Inspection on 30/01/08 for 19 Wheelwright Road

This inspection was carried out on 30th January 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

19 Wheelwright Road 12/12/06

19 Wheelwright Road 06/04/06

19 Wheelwright Road 04/10/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Wheelwright Road, 19 Erdington Birmingham West Midlands B24 8PA Lead Inspector Sarah Bennett Unannounced Inspection 30th January 2008 09:40 Wheelwright Road, 19 DS0000065018.V360072.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 Wheelwright Road, 19 DS0000065018.V360072.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. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wheelwright Road, 19 Address Erdington Birmingham West Midlands B24 8PA 0121 382 9746 0121 3829746 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.caretech-uk.com CareTech Community Services Ltd Vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2006 Brief Description of the Service: 19 Wheelwright Road is a terraced house located in the Erdington area of Birmingham. The home is registered to provide care and support to three adults under the age of 65 who have a learning disability. There were three people living there, two women and one man. The people living there have some difficult to manage behaviour, and autism. The home is staffed across the waking day with three staff, and at night a waking night staff and sleep in staff provide support. The home has three single bedrooms. None have en suite, but all are fitted with a wash hand basin. The home has a bathroom with over bath shower, a communal lounge, an activity room, WC, dining room and kitchen. Laundry facilities are housed in an outhouse at the rear of the property. People accommodated at this home all require full mobility as no adapted facilities, or mobility aids are available. The home has a rear garden. The home has no off road parking. The service users guide stated that the range of the fees for the home is £1800 - £3,500 per week. The information included in this report applied at the time of inspection and the reader may want to obtain more up to date information from the care service. The CSCI inspection reports are available in the home in the staff office. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The visit was carried out over one day; the home did not know the inspector was going to visit. This was the homes key inspection for the inspection year 2007 to 2008. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and the manager completed a questionnaire about the home – Annual Quality Assurance Assessment (AQAA). Two people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. The people who live at the home, the manager and the staff on duty were spoken to. Due to the needs of the people living there they were unable to verbally communicate their views about the home. A tour of the premises took place. Care, staff and health and safety records were looked at. What the service does well: The people living there seemed very comfortable and relaxed with the staff. Staff communicated well with the people living there with words, pictures and signs so that they could understand and be understood. This helps people to express what they want and not become frustrated or upset. Staff support people to go out to places that they like going to and do activities in the home that they enjoy. The people who live there are supported to keep in touch with the people that are important to them so they maintain personal relationships. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 6 People were offered a healthy diet that included fresh fruit and vegetables. People were offered the food that they like and foods they need to help them to be well. The home was clean, comfortable and safe so it is a nice place to live. Each person has their own bedroom. This was decorated in the way the person wanted and people had pictures and photos of people important to them. What has improved since the last inspection? What they could do better: Care plans should be regularly reviewed and updated where necessary to ensure that if a person’s needs have changed staff know how to help them. All staff should be aware of the Mental Capacity Act and what this means for the people living there so that decisions about their health and welfare are made in the right way. All staff should have regular, recorded supervision sessions so they are supported regularly and know how to help the people living there. Repairs should be made as soon as possible to ensure the home is well maintained and safe for the people living there. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 7 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. Wheelwright Road, 19 DS0000065018.V360072.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 Wheelwright Road, 19 DS0000065018.V360072.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need so they can make a choice as to whether or not they want to live there. EVIDENCE: The statement of purpose included the relevant and required information so that prospective service users had the information they need about the home and what is provided there. The service users guide included pictures and photographs making it easier to understand. It included the information about the home including the terms and conditions of an individual’s stay and the complaints procedure so that the people living there know their rights and responsibilities. There had been no people admitted since the last inspection and there were no vacancies. Therefore, the standard relating to assessment of individual’s needs before they move in could not be assessed at this inspection. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need in care plans and risk assessments so they know how to support individuals to meet their needs, communicate what they want and ensure their safety and well being. EVIDENCE: The records of two of the people living there were looked at. These included an individual care plan that stated what support the person needed, information about them as an individual and their likes and dislikes. The care plan detailed what support the person needed with their personal care, to communicate, their nutritional needs, during the day and night, to promote their independence, their mobility, religious/cultural needs, relationships/emotional needs, social and leisure activities, health needs and in managing their behaviour. Care plans were reviewed in July 2007 and the manager said these Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 11 were now due to be reviewed again to ensure they still reflected the support that the person needed. The people living there are from different cultural backgrounds. Their care plan stated how staff are to support them to meet their cultural needs including supporting them to practice their religion if they wanted to, who supports them with their personal care, their skin and hair care, the food they eat and the clothing they wear. Daily records sampled stated and observations showed that staff had supported the person to identify with their culture if this is what they wanted. The manager said that people have an opportunity to have ‘talk time’ with their key worker but due to individual’s communication needs it is not always used regularly but more informal ways of people making choices and decisions are used. Care plans detailed the different ways that staff need to communicate with each individual depending on their needs. This may be through using signs, symbols, pictures, writing and drawing. One person is making a DVD with staff to show all staff ‘their signs’ so that they can interpret what the person is communicating so to reduce their anxiety and frustration. The manager said that meetings with all the people living there do not often happen because the people living there are not able to communicate with each other. Care plans stated how the individual’s autism affected their communication and the need for staff to be consistent in the way they communicate with the person so as to reduce their anxiety, which could impact significantly on their behaviour and well being. The manager said and records showed that since staff had found out how to communicate with each person in the way that is appropriate to them incidents of ‘difficult’ behaviours and the need to use ‘as required’ medication had decreased. One person did have an advocate but unfortunately due to the person’s behaviour it was no longer a positive relationship and the advocate had to withdraw. In the activity room there is a ‘whiteboard’ so that staff and the people living there can communicate with each other through writing and drawing about what they are doing. During the day staff were observed explaining to a person where they were going and what they were going to do using this board. Care plans cross-referenced to risk assessments where needed. This made it clear for the reader to know when further support was needed to minimise the risks involved so promoting the individual’s safety and well being. Risk assessments had been reviewed and updated where necessary to ensure action was appropriate to minimise the risks. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the people living there experience a meaningful lifestyle. People are offered a varied and healthy diet that reflects their cultural background to ensure their well being. EVIDENCE: The manager said that one person used to go to college but this placement has been withdrawn due to changes in funding for adult education. Therefore, activities are being planned within the home and local community for this person and the other people living there. Daily records sampled showed that people go to restaurants, go shopping, listen to music, watch TV and DVD’s, go to the cinema, do puzzles and play games, go for walks, play the piano, do drawing and art activities and go Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 13 bowling. Where people had been offered activities but refused this had been recorded so it was clear that a range of activities was offered to each person. Staff were observed spending time with individuals doing different activities within the home and two people went out to a local shopping centre with staff to buy some clothes and personal items. People seemed content doing the activities they were doing. One person was listening to music on their MP3 player with their headphones on and signed that it was ‘good’. People have bus passes and use public transport, are registered with Ring and Ride and use taxis. The company provides a vehicle that is shared between the three homes in the area. However, the manager is the only driver in this home so this is not used often but gives people an opportunity to use different types of transport. The manager said that money is used from petty cash to pay for staff when supporting people on activities and in addition to this £2 is provided to the person towards the activities. Where appropriate staff support people to keep in contact with their family and friends. This is through their family and friends visiting the home, people going to visit family members, meeting relatives in the community and through telephone calls. Staff said that last year two people went with staff to Pontins at Blackpool. One person is planning to go with staff to Disneyland, Paris in the spring. Other holidays are to be planned during the year if people want to go. Records sampled stated and it was observed that the people living there help in tasks around the home so promoting their independence. These include cleaning, preparing snacks and meals, laying the table, changing their beds, washing up and doing their laundry. Food records sampled showed that people had a varied diet that included the recommended five portions of fruit and vegetables each day for a healthy diet. A variety of fresh fruit and vegetables were available in the home. The records also showed that people were offered food that reflects their cultural background and where appropriate their religious needs. Care plans stated that individuals are to be involved in menu planning. They also stated what diet the person needed to ensure they were healthy and what support staff needed to give to ensure that the person’s weight is monitored. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that the personal care and health needs of individuals are met so ensuring their well being. The arrangements for the management of the medication ensure that people receive their prescribed medication at the right time so ensuring their health needs are met. EVIDENCE: The people living there were dressed appropriately to their age, gender, their cultural background, the weather and the activities they were doing. It was evident that appropriate creams and oils had been used on individual’s skin and hair showing that staff are aware of how to support individuals from different cultural backgrounds with their personal care. Records sampled showed that health professionals are involved in individual’s care. Records showed that staff follow the advice given by health professionals to ensure that their health needs are met. Records showed that people have Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 15 regular dental and eye tests and where needed are regularly seen by a chiropodist. Records showed that staff monitor individual’s weight regularly to ensure this does not affect their health. Their weight chart stated the weight they were aiming to achieve and records showed how much they had lost or gained since the last time they had been weighed. The Dietician had made some recommendations about one person’s diet. Food records sampled showed that staff had followed these ensuring the health and well being of the person. Records included an individual health action plan. This is a personal plan about what a person needs to be healthy and what healthcare services they use. It was produced using pictures making it easier to understand. It included information about how the person communicates when they are ill so that staff know what to look for, as they would not be able to communicate this verbally. Records included a hospital assessment, which provided information about the person for hospital staff if they were to be admitted. It included the ‘things I like’, ‘don’t like’ and ‘things that are really important to me’. Medication is stored in a locked cabinet. Six of the staff had been assessed as competent to administer medication to the people living there. This ensures that as much as possible there is always staff on duty that can give medication to the people living there. The pharmacist supplies the medication using the monitored dosage system in blister packs, which makes it easier for staff to know what medication should be given to the person and at what time. Medication Administration Records (MARS) had a photograph of the person at the front so that unfamiliar staff would know who to give the medication to. The MARS had been signed appropriately and the morning blister pack sampled cross-referenced with the MARS indicating that medication had been given as prescribed. Where people were prescribed as required (PRN) medication a protocol was in place that stated when, why and how much of the medication should be given to ensure that it is given appropriately and for the benefit of the person’s health. Staff audit the medication weekly to check that each person is receiving their medication as it is prescribed. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the views of the people living there are listened to and acted on. The people living there are protected from abuse, neglect and self-harm so ensuring their safety and well being. EVIDENCE: The service users guide included the complaints procedure so that people had the information about how to raise concerns if they are unhappy with the service provided. The AQAA stated the home had received no complaints since the last inspection. The Commission had received no complaints about this home since the last inspection. The AQAA stated and training records showed that all staff have training in adult protection and the prevention of abuse. The AQAA stated that staff had the confidence when needed to challenge poor and abusive practice. They had acted appropriately raising their concerns with the relevant people so that action could be taken to safeguard the people living there. The manager had attended training on the Mental Capacity Act. This legislation requires an assessment of an individual’s capacity to be made when making a decision about their health and welfare. If they are assessed as not having the ‘capacity’ to make the decision an Independent Mental Capacity Advocate (IMCA) can be appointed to make the decision in the person’s ‘best interests.’ Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 17 Discussions with the manager showed that he was using the knowledge gained to ensure that where needed and in the ‘best interests’ of individuals investigations into their health needs were carried out to ensure their well being. All staff should be aware of the Mental Capacity Act and the implications it has for the people living there. The financial records of two of the people living there were looked at. One person has an appointee who looks after their finances. The manager said that when the person needs their money they request this from their appointee and it is sent to the home. Individual’s money is held securely in the home. Records are kept of the money that individual’s spend. These showed that people spend their money on personal items and not on things that should be provided by the company as part of their fees. The people living there can at times display ‘difficult’ behaviours. Records sampled included individual behaviour management strategies. These showed staff how to work with the individual in a positive way so that ‘difficult’ behaviour’s could be reduced, what could trigger individual’s behaviour and how staff can support the person with the behaviour so ensuring that the person, the other people living there and staff are as safe as possible. Where individual’s do display ‘difficult’ behaviours these are recorded in detail so that these can be monitored by health professionals and where possible action taken to help the person reduce these behaviours. Staff receive training in managing behaviour. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Generally arrangements are in place to ensure that people live in a safe, clean, homely and comfortable environment that meets their needs. EVIDENCE: On the ground floor the lounge, hall and dining room had recently been redecorated. The home was decorated in a contemporary style that reflected the ages of the people living there. One of the people living there had broken the dining room table on the Friday evening before this visit. This was reported to the maintenance team on the Monday morning but was not repaired until the Wednesday afternoon of the inspection. There is another table in the activity room. However, because of the autism that the people living there have it is likely that if repairs are not carried out promptly it would cause people to become anxious and may result in them behaving in a negative way. Staff said that sometimes it takes a long time for repairs to be made. The area Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 19 manager had stated in their reports of the monthly audits that this can be a problem. There is also an activity room on the ground floor. There is sensory lighting, a keyboard, a piano, music system, games, puzzles and art/craft materials that people can use so they have a range of activities to do in the home. The kitchen was in good condition, well decorated and clean. The arrangements for food storage and handling ensured that the people living there are not put at risk. Since the last inspection the bathroom on the first floor had been refurbished. There was some plastering needed on the ceiling and the flooring was uneven. This room should be finished so that it is a safe and comfortable room to use. Bedrooms were well decorated according to individual tastes and interests. They were personalised and included pictures and photographs that were important to the person. Bedrooms were decorated appropriately to reflect the person’s age, gender and cultural background. One person’s bedroom did not have a lot of personal effects in it but their records indicated and staff said that this is their choice. They did have an astro-ceiling (these are prints put on the ceiling that light up in the dark using a special lamp provided by the supplier that creates a relaxing and sensory atmosphere in the room). Sometimes the people living there may take the pictures off the walls. Some had been discreetly secured to the wall so that they could not be removed so easily. Curtains had been made so that they can be pulled down without destroying them and can easily be put back up again. One person who has a hearing impairment has a light switch outside their bedroom and the bathroom that staff push to alert the person that they want their attention or want to come in. The person can operate this from inside the room to tell staff whether or not they can come in. The home was clean and free from offensive odours making it a pleasant place to live. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing, their support and development generally ensure that a qualified and competent staff team that know them well support the people living there. Recruitment practices ensure that the people living there are safeguarded. EVIDENCE: The AQAA stated that 50 of the staff have National Vocational Qualification (NVQ) level 2 or above. This meets the standard and ensures that staff have the skills and knowledge to work with the people living there. The manager stated in the AQAA that the staff team has stayed mostly consistent for the previous ten months. The manager said that he had interviewed for staff earlier that week. There was a vacancy of sixty hours a week and they would also be recruiting a senior staff. This would mean that once the staff start working at the home they would be fully staffed. The manager said they have used consistent agency staff to cover vacancies so that the staff supporting the people living there know them and what support Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 21 they need. The manager said that he is involved in interviewing staff and recently got the senior and deputy involved in this. There is also an informal interview with the people living there so they have an opportunity to meet each other. Rotas showed that minimum staffing levels were always met during the day and night. Where agency staff were used these were the same team of staff so that consistency was maintained. Minutes of staff meetings showed that these are held regularly so that staff are kept updated with any changes in the needs of the people living there and with ‘best practice’. Rotas showed that there was a staff meeting scheduled for the following week. Staff said that they enjoyed working at the home and with the people living there. Good interactions were observed between staff and the people living there and there was a relaxed atmosphere in the home making it a nice place to live. Three records of the staff that work there were looked at. These included the required recruitment records including evidence that a Criminal Records Bureau (CRB) check had been undertaken to ensure ‘suitable’ people are employed. Records showed that staff had received training in the Learning Disability Award Framework (LDAF), medication, diabetes, risk assessment, fire safety, healthy eating & menu planning, autism, adult protection and the prevention of abuse, first aid, health and safety, food hygiene, managing behaviour, communication, infection control, moving and handling and empowering the people living there. Records of supervision did not show that all staff have at least six, recorded, formal supervision sessions per year. The manager said he also does informal supervisions with all staff that are not recorded. This should be recorded to show that all staff are supported regularly and kept updated with any changing needs of the people living there. A detailed staff handover file had been developed that included information for staff on how to complete monthly summaries, communication systems used by the people living there, record keeping, vulnerable adults policy and multiagency guidelines, how to assist in an inspection and useful numbers and contacts. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements ensure that the people living there benefit from a well run home and can be confident their views underpin all self-monitoring, review and development of the home. The health, safety and welfare of the people living there is promoted and protected so ensuring their safety and well being. EVIDENCE: The AQAA stated that the current manager has been in post at the home for the longest period for many years that a manager has worked there. The manager has twenty - four hours a week for management tasks and works as part of the rota for the other hours. The manager said and findings of this Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 23 inspection have indicated that this is sufficient time for management tasks to be completed. This arrangement should be kept under review and if necessary altered to ensure that there is enough time to manage the home so that the people living there continue to benefit from a well run home. The manager is currently undertaking the Registered Manager’s Award so that he has the required management skills and knowledge. He is waiting for a CRB check to be undertaken before he can complete his application for registration with the Commission. There is a computer and printer available in the home but this does not have an email facility. If this were provided it would make it easier to contact the other homes within the company and the Regional Office staff for advice when needed. This would aid communication within the company and help to ensure the home is better run. Since the last inspection the company had appointed a Quality and Performance Manager. Part of their role is to listen to the views of the people living there about how they want to be supported. They have also implemented a quality assurance system and complete quality audits of the service provided. The area manager visits the home monthly to complete an audit and a report of this is made. These showed that the views of the people living there are considered and how staff are supporting people to make choices. Fire records showed that staff test the equipment regularly to make sure it is working. An engineer regularly services the equipment to ensure it is well maintained. Regular fire drills take place so that staff and the people living there would know what to do if there was a fire. The fire risk assessment had recently been reviewed so that it is clear that all action is being taken to minimise the risks of there being a fire. Staff check the fire exits weekly to make sure they are free from obstructions so that people would be able to get out quickly if there was a fire. Staff test the water temperatures weekly to make sure they are not too hot or cold. Records showed that at the last test these were within the recommended safe limits so that people were not at risk of being scalded. An electrician had tested the portable electrical appliances in December 2007 to make sure they were safe to use. A Corgi registered engineer had tested the gas equipment a fortnight before the inspection and stated that all appliances were safe to use. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 2 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard YA6 YA23 YA36 YA24 YA27 YA37 Good Practice Recommendations Care plans should be regularly reviewed and updated where necessary to ensure that they still reflect the needs of the individual. All staff should be aware of the Mental Capacity Act and the implications it has for the people living there. All staff should have regular, recorded supervision sessions so they are supported regularly and kept updated with any changing needs of the people living there. Repairs should be made as soon as possible to ensure the home is well maintained and safe for the people living there. The work to refurbish the bathroom should be completed so that it is a safe and comfortable room for the people living there to use. The hours that the manager is allocated each week for management tasks should be kept under review. If necessary they should be altered to ensure that there is enough time to manage the home so that the people living DS0000065018.V360072.R01.S.doc Version 5.2 Page 26 Wheelwright Road, 19 7. YA37 there continue to benefit from a well run home. An email facility should be provided. This would make it easier to contact the other homes within the company and the Regional Office staff for advice when needed. This would aid communication within the company and help to ensure the home is better run. Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wheelwright Road, 19 DS0000065018.V360072.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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