Inspection on 15/02/09 for West Farm Road, 36

This inspection was carried out on 15th February 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

West Farm Road, 36 26/02/07

West Farm Road, 36 07/10/05

West Farm Road, 36 15/05/05

West Farm Road, 36 30/11/04

West Farm Road, 36 22/06/04

West Farm Road, 36 03/02/04

Similar services:

22 Sandown Road

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Craigmore House

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: West Farm Road, 36 36 West Farm Road Howdon Wallsend Tyne & Wear NE28 7AY     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: Elizabeth Gaffney     Date: 1 6 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 33 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: West Farm Road, 36 36 West Farm Road Howdon Wallsend Tyne & Wear NE28 7AY 01912007161 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Susan.Redpath@northtyneside.gov.uk North Tyneside Council Name of registered manager (if applicable) Mrs Susan Redpath Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The home may provide respite care at any time for up to three adults with a learning disability who are also wheelchair users. The maximum number of people cared for at any time must not exceed 6. Date of last inspection Brief description of the care home West Farm Road is set in a residential street in the village of Howden. It consists of a single storey building that has been designed to meet the needs of adults with learning and physical disabilities. The home provides short stay residential care breaks for about 40 adults and their families. A small group of service users receive nursing care provided by a local nursing agency. A bus route, pub and local shops are within easy walking distance. Service users are able to access all parts of the premises, including a small garden area to the rear of the building. The home has a kitchen, a laundry, a lounge, a dining area, a sit-down shower/toilet and an assisted bath/toilet. There are six single bedrooms some of which contain adjustable beds. There is a ramp to the Care Homes for Adults (18-65 years) Page 4 of 33 care home 6 Over 65 0 6 Brief description of the care home front entrance of the home and a small front garden. Street parking is available. Fees range from nil to a maximum of 185.09 pounds per week. The amount paid by each service user is subject to a financial assessment carried out by the local authority. The fees charged do not cover any expenses incurred by service users when joining in activities outside of the home such as meals, entrance fees and public transport. The homes service user guide contains information about how to access a copy of West Farms last inspection report and its policies and procedures. Care Homes for Adults (18-65 years) Page 5 of 33 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: How the inspection was carried out: Before the visit: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. Care Homes for Adults (18-65 years) Page 6 of 33 In future, if a requirement is repeated, it is likely that enforcement action will be taken. Consequently, the following requirements, from the inspection report dated 26 February 2007, have been re-designated as recommendations: Requirement 1; Requirement 6 - first part; Requirement 8. We looked at: - Information we have received since the last key inspection visit on the 26 February 2007; - How the service dealt with any complaints and concerns since the last visit; Any changes to how the home is run; - The managers view of how well they care for people; - The views of people who use the service and their relatives, staff and other professionals. The Visit: An unannounced visit was made on the 15 February 2009. During the visit we: - Talked with people who use the service, some of the staff and the manager; - Looked at information about the people who use the service and how well their needs are met; - Looked at other records which must be kept; - Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; - Looked around the building to make sure it was clean, safe and comfortable; - Checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? A new senior manager has been appointed to work in the Councils learning disability service. The homes manager said that this has helped to give the service a clearer direction and a renewed capacity for change and growth. An external consultant has recently reviewed whether the service is offering value for money. The review carried out confirmed that the service offers good value for money. New leisure equipment and games have been purchased. A member of staff has been delegated the responsibility of being the homes outings coordinator. This will help to ensure that better leisure opportunities are created for Care Homes for Adults (18-65 years) Page 8 of 33 people using the service. Door hold systems have been fitted to all bedroom doors. This means that doors can be kept open enabling service users easier access into, and exit from, their bedrooms. The new door hold systems also ensure that fire safety is maintained. Improvements have been made to the arrangements for meeting service users specialist healthcare needs when they stay at West Farm. This means that people now receive more person centred care. The system for reviewing peoples support needs has been strengthened and improved. A new easy to read review format has been devised to record review outcomes. Visual aids have been devised to help people understand the review process. The new review process is built upon best practice guidance developed by professionals in the field of learning disabilities. Work has begun to make peoples support plans available in individually tailored easy to read versions. This will help people to better understand the information that is being written about them. It will also help people to be more involved in planning their care. Improvements have been made to the equipment and facilities available within the home. For example: a new central heating system and hand wash facilities (treatment room) have been fitted; a new hoist, dishwasher and TVs for each bedroom have been purchased; window blinds and some carpets have been replaced. 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 9 of 33 Care Homes for Adults (18-65 years) Page 10 of 33 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 33 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 arrangements for assessing peoples needs before they stay at the home are good. This will help people to feel confident that staff will be able to meet their needs during their visits to West Farm. Evidence: Admissions into the home do not take place until a full needs assessment has been carried out by a qualified professional. Peoples care records contain copies of their social services assessments. This helps to provide staff with the information they need to meet peoples care needs. Care Homes for Adults (18-65 years) Page 12 of 33 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 arrangements for meeting peoples individual needs and offering them a range of lifestyle choices whilst staying at West Farm are good. This means that people using the service can feel confident that staff will know how to meet their needs and offer them suitable choices. Evidence: The care records of three service users were looked at. These confirmed that each service user has a support plan covering their health, personal and social care needs. Peoples support plans set out what each service user is able to do for themselves and what assistance they require from staff. Support plans are built around each persons strengths, abilities and the decisions that they are able to make. Each of the support plans looked at had been reviewed within the last 12 months. Although most peoples support plans are not currently available in an easy to read version, arrangements have been made which will enable staff to produce support plans that are easier to understand. This is work in progress. Care Homes for Adults (18-65 years) Page 13 of 33 Evidence: The home operates a key worker system which enables staff to develop positive relationships with people using the service and their families. People said that they knew who their key worker. They also said that they are satisfied with the support they receive from the home and their key worker. The home ensures that it receives any necessary risk assessment information before a person visits their service for the first time. For example, one persons care record contains a copy of a specialist health care risk assessment completed by social services. The home also completes its own in-house risk assessments where it is judged that people may be at risk. The risk assessments looked at have been well completed and reviewed during the previous 12 months. People using the service are supported to make decisions and choices which affect their everyday life. For example, two people said that they choose what they wear and who they spend time with. Another person said that staff always consult her about what outings or trips she would like to join in. Each person said that staff always ask them what they want to eat and encourage them to help out in the kitchen with meal preparation and clearing and setting the dining table. Care Homes for Adults (18-65 years) Page 14 of 33 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 are supported to live a lifestyle of their choice with the level of support they require to stay safe. This means that people using the service are able to lead full and stimulating lifestyles when staying at West Farm. Evidence: Staff support people staying at West Farm to access and use local community facilities. During the time in which the inspection took place, staff supported two people to visit the Royal Quays shopping centre and accompanied a third person on a visit to the Metro centre. People told the inspector that staff support them to attend their day care placements and regular social activities when they stay at the home. People said that the home offers the right level of access to activities for them. People are supported and encouraged to build relationships, wherever possible, with Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: both staff and other people staying at the home. When planning and booking short stays, staff try to arrange for service users to visit whilst friends they have met when staying at West Farm are also attending. People are able to have contact with their families if that is their choice. A relative visiting the home was made to feel welcome and offered refreshments. The relative said that staff always make visitors feel welcome and encourage their involvement. Staff visit service users and their carers twice a year to ensure that the homes support plan addresses any changed needs. People said that staff respect their privacy and treat them well. They also said that staff listen to them and take time to talk with them. It was confirmed that staff knock on bedroom and bathroom doors. Personal care and individual support is provided in private. People are offered the opportunity of holding their bedroom door key when staying at the home. The home has devised a diet and nutrition policy that describes how the home will support people to take a good diet when staying at West Farm. Information about peoples dietary needs and the assistance they require with eating and drinking is obtained prior to their first stay at the home. Each weeks menu is built around peoples individual preferences and, on what information has been obtained from their carers, or any professionals working with them. People said that they are happy with the meals served. Support plans cover peoples need for assistance with eating and drinking. People are able to access the kitchen with support from staff. The kitchen is kept clean and tidy. Care Homes for Adults (18-65 years) Page 16 of 33 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. The arrangements for meeting peoples personal and healthcare needs are good. This means that people using the service can feel confident that staff will know how to meet their needs and keep them safe. Evidence: When people stay at West Farm, they continue to be registered with their own doctor. Should this not be possible, staff would make alternative arrangements for the duration of the persons stay at the service. For people experiencing ill-health during their stay, staff would arrange for the appropriate medical intervention to take place. People using the service said that they felt sure that staff would ring their doctor and tell their family if they became ill. People also said that they felt very well cared for. Where people are receiving healthcare services, for example, attending regular hospital appointments before their stay at West Farm, arrangements would be made for staff to support them to continue attending. Staff know about peoples healthcare needs and how to manage their condition or symptoms. Where it is not possible for staff to meet peoples specialist healthcare Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: needs, qualified agency nurses are brought in to provide this care. The manager said that the current system of providing agency nursing staff to meet peoples specialist healthcare needs works well. Where people have specific health care needs, a support plan would be devised to make sure that staff are clear about how to meet peoples assessed health care needs. None of the people using the service at the time of the inspection have specialist healthcare needs. Staff have completed training in meeting peoples health care needs as part of their NVQ in Care. Some staff have also completed training that is more geared towards meeting the needs of people with learning disabilities such as personal relationships and sexuality, administration of emergency medication and the use of oxygen. The home has a medication policy that staff are expected to follow. Individual guidelines are in place to ensure that emergency medication is properly administered. The Community Learning Disability Team ensures that staff have the skills and knowledge required to administer emergency medication. The training received by staff is specific to the individual needs of the person concerned. Staff check peoples medications at the beginning of their stay to ensure that the home has been provided with the correct details regarding their medicines. A relative visiting the home to drop off medication for their family member sat down with staff to go through the drugs that would need to be administered during the persons stay. Staff completed a thorough check and made a written record of this. All medication is kept in a locked cabinet. Daily stock checks take place to ensure that there is an accurate record of medication within the home. Staff were observed to do this in a professional and conscientious manner. Controlled drugs were not being administered at the time of the inspection. However, they are occasionally administered. A check of the records showed that some nursing staff are not always ensuring that the controlled drugs register is double signed. Generally, the home keeps good medication records. All staff administering medication have received accredited training. The manager has recently adopted the Skills for Care Medication Unit Log Record as the homes tool for assessing each staff members competency to administer medication. The process of assessing staffs competency to administer medication is underway. Arrangements have been made for a newly appointed member of staff to receive medication training. Following the last inspection, hand wash facilities have been available in the medication room. Care Homes for Adults (18-65 years) Page 18 of 33 Care Homes for Adults (18-65 years) Page 19 of 33 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. The arrangements for handling complaints and keeping people safe are good. This means that people can feel confident that any complaints or concerns they might have would be listened to, taken seriously and acted upon, and also, that staff would know what to do to keep them safe. Evidence: The provider has a detailed complaints procedure that is clearly written and easy to understand. A simpler version of the procedure containing pictures has been produced for use with service users. People using the service, and their families, have been given a copy of the complaints procedure during their initial service review visit. People said that they would feel comfortable about talking to staff if they had any concerns or complaints. Neither the home nor the Commission has received any complaints since the last inspection. The provider has devised a comprehensive safeguarding policy that complies with No Secrets. The policy has not yet been updated to reflect developments in the adult safeguarding field following the implementation of the Mental Capacity Act and the introduction of the Independent Safeguarding Authority. Neither the home nor the Commission have been notified of any safeguarding Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: concerns. People said that they felt happy with staff and trusted them. The manager was very clear that concerns about the well-being of a service user would be addressed immediately. Staff have received safeguarding training and arrangements have been made for some staff to update their training in this area. Care Homes for Adults (18-65 years) Page 21 of 33 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment is generally good providing people using the service with an attractive and homely place to stay in. This means that people are able to benefit from using a service which is safe, well-maintained and comfortable. Evidence: The premises are safe, comfortable, clean and odour free. The home has been adapted to meet the needs of people using West Farm. For example, there is an adapted shower room. An assisted bathroom has been installed. Height adjustable beds are available in some bedrooms. Bedrooms are kept clean, tidy and homely. Single room accommodation is available. The home has a separate laundry that has wall and floor surfaces that are easy to clean. The kitchen and its appliances are kept clean and hygienic. However, there are also some concerns: - The bench seat in the shower room looks unsightly and does not have a surface that is easy to clean. The grab rail has rusted in places. There is no light shade; - The external glazing on some windows is in a very poor condition; - Some of the walls in the laundry are in need of repair and redecoration. The door on one of the units has come off its hinges. Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: The home is in keeping with the local community and there are no outward signs identifying it as a care home. West Farm is pleasantly decorated and its furnishings, fittings and decor are generally of a good standard. The provider has devised an infection control policy which staff are expected to follow. All staff have received training in the control of infection. No infection control concerns were identified during this inspection. At the beginning of each financial year, the manager completes a budgetary request form identifying any purchases or improvements that will need to be made over the next 12 months. A copy of the homes renewal and maintenance plan was made available during the inspection. This helps to show people using the service how the provider intends to improve West Farm over the next 12 months. Care Homes for Adults (18-65 years) Page 23 of 33 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 arrangements for recruiting and selecting staff who are safe to work in the home are good. Staff are provided with good opportunities to complete the training they need to provide care that meets peoples needs. This will help people using the service to feel confident that they are being cared for by suitable staff with the right training. Evidence: Sufficient staff are rostered on duty to cover each shift. Extra staff are made available when peoples needs require this. This means that people can feel confident that staff will have the time to meet their needs. Consideration is given to ensuring that the right balance of male to female staff is achieved. Casual staff are occasionally used at the home. The majority of staff have obtained a nationally recognised qualification in care. This helps to ensure that staff have the skills and knowledge required to meet peoples needs. A comprehensive training programme is available to West Farm staff and is updated every three months. The programme covers mandatory training courses and training aimed at developing staffs knowledge in specialist areas such as personcentred planning. All staff have completed training in managing physical intervention and epilepsy. Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: Staff are provided with opportunities to complete all of the training they need to keep people safe. For example, all staff have completed training in first aid, moving and handling, fire prevention and health and safety. Arrangements have been made for a new starter to complete the required statutory training. Robust pre-employment checks are undertaken before staff can start work at the home. For example, staff files contain evidence that their identities have been checked and verified. A Criminal Records Bureau disclosure certificate has been obtained for each person working at the home. Staff supervision has not taken place at the frequency stipulated in the National Minimum Standards during 2008. This is in part due to unplanned senior staff absences from the home. Care Homes for Adults (18-65 years) Page 25 of 33 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. The arrangements for the management and conduct of the home are generally good. This means that people can be confident that the service will meet their needs in a safe and professional manner. Evidence: The home has an experienced registered manager that has worked at the home for a considerable number of years. Mrs Redpath has completed the Registered Managers Award and has obtained a HNC in Care. She has considerable experience of working with adults who have learning disabilities, including those with complex care needs. Although Mrs Redpath regularly updates her training, she identified during the inspection that she needed to do update her first aid and fire safety refresher training. Observations carried out as part of the inspection showed that staff provide person centred care in partnership with peoples families. People using the service spoke very highly about the care and support they receive, as did one persons family. Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: Arrangements are in place to keep people safe whey they stay at the home. For example, a range of work place risk assessments have been completed. The homes electrical installations have been checked during the last 12 months. The homes water systems are checked to prevent the growth of Legionella. Good financial records are kept. The amount of money held on behalf of people using the service is checked daily. Entries made on peoples balance sheets are double signed. No concerns were identified. Where able, people retain control of their own money with staff support as necessary. The homes service user guide emphasises that service users opinions, and those of their families, are welcome. The guide also includes comments made by individual service users about how West Farm could improve the services it offers. Arrangements are in place to monitor the quality of care, facilities and services are offered. For example: there is a folder which contains compliments about the service; people using the service, and their families, are invited to complete a quality survey which enables them to comment on how happy they are with the services they receive; the provider carries out regular monitoring visits to ensure the service is complying with in-house standards. Care Homes for Adults (18-65 years) Page 27 of 33 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 6 15 The acting manager must 01/11/2007 ensure that where possible support plans are made available in a format that can be understood by each service user in as far as this is possible. The provider and acting manager must ensure that: An assessment of the risks faced by service users when learning independence skills is undertaken; Risk assessments are carried where service users require assistance with moving and handling, including getting in and out of a bath or other type of bathing facility. The above risk assessments must be carried out for all service users either before, or during, their next visit to the home. 01/04/2008 2 9 13(4)(5) 3 20 13(2) The acting manager must ensure that hand wash facilities are available in the room within which medications are stored. (The timescale for complying with this requirement expired 01/07/2007 Care Homes for Adults (18-65 years) Page 28 of 33 on 01/01/07) 4 24 23(2) The provider and acting 01/07/2007 manager must prepare a written planned maintenance and renewal programme for the fabric and decoration of the premises. Once completed, a copy of the plan must be forwarded to the Commission. 5 34 18 The provider and acting manager must ensure that the following information is available at the home: Copies of the written references obtained for each member of staff prior to their employment; A copy of each staff member?s application form and written evidence of any gaps in employment being explored; A statement from each applicant confirming their physical and mental health and whether they have any convictions or cautions. (The timescale for complying with this requirement expired on 01/01/06) Documentary evidence that each member of staff has been subject to a Criminal Records Bureau check. 01/07/2007 6 35 18 The provider and acting manager must ensure that all staff: Update their moving and 01/11/2007 Care Homes for Adults (18-65 years) Page 29 of 33 handling training on a yearly basis; Complete training in the following areas - first aid, safe management of medicines. 7 37 9 The acting manager must update her training in the following areas - medication and moving and handling. The acting manager must ensure that: Professionals visiting West Farm such as GPs and Community Nurses, are consulted about the quality of care and services provided at the home; The home?s quality assurance development plan is dated and reviewed on a yearly basis. 01/07/2007 8 39 24 01/11/2007 Care Homes for Adults (18-65 years) Page 30 of 33 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 1 23 Ensure that: - The grab rail in the bathroom is replaced; - Rotting window frames are replaced; - The laundry walls are repaired and redecorated. Also, repair the broken laundry unit door. This will help to ensure that people are able to stay in a service that is wellmaintained. 01/07/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 Ensure that each member of 03/08/2009 staff receives at least six supervision sessions. This will help to ensure that people are cared for by staff that are properly supervised and supported. 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. Care Homes for Adults (18-65 years) Page 31 of 33 No. Refer to Standard Good Practice Recommendations 1 2 3 6 20 23 Ensure that peoples support plans are available in easy to read formats. Ensure that all staff working at the home double sign the Controlled Drugs Register after use. Update the homes safeguarding policy to ensure that it reflects recent developments in the field of adult safeguarding following the implementation of the Mental Capacity Act and the introduction of the Independent Safeguarding Authority. Ensure that: - A light covering is fitted in the bathroom; - The shower bench is replaced with a material that is easy to clean. 4 24 Care Homes for Adults (18-65 years) Page 32 of 33 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. 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