Inspection on 08/02/07 for Searchlight Workshops - Francis House

This inspection was carried out on 8th February 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

Searchlight Workshops - Francis... 03/03/06

Searchlight Workshops - Francis... 21/06/05

Searchlight Workshops - Francis... 28/01/05

Searchlight Workshops - Francis... 25/11/04

Searchlight Workshops - Francis... 17/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Searchlight Workshops - Francis House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ Lead Inspector Jennie Williams Key Unannounced Inspection 8th February 2007 10:30 Searchlight Workshops - Francis House DS0000059172.V323898.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 Searchlight Workshops - Francis House DS0000059172.V323898.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. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Searchlight Workshops - Francis House Address Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ 01273 514007 01273 611289 Francis@search-light.org.uk 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) Searchlight Workshops VACANT Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That service users accommodated are aged eighteen (18) to sixty-five (65) on admission. That service users must have a physical disability or learning disability. The maximum number of service users to be accommodated is six (6). Date of last inspection 3rd March 2006 Brief Description of the Service: Francis House is a home within the Searchlight Workshops organisation that is registered for six places for residents, of either gender, aged 18 to 65 years of age, who have a physical disability or a learning disability. There is no nursing care offered at this establishment. District nurses will provide nursing input for those residents requiring this. The home is situated on the top of a hill on the outskirts of Newhaven. The home has access to a mini bus. There are local amenities and access to bus routes at the bottom of the hill. There are three registered establishments at this one site within the organisation of Searchlight Workshops. There is also a workshop on the site available to residents and others within the community. A social club is run on site and this opens a couple of evenings a week. All rooms are for single occupancy and are located over two floors. None of the rooms are provided with en suite facilities. There is no passenger shaft lift or stair lift available at the home. Residents must be able to mobilise stairs independently to access the first floor. There is a wheel in shower on the ground floor and an unassisted bath and shower located on the first floor. There are three communal toilets for residents to use and a lounge room/dining room and a kitchen located on each floor. Weekly fees range between £477.51 and £574.30. There are additional fees; hairdressing (variable £5 - £15), chiropody (£10), newspapers/magazines/personal toiletries, social transport and holidays/outings (according to individual needs). This information was provided to the CSCI on the 27 December 2006. Prospective residents find out about the home through social service referrals, word of mouth, from using the day centre service and from living in the area. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations (as amended), uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Francis House will be referred to as ‘residents’. This unannounced key inspection took place over six and a half hours on the 08 February 2007. Three residents were spoken with during the inspection. One resident did not wish to be involved in the inspection process and this was respected. Four resident surveys were sent to the home of which three were returned. One care plan was looked at in detail and specific areas of care were looked at in one other care plan. The Acting Manager and one staff member were spoken with during the inspection. Four staff surveys were sent to the home of which three were returned. One staff file was inspected. Ten relative/visitors comment cards were sent to the home. Eight of these were returned. A GP comment was sent out and returned. Three comment cards were sent to social workers/care managers. None of these were returned. A pre-inspection questionnaire was received prior to the inspection. A tour of the environment was provided and some individual rooms were viewed. Fire records and medication procedures were inspected. The quality assurance system was discussed and complaint records were inspected. The staff rota and menus were viewed. Apart from fire records, no other health and safety records were viewed as this information has been provided in the preinspection questionnaire. There were 4 residents residing at the home on the day of the inspection. What the service does well: There is a good admissions process where residents are able to ‘test drive’ the home prior to moving in. The home does well to ensure that residents are encouraged and supported to make decisions about their life and fulfil their goals. Residents are involved in the developing and reviewing of their care plans. Staff working with the residents encourage and promote independence. Staff work well with residents to ensure they reach their full potential with education and seeking jobs. Residents spoken with confirmed that their lifestyle is their choice and staff respect their privacy and dignity. Visitors are welcomed at the home and Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 6 maintaining relationships are supported. Residents are involved in the running of the home on a day-to-day basis. Residents feel comfortable and know how to make a complaint and feel that they will be listened to. Residents are happy with their individual rooms and are able to personalise them. Staff receive training appropriate to their roles to ensure their safety and that residents needs continue to be met. Residents and staff benefit from supportive and approachable management within the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s aspirations and needs are being met due to detailed information being obtained by the home prior to admission. Prospective residents are provided with an opportunity to ‘test drive’ the home. Intermediate care is not provided. EVIDENCE: All prospective residents are assessed prior to being admitted to the home. There were no pre admission assessments to view, as there had been no new admissions since the last inspection. One resident had resided at another home within Searchlight Workshop located at the same site and has now moved into Francis House. The management and staff were already familiar with this residents needs and all paperwork pertaining to this individual was transferred with the individual. A discussion was held with the individual and the manager of the previous home prior to admission. All prospective residents are encouraged to visit the home prior to moving in. Residents currently residing at the home have lived there for many years and others have moved from another Searchlight Workshop home located at the same site. All residents were familiar with the staff and facilities available prior Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 9 to moving in. One resident, currently residing at another Searchlight Workshop home, was visiting Francis House on the evening of the inspection to have dinner with current residents, with a view to moving in on a trial basis. The Acting Manager confirmed that there was no one residing at the home from any minor ethnic community, social/cultural or religious groups with any specific needs or preferences. The home does not have dedicated accommodation to provide intermediate care, however respite care is available if there is a spare place available. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being met by the information contained in the care plans and are fully involved in the process of developing and reviewing them. Residents are encouraged and supported to make decisions about their lives and to take risks as part of their independent lifestyles. Residents participate in the running of the home. EVIDENCE: The organisation has implemented a new care plan format. Care plans viewed provided clear information on the assessed needs of the individuals. Care plans are drawn up and reviewed with the input of the individual. Care plans are written in the first person and read to be more personalised. The Acting Manager confirmed that care plans will be reviewed every three months and every month for those over 65 years of age, who continue to reside at the home. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 11 Residents have been involved in developing ‘all about me’. Staff have been assisting them in documenting about their life and their family history. Residents spoken with confirmed that staff discuss their care with them and they are familiar with their care plans. The GP comment card received demonstrated that staff demonstrate a clear understanding of the care needs of residents and any specialist advice is incorporated into the care plan. Where it is applicable, all relative/visitor comment cards demonstrate that they are kept informed of important matters affecting their relative/friend and are consulted about their care if the resident is not able to make decisions. Residents are encouraged and supported to fulfil their goals and personal development. The new care plan format identifies short and long term goals and what resources will be required to assist in achieving these goals. There is a key worker system in place that assists in providing continuity of care for residents. Staff and residents spoke positively about this process. The key worker role has been more defined and specific one to one time is allocated every week for staff. Staff encourage and support residents to make their own decisions about their lives and maintain independence within the individuals abilities. One resident informed the Inspector that they make their own arrangements for the maintenance of their wheelchair and is being supported to achieve one of their goals of moving into the community. All residents have their own bank accounts and are provided support and tuition by staff to manage their finances. Residents are involved in the day-to-day running of the home. Residents have an allocated day where they cook for the other residents and are also involved in the cleaning of the home. Residents spoken with confirmed that they are involved in menu planning, cooking, cleaning and some enjoy assisting with the shopping. Prospective residents are also discussed with current residents prior to admission and are generally provided with an opportunity to meet them prior to moving in. Due to the small homely environment, it is important for all residents to maintain a good relationship. The staff member spoken with stated that residents have become a lot more involved in the home since the new Acting Manager has commenced employment. There is a steering group for the policies and procedures within Searchlight Workshops and the Acting Manager confirmed that residents are involved in reviewing the ones that are relevant to their life within the home. There are weekly resident meetings held. There are risk assessments in place for activities of daily living that residents are involved in. Risks assessments are undertaken on residents and if the risk is identified as being medium or high, a further in depth risk assessment is undertaken. These provide information to staff on action to take to reduce the risk. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 12 All personal information is kept securely at the home. Residents have access to their records if they wish. Information given in confidence is not shared with families/friends against the residents’ wishes. Searchlight Workshops - Francis House DS0000059172.V323898.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 & 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ lifestyles inside and outside the home are their own choice and are provided with opportunities to participate in appropriate activities and be part of the local community. Relationships are supported and encouraged. Residents are involved in planning, preparing and cooking healthy meals for each other. EVIDENCE: The new care plan format provides discussion points for the resident and their key worker to document individual long and short term goals/aims, what resources may be needed to achieve these, set targets dates and record when they have been achieved. Residents are encouraged and supported to be involved in further education and employment if they choose. Some courses that have been participated in Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 14 are; National Vocation Qualification in life skills, car repairs, fire and health and safety and computer lessons. Two of the residents work at the reception desk for Searchlight Workshops. No other resident has currently chosen to be involved in paid employment. Staff are currently looking at options for volunteer work for some residents that fall within their interests and abilities. A comment written by a carer was ‘a couple of our residents have just finished doing an NVQ and there confidence has really grown over the past months which is fantastic to see’. Residents are encouraged to involve themselves in activities outside of the home environment. Some have chosen not to do this. One has participated in Newhaven in Bloom and another will be attending a sports event in the near future. One resident is involved with a support group specific to one of their health needs. There is a workshop and social club located on the same site as Francis House. Residents of the home are able to use these facilities if they choose. People that live outside of the home environment also use these facilities. Residents are provided with a variety of activities and are supported and encouraged to pursue their own interests and hobbies. There is a person working within Searchlight Workshops that arranges outings and holidays for residents. Staff encourage residents to maintain contact with their families and friends. Visitors are welcomed at the home. One resident commented that the staff have been very helpful in encouraging them to increase and maintain contact with a family member. All residents spoken with confirmed that their lifestyle and daily routines are their own choice. This was evident during the day of the inspection with residents moving freely within and out of the home environment. Residents spoken to confirmed that they felt their privacy and dignity are respected. Staff were observed to have a good professional rapport with residents. One resident survey demonstrated that they never make decisions about what they do each day, however are able to choose their own routine in the evening and at weekends. This was discussed with the acting manger who confirmed that this individual has specific health needs and it is unsafe for this person to remain alone in the home. It the individual wishes to remain at home, action is taken to ensure a staff member remains with them. Residents plan the weekly menu with the assistance from staff. Residents all have an allocated day for the preparing and cooking of meals. One resident enjoys participating in the shopping for the home. Residents spoken with confirmed that they are happy and enjoy the provision of meals at the home. Residents choose where they wish to eat their meals. Mealtimes are relaxed and unhurried. Searchlight Workshops - Francis House DS0000059172.V323898.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individual’s independence and control over their own lives is maximised with encouragement and support from staff and receive personal support in the way they prefer. Residents are safeguarded with the procedures in place for dealing with medications. EVIDENCE: The care plans have a brief summary regarding the individuals’ preferred daily routine. These are written in the first person and are personalised to each individual. Residents spoken to confirmed that they choose when to get up and when to go to bed. Staff encourage residents to be independent, within their capabilities. The home accesses specialist advice from other health professionals as the needs arise. Residents residing at Francis House are generally self-caring and require minimal support with personal care. It was confirmed that residents require very limited manual handling assistance. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 16 Residents are encouraged and supported to take control of and manage their own healthcare. Residents are supported to attend the GP clinic within the community. Visits from medical/health care practitioners take place in private. The Acting Manager confirmed that all residents had attended a ‘Well Man Clinic’. This is a health check undertaken specifically for men. The home proposes to do this on an annual basis. Two residents spoken with stated that they enjoyed the clinic. Residents are encouraged to maintain certain records that are pertinent to their own health. Staff monitor this process, at agreed intervals, to ensure it is being completed. Residents spoken with confirmed that they felt all their needs were being met at the home. The GP comment card demonstrates that management/staff takes appropriate decisions when they can no longer manage the care needs of the residents. The Acting Manager confirmed that there are policies and procedures in place for all aspects of dealing with medicines. The content of these were not read. All staff that administer medication have been provided training in this process. On inspection of the Medication Administration Record (MAR) charts, there was evidence that medication is being signed for at the time of administration. There are records maintained of medicines entering and leaving the home. The Acting Manager has now implemented a process to record why medication has been returned. Residents are provided with an opportunity to self medicate, following a risk assessment having been undertaken. There are safety boxes supplied in resident’s rooms. Those who are administering their own medication informed the Inspector that they are aware of the importance of keeping their own medication safely. Searchlight Workshops - Francis House DS0000059172.V323898.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know how to make a complaint and feel that they will be listened to and action taken if necessary. Safeguarding Adults procedure ensure residents are protected. EVIDENCE: There is a complaints procedure available at the home. Residents spoken to confirmed that they know who to speak to if they needed to make a complaint and would feel comfortable to do so. There is a record kept of complaints. There have been no complaints made directly to the CSCI or to the home since the last inspection. There is a policy and procedure in place that provide staff with guidelines to follow in the event of an allegation of abuse being made. It was discussed with the Responsible Individual that the procedure clarifies who they are referring to when notifying an allegation of abuse being made. Management and staff are aware that Social Services are the lead authority, however the procedure states Local Authority Inspection Unit. This could lead to some confusion. It was confirmed that staff have received Safeguarding Adults training. All staff surveys received demonstrated that the staff are aware of adult protection procedures. There is a whistle blowing policy at the home. The Acting Manager confirmed that a restraint policy has been developed and implemented as required at the last inspection. Searchlight Workshops - Francis House DS0000059172.V323898.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, 27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and homely environment and are provided with suitable indoor and outdoor communal facilities. EVIDENCE: All rooms are for single occupancy and are located over two floors. Residents must be able to mobilise independently to access the first floor, as there is no passenger shaft lift or stair lift available. Residents spoken to confirmed that they were happy with their individual room. Rooms that were viewed were seen to be personalised to reflect the individual’s choice and personality. There are three bedrooms located on the ground floor to accommodate residents who may not be able to independently mobilise on stairs. The office is located on the first floor. One resident informed the Inspector that they had been assisted in their wheelchair, via another route, to access the first floor. They said that they ‘see people disappear into a hole to go upstairs’ and was Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 19 pleased to be able to view the first floor that is part of their home. The location of the room and an individual’s mobility is taken into account prior to any admission. The home had recently been deep cleaned and any areas requiring refurbishment has been addressed. One resident confirmed that they were provided with an opportunity to choose the colour scheme for their room. There are cooking facilities and communal areas on each floor for the residents to use. There are suitable toilet and bathroom facilities provided at the home that meet the needs of residents. The home was free from offensive odours on the day of the inspection. There is a rota for cleaning duties that residents are involved in. Any minor areas noted in need of cleaning were addressed with the Acting Manager on the day of the inspection. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are currently being met with the number and skill mix of staff on duty and are safeguarded by the recruitment procedures in place. EVIDENCE: Resident spoken to were very complimentary about the staff working at the home. All residents felt that their needs were being met with the skill mix and staffing numbers at the home. All staff surveys received stated that they have received a job description. A staff member confirmed that there are clear roles and responsibilities within the home. There is currently one care staff member with NVQ level 2. The pre-inspection questionnaire demonstrates that there are future training plans to continue with NVQ studies. Staff employed at the home have the skills and experience necessary for the tasks they are expected to do. The home has recently had to use agency staff for some shifts. Residents confirmed that there were no problems with the agency staff and their needs continued to be met. The Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 21 agency will provide the same carer wherever possible to ensure continuity of care is provided. Residents and staff spoken with confirmed that there were enough staff on duty at all times. All relative/visitor comment cards received also demonstrated that in their opinion there are always sufficient numbers of staff on duty. There had been one new staff member employed since the last inspection. The file viewed demonstrated that all recruitment checks are undertaken prior to the person commencing employment. There is a letter in the individual’s file advising the staff member who will be responsible for supervising them until the enhanced Criminal Record Bureau (CRB) is returned. A Protection of Vulnerable Adults (POVA) First check had been undertaken prior to this person commencing work. There is a designated person with Searchlight Workshops that is responsible for maintaining training records and ensuring staff receive suitable training. There is a computer system in place that highlights when a staff member is due for an update in training. Recent training undertaken by staff includes: epilepsy, anger management, and fire warden and fire awareness. A staff member confirmed that they are kept up to date with all mandatory training. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff and residents benefit from a well-run service. The structured quality assurance and quality monitoring system in place ensure that the home is run in the best interest of residents. The health, safety and welfare of residents and staff are promoted and protected so far as is reasonably practicable. EVIDENCE: A new Acting Manager commenced employment at the home in August 2006. She has worked in care for approximately 17 years in a variety of positions. She has 10 years experience in a management role. The Acting Managers’ experience is predominantly with younger people who have learning or physical disabilities. She has enrolled to undertake National Vocation Qualification level 4 in care. The Responsible Individual confirmed to the Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 23 Inspector that an application for the Registered Manager will be forwarded to the CSCI in the near future. No requirement has been made in respect of this as action is being taken. Residents and staff spoken with were all complimentary about the new manager and find her approachable and supportive. Some comments received verbally and written were: ‘wonderful since Helen arrived’, ‘million times better’, ‘we have a fantastic new house manager (Helen) who really supports the staff and residents to achieve their goals’ and ‘ it’s the first time I have enjoyed my job’. Searchlight Workshops has a quality assurance and quality monitoring system in place and obtains feedback from all involved with the home to ensure that the home continues to be run in the best interest of residents. There has been no further quality assurance undertaken since the last inspection. Questionnaires were in the process of being sent out again. Views of residents are obtained at weekly resident meetings. Policies and procedures are general throughout the Searchlight Workshop organisation. Relevant procedures are personalised to each establishment wherever necessary. There is now a policies and procedures steering group who regularly meet to review policies and procedures. As mentioned previously, residents are involved in the reviewing process on areas that may affect their home. The pre-inspection questionnaire demonstrates that relevant policies and procedures have been developed and developed. The management ensure so far as is reasonably practicable the health, safety and welfare of residents, visitors and staff. The Acting Manager takes responsibility for the health and safety of the three homes located on the same site and has undertaken a variety of training. This includes: a five-day risk assessment course, Manual Handling and Fire Warden and Fire Awareness etc. A representative from each of the three homes have weekly health and safety meetings to discuss any issues that may have arisen. Weekly checks are undertaken of fire/accident/incident records. The health and safety group sign off all accident forms. Forms are not signed off until all action identified is completed. The Acting Manager has undertaken risk assessments for hot water, unguarded radiators and unrestricted windows as required at the last inspection. Action has been taken where a risk is identified. With the residents currently residing at the home, there was no risk identified with the radiators and windows, so no immediate action was required. The Acting Manager confirmed that it has been approved in the budget this year to replace radiators with ones that have guaranteed low surface temperatures. It was confirmed these risk assessments will be reviewed every three months. Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 24 There were electricians visiting the home on the day of the inspection that were completing an inspection and any work required for the electrics of the home. The most recent fire drill was undertaken in January 2007. The Acting Manager has implemented a daily checklist that senior staff on duty must complete. Areas include; nurse call bell system, MAR charts and ensuring fire escape routes are clear etc. No other health and safety records were inspected on this occasion as this information was provided in the preinspection questionnaire. This evidenced that all relevant health and safety checks are undertaken. Searchlight Workshops - Francis House DS0000059172.V323898.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 X 2 3 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 4 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 3 X 3 X Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Searchlight Workshops - Francis House DS0000059172.V323898.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Searchlight Workshops - Francis House DS0000059172.V323898.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. 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!