CARE HOME ADULTS 18-65
Umbrella Homes 5 Everton Road Yeovil Somerset BA20 1UF Lead Inspector
Loli Ruiz Unannounced Inspection 12 December 2006 9:45 Umbrella Homes DS0000016195.V316024.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 Umbrella Homes DS0000016195.V316024.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. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Umbrella Homes Address 5 Everton Road Yeovil Somerset BA20 1UF 01935 425075 NA rjbrooks@dsl.pipex.com 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) Mrs Angela Brooks Mrs Angela Brooks Care Home 15 Category(ies) of Learning disability (13), Physical disability (13) registration, with number of places Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 5 Everton Road is registered for 5 persons in category LD, one of which is also category PD. 12A Everton Road is registered for 3 persons in category LD. 25 Everton Road is registered for 4 persons in category LD. 95 West Henford is registered for 3 persons in category LD. Date of last inspection 21/02/2006 Brief Description of the Service: The Umbrella Homes comprises four houses situated in residential areas close to the centre of Yeovil, within walking distance of each other and of all the town’s amenities. Each house provides single bedrooms with communal lounge, dining-room, kitchen, bathroom, WC and garden. A few bedrooms have ensuite facilities. Each home provides residential care and support to adults with a learning disability. Facilities for physical disability needs are also provided in one of the houses that has a downstairs bedroom and bathroom. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector would like to thank everyone at The Umbrella Homes for the friendly welcome, help throughout the inspection and the invitation to share lunch with everyone. The inspection was unannounced and was a Key Inspection using the Commission’s Inspecting for Better Lives 2 methodology, introduced in April 2006. The inspector spent 5.5 hours in the homes and had contact with 11 of the 14 residents in the homes, staff on duty and Mr and Mrs Brooks. On the day of the inspection 4 people were out and the rest were busy at home with their weekly domestic management tasks. The inspector spoke with one person before leaving for Bournemouth with a staff member and later spent the day with those at home, including staff, and enjoyed sharing lunch with them at one of the homes. Essential records were inspected including admission and care records of a person new to the homes. The inspection included a tour of the four homes and viewing the two loft conversions, one of which is not fully completed. What the service does well:
The homes continue to provide an excellent service for those living in them. As usual, the atmosphere throughout the inspection was relaxed, warm, fun and friendly. The home’s philosophy remains very much person centred. Service users remain fully involved and consulted about all aspects of their lives, the running of their home and some are active in self-advocacy groups. The homes continue to support service users with accessing all necessary health, social, educational and benefits services, evident on the day of inspection. Each person’s care and support is reviewed at fortnightly meetings, and once a year with each person’s social worker and relatives. The home maintains good links with work placements and the college in connection with each person’s welfare and development. Service users indicated that they continue to enjoy time spent in the small holding facility attached to Mr and Mrs Brooks’ home. Service users were happy to discuss experiences regarding their activities within and outside the home, relationships, health and plans for the future. Service users confirmed that their relationship is one of mutual support and indicated that they considered their community- including staff and management- as an extended family where all cared for each other.
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 6 Parents and relatives are very much part of this community. Periodic functions are organised at the home of Mr and Mrs Brooks where they meet and socialise. Parents have formed a (now well established) Trust to ensure the continuing viability and ethos of the home. The homes are maintained to a good standard of decoration and cleanliness and there is a rolling programme of maintenance and development, to meet everyone’s needs. The home exceeds the percentage of NVQ trained staff recommended at levels II, III and IV, it also provides staff with specialist training, as the need is identified during fortnightly staff meetings and formal supervision. The staff team has remained stable since the last inspection. Just one staff member, who previously had ancillary and sporadic duties, had been given a care role. Appropriate recruitment practices were evidenced regarding this person who was undergoing the home’s induction process for care. The management and staff ensure that all health and safety checks are performed to meet legal duties. Staff are provided with essential Health & Safety training and service users also take part in some of this, i.e. fire drills. Some service users have catering qualifications and have completed Safe Food Hygiene courses. What has improved since the last inspection?
One of the houses has an additional communal WC downstairs. This ensures privacy for those living in the house when there are visitors. Two of the houses have had loft conversions and two additional beds have been registered. One of these en-suite bedrooms will provide a more independent accommodation for an existing service user. Redecoration continues as planned for any areas that needs it. There are plans to convert a previous small bedroom into a sitting room for two service users in a long-term relationship. One of the staff has completed NVQ IV and the Registered Managers Award. The medication policy has recently been reviewed and additional information about the management of diabetes included. Umbrella Homes DS0000016195.V316024.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. Umbrella Homes DS0000016195.V316024.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 Umbrella Homes DS0000016195.V316024.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, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough transition work is undertaken when considering a new admission that involves the person, their relatives and professionals involved to ensure that the person’s needs and preferences are known, that the home can meet identified needs and existing service users are not impacted upon negatively. Service users visit and spend time in the homes, meeting everyone while considering moving in. The home contracts with the referring local authorities and service users also have a personal contract detailing the terms and conditions of their residency, rights and responsibilities. EVIDENCE: There had been one new admission since the last inspection. Staff and records evidenced having contact with the family and school over a period of months before admission. The service user had asked to come to this home after completing residential school. Spoken with the new service user who confirms to have visited twice, once overnight. The service user said that she was happy in the home, that she likes other people she shares the house with. She also enjoys college and the
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 10 lifestyle in Yeovil. Has all the support she needs and has friends from residential school that now also attend college. She would be going home for the Christmas season after the party that Richard & Angela Brooks have organised for parents and service users this weekend. Her room was fully personalised. The care record of this person evidenced pre-admission assessments from the school, transition and pre-admission documents as well as a care plan. The service user involvement was confirmed by her and by records with her signature. The home has capacity for 14 plus a loft conversion nearing completion. Mr and Mrs Brooks indicated that there are no plans to let that room due to recent changes and traumas, such as the recent death of close relatives, the new admission and health needs of service users. They felt that everyone needed a period of adjustment and time to enable them to be ready for any future challenges. Service users have an independent lifestyle, supported as necessary by staff, often at arms length using mobile phones, according with an assessment of risk. The level of support is very often guided by the service user according with their needs of the day, and also by their support needs. Staff escort and support those who need it, as evidenced on the day and by the many times the inspector has met with service users and staff in the local shops. Umbrella Homes DS0000016195.V316024.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, 8, 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have an individual plan of care and support that is worked with their cooperation and reviewed with them. Risks involved in pursuing a full lifestyle are assessed and strategies agreed with each service user to support them in pursuing their interests and ensuring that unacceptable risks are anticipated and avoided. Service users are consulted about and informed of all events affecting their lives and homes. Service users may choose to share information, as members of a caring community do, however confidential information is maintained so by the home. EVIDENCE: The care plan of a new service user was inspected and found well completed and included her signature. Mr and Mrs Brooks were in the process of Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 12 arranging a three month post admission review with the person’s social worker, relatives and the service user. Care and support plans include personal information, individual needs, objectives, preferences, programmes of work, study, leisure and social calendar, risks and plan to meet identified needs. Each house also has an information folder with essential telephones, the fire action and guidance on what to do in an emergency. The bullying and complaints policies are also included. The inspector noticed how service users went to the town on their own to their work placements or shopping. Two staff members were assisting other service users with their Christmas shopping, one locally and another in Bournemouth. The latter would attend a show after the shopping trip that the service user had wanted to see, also in Bournemouth. Service users were aware of events in their house and also in the other homes. They do things together and indicate that they do like each other. They were aware of those who were bereaved and as two of them indicated, “ we support each-other” “ We are like a big family”. Today the majority of service users ate lunch together in one of the houses. However they also have time on their own and often choose with whom to attend events or to eat. For example one of the couples planned to have tea on their own. Umbrella Homes DS0000016195.V316024.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): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from person centred support, assisting them with expressing their aspirations and to plan how to meet educational, work, leisure, social and relationships needs. Service users benefit from close relations between their relatives, staff and management of the home. Service users are supported with expressing their rights and understanding their responsibilities, both as citizens and as members of a community. Service users enjoy a good diet, planned with them, and are encouraged to consider the impact of food on health. EVIDENCE: Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 14 Discussions with 11 service users, with staff and management, perusing the college calendar and meetings with service users during the year in Yeovil, evidenced that the home’s residents continue to enjoy a full life. Long established work placements continue and all residents spend some time during the week managing their personal and domestic affairs of their houses with support according which each person’s needs. Some service users attend college or Fiveways centre and also enjoy spending time at the small farm at Mr and Mrs Brook’s home. Local classes are accessed according with the person’s expressed wishes and support plan. Examples are art, drama group and literacy. Care and support plans are reviewed with them, at fortnightly intervals and with relatives and the person’s social worker once a year. Service users continue to access local sport and leisure facilities such as gyms, alternative therapies, hobbies and swimming. They have social networks that include friends at work, college, the centre, residents in each house, and their own family. Some have long standing personal relationships. Some service users are active in the self-advocacy movement and staff assist them with awareness of their personal rights as well as their responsibilities as citizens and towards each other. The inspector had no opportunity of speaking with relatives this time but has met them on previous occasions when they had made a point to visit on inspection day to tell the inspector what it means for them having their son or daughter in this enabling community. They have formed a Trust to ensure that the home’s viability and ethos continue in the long term. The inspector had lunch with residents who were not on placement or away, and staff in one of the houses. Staff and service users worked together at preparing, serving and clearing after the meal. The healthy salad meal was attractively served in good portions. A sweet was served afterward. The meal was taken in a congenial atmosphere with service users and staff sharing information and chatting about events past present and future. Service users spoke of their annual holiday that they all have together, of support that they give each other at times of illness or bereavement, of boy/girl-friends, of their families, improved health from taking regular exercise and the animals at Brooks farm. Umbrella Homes DS0000016195.V316024.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, 19,20,21. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from the ethos of the home that put each of them and their preferences, needs and aspirations at the centre of the daily support provided. Service users benefit from good practices regarding the management of medication and are able to control and make decisions about the medication they take. Issues of chronic, terminal illness and death are treated with great sensitivity, care and compassion and staff support service users to access all necessary health care. EVIDENCE: The work and activities that service users engage in has been planned with them according with their expressed needs and wishes. Support plans are flexible and allow for changes, autonomy and independence. Examples include escorting a person on request and a resident who was planning to cook tea for his girlfriend as they wanted an evening together. The inspector met two
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 16 residents in town after the inspection, in different locations as they walked home from work and shopping respectively. Shopping trolleys have been purchased so that residents who have expressed a wish to do the house’s shopping on their own- instead of been taken by staff- can do so independently. Service users continue to use public transport to visit relatives, both in this country and abroad. Plans to support them are made according with each person’s needs and assessment of risk. Service users say that they work well together and support each other as members of a family do. They formed a friendly and warm group of individuals and were happy to relate their experiences and share their opinions. The newly admitted person said that she was very happy in the home and liked the other residents and staff. The medication policy has recently been reviewed and updated and additional information regarding the management of diabetes has been included. Staff have received training from the diabetes service. The storage of medicines, including insulin pens, records of receipt, administration and disposal of medicines were well managed. No control drugs were in use. Service users part medicate and appropriate assessment of risks are made. A service user has been supported with a long term plan for reducing prescribed medication in cooperation with the GP, with good results. Staff involved with medication have completed a comprehensive medication course and the management agreed that it was desirable that staff skills in this area are maintained up-todate. Staff competencies are checked regularly by Mr. Tucker (in charge of medication) but not recorded. He agreed that these checks would be formalised and documented at 6 monthly intervals in future. Service users are maintained informed and issues are discussed with them, as appropriate. They expressed awareness of the need for supporting those who are ill, during hospitalisation and those recently bereaved. A resident who had lost a parent recently, spoke of her other parent’s needs at this time and how she planned to offer support. Staff model a caring ethos for each other, including relatives. Mr and Mrs Brooks and staff advocate for residents, ensure that specialists are accessed and plan to optimise health and quality of life. Evidence: Plans for person with serious diagnosis, both for daily support, pain control, quality of life and possible future need for environmental changes. Umbrella Homes DS0000016195.V316024.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. Service users benefit from an excellent person’s centred service. Service users are protected by the recruitment, induction practices, policies and ethos of the home. EVIDENCE: Service users are involved in all events relating to their lives. Plans are made with them, suggestions are taken up and choices offered. The home aims to enable the personal development of each individual at all levels. Service users on the day and relatives (previous testimonies) evidence that this is achieved. Relations between residents, Mr and Mrs Brooks and staff are of mutual respect and warm regard. Daily open interactions and good forward planning mean that problems are anticipated and resolved. The complaints procedure is included in the information pack in each home. No complaints have been received. There is also an anti-bullying policy and an overt caring ethos underpinning practice in the home. Parents are fully involved by the home in supporting service users and meetings are organised during the year. A full Christmas social was planned for the coming weekend for parents and service users at Mr and Mrs Brooks’ home. Inspection reports are read and discussed with all service users and relatives. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 18 Mr Brooks has recently undertaken a comprehensive Quality Assurance exercise in order to provide the necessary evidence for obtaining Quality Rating from the Local Authority, for which they have applied. There is a stable staff group. One of Mr and Mrs Brooks sons, who was providing casual ancillary work since 2004, has recently been given care hours. His file was inspected and evidenced that all necessary recruitment steps had been followed, including POVA and CRB checks and references. He was working through the induction pack and had undertaken all relevant health and safety training- but not yet medication training. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 19 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,25,26,27,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes continue to provide service users with safe, comfortable domestic accommodation, in keeping with neighbouring properties and convenient for accessing the town’s facilities by foot. Service users individuality is reflected in their private spaces and communal rooms are comfortable and well maintained. There are sufficient communal bathroom facilities. Additional separate WCs and en-suite facilities are being installed, where possible, to aid privacy. The home is maintained in a hygienic condition throughout. EVIDENCE: All homes were visited. The homes are redecorated according with an on-going programme of maintenance. Two lofts have been converted providing
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 20 and the home is now registered to cater for 15 residents. One of the conversions is completed, it has en-suite facilities and an existing service user was moving her furniture and looking forward to the more independent setting. The other conversion is nearly completed and as yet there are no plans to let this room in the near future. An additional separate WC has been created downstairs. In one of the houses, a small room is being turned into a private lounge for a couple living in the home and using a double bedroom. The service users concerned were pleased to explain how they planned to have their rooms fitted and redecorated. There is a COSHH policy and a number of service users have completed health and safety courses as part of their work placements. The availability of hazardous chemicals, such as bleach in a WC was discussed with Mrs Brooks and Mr Tucker. Service users in the home were deemed aware of the risks and able to use without unnecessary hazards to their health. Risk assessments are carried out that also include those visiting the home. Communal rooms were comfortably furnished, homely and bright. Private rooms seen continue to reflect each individual’s taste and interests. All areas seen were clean. Service users are committed to recycling following the local council lead and refuse was carefully prepared for collection. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 21 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a stable and cohesive staff team that identify with the ethos of the home and the objectives of the service. The home has maintained a high level of staff qualified at NVQ levels II to IV. Mandatory training and courses on specialist topics are provided. The recruitment practices in the home are good. EVIDENCE: There had been no major changes in staff since the last inspection. Extra hours have been created to account for one additional resident. An existing casual staff had been given care hours. This was one of the managers’ sons and no new to the home. However his file evidenced appropriate recruitment, vetting and induction practices. The percentage of staff qualified at NVQ continues to exceed the minimum 50 identified in the National Minimum Standards. Some have NVQ III and one of the senior staff has recently achieved a level IV and completed the RMA.
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 22 Staff in the home are experienced and work flexibly to meet the support needs of individuals undertaking a wide range of activities at all hours of the day and evening. Mr and Mrs Brooks are part of the team, leading and providing support to everyone. Staff have updated their knowledge of First Aid and Food Hygiene during the last 12 months. The new carer had also completed H&S. Specialist training given includes: Developing Your Care Workforce and Diabetes training. There is training planned on bereavement, health and safety and NVQ level III. One of the staff remains in charge of fire precautions. All residents and staff are involved in 3 monthly fire drills. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42, 41, 42, 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and staff benefit from expert management and leadership that also have relevant qualifications. Service users and staff benefit from the open consultative style of management that works in cooperation with other agencies for the benefit of the service. Service users benefit from an active Parents’ Trust that works to ensure the future viability of the service and maintenance of its ethos of care and support. EVIDENCE: Mr and Mrs Brooks have provided services for many years and have also previous relevant experience. Mrs Brooks as a child care qualification and one
Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 24 of the senior staff has NVQ IV and has achieved the Registered Managers Award. Open discussion and cooperation with residents, their social worker, tutors, work placements and relatives continue and warm relations are fostered. Staff discuss concerns, share opinions and agree delegated duties informally with the hands-on managers and formally during the fortnightly staff meetings. Service users are consulted in all aspects affecting their lives and the quality of the service is under scrutiny at formal care and support reviews. A newsletter informs them all about past and planned events. The home has the necessary formal policies and procedures. The preinspection questionnaire provided, Mrs Brooks and Mrs Tucker’s testimonies show that they have all been reviewed during August 2006. This is done with staff and residents input. Records sampled included the medication policy and records, gas certificates (October 06) maintenance checks, including that for fire, health and safety procedures in each house, emergency folders and notices and care and support plan. The homes have valid wiring certificates (2004). Fire fighting equipment is domestic and disposable, visually checked every three months. The fire officer last visited in August 06 in connection with the loft conversions and emergency lighting was advised on stairwells of the relevant houses. The electrician was working in one of the lofts on the day of inspection. Carbon monoxide detectors are fitted in the kitchens. Water safety is checked professionally every year. Residents and staff report faults in a maintenance book. The accidents book showed very few accidents, mostly minor and while at work placements or outdoors. The written evidence trail of a service user’s personal cash and accounts were inspected (with his permission) and also the cash balance, which was correct. Service users have their own bank or PO accounts, some have cash cards and manage their own affairs with assistance from their relatives and supervised by staff, where necessary. They are assisted with money management skills and encouraged to save for any planned expenditure. Records seen were well maintained and up to date. The service is supported by an active parents’ Trust and one of its area of concern involves ensuring the continuing viability of the service. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 4 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 4 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 4 4 4 4 3 3 3 3 Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA20 Good Practice Recommendations That the manager documents the checks that they perform of staff’s competencies in the medication area, as agreed at 6 monthly intervals. Umbrella Homes DS0000016195.V316024.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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
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