Inspection on 06/01/09 for Talbot Street (30)

This inspection was carried out on 6th January 2009.

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

Talbot Street (30) 08/01/07

Talbot Street (30) 16/11/05

Talbot Street (30) 12/07/05

Talbot Street (30) 19/01/05

Talbot Street (30) 17/05/04

Talbot Street (30) 10/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 29/06/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Talbot Street (30) 30 Talbot Street Southport Merseyside PR8 1HA two star good service The quality rating for this care home is: 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: Elaine Stoddart Date: 0 6 0 1 2 0 0 9 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Talbot Street (30) 30 Talbot Street Southport Merseyside PR8 1HA 01704534433 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Speciality Care (REIT) Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: Service users to include up to 8 LD Date of last inspection 0 8 0 1 2 0 0 7 A bit about the care home 30, Talbot Street provides care and support for up to 8 young adults with a learning disability. The home provides 24-hour support to the students resident. The students attend Arden College, which is an independent specialist Further Education College for students aged 16 to 25 years with learning disabilities and/or behavioural, social or emotional difficulties. Placements are mainly provided for 38 weeks (term time), however 52 week placements can be arranged. These are agreed with the placing authorities and the company. The home is managed by Speciality Care (Rest Homes) LTD and is part of the Arden College network. The responsible person is Mr Peter Cavanagh. The Team Manager, Jean Jackson, is responsible for the day-to-day running of the home. The new Manager is to apply to the Commission for registration. The home is a large semi - detached property, which is situated close to the town centre of Southport. The home is a converted house, which has been divided into 8 units of accommodation on three levels. There is a rear-grassed garden, which the students can use in the summer months. The home provides two communal lounges, a large dining area and kitchen. The front has a paved parking area. An office is available for staff on the first floor. The weekly charges range from - 36,249.00 pounds to 68,829.00 pounds per 38-week placement. 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: two star good 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 How we did our inspection: This is what the inspector did when they were at the care home This key unannounced inspection took place over one day and was conducted by one inspector. The last inspection on this service was completed on 8th January 2007. The information was gathered for this inspection in a number of ways. This included time spent reading service records, a tour of the premises, discussion with management, staff and students. All the key standards were assessed and previous requirements made at the last inspection. The Team Manager was present throughout the inspection and the Director and Deputy of Residential Services were present for part of the inspection process. Case tracking was used as part of the site visit. This includes looking at the support the students receive from the management and staff and also records on their health and personal care needs. Two students were case tracked, however this was not to the detriment of the other students who were also involved in the inspection. Have your say surveys were sent to the students and staff as another way of obtaining their views. Comments received throughout the inspection process are contained in this report. An AQAA (Annual Quality Assessment) was completed prior to the visit by the Team Manager and contained information on the service. The AQAA consists of two self- questionnaires, which focus on the outcomes for people. The AQAA provides information on how they are meeting the needs of the people they care for and a data set which provides information on the staff and their training. What the care home does well The home provides a comfortable place for the students to live. A pleasant atmosphere was present throughout the visit and staff interacted well with the students. The students have access to a range of activities both within their educational programme and during the evening and weekends periods. All students have communication difficulties and are supported by staff, speech therapists and communication aids to assist them. The students are encouraged to maintain regular contact with their families and their peers. Full assessments of need are obtained prior to admission and visits to the home to meet the staff and view the accommodation. The students are encouraged to make individual choices and are involved in the running of the home. The staff are trained in the mandatory training required to ensure they have the skills to carry out their roles safely and to provide positive outcomes for the students they care for. What has got better from the last inspection The requirements from the last inspection have been met. Improvements have been made to the building and these include: new fitted kitchen, decoration and some new windows. A new inspection process is being introduced in easy read format. This will also include a new welcome pack for students providing information on the service. What the care home could do better The information provided on the service should be updated to reflect the new management structure in place. A number of improvements are needed to the environment to improve the standard and ensure the safety of the students and staff. These are contained in the requirements and recommendations of this report. More maintenance personnel should be employed to respond to outstanding repairs. Risk assessments/or radiator covers should be provided for the safety of the students. Risk assessments should be provided for students who like to keep their doors ajar while sleeping. Due to the element of risk of a fire. The internet access should be made available so that the Team Manager can update records daily and to enable the students to access the computer in the small lounge. Lockable facilities should be made available in students rooms. 50 of staff should have obtained National Vocational Qualifications (NVQ) in at least Level 2. An application should be made to the Commission to appoint a Registered Manager. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Elaine Stoddart Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Part Way Preston PR2 2YQ 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 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 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 . Students needs are assessed before admission into the home to ensure that identified needs can be met. Evidence: 30 Talbot Street provides accommodation for students undertaking a 38 week educational programme at Arden College. Since the last visit eight new students are now accommodated and have been placed since September 2008. The AQAA reported that full assessments are completed prior to admission. The assessment process takes two days to ensure the home can meet their needs. The company has recently conducted a management review of its services and is in the process of updating the statement of purpose and service user guide to reflect the new management structure. The statement of purpose and service user guide will provide information on the service provision, fees, and the qualifications and experience of the staff employed. This will enable prospective students to make an informed choice prior to admission. All new students are admitted only on the basis of a full assessment to determine if their needs can be met. Assessment documentation seen showed that all personal, medical, and social care needs had been assessed prior to admission. This is to determine if the service can meet their needs effectively and provide positive outcome for the students admitted. A new assessment process is being introduced to enable a new user friendly format to be used. This will enable prospective students to be more involved in the assessment process to determine if the service is able to meet their needs. Evidence: A recommendation has been made within this report for the new statement of purpose and service user guide to be made available to all students at 30 Talbot Street when completed. Prior to admission students and their families are invited to visit the home before making a choice to move there for their 38 week placement. 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 . Students are supported to maximise their Independence by taking responsible risks and making decisions about their lives. Evidence: The AQAA reported that all care plans are detailed and give information on the assessed needs, likes and dislikes of the students. Full assessments of need are completed prior to admission to ensure the needs of the students can be met. The assessments are used to form their plan of care, which is agreed and signed where possible by the student or their Representative. The care plans seen outlined the individual needs of the students including their personal, health, communication and social care needs. Individual care files viewed provided detailed information on the students likes, dislikes, cultural and communications needs. Staff use this information to enable them provide the care to meet students individual needs and provide positive outcome for the people they care for. Students are supported by a key worker (who is a member of staff who is able to communicate with them individually) thus ensuring their care needs are monitored closely. Students are supported by communication passports, which show their preferred choice of communication to enable staff to support them. The use of communication symbols, pictures, signing and written word helps the students to make choices and decisions. Care plans are reviewed monthly by the team manager and every six months by all involved in their care. This ensures that changing care needs are monitored closely to provide positive outcomes for the students they care for. Students are supported to make choices relating to their educational programme, daily Evidence: living and social activities by voicing their opinions within student meetings, tutorials and reviews of their care. Risk assessments are conducted to ensure the students are encouraged to lead independent lifestyles. Picture symbols are used by the students to aid communication and these were found to be in place in to enable them to choose their daily activities and menus. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students are supported to take part in activities of their choice and receive a healthy, varied diet. Evidence: The AQAA reported the students are offered arange of activites to enable them to be involved in the community. Students are offered a range of opportunities and activities, which encourages their personal development. They are provided with a 24 hour educational programme at college, which continues during their time spent at 30, Talbot Street. Their educational programme offers a range of courses, such as computers, gardening, drama and independent living skills. College excursions, such as bowling and swimming are included within their educational programme. A separate budget is available to enable the students to take part in extra activities outside their educational programme. These activities are chosen by the students on a daily basis and are planned within their student meetings. Staff spoken with confirmed the budget was sufficient to enable the students to access the community facilities. Sufficient staff are on duty to support the students to access activities of their choice. The activities range from pub visits to trips out. Staff commented the additional use of the college mini bus would enable the students to be taken on weekend trips. This is recommended within this report. Students are encouraged to maintain regular contact with their families and are able to Evidence: do this by use of their mobile phones, the phone at 30, Talbot Street, weekend visits to their home and stays during term breaks. All eight students had recently returned after spending their Christmas break with their families. Positive interaction was observed with the staff on duty and the students when they returned from their day at college. They were seen to get involved in their daily tasks, such as helping to prepare the evening meal. All student srooms were viewed and were found to contain personal items including TVs, DVDs and music system for their own use. All rooms have keys should the students wish to lock them. Lockable facilities should be made available in the students rooms to enable them to store individual personal items safely. This has been recommended within this report. Staff were observed to knock prior to entering students rooms thus observing the dignity and respect of the students in their care. The students are involved in deciding menus within their regular student meetings. Staff confirmed there is a sufficient budget for food, which enables them to provide a healthy diet for the students. Staff commented, We can have plenty of treats and special nights. The students are encouraged to help prepare meals and assist with the shopping as part of their independent living programme. Special diets are catered for and this was observed at the time of the visit. The evening meal was spaghetti bollegnese, with alternatives and the students were observed to enjoy it within a pleasant, unhurried atmosphere. The large dining room enables the staff and students to eat together if they wish. When at college the students have their lunch in the college canteen or take a pack lunch. 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 . The health and personal care the students recieve is based on their individual needs so they receive the care in the way they pefer. Evidence: The AQAA reported all students are registered with a GP and have comprehensive care plans outlining their health care needs. This enables the staff to provide the care and support required. Care plans viewed evidenced the care and support required by the students and their choice on how the care is to delivered by the staff who support them. Students are encouraged to complete their own personal care routine where possible. Staff were observed to provide support and guidance in respectful manner when needed. Care files showed any difficulties the students may have, such as communication needs. Staff are provided with the information on how best to communicate with them. This information is contained within the students communication passport, which outlines how they like and dislike to communicate. Healthy action plan records showed access is available to health care, such as chiropodist and opticians. All students are registered with a GP and are supported by staff to attend health care appointments. Medication is administered safely by trained staff and policies and procedures are in place to ensure this. Medication is monitored monthly by the Team Manager and regular audits by the company to ensure medication is administered safely. Students choose what they want to wear and when to go to bed. Weekdays are structured as students attend college and have set timetables. Weekends are more flexible and they can choose when to get up. Evidence: 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 . Students are protected by the complaints and safeguarding procedures, which are understood by trained staff. Evidence: The AQAA reported that policies and procedures are in place to protect the students from abuse, harm and neglect. Policies and procedures are in place to ensure the students are protected from abuse. All staff are trained in the protection of vulnerable adults and discussion with staff confirmed their understanding of how to act on any allegations should this arise. The AQAA reported no allegations have been made since the last visit. Pictorial guides are provided to the students to ensure they have the information should they need to make a complaint. Policies and procedures are available to staff to follow should a complaint be made. The AQAA reported that no complaints have been made since the last visit. The students are able to express their views during weekly meetings, tutorials and reviews. The company has adopted a your voice policy where student concerns and and views are listened to at every level. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Work is required on the premises to ensure the safety of the students and staff. Evidence: The AQAA reported improvements have been made to the accomodation since the last visit. A full tour of the premises was made. All students have their own individual rooms, which are lockable with a staff override device. There are sufficient communal areas, which include two lounges, a large dining room, kitchen, baths/toilets and laundry facilities to meet the students needs. All areas were found to be clean and comfortable. The requirements made at the last visit have been met and improvements made include the fitting of a new boiler, several windows replaced, a new fitted kitchen, some redecoration, front and rear steps made secure, a new carpet, new freezer and fridges. A number of further improvements needed were noted and discussed with the Team Manager, Director of Residential Services and the Deputy of Residential Services during the visit. Requirements and recommendations to improve the standard of the accommodation and ensure the safety of the students and staff are made in this report. Students rooms viewed contained personal belongings, which they had brought from home for their own use. A number of rooms failed to have additional seating for the students use or when they receive visitors. Not all radiators are covered and this should be provided/or risk assessments made to ensure the safety of the students. Blinds should be fitted in one students room, a bathroom and the kitchen to provide privacy and dignity for the students. Several areas are in need of decoration and these Evidence: include the ceiling in one bathroom and the ceiling in the large lounge. A toilet cistern is cracked and needs replacing. The flooring of the hallway located next to the dining area requires replacing as the surface is uneven and has resulted in an accident being reported by a member of staff. Accident records seen confirmed this. The replacement of the floor would ensure the safety of the students and staff. The need to replace the flooring was raised in the Regulation 26 report by the provider in December 2008. These visits are conducted to assess the service and accommodation provided. The flooring was discussed and assessed by those present at the visit. Action was taken to contact head office to ensure this work is carried out by the 20th February 2009 during the students half term leave when the home will be vacant. A requirement is contained within this report. The Team Manager took immediate action to arrange for the provision of hazard strips to be fitted to highlight the flooring area for the safety of the staff and students pending the completion of the work. A new carpet is recommended to be fitted in the hallway after the work is done. The skylight in the hallway at the rear entrance is leaking and is in need of repair this has resulted in the carpet being soiled and is in need of replacing. The Team Manager confirmed that the leak had been reported by the previous manager and is still outstanding. A recommendation is made in this report for a repair to be completed. Several light fittings are without shades and these are recommended to be fitted to improve the standard of lighting for the students who live there. The internet access for the students computer system is not available resulting in students unable to use the computer. This is also affecting the Team Managers use of the office computer (which has been addressed in outcome area 8 of this report). A recommendation is made for the internet access to be resolved to enable students and Team Manager to use the computer. One maintenance person is employed who covers all homes within the college network and discussion with the Team Manager confirmed that all repairs are prioritised and this can lead to smaller repairs having to wait considerable time to be addressed. A recommendation is made for additional maintenance persons to be employed. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Students receive care and support from staff they like and who have the skills to support them. Evidence: The AQAA reported that all staff have clearly defined roles and are trained to enable them to provide the care in a safe manner. Staff spoken with demonstrated their understanding of their roles and responsibilities of the students they care for. Staff files viewed showed they had been appointed following the correct procedures to ensure the safety of the students. This includes a Criminal Record Bureau check and two written references. A training programme is in place to ensure the staff are kept up to date with the training required to carry out their roles safely. A selection of staff files viewed showed up to date training was in place in mandatory training, such as moving and handling and food hygiene. Additional training for staff is provided to enable them to meet the needs of the students they support. These include equality and diversity, person centered planning and prevention measures. National Vocational Qualifications (NVQ) are ongoing. Of the seven carers employed, four are undertaking the qualification and three have applied for the course. A recommendation is made in this report that 50 of the staff employed achieve at least NVQ Level 2 to enable them to have the skills to carry out their roles. Sufficient staff are on duty to meet the needs of the students. Records seen, discussion with staff and the Team Manager confirmed there are four staff on duty day time to meet the assessed needs of the students they care for. Students who require 1 -1 support to meet their individual needs is provided at all times. Night time cover is provided by two waking staff. Evidence: During the visit a pleasant, relaxed atmosphere was present and staff were observed to interact positively with the students at all times. Staff spoken with commented on the team work and pleasant atmosphere in place. I love it here and dont want to move. We all work as a team. There is always a friendly atmosphere. 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 . The home is well run in the interest of the students who live there. Evidence: The AQAA reported the students are able to express their views in meetings, surveys and tutorials. The company has recently conducted a management re structure and 30, Talbot Street is managed day to day by a Team Leader who is responsible to the Director of Residential Services who is yet to be registered with the Commission. A recommendation is made in this report for an application for Registered Manager be made to the Commission. The Team Leader is experienced in the care of people with a learning disability and is taking NVQ Level 3. The Team Leader is responsible for providing staff support and regular supervision. A pleasant, open and positive atmosphere was present during the visit. The students are encouraged to express their views via annual surveys, weekly student meetings, reviews of their care and tutorials. Monthly regulation 26 visits take place by the provider to monitor progress and obtain views from the staff and students who live there. Regular health and safety checks are conducted and certificates for services such as, gas are up to date. Fire procedures are in place and are regularly recorded. Water temperature checks are made to ensure the water is delivered at a safe temperature. These checks ensure the safety of the students accommodated. Evidence: All staff are trained in safe working practices to ensure they deliver the care safely to the students they support. All accidents and injuries are recorded and the Commission is notified of any serious incidents affecting the health and welfare of the students. Records viewed were found to be easy to read and accessible. The Team Manager is presently having difficulties in updating daily records due to the lack of internet access. A recommendation is contained within this report for this to be rectified. This was also discussed with the management during the visit. Policies and procedures are available to all staff and are regularly reviewed to ensure safe working practices are in place. All financial transactions made for the students is recorded and regular audit systems in place. This ensures students finances are monitored closely and all monies accounted for Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description 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 1 1 A new statement of purpose and service user guide should be developed to reflect the changes in the management structure. The information should be in line with Standard 1 of the Care Standards Act 2000. Risk assessments should be provided for students who wishes to keep their doors ajar while sleeping. Due to the risk of fire. Increased use of the college mini bus would enable the staff to have transport available to arrange group trips for the students. Students should be offered suitable lockable storage within their own rooms. Additional maintenance personnel should be employed to enable repairs to be acted upon more efficiently. Access to the internet should be made available to enable the sudents to use the computer. The following improvements are recommended to improve the standard of accommodation provided for the students - 2 9 3 14 4 5 6 7 16 24 24 24 front lounge and bathroom ceilings to be decorated, replace broken toilet cistern, fit light shades were missing, replace carpet in hallway next to dining room, repair skylight and fit new carpet near rear entrance, fit blinds to one students room, bathroom and kitchen. 8 24 Radiator covers to be fitted or risk assessments completed on all radiators for the safety of the students accommodated. Training in National Vocational Qualifications (NVQ) should continue to enable the staff team to achieve the 50 of staff trained in at least NVQ Level 2. The new manager should make an application to be registered with the Commission. The server for the computer system should be made available to enable daily records to be kept up to date. 9 32 10 11 37 41 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 © (2009) 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. 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