Inspection on 01/10/08 for Sanderling House

This inspection was carried out on 1st October 2008.

CSCI found this care home to be providing an Good 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

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Dystlegh Grange

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sanderling House 3 Liverpool Road Formby Liverpool L37 4BN     The quality rating for this care home is:   two star good 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: Margaret VanSchaick     Date: 0 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Sanderling House 3 Liverpool Road Formby Liverpool L37 4BN 01142429797 Telephone number: Fax number: Email address: Provider web address: 168manager@voyagecare.com Name of registered provider(s): Name of registered manager (if applicable) Voyage Ltd Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia physical disability sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 7 The registered provider may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder excluding learning disability or dementia - Code MD Physical Disability - Code PD Sensory Impairment - Code SI Date of last inspection Brief description of the care home Sanderling House is a large detached residential house, which has been converted to a care home. The service is situated in the centre of Formby village amongst residential dwellings of the same style. The service is within easy access to local amenities including transport links to the town of Southport. The service users are Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 0 7 7 7 Brief description of the care home accommodated on the ground and first floor. The service is registered to accommodate 7 people within the categories of physical disability, mental disorder (as a result of acquired brain injury) and sensory impairment. The care home provides personal care and support for 7 service users. The accommodation offers 7 bedrooms with large ensuite facilitites. Two of the bedrooms on the ground floor are suitable for wheelchair users. A sitting room, activities room, dining room and kitchen facility is on the ground floor and service users have access to all of the public areas. The rear garden is accessed by wheelchair users. A nurse call system is in place and suitable adaptations are fitted to shower rooms. Voyage is a part of the Paragon Health Care Group and this owns Sanderling House. Weekly fees range from 1886 pounds to 1998 pounds. Care Homes for Adults (18-65 years) Page 5 of 30 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that people who use this service experience good outcomes. This is a new service. A site visit took place as part of the unannounced key inspection. It was conducted over two days for the duration of approximately 7 hours. 2 service users were accommodated at this time. As part of the inspection process all areas of the service were viewed including all of the service users bedrooms. Care records and other service records were viewed. Discussion took place with the service users, staff and one relative. The inspection was conducted with Simon Evans (deputy manager) and Sue Kempson (registered manager Care Homes for Adults (18-65 years) Page 6 of 30 overseeing service). During the inspection one service user was case tracked (their files were examined and their views of the service were obtained). All of the key standards were inspected. Satisfaction forms Have your say about.... were distributed to residents, relatives and staff prior to the visit. A number of comments included in this report are taken from the surveys and interviews. An AQAA (annual quality assurance assessment) was completed by the manager prior to the site visit. The AQAA comprises of two self assessment questionnaires that focus on the outcomes for people. The self assessment provides information as to how the manager and staff are meeting the needs of the current service users and a data set that gives basic facts and figures about the service including staff numbers and training. What the care home does well: Prospective service users and their advocates are provided with time and good information to enable them to make choices about the service without any pressure. The full assessment of prospective service users needs ensures all aspects of their individual care have been identified prior to admission. A service user interviewed confirmed that they had visited the service on more than one occasion prior to admission. They communicated, I have been for my dinner and again to meet with the staff and ..... A relative visiting the service on the day of inspection confirmed this. Service user plans reflect the individual needs and personal goals of the people who use the service. Service users are also able to participate in setting up the plan with assistance from their family, advocate and support staff. Planned interventions where advice is sought from health care professionals is in place. A visitor was very impressed with how their relative had progressed since their admission to Sanderling and stated, Since .... has been here ...is much improved. The lifestyle experienced by the people who use the service promotes their individual preferences and includes opportunities for them to participate in leisure and community based activities. One service user has been able to take up voluntary work following full consultation with the service user, voluntary placement and support staff. One relative interviewed stated, The change in ...is unbelievable, in the week .. has been here ... gets up every day...likes it, likes the staff and is going to watch the football. Service users are happy with how they are supported in the service. One service user communicated a thumbs up sign and also communicated, I get up everyday, I go to watch football sometimes with my friend. Documentation evidences that service users have been consulted throughout the assessment process and the setting up of service user plans with nursing input recorded. One service user interviewed communicated, I discussed my care plan. The people who live at Sanderling are listened to and protected by the service procedures. A clear and easy to follow complaints procedure is in place for service users and their families. It is available in large print and several languages and the service are to introduce an audio tape for service users and families who may need it. A family member confirmed that service users were consulted regularly. A relative interviewed stated, There have been no problems. Sanderling is a safe, well maintained service for the people who live there. A relative who was visiting the service during the inspection was very complimentary about the environment and stated, I think its fantastic. One of the service users was asked if they liked their bedroom and they replied, Its beautiful. The service is well managed and training and pre employment procedures ensure the service is run to promote the health and well being of the people who live there. A relative interviewed was complimentary about the staff and stated, There are no problems with the staff, as long as ....is happy I am. One of the service users was Care Homes for Adults (18-65 years) Page 8 of 30 asked about the staff and they replied, The staff are nice. Staff employed in the service were very positive about the service and satisfied with the level of support from management. Staff interviewed stated, The training is outstanding, a good induction, the care is brilliant, this is one of the best services Ive ever been in, we promote activities, are good at meeting service users needs, service users plan activities, we help to empower the service users The health and safety of the service users and staff are promoted and protected. At present the service do not have a registered manager but the deputy manager has taken on this role temporarily with management support from another service manager two days a week and on call management support also. Service user meetings have been held as evidenced on minutes viewed from the previous meetings. The service also try to gain the service users views through the Letting us know what you think procedures. Staff were also observed to be encouraging with service users when they wished to express their views. Health and safety records are in place and some were viewed during the visit including fire records and equipment safety records and emergency lighting. A selection of certificates were viewed with regard to gas appliances, electric appliances, legionella and hoists. All were in date this year. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 Care Homes for Adults (18-65 years) Page 9 of 30 240 7535. Care Homes for Adults (18-65 years) Page 10 of 30 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 11 of 30 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. Prospective service users and their advocates are provided with time and good information to enable them to make choices about the service without any pressure. The full assessment of prospective service users needs ensures all aspects of their individual care have been identified prior to admission. Evidence: A statement of purpose has been produced that is clear and provides prospective residents with full and detailed information so that informed choices can be made. This is available in large print and being put on audio tape. As the service is new there is no previous inspection report included. The registered provider (Voyager) has developed policies and procedures with regard to the admission and assessment process. The complaints procedure is clear and included in the statement of purpose. The two people who are living here have both had full and detailed assessments prior Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: to being admitted to the service. Documentation relating to these assessments is in place and was viewed for both. Both service user assessments have enough information to put together their individual service user plans. Restrictions on choice/freedom are discussed at the assessment process as evidenced on documentation. Rehabilitation is also discussed and planned into the service user plan as viewed on assessment documentation. Staff employed have the skills and experience to care for service user needs. One of the service users was able to visit the service prior to admission. A service user interviewed confirmed that they had visited the service on more than one occasion prior to admission. They communicated, I have been for my dinner and again to meet with the staff and ..... A relative visiting the service on the day of inspection confirmed this. Care Homes for Adults (18-65 years) Page 13 of 30 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. That service user plans reflect the individual needs and personal goals of the people who use the service. Evidence: The deputy manager has ensure that the service users have a full and detailed service user plan in place. There is documented evidence of the service users signature to agree their plan. Service users have been fully assessed prior to admission. Staff visits to the prospective service users prior to admission ensures that their plan has been set up individual to them. This ensures that all of their needs have been identified prior to their individual service user plan being put in place. Service users are also able to participate in setting up the plan with assistance from their family, advocate and support staff. Planned interventions where advice is sought from health care professionals is in place. A visitor was very impressed with how their relative had progressed since their Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: admission to Sanderling and stated, Since .... has been here ...is much improved ...is now using their right hand. The development of a new way of communication for one of the service users has ensured they will be able to convey their views. One of the service users has had printed cards put in place around the service assisting them to mobilise independently and find their bedroom and public areas in the service. Individual procedures are in place for service users who may be aggressive and focus on positive behaviour. Service users have a key worker and where the service user has the ability to choose they have elected their own key worker. This was confirmed during a discussion with one of the service users. There is information for the families and advocates of the service users to know the responsibilities of staff and how to contact them. One of the service users who was interviewed was aware of the roles of some of the staff. Service user plans have not yet been updated as they have only been resident a few weeks although further intervention and advice is being sought for the service users. Where the service user have been unable to make decisions over particular areas through their unrealistic expectations, this has been recorded in the plans. Staff assist service users in making decisions and plans by providing them with clear information and enabling them to communicate their views. Documented evidence shows how staff have enabled the service users to make individual choices and why the choice has been by others. At present service users are unable to manage their own finances but are supported by family/advocate as documented. One of the service users is physically limited to undertake risky behaviour. There is documented evidence that risk has been assessed in many areas following assessment of needs and wishes. Risk assessments and risk management is evidence in care documentation. The service users that were interviewed confirmed they were happy living at Sanderling and one communicated, I spend very little time in my bedroom now. Both service users confirmed they were happy with the support provided by the staff. Care Homes for Adults (18-65 years) Page 15 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lifestyle experienced by the people who use the service promotes their individual preferences and includes opportunities for them to participate in leisure and community based activities. Evidence: Service users are able to with support and assistance from staff and family/friends able to live fulfilling lives in Sanderling. Service user plans evidence how they would like to spend their time and what preferences they have about their daily life. One service user has been able to take up voluntary work following full consultation with the service user, voluntary placement and support staff. Leisure activities are encouraged for both service users. Care documentation evidences consultation has taken place with the service users and their families/friends with Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: regard to activities they wish to take up or continue with whilst living at Sanderling. Service users have the use of an activities room for hobbies. One service user is very interested in photographs and is able to take up photography with assistance from staff. Service users are supported in maintaining their family/friends relationships. Families and friends are encouraged to visit the service with the agreement of the service user. One relative interviewed stated, Its open visiting, the change in ...is unbelievable, in the week .. has been here ... gets up every day...likes it, likes the staff and is going to watch the football. There is a warm, friendly atmosphere in the service and service users and staff were observed to chat to each other freely. Visitors were noted to be made welcome during the visit. Both service users went out shopping during the visit and when they returned one service user decided to return to their room for some rest and privacy. This was accommodated. Service users have access to all parts of the service within their individual mobility. Service users bedrooms remain private to the individual person. Both service users are very involved in the planning of the weekly menu. Service users are consulted on their individual choices and with the assistance of staff a weekly menu is planned. Both service users are encouraged to make choices and are included where possible in the shopping trips. Both service users were observed eating their meals in a relaxed manner with staff assisting patiently and discreetly where needed. Meals are taken in the kitchen dinning room which is bright and spacious. Snacks and drinks are made available for residents when they wish. Food supplies are plentiful and both residents confirmed with the inspector that they enjoyed their meals. One resident interviewed communicated, the food is great, I pick what I want. Care Homes for Adults (18-65 years) Page 17 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are happy with how they are supported in the service. Evidence: The people living at Sanderling require assistance with all aspects of care. Service users who live in the service are happy with the care and support that they receive. One service user communicated a thumbs up sign and also communicated, I get up everyday, I go to watch football sometimes with my friend. This service user also communicated that Yes, I have choices all the time. Documentation evidences that service users have been consulted throughout the assessment process and the setting up of service user plans with nursing input recorded. One service user interviewed communicated, I discussed my care plan. Physical and emotional health care needs have been addressed and are ongoing. A range of care plan documentation evidences the health care and personal care support that the people using the service receive. Staff spoken with were able to demonstrate an awareness of the needs, preferences and preferred routines of the people using the service. Staff were also observed to offer support to the service users in a person centered and dignified manner. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The Annual Quality Assurance (AQAA) for the service detailed staff have access to policies and procedures with regard to the management of medication. An up to date British National Formula (BNF) including internet access regarding medication is available for all staff use. Staff files evidenced that staff have received training this year with regard to medication management and administration. The records with regard to medication were viewed and evidenced clear instructions and record keeping. One of the residents blister packs of medication was administered out of order. That is, it appeared that on two occasions the medication given was not in date order therefore causing confusion. Further investigation clarified that the residents indeed did have their prescribed medication at the correct time but the order on which it had been removed from the blister pack was not correct. Therefore the service need to audit the medication on a regular basis to ensure correct procedure and staff need to have competency tests to ensure they can administer medication correctly. Medication was observed to be stored safely in a locked cabinet in a locked medication store room. Care Homes for Adults (18-65 years) Page 19 of 30 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 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 at Sanderling are listened to and protected by the service procedures. Evidence: A clear and easy to follow complaints procedure is in place for service users and their families. It is available in large print and several languages. The service are to introduce an audio tape for service users and families who may need it. The service also provide families of service users with a letting us know what you think document which gives families a way of communicating their views. The service has only been open for a few months and the complaints log is empty. The deputy manager reported that there have been no complaints since opening and the Commission have received none either. The deputy manager advised that staff and service users have regular discussions so that any issues that may come up can be resolved before they become a problem. A family member confirmed that service users were consulted regularly. A relative interviewed stated, There have been no problems. All of the staff employed in the service have attended adult protecting training as evidenced in staff files. Polices and procedures are in place for whistle blowing, physical and verbal aggression and staff have access to them. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: The people living in Sanderling were observed to be relaxed and comfortable in their home environment. Staff spoken with demonstrated that they were knowledgeable about the complex communication needs of the people they cared for and information on how to communicate with the people using this service was recorded in care documentation. Examination of the two service users financial records evidences good records are kept. Staff audit the monies at each shift changeover with records kept. Receipts are in place to evidence purchases that service users have bought. Care Homes for Adults (18-65 years) Page 21 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sanderling is a safe, well maintained service for the people who live there. Evidence: Sanderling is a pleasant, friendly and homely environment for the people who live there. The service is well placed for access to all of the local amenities and fits in well with other houses in the area. Service users are encouraged to treat the service as their home and are able to access all areas except for other service users private bedrooms and en suite facilities. The shared space within the service consists of a sitting room, activities room, kitchen and dining room. A relative who was visiting the service during the inspection was very complimentary about the environment and stated, I think its fantastic. One of the service users was asked if they liked their bedroom and they replied, Its beautiful. All of the rooms are well designed with beautiful soft furnishings and comfortable furniture. As the service has just recently been set up everything is new and well maintained. The house was nicely decorated with coordinating colours and clean throughout. The rear garden can be easily accessed by the people who live here. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: The service has policies and procedures in place that promote infection control and health and safety. A separate laundry facility is in place.The washing machine has a foul laundry capacity. The floor is impermeable and easy to keep clean and walls are painted and partly tiled. The service needs to ensure the hand towel and soap facility for staff is provided in the laundry room. Red plastic foul laundry bags are also needed to prevent cross infection. Care Homes for Adults (18-65 years) Page 23 of 30 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 service is well managed and training and pre employment procedures ensure the service is run to promote the health and well being of the people who live there. Evidence: A relative interviewed was complimentary about the staff and stated, There are no problems with the staff, as long as ....is happy I am. One of the service users was asked about the staff and they replied, The staff are nice. Staff employed in the service were very positive about the service and satisfied with the level of support from management. Staff interviewed stated, We have had lots of training, the training is outstanding, a good induction, the care is brilliant, very good, this is one of the best services Ive ever been in, we promote activities, good at meeting service users needs, service users plan activities, we help to empower the service users Sanderling have a team of nine people, which includes a deputy manager and eight support workers. Discussion with staff and examination of the staff rota confirmed that sufficient staff are on duty throughout the twenty four hour period, seven days a week. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Staff recruitment and selection practices were looked at through the examination of two staff files, interviewing of two staff and discussion with the deputy manager. Following discussion with support staff and examination of staff files it has been confirmed that full pre employment checks have been carried out prior to staff being appointed including, two written references and Criminal Record Bureau (CRB) enhanced disclosures. Staff are given a full induction when they commence work and are given a contract detailing terms and conditions. Further training is also provided that qualifies them to care for the people who live in the service. This is evidenced through examination of staff files and following discussion with service users, family and staff. The training includes a structured induction, health and safety, fire, infection control, basic food hygiene, protection of vulnerable adults (POVA), first aid, manual handling, NVQ and equality and diversity. Care Homes for Adults (18-65 years) Page 25 of 30 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 health and safety of the service users and staff are promoted and protected. Evidence: At present the service do not have a registered manager but the deputy manager has taken on this role temporarily with management support from another service manager two days a week and on call management support also. The company are in the process of arranging interviews for the position of registered manager. The supporting registered manager was present during the inspection. The feedback from the staff via discussion and surveys confirmed that the deputy manager and senior management were supportive and approachable. Staff interviewed stated, I can talk to the deputy manager if Im worried and I have confidence in the management. Minutes of staff meetings also evidence staff are listened to and discussion takes place. Regular visits are carried out to Sanderling on behalf of the registered provider as Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: evidenced in Regulation 26 reports kept by the service. Service user meetings have been held as evidenced on minutes viewed from the previous meetings. One of the service users requested to speak with the visiting manager and this was accommodated as evidenced on documentation. The service also try to gain the service users views through the Letting us know what you think procedures. Staff were also observed to be encouraging with service users when they wished to express their views. Management reported that an annual service review is being planned to gain the views of the service users, staff, families, health professionals, social workers and key workers. An internal audit is also planned for later this year when the proposed manager is in place. Daily and weekly audits are in place and were viewed during the visit. The service have policies and procedures in place, which were set up in June this year. Some were viewed. Health and safety records are in place and some were viewed during the visit including fire records and equipment safety records and emergency lighting. A selection of certificates were viewed with regard to gas appliances, electric appliances, legionella and hoists. All were in date this year. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 is recommended that the Statement of purpose should be updated with regard to the new managers name, qualifications and experience when appointed. It is recommended that all staff administer medication from the blister pack in the correct order. It is recommended that the service audit all staff trained to administer medication to ensure safe practice with records held. It is recommended that the service is provided with a copy of the Sefton Adult protection Procedure so that staff are aware of local procedures. It is recommended that red plastic bags should be provided for foul laundry. It is recommended that a handtowel and soap facility should be provided for staff to prevent cross infection. 2 3 20 20 4 23 5 6 30 30 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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. 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