Inspection on 08/01/07 for Talbot Street (30)

This inspection was carried out on 8th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Talbot Street (30) 06/01/09

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 09/07/2008.

CARE HOME ADULTS 18-65 Talbot Street, 30 30 Talbot Street Southport Merseyside PR8 1HA Lead Inspector Elaine Stoddart Unannounced Inspection 8 and 15th January 2007 10:00 th Talbot Street, 30 DS0000005231.V319383.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 Talbot Street, 30 DS0000005231.V319383.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. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Talbot Street, 30 Address 30 Talbot Street Southport Merseyside PR8 1HA 01704 548269 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) Speciality Care (Rest Homes) Limited Mrs Greta Morphet Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 8 LD The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 16th November 2005 Date of last inspection Brief Description of the Service: 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 home manager, Pauline Harwood, is responsible for the day-today running of the home under the supervision of the registered manager, Mrs Greta Morphet. 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. Access is gained via a main entrance to the students’ individual accommodation. 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 - £35,525.00 to £64,299.00 per 38-week placement. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days. A full tour of the home was conducted and care records and other home records were viewed. Discussion took place with the home manager; four of the nineteen care staff and the three of the eight residents during the inspection. During the inspection three residents were case tracked (their care files were examined and their views of the home were obtained). This process was not carried out to the detriment of other resident who also took part in the inspection process. All the key standards were inspected and also previous requirements from the last inspection in November 2005. Satisfaction survey forms “Have Your Say About …” were distributed to the residents prior to the inspection. Comments included in the report are taken from the survey forms and also during the site visit. What the service does well: The home is divided into eight single bedrooms, which are individually furnished to meet the needs of the young students. Rooms contain their own personal possessions i.e. DVD’s, TV’s, music systems etc for their own use. Two lounges and a large dining room provide ample space for the students to mix with staff and other students. These rooms are also used for student tutorials and daily living skills. Regular meetings take place with the manager and tutors to monitor the students’ progress. The students are encouraged to maintain contact with family; friends and visitors are made welcome at the home. Regular home visits are maintained with families during the college holidays. A range of activities are provided to meet the needs and interests of the young adults. These include – cinema, bowling, discos, pubs and restaurants. The students are involved in an educational programme at the college were they mix daily with their peers. Risk assessments are in place for activities undertaken. A key worker system is in place to provide 1-1 support to the students. Discussion with staff and students confirmed that this works well as they can relate to one particular care worker. Access to additional services is available as the students require input from a speech therapist who attends the home to provide these sessions. Access is provided to health care professionals, such as GP, community nurse and dentists. Students with communication difficulties have the use of Dynavox, Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 6 makaton, sign language and pictures to aid communication. Almost all the staff are trained in ‘signing’. The students each complete an, ‘All about me’ book, in cooperation with the college speech therapist, home manager and the tutor. This provides information about each student, such as, ‘where I live’, ‘what makes me anxious’ and ‘how I communicate’. This provides staff and other professionals with the information to assist communication with the students. Full assessments are completed prior to admission and the home manager to reflect changing need reviews these regularly. The records in the home are organised, easy to access and kept up to date. Policies and procedures are in place and are regularly reviewed by the registered manager. What has improved since the last inspection? What they could do better: Some progress has been made to address the requirements to improve the standard of the environment since the last inspection. Some are still outstanding and are contained in the requirements of this report. Improvements required include – new kitchen units/replace rotten windows/paint exterior of the home/general repainting of interior due to wear and tear/replace worktop in dowstairs bathroom and repaint front steps with non slip surface. (Time scale for action March 31st 2006 – not met). The monthly monitoring visit report for December 2006 was viewed and included the need for urgent action to be taken to refurbish the kitchen and to replace some windows. The home manager completes a monthly report on repairs outstanding and the above has been brought to the attention of the department for action. The home manager confirmed that the windows have been measured and estimates for a new kitchen completed. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 7 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. Talbot Street, 30 DS0000005231.V319383.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 Talbot Street, 30 DS0000005231.V319383.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Full assessments are undertaken prior to admission to enable the home to meet the students’ needs. EVIDENCE: Since the last inspection three new students have been admitted. Care files of these students were viewed. Full assessments of need are completed prior to admission and include medical details, pen portraits, communication needs, risk assessments, hobbies and interests. Individual care and educational programmes show the assessed needs of the students both within the home and their college programme. These are obtained in consultation with the social worker from placing authorities. The baseline assessment forms the basis of their plan of care. Baseline assessments are maintained at the main college office and the home has a red ‘working’ file and ‘green’ assessment file in place for each student resident. Talbot Street, 30 DS0000005231.V319383.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): Standards 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans of care are in place and students are consulted and participate in all aspects of life at the home. Staff support the students to lead as independent lifestyles where possible. EVIDENCE: Care plans were viewed for three students. Records showed reviews take place with the involvement of the students, tutors, home manager and other professionals. The placing authority conducts reviews annually and the home manager reviews care files during term times or before if needs change. As several of the students are moving on to further placements, ‘transitional meetings’ are taking place to plan their departures. The care plan is generated from the assessment and covers all aspects of health and personal care, social support and educational needs. Essential skills targets are set for each student and are reviewed regularly. A personal tutor is available weekly to provide Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 11 tutorials with each student to monitor progress. A key worker system is in place and students are aware of who their key worker is. Pictures of the staff, students and information ‘All about me’ are displayed in the home. Pictures are displayed to show the staff on duty and the activities of each day to aid the students understanding. Risk assessments are in place and kept up to date through the reviewing process. The students are supported to take risks as part of their independent lifestyle. The students are encouraged to make decisions about their lives where possible. Communication aids, such as Dynavox, makaton, signing and pictures are used to encourage student participation. Evidence of this was observed during the inspection as students communicated with the staff on duty. The students make decisions through weekly tutorials when they discuss their educational programmes with their tutors, via residents meetings and 1 –1 sessions with their key workers. The students are encouraged to make decisions on the daily routines in the home and choose what they wish to eat from a varied menu. Activities are planned both collectively and individually depending on the students’ needs and risks identified. The students’ progress is closely monitored, as daily targets are set, which involve both short and long-term goals. These include areas of communication and behaviour and records are kept daily by staff of what they have achieved in their essential skills and needs record. Individual care plans outline individual student needs, likes, dislikes and how they communicate. All students’ financial transactions are recorded and receipts obtained. The students, where possible, are encouraged to manage their own personal finances and their families/guardians handle their saving accounts. Talbot Street, 30 DS0000005231.V319383.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): Standards 12,13,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The students are provided with the opportunity for personal development, take part in appropriate activities and maintain contact with families and friends. A wholesome, varied diet is provided. The students are encouraged to take part in daily living and their rights are respected. EVIDENCE: An individual educational and activity programme is in place for each student resident, which includes community involvement and use of the local facilities based on their assessed needs and interests. Students have the opportunity to discuss their activity, daily living and education programmes during weekly tutorials, residents meetings and individual key worker sessions. The manager commented ‘student meetings are becoming more difficult due to the number of students with communication difficulties. Key worker 1 –1 sessions are more productive as the staff can provide individual support and attention to the Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 13 student’. Communication aids are in place to assist the students and staff (as previously mentioned). Viewing of three students’ records, assessments, care plans, risk assessments and activity and educational programmes confirmed that the students are provided with the opportunities for personal development. The students are able to develop social contacts via college, community activities and trips out with other units. The activities include: swimming, cinema, ice-skating, pub meals, bowling and discos. Opportunities are available for the students to access work placements depending on their assessed need. The staff support the students to take part in group activities and on a 1 – 1 basis where they require individual support. One student expressed that she doesn’t like crowds therefore the staff provide individual support to enable her to access activities of her choice. The key worker system works well and the students are aware of who their key worker is. Students spoken with/and communicated via signing, provided the following comments regarding the activities they take part in: “I love bowling and Pauline (Home manager) takes me shopping”. “I enjoy going to the disco with my friends” “I like college and seeing my friends” “The food is good here. We can choose what we want” Staff spoken confirmed the students have access to the amenities available in Southport with their support and commented: “The students take part lots of activities. Tonight it is bowling” “The students are involved in choosing what they do” “There is enough staff to support them” “They have plenty of choice of meals” Staff spoken with confirmed that there are sufficient staff on duty per shift to enable them to support the students to access activities of their choice. Six staff are on duty per shift as some student requires 1 – 1 support at all times. Two staff provide waking support at night. The students are encouraged to maintain contact with their families via telephone and home visits. Seven students go home regularly during term breaks, as they are on 38-week placements. One student is accommodated for the 52 weeks and often goes home for the weekend. All family contacts are recorded. The students are encouraged to be involved in the daily routines and take part in tasks, such as food preparation and shopping, depending on their ability. The daily routines are flexible to the needs of the students, however as they all attend college daily they have to be up for breakfast served 7.30 – 9.00am. The students are able to choose when they go to bed. Weekends are more relaxed and breakfast is available from 7.30 – 10.30am. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 14 There is a good choice of menu, which includes three options, ‘healthy’ (salad/jacket potato), ‘vegetarian’ (cheese quiche), ‘meat’ (corned beef hash). Meals are served in a large, comfortable dining room. The meals are displayed in ‘picture format’ to help the students choose what they want to eat. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 15 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): Standards 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students receive personal care, support and guidance where required in a sensitive and dignified manner. Medication polices and procedures are in place to safeguard the students. EVIDENCE: The “All about me” book, which is completed by the student in consultation with others involved in their care identifies their likes/dislikes, what makes them anxious and what they need support with. This along with a full assessment of need and regular reviews helps the staff to know and understand the individual needs of each student and enables personal support to be given in the appropriate way. Some students are independent in their personal care needs and require minimum staff support, however some require 1 – 1 support at all times. This is regularly monitored and reviewed by the home manager and the key worker. Students with communication difficulties have access to ‘picture formats’, makaton, signing and Dynovox, which is a technical aid to assist in communication. The staff on duty were observed to interact well with the students and encouraged them to communicate Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 16 effectively to express their wishes. The students choose their own clothes and hairstyles. Visits to the hairdresser usually take place during home visits. The students are provided with access to health care services and these include: GP, dentist, optician, community nurse and a speech therapist. All visits are recorded. Hospital appointments are provided when required; with staff support were necessary and viewing of students files evidenced appointments. There are medication policies and procedures in place and medication is securely stored. Records viewed showed the medication prescribed for each student. Five trained staff are responsible for the administration of medication and a record is maintained. Sample signatures are in place for the staff responsible. Improvements have been made since the last inspection in the procedures for safely administering medication while the students are at college. The manager confirmed that at present no students take medication during their college times. Staff spoken with confirmed they are not allowed to administer medication without the appropriate training: “I am not allowed to give medication as I haven’t had the training”. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 17 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): Standards 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place for complaints, finances and abuse. Staff receive training in abuse awareness. Staff are recruited using the correct procedure to ensure safety of the residents. Financial policies and procedures are in place and students are encouraged to manage their finances were possible. EVIDENCE: Records viewed and staff interviewed demonstrated that staff are aware the abuse procedures and the action to take to protect the students. The home manager confirmed that Protection of Vulnerable Adults training is due to be updated for staff and is contained in the recommendations of this report. Finance policies and procedures are followed by the staff who record all transactions made and obtain receipts. Students are encouraged to control their own finances were possible, however the home manager said their families mainly look after these. A complaints policy and procedure is in place and displayed in the home. The students have weekly meetings, key worker sessions and regular family contact to discuss any areas of concern they may have. There have been no complaints recorded since the last inspection. Staff files viewed showed staff are recruited through the correct recruitment and selection procedures. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 18 Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 19 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): Standards 24, 25,26,27,28,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. General internal and external work is required to the premises to ensure is it well maintained and safe for the students. Student’s bedrooms contain personal possessions and equipment to promote their independence. Sufficient toilets and bathing facilities are provided. The home is clean and hygienic. EVIDENCE: All rooms were viewed and were comfortably furnished and clean. Some are still outstanding and are contained in the requirements of this report. Improvements required include – new kitchen units/replace rotten windows/paint exterior of the home/general repainting of interior due to wear and tear/replace worktop in dowstairs bathroom and repaint front steps with non slip surface. (Time scale for action March 31st 2006 – not met). The monthly monitoring visit report for December Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 20 2006 was viewed and included the need for urgent action to be taken to refurbish the kitchen and to replace some windows. The home manager completes a monthly report on repairs outstanding and the above has been brought to the attention of the department for action. The home manager confirmed that the windows have been measured and estimates for a new kitchen completed. There is a small garden at the side and rear for the students to use in the summer. This is maintained by the staff. Radiator covers are in place in most areas and risk assessments are provided were covers are not fitted. All students have their own rooms, which contain their own personal possessions. Communal areas are comfortable and spacious and equipped with TV’s, DVD, computer and Digi box. There are sufficient toilet facilities in place. The laundry services are located in the basement and in a ground floor room. Both areas are kept locked and policies and procedures area available for infection control. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 21 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): Standards 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures support and protect the students’ resident. A training programme is in place to ensure the staff are trained to meet the needs of the students. Sufficient staffing levels are in place to support the students. EVIDENCE: Staff files viewed demonstrated that staff are recruited following the completion of a CRB (criminal record bureau check) and two written references. Discussion with the manager confirmed new applicants now undertake a written test prior to interview and have the opportunity to spend a day at the home to meet the students and staff employed. A full induction process is in place and staff have terms and conditions of employment. Staff meetings are held regularly and recorded. Supervision is provided regularly to support staff and this is shared between the home manager and a senior carer. A training programme is in place and training records were viewed during the inspection and confirmed that statutory training is provided and is ongoing in areas such as, manual handling, health and safety, fire training. Staff are encouraged and supported to take qualifications in NVQ (national vocational Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 22 qualifications). Duty rotas viewed and staff interviewed confirmed that six staff are on duty (day time) and two waking night provision. Staff spoken to were very positive about the training, support and supervision in place and commented: “I was given lots of information on the needs of the students and a full induction” “I have done lots of training and would like to do more” “I felt comfortable working here from day one”. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 23 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): Standards 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Self – monitoring systems are in place to monitor the home’s progress. The home is well run and the registered manager is qualified and experienced. EVIDENCE: The registered manager is experienced and qualified and supports the home manager, who deals with the day-to-day running of the home. The home manager is also qualified in NVQ Level 4. The home manager demonstrated a positive approach to ensuring the needs of the students are met and was seen to interact well with staff and students. The home is organised and well run. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 24 Staff interviewed provided positive comments on the home managers support and guidance. “Pauline (home manager) is very supportive” “The support is very good. We all support each other” Records viewed and staff and students spoken to confirm that the home is organised and staff and students are supported and supervised. Selfmonitoring systems are in place in various formats and include surveying the students and their families for feedback on the service provided. The manager to monitor progress, the environment and health and safety of the home completes six monthly quality audits. The registered manager to assess the service provided and address any issues, conducts regulation 26 visits monthly. A person not in direct control should conduct these quality checks. The manager confirmed that questionnaires are due to be forwarded to relatives and students to obtain their comments on the care and support in place. The manager is in regular contact with the families’ of the students and acts on their comments made. Students have the opportunity to express their views during tutorials, reviews, key worker sessions and student meetings, which are regularly held and recorded. However, the manager commented that students’ contribution to home meetings is becoming more difficult in view of the number of students with communication difficulties. Communication aids are in place to assist this. Regular staff meetings take place and staff spoken to and records viewed confirmed this. Policies and procedures are in place, available to staff and reviewed annually. The pre inspection questionnaire provided by the home manager demonstrated that the home has up to date certificates for all services, such as gas, electricity. Fire records showed that fire alarm tests are conducted weekly, fire drills and emergency lighting are done monthly. The home manager has completed a fire risk assessment of the building in September 2006. Fire training is provided for all staff on induction and an up to date list is in place for all staff who have completed fire training. Weekly checks of the water temperatures are recorded. All accidents and injuries are recorded for both staff and students. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 25 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 DoCHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 26 Yes 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. 1. Standard YA24 Regulation 23(2)(b) Requirement The registered person shall having regard to the number and needs of service users ensure that- the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally. The following improvements are required to meet this regulation: - New kitchen units/repaint exterior (as highlighted in provider visit) replace rotten windows/repaint front steps with non slip surface/ replace worktop in downstairs bathroom. (Outstanding from last inspection time scale not met 31/3/06). Timescale for action 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 27 No. 1 Refer to Standard YA39 Good Practice Recommendations A person not in direct contact with the service should conduct the monthly quality monitoring visits. Talbot Street, 30 DS0000005231.V319383.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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