Inspection on 10/09/08 for Warnford House

This inspection was carried out on 10th September 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Warnford House 14/09/06

Warnford House 25/01/06

Warnford House 01/02/05

Warnford House 29/07/04

Warnford House 16/02/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Warnford House Warnford Close Gosport Hampshire PO12 3RT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sue Kinch     Date: 1 0 0 9 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. the things that people have said are important to them: They reflect 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 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 31 Information about the care home Name of care home: Address: Warnford House Warnford Close Gosport Hampshire PO12 3RT 02392601533 Telephone number: Fax number: Email address: Provider web address: henry.dillon@sft.org.uk Name of registered provider(s): Name of registered manager (if applicable) Henry Joseph Dillon Type of registration: Number of places registered: Southern Focus Trust care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Warnford House is a purpose built home situated in a quiet cul de sac in Gosport. The home is registered with the Commission for Social Care Inspection (CSCI) to accommodate and provide personal care to 12 people using the service with mental health problems in the younger adults category. All the bedrooms are single and located on two floors. There is a lounge on the first floor with access to a computer for people living in the home. Front and rear gardens are available for use.There is another lounge and kitchen/dining room on the ground floor. The home is situated close to local amenities in Gosport. The provider makes information available about the service, including a statement of purpose and service user guide. Copies of these documents are available at the home. The weekly fees are 377 pounds but people using the service need to pay for their own personal items, such as magazines, newspapers, clothing and toiletries. Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 12 Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection included a review of information held by CSCI about the home and a consideration of the information sent to CSCI since the last key inspection in September 2006. We also considered information, provided by the manager, people living in the home and staff, received for an annual service review in May 2008. When we carried out a 6 hour visit to the home for this inspection we talked with 6 people living in the home, 2 staff and the manager . A sample of records were viewed in relation to pre admission assessments, care plans, Care Homes for Adults (18-65 years) Page 6 of 31 risk assessments ,staff recruitment records and training and other records required to be kept at the home such as risk and fire assessments. What the care home does well: 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 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 8 of 31 Care Homes for Adults (18-65 years) Page 9 of 31 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 10 of 31 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. The home has a good admission process that is well managed individual aspirations and needs are assessed for people considering moving in. Evidence: The home has a detailed admissions process, which includes assessment and visits prior to admission. During this visit one person was visiting the home to see what it was like but overnight stays were not being booked, as there were no vacancies. Positive views of people living in the home and staff were received about the admission process at the last inspection in September 2006 and since then only one more person has been admitted to the home. We carried out a survey of the people living in the home earlier this year and received eleven responses. The survey included questions about admissions and no negative responses were received. We were not able to discuss the most recent admission with the relevant person during this visit but noted, through observation of the personal file, which pre-admission Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: assessment had been carried out for this person who had previously lived at the home. It was also noted that information had been obtained from the most recent Care Programme Approach review involving health professionals. The person admitted had signed a copy of a license agreement and there was evidence of further assessment on admission. Care plans were in place and a reviewing process established. We sampled records to check that risks identified in the pre-admission assessment had been followed through into the care plans. This had been carried out. One member of staff said that a bit more information about this person might have been helpful. Whether adequate information was provided to people before deciding to move in was not discussed at this visit but it was noted that the statement of purpose had been reviewed and was on display alongside other information about the aims of the home and various policies and procedures. Care Homes for Adults (18-65 years) Page 12 of 31 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. The home has good systems in place that fully involves people in decision-making, taking risks, assessing changing needs and meeting personal goals. Evidence: During this visit we spoke with four people living in the home about care planning and reviews and they were all aware of the process and why it was used. They spoke about key workers regularly meeting with them to discuss the service they are having and to see if the support they have is helpful. They also said that they could talk to any of the staff who, they all said,they liked. They said that the staff and the manager all listen in general and to problems and act on things when needed. They said that they felt involved in decisions about their own lives and life in the home. Several examples of how staff help people were noted. This included one person speaking about plans to move to more independent living and they had an action plan in their bedroom to help them to work towards this. This person spoke about the support and encouragement received from staff. Another spoke about cooking and support received. Another about Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: help with health matters. Two personal files were looked at and the number of care plan issues varied according to need with one being more detailed than the other. These are regularly reviewed with records held. Risks issues are included with guidance for staff. Care issues covered in the sample viewed included issues in relation to mental health, medication, general, health, finances, personal hygiene, food, and behaviour, smoking, activities, moving on and cooking. Some of these issues were discussed with people living in the home and it was noted that records reflected individual needs and support required. Care and care planning was discussed at one point with a staff member and person living in the home. They had just completed a risk assessment together in relation to a health issue that had been discussed at a hospital visit in the previous day. Issues discussed included the short-term support needed when out in the community. Prior to this inspection visit the manager, in the AQAA, said The participation of service users in the support planning and risk assessment process has not always been recorded although it takes place and that plans are in place to train staff to make sure that action plans more closely reflect what the people living in the home want. The manager and staff showed positive and supportive approaches to promoting independence and self direction for people living at Warnford House. People therefore said that they felt that they could influence things in the house as well as in their individual lives and gave examples such as being involved in decisions about the decor, new carpets, the garden and the games room. People used words like comfortable and safe to describe the home and said that they have good care. Care Homes for Adults (18-65 years) Page 14 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported individually, to decide on activities to be involved in and out of the home and to develop and maintain links with others. Their rights and responsibilities are respected,promoted and supported by staff to maximize independence. Evidence: Staff approaches to encouraging people living in the home with day to day activities, recreation and employment is individual and is included in the care planning. People have varied commitments. At the start of the inspection one person was out working at charity shop and then was going on to attend an IT course at the library. Another was at a day centre, and goes swimming and attends aqua-robics on a daily basis. Other people were out, engaged in activities in the home or still in bed. Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: People spoke about attending drop in centres, shopping, using local cafes and restaurants, the post office, library and local shops. One person also spoke about help with budgeting and debt management. People can have pets . One person spoke of their canary and another of the house cat. Newspapers and magazines are delivered for some people. One person also spoke about the activities that can be pursued in the games room where the equipment is located, such as snooker, table tennis and computer use. Another spoke of art equipment available and evidence of artwork is in the home. In rooms viewed people had equipment such as CD players and televisions and one person spoke of regular reading. Staff said that motivation was an issue for some people but support was provided for them. One person spoke about having support to use the local community when needed. One person was spoken with when cooking. They liked having the responsibility of cooking their own food and associated budgeting and shopping. Staff said that levels of support with these activities were varied and depended on individual needs. People are encouraged to take responsibility but this can be influenced by their health. Some people are cooked for on some days. Most people are provided with a budget and cook for themselves, storing chilled and frozen food in the kitchen and dry goods in their rooms. The manager encourages the growing of fruit and vegetables in the garden to promote healthy eating. People asked like having the responsibility and choices associated with this. The kitchen has two cookers and as staff member said that they thought this was enough to be able to support people when they wanted to be as people did cook at different parts of the day and some people now needed less support as skills had developed. Support with social relationships was discussed with some people living in the home and they said that they can have visitors and are supported with relationships. One person spoke about having regular visitors and cooking for them. They also said that they can talk to staff about friendships and relationships. Another spoke about help with friendships in the home. The complaints logbook gave further examples of this. Care Homes for Adults (18-65 years) Page 16 of 31 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. Peoples health and personal care needs are being met by staff ensuring they are given appropriate support . The home medication practices, policies and procedures supports and protects people. Evidence: Conversations with people living in the home and staff included discussions about support with personal care, routines, physical and mental health needs. They confirmed that support is given in a individual way depending on need and how well people are and this was reflected in personal records viewed. One member of staff gave an example of a personal hygiene plan in use and how it is actively worked on. One person talked about regular reviews with external health professionals and support from a Community Psychiatric Nurse (CPN). They also talked about staff help with mental health issues and about involving CPNs when necessary. They have a doctor of their own choice and confirmed that staff help to access dentists, opticians and others as needed. Details of heath support for another person is reported on in the section entitled individual needs and choices above. Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: The manager and staff have a good knowledge of individual needs and said that they made a point of doing this so that they are more able to detect when things are going wrong for people and when they may need help from others. The manager said that they aim to assist people to manage their difficulties obtaining external help when necessary. People living in the home say that this help is obtained. Records are held of appointments with health professionals and a range of recent appointments attended were recorded in files viewed. A discussion was held with a member of staff about the relevance of the training received and they gave examples of training this year, which indicated that personal, and health support is included. Training included issues such as first aid in Mental Health and managing difficult behaviour. Other training noted in the records included training in working with schizophrenia, difficult situations, depression, anxiety and phobia. Personal records and care plans include a current medication list, details of each medication, emergency procedures and details about self-medication for those who are self-medicating. Records include risk assessments and we saw paper evidence that risks in relation to this are monitored. Not all people self-medicate but the risks were still recorded in one file viewed and also support needed. Elements of the medication system were discussed with two staff who showed a good understanding of the responsibilities and procedures involved. They had completed training in medication and said that they have an external trainer in to update them annually. They explained how they monitor the risk associated with one person’s selfmedication and showed how they highlight the times that medication is given to ensure adequate gaps between doses are maintained. The medication cabinet was viewed with the manager and this showed that the Monitored Dosage System (MDS) is held in a suitable secure medication cabinet alongside other medication outside the MDS system. The administration record for one person was cross-checked with the drugs held and this was accurate showing that the supply was correct and the record appropriately maintained. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: Care Homes for Adults (18-65 years) Page 19 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported by staff to air their views, raise concerns, feel listened to and benefit from staff and management awareness of adult protection. Evidence: We surveyed the people living in the home when we carried out a review of the service in April 2008. Ten said that staff always listened and acted on what they said and the other person said usually Comments included, I am 100 happy here at Warnford House. During our visit we spoke to 4 people living in the home about how staff support them and they said that they can talk to the staff who listen to them. We noted that staff and the manager were taking time to support and listen to issues raised when we were in the home. People we spoke with were confident that they would get the support that they need, when they needed it. Two people asked also said they felt safe at the home. Although there is a key-worker system in the home people said that they could still get help as needed. We also noted, in conversation with staff and the manager, caring and supportive attitudes and a good knowledge of needs. People spoken with were aware of the complaints procedure, which was also in Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: people’s rooms. No complaints were made during our visit but those asked said that they would speak to the manager if necessary. We noted that there is a complaints book and some complaints have been made and upheld and included issues between people living in the home. The manager had records of how these had been followed up. There is a list of rules, which the manager says are brought to peoples attention before admission and discussed in house meetings. These were recorded and had last been reviewed in March 2008. People spoken with did not remember talking about them in house meetings but said that there were in agreement with them. The home has adult protection policies and the manager is aware of when issues need to be referred to social services and gave an example of when this was done since the last inspection. A member of staff was spoken with about adult protection procedures and was aware of the process being used previously. They said that they had videos about safeguarding and had done relevant courses. The member of staff although clear about referring concerns to the manager was less clear of social services role. People said that money can be held for them if they want it to be but that they manage their own money and some help is provided as needed. One person spoke of support with debt management and this was included in their support plan in their room. Care Homes for Adults (18-65 years) Page 21 of 31 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. People living in the home benefit from a comfortable environment and encouragement to be involved in the day-to-day responsibilities and decisions of the household. Evidence: People living in the home said that they are consulted about it in the house meetings and gave examples of the things that they had influenced such as choice of colour of emulsion, carpets and the garden. A staff member spoke about the process of consultation and how options are provided to people living in the home. People said that they attend monthly house meetings, which are partly for this type of consultation. Two people agreed to show us their rooms. One person discussed aspects of the room, how some pieces of furniture were their own, where things were and how it was organized for them and that a member of staff had hoovered that morning. Another person spoke of their room as comfortable. They are supported to take responsibility for their owns rooms and there are support plans in place for staff to help with tasks associated with this. Cleaning is a shared task and an expectation of involvement is included in the house Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: rules. These were spoken about with two people who agreed with them. One person spoke of their job that day which was to clean windows in the home. People living in the home said that staff also do cleaning and that a cleaner comes in once a fortnight. The cleaner was working when we visited and was cleaning skirting boards and confirmed that their role was to clean the parts of the home that don’t get done on a day-to-day basis. All shared areas of the home viewed were clean and freshly decorated standard and sufficiently furnished. The staff and manager confirmed a rolling programme of decoration. People said that the lounge was comfortable This is no longer a smoking room. The curtains, which needed fixing were attended to by the maintenance person who said that he visited the home regularly as needed and had also made repairs to lights and toilets on the previous day. A maintenance log of repairs needed and fixed was also viewed in the office. In the lounge and other areas of the home various art work is displayed including some pictures by people living there. This included murals in the games room on the first floor. Another person living in the home commented positively about art in the home. Staff and people living in the home said that the games room now had a working computer for general use. People are also encouraged to play snooker and table tennis there. The stained carpets noted in the hallway during our last visit, have been replaced. There is a new water heater in the kitchen/diner which the manager said is new but is not big enough to meet the needs of the house and that he was waiting for this to be addressed. Then he said the work would be completed and this would include boxing in the exposed water pipes. The manager said that the kitchen’s are refurbished by Southern Focus Trust on a 15 year basis and this would be in two years time. However there are signs of wear and tear and although the work surfaces are intact some of the cupboard doors do not fit and need re-aligning. This was brought to the manager’s attention. One person living in the home spoke about the garden and showed that the secret garden, mentioned in the last report, had been maintained. People are encouraged to work in the garden and use the produce. Another person has painted some of the pots, and hanging baskets decorate the front of the house. Some old furniture awaits removal from the fenced area to the front of the house. The home has a laundry for people to use. One of the washing machines was out of use. A person living in the home said that the manager was aware of this and they were waiting for a new one on order but they still could use the remaining one. The manager confirmed this. The same person also said that substances hazardous to health were locked in the cleaning cupboard . We noted this was locked. Care Homes for Adults (18-65 years) Page 23 of 31 Care Homes for Adults (18-65 years) Page 24 of 31 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. The needs of the people living in the home are met by competent, qualified and regularly trained staff deployed flexibly. There are good recruitment procedures that ensure service users are not put at risk. Evidence: In our survey of people living in the home in March 2008 positive comments were received about the approach of staff in the home and this was confirmed during this visit. One person said are all good and that they listen and help. Another said they liked all of the staff. It was noted that during conversations the staff were respectful of people at the home and knowledgeable about their needs. It was noted that two staff are deployed in the home between 9am and 9pm. After that there is one person who works until 11pm and then sleeps-in. This was discussed with a member of staff who said that this was sufficient and that there had been variation depending in the needs of the people in the home. An example of staff staying until later at night was given when someone’s needs had changed. The same person said that support is given to people in the community but that the manager is Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: the second person in the home at these times. The manager reported that there had not been any new staff since the last inspection. He was aware of the recruitment procedures required. A discussion was held with the manager about the records for relief staff from Premier Crew who are employed by a Southern Focus Trust. The manager is involved in that recruitment process. The records are not kept at the home but the manager confirmed that details of training, CRB checks and dates are provided by e-mail by Southern Focus Trust before someone works in the home. All staff have an ID and are required to provide it. Each person is given a two-hour induction prior to any shift being offered so that their suitability can be assessed and the manager tries to have regular relief staff. Records were not checked on this occasion. Training was discussed with the staff and manager and records were viewed. Four of the five permanent staff now have a National Vocational Qualification at level three and a further person training. Staff are positive about the support and training that they receive. This includes supervision, staff meetings training on courses and distance learning. Training in core subjects like First Aid, Moving and handling, food safety, and fire have been received and the manager has a list of when these need to be up dated. A range of other courses has been completed and some are reported on in other sections of the report. Other courses covered have included dementia, MRSA, debt management, communication and eating. Some Vocationally Related Qualifications (VRQs) have also been completed. Overall staff have a regular training and the manager said that he has a strong commitment to supporting them to do relevant training Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home that is well run where their views are listened to and their health, safety and welfare are promoted and protected. The home has a good quality monitoring system for reviewing and developing the homes service to people living there. Evidence: Since the last inspection the registered manager has completed a national Vocational Qualification level four in Health and Social Care and the Registered manager’s award. He said that he is up to date in the general courses required for carers and plans further training to be able to have student placements at the home. He also is involved in Southern Focus Trusts strategy group for diversity. People in the home and staff spoke very favourably about the support and help from the manager including words such as kind, genuine, reliable and brilliant. One staff member said he has a good knowledge of mental health and confirmed that he is a good leader. Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: In the AQAA the manager reported that there is a range of systems in place to consult the people living in the home and one person has been trained and is included in auditing processes, which also address equality and diversity. The manager is also involved in the Trusts audit team members of which have yet to assess Warnford Close.The manager gave examples of the quality auditing in the home. He has a series of checks that he carries out monthly although there is no recording process in place for this. There are regular regulation 26 visits and one was taking place at the same time as the inspection visit. There are departmental audits but the manager said that he had no major action plans from these. The manager carried out a survey of people living in the home, relatives and professionals in November 2007 and the information has been collated with much positive feedback. Action from these was including involving people in recruitment and ensuring that all people had knowledge of the complaints procedure. People say there are regular house meetings and one person said You get a say in everything. These are the opportunities for people to find out plans for the home and influence them. In relation to improvement the manager said that redecoration of the kitchen was also planned. We sampled some aspects of health and safety in the home. The home has various risk assessments for the environment, health and safety ( January 08)and fire safety (October 07 ). These were briefly viewed and noted to have been updated. People living in the home say they feel safe at the home and confirmed that the fire alarms are regularly tested. They also stated that they take part in regular evacuation and attend fire safety lecture. One person said that there are regular monthly checks in rooms by key-workers to check that the fire doors work, the radiator is working, fridges and kettles work, water temperatures are right and to do defrosting. As recorded in the staffing section health and safety related training is provided for the staff. Care Homes for Adults (18-65 years) Page 28 of 31 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 29 of 31 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 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 Care Homes for Adults (18-65 years) Page 30 of 31 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 © (2008) 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. 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