Inspection on 30/06/08 for Swan House

This inspection was carried out on 30th June 2008.

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

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

Other inspections for this house

Swan House 28/08/07

Swan House 19/01/07

Swan House 09/05/06

Swan House 21/02/06

Swan House 11/07/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Swan House 6 Newholmes Monyhull Hall Road Kings Norton Birmingham B30 3QF Lead Inspector Sarah Bennett Key Unannounced Inspection 30th June 2008 09:50 Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swan House Address 6 Newholmes Monyhull Hall Road Kings Norton Birmingham B30 3QF 0121 444 2710 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) South Birmingham Primary Care Trust Edward Glavey (not yet registered) Care Home 6 Category(ies) of Learning disability (6), Physical disability (6), registration, with number Sensory impairment (6) of places Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can accommodate six people with a learning disability under 65 years. The home can accommodate three named people over the age of 65 years 28th August 2007 Date of last inspection Brief Description of the Service: Swan House was purpose built as a care home, on the site of what was previously Monyhull Hospital. South Birmingham Primary Care (NHS) Trust manages the staff and the home, and Family Housing Association owns the premises, which is a bungalow. At present the home accommodates six men. The men all have a Learning Disability; some have impaired mobility, and some display behaviour’s that challenge. The accommodation comprises of six single bedrooms, a communal lounge, dining room, a W.C, adapted bathing facility in the bathroom, shower room, kitchen and laundry room. The home has a garden at the rear and side of the home, with garden furniture and shade. The fees charged to live there was not stated in the service users guide and this information should be included. A copy of the CSCI inspection report is available in the home for those who wish to read it. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was carried out over one day; the home did not know we were going to visit. This was the homes key inspection for the inspection year 2008 to 2009. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and an Annual Quality Assurance Assessment (AQAA) completed by the manager. Two people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. Some of the people who live at the home were not able to tell us their views because of their communication needs. Time was spent observing care practices, interaction and support from staff. The manager and the staff on duty were spoken to. A tour of the premises took place. A sample of care, staff and health and safety records were looked at. What the service does well: Each person has a care plan so that staff know how to support them to meet their needs. Staff help the people living there to keep in touch with their family and friends. Staff know that it is important for people to remember their past and the people that are important to them. The people living there are offered a healthy diet and staff get advice from health professionals to make sure that the people living there are well. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 6 Staff look after the money of the people who live there well. They keep records that show that staff check the money often, they write down what each person buys and always get a receipt. Each person living there has their own bedroom. These include their personal things and they are decorated in the way they like. Staff know the people who live there well and spend time talking to them. Staff make sure they often do the fire and health and safety checks to make sure that the people who live there, staff and visitors are safe. Staff have training so that they know more about how to meet the needs of the people who live there. What has improved since the last inspection? What they could do better: The service users guide should state the fees charged to live there. This will ensure that prospective service users have all the information they need to make a choice as to whether or not they want to live there. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 7 The WC should be redecorated to ensure it is clean and to reduce the risk of cross infection. Chairs should be bought that are comfortable and the people who live there can get in and out of easily. 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. Swan House DS0000062628.V367819.R01.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 Swan House DS0000062628.V367819.R01.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): 1 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have most of the information they need so they can make a choice as to whether or not they want to live there. EVIDENCE: The statement of purpose was reviewed in March this year. It included all the relevant and required information that prospective service users would need so they can make a choice as to whether or not they want to live there. It included pictures making it easier to understand. The service users guide did not state the fees charged to live there and these should be added. The manager said that he plans to update the service users guide so that all the information is relevant and the fees would be included. The people living there have lived there for a number of years so no new people had been admitted since the last inspection. Therefore, the standard relating to assessment of a person’s needs before admission was not looked at. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need so they know how to support people to meet their needs and keep them safe so ensuring their well being. The people living there are supported to make choices and decisions about their day-today lives. EVIDENCE: The records of two of the people living there were looked at. These included an individual care plan. Care plans detailed the support that staff need to give the person to meet their needs and help them achieve their goals. Care plans included pictures making them easier to understand. They were written in a way that centred on the person and their individual needs, likes and dislikes showing that people are respected as individuals. The manager said they are in the process of indexing care plans so that they are easier for staff to look at and see what support each person needs. Care plans had been reviewed Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 11 monthly and updated where there had been changes to ensure they stated the current needs of the individual. Care plans detailed how the person was to be supported to make choices in their day-to-day lives such as choosing what clothes to wear and what to eat and drink. Choices can be limited to these things because of the person’s communication needs. Care plans stated how the person makes choices this may be by grabbing the thing they want or by using eye contact. Each person has a monthly review with their key workers where they talk about the things they need and want, any health problems they have, the activities they have been doing and how they have spent their money. Each person has a yearly review to which their relatives and other professionals working with them are invited if this is appropriate. Meetings with all the people living there take place regularly. Minutes of these indicated that they talked about activities, food, holidays and the redecoration and furnishing of the home. People were encouraged to make choices about these things. Records showed that their choices were respected and changes made where they had requested them. Records sampled included individual risk assessments. These detailed the support the person needed to be as independent as possible whilst minimising the risks to their safety and well being. Risk assessments had been regularly reviewed and updated where needed so that people were supported appropriately. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the people living there experience a meaningful lifestyle. People are offered a varied and nutritious diet so ensuring their health and well being. EVIDENCE: One person attends a day centre during the week. Since the last inspection the range of regular activities offered had improved. A music therapist visits fortnightly, a therapist visits to lead a mobility session fortnightly and a massage therapist visits regularly. An assessment of the activities that people do and would like to do had been completed. An activity co-ordinator uses the local church to provide these activities for people regularly. The person who goes to the day centre has the choice of whether or not they want to take time off and participate in these activities. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 13 Some people went on a day trip to Weston – Super- Mare the week before and staff said that further day trips were planned. During the morning staff were observed spending time in the dining room with the people living there playing games and doing jigsaw puzzles. One person went with staff to an exercise session at a local leisure centre in the afternoon. Records sampled showed that people took part in a range of activities inside and outside the home. These included music sessions, massage, games and puzzles, watching TV and DVD’s, going shopping, listening to music, going to church, parks, walk, mobility sessions, country drives, cafés, doing arts and crafts, going to pubs, the barbers and the cinema. One person likes dogs and sponsors a dog that lives at a Dogs Trust. Their records showed that staff had supported them to go to meet and spend time with their dog. Records showed and staff said that they were planning holidays with the people living there. Two people want to go to Scotland, one person wants to go to London and one person has shown an interest in going to Center Parcs. The other people had not yet decided where they want to go. Records sampled showed and staff said that people are supported to keep in contact with their family and friends where this is appropriate. This may be through telephone calls, visits to them or from them to the home and sending cards and presents for special occasions. Records sampled and observations showed that people are supported to be as independent as possible and take part in household tasks. This helps to develop their skills and improve their self-esteem. Food records sampled showed that the people living there are offered a healthy and varied diet that included at least the recommended five portions of fruit and vegetables each day to be healthy. The Dietician had made recommendations for some people to ensure they are within a healthy weight range so that they are well. Records sampled showed that these guidelines had been followed so helping people to be healthy. People were offered a choice of different fruits during the morning as a snack. Staff asked people what they would like with their salad for lunch and they were given a choice of corned beef or cheese. Staff were observed supporting people who needed assistance with their lunch. This was not rushed and staff spent time talking to the person and enabling them to do as much as they could for themselves so maintaining their independence. A choice of hot or cold drinks were offered. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. The personal care and health needs of the people who live there are met so ensuring their well being. EVIDENCE: The people living there were well dressed in individual styles of clothing that were appropriate to their gender, age, the weather and the activities they were doing. During the day staff were observed supporting people to change clothes if they were soiled or put on more clothing when they said they felt cold. Care plans stated how people preferred to be supported with their personal care and how to meet their health needs. Records showed that people regularly went to the barbers and each person had their individual hairstyle. Records sampled showed and staff said that a range of health professionals are involved with individuals where needed to ensure their health needs are met. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 15 Records sampled showed that advice given by health professionals was followed to ensure people were well. Records sampled included an individual Health Action Plan. This is a personal plan about what a person needs to stay healthy and what healthcare services they need to access. One person’s plan stated that they had dry skin and there were pictures of the creams and lotions they needed to use so that staff knew exactly what the person needed. Records sampled showed that people have regular check ups with the dentist, optician and chiropodist where necessary to ensure they keep healthy and action can be taken if a person’s health is deteriorating. Weight records showed that where people were over or under their ideal weight, which could affect their health the dietician was involved. Records showed that their advice was followed and people were supported appropriately so that they lost or gained weight and could be well. Since the last inspection staff had got better at recording the bowel movements of people who were unable to say when they had these and were at risk of constipation. This helps to ensure that if people are constipated they can get the help they need so ensuring their well being. Medication was stored in a locked cabinet. The Boots monitored dosage system is used that is stored in individual blister packs for the day and time the medication is to be given so reducing the risk of errors being made. Medication Administration Records (MAR) sampled included a photograph of the person at the front so if unfamiliar staff were giving medication they would know who to give it to. The MAR had been signed appropriately indicating that medication had been given as prescribed. Where people were prescribed as required (PRN) medication a protocol was in place that stated when, why and how much of the medication is to be given so that this is not misused. Some people are prescribed Controlled Drugs (CD’s) that are stored in a separate cabinet as required to ensure they are recorded and used appropriately. The amount of each person’s tablet kept in the CD cabinet cross-referenced with the amount stated in the CD register indicating that they were being stored, recorded and given to the individual appropriately. The manager said that two members of staff had completed medication training since the last inspection and been assessed as competent to give. One member of staff had completed the training and was waiting to be assessed as competent to give. This helps to ensure that there are always staff on duty that know how to give people their medication so their health needs are met. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. 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 views of the people living there are listened to and acted on. Arrangements ensure that the people living there are safeguarded from abuse and harm so ensuring their well being. EVIDENCE: The South Birmingham Primary Care Trust (PCT) complaints procedure was available in the home. It was produced using pictures making it easier to understand so that people would know how to make a complaint if they were unhappy with the service provided. We have not received any complaints about the home since the last inspection. The home had received one complaint about the service provided there. The complaints record showed that this had been investigated and resolved appropriately. It also stated what action had been taken to improve the service as a result of the complaint showing that complaints are treated positively and as a way to make improvements. Compliments are also recorded and a recent compliment received stated, “ I have the up most confidence that all arrangements concerning my relative are made in a truly professional and caring way.” Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 17 The week before an allegation had been made concerning the conduct of a member of staff. This was reported to us and to the duty social worker, as is appropriate to ensure that the people living there are safeguarded. The member of staff was not working at the home whilst an investigation into this was being undertaken. This helps to safeguard the people living there and the member of staff from further allegations being made. All staff had received training in adult protection and the prevention of abuse so they know how to keep the people living there safe from harm. Some staff had received training in the Mental Capacity Act 2005 and other staff were booked to do this. The Mental Capacity Act came into force in April 2007. This legislation requires an assessment of people’s capacity to be done if there is any doubt that the person does not have the capacity to make a decision about their health and welfare. If they are assessed as not having the capacity an Independent Mental Capacity Advocate (IMCA) can be appointed to help them with this. All staff should be aware of this so that if a person living there needed to make a decision an assessment could be done and they could receive appropriate support if they do not have the capacity. Care plans included how people’s money is looked after. Each person has their own bank account that their benefits are paid into. When staff withdraw money from the person’s bank account they have to submit a form to the senior manager indicating what the money is to be spent on. As the people living there are unable to manage their own finances this provides an extra safeguard to ensure that their money is spent appropriately. The finance records of two of the people living there were looked at. The money kept in their individual wallet cross-referenced with their finance records. Receipts were kept of all purchases. These indicate that people’s money was being kept safely and spent appropriately. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further improvement is needed to ensure that people live in a safe and comfortable home that meets their individual needs. EVIDENCE: The home was generally well decorated and furnished making it a homely and comfortable place to live. The manager said that they had received quotes to replace the dining table and chairs, the flooring in the kitchen, dining room, lounge and two bedrooms and decorate the staff toilet. They said that the people living there had been involved in choosing the colours for the decoration and in choosing the furniture and this work would be completed soon. This will help to improve the environment that people live in further. Staff had supported two people to choose beds that would be more suitable beds and adapted specifically for them so that they will be more comfortable. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 19 The manager said these are to be ordered for individuals. Two bedrooms seen were personalised to individual tastes and interests. It had been identified that some bedrooms needed redecorating and new furniture provided and this was planned. At the last inspection the bath had not been working but was repaired soon after. Staff said that the bath had not been working again since May this year. This had been removed the week before and new flooring was being laid. One of the deputy managers had visited a bath showroom with one of the people living there to try out suitable adapted bathing facilities and this had been ordered. This was due to be installed the following week and then the bathroom will be redecorated and tiled. Care plans showed that some people preferred to have a bath and others liked the choice of having a bath or shower. Staff said that they were working on improving the garden with some of the people living there. The AQAA stated and the manager said that they were making changes to the garden so it was more accessible and of greater benefit to the people who live there to use. When people are in some areas of the garden they cannot be seen by staff. Although this gives people privacy it is not always safe for them to be there and they could be at risk of hurting themselves. This is to be considered in improving the garden. At the last inspection it was identified that it was difficult for people to get in and out of the chairs in the lounge. Since then some people have their own chairs that can be moved up and down electronically so that they can easily get in and out of them with support. The manager said and the AQAA stated that they plan to get quotes to replace the other chairs with more comfortable and suitable chairs. This will ensure individuals comfort and that their independence is promoted. The home was clean and free from offensive odours making it a pleasant place to live in. Staff were observed cleaning the kitchen and dining room after lunch. At the last inspection the dining chairs were dirty. These had obviously been cleaned regularly since then so reducing the risk of cross infection. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing, their support and development ensure that the people living there are well supported by staff that know them well. EVIDENCE: The AQAA stated that over 75 of staff have achieved or are completing National Vocational Qualification (NVQ) level 2 or 3 in Care and one of the deputy managers has achieved the Registered Managers Award. This exceeds the standard that at least 50 of staff have achieved NVQ 2 or above so ensuring that staff have the skills and knowledge to meet the needs of the people living there. There was a new member of staff starting that day, which the manager said made the home fully staffed. This is good as it reduces the amount of bank and agency staff that are used so that the people living there are supported by staff that know them well. There are three staff on each shift during the day and two waking night staff each night. The manager said that senior managers are submitting a bid to the Commissioners to increase the staffing levels during Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 21 the day. This is because as the people living there get older their needs are increasing and more staff are needed to ensure they are supported appropriately. Staff meeting minutes sampled indicated that meetings are held regularly so that staff know how to meet the needs of the people living there and what is happening in the home and the organisation. Three staff records were sampled. These included the required recruitment records including evidence that a satisfactory Criminal Records Bureau (CRB) check had been completed. This helps to ensure that ‘suitable’ people are employed to work with the people living there. Rotas showed that for the first week they were at the home the new member of staff worked as an additional person on the shift so they had an opportunity to ‘shadow’ other staff and get to know the people living there. As they had worked in another home managed by the Primary Care Trust they had completed their formal induction training. They were going to receive an induction as to how to work with the individuals living at this home. Training records sampled showed that staff received training so they know how to meet the needs of the people living there. Records sampled showed that staff had regular, formal supervision with their manager to ensure they were supported in their role and their training and development needs were identified. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements ensure that the people living there benefit from a well run home and their health, safety and welfare is promoted and protected. EVIDENCE: The manager had started working at the home since the last inspection. They have previously been registered with us when they managed another care home within South Birmingham PCT. They have applied to us to be the Registered Manager of this home. The manager said that they receive regular support and supervision from their manager. Two student nurses were on placement at the home and they said that the manager is a strong mentor and Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 23 leader and the two deputy managers are also very good. They said this had helped to make it a positive placement and benefit the people living there. A representative from Family Housing Association and the PCT visit the home monthly as required to undertake an audit. Reports of these showed that the views of the people living there were sought and these were considered in improvements made to the home. Staff tested the fridge and freezer temperatures daily and these were within the recommended limits for safe food storage so that the risks of people having food poisoning were minimised. Food in the fridge was labelled and dated when it was opened so that staff know when it is past it needs to be used by. Fire records showed that an engineer regularly services the fire equipment so it is well maintained. A fire risk assessment was in place that stated what action was needed to minimise the risks of there being a fire. Regular fire drills are held so that staff and the people living there would know what to do of there was a fire. Staff test the fire equipment regularly to make sure it is working. Staff test the water temperatures weekly to make sure these are not too hot or cold. Records showed that these were within the safe limits so that people are not at risk of being scalded. The AQAA stated that an electrician completed the five yearly test of the electrical wiring in November 2007 and stated that it was in a satisfactory condition. An electrician completed the annual test of the portable electrical appliances in October 2007 to make sure they are safe to use. The AQAA stated that a Corgi registered engineer had completed the annual test of the gas appliances in March this year and stated that they were safe to use. Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 X 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 2 25 X 26 3 27 2 28 X 29 2 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1. Refer to Standard YA1 Good Practice Recommendations The service users guide should state the fees charged to live there. This will ensure that prospective service users have all the information they need to make a choice as to whether or not they want to live there. The bath should be replaced so that the people living there have a choice of having a bath or shower. The WC should be redecorated to ensure it is clean and to reduce the risk of cross infection. Suitable comfortable chairs that people can get in and out of should be provided to ensure that individuals are comfortable and their independence is promoted. 2. 3. 4. YA27 YA27 YA29 Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Swan House DS0000062628.V367819.R01.S.doc Version 5.2 Page 27 - 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. 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