Inspection on 09/03/07 for Z & M Care

This inspection was carried out on 9th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Z & M Care 24/10/05

Z & M Care 03/06/05

Z & M Care 23/11/04

Z & M Care 21/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Z & M Care 12 Lyndhurst Road Hove East Sussex BN3 6FA Lead Inspector Linda Boereboom Key Unannounced Inspection 9th March 2007 13:00 Z & M Care DS0000014112.V331266.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 Z & M Care DS0000014112.V331266.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. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Z & M Care Address 12 Lyndhurst Road Hove East Sussex BN3 6FA 01273 323814 01273 748172 Lyndhurstcarehomes@hotmail.oom 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) Z & M Care Limited Mrs Zara Fatemeh Moussavi Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is seven (7). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Only service users with a learning disability to be accommodated. That the home may admit one named service user who is over the age of sixty-five (65) years. 24th October 2005 Date of last inspection Brief Description of the Service: This report has been written for the Younger Adults home of Z&M Care. This home is registered for seven residents with learning disabilities between the ages of 18-65 years; it is adjacent to the larger home that provides care for thirty-seven residents in the older people category (over 65 years) of which 20 have learning disabilities. The homes are integral but are run separately and inspected independently. Policies and procedures are shared thus providing comprehensive reference and guidance for staff, flexibility of working and continuity of care. Z&M Care has the Investors in People Award and Clean Food Award. The home is part of an Edwardian terrace that has been extended and renovated to accommodate service users in both homes. It is in a quiet residential road, near to the busy Seven Dials area of the city that has facilities for shopping including a bank and a post office. The home is also close to both Brighton and Hove mainline stations and local buses stop nearby for all parts of the city. Parking is available in the roads near to the home and is either resident only parking or via a meter system for 4 hours at any one time. The home has a parking bay outside for resident transport. The area is well serviced for parks, churches, pubs and leisure activities including the Sussex County Cricket Ground. The main ethos of the home is to promote independence in a caring and homely atmosphere; both the Registered Provider/Manager, Deputy Manager and care staff are pro-active in maintaining and supporting a resident-led service. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Z & M Care will be referred to as ‘residents’. This inspection was unannounced and took place in conjunction with the home for older people that is also owned by Z & M Care and is part of the same building, although run separately and inspected independently. The Inspector was able to speak to four of the care staff and the Care Manager for the home as well as all the residents, either in a group or individually. The Registered Provider/Manager Mrs Moussavi, Deputy Manager Mr Jess Marsden for Z&M Care and Mr Trevor Parker the Care Manager responsible for the home helped with the inspection. Resident surveys and staff surveys were sent out by the Commission for Social Care Inspection prior to the inspection and at the time of writing this report seven resident surveys had been returned. Comments made in the surveys and to the Inspector during the inspection have been reflected throughout this report. The names of two relatives were given for the Inspector to contact after the inspection. Their comments are also included in the report. The Inspector discussed the outcome of the inspection with the Registered Provider/Manager, Deputy Manager and Care Manager in charge of the home as the inspection progressed and again during the evening at the end of the inspection. The cost of care in the home varies from £350 to £850 a week depending on need with residents being funded by their local authority; items not covered by the fee include hairdressing, chiropody, personal shopping and toiletries, and holidays. Residents and staff made the Inspector very welcome and the outcome of the inspection very positive. The Inspector would like to thank everyone at Z&M care for their helpfulness and hospitality. What the service does well: Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 6 The home continues to provide a good service to the residents in a warm and caring environment whilst at the same time promoting independence in a family atmosphere. There have been no new admissions since the last inspection and residents have lived together for many years. All residents are encouraged to have a full social life with freedom of movement and choice. Residents are able to give their views on the running of the home and be a part of the decision making process on the interior decoration and furnishings. They spoke enthusiastically of their lives in the home and about the activities and day centres they attend. All were keen to show the Inspector their individual rooms that they had made personal to themselves. It was apparent through chatting with them and observing staff and residents together that they enjoy good relationships and residents are accustomed to being engaged in friendly conversation. One relative told the Inspector that she was very pleased her daughter was in the home and that the staff looking after her were ‘awfully good’. What has improved since the last inspection? What they could do better: All issues arising from this inspection were fully discussed during the process and as agreements were made the Inspector decided there would be no need for requirements. The statement of purpose and service user guide are available in the home and any changes made are explained to the residents, however residents would benefit by information in both written and picture format; the Deputy Manager for Z&M Care discussed this with the Inspector saying he hoped to purchase a more suitable computer programme in the near future. The Registered Provider/Manager agreed to ensure that one resident’s bedroom would be redecorated and the blinds replaced by the end of April 2007. In addition grimy areas where residents had not used the door handles would be cleaned on the day following the inspection. Z & M Care DS0000014112.V331266.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. Z & M Care DS0000014112.V331266.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 Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4, and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are given sufficient information about the home and are able to visit beforehand to help them with the decision to move in. All residents are in receipt of a written contract outlining the details of residency. EVIDENCE: The home has a statement of purpose and service user guide that is available in the home with the latest inspection report. All residents wrer aware of the information however the Deputy Manager said he had found it difficult to find a suitable computer programme that automatically replaced words with pictures, however he confirmed with the Inspector that all residents are made aware of the contents of the statement of purpose and service user guide especially when changes are made; this takes place at resident meetings; he said he is hoping to solve the problem in the near future therefore a requirement will not be made in this report. The residents in the home have been living together for the past eight years and the home has not had any admissions in that time. Residents are from Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 10 different areas i.e. Brighton and Hove, West Sussex, Enfield and Wakefield. All have joint contracts with their funding agencies and Z & M Care. They are all made aware of the contracts of residency as this is discussed during the individual reviews. The Inspector spoke with the Deputy Manager about future admissions and the importance of thorough pre-admission assessments following referral. As with the Z & M Care Older People’s home it is anticipated that all prospective residents will be assessed prior to admission to ensure the home can meet their needs and the opportunity would be made for them to visit and stay to meet other residents and staff prior to making the decision to move in. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home makes every effort to involve residents in all aspects of their care and is pro-active in encouraging them to make decisions on their daily lives taking risks as appropriate. Staff make sure that all residents have an awareness of the right to privacy and confidentiality. Care plans are well kept, comprehensive and reflect resident’s needs. EVIDENCE: The Inspector was able to look at care plans and have conversations with the residents about their lives in the home. All were positive in their views in that they are allowed freedom of choice in what they wear, what they buy for themselves and how they arrange their individual rooms. Some reported enjoying helping in the home whilst others preferred to do other things. Some Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 12 residents preferred to undertake their own washing however staff said this was always monitored especially as the laundry is situated outside the home. All residents care plans show reports of reviews and risk assessments; residents are keen to be involved in the review process. In addition to this, details of visits to chiropodists, hairdresser, dentist and optician are recorded. Daily record sheets show any incidents, visits, or medical appointments that the residents have. There are also records of monitored smoking where appropriate, social life and activities, family involvement, medication to be administered, and communication from other agencies and support services. Each file has a photograph of the individual resident. All residents have control of their own finances; the care staff provide assistance if necessary. The Inspector spoke to the residents about their relationships with the care staff and they said they could go to the staff with anything that worried them and that they always listened and helped. This was evident during the inspection when the Inspector observed residents talking with care staff. Two residents told the Inspector ‘the staff are very nice’ and then went explain their statement saying they were kind and always available to help. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to have a social life with relatives and friends and take part in leisure activities that they enjoy. They are encouraged to shop locally and are known in the area. Care staff support them in eating healthily and being involved in the decision making process of what food is bought and meals that are prepared in the home. EVIDENCE: Residents in the home have been together for eight years and are unified as a group and accustomed to living together as a family. The Inspector spoke with a group of residents about their social activities and life in the home. They were very enthusiastic about the clubs they belong to their visits to the bowling alley and the events of ‘soap operas’ on the television. The women in Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 14 the group also said they enjoy shopping trips at weekends. Other activities seen to be available were a variety of games and puzzles and videos. Each resident had their own music system in their individual room. Some also told the Inspector of holidays they are planning to have during the summer of 2007 with an emphasis on going to Butlins or the Isle of Wight. All confirmed sharing in activities including aerobics, one said ‘there is always something going on’ and another wrote in the resident survey ‘there are lots of activities’. Residents attend either day centres or college. They were keen to talk about their experiences; one resident spoke of having a volunteer job as a receptionist one day a week at her day centre. The management of Z&M Care have recently installed a computer in the sun room of the Older People’s Home for use by residents of both homes. All were enthusiastic about the food and some said they enjoyed helping with cooking whilst others said the preferred not to but did help with the clearing away. All said they could eat what they wanted but that the Care Manager helped them choose meals that are good for them. The Inspector spoke with the Care Manager who explained that all residents, with a view to them eating a healthy diet, contribute to the weekly shopping list but are able to include foods they specifically enjoy. Two residents were on special diets for their health, they talked to the Inspector about this and told her they are weighed every month; both were very pleased with their achievements. During the Inspection one resident was helping in the kitchen whilst another set the table for supper in the dining room. Meal preparation and mealtimes in the home are relaxed and sociable occasions with everyone together in the dining room however residents are allowed to eat in other parts of the home if they wish. Residents are known locally by the neighbours and the local shopkeepers, they are encouraged to shop and bank locally and use public transport. The home has multi racial care staff and the Inspector spoke with them about the different needs of residents from different cultural backgrounds. They showed empathy and understanding and said the Registered Provider/Manager was committed to everyone living happily together especially as the home has residents with varying degrees of special needs. Currently in the home there are not of mixed race. The home has a sexuality policy in place that is reviewed yearly, in addition residents are able to have friends from outside the home to visit and share meals. The Inspector spoke to the Deputy Manager about the sexuality policy and was told that should a resident wish to have a close relationship their key worker would be involved in helping to ensure the emotional safety of the resident assisting with the organisation of visits to the family planning clinic and the arrangements for contraception. Key workers are as far as possible are gender matched to the residents. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 15 Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 16 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): 18,18,20 and 21. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is pro-active in ensuring that residents receive care and support for their physical and emotional needs in a way that meets their individual needs. The home has policies and procedures in place for the administration of medication thus ensuring residents are protected. EVIDENCE: Times for getting up and going to bed in the home are flexible; staff told the Inspector that generally all residents get up and are ready for their day centres or college by 9am. Residents are encouraged to give their views and opinions on all aspects of their day centre arrangements and the Inspector had been made aware of one resident deciding he wanted to change his day centre and was helped to do so which resulted in him becoming much happier. The Registered Provider/Manager also communicated well with the Commission for Social Care Inspection and Brighton and Hove Council when a resident Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 17 displayed challenging behaviour and despite efforts to help him settle the result was he moved away to somewhere more suitable that could fully meet his needs. The home has a key worker system in place to provide consistency and continuity of support and staff and residents are gender matched. The home has access to all healthcare professionals, which is enhanced by involvement with the Community Learning Disability Service, Advocacy Services, Day Centres and Community Colleges locally. Residents each have their own GP’s and are encouraged to attend for regular health checks, often accompanied by their key worker. The Deputy Manager and Care Manager gave the Inspector examples of monitoring of residents health and exhibited knowledge of illness associated with learning disabilities. One relative told the Inspector that a resident was not as well as she had been and could not be as independent, however the home’s care staff were aware of this and doing a good job in supporting her and keeping her safe. No one in the home self-administered his or her medication at the time of inspection following risk assessment, however residents are involved with their medication and the reasons for taking it are explained by staff. The Care Manager undertakes all ordering of medication and Brighton and Hove Council undertake staff training. The medicine cupboard was tidy and well organised with no evidence of stock piling or out of date medication. Conversation with the Deputy Manager revealed that the home had not experienced the death of a resident in approximately the last eight years, however the home has a death and dying policy that is shared with the Older Peoples home and a resident nearing the end of life would be cared for with the local district nursing team’s assistance as long as their needs could be met. The Deputy Manager said relatives would be encouraged to be involved and invited to share the home’s facilities; Z&M Care would also provide support for the other residents and staff. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 18 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 and 23. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes attitude towards complaints. Staff are aware of their responsibilities in the protection of the vulnerable adult. EVIDENCE: The Inspector spoke to residents about their views on being listened to by staff and management. They all said that they could talk to the Registered Provider/Manager, Deputy Manager, Care Manager or any of the staff each of whom they named. They also supported that the Care Manager, a female worker from the Older Peoples home and also a trained nurse visits them individually to have a chat with them, talk about any problems they may be experiencing with either their health, diet, socially or life in the home generally. She receives a report about each resident on a regular basis from the Care Manager of the Learning Disability home and acts accordingly if a visit is required immediately. The Registered Provider/Manager and Deputy Manager told the Inspector that they aim to ensure that holistically the residents are cared for. Records showed that there had not been any complaints since the last inspection this was supported by the pre-inspection questionnaire, however the Inspector was made aware of one of the resident with challenging behaviour in Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 19 conflict with another resident. Where residents have disagreements the staff address the situation with immediate effect and individual records show that the Registered Provider informs the necessary agencies and instigates strategy meetings with the relevant funding authorities. The Inspector was satisfied that this was dealt with in an empathetic and sympathetic manner and details of the incidents are on the home’s service file at the Commission for Social Care inspection. Staff in the home are trained in the protection of vulnerable adults, which is part of the induction and mandatory training. Initially staff are trained in house to raise their awareness and a follow up training session is undertaken with Brighton and Hove Council Training Department. All management staff at Z&M care have attended training for managers. In addition all staff are CRB (Criminal records Bureau) checked prior to starting work in the home. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home is comfortable and residents enjoy living in a homely environment. Staff are aware of the importance of residents health and safety. On the day of inspection the home was clean and tidy however one residents room required attention. EVIDENCE: The Inspector toured the premises with the Deputy Manager for Z& M Care and was also showed some of the individual rooms by residents. The home is run separately and independently from the older peoples home belonging to Z&M Care, however they are linked and some facilities are shared. There is a nonsmoking policy throughout the home however one resident who occasionally likes to smoke is accompanied by a member of staff to the smoking lounge of the Older People’s home. Alternative arrangements will be made when the new smoking legislation comes into force later in 2007. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 21 The home is close to local amenities and residents are able to shop locally and are within close distance of public transport and one of the day centres. The residents have a communal kitchen, dining room and sitting room but bedrooms are for single use only. All bedrooms seen by the Inspector had been personalised and residents were proud of their furniture and fittings. They are encouraged to keep them clean and tidy but are helped by the care staff. All bedrooms are lockable with a master key held by the staff in case of an emergency. The home also has a two separate bathrooms and a shower room, there are male and female toilets. One room has an ensuite toilet. Communal rooms are homely and residents have been encouraged to put their own belongings in them. One resident had bought herself a reclining chair for the sitting room. Any aids and adaptations required by residents are obtained from the local Occupational Therapy Department and at the time of inspection one resident, living on the ground floor had been referred for some specialist equipment. The Inspector found on the tour of the premises that one resident’s room was in need of redecoration, the blind was broken, a shelf had come away from the wall and there were two redundant light fitting still in place. Following discussion with the resident and Deputy Manager it was agreed this would be addressed by the end of April 2007, therefore no requirements would be made. The resident was very pleased with the decision. The Inspector also noticed some grimy areas where door handles had not been used; The Registered Provider spoke to staff and requested this be addressed on the day following inspection. Since the last inspection requirements made had been addressed, in addition extra emergency cords and bells had been fitted. The home is risk assessed by the Deputy Manager for health and safety, and fire. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36. Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s recruitment policies and selection of staff. The outcome for residents’ is good and staff have excellent training opportunities and continuous support from the management. Both management and staff roles are clearly defined and understood by both care staff and residents. EVIDENCE: The Registered Provider/Manager and Deputy Manager for Z & M Care are in the home on a daily basis with the Deputy Manager living on site. The Learning Disability home is run by a Care Manager and has the assistance of a senior support worker both are trained for the role they undertake and one is a trained nurse. In addition designated care workers employed by Z& M Care are able to work between the two homes and are trained to do so. The home is staffed constantly although residents do go to day centres and colleges there is always someone available should they have a day off or become unwell. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 23 Although staff work for Z&M Care as an organisation their training is appropriate to their role. Care staff are able to transfer their skills and gain experience in both homes although the key workers remain unchanged however they are only on duty in one home at a time. Staff receive basic induction training then mandatory training in moving and handling, first aid, fire safety, health and safety, control of infection and food hygiene. The Register Provider/Manager is committed to ensuring staff are given every training opportunity available and all are encouraged to take NVQ 2 and NVQ 3 with the care Manager now taking NVQ 4. Staff also receive person centred planning training, active support, and listening and behaviour training. This is common to both homes. Z&M Care was presented with an award by a local training college for its NVQ training achievements in 2006. Staff supervision is the responsibility of the Care Manager and staff told the Inspector that both supervision and staff meetings take place on a regular basis. Staff meetings are held jointly with the Older People’s home and then separately to ensure there is a thorough exchange of information. Z & M Care has a thorough recruitment procedure with all staff being CRB (Criminal records Bureau) checked before commencing work. They are also asked for two references and have to complete an application form. The home employs multi-racial staff and the Registered Manager/ Provider makes sure that all visas and permits for them are checked as far as possible for legality to work in the UK. Staff said they have contracts of employment and job descriptions and confirmed that communication and support from the management of the home is good. When the Inspector spoke to residents and relatives it was apparent that the care staff are diligent in their work and one relative said ‘All the people looking after ……… are awfully good’. A member of the care staff said ‘I am very well supported and very glad to work here, I get a lot of training, advice and help and the management are very welcoming and friendly to everyone’. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The management structure in the home is good and ensures that residents are protected and that their views are listened to and their best interests safeguarded. The home is well run. Residents are protected by the homes policies and procedures and cared for by staff who are trained to ensure that the residents’ health, safety, and security remains a priority. EVIDENCE: Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 25 The Registered Provider/Manager has many years experience and is well qualified to undertake her role. She communicates a clear sense of direction through staff and to the residents. Communication in the home is a priority and the Inspector was able to speak to residents about staff roles and support the residents received from both management and care staff. The Registered Provider/Manager, prior to the Inspection received an award from a local training college for ‘The Most Supportive Manager’. She also takes full responsibility for all budgeting within the home and ensures that appropriate insurance is in place. The home employs an accountant for yearly auditing to ensure Z&M Care’s financial stability. The Deputy Manager and the Care Manager for the Learning Disability home are both qualified to NVQ level 3 and both have commenced NVQ level 4. The ethos of the home is to tailor the care to each resident and provide a democratic and homely environment. Residents spoken with by the Inspector appeared friendly, relaxed and happy, and eager to make conversation and talk about their lives. Records were seen of staff meetings that take place for both the older peoples home and the group home. All attending staff sign and an agenda is posted for their ideas and to promote participation. Residents meetings are also recorded and residents are actively involved in making decisions about the home. This was also confirmed by a relative telephoned by the Inspector after the inspection. The home has a quality assurance system in place that covers both homes belonging to Z & M care; the collated surveys were shown to the Inspector during the inspection. The home also has the Investors in people Award that is due for review in June 2007. Relatives are able to visit as often as they wish and conversation confirmed that communication between the home and relatives is good with one relative telling the Inspector that the home always extended invitations to reviews and events concerning a resident. Residents were made aware that the inspection was taking place and all were happy to be spoken with. The Inspector noted that the last inspection report and any other information about the home and activities were available in the main entrance hall. The Deputy Manager takes responsibility for all health and safety issues in the home including the fire and risk assessments for the environment. He also reviews policies and procedures with assistance from the Care Manager. The management of Z&M Care ensure that staff are trained in all health and safety subjects relating to the care of the residents. Records were seen to be locked away safely. Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 26 Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 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 3 4 4 3 3 3 3 3 Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations Z & M Care DS0000014112.V331266.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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