Inspection on 22/11/06 for Southview

This inspection was carried out on 22nd November 2006.

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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Southview 10/02/09

Southview 13/09/07

Southview 24/01/06

Southview 22/09/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Southview 34 Yew Tree Close Fair Oak Eastleigh Hampshire SO50 7GP Lead Inspector Tracey Box Unannounced Inspection 22nd November 2006 09:00 Southview DS0000064107.V314298.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 Southview DS0000064107.V314298.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. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southview Address 34 Yew Tree Close Fair Oak Eastleigh Hampshire SO50 7GP 023 8060 1805 023 8069 5473 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) Milbury Care Services Ltd Position vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Southview provides care for up to six young adults with learning disabilities and associated behaviour support needs. The home is owned and run by Milbury Care Services Limited a national organisation that employs a manager for the home. This service was first registered on 26th August 2005. The home is located near the centre of Fair Oak within easy access of local shops, other amenities and is on a main bus route and the service users have access to a house car. The building is a two-storey domestic detached house, comprising of six single bedrooms with individual en-suite facilities. The home’s communal space comprises of two lounges, a separate dining room and kitchen/diner. The garden is landscaped with a small area of decking and there is ample parking at the front of the house. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The opportunity was taken to look around the home, view records and procedures. Due to the nature of the service user’s disabilities it was quite difficult to talk to everyone living at the home, but observation enabled the inspector to gain a better understanding of how the needs of service users were being met. The staff on duty during this visit felt they were supported to do their job. The commission has received information from the home prior to this visit. This has provided additional evidence to show how the home are meeting the key standards. The fees for the home range between individuals from £1,848 to 1,869 per week. What the service does well: Service users are offered a variety of foods, fresh fruit and vegetables and lots of choice to enable a balanced, varied and healthy diet. There is an excellent attitude towards service users personal development expressing their own opinions and participating in activities as well as accessing the local community. The home use photographs and pictures to ensure individuals have the information they need to enable them to choose what activities they wish to participate in, colour schemes for re decoration, what they prefer to eat each day. A notice board in the kitchen has photographs of the members of staff who will be on duty during the day and night. Another board displays pictures of the activities each individual has chosen for the week, and what they have chosen to eat for each meal. The staff are caring, respectful and are mindful of peoples need for privacy and dignity. They encourage individuality and independence within the limits dictated by the service users needs. The staff support individuals to make decisions about their lives and service users are fully involved in planning their lives. The home is well maintained and suited to the service users needs. It is decorated and furnished to a standard that creates a comfortable and homely ambience. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 6 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. Southview DS0000064107.V314298.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 Southview DS0000064107.V314298.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefited from having their needs and aspirations assessed on a regular basis. Each service user has a statement of terms and conditions, however their content was limited regarding additional payments and fees. EVIDENCE: Evidence from service users’ files showed that they had all had care management assessments prior to moving into the home. In addition, the home undertook further assessments of service users’ needs on a regular basis. Assessments were comprehensive and addressed a full range of need areas, including psychological and mental health needs, communication and employment/educational needs, one assessment had been carried out by a service user who moved to the home from a school. The manager said she and the deputy manager complete pre admission assessments and gather as much information as possible from previous place of residence, families,, friends, staff and care managers. Records of one recently admitted service user showed he spent three days and two nights at the home as part of the assessment process, he was fully supported by his keyworker of his previous residence, and was involved in the daily activities of the home and spent time with other service users who live in Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 9 the home and the staff who work here. Records showed he went swimming, bowling and the pub. One member of staff said she knew she might be his keyworker if he wanted her to be, so they spent time together getting to know each other. Unfortunately the service user did not want to speck to the inspector, but interacted well with staff and service users who were at the home during this visit, and it appeared he had settled in well. Individual Care Plans on file clearly related to the issues identified through the assessment process. Individuals needs and aspirations are discussed at their annual reviews, records showed these occurred and involved social services and the service users families if they wished. Individual’s statements of terms and conditions have been designed in picture format to meet individual’s needs, however none had been signed by service users or their representatives. Three service users statement of terms and conditions were looked at, they did not included details of additional costs the service user would be expected to pay for or contribute to, for example whilst the inspector was looking at financial records, it was evident that each service user was paying £5.00 a week for the use of the home’s vehicle, no records were available to show who had accessed transport and when, or how the sum of £5.00 was identified to cover the cost of transport. Staff said each service user accesses the home’s vehicle virtually every day. The home’s policies did not detail the cost either, therefore a requirement and recommendation was made to ensure any additional expenses payable by the service are stated in the individual’s statement of terms and conditions, and that all policies and procedures are relevant to the home by referring to transport costs. Southview DS0000064107.V314298.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user’s or their representatives must be involved in the preparing and reviewing of their care plans. Service users are fully supported to make decisions in all areas of their lives. Risk assessments are being reviewed to ensure a consistent approach which will enable service users to take risks as part of an independent lifestyle. EVIDENCE: Care plans seen included pen pictures that included personal history, religious beliefs, family relationships, details of friends and important people in service users lives, which had been reviewed monthly, however records did not show that the individual or their representative was involved in the preparation. The home operate a keyworker system, which means each service user has a named staff member they work with to arrange reviews, revise care plans, Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 11 ensure service user’s needs are being met. Staff said they hold monthly meetings with the person they are keyworker with, this gives the opportunity to build a working relationship, encourage discussion, plan things to achieve and work towards, and the keyworker will sometimes act as a service users advocate in certain situations Staff said this system helps relatives too, as they know who to contact. The home use photographs and pictures to ensure service users have the information they need to enable them to make choices. A notice board in the kitchen has photographs and pictures to display ‘a flow of the day’, which includes the time of day the service user has chosen to wake up, what they have chosen to eat for all meals, which activities each individual has chosen to do including cleaning tasks, and what time they wish to go to bed. Staff said they will be working with service users to develop their ‘circle of friends’ to show people who are important in their lives. Staff were aware of how to access advocacy services should any service user need to. Staff spoken with were able to demonstrate an understanding of the need to support service users to make their own decisions, this is also covered during new staff induction. The Statement of Purpose and Service User Guide were clear about the rules in the home and each service user had a copy. These also contained information on who service users could talk to if they were unhappy about any aspect of the home. Both documents were produced in an easily accessible format for service users who had some difficulty reading The inspector looked at risk assessments, there were duplicates and completed in four different formats, making it unclear which was the most recent and staff said they difficult to follow, some records showed they had been reviewed every six months. Staff said they are aware of this and are starting to complete risk assessments in all areas, the inspector saw evidence of this during the inspection, however further work is needed to ensure all possible risks are assessed. One recently recruited member of staff said it has taken them a long time to read all the information available regarding each service user, and that most paperwork was duplicated and stored in different files, all of the staff spoken with were of the same opinion. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is good at providing support for individuals to take part in age appropriate, peer and cultural activities with the home and access to the local community. They encourage appropriate personal, family and other relationships whilst respecting and empowering individuals rights and dignity. Service users are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet. EVIDENCE: Individual’s preferences regarding activities and cultural beliefs are recorded in their care plans, records of daily activities are recorded in an activities diary, these ranged from attending college, a local pub, church, play done in Portsmouth, bus trips for shopping or for a coffee, the gym, swimming, various parties, day trips, reading, painting, youth club, playing football in the local Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 13 park, cooking, shopping (including a weekly groceries shop) and Saturday night take-away meals whilst watching the X Factor on TV and meals out. Staff said the service users living in the home are of similar age, and have similar interests. A weekly activities timetable showed all of the for-mentioned activities as well the skills service users are learning at college, such as IT, life skills and dance. One member of staff said if more staff were able to drive the homes vehicle, more activities could be arranged for more people. Staff said service users enjoy having a pet rabbit, service users take it in turns to clean out the hutch and remind staff to let the rabbit into it’s hutch each day. The inspector saw the visitors book which detailed many visits by relatives and health care professionals. On the day of the inspection service users were participating in various activities within the home, from watching tv, listening to music, all service users appeared content spending time with staff. Care plans seen included pen pictures that included personal history, religious beliefs, family relationships, details of friends and important people in service users lives. The notice board in the kitchen showed pictures and times of the day for various activities each service user has chosen to do, staff said this is devised with the service user at the weekend, however an activity is altered if the service user wishes. Staff ensure the board details exactly what the service user wishes to keep them informed of what is happening during the day and week. The inspector saw the menu displayed for meals on the day, it showed pictures of the food which service users had chosen, the staff use a variety of pictures of all foods imaginable, which enable service users to choose exactly what they want to eat. The inspector witnessed lunch time meal which was a snack as service users prefer to eat their main meal in the evening, staff said service users are encouraged to participate in preparing, cooking foods and clearing away. The cupboards, fridge and freezer were stocked with foods which would enable choice and variety. A member of staff said a record of all food eaten is kept to ensure service users eat a balanced diet, and that the wide variety of pictures has encouraged service users to eat new and exotic foods. The home has devised a recipe book with picture instructions to make items such as cakes, puddings and play dough. There were various health and safety procedures in place within the kitchen including colour co-ordinated chopping boards, a cleaning rota, gloves, temperature recording including probing of food, fridges and freezers. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in a way that they prefer, care plans are reviewed to ensure this information is current. Staff follow the home’s procedures to ensure Service user’s physical and emotional health needs are met. Service users would be fully protected if staff received appropriate training for the safe administration of medication. EVIDENCE: Since the last inspection staff working at the home have identified care plans need reviewing to ensure they contain relevant information to ensure the plans include sufficient, relative information to enable them to support individuals appropriately. It was discussed with the manager who agreed this work would continue. Staff spoken with were clear about each person’s individual preferences as they had worked with the service users for some time, and know them well, Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 15 however they did find the care plans contained a lot of information which can be confusing. Care plans include records of visits to healthcare professionals including one service user who recently attended a new patient appointment. The inspector read evidence of prompt action by staff to ensure a service user received medical treatment from their doctor. Records showed behaviour monitoring charts were being used, following advice given to the home by the Community Learning Disability Team. Staff have devised a ‘pain chart’ in picture format which enables service users to show staff whereabouts they have pain, for example a picture of a frowning face with a hand holding the forehead shows a headache, there are similar to show feeling sick, toothache, period pain etc. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. The deputy manager completes a weekly medication audit and her findings are recorded on the Medication Administration Record (MAR) Sheet. Records did not show if the staff who administer medication have received medication training, therefore a recommendation was made. The inspector saw the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. One member of staff said that they have been assessed by the deputy manager whilst administering medication, ‘I have had plenty of time to get used to the systems and have been monitored, I haven’t felt rushed at all.’ Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. 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. Arrangements for protecting service users and responding to concerns are satisfactory, however a formal way of recording such incidents needs to be devised. EVIDENCE: One service user was clear of who they would talk to if they had to complain, he also said that the staff are very good and always listen to him. The manager said the home received one complaint raised to social services, the inspector read all relevant paperwork which showed the complaint was closed on the 6th July 2006, however the home do not have a formal complaints log which would provide an easy audit trail for the home to monitor complaints. The staff said that they receive training in Abuse of vulnerable adults, certificates confirmed this. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure that is available in the home’s office. The inspector looked at the financial records of two of the six service users who live in the home. The cash held equated to the amount recorded for each individual. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 17 Money is stored in a cash tin, which is locked in a cabinet in the staff office. Service users’ have their own bank accounts or post office accounts, and staff support them to access their money. It was evident that each service user had paid £8.23 a week for the use of the home’s vehicle, no records were available to show which service user had accessed transport and when, or how the sum of £8.23 had been identified to cover the cost of transport, therefore a requirement was made as with standard 5. Southview DS0000064107.V314298.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and safe standard of accommodation is provided for the service users, which meets their needs. EVIDENCE: The home is well maintained with ample communal space, the secure garden appeared well maintained and is accessible to service users. The inspector saw communal areas were clean, bright and warm, furnished to the individuals taste and personalised with photographs of individuals and staff participating in various activities. The deputy manager explained service users are encouraged choose the colour scheme for their bedrooms and furnish the room with personal belongings, furniture and pictures to make it feel like home. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 19 The home appeared clean, no offensive odours were detected. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. Southview DS0000064107.V314298.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ individual and joint needs are met by appropriately trained staff. The recruitment procedure needs improving to ensure all relevant documents are held in the home. Staff are well supported and receive regular supervision. EVIDENCE: Staff told the inspector they feel they have adequate training to enable them to do their job properly. Records of staff training reflect this and show staff have received training in adult protection, health and safety, manual handling, first aid, food hygiene, epilepsy, infection control, person centred planning, autism, fire awareness. The manager confirmed over 40 of staff have received a National Vocational Qualification (NVQ ) level 2 or above. One recently new member of staff said she has completed the home’s induction programme, which has been assessed against the Skills for Care Council induction standards, and that she has enjoyed working towards her Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 21 Learning Disability Award Framework (LDAF) award, she said it is helping her to do her job. Staff said they have received the following training specific to enable them to meet the needs of service users living in the home, epilepsy, autism, mental health needs, behaviour awareness, Non Violent Crisis Intervention (NVCI), key working & care planning, philosophy of care and Person Centred Planning (PCP). The home have recruited one manager, one senior support worker and six support workers. However the staff team are managing staff vacancies by working additional hours and using bank staff to cover shifts, although the same staff are used to provide consistency, this has had an impact on staff who find it difficult to keep important records updated. The inspector looked at three newly recruited staff files, one reference was not sufficient, two references and one application form referred to the member of staffs previous job in another home owned by the provider, ‘Milbury’ one file did not include an application form, the manager explained recruitment paperwork is dealt with at the head office and that the some of the paperwork will be held there. A requirement was made to ensure all relevant paperwork is held on the staff file within the home. Staff said they receive support from one another, one staff said ‘we are friends and work well together. Records were seen to show that all staff received formal, structured supervision on a regular basis by either the manager or deputy, however neither of them have received appropriate training. One recently recruited staff said ‘ I have regular supervisions and I get a copy of the records detailing what was discussed.’ On the day of the inspection there were sufficient number of staff on duty to meet individual’s and group needs. Staff provide wake and sleep in cover during each night shift. The staff undertake the cooking and cleaning with the service users assisting where possible. Southview DS0000064107.V314298.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ are benefiting from living in a home which is being run well. Service users views are sought frequently. Service users are protected by staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: Since the last inspection the home now has recruited a permanent manager who is completing her Registered Managers Award (RMA). The home arrange monthly staff meetings, minutes of the most recent meeting were seen, one staff member said the majority of staff attend. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 23 The manager said the home is due to be redecorated, work is due to commence in February 2007, service users wanted it to be done after Christmas, as they will be staying with families whilst their bedrooms are being redecorated, and look at this as going on a holiday. Records were seen of service users views of the home being sort on a monthly basis, the manager feels this is too often, and was aware of how often the National Minimum Standards (NMS) suggest service users views should be sort, and is considering reducing the frequency of the questionnaire being completed, as the manager said the home have devised many ways to ensure service users are able to communicate how they feel about the running of the home. The manager said service users are involved in the recruitment of staff by showing prospective staff around the house, and they ask the person questions and the manager asks for their opinion. The responsible individual completes monthly un announced audits to comply with regulation 26 of the care homes regulations 2001, a copy of these reports were available in the home, and would be sent to the Commission on request. The staff are continuing to improve ways in which they can ensure service users views are obtained, they have introduced a wide range of pictures to encourage service users to communicate, the staff are hoping to become keyworkers, although they say they work very well with service users, this was apparent during the inspection by the interaction, service users appeared relaxed and seemed to enjoy staffs’ company. The staff complete regular weekly health and safety checks to ensure the safety of the building. Certificates were seen to show regular servicing of the boiler, electrical items, fire safety equipment and liability insurance. All Control Of Substances Hazardous to Health (COSHH) sheet corresponded with the cleaning chemicals used in the home. Records of staff attending fire training and practices were complete, and staff confirmed they had been on duty when the fire alarm had been activated and were confident of the home’s evacuation procedure. Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 24 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 4 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 X 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 3 x Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? 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. 1. Standard YA5 Regulation Schedule 4.8 Requirement Timescale for action 22/01/07 2. YA6 3. YA34 The provider must ensure that all additional expenses payable by the service user are stated in the individual’s statement of terms and conditions. 15(1,2(c). The provider must ensure service users and, or their representative is consulted in the preparation and review of the service users care plan. Schedule 2, The provider must ensure 4(6,a,b,c,d,e,f) relevant information is held in the home in respect of people working in the home. 22/01/07 22/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA9 Good Practice Recommendations To enable staff to obtain the information efficiently, the home is recommended to review the information held in all risk assessments, to ensure it is relevant and specific to the individual service user. DS0000064107.V314298.R01.S.doc Version 5.2 Page 26 Southview 2. YA20 Staff who administer medication would benefit from attending formal training with regard to the safe handling and administration of medicines. A complaints log to record all complaints received to enable the home to monitor complaints, 3. YA22 Southview DS0000064107.V314298.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 Southview DS0000064107.V314298.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!