Inspection on 23/09/08 for Sunnyfield

This inspection was carried out on 23rd September 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Sunnyfield 12/10/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunnyfield 153 Whinney Lane Streethouse Pontefract WF7 6DE     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: David White     Date: 2 3 0 9 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: Sunnyfield 153 Whinney Lane Streethouse Pontefract WF7 6DE 01977798181 01977709993 sunnyfield@mcare.info Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Matthew Larkin Type of registration: Number of places registered: Millennium Care Services Limited care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Sunnyfield is a residential home for Younger Adults. The home is situated in Streethouse, giving people access to local community facilities such as shops and public transport. The home offers single room accommodation with en-suite facilities. The home has a dedicated staff team, many of whom have worked in the social care sector for some time. The team receive induction training and on going training from a dedicated company training officer. The home supports people to live as independent life as possible, applying ordinary living principles to the work that they do. In addition to the use of public transport, people have access to transport facilities provided by the home as and when required. The service provider ensures that information about the service is available to people who are thinking about moving into the home and people already living in the home. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 9 Brief description of the care home This information can be found in the homes Statement of Purpose and Service User Guide and through CSCI (Commission for Social Care Inspection) reports. 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: We went to the home without telling them we were going to visit. This report follows the visit that took place on 23rd September 2008. The visit lasted from 09:00 until 14:30. The purpose of the visit was to make sure that the home is operating and being managed in the best interests of people living there. Information has been used from different sources for this report. This includes reviewing information that has been received about the home since the last inspection visit. We also looked at information provided by the manager on an Annual Quality Assurance Assessment questionnaire. Surveys were sent out and returned by people who live at the home, two social care professionals and a health care professional. Care Homes for Adults (18-65 years) Page 6 of 30 During the visit time was spent talking to people who live at the home, care staff and the manager. There was observation of how staff interacted with people. Various documents and records were looked at and some areas of the home used by people living there were visited. The manager was available throughout the visit and the findings were discussed with him at the end of the inspection. At the time of the site visit on 23rd September 2008, the fees ranged from 1817.55 to 2112.17 per week. Additional costs are made for hairdressing, activities and toiletries. The last inspection visit of this service was on 12th October 2006. What the care home does well: What has improved since the last inspection? The home has introduced a new assessment tool that provides more detail about peoples needs and the support they need. The tool encourages people to be more involved in the care planning process so that care is more person centred to suit individuals needs and preferences and to enable them to achieve their goals. The home has developed more opportunities for people to have more involvement with educational, employment and leisure services. Care Homes for Adults (18-65 years) Page 8 of 30 Some people who live at the home have become members of a local friendship group. This enables them to develop new relationships. A new medication system has been introduced that will give people the opportunity to look after and administer their own medication if they are able to do this safely. This will develop peoples personal skills and encourage their independence. A shelter has been built in the garden area where people can smoke if they choose to do so. The kitchen areas have been updated and most parts of the home have been redecorated. This helps to maintain a comfortable and pleasant environment for people in the home. A person who lives at the home is involved in the recruitment process for new staff. This enables people who are using the service to be involved in decision-making about the employment of staff. A new more detailed induction workbook has been introduced so that new staff are fully clear about their roles and responsibilities and are fully prepared on how to meet peoples needs. The home has achieved the Investors in People award for the quality of the care and services on offer at the home. 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 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that the home will be able to meet their needs. This is because they, or people close to them, are involved in an assessment of their needs before they are offered a place. Evidence: The home has detailed information available to people living in the home and their relatives about the care and services on offer. Although no people have been admitted to the home since the previous inspection visit, it was noted within the care records of three people that the home did have proper pre-admission procedures in place and these had been followed in the past. All the care records contained an assessment of the persons needs by the home and other information had been obtained from other sources such as placing authorities. People living in the home said that they had been invited to have a look around the home before making a decision about moving in. A survey returned by someone living in the home said, I got a book when I moved into the home telling me about it. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The home has introduced the ROSYH (Regional Outcome Systems for Yorkshire and Humberside) assessment tool. This provides more detail than the previous assessment information and helps people to be more involved in the assessment process. This means that the care plan that is developed from the assessment tool is more person centred. A survey returned by a social care professional said, I would recommend this service to colleagues when looking for placements. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are involved in decisions about their lives and play an active role in planning the care and support they receive. This has been helped by improvements to the care planning systems. Evidence: The ROSYH assessment tool helps to provide person centred care planning in helping to support people to achieve their goals. This tool has only recently been introduced so in some cases peoples previous care planning documentation has not been fully updated. Those care plans that do include the new documentation are impressive and are person centred, clear and easy to understand. It is clearly evident that people are actively involved in planning their care. One person said, I sit down with my key worker and other staff regularly to discuss my care. People said that they choose how they live their daily lives and staff support them with this. The care plans are very detailed and give specific information to staff about each Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: persons care and support needs. Staff have a very good understanding of what person centred care means and throughout the inspection visit they could be seen encouraging people to make their own choices and decisions. Staff said, care plans are easy to follow and give us some good guidance. Care plans are regularly reviewed and evaluated with changes made as needed. The home uses a key worker system so that staff are able to spend individual time with people. Regular care review meetings take place to enable people living at the home, their relatives, professionals and others involved in their care to discuss their progress and areas for development. A social care professional survey said, I am very satisfied with the assessment and reviews that take place for the person I am involved with. The care plans link well to the risk assessments. The ROSYH assessment tool uses a scoring system to assess the level of risk to individuals from different situations such as managing behaviour, using independent travel and employment. The home has a very good attitude to risk taking and how this can help people who use the service to greater independence. The risk assessments contain clear information to staff about how to minimise risk to individuals and when to pass concerns on about risk to other services. One persons care records showed there had been a recent deterioration in this persons behaviour and this increased the level of risk to this person and others. The risk assessment had been reviewed and amended to reflect these changes so that additional measures could be put in place to minimise risk. Where there are restrictions on peoples choices these are clearly documented to show how decisions have been made. One person said, I need to have a staff member with me when I go out because of my past history. I understand this and have no problem with it. A survey returned by a health professional commented the service works with me in managing risks, responding to a crisis and care planning. The home is good at managing people with complex needs in the least restrictive environment. A social care professional commented the service is good at managing risk and behaviour that is challenging to the service in a professional and appropriate manner. Throughout the day of the visit, staff were seen treating people in a respectful and dignified way. Discussions about aspects of individuals lives were held in private and staff knocked on peoples bedroom doors and awaited a reply before entering. One person is wanting to get in touch with their relatives who they have lost contact with. The home has supported the person to access advocacy services to help with this. Another person had applied to become a member of a local friendship group and their initial application had been turned down. This decision was challenged by staff and the person is now a full member of the group. The recently introduced Mental Capacity Act has implications on how peoples rights are safeguarded, particularly in areas of capacity and consent. The manager said that it is planned for all staff to receive Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: training about this. People who use the service have regular meetings with staff. Topics at the meeting include forthcoming events and planning for holidays and outings. People are asked about their preferred menu choices to help plan the shopping. One person living at the home attends the Wakefield Learning Disability Partnership Board meetings to take forward any ideas and suggestions from people who use the service. 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 using the service are very well supported to develop their life skills and to have a fulfilling lifestyle to suit their needs. Evidence: The care records detail the leisure and social needs of individuals and support is provided to meet these needs where possible. People who use the service have a wide range of leisure, employment and educational opportunities. Six of the nine people who live at the home have some form of voluntary work placement. One person works with the companys maintenance team and spoke about how much they enjoyed this. This person is not currently receiving any payment for this and this was discussed with the manager who said that he will be look into this matter. Another person does voluntary work at Homebase whilst others Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: had jobs in charity shops. People have the opportunity to go on outings and holidays. One person had been to Lapland, another person said, I enjoyed a recent trip to Blackpool illuminations. People enjoy trips to concerts and like going shopping. Staffing levels are organised around peoples needs. Some people go to the local social club and stay out late so staffing levels are arranged to accommodate this as is the case when there are overnight fishing trips. One person said how much they are enjoying going to the gym and another person said, I scored a hat-trick last weekend playing for a local football team. At the time of the visit a member of staff was supporting a person to access music services on the homes computer that has internet access. Another person at the home was playing a television computer game with a staff member. A survey returned by someone living at the home said, I do my own thing everyday. Staff are good at making sure a wide range of peoples needs are met. People are supported with any needs relating to their age, gender, disability, sexual orientation or beliefs. The cultural needs of people are given much thought. Some people who prefer a more relaxed lifestyle are supported by staff to do this. One person clearly stated that they do not want to join in any activities that are arranged by staff and this is respected. At the time of the visit a number of people received support from staff to carry out activities both in and outside the home. People are encouraged to maintain relationships with family and friends. There is a visitors room where people can have privacy. The home promotes people to make informed choices. This includes supporting people to have personal relationships and providing them with links to specialist services to support them with this. People are encouraged to be independent and to develop their daily living skills. Some people have their own food budgets to plan and prepare their own meals. People said that they enjoy the food that is on offer at the home. One person said, the food is good and we always have choice. Meals are well balanced and there are healthy eating options. Staff could be seen eating with people living at the home and the mealtime was flexible, unhurried and relaxed. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and health care needs are well met by respectful staff. Evidence: Most people attend to their own personal needs. The support people need is well documented in their care records. People said that when support is needed this is given in a respectful way. During the visit staff could be seen supporting people in a way that maintained their dignity and addressed people by their preferred names. A survey returned from a social care professional commented health needs are attended to in a professional manner. The care records have details of any health professionals that people see. Each person is registered with a GP (General Practitioner), dentist and optician. Referrals to specialist services are made as needed as in the recent case of one individual whose behaviour had deteriorated. Another person has recently had physical health problems and medical attention had been sought immediately and the person was admitted into hospital. Any input from health professionals is clearly recorded so that staff are clear about any actions they may need to take to meet peoples health needs. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Peoples health care is well monitored. They attend a Well Mens clinic for check ups. Peoples weight is also regularly monitored so that any concerns can be referred onto the GP. The organisation has a nurse co-ordinator whose role is to support the manager with any issues relating to health care. At the request of people using the service, steps have been put in place to encourage people to store and administer their own medication. Each bedroom has been fitted with a locked cabinet to safely store medications. The new system has only recently been introduced and risk assessments are being undertaken on each person to assess whether they are safe to look after and administer their own medication. Until the risk assessments have been completed, staff are supporting people to administer their medication. All staff who administer medication have had the appropriate medication training. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their relatives have their views listened to, taken seriously and acted on. Systems are in place to protect people who use the service from abuse. Evidence: The home has a complaints procedure that is on display in the home. People living in the home are given a copy of this procedure. People said that the knew how to complain. One person said, if we have any concerns we just tell our key worker or the manager and it is properly dealt with. Another said, I always talk to staff about any problems. The complaint records show that the home has had 6 complaints in the last year. These were all from people living in the home. This shows that people know how to complain and feel comfortable in being able to do so. All the complaints had been investigated and responded to within given timescales. The manager sent a letter to each complainant detailing the outcomes from the investigation. The records show that people were satisfied with the outcomes from this. The home has a policy and procedure on how to safeguard people from abuse. Staff have received training on the protection of vulnerable adults. They knew of their responsibilities if abuse was suspected or had happened. Since the previous inspection visit there had been two incidents which required safeguarding procedures to be followed. In each case referrals had been made to the appropriate agencies to keep Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: people safe. A survey returned by a social care professional said, any safeguarding issues have all been managed in a professional and appropriate manner. Staff said that physical intervention is only used as a last resort and only then to protect the interests of the person and others. Staff receive training on the use of physical intervention and de-escalation techniques. 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. The environment is comfortable, homely and suitable for the needs of people who live there. Evidence: The home is bright, spacious and clean. There is ramped access to the building and the home has wide corridors. This enables people with mobility problems to get around the building. The home has a garden area where people can sit and in this area a smoking shelter has been built to accommodate those people who choose to smoke. There is also an allotment where people can grow their own vegetables. One person who lives at the home said they like to look after the garden beds. All the bedrooms have en-suite facilities and there are also communal toilet and bathroom areas. There is a walk-in shower facility to help people who have mobility problems with their bathing needs. The home has two large kitchens that have been updated since the last inspection visit and most parts of the home have been redecorated. People said they liked their bedroom and those seen were very personalised and had certificates of peoples achievements and photographs of family and holidays. One person said, I am very comfortable here. I like my bedroom and can have all my own things in here. The maintenance team make sure any Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: maintenance work is attended to. The home is very clean and fresh smelling. Staff receive infection control training and follow procedures. The home recently received a four-star rating from environmental health for hygiene standards. 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. People living at the home receive very good support from a well trained staff team who are employed in plentiful numbers to meet their needs. Evidence: The home has a very friendly, relaxed and welcoming atmosphere. During the visit there was lots of humour and banter between people living at the home and staff and this helped to create a calm and happy environment. People living in the home commented there are always enough staff. There are usually 7 or 8 staff on duty in a morning to support the nine people living at the home, 6 staff on an afternoon and 2 waking night staff. These numbers vary depending on the needs of people at the home. When people go to the local social club and stay out late, staffing duties are planned to accommodate this. This shows that care is person centred to meet individuals needs. Staff work very flexibly to meet peoples needs and are committed to providing a good quality of care. One staff member said, I feel we work hard to improve peoples quality of life. The home also employs a housekeeper who does some cooking and helps to maintain standards of hygiene and cleanliness in the home. All the staff spoken to said how much they enjoy working at the home. A health professional commented staff work hard to train and support people with their Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: individual needs. The majority of staff have either completed or are doing the National Vocational Qualification (NVQ). This helps to ensure that people are receiving care from staff with the right skills and knowledge. Staff spoken to said they feel they receive good training to support them in providing care to people. New staff have a full induction before they are expected to carry out any task that they are unsure of. A new induction workbook has been introduced for staff to complete in their first 12 weeks of employment. The workbook is detailed and helps staff to understand the values and principles of the organisation. The workbook forms the basis for peoples personal development and supervision. A recently employed member of staff said, I am working through the induction workbook and finding it useful. The staff member also said, the care is good here and staff are very helpful. Staff receive a range of training to equip them in meeting the needs of the people they support. This includes training specific to the needs of people at the home such as the use of de-escalation techniques to calm situations and autism training. The company employs a training officer who organises staff training and makes sure that staff keep updated with current good practice. The staff files of three recently appointed members of staff show that all the necessary documents and checks had been completed before the people started working at the home. One person who lives at the home has become a member of the recruitment panel and has recently been involved in staff interviews for new posts. This person attended a 10 week course from an external provider beforehand to prepare them for their role. The person said I enjoy being involved in decision-making about the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the very best interests of people living there and proper attention is given to ensuring their health and safety. Evidence: The registered manager is experienced in running the home and has the required competencies and skills to do so. The manager communicates a clear sense of direction and is committed to improving the care and services on offer. The manager provides an excellent role model for his staff and strives to maintain and develop the quality of services on offer. People living at the home spoke well of the managers abilities. They describe him as having an open door policy if people need to discuss concerns. One person living at the home said, the manager is very good to me and is spot on. Other people spoken to made similar comments. Staff also describe the manager as supportive. One staff member said, we receive excellent support from the manager, he couldnt be any better. A survey returned by a social care professional said, The manager of the home provides a very good service. When issues arise the manager disseminates procedures and training to the support staff Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: and they seem to cope in managing difficult situations. The home has recently achieved the Investors in People award for their investment in ensuring people receive good quality care and services. The Head of Care visits the home on a monthly basis to monitor the performance of the home and makes a report of their findings and any actions to be taken. This involves talking to people who use the service and staff at the home. Questionnaires have been sent out to social workers, relatives and a speech therapist who visits the home. Very positive comments were returned with some suggestions that have since been acted on. House meetings are chaired by a person living at the home and the agenda for these meetings is set by people who are using the service. One person represents the service in meetings with the Wakefield Learning Disability Partnership Board and provides feedback from this. Another person acts as a representative on health and safety issues across the company. It is clearly evident that peoples views are listened to and acted on. Following a request from people living at the home, information in questionnaires has been amended so that it is more user friendly. Activity choices are respected and accommodated and a new medication system is being introduced to enable people to self-medicate if they are safe to do so. Staff said that they have the chance to give their views and opinions about the running of the service in staff meetings. Their practice and performance are discussed through formal supervision sessions. The AQAA (Annual Quality Assurance Assessment) that was sent to us by the manager before we visited the home contained very good information. It told us where improvements have been made and what else needs to be done. The self-assessment form (AQAA) completed by the home indicated that all the required maintenance and safety checks were up to date and a sample of these records confirmed this. The home has a low level of accidents and injuries and these are properly recorded. Staff receive a range of training on different aspects of health and safety so that they are up to date with current and safe working practices. Audit systems are in place to monitor health and safety and records from this are well organised and recorded. The health and safety systems are externally reviewed every month. 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!