Inspection on 27/11/06 for Southwood Avenue

This inspection was carried out on 27th 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 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

Southwood Avenue 09/01/06

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 09/07/2008.

CARE HOME ADULTS 18-65 Southwood Avenue 14 Southwood Avenue Southbourne Bournemouth Dorset BH6 3QA Lead Inspector Veronica Crowley Unannounced Inspection 27th November 2006 10:00 Southwood Avenue DS0000065336.V321598.R02.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 Southwood Avenue DS0000065336.V321598.R02.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. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southwood Avenue Address 14 Southwood Avenue Southbourne Bournemouth Dorset BH6 3QA 01202 436140 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) Cambian Asperger Syndrome Services Ltd Mrs Michelle Alexis Timms Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of young men to be accommodated to be between 16 years and 19 years. 9th January 2006 Date of last inspection Brief Description of the Service: Southwood Avenue is a large detached house situated in a residential area of Southbourne. The home provides term-time education and care for eight young men aged between 16 and 19 years with a primary diagnosis of Asperger Syndrome. There are eight single bedrooms, the majority being en-suite. Communal areas include a lounge, dining room, kitchen, laundry and IT suite used mostly for class work and a small garden. The library, shops and recreational facilities are within walking distances and bus routes are similarly close. The students all attend The Wing Centre, a residential and educational resource specialising in meeting the needs of young men diagnosed with Asperger Syndrome. Educational programmes include a curriculum co-ordinated at The Wing Centre, work experience and college courses organised by the Educational Vocational Manager who links with all local colleges assessing special educational needs on an individual basis. Some of the curriculum is delivered at Southwood Avenue where there is scope for the young men to practice independent daily living skills. Southwoood Avenue and The Wing Centre are part of the Cambian Group, an independent provider. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. All key standards were assessed according to the Care Home for Adults (18-65) National Minimum Standards. The time spent on the inspection process totalled eleven hours, eight of which were spent at the home and three hours spent in preparation. The inspector met with the Care Services Manager, the Registered Manager, three members of staff and five students. A partial tour of the premises took place and various records were examined, including two student’s files and two recruitment files. Additional information received by the inspector prior to the inspection was also taken into account. This included a pre-inspection questionnaire completed by the Manager, seven student surveys, six relatives surveys, one health care professional survey and any other information such as Regulation 37 notifications of significant events and Regulation 26 visits in the home. Service users at the home are referred to throughout the report as students. The openness of the Care Services Manager, Registered Manager and staff assisted the inspection process and the inspector was grateful for their time and commitment to the inspection. This inspection demonstrates that outcomes for students accommodated at Southwood Avenue are excellent. What the service does well: The house has a homely and comfortable atmosphere, which has been decorated, equipped and maintained to a very high standard providing students with a bright, clean, homely environment. Care plans, transition plans and individual risk assessments are considered excellent working tools, reviewed and updated regularly to ensure the staff work consistently with the students. Student’s choices and preferences are promoted and supported where possible. They are treated respectfully and can spend time in the privacy of their own rooms or have access to all the communal areas of the home. Students are encouraged to be involved in household activities and enjoy varying individual daily activities/routines, which compliments the twenty-four hour curriculum. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 6 The home has good links with relatives and liaises regularly with them over the individual student care and educational needs. The twenty-four curriculum enhances and supports the lives of the students accommodated at Southwood Avenue. Medicines storage was good and records of administration were clear. The staff team have been recruited well and those spoken to offer a good balance of direct work and life experience. They clearly demonstrated a good knowledge of the students and the aims of the home. They were also extremely complimentary of the support and commitment shown to them by the management and the company. Staff meetings, staff supervision and appraisals are regular and staff felt the value of these forums. Commitment to training is a real strength of the company. There are robust, thorough systems in place for monitoring the performance of the home against its’ Statement of Purpose’ and The Care Homes Regulations to ensure students achieve good outcomes. High priority is afforded to health and safety and all areas were being maintained well, ensuring a safe environment for both students and staff. What has improved since the last inspection? Care plans had been reviewed and reformatted to ensure they include all relevant detail as set out in the National Minimum Standards. The Care Services Manager is now also the Complaints Co-ordinator taking responsibility for all stages of the complaints procedure in order to ensure satisfactory outcomes. The medication audit trail has been made simpler and is consequently more effective. Detailed written records are now being made and retained of the reasons why an employee may have been employed despite them having a criminal record. A written record of explanation is now sought from prospective employees for any gaps in their employment history, both on the application form and within the interview process. The amended fire records can now easily identify that all staff have received the required fire training. (Twice per year for day staff and four times per year for night staff). Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 8 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 Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs are well assessed prior to admission ensuring that care staff have sufficient information to develop accurate care plans to meet students needs. EVIDENCE: Two care files were randomly chosen for review. The Manager and staff confirmed that information for the initial assessments is gathered from a variety of sources including, past schools, psychologists, parents, students and the Statement of Educational Need. The majority of the core paperwork is held on file at the Wing Centre. Records requested by the inspector, were brought to the home in order to demonstrate the pre-admission assessment process. These records showed that a thorough multi-disciplinary assessment is undertaken, which ensures that only the most appropriate students are admitted to the service. The home retains on the students Focus File a copy of the Statement of Educational Need. A baseline care plan is developed prior to admission from known information. The plan is added to over the period of time immediately following admission as the staff become more aware of specific needs. A 12-week assessment Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 10 process is the norm. Care records showed clear evidence of the assessment process. Students spoken to remembered and confirmed the assessment and admission process, which they had gone through. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Detailed written care plans are developed which ensures that staff are aware of the students’ assessed needs. Students are enabled and supported through various forums to make informed decisions about their lives. Students are supported to take responsible risks, enhancing their independence. EVIDENCE: Two care files were reviewed for the purpose of this inspection. The home follows a base template for the development of each care plan. This includes visual prompts and simple language, which aids students understanding. Staff and students confirmed that they had helped in the development of these Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 12 plans. The plans reviewed contained all information of relevance, which was a great improvement following recommendations made at the last inspection. The plans were completed in the first person, embellished with appropriate artwork and clearly identified the students’ perspective in addition to the how the staff were encouraging the student to attain their full potential. Within the plan the Statement of Need clearly cross-references to National Minimum Standards and the company’s own standard documents. Education targets also link to the Statement of Special Educational Need. Levels of independence are ascertained in collaboration between staff and student and there was evidence through the compilation of weekly summaries that crossreferenced satisfactorily to identified targets within the care plan. Of particular note one student proudly presented his transition plan via power point to the inspector, explaining his input and how his views, aspirations and review outcomes had been updated and incorporated. The service are commended on this piece of work, which truly enables each student access to his up to date placement/transition plan. Students are fully aware of their care files and are key contributors to their development. Care plans are reviewed regularly. Copies of review documentation support that this is maintained. The inspector noted that all recommendations from previous reviews had been transferred to the care plans examined. Staff confirmed their role in preparing for a review, which includes writing a progress report. Staff spoken to were fully aware of the students needs. Students are encouraged and enabled to make decisions about their own lives, evidence of this was supported by the care file contents and conversations with the students. Examples given included, support to manage their own finances and to develop their own independent leisure opportunities. In addition students have a formal house meeting each week plus an informal meeting to arrange menus for the forthcoming week. The Manager also reported that students are involved in a joint meeting with staff, which is reported to have been very successful. Recently students had also been encouraged and supported to participate on interview panels for recruiting staff. The home has a vast array of risk assessments to demonstrate that they are keen to ensure that students have access to life experiences and the community but within reasonable controls. Each student is assessed for his individual risk factors and strategies were in evidence to manage any potential concerns. Before a student is deemed safe to carry out any specific activity he has to successfully achieve the expectation on five separate occasions. Evidence of these risk assessments were seen on files. With regard to individual behaviour risk assessments (where physical intervention may be necessary) a multi-disciplinary meeting is held to decide whether a student should be on the Risk Register and where a risk strategy would also be agreed. This is reviewed every three months and if intervention has not been necessary then the student would usually be taken off the Register unless there was a valid reason for continued inclusion. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students are well supported to take advantage appropriate further education or work opportunities, which will enhance their life opportunities after leaving Southwood Avenue. Students are well supported and encouraged to access community resources ensuring they are active participants in the local community. Students are supported in maintaining and/or developing appropriate relationships, which also supports and encourages emotional maturity. Students are respected and supported to achieve or maintain their rights in a manner which also encourages responsibility for actions. Service users are offered a balanced diet ensuring that they encourage good attitudes to healthy eating. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 14 EVIDENCE: All students are supported through the Wing Centre; many take further education classes either at the centre or on site at Southwood Avenue. Some are supported in work experience opportunities, whilst other access the local college; each according to their own assessed needs or wishes. The students are fully involved in a twenty-four hour curriculum which also includes individual therapeutic input. All packages of purposeful activities and educational opportunities are arranged with student participation. Students spoken to told the inspector of the many local resources they access and use. Care plans and the many varied risk assessments seen also support this to be the case. Students are never restricted unless risk factors are indicated. In these circumstances staff would support students until such time as risks could be minimised. Relative’s details are recorded on the students Focus Files and daily care records included entries relating to contact with families, friends and acquaintances. Students are supported to maintain family links. As a term time only resource this is important as students return home during holidays. Students are also encouraged to build and maintain friendships from within the college and the community. Students spoken to confirmed that they are supported in this and are encouraged to have friends visiting the house. Weekly summaries are provided to parents to ensure consistency of care in addition to the personal tutor contacting and updating parents on a weekly basis. The service is congratulated on the continued work that is carried out facilitating individual programmes between students, their families, and in particular siblings, to ensure a smooth transition back into the home situation, either for holidays or on a fulltime basis. The Manager also reported that many of the parents, from students that have left the service, remain in touch both for support and just to update on progress. Staff encourage students to take responsibilities within the home and to be active participants in the daily routines of the home. This includes laundry, shopping cooking and cleaning. Independence is encouraged in all aspects of their lives and is one of the key outcomes expected of student’s time at the home. Students have keys to their rooms and staff respect their privacy by knocking before entering a bedroom. Smoking is forbidden in the home and students are well aware of this expectation. A visitor’s book is kept at the entrance of the home and was clearly used by the regular entries noted. From discussions with staff and observations made throughout the inspection it was evident that staff are very aware and respectful of the rights of the students Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 15 and the importance of encouraging and supporting students to develop a safe level of independence based within the risk assessment framework. Students develop menus during their informal house meeting held weekly. Menus seen offered a healthy balance whilst incorporating their choice. Students supported by staff cook meals on rotation. Themed cultural evenings are held on a weekly basis and there is provision for take out meals. Students were generally satisfied with meal provision. All those involved in the preparation of meals had undertaken food hygiene training. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is offered in a way that promotes the students’ privacy and independence. The physical and emotional health needs of students are well met with multi disciplinary working taking place as appropriate. The home’s policies and procedures support good care practice in relation to medication. Where possible this encourages students towards independence. EVIDENCE: Although none of the students receive personal care they are well supported in their needs. Students are designated with a personal tutor/key worker, which ensure continuity of care. Care records confirmed that student’s needs are identified and met accordingly. Southwood Avenue staff demonstrated an awareness of the need to support with sensitivity ensuring privacy and dignity. Routines of the home, although somewhat dictated by their college schedule, Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 17 are flexible and afford each student the scope to receive support according to their needs at a time, which is suitable for them. Students and staff spoken to confirmed this. Student’s health needs are assessed on admission and incorporated in a plan of care. Care plans seen identified where specific support or care is required. Students are registered with a local GP, dentist and optician as required. Some maintain dental and optical care at their homes. A choice of practitioner is available. Students said that they are supported to visit the GP but are able to see the doctor in private if they wish. Two of the current students hold and administer their own medication, which had been duly risk assessed. The corporate policy clearly gives parameters for self- medication within a risk assessment framework and staff prompt as required and review these regularly to ensure that any treatment is being maintained. All other medication is held securely in the staff office. The senior on duty administers medication as required. A random review was made of records and medication held. These were seen to cross-reference and a clear audit trail is now identifiable following recommendation at the last key inspection. Parental permission is sought to give staff permission to administer medication and first aid as required. Signed permission forms were seen on care files. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has effective complaints procedures that ensure that complaints are handled effectively and swiftly. The home have robust protection procedures in place, which ensures that students are protected from abuse, neglect and self-harm. EVIDENCE: The home adheres to a corporate complaint procedure, which includes the expectation that complaints are handled swiftly and within 28 days. The procedure includes stages and supports complainants in referring the complaint forward if they remain dissatisfied. Students have access to several contacts should they wish to raise a worry or complaint. The inspector saw simplified complaint leaflets and posters. On admission each student is given this information. If a complaint is received a record is made. The inspector saw a logbook ready prepared for this event. The recording system includes an indication of whether a complaint has been substantiated or not and whether the complainant was happy with the outcome. Those records seen had been addressed satisfactorily. The Company have also appointed the Care Services Manager as the Complaints Co-ordinator who ensures the procedures are followed through to conclusion, duly monitoring each stage. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 19 The home is party to full and detailed child/adult protection procedures, including links with Area Child Protection Committees and the availability of No Secrets Policies and Whistle blowing procedures. No such referrals had been made since the last key inspection. The Manager confirmed that all staff receive induction, foundation and refresher training in this respect. Staff confirmed that they had received this training and records evidenced this. All staff had received SCIP (Strategies for Crisis Intervention & Prevention) training, although physical intervention is only used as a last resort within a risk assessed framework. No such incidents were reported. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Southwood Avenue maintains an excellent standard of décor and furnishings that provides students with an attractive, comfortable, homely environment. The home is very clean and hygienic with satisfactory procedures in place for controlling infection. EVIDENCE: The premises are suitable for its stated purpose; accessible, safe and extremely well maintained; meet students’ individual and collective needs in a very comfortable and homely way. The communal areas include a large, well designed lounge, a dining room, domestic kitchen and two additional rooms used for study, one of which houses eight computers. The laundry room is an additional structure situated in the back garden which is laid to patio with a brick built bar-be-cue, garden furniture and a selection of potted plants. All Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 21 bedrooms have en-suite toilet and washbasin facilities. All but two of the bedrooms also have showers. The two service users who do not have showering facilities use a communal bathroom. The home has beautiful furnishings, which create a calm and homely ambience. The premises were clean, hygienic and free from offensive odours. Systems are in place to control the spread of infection and are in accordance with relevant legislation, published professional guidance and the purpose of the home. Laundry facilities are sited so should there be any soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten and do not intrude on students. The laundry floor finish is impermeable and the wall finishes readily cleanable. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students are well supported by competent staff with over 80 having achieved their NVQ Level 3 award. Robust systems for vetting and recruiting staff are in place allowing the most suitable and dedicated staff team to be recruited. Staff are well trained and effective in meeting service users needs. EVIDENCE: The company are heavily committed to investing in training for their staff. Of particular note over 80 of staff employed at Southwood Avenue hold their NVQ level 3 Award. The company has its own NVQ Assessment Centre and employs an NVQ and City & Guilds Quality Assurance Co-ordinator. Records seen by the inspector evidence that all staff have undergone an induction that reflects Skills for Care induction standards and the Learning Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 23 Disability Assessment Framework. All staff also receives a wealth of training opportunities, which exceed minimum standards. The National Minimum Standards indicate that staff should receive a minimum of five days per year; staff at Southwood Avenue receive 10 days compulsory training each year. A wide variety of topics are covered specific to service delivery. Staff confirmed that this is one of the very positive aspects of being employed by this company. Both the staff and Manager confirmed that they receive six weekly supervision, which they reported was both empowering and supportive. The staff spoken with also felt they were supportive of each other, and presented as a committed and focussed team striving for the service users to achieve good outcomes. Weekly staff meetings take place to ensure consistency of care. Staff and management also receive 360° appraisals and have training development plans. Southwood Avenue subscribe and follow excellent corporate recruitment procedures. Staff recruitment files of all staff who have been recruited since the last inspection and evidence of Criminal Records Bureau (CRB) checks were made available for inspection. A random sample of two were reviewed which evidenced that the procedures had been followed. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is extremely well managed and therefore students benefit from its smooth operations. Good and detailed attention is paid to health; safety and welfare to ensure that services users are protected. EVIDENCE: The Registered Manager holds the Registered Manager’s Award, NVQ’s in Levels 2, 3 & 4 and is a D32/33 NVQ Assessor. She undertakes periodic training and development to ensure she maintains and updates her knowledge, skills and competence. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 25 The home has effective quality assurance and quality monitoring systems, which are based on seeking the views of the students, the families and the relevant professionals that work with the service in order to measure success in achieving the aims and objectives and the statement of purpose. In addition quality assurance is measured through the company’s own termly audit of the National Minimum Standards, Regulation 26 visits carried out by independent personnel and six unannounced night visits, per year, carried out by Managers within the company. The home also undergoes regular Health and Safety audits. The Manager and staff can demonstrate year on year development for each student, linked to implementation of their individual Plan. Policies and procedures are regularly reviewed in light of changing legislation, guidance and good practice advice from the Department of Health, local/health authorities and specialist/professional organisations. Health and Safety matters are given high priority. The home has an up to date fire risk assessment and a variety of environmental and generic risk assessments. Weekly and monthly health and safety audits are also undertaken. All staff had completed relevant first aid training and had undertaken food hygiene training. These training courses are provided on a rolling rota system to ensure all staff are appropriately trained. Temperatures of fridge/freezer and food cooking were all recorded. Coshh substances were stored safely and had accompanying data. Water temperatures are kept at 43decrees C and are also tested regularly. PAT testing is undertaken on a regular basis. All fire records were complete and show that necessary in-house and specialist checks, fire training and fire drills had been undertaken. Accident and incident records cross-referenced successfully to student’s files. The Manager reported that repairs and maintenance are dealt with swiftly and satisfactorily. The Health and Safety Report had been reviewed and updated on 16/11/2006 and the manager reported they were looking at further means of improving auditing. There were no outstanding recommendations from the local Environmental Health Service. Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 4 X X 3 X Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Southwood Avenue DS0000065336.V321598.R02.S.doc Version 5.2 Page 29 - 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!