Care Home: 10 Harison Road

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What the care home does well The relaxed, homely and welcoming atmosphere at 10 Harison Road has evolved over many years. Staff are evidently valued and supported by the Manager and she is clearly held in high regard not only by members of staff but residents and their relatives as well. Comprehensive and high quality individual care plans are regularly reviewed to ensure that the changing care and ongoing support needs of residents are met in a structured and consistent manner. Excellent outcomes for residents at 10 Harison Road have been sustained through the innovative and dynamic management approach within the home and reflect the commitment and efforts of the dedicated support staff. Communication and consultation with residents` family members is effective with relatives having the opportunity to partake in individual assessment, care planning and reviewing processes. What has improved since the last inspection? There were no requirements or recommendations made following the previous inspection. What the care home could do better: There were no requirements or recommendations made following this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 10 Harison Road 10 Harison Road Seaford East Sussex BN25 3PN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 1 8 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 10 Harison Road 10 Harison Road Seaford East Sussex BN25 3PN 01323490511 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): harison@southdownhousing.org Southdown Housing Association Ltd Name of registered manager (if applicable) Mrs Susan Gales Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 10 Harison Road is a care home, which provides personal care and accommodation for up to five residents with learning disabilities. The home is owned and run by Southdown Housing Association who are a large voluntary organisation that have been providing services to people with learning disabilities across East Sussex for over 20 years. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home The home is located in a quiet residential area of Seaford, close to the town centre and main bus and rail connections, although the home does have access to its own vehicle. Free on-street car parking is available at the home. The home is a large detached property with five single bedrooms located over two floors. There is a spacious kitchen, dining room and large lounge, with an additional small lounge providing a quiet area, which was converted from the integral garage. There is a pleasant and well-maintained garden to the rear of the property. The home provides personal care and support to residents who are funded by Social Services. The homes fees are currently £1500.00 per person per week. Additional costs are charged for hairdressing, clothing, chiropody, toiletries, papers, some activities, holidays and payment towards transport. Prospective residents and their relatives are provided with written and pictorial information regarding the services and facilities provided at the home prior to admission. A copy of the homes most recent inspection report is available on request from the home. Care Homes for Adults (18-65 years) Page 5 of 28 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This unannounced inspection took place over four hours, between 10.30 and 14.30, in May 2010. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was very good. On the day of the inspection there were five residents living at the home. The inspection process involved observation of working practices, examination of the homes records and discussion with three residents, three members of staff and the deputy manager. Communal areas throughout the home were seen and all residents bedrooms were viewed. Care Homes for Adults (18-65 years) Page 6 of 28 The focus of the inspection was on the quality of life for people who live at the home. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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 thorough admission policy and procedures ensure that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents are provided with sufficient relevant information to know that the home is able to meet their individual care and support needs. Evidence: Comprehensive and detailed information regarding the home has been produced and is made available to all prospective residents. The quality and accessibility of the Statement of Purpose and Service User Guide is further enhanced by the effective use of photographs and diagrams. The Statement of Purpose provides the reader with an introduction to Southdown Housing Association, details of the Registered Manager, the number, relevant qualifications and experience of staff working in the care home and overall service provision including: the accommodation, the arrangements for residents to engage in social and leisure activities together with any therapeutic techniques, the arrangements for dealing with concerns or complaints and the systems for ensuring Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: that residents needs are identified, met and reviewed in accordance with person centred planning. The Service Users Guide is presented in an easy to read and understand format, which incorporates the use of colour pictures and symbols including a photograph of the home. It gives an overview of the philosophy of care, purpose of the service, accommodation and outlines what support and care individuals can expect from the home including support and communication, personal space, individual planning, holidays, day service provision and terms of occupancy. The deputy manager confirmed that there have no admissions to the home for almost ten years and that two of the residents have lived at 10 Harison Road since it opened twenty two years ago. Although there is evidently no likelihood in the foreseeable future of any one else moving into the home, the deputy manager was able to describe the arrangements in place for assessing all prospective residents in order to ensure that the home could meet their needs. In addition to establishing whether the individuals care and support needs can be met within the home, the deputy manager stressed the importance of ensuring compatibility with existing residents. As well as being invited to visit the home to look around and meet with existing residents and staff, prospective residents would evidently have the opportunity to stop overnight before moving in. The deputy manager confirmed that any new residents would undergo a flexible trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Care Homes for Adults (18-65 years) Page 11 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive and high quality person centred support plans enable staff to meet the assessed care and support needs of residents in a structured and consistent manner. Systems for consultation and participation are effective and residents are treated with respect and encouraged and enabled, as far as practicable, to make decisions about their day to day living. Evidence: High quality support plans, care files and health plans have been developed and are in place for each resident. As previously documented, the effective use of pictures, photographs and diagrams in the plans ensures that the assessment and ongoing care planning process is more clearly focused on and accessible to the individual resident. The deputy manager confirmed that residents and, where appropriate, a relative or representative continue to be directly involved in regular reviews (Planning meeting). It was evident from files that were examined that reviews are held every six months and are appropriately recorded. Plans, including risk assessments, are evidently Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: amended appropriately to reflect changing needs or circumstances. Information recorded includes who was present at the review and details of issues discussed and agreed goals. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective consultation with residents. Individuals are clearly enabled and supported to make decisions about many aspects of their life and are made aware of and understand the reasons for specific action being taken. Residents continue, as much as is practicable to be enabled and supported to participate in all aspects of life in the home. In accordance with their wishes, they are encouraged to help with meal preparation, make their own hot and cold drinks, go shopping and attend to their personal laundry. Certain residents continue to play a significant part in the selection process for new staff. Clear guidelines are in place for staff to follow. These are aimed at supporting staff to meet individuals needs whilst helping to promote and maintain their independence. Examples of guidelines seen include: supporting a person with their preferred daily routines such as bathing, activities, meeting their healthcare needs and managing behaviour. There was documentary evidence of detailed risk assessments and management plans to enable residents to undertake a wide range of activities in the home and in the community. All of those seen had been recently reviewed and updated as necessary. Independence and individuality continue to be encouraged and promoted within the home and are clearly reflected in the personalising of residents rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. Care Homes for Adults (18-65 years) Page 13 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The deputy manager confirmed that, where appropriate, residents family links continue to be supported, however not all residents have regular family contact. Visiting to the home is unrestricted and residents relatives and friends are made welcome at any reasonable time. Community participation remains a focus and residents are evidently encouraged and supported to attend local colleges and visit restaurants, cinemas, theatres, shops and other amenities in the area. Residents Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: continue to make good use of public transport facilities, although the home does have a car. On the day of the inspection, one resident returned to the home having been to Lewes and back, unescorted, on the train. In addition to this, the recreational and leisure interests of residents are identified and recorded in their individual care plan. They continue to be supported to access activities and facilities, including bowling and swimming, reflecting their individual needs, preferences and abilities. One resident who plays the guitar remains an enthusiastic member of Heavy Load, a punk band started in the mid 1990s and made up of people both with and without learning disabilities. The band has evdidently gone from strength to strength. As well as releasing a number of CDs and a DVD, they have been impressing crowds at Glastonbury, and have ambitious plans to break into the international market, having already played gigs in New York and Berlin. The day after my inspection, the band were due to fly up to Glasgow to begin a short Scottish tour. Good luck to them! Residents are supported to maintain their own daily diaries of the activities they have undertaken. They are written in the first person and include photographs, pictures and drawings. Activities include going to college, ten pin bowling, visiting a country fair, working on a voluntary basis at a nearby farm, rambling, bike rides and participating in a local church group. Residents evidently receive one to one support from care staff for a number of activities. The varied, balanced and nutritious menu reflects seasonal variations and is based on residents identified likes and preferences. An alternative to the main meal is always available. Care Homes for Adults (18-65 years) Page 15 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual support needs. Residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their personal care plan, residents continue to be fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, residents were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Individual support plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of residents and their relatives. Comprehensive needs assessments and details of staff intervention and action to be Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: taken, ensures a structured and consistent approach to individual care and support. The deputy manager confirmed that close and effective working relationships between residents and their key worker ensured that any subtle change in an individuals mood or behaviour can be identified and addressed at an early stage. She added that as residents grow older they are inevitably more susceptible to developing additional healthcare needs, including reduced mobility.The staff team remains committed to identifying and addressing the changing needs of residents. Staff have evidently got used to supporting a resident to use his wheelchair for bad days and have not allowed this to become everyday practice, by close monitoring, without decreasing his mobility further. All residents are registered with local GPs and have access to other health care professionals, including psychologists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The deputy manager confirmed that all staff responsible for administering medication have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Care Homes for Adults (18-65 years) Page 17 of 28 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 open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents best interests are safeguarded through relevant staff training and robust policies and procedures. Evidence: A clear, simple and concise complaints procedure has been developed and is included within the homes Statement of Purpose and Service Users Guide (in a pictorial format). It gives clear guidance with regards to how a complaint can be made and how the complainant can expect it to be dealt with. Close working relationships and effective communication and consultation provides adequate opportunities for any concerns to be raised and discussed before they become complaints. Residents, relatives and members of staff confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Time has evidently been allocated at residents meetings enabling residents to say if they are not happy with anything. This would be then taken to the team meeting. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: On the day planner, time has been allocated for keyworkers to talk with residents to see how they are feeling and ensure they are happy with the service provided. The deputy manager confirmed that there have been no concerns, complaints or safeguarding alerts received by the home since the last inspection. The home has produced detailed policies and procedures, relating to safeguarding vulnerable adults, including a whistle blowing policy. These documents have evidently been drawn up in accordance with the multi agency guidelines for safeguarding adults. The deputy manager confirmed that all care staff have undertaken appropriate training regarding safeguarding procedures. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Care Homes for Adults (18-65 years) Page 19 of 28 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 service is accessible, safe and clean and remains suitable for its stated purpose. Reidents benefit from spacious accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: The well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and very homely environment for residents. The home, situated in a quiet cul-de-sac, is a large detached property with five single bedrooms, located over two floors. There is an office, which doubles as a sleep in room for staff on the first floor. The deputy manager confirmed that independence and individuality are promoted within the home, as far as is practicable, and this is evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. All rooms were found to be exceptionally well decorated and contain personal furniture and belongings. Communal facilities include a dining area, which continues to be a focal point in the home; a spacious lounge, with direct access to the well maintained rear garden and a Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: smaller, quiet lounge which is regularly used as a place to relax and watch DVDs. It is also where sensory sessions take place. Since the previous inspection a new front door has been fitted with a lower internal step to facilitate easier wheelchair access. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Care Homes for Adults (18-65 years) Page 21 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is always sufficient trained and competent staff on duty to meet the assessed care and support needs of the residents. Residents are protected by satisfactory staff recruitment policies, procedures and documentation. Evidence: The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training. In addition to these programmes, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: There is always plenty of training going on here. Ive had masses of training since I started. In addition to the Registered Manager and Deputy, the home employs a total of nine care staff, six of whom have obtained at least NVQ level 2 in Care. Regular relief staff are used to cover additional shifts as necessary to cover staff sickness or annual Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: leave. This is sufficient to meet the current assessed needs of residents. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. Through direct observation and discussions with members of staff, it is evident that the deputy manager is very approachable, with staff feeling confident and able to discuss any issues at anytime. Staff morale is evidently very high within the home and individual members of staff, spoken with during the inspection, clearly feel valued and supported by the management team. The managers here are very good, always ready to listen or help if you need it. Since the previous inspection, an advocate, who has been known to the organisation for some time, has been identified for one of the residents The home continues to operate thorough and robust recruitment procedures, to ensure the protection of residents. Individual staff recruitment files are evidently held at the Head Office. The deputy manager confirmed that before a new member of staff starts work in the home she wll receive confirmation that all relevant and necessary information has been received, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 23 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well run. Residents benefit from a competent and experienced management team and are protected by satisfactory health and safety procedures. Their best interests are safeguarded by effective quality monitoring systems. Evidence: The current Manager has been working for Southdown Housing Association for over 19 years. She has worked at 10 Harison Road for 16 of these and has been the Registered Manager of the home for the past 13 years. She has achieved NVQ level 4 in Management and the Registered Managers Award (RMA). Through discussions with residents and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and, ably supported by a very effective and efficient deputy manager, creates an open and inclusive atmosphere within the home. Between them they are responsible for the continued high quality and innovative care and support provided at 10 Harison Road, ensuring that the excellent outcomes for residents are sustained. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Shes an amazing manager, so passionate about the residents and so supoortive of the staff. It wouldnt be the same here without her. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for residents, their relatives and other visitors to the home. Positive responses from the most recent survey indicate a high level of satisfaction with the home and the services provided: ..... continues to be given every care and shown every possible attention and consideration to meet his needs. We are always so thankful that he is placed at Harison Road. .... is looked after very well and always has been. Also when we see him he is always dressed smartly and clean and is always happy. Southdown Housing Association continues to hold a two weekly residents advocacy/consultation group. This enables residents to share their experiences of living within individual homes and provides an opportunity to feedback to senior management any concerns or complaints they may have. These meetings are held at head office and are regularly attended by residents living at 10 Harison Road. The deputy manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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