Inspection on 29/01/09 for Southleigh Residential Home

This inspection was carried out on 29th January 2009.

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

Southleigh Residential Home 21/02/07

Southleigh Residential Home 16/02/06

Southleigh Residential Home 29/09/05

Southleigh Residential Home 01/03/05

Southleigh Residential Home 14/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Southleigh Residential Home 55 Inchkeith Road Southway Plymouth Devon PL6 6EJ 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: Kim Fowler Date: 2 9 0 1 2 0 0 9 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 35 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 35 Information about the care home Name of care home: Address: Southleigh Residential Home 55 Inchkeith Road Southway Plymouth Devon PL6 6EJ 01752211136 01752211136 paulmillard@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ratecedar Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only Code PC to service users of either gender whose primary care needs on admission to the home are wtihin the following category: Learning disability (Code LD) The maximum number of service users who can be accommodated is 5 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 35 A bit about the care home. Southleigh is privately owned by Ratecedar Ltd, and the owner is Mr. Paul Millard. Five people with Learning disabilities live at the home. The house is close to shops and is near a bus stop to the city centre. The home has its own vehicles so people can go on trips out. There is a bus stop near the home where people can take buses into the city centre or other places. Care Homes for Adults (18-65 years) Page 5 of 35 Each person has his or her own bedroom. There is one lounge area and one dinning area on the ground floor. Fees levels are between 400 pounds and 700 pounds, although these may vary depending on people’s individual needs. Care Homes for Adults (18-65 years) Page 6 of 35 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 Care Homes for Adults (18-65 years) Page 7 of 35 How we did our inspection: This is what the inspector did when they were at the care home The inspection was carried out by one inspector who visited the home without telling anyone she was coming. She was there from 9:50am to 3:30 on Thursday 29th January 2009. Throughout this report the term “we” will be used as the report is written on behalf of the Commission for Social Care Inspection. We spoke to most people living in the home. We talked to all the staff on duty and Mr. Millard. We also spoke to Mr Simon Jenkins the manager of both Mr Millard’s hoes. Care Homes for Adults (18-65 years) Page 8 of 35 We looked all around the home. We looked at the care records of three people who lived in the home. We looked at other records that told us how the home is run. This included staff records and health and safety records. Before the inspection an Annual Quality Assurance assessment (AQAA) was completed by the manager. Care Homes for Adults (18-65 years) Page 9 of 35 What the care home does well The home continues to decorate the home and update the environment as needed. The owner encourages staff training and development ensuring that people who live in the home receive the best possible service. The home supports people to be as independent as they can and involved in all areas of daily living including housekeeping tasks and planning meals. Staff supported people who needed help in a relaxed and helpful way. Care Homes for Adults (18-65 years) Page 10 of 35 What has got better from the last inspection The home has updated their Statement of Purpose and Service Users Guide. The home has purchased a summer/craft house that is in the garden. Care Homes for Adults (18-65 years) Page 11 of 35 Most of the bedrooms have been painted and decorated and have new carpets and furniture. All bedrooms have been fitted with locks to the doors. The dinning room has new furniture and new carpets have been fitted in the hallway and stairs. Care Homes for Adults (18-65 years) Page 12 of 35 What the care home could do better No Requirements were made at this inspection. A Recommendation that the home should Register a Manager with the Commission has been made. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 13 of 35 If you want to speak to the inspector please contact Kim Fowler. CSCI Colston 33 33 Colston Avenue Bristol BS1 4UA T: 0117 930 7110 F: 0117 930 7112 E: enquiries.southwest@csci.gsi.gov.uk 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 14 of 35 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 15 of 35 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: A potential new admission is due to visit the home next week. The Registered Individual, Mr Paul Millard, is preparing the pre-admission process and stated that he has involved the person who may move in, family members and the placing authority. Mr Millard confirmed that a family member has already visited the home. The home has a pre-admission format to use and from discussion with Mr Millard he was aware of the process to undertake. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. Care Homes for Adults (18-65 years) Page 16 of 35 Evidence: The last new admission to the home did not have a pre-admission assessment held on their file. Mr Millard confirmed this form had been completed and it had been filed with the old records. This form was not seen on this occasion. One file examined held a contract for one person and included the conditions of occupancy and the current fee level. This document had been updated to include information about additional charges for transport. The person living in the home had signed this document. The homes AQAA returned to the Commission said, All Policies and Procedures including the Service User guide have been or are being changed and reviewed to ensure a prospective resident has a clear picture of the Service they will receive. This has provided evidence that the Recommendation made in the last inspection carried out in February 2007 that stated, The Statement of Purpose and Service User Guide should be updated to ensure that service users and their relatives/representatives have clear information about the services the home provides, has been completed. Care Homes for Adults (18-65 years) Page 17 of 35 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 are encouraged and supported to make daily decisions about their own lives to maintain their independence. Evidence: The files for three people living at the home were examined. All three files examined held individual care plans in place and the details held on these files are needed by staff to met individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. These care plans were supported by risk assessments based on peoples health and personal care needs. Each individual plan provide staff with the information on how personal care is to be carried out for each person and this ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. One file examined held the placing authoritys Care Plan review and others showed Care Homes for Adults (18-65 years) Page 18 of 35 Evidence: that they had been reviewed regularly and updated when needed. Individuals are invited to attend review meetings and participate as much as possible. Everyone is encouraged to make everyday decisions about what they do, were they go and participate in planning meals within the home. People can choose when to bath or shower and remain as independent as possible. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and risk assessments based on people accessing the community. This information is important to minimise risk. Observations throughout the inspection were staff assisting people to make decisions about everyday issues. This included any trips out that day and the choice for lunchtime meal. The owner, Mr Millard, stated that each person is given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. The homes AQAA states that, Continued training of Staff and the use of Person Centered Planning for each individual. Those people who were able to confirm that they choose were they went when they went out and one person said, I go to the shops a lot. And someone else said, We went on a lovely day trip. The way individuals money is managed was discussed and checked. This showed a clear audit trial of income expenditure and receipts held. One person has a family member as an appointee. Each file held clear information on how much individuals pay to wards the transport costs of the home. This included one person paying a minimal amount as they often go out independently using public transport. Family members, the individual concerned if possible and an advocate sign the forms documenting any transport costs when agreed. Mr Millard confirmed that all staff costs to support people going out is met by the home. These details provided evidence and information that the two recommendations in the last report have been completed. Care Homes for Adults (18-65 years) Page 19 of 35 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living in Southleigh can be confident that the home will provide support for them to access the local community and leisure activities as much as possible. Evidence: Most of the people living at the home were spoken with and some were able to that confirm that they go out to different places and this include local shops, a disco and swimming. The staff also provided information on day trips and weekend breaks when they had accompanied people living in the home. Observation during the inspection were several people discussing with staff the plans for the weekend including one person going to stay with relatives and other talking and planning shopping trips. One person is moving out of the home soon into supported living. It was clear from the information provided from the staff and the management that the home have Care Homes for Adults (18-65 years) Page 20 of 35 Evidence: encouraged and supported this person with this move. This has included this person going to college to learn independent living skills and the home continuing with this training when at home. Several other people living in the home also confirmed that they attended different daytime activities. One person is a volunteer at a charity shop and other attends a college pottery course and a specialist day centre. One-person files held a detailed Activities programme arranged by the home that included household tasks, shopping and trips out. The home has one staff member designated to provide Craft session within the home. Observed during the day were people living in the home and this staff member planning and discussing craft ideas for the next session. One person living at the home said, We had a lovely time at the Turkey and Tinsel weekend away. This was in a hotel in a seaside resort. The homes AQAA records under what they do well, Service Users are encouraged to make choices about their daily living. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that several people have regular visits from family members and some people visit the families at home. One person was able to confirm they were visiting family this weekend and another person stated that they have family that visit them. Observation throughout the day was people living in the home participating in daily routines including preparing the lunchtime and evening meals. One person was able to confirm that the staff knocks on their bedroom doors to gain entry. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home and the grounds are assessable to people living in the home. People are encouraged to participate in all the domestic activities in the home and leisure activities of their choice. The home has their own transport, a seven seated people carrier, and people are also encouraged to use public transport where possible. It was observed during the day that people feel very comfortable and at home and are empowered to make decisions. Everyone spoken with about the food and who were able made positive comments and several people confirmed that they go to the shops to assist with the shopping and observation showed people assisting with the cooking and preparation of meals. One person said, I like the food and another stated, I help to cook and shop. The staff confirmed that there is a menu available but it is discussed with the people living in the home regularly to change and update it as needed. Care Homes for Adults (18-65 years) Page 21 of 35 Evidence: The evening meal observed being prepared and cooked consisted of a meat stew with fresh vegetables and a cheesecake for dessert. Specialist diets are catered for and one person confirmed that staff assists them to maintain a healthy diet. Care Homes for Adults (18-65 years) Page 22 of 35 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 . Staff were observed providing good personal support promoting privacy and dignity at all times.Access to health care is maintained to promote the wellbeing of all who live in the home. Evidence: All personal, health and emotional support is recorded into individual care plans and these are easily accessible for staff on duty. The home uses the Person Centred Planning approach to assist them to meet the needs of individuals in the home. The management confirmed that additional training is planned for later this year. No-one currently requires assistance with moving and handling. However one person has recently received input from a Physiotherapist and the SALT (Speech and Language Therapist). The care plan showed the reports received from these specialists and included guidance for staff on how best to support this person. During the day a discussion was observed between the staff on duty and the person concern discussing the action and exercise plan laid out in these reports. The staff confirmed that each of these professional visited the home to talk to the staff on how best to support this person. This ensures consistency in the care provided. Care Homes for Adults (18-65 years) Page 23 of 35 Evidence: These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Other professionals involved in the home include the local Learning Disability team and a chiropodist who was visiting doing the day of the inspection. All visits to the doctor, dentist and other health appointments are recorded in individual files and the person nominated key worker usually carries out this task. The homes AQAA states, To continually update and monitor Service User profiles to meet their ever changing needs. To continue to consult outside Professional bodies for support and guidance to aid the continued delivery of a quality care service. The medication system was checked during this inspection and found to be well recorded and documented. The home uses the blister pack system to dispense medication. The homes pharmacist has recently carried out a Medication Inspection and no requirements were made. Staff designated to administer medication have received medication training and one staff member confirmed that they had received medication training and a further course is booked for March 09. Care Homes for Adults (18-65 years) Page 24 of 35 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at this home can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The home has a complaints procedure in place and is clearly displayed on the homes notice board and is also available in the homes Statement of Purpose and Service Users Guide both these documents having been updated recently. This information included how to contact the CSCI and the process on how a complaint is dealt with including timescales. Neither the Commission nor the home had received any complaints. Most of the people living at the home were spoken with and some were aware that they could make a complaint. One person said, I would talk to Paul or Simon. (The Registered Provider and the manger). The management confirmed that all staff has completed the POVA (Protection of Vulnerable Adult) training with a Training company. One staff member was able to confirm that they had received the Safeguarding training via the local training company. One member of the management confirmed they had completed the DOLS (Deprivation of Liberty), Mental Capacity and the Safeguarding training. Care Homes for Adults (18-65 years) Page 25 of 35 Evidence: The homes AQAA states, Staff will be attending Training Sessions on the Deprivation of Liberty Law that is due to come into effect on April 1st 2009. The home has recently taken procession of the Local Authorities Safeguarding DVD and this will be shown and discussed at a future staff meeting. Regular meeting are held for the people living in the home and this ensure any issues can be raised and dealt with straight away. Care Homes for Adults (18-65 years) Page 26 of 35 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 . Southleigh Residential Home continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Communal space is limited for the numbers of people living and working in the home. Evidence: A tour of the premises showed that the home was comfortable, safe and clean with a good standard of decor and furnishings. Mr. Millard the owner confirmed that repairs, maintenance and redecoration are ongoing projects. People are encouraged to clean their own rooms and other areas of the home if possible. The previous report commented on the amount of communal space available on the ground floor. The home has separate lounge and dining room on the ground floor however the dinning room is used as an access for one person to gain entry to their bedroom. The homes AQAA returned to the Commission states, Unfortunately due to the proportions of the home and it being a normal house and not a purpose built Care Homes for Adults (18-65 years) Page 27 of 35 Evidence: establishment, we are unable to extend the living areas.The current residents are very happy with the sizes of rooms etc. All bedrooms in the home are single to allow for privacy and each hold a wash hand basin. All the bedrooms were individually furnished and contained many personal possessions. One person living in the home confirmed that they had chosen the colours to paint their bedroom and had also been involved in the purchase of new bed linen a new bed. All bedrooms are now fitted with suitable locks as recommended in the last inspection report. The 1st floor had a bathroom fitted with an over bath shower. There was also a toilet on the 1st floor and a shower room and toilet on the ground floor. The home does not have aids or adaptations, with the exception of handrails and shower seat, as they are presently not needed. To the rear of the building is a small garden, which is accessible by all. A summerhouse has now been erected in the garden for the use of all the people who live in the home. The home has benefited from new furniture in the dinning room, new carpets laid in the hallway and staircase. Some people confirmed that they had new beds and some also received new bedroom furniture since the last inspection. The home has a planned maintenance list and included general upgrading within the home. Care Homes for Adults (18-65 years) Page 28 of 35 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 living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff were observed throughout the inspection responding sensitively and respectfully to each person living in the home and used their knowledge of individuals to encourage them to make choices and remain independent when possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and the preparation for the evening meal observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. Some of the people living in the home were able to confirm, as were the staff spoken with, that there were sufficient staff on duty to met the current needs of the 5 people living in the home. On the day of the inspection there was the 2 care staff with the owner and a Registered Manager both calling into the home. The staff and the people living in the home confirmed that either Mr. Millard or Mr Jenkins call in to the home Care Homes for Adults (18-65 years) Page 29 of 35 Evidence: most days and either is available on the telephone when needed. The home also provides sleep in night staff and an on-call system for the management. Observation showed that the staff members on duty were aware of individuals needs and how best to support them. Some of the people living in the home were able to say that the staff team were very good and it was evident that there was a good rapport between everyone living and working in the home. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that induction, safeguarding, first aid, health and safety, fire safety, medication, food hygiene, National Vocational Qualifications (NVQs) and courses related specifically to working with people with learning disabilities is regularly undertaken. These include course on epilepsy and Person Centred Planning. The homes AQAA records that, All are encouraged to train in both mandatory courses and NVQ for which we have support from outside trainers. The home employs 6 care staff and 3 of these staff hold an NVQ qualification and the other 3 are currently undertaking this course with a 4th staff member having completed an NVQ 2 is now embarking on a NVQ 3. Both staff members were spoken with during this inspection and confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said of the staff team, Its a lovely place to work. One person living in the home said, The staff are very nice. Care Homes for Adults (18-65 years) Page 30 of 35 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 management of this home has the respect of the staff team and the people living in the home. The staff team are well trained to meet the needs of people living at the home. Evidence: The previous Registered Manager resigned from that position some time ago. The Registered Manager of companys other home is currently overseeing both homes. Mr Jenkins plans to contact the Commissions Registration team with a view to register as manager for both establishments. Mr Millard the owner of both homes is very much involved in the home and visits most days and is also available on call when needed. Mr Jenkins holds a NVQ 4 in Care and has also gained the Registered Managers award. Mr Jenkins has many years expedience of working in care. The staff and the people living in the home all agreed that both Mr Millard and Mr Jenkins are approachable and available to discuss any issues of concern. Mr Jenkins is currently in the process of updating the quality assurance surveys. A Care Homes for Adults (18-65 years) Page 31 of 35 Evidence: discussion was held on the surveys already completed for the companys other home and the same format would be used at Southleigh. Forms are completed with the assistances of staff from the other home and reflect people experience of living in Southliegh. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety and gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff and the people living in the home are both receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 32 of 35 Are there any outstanding requirements from the last inspection? Yes  No  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 33 of 35 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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 37 The Registered Provider should Registered a Manager for both homes, as discussed, with the Commission. Care Homes for Adults (18-65 years) Page 34 of 35 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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