Inspection on 30/10/08 for Searchlight Workshops - Powell House

This inspection was carried out on 30th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Searchlight Workshops - Powell... 01/11/06

Searchlight Workshops - Powell... 22/11/05

Searchlight Workshops - Powell... 09/06/05

Searchlight Workshops - Powell... 07/12/04

Searchlight Workshops - Powell... 11/06/04

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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: Searchlight Workshops - Powell House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ     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: Judy Gossedge     Date: 1 1 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 30 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 30 Information about the care home Name of care home: Address: Searchlight Workshops - Powell House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ 01273514007 01273611289 Powell@search-light.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Searchlight Workshops Type of registration: Number of places registered: care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users to be accommodated is 16. 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: Physical disability (PD). Date of last inspection Brief description of the care home Powell House is a home within the Searchlight Workshops organisation that is registered for 16 places for residents aged 18 to 65 years of age. It is registered for physical disability. Residents with a physical disability may also have a mild learning disability. There is no nursing care provided at this home. 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 two mini buses. There are local amenities and access to public bus routes at the bottom of the hill. There are Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 16 Brief description of the care home 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 bedrooms are for single occupancy and are located over two floors. None of the bedrooms are provided with en-suite facilities. There are suitable communal areas provided at the home. There is a passenger shaft lift available to residents who are unable to move independently between floors. There are five communal toilets for residents to use. There are two assisted bathing facilities and one wheel in shower. Some of the facilities provided require updating and there are plans in place to commence this work. At the time of the inspection weekly fees range between £650.00 and £1,300.00. There are additional fees; hairdressing, chiropody, newspapers/magazines/personal toiletries, social transport and holidays/outings (according to individual needs). A Statement of Purpose and a Service Users Guide is available for new and existing residents to reference. 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at Powell House, will be referred to as residents. This unannounced inspection took place over four and three quarter hours on 30 October 2008. A further visit was made over three hours on 11 November 2008 to view documentation not available to view on the day. The last key inspection took place on 1 November 2006. Since the last inspection an Annual Service Review has been completed. It does not involve a visit to the service Care Homes for Adults (18-65 years) Page 6 of 30 but is a summary of new information given to us, or collected by us, since the last key inspection. No concerns were raised. The Manager had been asked to complete an Annual Quality Assurance Assessment (AQAA) used for the Annual Service Review, and staff updated the information in the AQAA during the inspection, which is quoted in this report. The AQAA was detailed and informative. A tour of the premises took place to look at communal areas and a selection of resident s bedrooms and care records were inspected. Fifteen people were resident and four were spoken with individually, a number of residents were spoken with as part of the inspection process. The care that four of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. No resident s or support workers surveys were sent out on this occasion. Three support workers, a chef and a senior support worker, were all spoken with on the first day. The Responsible Individual, training co-ordinator and staff responsible for health and safety in the home were spoken with on the second visit. The Manager was not availble during this inspection. A health care professional was subsequently spoken with over the telephone. 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 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 10 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. There are pre-admission procedures in place to ensure that residents are appropriately placed in the home. Evidence: The AQAA details that a clearer structure for the assessment of potential new residents has been put in place, and a visit and or a stay at Powell House will always be offered. That a new initial assessment pack has been put in place, and for each new prospective resident an initial assessment is carried out by the Manager and either a senior support worker from Powell House or a Manager from one of the other Searchlight homes. It is planned that senior staff are to be provided with training to undertake assessments. A care plan is requested from the prospective residents social worker in order for the Manager to have an insight of the needs of the resident being assessed. The documentation for two new residents was viewed, which confirmed the assessment process followed. It should be ensured that all the documentation is dated. The two new residents were spoken with, who confirmed they had received all the required information about Powell House, had had an assessment completed, and had Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: taken the opportunity to visit the home prior to their admission. Care Homes for Adults (18-65 years) Page 12 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. The residents individual care plans and supporting risk assessments provide staff with the information they need to ensure that residents individual care needs are met. Residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. Evidence: Four residents individual plans were viewed, which were all detailed and formulated by the key worker, Manager and evidenced the involvement of the resident or family member, as appropriate. All the care plans contained detailed information about the individual support to be provided for each resident to enable them to achieve maximum independence and develop their skills. The AQAA detailed that staff and residents have been provided with training to facilitate a, person centred approach and to develop the new care plans, which have been put in place for each resident. That further work is planned to develop key working and goal planning. Staff spoken with demonstrated that they are aware how they should provide support to assist each Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: resident. Supporting risk assessments were also seen to be in place, which with the care plans had been reviewed. The four residents spoken with confirmed they had been party to the drawing up of their care plan. Powell House operates a key worker system and staff were observed working closely and sensitively with residents to meet their identified personal care and support needs. Staff feedback confirmed that regular meetings provide an opportunity to review the residents care needs, and for any significant changes are addressed. The AQAA details that residents are provided with their own bank accounts and the key workers support residents in managing their finances. Staff spoke of and demonstrated improved checks, which have been put in place in relation to residents finances to further protect staff and residents. The four care plans viewed and the four residents spoken with confirmed flexibility in their daily routines and respect for their personal freedom and lifestyles. During the inspection residents were observed to move around the communal space freely, choosing which rooms to be in and what level of company they wanted to enjoy. Residents were able to choose when to spend time on their own, and can do so in their own bedrooms. Residents, staff and records viewed evidenced that residents are consulted with regarding many aspects of their day to day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. Care Homes for Adults (18-65 years) Page 14 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. Residents are encouraged and supported to pursue their educational, vocational and social interests. Residents are enabled and supported to maintain contact with family and friends as they wish and links with the community. The meals on the home are good offering both choice and variety. Evidence: The organisation has a day centre on site, which offers a range of activities and is open Monday to Friday. Residents of the home are able to use these facilities if they choose. People that live outside of the home environment may also use these facilities. The day centre was closed on the day of the inspection, which staff and residents stated can sometimes happen. Two of the residents spoken with stated they usually attended the day centre. The Responsible Individual stated one resident is being supported to look for employment outside of the home environment. Some residents Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: are employed to work at reception for Searchlight Workshops and one resident spoken with draws up the staff rotas to ensure the reception is always covered. Residents are encouraged to continue their activities they are engaged in prior to entering the home and one new resident spoken with was able to confirm this. Residents are encouraged to participate within the local community and the senior care officer stated that recently one resident had been supported to look at course options to attend a local college. The AQAA details that residents are supported to access activities and facilities individually or as a group, reflecting their individual needs, preferences and abilities, including shopping trips, theatre and cinema trips, and attendance at sporting events. Searchlight have two mini buses which are used to enable residents to access activities and some of the residents spoke of accessing local facilities. The organisation also has a social club on site, which residents spoke of attending. Residents spoken with confirmed that they choose their own daily routines. This was evident during the day of the inspection with residents moving freely within and out of the home environment. Staff were observed to have a good professional rapport with residents. Staff were observed to knock on residents bedroom doors prior to entering. The AQAA details that contact with family and friends is encouraged and visitors are welcomed at the home. There is a visitors book at the home for visitors to sign. Documentation viewed and feedback received from the four residents spoken with evidenced they had been supported to maintain contact and relationships with their families and friends, and they confirmed that they are able to meet their relative or friend in private. Residents reviews include the opportunity for residents relatives or representatives to attend if the resident wishes. The AQAA details that residents individual likes and dislikes are taken into account when planning menus and there are regular opportunities for staff and residents to comment on the meals provided. The kitchen facilities in the home is now used to prepare and cook breakfast and the evening meal, to ensure that residents have more individual choices. It is planned to introduce a new cooking programme to encourage more independence and for residents to develop new skills. Support workers provide breakfast and the evening meal and the AQAA stated that all support workers holds a basic food hygiene certificate. The lunch time meal is provided by staff in the organisations main kitchen. The chef was spoken with during the inspection and who confirmed they have a basic food hygiene certificate. There is a rotating menu in place, which residents choose from in advance. A sample of records were viewed of individual residents food consumption to ensure an adequate diet is provided. The lunch-time meal during the inspection was madras curry and rice, casserole, sweetcorn, pureed Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: carrots, boiled potatoes and peas followed by hazelnut meringue and cream. Fresh fruit is available in the home. Diets can be catered for. On the day residents were observed eating their lunch in the dining room. It was a relaxed environment, and staff were nearby to offer discreet assistance when needed, taking into account the different length of time that individual residents would need to finish their meal. Feedback from the residents spoken with was that the food was good. 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. Residents receive personal support in the way they prefer and are supported and encouraged to remain as independent as possible. There are policies procedures in place for dealing with medications, but it must be ensured these are followed to protect residents. Evidence: Residents at Powell House are supported to manage their own personal care where required. Risk assessments are in place to ensure the safety of residents. Care plans viewed evidenced that following consultation with residents, specific guidelines have been developed for all staff, ensuring that support is provided in a structured and consistent manner and in a way that the individual prefers. Relationships between staff and residents and the care given were observed to be very good, and residents were treated with respect at all times. The four residents spoken with confirmed that they received the required support, that their privacy and dignity is considered and that the staff treated them with respect. The AQAA details that residents are registered with local General Practitioners (GP) Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: and are supported to access to health care professionals, including district nurses, chiropodists/podiatrists and physiotherapists, as required. The four care plans viewed and staff and residents feedback evidenced this. The AQAA details that policies and procedures relating to the control, storage, administration and recording of medication are in place. Residents are provided with the opportunity to self medicate following a risk assessment being undertaken. There was no one choosing to self medicate at the time of the inspection. Medication storage and a sample of the recording were viewed and the administration practices were observed when evening medication was administered. The senior care worker stated that a local pharmacist continues to carry out monitoring visits, but the records were not available to view during the inspection. There were a number of omissions in the recording of administration of medication. Where medication is stored in a refridgerator regular checks of the temperature had not been maintained and recorded. These issues were subsequently discussed with the Responsible Individual for the organisation, who stated these would be addressed and this would be raised with the staff team to ensure accurate recording is maintained and temperature checks maintained. So a Requirement was not made on this occasion. Only senior support workers administer medication and the senior support worker on duty confirmed that they had received medication training. The sample of training records viewed evidenced that medication training is provided, and one detailed that for one staff member they had not received medication training for a number of years. This was raised with the training co-ordinator who agreed to review when staff had received medication training and that further training would be provided where training needs are identified. That they were aware that it was the organisations responsibility to ensure staff administering medication were competent and that to meet this requirement senior staff within the organisation have recently undertaken training to review and evaluate staff who administer medication. 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. Systems are in place to enable residents or their representatives to raise any concerns about the care being provided and that residents are protected from abuse. It should be ensured that all staff have received appropriate training and guidance to ensure residents are protected. Evidence: The AQAA details that the complaints policy and guidelines are in place. That a complaints book is in place, which is regularly checked by senior management and by the organisations trustees on their monthly visits, and no complaints in relation to the service have been received during the last year. A monthly residents council has been formed with two residents from each of the Searchlight homes attending, so that any concerns or complaints can be addressed for the residents, by the residents representing them. One resident spoken with confirmed they are a member of residents council and of the opportunity to raise any concerns. The CSCI have not been informed of any concerns in relation to Powell House. The residents spoken with stated that they were aware of the complaints procedure, spoke of forums to raise any concerns and knew who to speak to if they were not happy. During the inspection residents were confident to approach the Inspector and give feedback regarding their experiences at the home. The AQAA details there are written policies covering adult protection and whistle Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: blowing. The senior care worker evidenced that a copy of the East and West Sussex, Brighton and Hove Multi Agency Adult Protection Guidelines is available for reference in the home and confirmed they had received training and guidance. The AQAA detailed that staff have been received training and guidance. The two support workers spoken with stated they had not undertaken specific adult protection training/guidance, and the sample of individual training records viewed did not detail this training had taken place. This was discussed with the Responsible Individual who agreed to ensure that all staff have received the required training/guidance and this is recorded. So a Requirement has not been made on this occasion. 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. Residents live in a clean and homely environment and are provided with suitable indoor and outdoor communal facilities. Some facilities at the home require updating but are currently meeting the needs of the residents residing at the home. Evidence: The AQAA details that there is ongoing improvement of the facilities in the home and that residents are involved in the choosing of redecoration. The premises is purpose built and on two floors. A tour of the building was made. Decor in the home is to a good standard and furnishings are of a good quality and domestic in style. Residents accommodation consists of sixteen single bedrooms situated on both floors in the home. A sample of the bedrooms were viewed all of which had been personalised and displayed residents individual styles and interests. There are sufficient numbers of toilets and bathrooms located around the building. Further work to improve the communal bathrooms and toilets has not yet been completed. This was discussed with the Responsible Individual who stated that this work had been delayed, but that external advice had now been sought as to how to best address this and work was planned and would be completed by March 2009. So a further Requirment has not been made on this occassion. The AQAA details that temperature regulators are fitted Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: to all hot water outlets accessible to the residents. Staff confirmed that there are regular checks of the hot water supply at these outlets to ensure these are maintained close to the recommended safe temperature. The records were not available to view during the inspection. The four residents spoken with confirmed there is adequate heating and hot water provided in the home. Communal space consists of a large combined lounge and dining room with smaller rooms situated off. The Responsible Individual confirmed that work to improve this area is due to be undertaken shortly. There is also a patio area on the first floor with views over Newhaven to the sea, which a number of residents spoke of enjoying using in the better weather. All necessary specialist equipment is made available to meet residents assessed mobility needs including assisted baths wheelchairs and hoists. There is a passenger lift from the ground to first floor. The AQAA details that there is a policy in place for managing infection control and that Department of Health Guidance has been used to assess current infection control management. That eleven staff members have received infection control training. The home was clean and free from offensive odours at the time of the inspection. The four residents spoken with confirmed the home was kept fresh and clean. There is a separate laundry room used by all the Searchlight homes and laundry is regularly collected from the home. Staff confirmed the routine fire checks of the building which had been completed. Records did not fully detail all the checks being completed. This was discussed with the Responsible Individual who stated this would be addressed and the recording developed. So a Requirement has not been made on this occasion. 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. Residents would benefit from a more stable staff team. There are robust recruitment procedures and training is provided to staff to enable them to perform their roles effectively. Evidence: The home was calm and relaxed on the day of the inspection, and the staffing in place on the day provided support for the residents to access a range of activities. The AQAA details that staffing levels vary in accordance with guidance on staffing levels to be provided and to ensure an appropriate mix and cover at all times. That all shifts are supervised by a senior member of staff and at the time of the inspection a senior support worker was in charge of the shift with three support workers. There are currently a number of support worker vacancies at the home, which has lead to a high number of agency staff working in the home. Staff confirmed where possible agency staff who know the home and the residents are asked to work in the home, and that recent recruitment to the vacancies should reduce the number of agency staff used. A waking night member of staff was due to be on duty that night and there is a sleeping in member of staff in another Searchlight home available to offer support where required. Staff spoken with spoke of a team that are very supportive of each other and of good communication. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: The AQAA details that a detailed recruitment policy is in place, and over the last twelve months the recruitment process has been improved to enable residents to be involved in the recruitment process. That following a successful interview new staff will be offered the position subject to two satisfactory references being received and a Criminal Records Bureau (CRB) and Protection Of Vulnerable Adults disclosure. The documentation for three new members of staff was viewed, who have been recruited since the last inspection, which evidenced the completion of an application form, a detailed health questionnaire and receipt of two written references and a CRB/POVA First check. A detailed recruitment checklist is completed. It was not possible to fully evidence when references are received in the home. This was discussed with the training co-ordinator who agreed to ensure the current recording is further developed to detail this. New staff also complete a probationary period. A central record to evidence all staff have had a Criminal Records Bureau (CRB) check was not available to view This was discussed with the training co-ordinator who stated that this would be in place with the installation of a new computer system for the organisation which is planned. A sample of records was viewed to evidenced the existing staff working in the home have also undertaken a CRB check. The organisation training co-ordinator stated that of the four senior care officers three staff held NVQ Level 3 in care and one further member of staff was in the process of completeting this qualification, and of the seven support workers three hold NVQ Level 2 in care and a further two support workers are due to commence working towards this qualification in December 2008. The AQAA details that induction procedures are in place which new staff recruited to the home will be taken through, and meets the requirements of Skills for Care. Induction records were not available to view, but two new support workers spoken with confirmed they had completed this induction. Support workers spoke of completing or were due to complete a range of training and all spoke of good training opportunities for personal development. 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 Manager has strived to create an atmosphere within the home, which is open, relaxed, homely and caring. Quality assurance systems in the home enable ongoing feedback about the care provided in the home and systems are in place to ensure a safe environment for staff and residents. But it should be ensured all the systems are fully in place. Evidence: The Registered Manager has worked in care for over seventeen years and has managed the home for two years and became the Registered Manager in 2008. She has previous experience as Registered Manager of another Searchlight home, and has completed the Registered Managers Award and NVQ Level 4 in Care and is working towards the an NVQ Assessors certificate. From discussions with residents and support workers, it is evident that the Manager demonstrates a clear sense of leadership and direction. The AQAA details that a quality assurance system in the home to enable feedback is Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: sought through surveys to be sent to residents, relatives/representatives and other professionals who attend the home and that regular meetings held in the home. The staff and residents spoken with confirmed that residents meetings regularly occur, but the records of these meeting were not available to view on the day. Feedback from the quality assurance process needs to be collated, published and available to interested parties. The AQAA detailed that policies and procedures are in place and that a group of representatives from the organisation meet monthly to review policies and procedures. Some of the required policies and procedures were not detailed as being in place. This was discussed with the Responsible Individual who agreed to review. The AQAA detailed monitoring visits by a representative of the organisation are made to meet the requirements of Regulation 26. Copies of these visits should be available to view in the home. Central training lists were not in place to be viewed. This was discussed with the training co-ordinator who stated that these would be in place with the installation of a new computer system for the organisation which is due to be put in place. Support workers spoken with and a sample of individual training records viewed evidenced they had received training/refresher training or were due to receive training in moving and handling, basic food hygiene, fire training which had included attendance of a fire drill and first aid training. The senior care worker stated that the Manager staff were in the process of receiving their annual appraisal when training needs would be discussed and identified. Where senior staff undertake moving and handling risk assessments, it must be ensured that staff receive the required training updates. A fire risk assessment is in place, and a system to ensure a regular detailed check of the environment and fire precautions is in process of being put in place. This was discussed with the Responsible Individual and the need to ensure these checks are now fully in place and recorded. The Responsible Individual agreed to address this, so a Requirement was not made on this occasion. The Records were viewed of fire training provided in the home and the three support workers stated they had attended this training. The AQAA detailed that the maintenance of equipment and services has been carried out and staff were also able to update this information of further checks that have been undertaken since the AQAA was completed. Also that COSHH assessments and guidelines are in place. Accident records were viewed and were detailed. Details were viewed of current insurance in place for the home. 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 1 39 24 That the results of the quality assurance is collated and available to view to residents, their representatives and other interested parties. To ensure residents, representatives and other interested parties have information about the service provided. 31/01/2009 2 42 13 That staff who undertake moving and handling risk assessments receive the required training updates To protect staff and residents. 31/01/2009 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 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 © (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. 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