Inspection on 03/11/08 for Tresleigh

This inspection was carried out on 3rd November 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tresleigh 09/11/07

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tresleigh Fore Street Grampound Road Truro Cornwall TR2 4DU     The quality rating for this care home is:   one star adequate 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: Michael Dennis     Date: 0 3 1 1 2 0 0 8 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Tresleigh Fore Street Grampound Road Truro Cornwall TR2 4DU 01726883431 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Spectrum (Devon and Cornwall Autistic Community Trust) Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 5 The maximum number of service users who can be accommodated is 5. The registered person may provide the following category of service only: Care home providing personal care 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) - maximum 5 places Date of last inspection Brief description of the care home Tresleigh is a care home providing accommodation and care for up to five adults, of either gender, with a learning disability. The registered provider is Spectrum, an organisation that provides specialist services for people with Autistic Spectrum disorders. Tresleigh offers care and accommodation to service users who already have a reasonable level of independence and a facility where they can continue to develop their personal and social skills. Spectrum currently employs an acting manager and a Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home team of staff to run the home on a day-to-day basis. External, on-call managers are available to provide specialist input, support and advice where necessary. Tresleigh is a former small farmhouse in the village of Grampound Road. The village offers limited facilities such as a shop, park and pub. St Austell & Truro are approx ten miles away. The home has an accessible garden in safe surroundings with limited car parking for the homes vehicles and some staff cars. The home has a vehicle to provide transport for service users who need to access resources in the wider community. The home is a two-storey building. All the bedrooms have en suite bathroom facilities and the people who use the service choose decor. The majority of bedrooms are on the first floor. Service users must be able to negotiate stairs. There are facilities for staff sleeping in and the home has a dedicated office on the ground floor. The home has two lounge areas, separate dining area, and gardens, There is a communal kitchen, laundry facilities are located in a separate area to the kitchen. Care Homes for Adults (18-65 years) Page 5 of 29 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: one star adequate 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 peterchart Poor Adequate Good Excellent How we did our inspection: Tresleigh was registered with the commission transferring from a childrens to adult service in June 2007. This was the second unannounced key inspection under adult regulations, which took place on 3rd. November 2008 and lasted for approximately six hours. The purpose of the inspection was to ensure that residents needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that residents placements in the home result in good outcomes for them. Information received from and about the home since the last inspection has also been taken into consideration in making judgements about the quality of outcomes for the residents living there. The people who use the service were at their daily activities during the inspection and Care Homes for Adults (18-65 years) Page 6 of 29 therefore there was limited time to be able to meet with them and gain their views. The inspection included a tour of the premises, examination of care, safety and employment records and discussion with the manager. We talked to staff about particular peoples needs and their care plans, medical records and daily notes. This is called case tracking. There were some opportunities to directly observe aspects of residents daily lives in the home and staff interaction with them. The Commission received the Annual Quality Assurance Assessment, which is a questionnaire that the manager completed. The AQAA describes the services and facilities that Tresleigh provide and identifies what areas they do well in and where they want to make further improvements. What the care home does well: Some of the residents had lived together previously and therefore know each other well. With new residents it was evident from looking at documentation, and a tour of the home that there was a planned moving in period to Tresleigh. The manager said that residents choose the decor of their rooms, which were also personalised to the individuals taste. Assessments prior to moving into Tresleigh are undertaken and based on the individuals health, social and personal care needs, including needs relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the homes setting. Residents are encouraged and supported to develop their skills and independence in many ways. They are involved in developing their own care plans with assistance and support from staff. Residents attend reviews regularly, so that they know why they are placed at the home and via their person centred planning process identify what aspirations they are aiming to achieve e.g. developing a particular element of self-care to promote their skills and independence. They have opportunities to make decisions about important aspects of their lives, with assistance from staff, if they need it and are supported to take risks so that they can enjoy fuller and more active lives in and out of the home. Residents are encouraged to maintain valued relationships with their families and friends, with staff support as necessary. Residents have clear information on what is expected of them and their rights as residents of a care home. They are aware, for example, that they will be expected to help out with household tasks such as cooking and cleaning, so that they can develop their skills and independence and know what to do if they wish to make a formal complaint about something they do not like. There is good access to health agencies and from documentation inspected it was evident that access to specialist services is also available. The home has a robust medication process and procedure, which promotes the safe administration of medicines to residents in the home. Residents participate in the planning of the menus and help staff to prepare meals. They have free access to the kitchen so that they can make drinks and snacks for themselves when they wish and are encouraged to live and eat healthily. Residents are appropriately supported with their personal care so that they maintain their dignity. Staff were observed to assist them with their needs quietly and unobtrusively. There are adult protection policies and procedures in place to safeguard residents. These are shared with staff so that they are aware of what to do if they have any concerns in this area. Care Homes for Adults (18-65 years) Page 8 of 29 Tresleigh environment is suitable for the residents living there. Resident areas were clean and tidy throughout at the time of the unannounced inspection. Residents are consulted about the decor and furnishings of their bedrooms. The staff team demonstrated throughout the inspection positive interactions with residents and assisted them with personal care needs in a discrete manner. Staff confirmed access to training is available. The inspector was welcomed to the home in a friendly manner by staff and residents. All were aware of the reason of the inspection. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 9 of 29 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 10 of 29 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 11 of 29 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. Information provided to residents has been updated and more individualised so that residents are aware of what facilities and services they will be provided at Tresleigh. Residents needs are assessed with a planned transitional programme occurring so that they are consulted before moving to a new home. Contracts identify what financial costs are involved in the placement. Evidence: Following the inspection of the Statement of Purpose it was apparent that this document had been reviewed and updated on the 23/06/08. It now more accurately reflects the services that are provided at Tresleigh. There have, however, been a number of staff changes since this review date and these need to be reflected in the Statement. Managers of Spectrum homes undertake assessments and seek professionals views that are involved in the individuals care. From this a decision is made as to the suitability of Tresleigh being able to meet the individuals needs. It is evident from documentation seen that prospective residents to the home were consulted through their transitional programme about their wishes to reside at Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Tresleigh. Contracts in relation to the placement clearly identify residents rights and what services they will be provided with. They now clarify what costs the resident needs to pay and identify their benefit entitlements. Care Homes for Adults (18-65 years) Page 13 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users care plans address their health, personal and social care needs, including needs relating to their individual and diverse backgrounds, age, religion, culture and ethnicity, abilities, gender and sexual orientation. They are able to take safely managed risks and make important decisions about their lives so that they develop their skills and independence Evidence: Residents, their family, advocate and relevant professionals are involved in the development of individual care plans and their subsequent reviews. Monthly reviews are held and when possible staff record residents views so that they are aware of the purpose of their placements in the home and are able to contribute to the ongoing care planning process. The care plan has specific headings to address their health, personal and social care needs, including their individual and diverse needs. These are in written form plus in Widget pictorial form. Care plans provide residents with specific goals to work towards, and inform and direct staff in how to support the resident to Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: achieve this goal to encourage them to fully maximise their skills for independent living. As the care plan documentation can be lengthy the introduction of micro care plans summarises particular aspects of care and details what specific staff interaction is needed. Residents participate in making decisions about important aspects of their daily lives, according to their individual abilities and this was observed during the inspection. Staff were observed supporting residents who required it, to make decisions about what to do during the day. Residents written care plans formally consider their abilities to make decisions for themselves and daily care records provide further evidence of the choices they make in their daily lives. Residents can choose the level of privacy they wish to enjoy in their private accommodation. Residents are able to take managed risks, backed up with written risk assessments and risk management plans, particularly with regard to their engagement in higher risk activities. The risk assessments were seen to be reviewed on a regular basis. Residents monies are audited on a monthly base at Spectrum headquarters. They were not inspected on this occasion. Care Homes for Adults (18-65 years) Page 15 of 29 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. Residents are able to take part in a wide range of activities in and out of the home, which are appropriate to their ages, individual needs, interests and cultural backgrounds so that they develop their skills and confidence. They are supported to maintain valued social and family relationships so that they are not isolated or institutionalised. They are provided with a wholesome and varied diet so that they enjoy their meals and stay healthy. Evidence: Residents care plans and daily care records provide good evidence that their interests and abilities are fully considered in planning their daily activities, which are planned with them individually. This is then displayed in either word or symbol format as a daily activity rota so that residents can follow their routine more easily. Some activities include assisting them to access school or college and involvement in a variety of Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: sports for example. At the time of the inspection residents were engaged in a variety of different and appropriate activities in and out of the home, with staff support provided as necessary. Residents are encouraged to maintain valued relationships with their families and friends, with staff support as necessary, which their daily care records confirmed. They are able to make telephone calls in private if they wish. Residents are supported and encouraged to eat healthily. They undertake shopping, planning for and preparing meals with assistance from staff. Nutritional needs and preferences are considered as part of the care planning process. Residents views are sought in the weekly menu planning. All the residents looked healthy and well nourished. The home has an ordinary, domestic kitchen, which they can access freely, to prepare drinks and snacks when they want them. Care Homes for Adults (18-65 years) Page 17 of 29 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. Residents personal and healthcare needs are well met so that they are able to live full and active lives in and out of the home. Medication systems are in place to ensure that residents are not placed at risk. Evidence: Residents individual care plans address their personal care needs. Residents appeared to be attractively and fashionably dressed and were well groomed so that they can comfortably take part in community life. The home has suitable bathroom facilities so that they can attend to their personal care in private. Residents healthcare needs are considered as part of the care planning process and regularly reviewed. Documentation showed that people who use the service have access to external healthcare providers, including specialists, when needed. There are suitable medication storage facilities. Residents do not currently selfadminister medication. Spectrum has a medication policy that was present in the home. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Tresleigh uses the Monitored Dose System so that medication in the main is received in blister packs. From inspecting the medication process it was evident that staff receive and administer medication safely. MAR sheets recorded medication the home had received, and when administered. An audit of loose medication showed that the numbers recorded as present in the home tallied with the tablets stored in the cabinet. The home now has a disposal of medication record. We were informed that a copy of the latest medicine guidelines for care homes, by the Royal pharmaceutical company was available for reference. Where hand written entries are made to the MAR sheets these should be accompanied with two signatures. Care Homes for Adults (18-65 years) Page 19 of 29 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. Residents are listened to and respected so that their views, concerns and complaints are taken seriously and acted upon. There are formal and informal systems in place to ensure that they are able to feel safe in the home. Evidence: Residents are provided with written and pictorial copies of the homes formal complaints procedure and have formal and informal opportunities to raise any concerns with staff before they become serious complaints. The home has received no complaints. The home has written procedures to guide staff on what to do if they suspect a resident is at risk of abuse. There are records to show that staff are recruited on the basis that they are suitable to work with vulnerable adults in a care setting and appropriate checks are made. Residents are not isolated in the home, but take part in a range of activities in the local community and have relationships with people from outside of the home that they can communicate serious concerns to. Spectrum has a whistle blowing policy. Care Homes for Adults (18-65 years) Page 20 of 29 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 homes internal environment provides service users with an ordinary, domestic setting so that they can develop their skills and independence in a non-institutional setting. Consultation with Service users has led to private space being furnished to a comfortable standard. The outer buildings are unsafe and some improvements to the home are needed. Evidence: The home looks like an ordinary, domestic dwelling. It was evident form a tour of the home that the people who use the service have been consulted on the decor of their bedrooms and some had recently chosen furnishings for their rooms. The communal lounge areas and dining area are also attractively furnished. People who use the service need to be able to negotiate stairs to access the upper part of the home. From a tour of the home it was observed that Tresleigh aims to provide comfortable surroundings to the people who live there. The previous report listed a number of areas which needed improvement They were, the carpet in the main lounge was badly stained and needed replacing, the carpet in the smaller lounge needed cleaning or replacing, the walls in the smaller lounge needed to be washed, one of the residents rooms and parts of the landing had holes in the walls, which needed to be repaired, a Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: residents room was identified as needing redecoration, two en suite baths had cracks in them and needed repair or replacing, a radiator in one of the en suites had rust on it which could cause a infection control risk and therefore needed addressing, the staff toilet needed redecorating as tiles were missing and again could cause an infection control risk. We are pleased to note that the majority of these defects have now been remedied. In respect of the kitchen area this is accessible at all times to the people who use the service. It is noted that due to the height of the kitchen cupboards that these were not easily accessible to anyone in the home, which staff agreed. The manager and staff stated that all equipment works and that the kitchen is functionable. Improvements are nevertheless noted to this area. It was noted that the freezers are in the basement. Due to the building being a farm house access to this area is down steep uneven concrete stairs. The manager stated that she did not perceive any particular risks regarding this access. It is noted that people who use the service do not access this area. From a tour of the external parts of the property a secure garden is accessible to People who use the service. Repairs to the fence and security lights have been completed. Tresleigh has a cottage attached to the main home. This is not accessible for residents due to the current risks that are evident in this area and is therefore used as a storage facility. The laundry facility is located in one of the outbuildings. All outbuildings are in a poor condition and are not able to be used for residents due to the risks they could pose. Repair and refurbishment of these areas could provide useful resource areas for residents. Residents bedrooms were all decorated to personal taste with some depicting a theme as chosen by the occupant. Care Homes for Adults (18-65 years) Page 22 of 29 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. Currently there are sufficient numbers of staff on duty so that residents can have confidence in their competence and skills. Staff training needs to be continually reviewed and any gaps in training identified and addressed. The homes recruitment policies and practices are fair, safe and effective so that residents can be assured that staff are suitable to work in a care setting. Staff supervision occurs Evidence: The staff rota showed that or seven care staff were on duty during the day, six in the evenings with one sleeping in and one waking night staff member on shift. Staff felt that the staffing numbers were sufficient. On the day of inspection there was 8 care staff on duty. The manager stated that they have two care staff posts vacant, one of which has been filled. The current staff team undertake extra shifts, to cover vacancies so that the residents have the same carers at all times which provides consistent care. Care staff undertake all personal care duties plus with residents assistance cleaning and cooking tasks. From observations of staff interaction with residents it was evident that they communicate with residents in a competent, fair, patient manner and work with them at their pace. Staff commented that they enjoy working at Tresleigh with the current resident group, feel they work together well as a team and that they have Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: good management support. There have been a considerable amount of staff changes recently with six new staff joining the team. At least three of the new staff have transferred in from other Spectrum homes so have previous relevant experience. The previous report highlighted that staff need to attend specific training courses to assist them in their daily work to include, medication, infection control, health and safety, manual handling, infection control, food hygiene and positive behavioural management. We were told that staff have now attended these courses which was evidenced in the four staff files inspected. The homes staff recruitment records indicate that staff are appointed on the basis of written application forms and equal opportunities interviews. Appropriate checks are made of their suitability to work with vulnerable adults in a care setting. It was noted that residents are not currently involved in the recruitment process but newly appointed staff felt that residents views were being sought during their probationary period of work. Supervision of staff has occurred during the past twelve months but in some cases has not been consistent. This is possibly due to the overall changes in the staff team. The manager stated that regular supervision of staff is now a priority. Care Homes for Adults (18-65 years) Page 24 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes manager is applying to the Commission to be registered so that an assessment of her fitness to provide this role is assessed. The home is well managed for the benefit of residents. Residents and their representatives views are considered regarding the day-to-day running and ongoing development of the home. Evidence: The registered manager of Tresleigh has ceased to be employed at the home. She has been replaced by Sharon Groves. Sharon was the registered manager at another Spectrum home and is now in the process of applying to the CSCI to become registered in respect of Tresleigh. She is well experienced and qualified. Staff spoke highly of Ms Groves skills and felt that she was approachable and listened to their ideas or concerns. From observations staff and residents communicated with her in a relaxed manner. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The dedicated administration time allotted to the manager has been increased from five hours per week to twelve to allow sufficient time to undertake the management roles that she needs to achieve. The deputy manager is allotted six hours to perform similar tasks. Regulation 26 visits occur which are seen as useful and comply with legislation. They were available for inspection. Records are stored confidentially. Fire training occurs and regular fire tests are carried out. Surveys of residents views have commenced. This section has been rated as Adequate as the does not currently have a manager registered with the CSCI. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R 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 27 of 29 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 43 8 The homes manager 01/02/2009 application for the registered manager post must be processed. Regulation 8 of the Care Standards Act 2000 requires all care homes to have a registered manager Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 Service users should be provided with clear information in the Statement of Purpose about the current staff team, their names and qualifications. Two signatures should accompany all hand written entries made on the MAR sheets. 2 20 Care Homes for Adults (18-65 years) Page 28 of 29 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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