Inspection on 26/09/07 for Turning Point (Hoole Road)

This inspection was carried out on 26th September 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

Turning Point (Hoole Road) 12/10/09

Turning Point (Hoole Road) 18/12/06

Turning Point (Hoole Road) 03/03/06

Turning Point (Hoole Road) 18/11/05

Turning Point (Hoole Road) 21/01/05

Turning Point (Hoole Road) 08/06/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Richards House

Hamer Cottage

Stanfield House

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

CARE HOME ADULTS 18-65 Turning Point (Hoole Road) 27 Hoole Road Hoole Chester Cheshire CH2 3NH Lead Inspector Maureen Brown Unannounced Inspection 26 September 2007 09:25 Turning Point (Hoole Road) DS0000006612.V346521.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 Turning Point (Hoole Road) DS0000006612.V346521.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. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Turning Point (Hoole Road) Address 27 Hoole Road Hoole Chester Cheshire CH2 3NH 01244 314320 01244 325875 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) www.turning-point.co.uk Turning Point Limited Vacant post Care Home 21 Category(ies) of Past or present alcohol dependence (21), Past or registration, with number present drug dependence (21) of places Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The total number of Service Users must not exceed 21 21 of the Service Users may be A 18 of the Service Users may be D Service Users to be accommodated as follows:12 Service Users may be accommodated at 27 Hoole Road 4 Service Users may be accommodated at 98 Phillip Street 3 Service Users may be accommodated at 30 Tomkinson Street 2 Service Users may be accommodated at 66 Phillip Street 18th December 2006 Date of last inspection Brief Description of the Service: The service, which is run by the national charity Turning Point, aims to provide a supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes. The residential project comprises of the main ‘first-stage’ house at Hoole Road, which provides 12 places. There are also three ‘second-stage’ properties close by providing 2 places, 3 places and 4 places each. All the houses are close to Chester City Centre with community facilities and amenities. Referrals are accepted from all areas of the country and people stay between 6 and 12 months. As part of the project’s philosophy, people who use the service participate in a range of individual and group activities, including oneto-one support; relapse prevention; stress/anxiety management and relaxation. Alternative therapies such as auricular acupuncture, aromatherapy and Indian head massage are also available for service users. The staff team consists of the acting manager and eight support staff. The fees for the service are £399.00 per week. Optional extras include personal items, transport costs, other activities and hairdressing. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 26 September 2007 and lasted eight hours. Feedback was carried out with the acting manager at the end of the visit. This visit was just one part of the inspection. Before the visit the home was also asked to complete an Annual Quality Assurance Assessment to provide up to date information about them. Questionnaires were also made available for service users, relatives, staff and other professionals to find out their views. Other information since the last key inspection was also reviewed. Comments from forms that were sent back to CSCI have been included in the report. During the visit various records were looked at and a tour of the home was undertaken. All the residents and staff were also spoken with and they gave their views about the service. All the key standards were assessed. The previous requirement had been met. Following this site visit six recommendations of good practice were made. What the service does well: There is a well-established and effective process of providing information so that prospective residents are able to make an informed choice about moving in and know that their needs can be met at the home. Care plans include a social history of the resident before they moved into the home, which provides useful information for staff to identify specialist support that they might need. Residents have good support from staff so they receive the healthcare they need during their stay at the home. All of the residents spoken with said they thought that the care staff were excellent. Other comments included “The home is usually fresh and clean”, “The carers usually listen and act on what I say”, “Peer support we receive from each other was excellent” and “the staff team give good support.” Information received through relative’s surveys included “The service does seem to have opened new paths for my relative. He is determined to beat this”, “The agency is very friendly, supportive, professional, fair and honest”, the carers are excellent” and “Getting the right carer for the person is very important.” Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 6 The questionnaires returned from health and social professionals all spoke well of the service provided at Hoole Road. Comments included “The service provides very good communication. It provides a stable environment and works closely with users and other professionals”, “I believe residential rehabilitation units in general should be considering length of placements and extending when required. Usually six months is appropriate but on occasion I think this needs to extend to 12 or even 18.” and “They look after substance mis-users individual needs well. They will attempt to work with dual diagnosis clients and liaise well with external agencies”. Other comments included “I have been impressed at the speed of response to one service users health problems”, “Concerns raised to me by relatives have been dealt with immediately” and “Usually I have a positive working relationship with this project and feel that we work together to assist the service users in their recovery.” The opportunities available for residents to express their views both in private and in group situations, together with staff knowledge and awareness of the protection of vulnerable adults ensures that the residents are fully protected. What has improved since the last inspection? A trained counsellor is available at the home each week. booked in line with each persons need. Sessions can be Residents now sign the daily record sheets to show their participation and agreement with the entry. House meeting notes are now recorded to show the progress being made to respond to residents concerns or suggestions. The manager considers the current client group prior to admission of a new resident to ensure a good balance. A dedicated therapy room has been provided at one of the homes local to Hoole Road. A new telephone system has been installed so that messages left on the answer phone cannot be overheard. Since the last visit a full refurbishment of the home has been undertaken. This includes rewiring, redecoration, new windows, central heating, new roof, new bathrooms and toilet, re-carpeted throughout and a new kitchen. Also new furniture had been purchased for the bedrooms. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 7 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. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good information is provided for people to make a decision about moving into the home. EVIDENCE: The prospective people who use the service are sent the “service users handbook” prior to admission. This covers all the information a person would need to make an informed choice as to whether this is appropriate for them. Included is what is “Turning Point”, information on the staff team, service users groups, facilities and amenities, moving in, group work, key worker sessions, open forum and meetings. It is available in standard print and written in plain English. The manager stated that large print could be offered if requested. A recommendation was made to change details of NCSC to CSCI. A copy of the latest inspection report was available if requested. All of the residents spoken with all said they had been given information about Hoole Road before they decided to move there and they had been able to visit the home if they wished before making a decision to move in. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 10 The care needs assessment was seen in service users files. This contained all the information required to ensure that the home can meet service users needs. Included were personal information, Next Of Kin, GP, social situation, substance details and medical information. This is included in the application pack with the service users handbook. There were detailed assessments on each of the two files seen. These also included risk assessments, which had been reviewed regularly. All the paperwork had been signed by the resident showing they had been involved in their own assessment. There was a signed licence agreement, showing that the service user agreed to the terms and conditions of the home. It identified the room they were to occupy and the resident’s own contribution to staying at the home. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. The staff involve people who use the service in completing their own assessments, care plans and general running of the home so that they are fully involved in making decisions about their lives. EVIDENCE: Two care files were seen. Each file had a complete needs assessment and care plan. Also in the files were copies of the service users guide and reviews of care plans, which were clearly detailed and up to date. A photograph of each resident is kept on their file to help new staff identify residents, particularly if they go missing. Daily records were seen and records were appropriate and the carer and resident signed these. A previous recommendation regarding residents signing the daily records had been addressed. The residents spoken with knew about their files, and were involved in completing the records. They knew the files were kept locked away and that the information in them was held confidentially. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 12 People who use the service explained that this was a very good facility and staff were friendly and helpful. They said that they were able to make decisions on a day to day basis and that they had to attend certain 1 to 1 sessions. Risk assessments were available and covered drug and alcohol abuse and selfneglect. All were up to date and had been reviewed. There was a detailed care plan that had been agreed and signed by the resident. This had been reviewed and adjusted where necessary as needs changed during the resident’s stay at Hoole Road. The residents were seen to make their own decisions and choices during their stay at Hoole Road. They were able to choose what they wanted to wear, where they spent their time, who with and what they wanted to eat. They took it in turn to make the evening meal for all of the other residents as part of their progress towards self help skills. They decided on their individual social activities, such as college courses, voluntary work and training courses. Evidence of this was seen on the files. Residents’ meetings are held so that the household jobs rota can be discussed and any other issues that affect the residents are also discussed at this time. Following a previous recommendation notes of these meetings are kept to show progress being made to resolve concerns or problems raised. Residents are encouraged to take certain risks in accordance with their rehabilitation programme but only after a detailed risk assessment has been completed. Residents are encouraged to take part in activities that will help them towards an independent life, including cooking, cleaning and laundry. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 13 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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service were able to take part in a range of activities and assistance was given with personal and family relationships so that people could maintain or develop these. EVIDENCE: The residents are encouraged to participate in activities that are both therapeutic and occupational. When residents first move into the home they are not always able to attend college or take on employment. The staff encourage the residents to develop at a pace that is acceptable to them depending on where they are up to with their detoxification programme. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 14 The people who use the service are engaged in a range of educational and occupational pursuits. One person has a voluntary job in a local shop and all the people using the service have the opportunity to attend the local college. Although therapeutic activities are available through the week, at weekends little activity is available. A previous recommendation regarding this remains outstanding and is reiterated. People spoken with said that they felt that there needed to be more activities spread throughout the whole of the week. They said they understood the financial constraints on the manager in trying to provide these activities. The people who use the service write the menus and these included a good variety of meats, cheese, fish and fresh vegetables and fruit. A list is produced and people decide what they want to cook on each day. They take it in turns to produce the evening meal for themselves and the rest of the group on a weekly rota. The people who use the service have access to the local and wider community in line with their individual package of support. As part of the package offered each person is given a pass to the local leisure centre. They stated that this was a good resource for them as they can use the swimming pool or gym there. Relationships are developed as per individual preference. Most people have moved away from their family and friends for this part of their support. However it was noted when talking to the people who use the service that good support networks had been developed with each other. A previous recommendation with regard to the manager considering the balance of the whole group each time a new admission is considered has been addressed. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service get good support form the staff and they receive the healthcare they need during their stay. EVIDENCE: People who use the service are prompted with personal care as needed and supported with each aspect of daily living and this is reviewed regularly. The residents are fully involved in their assessments. Each person has regular 1:1 sessions with their key worker but extra sessions can be requested if they feel they need one. If a problem arises it is discussed and agreement reached on what level of support is needed, if any. The people who use the service register with a GP from one of the practices in the area. For all other healthcare needs, service users are supported by staff to use relevant community services, e.g. community nurses, dentists and opticians. Additionally, where necessary, referrals would be made by their GP for specialist medical services. Staff within the project also provide service users with information about general healthcare and specific issues relating to their lifestyles and needs. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 16 All staff administer all prescribed medicines. Residents accept this as part of their contract with the home and it is stated clearly in the resident’s handbook. The residents sign a consent form for staff to hold and administer their medicines. Where controlled drugs are used within the home, these are stored securely and are administered in strict accordance with agreed policies and procedures. At present no controlled drugs are used. All staff receive training in medicine awareness as part of their induction, and on-going refresher training. However it was recommended that this be followed up with certificated medication training for all staff administering medication. There is a volunteer counsellor who visits Hoole Road each Thursday and those residents who wish to take up the service will meet with the counsellor for 1 hour. During discussions with the manager she confirmed that the counsellor was available to people who use the service but often they didn’t take u pt eh service. Counsellor sessions are discussed on admission and during 1:1 sessions. The previous recommendation has been addressed. The residents spoken with all felt that therapeutic, group and 1:1 sessions should take place over a seven-day period instead of five. The residents spoken with said that they found the alternative therapies, such as relaxation, Indian head massage etc, very helpful as they taught them to relax, control their feelings and deal with any anger they might feel. A previous recommendation had been made and this is reiterated. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service were able to express their views both in private and group sessions and they are protected by the staff awareness of protection of vulnerable adult issues. EVIDENCE: All of the residents spoken with said they feel that the staff do listen to them. They acknowledged that getting some of the things they ask for is outside the manager’s control but said that she does act on what they say if she can. The residents have an opportunity to voice their opinions and concerns during their group meetings or during their 1:1 session. Residents were also seen to call into the office to talk with staff and discuss any problems they were having. The complaints procedure was appropriate and a copy was available with the service users handbook. All service users had a copy. The Commission had received no complaints. The home has received two complaints both of which had been resolved to the complainant’s satisfaction. The staff all receive training on the protection of vulnerable adults from abuse. This was shown in the staff files checked. Staff also receive specific training on the prevention of suicide and self-harm, to ensure they recognise those residents who are vulnerable and therefore provide them with additional protection. The home has signed up to the Cheshire County Councils “No Secrets” policy. They also have policies on abuse and whistle blowing. Turning Point (Hoole Road) DS0000006612.V346521.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 excellent. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a clean and comfortable place for the people to live in. EVIDENCE: There is an office at the front of the house which residents call into at various times during the day. Other than this, the rest of the house is in keeping with an ordinary domestic home. Outwardly the building is no different from others in the area. The residents do not have problems with mobility and are independent. They may need support to help them become more independent because of the effect their addiction has had on their ability to care for themselves. The home is not equipped to provide a service to people who have a physical disability as there are no adaptations, stair lift or bathing aids within the house. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 19 The overall state of repair of the home both internally and externally is excellent. Since the last visit a full refurbishment has been undertaken. This includes rewiring, redecoration, new windows, central heating, new roof, new bathrooms and toilet, re-carpeted throughout and a new kitchen. Also new furniture had been purchased for the bedrooms. The communal areas and some bedrooms were seen on this visit. People spoken with all said that they were happy with their bedrooms. They said the rooms were comfortable and warm and knew that they could personalise it to their own taste during their stay. The home was seen to be clean and odour free. All the people who use the service stated that the home was always clean and odour free. The residents themselves are largely responsible for the tidiness and cleanliness of their own room and also help with cleaning the communal areas around the home. A dedicated therapy room has been provided at one of the other houses in the area, however some therapies do take place in the lounge or conservatory at Hoole Road. A previous recommendation has been met. Turning Point (Hoole Road) DS0000006612.V346521.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, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by the homes recruitment policy and practices as they are consistently followed. EVIDENCE: The staff team comprises of the acting manager and eight support staff. The rota showed appropriate levels of staff on duty. Two out of eight staff have completed NVQ Level II in Care. One person is currently undertaking this award and one is due to start this training. A recommendation was made with regard to obtaining this award for 50 care staff. Three staff files were seen. All staff had pre-recruitment information available. All staff had Criminal Record Bureau checks and identity checks carried out. The staff files were well presented and subdivided into Next of Kin, job description/contract etc, training, supervision and leave making it easy to find all the relevant information. The previous requirement that staff records should be available for inspection had been addressed. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 21 A good range of mandatory training is available. Courses included First aid, food hygiene, adult abuse, fire prevention and health and safety which staff had completed. A range of specialist training is available including suicide awareness, equality and diversity, challenging behaviour and motivational interviewing. Most staff had undertaken some specialist training. Staff appraisals had been completed. Staff supervision on day-to-day basis was good and formal supervision was undertaken. Appropriate records were kept. A recommendation was made with regard to separating supervision and appraisal notes for ease of reference. The residents spoken with said that the staff appear to be competent and well qualified. They said, “The staff give good support”, ”The carers are excellent”, and ”The carers usually listen and act on what I say.” Turning Point (Hoole Road) DS0000006612.V346521.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, 40 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the people who use the service are protected. The views of people who use the service and staff are obtained so that they influence the running of the home. EVIDENCE: The Manager has been in their role since July 2006. They are currently being registered with CSCI. She is undertaking the Post Graduate leadership course. She has worked for Turning Point for three years, eighteen months of which has been in a managerial position. Prior to this she worked in the Youth Offending Team and for a homeless hostel for Drug and Alcohol addictions. The manager has kept up to date with relevant courses. All of the residents and staff spoken with said that the manager was approachable and would listen and deal with issues appropriately if they arose. Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 23 Staff meetings were being held regularly and all staff, regardless of whether they could attend, were given a copy of the minutes. Details of the meetings were kept on file. The people who use the service were confident that they contributed to the development of the home by day-to-day contact with the staff team and key workers, by one to one and group sessions and by completing monthly questionnaires. These check on how they feel their care and support has been. Comments within the questionnaires included “it is very comfortable and I was made to feel welcome”, “staff available and listen to your points of view”, “I would prefer more groups” and “complimentary therapies are exceptional and extremely relaxing”. Safe working practices include regular checks of the fire alarm system including smoke alarms, emergency lighting and escape routes were being made to ensure the safety of the residents. All people coming in and out of the building signed so there was a record of who was in the building in the event of a fire or other emergency. Also certificates are available for the Gas safety (7.7.07), Portable Appliance testing (October 06) and Electrical wiring safety (13.7.07). Policies and procedures include health and safety, Control Of Substances Hazardous to Health, fire risk assessment dated 6.8.07, fire training and drug misuse/relapse policy. During the previous site visit a recommendation was made regarding telephone messages left on the answer phone, which could be clearly heard by anybody in the room, this issue has now been addressed by purchasing a new system. Turning Point (Hoole Road) DS0000006612.V346521.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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X Turning Point (Hoole Road) DS0000006612.V346521.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 2 Refer to Standard YA1 YA11 Good Practice Recommendations The people who use the service should have up to date information in the service users handbook and details of NCSC should be altered to the Commission. The manager should consider how therapeutic activities; other activities and support from staff known to the residents are available throughout the week, including the weekends. All staff that administer medication should complete certificated medication training. Consideration should be given to providing a dedicated therapy room as part of the refurbishment of the home. To ensure that appropriately qualified staff cares for residents, 50 of the support staff team should be qualified to NVQ level II or above. For the ease of access to information consideration should be given to separating the supervision and appraisal notes. The manager should obtain NVQ level IV in Management. 3 4 5 6 7 YA20 YA28 YA35 YA36 YA37 Turning Point (Hoole Road) DS0000006612.V346521.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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