Inspection on 25/11/08 for Seagull

This inspection was carried out on 25th November 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

Seagull 30/11/06

Seagull 29/09/05

Seagull 30/06/05

Seagull 14/10/04

Seagull 06/05/04

Similar services:

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Dalewood Respite Care

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Treloar College

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Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Seagull 2 Witbank Gardens Shanklin Isle Of Wight PO37 7JE     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: Janet Ktomi     Date: 2 5 1 1 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 28 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Seagull 2 Witbank Gardens Shanklin Isle Of Wight PO37 7JE 01983864850 01983864850 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Christopher Geoffrey Stewart Hyland Type of registration: Number of places registered: Islecare Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Seagull is a home providing care and accommodation for up to six people with a learning disability. It is managed by Mr Christopher Hyland on behalf of Islecare Ltd. The home is a detached two-storey property set in its own reasonable sized grounds and situated in a quiet residential area of Shanklin. A convenience store is within walking distance from the home and the town of Shanklin with its shops, amenities and leisure facilities is approximately half a mile from the home. There is a large garden to the rear, which is available for people to use. Off-road parking is to the front of the 6 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home building. There is no lift to the first floor and residents on that level are fully ambulant. Information about fees is available from the manager. Care Homes for Adults (18-65 years) Page 5 of 28 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 last key inspection on this service was completed on 30th November 2006 and an Annual Service review was undertaken on 13th February 2008. The Quality rating for this service is 2 Star. This means the people who use the service experience good quality outcomes. This report contains information gained prior to and during a visit to the home undertaken on the 25th November 2008. All core standards and some additional standards were assessed. The visit to the home was undertaken by one inspector and lasted approximately five Care Homes for Adults (18-65 years) Page 6 of 28 hours commencing at 1pm and being completed at 6pm. The inspector was able to spend time with the registered manager and staff on duty and was provided with free access to all communal areas of the home, documentation requested and people who live at the home. Information from the Annual Quality Assurance Assessment (AQAA) completed by the registered manager and surveys received from staff and external professionals is also considered. During the visit to the home the inspector was able to meet with and talk to people who live at the home. What the care home does well: 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 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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. The home would only admit new people whose needs could be met at the home and who are compatible with people already living there. Evidence: The home has not admitted any new people for over six years, with one person having lived in the home since 1985. Although the home currently has one vacancy the bedroom has been converted to a sleep-in room and the previous sleep-in room to an office. The manager stated that this could revert back to a bedroom if required however as no referrals had been received for a number of years he was not anticipating the need for a sixth bedroom. The manager identified the procedure that he would undertake should he be in the position of admitting a new person. This would include a thorough assessment, information from professionals involved with the person and family members, meeting the person and if the manager felt the home could meet the persons needs he would invite them to visit the home on a number of occasions. The opinions of the people Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: already living at the home would be sought following the visits and a final decision would be based on their views and interactions with the potential new person. The manager was aware of the homes registration categories and the level of needs the home can meet. The manager was also aware of the need to ensure peoples needs can continue to be met as their needs change due to increasing age. With no new people admitted to the home recently or by the current manager it is difficult to ascertain how effectively the home would manage an admission and meet the needs of a new person. However, based on the records available and observations of the current people who live at the home it is possible to say that people appear happy living at Seagull and that their lives seem full and their needs are met. There have been no previous concerns about the statement of purpose, service users guide or contracts. Therefore these documents were not viewed and the relevant noncore standards not assessed. Care Homes for Adults (18-65 years) Page 11 of 28 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. People living at the home are at the centre of the homes care planning system and actively involved in their development. Staff are committed to supporting people to lead purposeful and fulfilling lives as independently as possible. People who live at the home make their own informed decisions and have the right to take risks in their daily lives. Evidence: Two care plans were viewed. Risk assessments and the ways in which risks should be managed were seen in care plans. The inspector spoke with staff and the people who live at the home about care plans and the person centred training they have undertaken since the previous inspection. The inspector also discussed how decisions are made and observed how people who live at the home are encouraged and supported to be active and independent. The manager stated in the homes AQAA that all staff have undertaken person centred Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: care training and that the home has reformatted all care plans in a person centred format. Care staff on duty at the time of the inspection visit confirmed that they had attended person centred care training and that the training had been good and they had found it interesting. The two care plans viewed were person centred and followed a person centred format. Care plans had been reviewed every month. Care plans contained information about, and risk/management plans in respect of, health needs as well as personal care, social and independence skills training. The home uses a key worker system. Each care plan contained risk assessments relevant to the needs identified and incorporated into the persons care plan. Management of risk positively addresses safety issues whilst aiming for improved outcomes for people using the service in terms of skills development and independence. Observations during the inspection visit and discussions with people living at the home confirmed that they are able to make decisions and that these are respected and acted upon by the home. Throughout the inspection visit people were observed making suggestions and their views being sought by the manager and staff. People confirmed they are involved in shopping and decisions about menus. The inspector was shown picture menu cards used to help people choose lunchtime meals on the days they are at home. Residents meetings are not held due to individual needs of the people who live at the home. The manager stated that when information needs to be shared or views sought this is done on an individual basis and would be recorded in the persons care plan. People are able to choose what they spend their personal money on and bedrooms were highly personalised reflecting their occupants interests. Records of what people had spent their money on confirmed that people are supported to make choices about their lives and what they do. The support people receive in relation to their personal finances is recorded in care plans and varies between the people living at the home depending on the level of support they require. The inspector viewed the arrangements in respect of personal finances and the procedures and records are appropriate and well maintained. Care Homes for Adults (18-65 years) Page 13 of 28 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. People are supported to live the lifestyle they choose. Evidence: Everybody has an individual weekly programme of activities that includes a range of day services and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list of weekly planned activities was seen in the care plans viewed. Discussions with care staff and people who live at the home confirmed that they enjoyed these activities and had been involved in the development of their individual activity plans. During the unannounced visit by the inspector to their home two people were at home with others arriving home later in the afternoon having been out at various day services. One person was visiting family and another was collected by their relative for an outing during the inspectors visit. Within their bedrooms people have a variety of home entertainment Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: equipment such as TVs, music systems and relaxation equipment. During the inspection visit people were noted to be able to spend their time as they wished, moving about the home independently. The home is close to the town center of Shanklin with easy access to local services. There are always two, and often three staff on duty therefore support to attend community events is available. People have different home days each week also enabling 1-1 time for individual activities. Whilst viewing financial records the inspector saw evidence of money spent on outings and personal items. People are involved in assisting care staff with food shopping in the local shops and use local health facilities. Staff rotas confirmed staffing numbers. Care plans contained records of activities both in the home and local community that people have undertaken. One comment card was received from a person who lives at the home who stated that they could do what they wanted at all times and that activities were provided. The inspector was shown a cupboard containing a range of craft and other activities equipment. The home has a house car. The arrangements for the funding of the house car were discussed with the manager and people pay for fuel depending on the amount they have used the car. People living at the home all went on holiday this year. The inspector discussed holidays with the care staff and saw photographs of the holiday on the dining room wall. The homes routines tend to be organised around the people who live there with meal times flexible to meet peoples individual preferences and routines. Discussions with the people who live at the home confirmed that all had done different activities on the day of the inspection visit. As well as external activities people are encouraged to undertake domestic tasks and have been involved in making Christmas cards and a Christmas collage. The home does not employ separate catering staff so care staff take turns to cook each day. Information in care plans stated what support people require in respect of meals and food preparation. People take packed lunches to day time activities and have a main cooked meal in the evenings. Records showed that meals are varied and nutritious. The home has been awarded five stars (maximum) for food hygiene by the local environmental health department. Care Homes for Adults (18-65 years) Page 15 of 28 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. People receive personal care and support in the way they prefer and their health needs are met. Medication is appropriately managed in the home. Evidence: Information about personal and health care needs and that provided was viewed in care plans. Surveys from and discussions held with the people who live at the home and staff is also considered. The arrangements for the storage and administration of medication were viewed with any related records. A comment card was received from an external health professional which was generally positive about the service confirming that advice is sought when necessary and advice is well received by staff. The external health professional felt that more communication training such as Makaton would be beneficial to care staff and this has already been requested by the manager. The home operates a key worker system. Male and female staff are employed so choice would be available when support is required with personal care. The home has a Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: generally consistent staff team who have got to know the people who live at the home and stated they would recognise if someone was not their usual self and may be unwell. Evidence of personal care is recorded on a monthly tick chart that is quick and easy for staff to complete. People living at the home are registered with local GPs and support is provided from care staff to make and attend appointments. Care plans contained records that indicated that people are able to see Chiropodists, Dentist, Opticians and Doctors when required. Information about health needs is recorded in care plans. At the time of this unannounced inspection all medication was found to be stored correctly. The Medication Administration Records were viewed and had been fully completed. Medication coming into the home is recorded on the Medication Administration Records. The home uses a pre-dispensed system for tablets with liquid medication dispensed at the time of administration. None of the people living at the home self medicates, therefore all medication is administered by care staff who have received training and been deemed competent. The manager informed the inspector that he intends to complete guidelines in respect of as required medication and for when medication needs to be provided to family members to give to people who are spending time with their families. A requirement is therefore not made in respect of this and these will be viewed at the next inspection. The manager identified on the homes AQAA that he is aware that people living at the home are getting older and that for some their needs are therefore changing. Care Homes for Adults (18-65 years) Page 17 of 28 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. People at the home are able to complain and should be protected from abuse. Evidence: The provider has a complaints policy which is made available to people or their representatives. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book and has received no complaints in the past twelve months. No complaints have been received at the Commission in respect of Seagulls. Throughout the inspectors visit people who live at the home were seen responding verbally and non-verbally to staff, making requests and appeared comfortable around staff. Staff have a good understanding of the individual communication methods of the people who live at the home and should be in a position to realise if people are unhappy. Staff spoken with were aware of the procedure they should follow should a person or their representative make a complaint. The home has a copy of the Isle of Wight Adult Protection Policy together with the provider adult protection and whistle blowing policy and procedures and were clear about their responsibilities to report issues of concern without delay. The manager and staff confirmed that they have received safeguarding training. A representative of the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: provider visits the home every month and people would also be able to report concerns at this time. The personal finances and employment procedures followed should ensure that people are protected from abuse. Care Homes for Adults (18-65 years) Page 19 of 28 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. People live in a comfortable homely house suitable for their individual and collective needs. Evidence: The home is located in a pleasant residential area of Shanklin within walking distance of local shops and the town centre. The home is an extended older property owned by a housing association. The manager showed the inspector the report following the recent inspection of the homes gas and heating systems. These confirmed the systems are safe. The inspector viewed the homes communal rooms and the manager showed the inspector the bathrooms and bedrooms including the vacant room currently used as staff sleepin. The home is safe, well maintained and at the time of the unannounced inspection clean and free from any unpleasant odours. The home meets peoples needs in a homely and domestic way. Bedrooms are all single with communal areas, lounge and kitchen/dining room appropriate for the people who live at the home. The home has a large rear garden, which is mainly laid to lawn with seating and a covered area for staff who wish to smoke. There are two steps to the front door and level access from the back door to the garden. The manager stated that the large tree in the front Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: garden has been assessed by tree surgeons and is to have some work carried out on it to ensure the safety of the people in the home. The housing association has also agreed to replace the boundary hedge to the left of the garden. Care staff stated that they have redecorated some of the communal areas of the home. Everybody has their own single bedroom, none of which is en-suite, however bathrooms and WCs are located close by bedrooms and bedrooms do have washbasins. Bedrooms seen were pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions and music centers were seen in bedrooms. The homes laundry is situated in a small room located off the kitchen. The equipment is domestic and appropriate for the number and needs of the people who live at the home. Care staff confirmed that they have adequate supplies of disposable gloves, aprons and other infection control equipment required. Substances hazardous to health were stored securely. Care Homes for Adults (18-65 years) Page 21 of 28 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. People are supported by a staff team who are provided in sufficient numbers and with the necessary skills to meet their individual and collective needs. Evidence: Interactions observed during the visit indicated that people and staff have a warm friendly relationship with people feeling able to express themselves in all respects. Surveys received from a person who lives at the home stated that staff treat them well and act on what they say. Seven surveys were completed by care staff, all were positive confirming that training is provided, that there are generally enough staff to meet peoples needs and that communication between staff is good. The manager stated on the homes AQAA that there are eight permanent care staff and the manager employed at the home. Staff rotas and discussions with staff confirmed there are always at least two and often three staff on duty. Some evenings four staff are provided to maximise opportunities for activities and outside events. One staff member sleeps in during the night with the manager available on call. People have different home days and therefore are able to have 1-1 support on their home day. Staff spoken with felt the staffing levels and arrangements were appropriate to meet the peoples needs and that activities relating to social and leisure are possible during Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: the evenings and weekends. People who live at the home also confirmed to the inspector and on comment cards that they are able to do what they want at evenings and weekends. Staff accompanied people on holiday this year. Both male and female staff are employed. The home has not needed to use agency staff as staff cover each others annual leave and occasional sickness. The manager stated that the home has recruited four new staff in the past year and is now fully staffed. The manager described the homes recruitment procedures and records for three new staff were viewed. The procedures in place and records seen would indicated that a thorough recruitment and checking process is in place that should ensure that unsuitable people are not employed at the home. The manager stated that potential applicants are invited to visit the home prior to interview to meet the people who live at the home. Interactions are observed and that people who live at the home are asked their views on the person following the visit. New staff on duty confirmed that the recruitment procedures described by the manager were followed when they were recruited. The manager described the homes induction procedures and these include all new staff working supernumerary until they are deemed competent and also have undertaken essential training such as safeguarding, infection control, fire awareness, moving and handling and health and safety. New staff on duty on the day of the inspection confirmed that they had been supernumerary for their first shifts and that they were completing the Learning Disability Award Framework (LDAF) induction level and would then be commencing NVQ level 2 in January 2009. The manager stated that four of the eight care staff have at least NVQ level 2 in care and the remaining staff will be commencing in January on completion of the LDAF induction. Care staff confirmed to the inspector that they have undertaken all update training. Comment cards returned by care staff stated that they have received all the necessary training and that they felt they had the necessary skills and experience to meet peoples needs. The manager stated that the providers office on the island has systems in place that ensures that he is notified when individual staff are due update training. The manager showed the inspector the training matrix on the computer to confirm this. The manager stated that should he identify a training need for the staff employed at the home this is organised by the provider who has a training manager able to facilitate or arrange any training. Makaton training has been organised for the staff team. Care Homes for Adults (18-65 years) Page 23 of 28 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. People living at the home benefit from a service that is well run in their best interests. Evidence: The home shares its registered manager with another similar service located close by. The manager has successfully managed both homes for several years and therefore has demonstrated his ability to perform these joint management roles. The manager confirmed to the inspector that he possess both the Registered Managers Award (RMA) and has also completed the NVQ level 4 in care. The manager confirmed that he also attends update courses to maintain his skills and knowledge. The manager is supported by the providers management and organisational structure with an area manager being based nearby. The evidence, from surveys completed, care records and observation indicates that people are able to make decisions and supported to live the lifestyles they choose. A representative of the provider undertakes a monthly visit to the home with the written reports of these visits being seen during the inspection visit. Within care plans were Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: copies of service users questionnaires completed by the people who live at the home. The manager completed the homes Annual Quality Assurance Assessment that was returned to the commission within the required timescales. The area manager undertakes Regulation 26 visits monthly to the home providing a report to the manager. These were seen. Throughout the inspection visit a number of records were viewed. These have been identified in the relevant section of this report. Records were well maintained and appropriately stored. There were no concerns identified in respect of health and safety identified during the inspection visit. The home has been awarded five stars (the maximum possible) by the local environmental health department for food hygiene. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 Care Homes for Adults (18-65 years) Page 27 of 28 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 © (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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!