Inspection on 06/02/07 for The Mariners

This inspection was carried out on 6th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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 Mariners 15/11/05

The Mariners 02/06/05

The Mariners 01/02/05

The Mariners 14/09/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Mariners 15 High Street Rye East Sussex TN31 7JF Lead Inspector Jason Denny Key Unannounced Inspection 6th February 2007 3:00 The Mariners DS0000021249.V326113.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 The Mariners DS0000021249.V326113.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. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Mariners Address 15 High Street Rye East Sussex TN31 7JF 01797 223480 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) Canterbury Oast Trust Mrs Frances Swain Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of residents to be accommodated is ten People will be over eighteen and under sixty five years of age on admission Only service users with a learning disability may be accommodated Date of last inspection 15th November 2005 Brief Description of the Service: The Mariners provides residential and social care for up to 10 adults with learning disabilities. The home is in a Grade 2 listed building, which fronts onto the High Street in Rye. Service users accommodation is on four floors. Most of the private rooms have en suite facilities. Other rooms have bathrooms and toilets close by. The overall property includes a restaurant, which is open to the public and provides supervised work experience opportunities for the service users of this and other homes, owned by The Canterbury Oats Trust. A large lawned garden and newly fitted decking area to the rear is accessed via patio doors from the basement level kitchen/diner, or from a side exit that leads out into the shopping area of the town. In 2004/05 extensive refurbishment and building works were carried out at the home to comply with fire safety standards. During this period a dedicated laundry room was created and a new modern lounge developed. The locations of the home benefits from being a 5-minute walk to a Mainline train and bus station. The nearby high street provides an ample range of shopping facilities for residents [service users]. Information on the range of fees charged is within the homes current statement of purpose/service user guide and is a standard charge of £773 per week. The Trust partly funds holidays from fund raising activity. Service users [Residents] are not personally charged for extras. If they choose personal items, additional activity outings and hairdressing they fund this themselves with most managing all their own financial affairs. Inspection reports are not routinely sent out to families and advocates after each publication although a copy is kept on display in the reception area of the home and can be obtained via the manager. A service user guide containing the most recent inspection report is sent to any interested person [or their representatives] looking to move into the home. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced key Inspection, which included a visit to the home which took place between 3 pm and 7 pm on February 6, 2007. This inspection focused on the key major areas such as how needs are being met. Activities, lifestyles, environment staffing of the home, along with how the home is managed, and how concerns are dealt with, was looked at. During this inspection process, which covers the period since the last inspection November 15, 2005 and the week of the home visit, a number of social workers have been spoken with. 6 Residents returned survey cards, which indicated good levels of satisfaction with the home, especially the staff and the care. Some relatives and all 9 current Residents were spoken with, and observed during the inspection, which also included discussion with some staff and observation of care-practices. The focus of the inspection was looking at 3 of the Residents in detail. Some diversity and equality areas were explored in relation to lifestyles. Care records for 3 Residents along with health and medication needs were looked at. Discussions with management looked at progress since the last inspection. The inspector toured all communal areas of the home. Meal arrangements were examined and sampled. A record of complaints was inspected. Staffing was looked at in detail along with the homes management, including measures to ensure quality for Residents. Seven [7] outcome areas are assessed as Excellent, and the other one [1] area was assessed as Good overall. What the service does well: All relatives, Residents, and social workers were found to be fulsome in their praise of the service, which confirmed that this is an excellent home. Quotes from relatives and social workers typically stated the following: “ Excellent run home”-“daughter very happy”-“pleased with manager who responds well to queries”-“good systems in place to promote choice, and dignity”- “not institutionalised feels like their home”-“staff are excellent, we are so, so, happy” -“no concerns she continues to progress with leaps and bounds” The home is excellently managed in the very best interests of Residents. The manager continues to find ways to improve the service and respond to Residents changing needs and aspirations. The Inspector again found a pleasant, warm and comfortable atmosphere during his visit. Health needs are closely monitored and care needs of all Residents are regularly reviewed to an exceptional extent. All Residents were observed to be relaxed with arrangements and socialise well together. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 6 All Residents have clear routines based on their choice and are confident about approaching staff and stating their views and choices. Residents are regularly consulted about their views. All Residents have active lifestyles and have an exceptional range of choices and opportunities enjoying freedom of movement in and out of the home. New Residents are only admitted to the home after all information is gathered and only after the person has visited the home several times to test things out including overnight stays which can stretch up to a month to ensure that the right decision is reached. Other resident’s view on anyone new is sought. The group of people in the home are compatible and are encouraged to take sensible risks to improve independence. Staff are well trained and supervised by the manager which ensures they operate with a clear sense of direction to fully meet resident’s needs and protect their interests. The home smoothly manages itself based on resident involvement. What has improved since the last inspection? What they could do better: 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. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 7 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 The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,3,4, & 5. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. The home provides accessible, accurate, and very useful information to Residents Prospective new Residents are carefully assessed before moving in with existing Residents under regular and effective ongoing assessment to ensure their needs continue to be met. EVIDENCE: The Resident’s guide [service user] to the home and organisation was found to be clearly on display in the home along with the most recent inspection report. All the information in the guide has been updated and is now presented in a more accessible way for people with learning difficulties/ disabilities. The guide contains a range of useful information and views of Residents with their picture included to aid identification. Information about the complaints procedure and the various levels of management in the organisation were found to have been updated. The most recent inspection report was found to have been read and discussed with Residents at one of their weekly meetings. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 9 No new Residents have moved in to the home since the last inspection. The manager confirmed and demonstrated in an written assessment that a new Resident is due to move in following number of trial visits building up to a onemonth stay which confirmed the suitability of the home. Other’s spoken with confirmed to the inspector that they were looking forward to this person moving in. It is evident from records and conversations and the inspector’s knowledge of the prospective new Resident that this move has been exceptionally well managed. The group of Residents were all found to be compatible as confirmed in observations, records, and discussions with Residents, staff, relatives, and Social workers. All needs were found to be met. Evidence was also seen in records and in discussions with staff and particular Residents how changing needs continue to be met. Contracts between the Residents and the home were again found to be detailed, transparent, and agreed on admission and signed. All Residents are charged the same fee of £773 with all fully funded by Social Services. A minor area for improvement was found. The contract includes a statement that the fee covers the option of a 7- day holiday. The manager confirmed that in practice the Trust are not funded for holidays by Social Services but through charitable fundraising in other areas of the Trust a subsidy of around £230 is given to Residents to cover some of the cost of the holiday with them making up the difference if their relatives do not do so and depending on where they choose. The manager was therefore advised and agreed to clarify this section of the contact to prevent any confusion for future Residents. This was not found to be affecting current Residents with all happy with their terms and conditions. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, & 9. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Care-Plans contain excellent information subject to regular review with all relevant people based on Residents being fully involved. Resident benefit from independent advocacy and other support regularly organised. Sensible, full, and positive, risk assessing take place based on promoting safe independence. EVIDENCE: Three care-plans were looked at in some detail all of which were found to have been reviewed in the month before the Inspection- January 2007. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 11 Each review of the care –plan includes discussion of the clear goals which are in place for each person along with the view of the Resident such as review of one plan October 5, 2006 where one Residents decided that they wanted to stay at the home as the best place to develop wider independence The key worker together with the manager and the resident carries out care planning. Residents have access to their plans and may choose who is to attend their review meetings. At each six-month review Residents have opportunity within the review report to indicate what there aspirations are. A Resident is being carefully supported as evidenced in conversations and the care-plan to get to a point where they travel on the train to work independently. Social Workers spoken with confirmed how well prepared Residents are at reviews and how well managed they are by the home, with them kept fully up to date. The care plan includes an assessment of all aspects of personal and social support and healthcare needs. Daily notes and risk assessments also form part of the care planning process and are wide ranging covering all activities such as using independent travel, with a helpful index with these reviewed in January 2007. This links to risks assessing and developing further independence skills such as how to use a mobile phone. Those Residents who go out independently ensure that have working mobile phone along with number of other safety measures. Plans were found to be full and up to date with reviews taking place every 6 months. Shorter daily careplans to complement the larger care-plan folders, and routines have been developed since the last Inspection. This aids the information given to staff especially if any new staff join the home and need summarised daily information to follow. The shorter plans are designed to show how needs are met in practice on a daily basis. All staff seen during the inspection clearly show an understanding of how best to meet Residents needs in line with their preferences and their care-plans. All Residents were spoken with, stated happiness with the home and that all their needs were being met. Two Residents have since the last inspection had independent advocacy organised for them with both confirming in conversation and in records, the benefits of this. Both Residents are actively involved in their care-planning . The service has worked hard to create good opportunities and to explain how an improvement in health can lead to wider independence in the community for one of these Residents . The Residents and the manager explained how having an independent advocate who last visited on February 7, 2007 and is planned weekly has helped the Residents to have someone else to discuss this with, to help them come to terms with these arrangements. Another Resident confirmed that psychology input has helped them to come to terms with some of the restrictions of being diabetic. The Mariners DS0000021249.V326113.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): 11,12,13,15,16, & 17. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Meaningful and excellent Activities take place on a regular basis for all Residents who have continuous opportunities to learn new skills. Excellent Full structured routines are in place based on resident’s needs and choices based on fullest role in the community and increasing independence. Meal arrangements are excellent with Residents choosing the food that is cooked. EVIDENCE: A full, weekly programme of activities is agreed with Residents and these are entered on an activities board; the majority of these being off-site, including college courses, working at the farm which is based 10 miles from the home, occupational activities and leisure outings. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 13 Some Residents also work in the restaurant, which is located in the front building, which joins the home. A variety of evening and weekend activities are also arranged. Residents access local community facilities and services on a daily basis; some have library and/or church membership; most enjoy pub visits, arranged with staff. Community links have been established within the community of Rye, where the local shopkeepers know the Residents. Some Residents take it in turns to do voluntary work in a local charity shop, another attends a dance class. Some Residents attend a college course at the local education centre. Some attend two evenings classes. All Residents confirmed in discussions that they have active and varied lifestyles based on their preferences with some showing what new skills they have developed, a point supported by relatives spoken with Friends and family members are welcomed at the home, usually by prior arrangement as Residents spend much of their time off-site. Weekend trips home are arranged. Residents’ choice of whom they see, or invite back to the home is respected; the home has a policy on personal relationships. Contact with friends and family is actively encouraged. The trust has produced its own “Residents charter” based on the views of Residents. Residents confirmed that Staff respect their right to privacy; they were observed to attentive to the needs of Residents, whilst at the same time giving encouragement to develop self-help skills and promote independence. Residents were observed to treat the home as their own, freely coming and going, or spending time in the privacy of their own room, as they wish. This was observed during the inspection. The Inspector observed two residents cooking the evening meal with support from a staff person. Each resident has a rota so all can take turns. A weekly menu plan is agreed in consultation with Residents. There is always a choice at mealtimes, a record being kept of any special diets or preferences. The home was found to have a range of fresh ingredients including meats, fruit and vegetables. One resident has responsibility for organising the food stocked in the home. The Inspector sampled a meal and found it to be excellently cooked, well presented, healthy, and tasty. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s health needs are closely monitored and reviewed. All Residents enjoy excellent care and attention based on helping them to be as independent as possible and to have a good quality of life. EVIDENCE: Discussions with the manager and two particular Residents indicated how exceptional attention has been given to improving the health of Residents. One of these Residents has a epileptic condition which has created some restrictions on their independence due to some history of seizures on public transport. This situation was found to be improving due to medication changes since the last inspection, which could lead to this person using public transport independently which is currently being risk assessed. Another Resident has benefited from more attentive support for a diabetic condition which also now includes regular support from an specialist with a detailed review on December 15, 2006 which evidenced healthy weight loss. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 15 This person has also recently had laser treatment, which has improved eyesight and has resulted in more confidence and improved mobile phone skills which increases community independence. This person’s choice to have a bath without support is respected via an informed disclaimer, which has been agreed and signed by all relevant people. A range of individualised protocols is in place with clear guidance on how to support those residents with varying epilepsy conditions. A number of residents were found to receive a range of support with healthy eating through supporting appointments with weight watchers, dietician advice and well-man clinic, organising appropriate menus along with other health checks. Those residents spoken with confirmed that they were happy with the way staff support them in their health needs. Nighttime needs were found to be closely monitored with emergency procedures in place. One resident has not had seizures since moving in to the home over 2 years ago. The storage and administration of medication was looked with all records kept up to date by trained staff. A resident confirmed how she is able to selfmedicate subject to a careful risk assessment. The reason for medications was explained in records and by the manager with them being subject to regular review involving the G.P. The inspector looked at medication stocks, record keeping, training records and observed trained staff dispensing medication all of which was found to be in order. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are thoroughly investigated in the best interests of Residents. Residents benefit from staff being regularly trained in how to prevent abuse and protect vulnerable adults within an open and closely monitored home. EVIDENCE: No complaints were found to have been made to the home over the last year. The last complaint as seen in records was in August 2005, which involved Residents raising a concern about wanting more staff supervision at an outside event. This matter was thoroughly investigated with the staff person since working positively with all Residents. No Residents expressed any concerns about staff to the inspector. Residents and relatives spoken with remarked upon the open nature of the home and how any query is openly and skilfully addressed by either the staff or the manager. The Complaints file allows for all information on a complaint to be filed in one place to aid accessibility. The file includes standard letters and forms for acknowledging complaints and investigating them with the involvement of the complainant along with confirmation of the outcome. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 17 A “Grumbles book” has also been introduced to record minor concerns from Residents about their peers or the running of the home with a section to show how the issue is resolved. Key workers are trained to respond to Resident’s wishes, suggestions, or concerns. Evidence was observed during the inspection in terms of the attentive and proactive way staff promoted Resident to make choices and be involved in the running of the home. Records showed how staff are regularly trained in adult protection including how to identify and report potential abuse. There have been no adult protection issues in the home for many years. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from living in a character building in an historic town. Resident’s benefit from a homely, comfortable, and well-appointed home, which has befitted from allot of work to make it fit for purpose. EVIDENCE: The home has been converted in many respects to make it suitable as a care home in the historic and sought after centre of Rye. This character building does poses some potential limitations and requires current Residents to be fit and mobile which therefore means it cannot necessarily be a home for life .For current Residents it is very suitable and safe home. The home provides a newly created [2005] and comfortably furnished, communal TV lounge on the ground floor. The basement kitchen/ diner has some additional seating, enabling this space to be used as the main communal room. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 19 Outside there is a large area of decking, constructed so as to provide an extra communal area that has been enjoyed in fine weather. The home has a large, sloping garden that is mostly laid to grass. The service users with staff support keep the home very clean and tidy. A good standard of hygiene is maintained; all service users have received training in food hygiene. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, & 36 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from sufficient numbers of skilled staff. Staff are carefully selected, supervised, and benefit from regular training. EVIDENCE: The duty rota shows staffing levels that reflect the needs and number of residents. The numbers remaining at the home varies according to the daily, off-site activities that Residents are engaged in. The duty rota more clearly show hours worked by each staff member along with their capacity and qualifications, and those by the manager in relation to what hours were management time and which were spent working in the home. The manager has introduced a useful key section, which helps the reader to understand the written rota. Staffing ratios consist of two staff throughout the day and are based on ensuring that routines are uninterrupted. These levels are subject to review and found to be suitable for an able group of residents who enjoy as much independence as possible. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 21 Recruitment files were not looked at as no staff have been employed since 2005 when files have previously been inspected. All staff had fresh police checks carried out during 2005/06 with no concerns arising. Staff are exceptionally well Trained. Eight [8] of the nine [9] regular care staff have an National Vocational Qualification in Care at level 2, of which 2 staff have level 3 and 2, have level 4. All staff regularly attend training as shown in records, organised by the Trust and the manager based on meeting Residents needs. All staff have done the comprehensive TOPPS induction and the home has the new common induction package should any new staff join the home. A staff person who has recently returned to employment after along break was found to have undergone an induction back into the home systems. Written supervisory records were looked at for two staff, which showed that fully detailed supervisions were occurring once a month in excess of the twomonthly system recommended in the National Minimum Standards. These supervision records were found to be detailed and comprehensive. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a home, which is excellently managed. The home continues to run smoothly at all time with Residents as fully involved as possible in its running and protected from harm. EVIDENCE: The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 23 The manager has several years of relevant experience in this field of work. She continues to undertake periodic training to update her knowledge and skills. She has achieved the NVQ at level 4, together with the Registered Managers Award. The manager demonstrates sound leadership qualities and organisational ability and operates with a high level of motivation and is proactive in responding to Resident’s changing needs. The manager also showed a range of training she has organised for herself and senior staff in the next 6 months to assist the management of the home. This Training includes management of staff, quality assurance, mental capacity and other relevant training. Service user’s views are sought at their reviews, during their fortnightly house meetings, which they take turns chairing, and informally through sessions with their key worker. The Inspector overheard an information meeting which Residents attend fortnightly which brings them up to date with developments in the home and wider trust. The area manager carries out at least once monthly inspection visit of the home [regulation 26], which puts Residents at the centre including interviews with them. These reports are sent to the Commission on a timely basis. The manager showed the Inspector the Annual Development Plan for the home which runs from April 2006 to April 2007 which shows clear goals in a each defined outcome area which mirrors the National Minimum Standards had been achieved leading to further improvements for Residents. Such as the goal of developing independent advocacy for those Residents who needed it. Care plans, policies and procedures are regularly reviewed and updated. Service user questionnaires have been introduced. Over the last 2 years. A report on the survey of Residents views is produced on annual basis and put in the homes Resident’s [Service Users] guide. Relatives, Social Services , and Residents all confirmed that the home is excellently managed in the best interest of Residents The manager carries out and records risk assessments for safe working practices e.g. a health and safety and fire risk assessment. The Trust provides staff with a commendable number of in-house training opportunities and, where necessary, external courses in core skills development e.g. first aid, food hygiene, health and safety and Non-abusive Psychological and Physical Intervention. There are opportunities for all care staff to train in NVQ at level 2. All staff have updated training in these respects as confirmed by the manager. Copies of the relevant Health and Safety legislation are available to the manager and staff for information. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 x LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA5 Good Practice Recommendations That the contract/terms and conditions [service user agreement] clearly indicate what proportion of the cost is charged to Service Users in relation to holidays. The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Mariners DS0000021249.V326113.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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