Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Stanfield House 4 Stainburn Road Workington Cumbria CA14 4EA The quality rating for this care home is:
three star excellent 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: Nancy Saich
Date: 1 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home
Name of care home: Address: Stanfield House 4 Stainburn Road Workington Cumbria CA14 4EA 0190065737 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Rosemary Louise Elsworth Type of registration: Number of places registered: Turning Point Limited care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: The home is registered for a maximum of 12 service users to include: up to 12 service users in the category of A (past or present alcohol dependence) up to 12 service users in the category of D (past or present drug dependence) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Stanfield House is an older property located in a residential area of Workington. It is within walking distance of the town and has good local and national connections. The property has three floors and is adapted to take one person with physical disabilities. The home takes people between the ages of 18 and 65 who have had problems with substance abuse but who are no longer using drugs or alcohol. The home is not staffed twenty-four hours per day so residents must be able to function fairly independently. The home is registered to Turning Point, a national charity who run different types of Care Homes for Adults (18-65 years)
Page 4 of 30 Over 65 0 0 12 12 Brief description of the care home home throughout the country and who have other services for people with problems of addiction. Louise Elsworth manages the home on their behalf. Further information on Turning Point can be accessed through their website on www.turning-point.co.uk. The cost is four hundred and twenty six pounds per week Care Homes for Adults (18-65 years) Page 5 of 30 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home
peterchart Poor Adequate Good Excellent How we did our inspection: This was the main or key inspection for the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly with plenty of detail. We (The Commission for Social Care Inspection) then sent out postal surveys to the staff group. We also delivered residents surveys to the residents representative in the home and he made sure that everyone got a survey. We had a good response to these surveys and we quote from them in the report. The responses were very positive and gave us a good picture of what its like to live and work in the home. Care Homes for Adults (18-65 years)
Page 6 of 30 We also used information that is sent to us throughout the year by the manager of the service. Some of this information is required by law but this manager also keeps the lead inspector updated with any improvements to the service. We completed a key inspection on the above date. We were accompanied by someone called an Expert by Experience. This is a person with experience of the drug and alcohol sector who is independent from CSCI and who acts as a lay person and their role is to talk to people in the service about their experience of the home. He spoke to approximately half of the residents in some depth and gave feedback to the manager on the day. We have used his judgments in writing this report. The inspector looked around all areas of the building and spent some time with residents and with the staff. As part of the inspection process the Inspector also looked at files and documents that backed up what was said and what was seen. What the care home does well: This service makes sure that they only take on new residents who they know will fit in with the existing group and who will benefit from the rehabilitation offered. One person told us: I like the fact that the service liaised directly with the individual and began to build a relationship with him before admission thus easing him into the programme. The home provides prospective new residents with plenty of information about the house and the rehabilitation programme. This service encourages people to develop their own personal goals in a written care plan. These are in a good format, they included risk assessments and risk management plans and even at the start they include long-term plans for discharge. Residents said they were given plenty of support to write these themselves. The home expects new people to attend a specific new residents group where they are assisted to explore the reasons for their substance misuse problems and are helped to begin to plan for their own recovery. Each person then attends a varied 12 week programme that helps them to look at all aspects of their addiction problems and gives them information and support on rehabilitation. The programme includes educational groups, relaxation, individual work and strategies for preventing relapse. We were pleased to see that this includes advice and encouragement on healthy lifestyles. They told us that if they complied with the boundaries set out by the programme they had a lot of freedom to pursue sport, leisure pursuits or take on voluntary work. I can do what I want as long as I attend all the groups... I usually keep myself fairly busy. There had been one complaint since our last visit and one matter of adult safeguarding. Both these things had been dealt with promptly and correctly. People who use the service tell us that they have no problem complaining if things are wrong. No one on the day had any major complaints and people felt that the staff team were there to help protect them from harm. We saw nothing abusive about this service and had evidence to show that the staff team are committed to supporting equality and diversity and protecting people from risk and harm. The house is situated in a residential area near to the amenities of the town centre and has good public transport. Accommodation is mainly in single rooms and four of these have ensuite facilities. On the day of our visit the house was clean, well furnished and decorated and staff make sure that good health and safety systems are followed by everyone who lives there. On the day of our visit the house was suitably staffed. The service is not staffed 24 hours a day. We met with the staff team and checked on staff files. We discovered that staff are recruited correctly, and then trained and developed to a high standard. We were pleased to note that Turning Point are keen to employ people who may once have had a problem with substance misuse. Staff told us that they thought the company had a good personal development programme that allowed them to get the kind of training and support they needed. We were impressed with the commitment of the staff we met Care Homes for Adults (18-65 years) Page 8 of 30 on the day. People were satisfied with the way the staff team treated them: The staff are very caring. They are a very committed team... easy to talk to and interested in our progress. One person told us that they thought; The staff team treat everyone individually and they actively seek help and support available for clients... they are good at providing tailored one-to-one support which leads on to encouraging independent living. The home now has a manager who is registered with The Commission for Social Care Inspection. She has suitable experience and training to be the manager and is being supported to gain further qualifications. One person in the service said: The manager is an exceptionally fair and understanding and genuine person.... We could see that she worked in an efficient way to carry out the management systems expected of her but is still very involved with supporting and advising people who are living in the project. What has improved since the last inspection? There have been general improvements in this service since our last visit. The main improvement is that the home now has a manager who is registered with The Commission for Social Care Inspection and who is committed to continual improvement of the service. We could see that the manager is improving planned admissions and this means that people will have gone through the detoxification part of recovery before they get to the house. We also judged that improved arrangements were in place for people who could not come for a pre-admission visit. We had evidence to show that the written plans of care are now in a much better format. People who use the service told us that these helped them to gauge their progress. We judged that the new person centred format had improved what was already a very good system. Residents and people who purchase the care told us that they could see improvements to the rehabilitation programme: I always felt that clients were left with too much time on their hands but this appears to have been addressed with the new programme.... We had evidence to show that the manager is working with outside agencies on behalf of residents to make sure they realise that people in a rehabilitation service are vulnerable and need good safeguards in place to prevent them suffering abuse. We were pleased to see that the home now has a staff presence from 9 a.m. to 9 p.m. during the week and that one member of staff works both Saturday and Sunday. This means that although service users are still left to cope independently there is a good Care Homes for Adults (18-65 years) Page 9 of 30 portion of time when there is a member of staff around to monitor what is happening in the service. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. 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 10 of 30 Details of our findings
Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 30 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This service has a very thorough assessment and admission process that makes sure that only people who will fit in with the existing group and who will benefit from the service are admitted. Evidence: We asked people about how they came to the service and we discovered that people go through a detailed assessment process and get the opportunity to visit the service. People told us that they thought this was important because any prospective service users need to understand the commitment they must make to following the programme. One or two people also told us that they thought it was important for people to visit and speak to current users so that they could find out for themselves whether the move was right for them. We looked at individual files and saw that these thorough assessments were recorded in detail and that was the start of the care planning process. Files contained detailed risk assessments and suitable assessments of need that were not just related to recovery. For example if a person had a physical health problem this was considered
Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: as part of the initial assessment. We spoke to the manager and she confirmed that this process was always done as thoroughly as possible to allow for successful admissions. We also discovered that the staff team have started to work on planned admissions and are keen for new people to be booked into the service in a planned way so that any arrangements for detoxification have been completed. We judged that this forward planning has improved the way people are admitted to the service and allows people to plan their recovery and to consider things like funding. We also saw that a new approach had been taken to admitting people from particular settings where a preadmission visit was difficult. Very detailed information is available about the service in an admissions pack and the manager is hoping to develop a website in the next year. Care Homes for Adults (18-65 years) Page 13 of 30 Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This service is good at supporting people in individual recovery pathways by utilising good care planning and risk management processes. Evidence: Both the expert by experience and the Inspector spoke to residents and they confirmed that staff supported them to write their own care plan. The Inspector read a number of these in detail and found them to be up-to-date with specific goals and targets to be met. There was evidence in these plans and in the records of one to one work with members of staff to show that these documents were a true reflection of the progress of people in the programme. These care plans covered not only the steps a person was taking to stay sober and clean but also covered things like health issues, social integration, education, employment and plans for the future. The plans and the notes also showed that people were supported and given information and assistance about decision making in their day-to-day lives and in their plans for discharge.
Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: The service user plans were written in a person centred way and residents confirmed for us that they were involved with writing and reviewing their own plans and some people had their own copies. Residents told us that having a very structured plan to work with helped them to keep motivated. On the day of the inspection there had been some changes with a number of residents and their care plans had been updated straight away and residents could talk about how they were focusing their recovery in a different way. We judged that care planning continues to improve in the service and that it is one of the main ways that allow people to monitor their progress and make realistic plans for the future. Several residents files showed this progressive care planning to meet personal goals and gave a good picture of a successful recovery. Each file also had detailed risk assessments and risk management plans in place. There had been an issue which had caused the staff team to review risk-taking in a group of residents and new assessments and new plans had been written up at the time of the change. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in this service are encouraged to follow a varied and healthy lifestyle that counteracts the habits that drug or alcohol addiction led them to. Evidence: The rehabilitative work in this service is based on personal development and recovery through group work and an individual programme of change. The individual work is done through the very good care planning process. The service tells people right from the start that they must attend the planned group work sessions. New residents attend a specific group which helps them to assess for themselves what their needs are and begin to plan their future. Once they have completed this all residents undertake a 12 week programme. They are encouraged to write their thoughts and feelings down in a journal, and there is a specific group covering this. The complete programme covers discussions on recovery,
Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: understanding substances, health matters, motivation and the opportunity to discuss emotions and experiences that may have led people into substance misuse. The service also runs both a mens group and a womans group so that service users can talk about some of the power and relationship issues they may have. They also run an assertiveness group where people can learn to manage their behaviours in a controlled way. The residents told us that they had also started a film group which helped them to reflect and discuss any feelings that came out of the movie. There are also other groups which help people to explore their creative side and we saw some examples of art work in the service. Residents also spoke about going to the gym and about the very popular weekly fell walking group. The home also has a dog and a lot of people enjoy taking her out for walks. Over the summer residents had been growing their own fruit and vegetables in the garden and working in the homes greenhouse. The residents also told us that they were expected to cook and clean the house and several people said how valuable this was as it taught them skills but also taught them how to interact with other people. This service runs a daily house group where people can openly discuss any issues about sharing with other people and how they are feeling on a day-to-day basis about their lives. There are opportunities around for people to do voluntary work and residents on the day discussed what they were involved with. We were also told that residents were given plenty of support in preparing for paid employment in the future. Residents are encouraged to talk about and explore difference in terms of culture, spirituality, sexuality and belief. Staff are trained to understand difference and people are supported in following their own lifestyles. One person in the home was a regular churchgoer and it was interesting to see that other people were prepared to give it a try. Staff in this home are fully trained in some alternate therapies. Residents can have Reiki, acupuncture or black box therapies. They told us that all these things help them to relax and dealt with problems like insomnia and cravings. The residents are supported and encouraged to budget, shop and cook healthy meals that will help with their recovery process. The service has reviewed all of these activities recently and several surveys said how much better the new programme was. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this service are encouraged, supported and assisted in developing a healthy lifestyle that will counteract their previous habits and will help with the recovery process. Evidence: Staff in this service do not provide personal care but they do give people psychological support and advice. They are also trained in giving alternate therapies. We asked people in the service about this support and we had a lot of positive feedback about the way individual members of staff work with each person. This involves one-to-one sessions where residents can talk about their progress and any concerns they have. The home has a key worker system that means that even before admission people who use the service know that they will have one member of staff dedicated to giving them support throughout their stay. We were told by residents that one of the first things that happened on admission was that they were registered with a local doctor. One or two people discussed their experiences of accessing healthcare. Some people said it wasnt always a very positive experience. The manager told us that she continued to work with different GP practices
Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: in town so that residents got the best possible care. Some people have had input from the practice nurse at the surgery and have had appointments with chiropodists or opticians. Almost every resident discussed the difficulties of getting dental treatment and again the manager give us evidence to show that she was trying to work with the health service to help people get the right kind of treatment. One person did discuss their positive outcomes from visiting the emergency dentist. We also had evidence to show that the staff continually support and monitor people with both their physical and mental health needs. There was evidence in residents files and in notifications we have had over the last year to show that the staff team help residents to access specialist care if necessary. People who live in the service told us that they are encouraged to follow a healthy lifestyle. For example everyone in the home when we visited was trying to follow a healthy diet. There are opportunities to get healthcare advice about stopping smoking and the home no longer allows smoking within the building. People who come to this service have often had difficulties with prescribed drugs. We could see and were told that on admission a full assessment takes place and then people are encouraged to take their own medication in a planned way. We had evidence to show that if there was any difficulties suitable support was given. We checked on the storage and management of medication and this was in order. This home never has controlled drugs on the premises and does not admit people who use medication that substitutes illegal drugs. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this service are listen to and any concerns or allegations are taken seriously and acted upon appropriately so that recovery is not hampered by anything of this nature. Evidence: We asked the people in the service whether they were aware of how to make a complaint. People told us that they would use the daily house meeting or talk to the key worker in one-to-one or would approach the manager of the service. One or two people said they would talk to their social worker. People in the service were also aware of other outside agencies who they could complain to. No one had any complaints on the day and one formal complaint had been received in the last year and this had been dealt with correctly. We also had a survey from a purchasing social worker who told us that some issues at the start of one persons stay had been dealt with promptly and fairly so that by the end of the stay this person had very positive things to say about the service. We judged that this is a very open service with an approachable staff group who are eager to listen to the opinions of people who live in the house and who work on things every day so that they dont develop into formal complaints. There had been one instance of safeguarding and this had been discovered by the manager and dealt with appropriately. We were impressed that the manager had taken a number of steps to make sure that Social Services dealt with this appropriately. She
Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: also made sure that a thorough internal investigation was held. The manager told us that she would continue to engage with people in outside agencies because sometimes the vulnerability of people in drug and alcohol services was not acknowledged or recognised. We think that the work she does in this area is very good practice and ensures that people who live in the house are supported, protected and their rights are maintained. There is very good information available to people who live in the house and to the staff about complaints, concerns and allegations. Care Homes for Adults (18-65 years) Page 21 of 30 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This house provides a secure and comfortable, short-term home for people where they can relax and focus on their personal rehabilitation. Evidence: Stanfield house is an older property set in a large garden. It is situated on the main road into Workington but is in a residential area of town. The house is on three floors and has neither a passenger nor stair lift so some of the building is not suitable for people with mobility problems. However the house has been upgraded and there is disabled access at the front door and there is one ground floor room that is equipped for people with restricted mobility. The lounge and kitchen are on the groundfloor so are accessible to people who are in wheelchairs. The home is within walking distance of the town centre, the library, gym, GP practices and other local facilities. There is a regular bus service that will take people further afield and Workington railway station has regular services to Carlisle and beyond. The home does have some parking spaces at the front but these were limited on the day of our visit. The garden wall had recently collapsed and the manager told us that Impact Housing, the homes landlord, would be dealing with this problem. The area was secure with warning signs. Residents told us that the main problem with this was that they couldnt get down into
Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: the garden and that several people had enjoyed growing their own vegetables and working in the homes greenhouse. However they hoped that this would be a shortlived problem. Accommodation is mainly in single rooms although when the home is full people may be asked to share as there is a double room in the house. Since the home has been refurbished four rooms now have ensuite facilities and residents and the manager told us that these rooms would be reserved for women as they are usually in the minority. Where possible if there were more than one woman their rooms would be allocated on the top floor so that men and women would share separate bathrooms. Down stairs there is a comfortable and well furnished lounge and a smaller quiet room. Residents eat together in a large kitchen. There is a utility room and both these areas are fully equipped with modern appliances. Residents are expected to clean and cook during their stay in the home and people learn about things like infection control and food hygiene. Residents can gain qualifications in these subjects. On the day of the visit the house was clean, warm, well decorated and comfortable. Turning Point are committed to maintaining good standards and we had sight of the budget for new purchases of furniture and equipment and plans to continue to redecorate the home. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This house is staffed by a small but well trained and developed staff team who have the best interests of residents at heart. Evidence: This service is not staffed 24 hours per day. People who live in the service and people who buy care from Stanfield house have varied opinions on this. Some people would like staff to be in the building both day and night and other people feel that residents need space and time to themselves because eventually they will be going out into the community without this kind of staff support. We were pleased to see that the manager of the service has now developed shift pattern working in the home and this means that there is at least one member of staff on from nine in the morning until nine in the evening. The home has also recruited a part-time worker who works both Saturday and Sunday. Residents told both the Inspector and the expert by experience that they were happy with this arrangement. We judged that this has improved things in the service. The staff in this service are qualified at National Vocational Qualification level 3. We met with a new member of staff and he confirmed for us that he had been recruited appropriately and given a thorough induction and had started on his training. He also told us that he was registered for NVQ level 3. We saw the training plan for staff in the home and we looked at individual staff files. Again these show that people
Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: are recruited and trained properly. Staff told us they receive regular supervision and appraisal and we saw records of these. The team feel this is important as their work can be demanding and stressful. They also have regular staff meetings. We also read what is called Performance, Development, Progression and Outcomes for each member of staff. This is Turning Points professional development program for staff. Each member of staff has personal development goals and these are achieved through training, acquiring knowledge and skills, having competence checked, completing direct work with residents and receiving supervision and appraisal. We thought that the content of these was of a very high standard and we could see that everyone on the team was working together to improve the way they supported people in the service. Staff in the home have had training in both basic and advanced health and safety, food hygiene, fire safety, safe handling of medication, training in safeguarding vulnerable adults, challenging behaviour, equality and diversity training and a sound grounding in understanding substance misuse. We were pleased to see that staff were also encouraged to undertake training about understanding mental health issues which may be a problem to people who come to the service. We also discovered that the manager of the service actively works on Turning Points objectives in relation to recruiting staff members who may have had experience of substance misuse in the past. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This is a well run home where residents can feel relaxed because the systems are operating well and the manager is in control of all aspects of the home. Evidence: Since our last inspection the manager of the service has become registered with the Commission for Social Care Inspection. Our surveys and discussions with residents and staff show that people have respect for her and trust her decisions. She has suitable qualifications and experience to be the manager of the service and continues to update her training by attending specific courses. She is registered to do the Registered Manager Award at NVQ level 4. The home has a quality assurance system whereby the manager checks on a regular basis that all the systems that keep the home running are working as well as possible. They also have very good systems in place to make sure that they ask residents individually and in groups about the quality of the care. They also use things like meetings and surveys to find out from residents and people who buy care exactly what they think about the service. The lead Inspector receives regular updates from the
Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: manager and had already received a copy of their annual quality assurance audit. Senior managers from Turning Point come to the project to carry out regular audits so that they can make sure that everything is running the way the company wants it to. We looked at records of maintenance, checks on equipment and things like the fire log book. We saw that good systems are in operation to make sure that this house is safe and that people who work and live there follow good practice in all matters of health and safety. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations
These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) 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. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!
