be very proud of this. The service users’ care files and decisions with service user and staff supported that they are encouraged to access the community for education and activity purposes. Each individual flat receives a weekly activity allowance, which is included in the service users’ fees. The service users then decide between them what activities they would like to take part in either with or without staff support or alone or in a group. This included facilities provided at the home and going to activities in the community including shopping, visits to the pictures, swimming and ten-pin bowling. National Minimum Standards 15 and 16 continue to be exceeded. The service users stated to the inspector that they keep in regular contact with their family and friends. Their individual care files recorded any contact that they had with their family and friends and there was evidence that they are invited to any reviews of the service users care. Staff use different communication techniques to meet the needs of individual service users this includes using graphic symbols, Makaton, and verbal and written communication. The staffing levels at the home are high and this allows the service users to have a great deal of individual time with a member of staff and in particular their key workers. Each flat in the home is provided with a weekly budget for their food. The service users with the support of the staff determine the menu for the week and then go to the local shops to buy the ingredients for their meals and help to prepare their own meals. The inspector joined two of the service user for lunch and the atmosphere was very relaxed. One of the service user decided that they wanted an alternative to the meal provided and his choice was then given to him. Roxby House DS0000066603.V338488.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): 18,19,20 and 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This means that the care staff support the service users with all of their personal and healthcare needs. EVIDENCE: The home does not provide nursing care to the service users, however their care plans identify how their healthcare needs are met through appropriate professionals that are based in the community and more recently through psychology and psychiatry support that is provided through the company itself. A service users social worker spoken to by the inspector stated that ‘I am impressed with the home having its own psychologist…..this helps to identify ways to communicate with…and addresses any behavioural problems above the expectations of the care management care plans’. The inspector case tracked three of the service users living at Roxby House. All of their files included records of any contact that they had with GP’s, district nurses, chiropodists, psychologists and psychiatrist. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 16 More recently the home have arranged a contract with an optician that visits the service users at the home to try and reduce any anxieties of going to an opticians shop for an eye test. The inspector observed the medication records for two of the service users in one of the flats. All of the records were up to date and had been accurately recorded. If any paracetamol or other homely remedies are administered these are included on the service users’ medication record sheets. There was only one service user that had been prescribed a controlled drug. The records for these were also up to date and had been accurately recorded. The controlled drugs were also safely stored. The service users receive a risk assessment that identifies if they have the capacity to self-medicate. All staff that administers medication in the home have received appropriate medication training. The manager of the home has been accredited to deliver the medication training in relation to the LDAF induction standards. All of the care files observed by the inspector included the service user or their representative’s wishes in the event of their deaths. Standards 18 and 19 continue to be exceeded. The inspectors direct observations supported the evidence that the service users’ privacy, dignity and respect is upheld at all times in the home. This included constantly asking them their opinions in relation to what they wanted to do and how to complete the task. Roxby House DS0000066603.V338488.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): 22 ands 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users are protected from possible abuse and that is a complaints procedure that is made available to them. EVIDENCE: The home has a clear complaints policy and procedure. This has also been produced in pictorial form to make it easier for some of the service users to understand. Individual service users’ care files seen by the inspector included an assessment of the service users capacity to understand the homes complaints procedure. The inspector observed the home’s complaints records. There had been several complaints/concerns raised since the last inspection however they had been followed up and were responded to appropriately and in accordance with the home’s complaints policies and procedures. The staff are provided with safeguarding adults training and the staff interviewed by the inspector all had clear ideas of what they would consider to be an allegation or suspicion of abuse and how they would report it. Since the last inspection there were five cases reported to the local protection team. All appropriate actions were taken by the service in reporting the allegations. The cases included service users’ assaults on each other and no further action was taken on any of them due to the complexities of the individual service users needs and in their best interests. Roxby House DS0000066603.V338488.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): 24,25,26,27,28,29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is suitable to the needs of the service users. EVIDENCE: The inspector’s tour of the premises identified that National Minimum Standards 24,25 and 28 continued to be exceeded. The home is accessible but it also provides a very safe environment for the service users. There are plans to change the entrance to the home, which is currently through a locked gate that leads on to a courtyard. It is intended to utilise a door that is at the front of the home for service user and visitors to access the service. The home has a clear risk assessment for all of the areas, and individual care plans identify if any risks are posed to service users throughout the environment. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 19 The home provides a range of activities in a safe environment to stimulate and relax the service users. This includes a stable block where there is a range of small animals, an aviary, a craft room, a gym, an outside trampoline (that is buried at floor level) an adventure playground and extensive gardens. Some of the service users work with the animals as part of their independence and social skills development The service users spoken to by the inspector stated that they enjoyed being with the animals and caring for them. The manager stated that the animals are being moved to a different part of the grounds and where they are currently placed around the courtyard is going to be developed in to small shops for the service users to use as part of their independence and budgeting training. This may include a newsagents, a beauty treatment area, a general store and possibly a bank. The home has appropriate toilets and bathrooms available and they are all close to the communal areas. The service users bathrooms are provided either en-suite, or as a shared facility dependent on the individual’s service users independence training plans. This is as part of service users preparation for more independent living where they will probably have to share facilities with other people. There is a range of communal areas that the service users can choose from to either be on their own, or to mix with their family and friends. The inspectors tour of the premises identified that the service users had been encouraged to personalise their own rooms and that the home was clean, hygienic and was free of any offensive smells. One of the service user bedrooms following a clear risk assessment has had all of the electrical sockets removed to ensure their personal safety and health. The home does not have a separate laundry. All of the different flats have a domestic washing machine in their kitchen area. The washing machines were all programmable to disinfection and sluicing standards. The manager stated to the inspector that the service hopes to develop a laundry area where soiled or larger items of bedding etc can be more appropriately washed. Some of the communal and corridor areas of the home are in need of redecorating, as they do not meet the same standards of the service users individual rooms. It is difficult to maintain the decoration due to the damage caused by some of the service users. One service user had begun to rip up the wooden flooring in side and just outside of his room. Several holes had been kicked in to corridor walls and had wood placed over the tops on the holes. The service has recently employed a new project manager who is responsible for the day-to-day maintenance of the home. He stated that the home was due to be repainted internally along with some other modifications to the home. He stated to the inspector that the holes that were covered were only a temporary measure. The walls fire retention abilities had been compromised and sections of the wall cannot be replaced without taking out full sections. This is going to be undertaken soon and backboards will be placed behind the plasterboard to Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 20 minimise this risk in the future. He also stated that new windows have been ordered for all of the service users bedrooms and several of the communal areas. This will include internal blinds as many of the service user tear down curtains and blinds if they have access to them. The fences around the home are also going to be upgraded. The home does not employ any domestic staff. The service users look after their own areas with the support of the staff and in this was included in their care plans as part of their independence skills training. Roxby House DS0000066603.V338488.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): 31,32,33,34,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the care staff have the knowledge and skills to care for the service users. EVIDENCE: The inspector observed the staff training and personnel files for three of the care staff employed at the home. These all included clearly defined job descriptions that included the specifications of their roles. Interviews with care staff showed that they had a clear understanding of their own roles and those of their colleagues. All new staff to the service undertake LDAF training that also meets the common induction standards. The staff are not yet taking the final exams but these will follow when they are available. The homes induction training is over four weeks and underpins the knowledge for the autism unit of the LDAF requirements. The service have also developed a refresher training course in Autism and all staff at some time after their original induction to autism services will receive this. Two staff spoken to by the inspector stated that this would be of benefit to them as it would give them greater opportunity to put theory in to practice. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 22 The home and the staff are very positive towards NVQ training and approximately forty eight percent of the staff have so far completed the award and the majority of the remaining staff have been enrolled for the award and are working towards the certificate. There were no staff in the home that were under eighteen and no staff under twenty one are ever left responsible for any of the units. The service has a dedicated training team and they have produced a training matrix that identifies when individual staff require training or refresher training for all mandatory elements of training and also for specialist training in relation to the needs of the service users. The homes training department have recently been accredited to provide the following training to their staff: Health and Social Care Awards (City and Guilds): NVQ 2 Health and Social Care NVQ 3 Health and Social Care (Adults and Children) NVQ 4 Health and Social Care (Adults and Children) Learning Disability Award framework Level 2 and Level 3 Management Awards: NVQ 2,3,4 and 5 in management The training department is also accredited to provided several City and Guilds mini awards including risk assessment, manual handling and health and safety. Since the home has been accredited to deliver this training has increased the availability for training needs to be met soon after they have been identified. Four surveys were returned to the inspector by care staff and three staff were interviewed. They all supported that they received all of the training that they required to meet the needs of the service users. The recruitment procedures for staff at the home were very good and followed all of the home’s employment policies and procedures. There was evidence that prospective new workers are not employed to work at the home until after they have received an advanced Criminal Records Bureau clearance. The staff personnel files supported that new staff are provide with formal recorded supervision on a monthly basis. Once they are confident in their roles the supervision meets the recommendation of six formal supervision periods per year (pro-rata). The supervision records included looking at the care that they provide to individual service users, the philosophy of care provided in the home and any development and training needs that they may have. Roxby House DS0000066603.V338488.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): 37,38,39,41,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home can support the needs of the service user and staff groups. EVIDENCE: The manager of the home is a registered nurse (SEN) and has many years of experience of working and managing in care homes. She has also completed the Registered Managers Award. She is a qualified NVQ assessor and NVQ internal verifier. This helps to support the staff group in their training. The manager has also recently been accredited to deliver the competency medication training for the staff group. Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 24 Roxby House also has two deputy managers. Both of these have completed NVQ 4 in care. One of them had also completed a certificate in Autism. This had been completed as a distance learning course provided through a central university. The management of the home provides an open, positive and inclusive atmosphere. The service users are included in any development of the services provided to them. This was supported through the records of the service user meetings and the homes quality assurance and monitoring systems. These systems have improved and all of the returned surveys are now evaluated and an action plan is developed and the results are published. The home has a plan for when new surveys will be distributed to service users, their families and outside professionals. The record keeping in the home was all found to be up to date, was accurately recorded and was stored appropriately. The person responsible for creating them had not signed some of the documents and this can make it difficult to identify the authenticity of the work. All of the records are stored in accordance with the data protection act 1998. All of the appropriate health and safety requirements of the home were met. This included making sure that all of the gas and electrical systems were well maintained and serviced and were supported with safety certificates. The management of the home clearly ensures the financial viability and accountability of the home. Appropriate business insurance was in position for the service. There are clear lines of accountability in the home and this includes the accountability of the services external management systems. Roxby House DS0000066603.V338488.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 3 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 2 25 4 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 4 4 3 X 3 3 3 Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 26 No 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. 2. Refer to Standard YA2 YA6 Good Practice Recommendations The registered manager should develop the service users brief history section of the individual assessments to show how the service user has developed over the years. The registered manager should make sure that the monthly evaluations of the service users care include greater detail to identify if any changes are required or if their care needs remain the same The registered manager must make sure that the general environment of the home is returned to its usual standard. The registered person should make the floor safe as identified in the inspection report. The registered manager should make sure that all documentation involving the service users care is signed by the person responsible for creating the document. 3. 4. 5. YA24 YA24 YA41 Roxby House DS0000066603.V338488.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Roxby House DS0000066603.V338488.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. 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