Inspection on 26/01/09 for The Bungalow

This inspection was carried out on 26th 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

The Bungalow 01/02/07

Similar services:

Credence House

Radfords

Honeybourne House

32 Beaumont Way

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Bungalow 193 Crownhill Road Crownhill Plymouth Devon PL5 3SN The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Antonia Reynolds Date: 2 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 Inspection report CSCI Page 2 of 36 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: The Bungalow 193 Crownhill Road Crownhill Plymouth Devon PL5 3SN 01752701057 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): thebungalow@thedoveproject.co.uk Selborne Care Ltd Name of registered manager (if applicable) Mr Paul Dacre Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 2 0 care home 2 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning Disability (Code LD) The maximum number of service users who can be accommodated is 2. Date of last inspection 0 1 0 2 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home The Bungalow is owned by Selborne Care Limited and has been a care home since 1999. The home has parking space at the front. Information about the home and copies of inspection reports can be obtained from the Registered Manager, Paul Dacre. The house is on one level and is the same as the other houses on either side. Two people live at the home. The house is close to shops. There are lounge and dining rooms as well as a kitchen for people to use. Each person has their own bedroom. No-one has to share a bedroom. Care Homes for Adults (18-65 years) Page 5 of 36 There is a bathroom and a separate toilet. The home has a large garden at the back of the house. The home has ramps from the back door so that people who use wheelchairs can get in and out easily. The home has its own vehicle so people can go on trips out. People have to pay 25 pence per mile. There is a bus stop near the home where people can take buses into the city centre or other places. People can use trains and taxis to go to other places Care Homes for Adults (18-65 years) Page 6 of 36 Fees range from 1965 pounds to 2263 pounds per week but may change depending on people’s needs. Care Homes for Adults (18-65 years) Page 7 of 36 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 Care Homes for Adults (18-65 years) Page 8 of 36 How we did our inspection: This is what the inspector did when they were at the care home This inspection was carried out by one inspector who visited the home without telling anyone she was going to come. She was there from 10.45am to 3.15pm on Monday, 26th January 2009. Throughout this report, the term we will be used as the report is written on behalf of the Commission for Social Care Inspection. We spent some time sitting in the lounge room with the two people who lived in the home and observing their interaction with staff, as they were not able to talk with us. Care Homes for Adults (18-65 years) Page 9 of 36 We talked to three staff members and the Registered Manager. Survey forms for two relatives were left in the home for them to complete if they wish to. Four staff members completed survey forms and posted them to us. We looked all round the home. We looked at the care records of the two people who lived in the home. We looked at other records that told us about how the home is run. This included staff records and health and safety records. Care Homes for Adults (18-65 years) Page 10 of 36 We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. Before the inspection an Annual Quality Assurance Assessment (AQAA) was completed by the Registered Manager. What the care home does well The management culture of the home is open, positive and inclusive. The Bungalow is comfortable, clean and homely. Care Homes for Adults (18-65 years) Page 11 of 36 Peoples rights and different interests are supported and respected. Most of the staff have worked at the home for some time, have a qualification in care and they all take part in various training courses. The staff are always looking for new ways of improving communication and consultation. Each person has a person-centred support plan that contains very detailed information about care and support needs. Wherever possible, photographs are used so that people know what they contain. People take part in various activities in the community and each person has a daily activity plan. Care Homes for Adults (18-65 years) Page 12 of 36 The staff at the home have good relationships with the relatives of the people who live in the home. People can stay with their relatives whenever they wish to. What has got better from the last inspection The home has non-slip decking area and ramps at the back of the house so that a person who uses a wheelchair is able to enter and leave the home easily. All staff have received recent medication training. A new kitchen has been fitted, the bathroom has been redecorated and new equipment has been purchased, for example, flat screen televisions with access to digital channels. Care Homes for Adults (18-65 years) Page 13 of 36 A new induction programme has been introduced for new staff members. The Registered Manager carries out a monthly audit and produces a report to monitor the quality of care being provided in the home. What the care home could do better Two written references need to be obtained for all new staff members to improve recruitment practices. The Registered Manager needs to complete the Registered Managers Award. Care Homes for Adults (18-65 years) Page 14 of 36 The fire risk assessment needs to be reviewed to make sure people are kept safe, particularly at night. The names of people who attend fire safety training and fire drills should be written down. 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 Antonia Reynolds CSCI Colston 33 33 Colston Avenue Bristol BS1 4UA 0117 930 7110 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. Care Homes for Adults (18-65 years) Page 15 of 36 You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 16 of 36 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 17 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who choose to live in the home can be confident that their support needs are assessed prior to admission and they will have opportunities to visit the home to meet the other people who live there and the staff team. Evidence: The organisations processes ensure that any people who are considering coming to live in the home are assessed prior to admission so that their needs are clearly identified. This process is also to ensure that the staff team have the skills and competence to meet those needs. One person has been admitted to this home since the last inspection and the Registered Manager confirmed that he had several visits to the home before he came to live there so that he could have a look round and meet the other person who lives there as well as the staff. The AQAA says we took the time to offer the placement to the right service user who would not have a negative impact on the service user who was already living there. The Registered Manager confirmed that, wherever possible, people are consulted and involved in the decision to move into this home and that detailed pre-admission assessments are carried out before anyone starts living in the home. Discussion with the Registered Manager confirmed that this includes meeting and consulting with the person concerned, their relatives or Care Homes for Adults (18-65 years) Page 18 of 36 Evidence: representatives and any other professionals involved in the persons care, such as social and learning disability services. This assessment is so that people coming to live in the home can be confident that their needs will be met and helps the Registered Manager make an informed decision about whether the home is suitable. All preadmission assessments are documented and were evident in personal files. Care Homes for Adults (18-65 years) Page 19 of 36 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live in the home, as well as their relatives, can be confident that they are very well supported by the staff team who enable people to make decisions and participate in all aspects of life in the home. Care plans are person-centred and extremely detailed reflecting changing needs and personal goals. Evidence: Due to the complex needs of the people who live in the home they are unable to make decisions and choices independently. But the attitude and approach of the staff team is excellent in that each person who lives in the home is encouraged, enabled and supported to make their own decisions, choices and be as independent as possible. Discussions with the staff demonstrated that the running of the home, and all routines and activities, are organised around the wishes, choices and needs of the people who live there. Both the people who live in the home have extremely limited verbal communication skills but demonstrate their likes and dislikes by making noises and by their actions. The staff described the ways in which both people communicate with them and said they can tell if they are happy, sad or anxious by their behaviours. Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: Each person has a very detailed plan of care providing clear information about the support that they need that includes wishes, dreams and aspirations. Person centred plans, using symbols, pictures and photographs, have been devised, involving the people who live in the home as much as possible. The AQAA says that each persons race, gender, disability, sexual orientation and religion is always taken into account when completing their plans at the home. At present the service users at the home do not have the capacity to make decisions based on those areas but the home always takes these issues into account. The plan also contains information about what staff must do to keep people safe, based on risk assessments and detailed guidelines that are regularly reviewed. Discussion with three staff members and the Registered Manager confirmed that staff are fully aware of the needs of each person. One staff member commented in a survey: I think we provide a good caring environment, always aware of individual needs. We provide a variety of experiences. The people who live in the home participate in all aspects of the day to day running of the home, including domestic activities and tasks, with staff support at all times. Staff support people to make decisions about their lifestyle, activities and movements both inside and outside the home. Due to peoples complex communication needs the staff at the home keep in close touch with relatives who are invited to attend staff meetings and have a say in how the home is run. Discussion with the Registered Manager, as well as documentation, confirmed that people are not able to administer their own finances and this is done by relatives, who provide spending money to the home. The staff look after the personal spending money of the people who live in the home and the records of expenditure were well maintained and regularly checked by the Registered Manager. Due to each persons complex needs they are never left unsupported by staff and do not go out of the home on their own. Any restrictions of choice or liberty are documented and, in the case of a bed with sides, a best interests meeting was held where the use of this bed was agreed by the professionals and relatives involved in the persons care. Care Homes for Adults (18-65 years) Page 21 of 36 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 . People who live in the home are supported to lead active lives, participate in community and leisure activities, choose their own daily routines and maintain regular contact with their families. Evidence: Observation of the two people who live in the home, and discussions with three staff members and the Registered Manager, as well as documentation, showed that people are enabled to live as full a life as they wish to. Despite peoples complex needs the staff work hard at providing them with opportunities for personal development, risk taking and decision making. The ethos of the home is based on promoting opportunities to broaden experiences and support people to develop socially and emotionally. People are encouraged and supported to participate in all the domestic activities in the home and to take part in various leisure activities. Neither person was able to describe their weekly activities but they each have an activity programme which is based around what they like to do. The home has a designated activities coCare Homes for Adults (18-65 years) Page 22 of 36 Evidence: ordinator to arrange these activities and, due to the high staffing levels, the two people who live in the home do not have to go out together all the time. These programmes are different but include going to visit family members and stay overnight, going shopping, bowling, walking, to a disco and out for meals. In-house activities include cooking, baking, massage, relaxation and music. The people in the home go out a lot as the home has its own car and people are expected to pay 25 pence a mile for the use of this vehicle. Trips out include going to places of local interest such as the aquarium, Mount Batten, Trago Mills and Coypool. The Registered Manager said that a weekend away has been arranged for one person who has never been on holiday before and this is being paid for by the organisation. The other person has not been on holiday because his family are concerned that he may become distressed in unfamiliar surroundings because of his sight impairment. Whilst the home supports young adults, their needs are such that they are not able to go out on their own or participate in educational and work opportunities. Discussions with the staff team, as well as documentation, showed that, as much as possible, people choose their own meals, do the shopping and are supported to prepare and cook meals at a time of their choice. Staff said that special diets, such as diabetic, are catered for and food likes and dislikes are taken into account when planning menus. Care Homes for Adults (18-65 years) Page 23 of 36 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 . People who live in the home can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. Evidence: Discussions with three staff members and observation showed that people who live in the home receive personal support in the way they prefer and require. Each person has a support plan that provides information about personal, social, emotional and health care needs. The Registered Manager, as well as information in peoples personal files, showed that they have contact with representatives from Social Services, Learning Disability Services, doctors, dentists and various other healthcare professionals and consultants. Information contained within personal files, as well as discussion with the Registered Manager confirmed that external professional advice and guidance is sought when necessary from local health care professionals or social services. The staff said that they support the people who live in the home to decide what time they get up and go to bed, have meals, bathe and go out during the day or evening. Through discussion and observation it was clear that timings are flexible and the Care Homes for Adults (18-65 years) Page 24 of 36 Evidence: choice of the people who live in the home. None of the people who live in the home administer their own medication because they are not safe to do so therefore this is done by staff. Medication was locked away safely and regular medication reviews with health professionals take place. Records pertaining to the administration of medication were up to date and the practice of administering medication, demonstrated by a staff member, was found to be safe. Discussion with the Registered Manager showed that he knew what to do in the event of someone refusing their medication and that unused or contaminated medication has to be returned to the pharmacy for safe disposal. Training records showed that all staff are trained to administer medication safely. Care Homes for Adults (18-65 years) Page 25 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who live in the home are protected from abuse, neglect and self-harm. People can be confident that any concerns or complaints will be listened to, taken seriously and acted upon immediately. Evidence: The home has a complaints procedure for people to use if they wish to. The communication needs of the people who live in the home mean that they may not be able to make a verbal or written complaint however they are able to show what they like and dislike. They also have frequent contact with close family members who are actively involved in their care and represent their interests. Discussions with the staff on duty and the Registered Manager showed that the open culture of the home and the recognition of peoples rights ensure that people are protected from harm. All staff have undertaken training in safeguarding adults, including the training provided by the Local Authority, and discussion with the Registered Manager confirmed that he knew what action to take should he suspect that any person in the home was being abused or not treated respectfully. Surveys from four staff members also confirmed that they knew what procedure to follow. There was written guidance in the home for the staff to follow should they need to. Care Homes for Adults (18-65 years) Page 26 of 36 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The Bungalow is a clean and comfortable home and the standard of the decor is good, providing people with an attractive and homely place to live. Evidence: All areas of the home are accessible by the people who live there and we observed that people moved freely around the home with staff support. The home was also found to be safe, clean and well maintained, providing a homely environment for the people who live there. The house is a bungalow and is no different from any other house in the area and blends well into the neighbourhood. Each person has a single bedroom, none of which have en suite facilities although they all have wash hand basins. Bedrooms are individually furnished and decorated, containing personal possessions. Bedroom doors are fitted with locks but these are never used as this would be too great a risk for the people who live there. Bathroom and toilet facilities are adequate for two people and staff. The home has a bathroom consisting of a bath with an over bath shower, toilet and wash hand basin and there is a separate toilet as well. The staff confirmed that the hot water in the bathroom and wash hand basins in bedrooms is thermostatically controlled to a temperature that suits the people who live in the home and reduces the possible risks of scalding. The bathroom and toilet doors are fitted with locks that can be opened from the outside in an emergency so peoples privacy can be maintained. Care Homes for Adults (18-65 years) Page 27 of 36 Evidence: The shared rooms consist of a kitchen, dining room and lounge room. All these rooms are attractive and homely, well furnished and clean. There is an office that is also used as a sleeping in room for staff. The home has a no smoking policy. Laundry facilities are in the garage and people are encouraged and supported to do as much of their own laundry as possible. The home has a contract with a private company to remove clinical waste from the home and the staff said there are always plenty of disposable gloves and aprons for them to use. The home has a large garden that includes a sensory area and decking has been fitted outside the kitchen. The decking has ramps to the side of the house and the Registered Manager said there will also be ramps into the garden so that it is easily accessible for people who may need wheelchairs to get around. Care Homes for Adults (18-65 years) Page 28 of 36 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 . People who live in the home benefit from a consistent, small, well supported and supervised staff team. However recruitment procedures are not robust enough to ensure that people are protected from risk of harm. Evidence: Observation of the people who live in the home indicated that they liked the staff as they appeared very relaxed and at ease. Discussion with three staff members and the Registered Manager confirmed that there is a small staff team, some of whom have worked at the home for several years. Information in a survey from one staff member said We have good staff members and a very low turnover of staff providing stability and familiarity for the service users. Only one staff member (apart from the Manager) has been recruited since the last inspection. This persons file was inspected and this showed that most information is kept in the organisations Head Office. However there was evidence that most of the required information, such as written references and criminal records bureau checks, are obtained for new staff. However this person only had one written reference, had started work before a satisfactory criminal records bureau check was received, and the Registered Manager had not designated a named supervisor. However the Registered Manager confirmed that she did not carry out unsupervised personal care with people and did not take them outside the home on her own, nor was she ever left in charge of Care Homes for Adults (18-65 years) Page 29 of 36 Evidence: the home. The rota showed that there are usually two or three staff members on duty from 8am until 10pm and one sleeping-in member of staff at night. There are times when the Registered Manager is in the home in addition to the staff team and there are times when he is part of the rota to provide direct care to the people who live there. Discussion with the Registered Manager, as well as documentation, confirmed that staff meetings are held regularly and he has individual supervision sessions with staff members. This is to assess their practice, is an opportunity for staff to raise any concerns or queries and consider any training needs or opportunities. The organisation operates an on call system, where members of the management team are available both in and out of office hours. Discussion with three staff members and surveys from four staff members, as well as training records, showed that staff are expected to attend a variety of training relevant to their roles including qualifications in working with people with learning disabilities. Training includes diabetes and epilepsy awareness, total communication, and working with people whose behaviour is challenging. The training records showed that three out of six staff members have achieved a level 2 or above National Vocational Qualification, and the other staff members are working towards this. Care Homes for Adults (18-65 years) Page 30 of 36 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 management approach is open, inclusive and positive, providing clear leadership and guidance. The rights, health, safety and welfare of people who live in the home are protected and promoted. Evidence: The Registered Manager has several years experience of working with people with learning disabilities and is in the process of completing a relevant qualification, the Registered Managers Award. He also undertakes periodic training and development to maintain and update his knowledge, skills and competence while managing the home, such as attending recent training on the deprivation of liberty safeguards. Discussions with staff members showed that the management approach is open and inclusive with the home being organised to meet the needs and aspirations of the people who live there. Surveys from four staff members said that they feel well supported by the Registered Manager. Feedback from one staff member said I think we provide a good caring environment, .... meeting individual needs. Lines of accountability are clear and the organisation has a management structure that enables it to cover absences when required, and provide an effective on call system Care Homes for Adults (18-65 years) Page 31 of 36 Evidence: to support staff. The organisation has a quality assurance system in place which includes consultation with the people who live in the home as well as their relatives and representatives. However the people who live in the home are not able to complete questionnaires but their likes, dislikes and behaviours are observed carefully by the staff so they know what needs to be changed or improved within the home to benefit the people who live there. The home receives a weekly visit from the organisations General Manager who talks to the people who live in the home, the staff and the Registered Manager as well as checking that documentation is up-to-date and finding out if the home needs any maintenance or decorative work. Health and safety checks, including fire equipment, gas safety and portable electrical appliances are carried out regularly. Fire safety training is carried out with staff who also participate in fire drills. However the names of people who have attended fire drills were not documented. Other fire safety checks are carried out regularly by a staff member. One survey from a staff member raised concerns that they may not be able to evacuate the people who live in the home should there be a fire at night because there is only one member of staff on sleeping-in duty. The Registered Manager, as well as staff training records, confirmed that all staff complete training in emergency first aid, health and safety, manual handling and food hygiene. The staff confirmed that all hot water taps used by the people who live in the home have been fitted with thermostatically controlled devices to make sure that the water does not get hot enough to scald people. All accidents and incidents are recorded and the Registered Manager monitors these to look at the circumstances of each incident and look for any patterns that may emerge so that the staff team can take action to prevent a reoccurrence. Care Homes for Adults (18-65 years) Page 32 of 36 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 Care Homes for Adults (18-65 years) Page 33 of 36 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 1 34 19 Two written references must 26/03/2009 be obtained for each new staff member before they commence employment. Where a new worker is permitted to start before a satisfactory criminal records bureau (CRB) check is received, the registered person must appoint a member of staff, who is appropriately qualified and experienced, to supervise the new worker pending receipt of the CRB check. As far as is practicable this staff member should be on duty at the same time as the new worker and the new worker must not escort people who live in the home away from the home unless accompanied by the staff member. This is so that recruitment procedures are sufficiently robust to protect people who live in the home from risk of harm. 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 Care Homes for Adults (18-65 years) Page 34 of 36 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 37 The Registered Manager should complete the Registered Managers Award as soon as possible. This is to ensure that he is appropriately qualified and competent to manage the care home. The fire risk assessment should be reviewed, particularly in relation to the number of staff on duty at night. This is to ensure that the people who live in the home can be safely evacuated in the event of a fire. The names of people who attend fire safety training and fire drills should be documented. This is so that the management of the home know who has completed this training and the frequency of the training so that they can check if anyone has not completed it. 2 42 3 42 Care Homes for Adults (18-65 years) Page 35 of 36 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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