Care Home: 102B Brockhurst Road

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well The home carries out a thorough assessment of each person`s needs before admission. The process of admission is tailored to the requirements of each individual referred to the service and there is a good system of support planning to meet people`s needs, which the manager and staff have put a lot of thought into. People who use the service have opportunities for developing their skills and to take part in a variety of activities. The home involves people in various aspects of daily life, including choosing individual menu plans and colour schemes for redecoration of communal areas and bedrooms as well as flooring and furniture. The service offers a homely, clean and comfortable place to live. The home is well run and a team of well-motivated staff provide support. What has improved since the last inspection? Care and support plans have improved and now clearly show how staff deal with challenging behaviours. This protects people who use the service as well as staff. The home is recruiting staff to provide consistent support to people who live in the home. The home`s records have improved to show the date each person is admitted to the home. Daily records show any incident affecting the health and welfare of any resident including the date, time and circumstances. A record of the recruitment checks for all staff is available in the home, to show that people who live in the home are protected. Risk assessments are being reviewed and updated when needs change and incidents occur, so that risks are minimised. The flooring in the ground floor toilet has been replaced. There have been other improvements to the environment such as a new kitchen, the dining room has been redecorated and has new flooring and the hallway has been painted. The home`s management has developed the quality assurance system to make sure that legal requirements made in inspection reports are met. The views of people who use the service, relatives and professionals linked to the home are obtained. An annual development plan is in place to reflect these views and show how the home plans to continue to improve. The manager has recently registered with the commission, indicating a more permanent and stable management arrangement for the home. What the care home could do better: The organisation needs to make sure that all staff members at the home are able to access training and updates when these are due. This is to make sure that everyone working in the home always has the right knowledge and skills to work with people who use the service. CARE HOME ADULTS 18-65 102B Brockhurst Road Gosport Hampshire PO12 3DG Lead Inspector Laurie Stride Unannounced Inspection 9th September 2008 10:40 102B Brockhurst Road DS0000029248.V371436.R02.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 102B Brockhurst Road DS0000029248.V371436.R02.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. 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 102B Brockhurst Road Address Gosport Hampshire PO12 3DG 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) 023 9258 0607 Hampshire Autistic Society Mrs Lisa Jane Bowman Care Home 4 Category(ies) of Learning disability (0) registration, with number of places 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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: 2. Learning disability - LD The maximum number of service users who can be accommodated is: 4 24th October 2007 Date of last inspection Brief Description of the Service: 102B Brockhurst Road is a semi-detached property situated up a short drive and is close to local shops and amenities, the home is close to a local bus route, which runs into the town centre of Gosport and also into Fareham town centre. The home is run by the Hampshire Autistic Society (HAS) and is registered with the Commission for Social Care Inspection (CSCI) to provide support and accommodation for four adults who have a Learning Disability. The home provides a service for people with Autism. Contractual placement at home includes the provision of 35 hours per week day care at a centre run by Hampshire Autistic Society. The home was purpose built and meets all of the national minimum standards with regard to the physical environment. The home’s fees range from £1296.89 to £1867.60 a week. This information was obtained at the time of the inspection visit. Members of the public may wish to obtain more up-to-date information from the care home. 102B Brockhurst Road DS0000029248.V371436.R02.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 stars. This means the people who use this service experience good quality outcomes. This unannounced visit took place as part of a key inspection of this service. The visit lasted five hours during which, we (the commission), met two of the people who use the service and spoke with the registered manager and three members of staff. We received survey questionnaires from two of the people who use the service and a health professional. We also looked at samples of the records kept in the home and undertook a brief tour of the communal areas of the premises. Further evidence used in this report was obtained from the home’s annual quality assurance assessment (AQAA) and the previous inspection report. What the service does well: What has improved since the last inspection? Care and support plans have improved and now clearly show how staff deal with challenging behaviours. This protects people who use the service as well as staff. The home is recruiting staff to provide consistent support to people who live in the home. The home’s records have improved to show the date each person is admitted to the home. Daily records show any incident affecting the health and welfare of any resident including the date, time and circumstances. A record of the 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 6 recruitment checks for all staff is available in the home, to show that people who live in the home are protected. Risk assessments are being reviewed and updated when needs change and incidents occur, so that risks are minimised. The flooring in the ground floor toilet has been replaced. There have been other improvements to the environment such as a new kitchen, the dining room has been redecorated and has new flooring and the hallway has been painted. The home’s management has developed the quality assurance system to make sure that legal requirements made in inspection reports are met. The views of people who use the service, relatives and professionals linked to the home are obtained. An annual development plan is in place to reflect these views and show how the home plans to continue to improve. The manager has recently registered with the commission, indicating a more permanent and stable management arrangement for the home. What they could do better: 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. 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 7 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 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 8 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): Standard 2 People who use the service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home’s assessment and admissions process is well tailored to suit the individual needs and preferences of people who wish to use the service. EVIDENCE: The previous report identified that the process of admitting people to the home as well planned and includes a transition plan with opportunities for individuals to visit the home to see if it meets his or her needs. Thorough assessments of need are carried out in conjunction with professionals from health and social services. The home’s annual quality assurance assessment (AQAA), received prior to this inspection, stated that there is a clear statement of purpose and service user guide in place and available for all to access, clear assessment procedure, individualised support assessments and care plan documents, terms and conditions of residence. During this visit we saw records of the admission process in relation to an individual who came to live in the home after the last inspection. A new 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 9 referral was also in process. The home’s assessment and support planning documentation is comprehensive and includes the input of health and social care professionals and relatives of the individuals concerned. Opportunities for individuals to visit the home, and the duration of such visits, are tailored to the individuals’ needs and if necessary staff from the home visit the person. Since the last inspection visit, a record of the date of admission of each individual to the home had been made. Two people who use the service completed survey questionnaires, indicating that they were asked if they wanted to move to this home and that they had received enough information about it to decide if it was the right place for them. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 6, 7 & 9 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service are supported to make their own decisions and their changing needs, wishes and goals are now better reflected in their care plans. Staff members respond well to individuals’ needs and this would be better supported by more timely provision of training. EVIDENCE: The previous report identified that care plans were of a varying standard with most care needs assessed and planned for in some detail, but there was also an absence of review and care plan for challenging behaviour which was a requirement from a previous inspection. Choice was available to individuals in their daily lives and there were opportunities for participating in decisionmaking. The home’s annual quality assurance assessment (AQAA) told us that there are clear support assessments and care plans, clear communication procedures, 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 11 allocated key workers and Person Centred Planning. It also stated that staff members now have a better understanding of the tools in place to communicate with individuals and the importance of using them. During this visit we spoke with the staff members on duty and looked at the care and support plans for two of the people who use the service. These contained updated guidance in relation to managing challenging behaviour, focusing on pro-active strategies to lessen the chance of these behaviours occurring and minimising any associated risks. One example of such a strategy was written in a way that the individual concerned could understand and actively take part in, which showed that the service was supporting the person to take control of situations that made them anxious and to make positive choices. It was also clear that the home learned from incidents and responded positively. The person’s key worker showed a good knowledge and understanding of the individual’s needs, abilities and preferences and had plans and ideas to further develop the support plans. The home’s person centred approach to support planning was further demonstrated by the fact that plans were designed using different formats to suit the individuals. It was clear that these were ‘live’ working documents that people who use the service took part in developing, some had written sections themselves. We saw evidence of plans and risk assessments being regularly reviewed and updated to reflect changes and the choices individuals made. The registered manager said that risk assessments were agreed with the person’s social worker. The registered manager showed us how the staff team had been involved in reviewing the home’s person centred approaches as part of their appraisal objectives. All staff members worked on communication strategies to see what works best and the organisation has communication co-ordinators who provide guidance and training. There are ‘chat meetings’ that centre on what the individual wants to do and involving who they choose. We observed staff interacting positively and communicating well with people who use the service. Through speaking with staff and looking at records, it was evident that not all staff members working in the home had yet received the relevant training (see the section on Staffing). The registered manager and the organisation were aware of this, but it was not clear how it was intended to fully address this so that staff members do not wait so long for a place on a course. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 12, 13, 15, 16 & 17 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service benefit from being supported to access a wide range of activities both within the community and the home. They are supported to maintain relationships and are offered a healthy diet. EVIDENCE: The previous report identified that people who use the service have opportunities for developing independent living skills and to take part in a variety of educational, occupational and leisure activities. It also found that food is provided according to the individual taste of each person. Prior to this inspection the home’s annual quality assurance assessment (AQAA) told us that people are being supported to choose holiday destinations. The AQAA also says that service users have full involvement in accessing the community, college, and work experience placements. 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 13 During this visit we saw that the home encourages people to maintain and develop the skills for everyday living, in anticipation that opportunities will arise to move to more independent living accommodation when the right time is agreed. This is in line with the aims of the service and reflected in individual’s support plans, for example in self-care, accessing the community and healthcare services. One person had increased the number of days that they attend a day service, as they had wished. We also saw evidence that this person had developed their skills at coping with situations they sometimes find difficult, through the home’s person centred approaches to support planning. Another person had started a bricklaying course, something they had been keen to do, at a local college. The other person who lives in the home does paid work outside of the home and the service was looking at ways to enable this individual to pursue an interest in gardening. Day reports kept in the home showed what activities are planned and what happens if the planned activity does not take place. Activities are discussed and planned for during house meetings. We saw evidence that people go on visits to local places of interest, bake cakes at home and prepare meals and snacks with appropriate support if needed. We observed people taking part in household routines, doing their laundry, answering the door to visitors and writing letters to relatives. It was clear that staff members look at the home as belonging to the people who live in it. A member of staff showed us that they were working on menu plans in order to better demonstrate how choice is offered. As with other activities, house meetings are used to ask for individual’s input into the menus. If someone decides they want something different on the day the meals are cooked, then an alternative is offered. We saw that the menu provided a varied selection of meals over the course of the week. One person has special dietary requirements and these are well documented and catered for. Fresh fruit and vegetables are bought regularly from a local supplier. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 18, 19 & 20 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health care and personal support people receive is based on their individual needs and they are protected by the home’s medication procedures and practices. EVIDENCE: The previous report identified that individuals’ healthcare and support needs were being met and that people were protected by the home’s medication practices. The home’s annual quality assurance assessment (AQAA) stated that there plans to look at supporting people to self-administer their medication. During this visit we saw that each person had a health action plan. Individual records clearly indicated how the person likes to be supported and showed how specific needs are being monitored and addressed. Details of appointments with health and social care professionals were recorded with the outcomes. All of the people who use the service go to Well Man clinics and the community learning disability team provide further support in monitoring changes in 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 15 individual’s behaviour and support needs. We saw how families are invited to take part in recording specific health details, such as any medical histories. A health professional who completed a survey questionnaire told us that the service respect individual’s privacy and dignity. They also said that the service can improve through having more staff, which might help prevent appointments being cancelled (see the section on Staffing). There is an organisational training programme and some staff members had received training in relation to the specific needs of people who use the service. The registered manager and members of staff explained that it could be difficult to get new starters on the training courses. While there was no evidence to indicate this has had a negative impact on any person’s wellbeing, the organisation needs to make sure that all staff members are prepared with the relevant knowledge, skills and experience to work with people in the service (See also the section in this report on Staffing). We saw a sample of the medication records, which were clear and up-to-date and medication in the home was stored appropriately and safely. The registered manager said she had identified that not all staff members had been following the recording procedures correctly and was dealing with this issue. We advised the registered manager of recent changes to the regulations about the storage of controlled drugs and that the home needs to obtain a suitable storage facility. This is so that the home is properly equipped in the event that someone is prescribed a controlled drug. There is a list of authorised staff signatures and a process of auditing medication stocks within the home. The pharmacist signs for any medication that is returned and there is a logbook for medication taken on family home visits. The registered manager told us that the service is looking at developing end of life plans. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 22 & 23 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service can be confident that their views are listened to and acted upon and they are protected by the home’s policies and procedures. EVIDENCE: The service has a complaints procedure that is on display in the home. People who use the service who completed survey questionnaires indicated that they know how to make a complaint and who to speak to if they are not happy. They also confirmed that staff members listen and act on what they say. We observed that there was a relaxed and friendly atmosphere in the home and a good rapport between the staff members and people living there. People clearly felt able to express themselves freely. The home’s annual quality assurance assessment (AQAA) stated that they had received one complaint since the last inspection, which had been resolved within 28 days. The details of the complaint had been recorded along with the action taken and the outcome. The manager, who had just come into post at that time, and other managers had met with the complainant and the issue had been resolved to everyone’s satisfaction. We had been notified about two safeguarding referrals in relation to the home. The registered manager told us that the service is awaiting the official closure of these from the relevant authorities. We had seen the record of the last 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 17 safeguarding meeting, indicating that staffing levels had improved and that the authorities were being notified about incidents more quickly. The behaviour of one of the people who use the service had also been discussed. As mentioned in a previous section of this report, since the last inspection the support plans and risk assessments in relation to challenging behaviour had been improved and developed further, which meets a previous requirement. Through talking with staff and looking at the home’s records it was clear that there had been a reduction in the number of incidents of challenging behaviour involving this individual. We looked at the rota, which was clear and indicated that staff levels were sufficient to meet the needs of individuals as assessed by the service. Training is provided for staff in safeguarding procedures and in dealing with possible physical intervention. As mentioned, there were some time delays noted in the roll out of the organisation’s training programme. The registered manager told us there is a policy of not using restraint. A member of staff we spoke with who had not received either of the training was clear that they would not attempt to physically intervene if an incident occurred. They were not sure of the overall safeguarding procedures but they were clear that they would report any suspected abuse to the manager. The registered manager told us how the home and the police community liaison team were developing a better understanding and working relationship, which would benefit people who use the service. The service has procedures for looking after people’s finances, where this is required. We saw that records are kept of any amounts being held by the home and of any amounts withdrawn for use by individuals or deposited for safekeeping. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 24 & 30 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service benefit from living in a homely, clean and comfortable environment. EVIDENCE: The previous report identified that the home offers purpose built facilities that are of a good standard and suited to providing people who use the service with a homely place to live. Each individual has a bedroom with an en suite bathroom, which has a shower, toilet and wash hand basin. People are able to personalise their rooms with their own belongings. In addition to the private en suite facilities there is a communal bathroom on the first floor and a toilet on the ground floor. We saw that the flooring in the ground floor toilet had been replaced, which meets a previous requirement. Further improvements since the last inspection include a new kitchen, dining room flooring and decoration and the hallway had been painted. A new 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 19 maintenance person is now in post and the registered manager said this would improve on the speed at which maintenance and repairs are carried out. The manager and staff told us of plans to redecorate the lounge and make specific alterations to the garden to meet the wishes and needs of the people living in the home. This work was due to start within the next week. The home has infection control policies in place and during our visit the premises were clean. Two people living in the home who completed survey questionnaires indicated the home is kept fresh and clean. 102B Brockhurst Road DS0000029248.V371436.R02.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): Standards 32, 34 & 35 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People who use the service benefit from a well-motivated staff team, which would be further enhanced by a more proactive approach to training from the organisation. The home’s recruitment practices protect people. EVIDENCE: The home’s rota showed two care staff on duty during the morning and afternoon, with the nights covered by one awake and one sleeping-in staff. The manager’s hours of work are in addition to these numbers. These staffing levels were observed during our visit. The home currently has three residents. The last two reports had identified an outstanding requirement in relation to staff recruitment records being held in the home. The home’s annual quality assurance assessment (AQAA) stated that that all the people who have worked in the home in the past 12 months had satisfactory pre-employment checks. During this visit we saw a sample of personnel records in relation to three staff members who had commenced employment since the last inspection. During recruitment of new staff the service’s head office sends a pro-forma to the 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 21 home, containing confirmation and dates when the necessary checks have been carried out and references received. Once the process is complete, the registered manager said the full personnel file is sent to the home for filing. The sample pro-forma’s we saw contained confirmation that Criminal Records Bureau (CRB) checks, two written references and employment histories had been received and checked. The home also keeps a file to show that relief staff members are also checked before being allowed to work in the home. This shows that people who use the service are protected and meets the requirement. Through talking with members of staff it was clear that new staff start work on a supernumerary basis for three weeks, while they start their induction, which the manager confirmed is in line with the Skills For Care standards. The manager told us the home is currently recruiting for a day and a night position, which when filled will give increased flexibility and more consistent staff cover. We saw a new non-corporate recruitment advertisement that was being piloted by the home, which is tailored to the individual needs and interests of people using the service. The registered manager told us that out of the home’s six staff members, two have obtained National Vocational Qualifications (NVQ) at levels 2 and 3. Two others are either completing or awaiting confirmation of the awards, while three other staff members are on the waiting list. The organisation has a training calendar providing a wide range of mandatory and more specialised training. For example, autism, safeguarding adults, person centred planning, Makaton, epilepsy, first aid, Strategies for Crisis Intervention Prevention (SCIP), behaviour as communication, manual handling, food safety and other courses. A member of staff we spoke with who had been working in the home for two months had not done any of the training, apart from a corporate induction and a course on service user engagement, according to the manager. A sample of the training attendance records showed gaps in other staff members training. The manager was aware of the issues and booked people to attend courses whenever she could, but the available places on training days are currently not enough to meet the needs of the service. A requirement has been made in relation to this. The three members of staff we spoke with during our visit were well motivated, knowledgeable and understanding of the personalities and needs of 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 22 individuals living in the home. They also demonstrated a good understanding of the aims of the service and how their work fits in with these. 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 23 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): Standards 37, 39 & 42 People who use the service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The home is well run and management practices promote the wellbeing and best interests of the people who use the service. This will be better supported through more prompt delivery of the organisations’ training programme. EVIDENCE: Previous reports have shown that there had been a number of management changes at the home in the last few years. A manager has recently been registered in respect of the service, indicating a more permanent and stable arrangement. Mrs Lisa Bowman has worked in the home for three years and been the unit manager since August 2007. She was registered with the commission on 28/08/08, is currently completing the registered manager award (RMA) and plans to do an NVQ level 4 in care after that. Since being in post, the manager has built up links with external agencies and improved 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 24 communication with the families of people who use the service. Staff we spoke with said the manager is supportive and approachable. The home’s annual quality assurance assessment (AQAA) told us that the home had reviewed the Quality Assurance process and implemented an annual development plan for the service. During our visit we saw evidence that service user and other stakeholder surveys are carried out and the results are reflected in the development plan. For example, the lounge is being decorated and the garden being re-designed to meet the wishes and needs of people who live in the home. We saw records of monthly quality assurance monitoring visits carried out by a senior manager. Following these the manager draws up an action plan to meet any points raised. The record for the July 2008 visit identified an issue of staff mandatory training not being completed and this has been further highlighted in our report. All the requirements from the previous inspection report had been met. There was other evidence of safe working practices being upheld in the home. For example, records of up-to-date fire drills, fire alarm tests and checks on the emergency lighting and other equipment. The home carries out a monthly fire safety audit and there is a fire risk assessment for the building. We saw that sharp knives are kept locked in the kitchen, for which there is a risk assessment and that chemicals used for cleaning are also stored safely. Portable electrical appliances had recently been checked and there are weekly in-house Legionella checks. 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 25 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 X 2 4 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 2 X 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 26 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. 1. Standard YA35 Regulation 18(1) Requirement All staff members working in the home must receive prompt training relevant to supporting people who use the service, including mandatory subjects and specialist training such as autism. Timescale for action 08/12/08 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 102B Brockhurst Road DS0000029248.V371436.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 102B Brockhurst Road DS0000029248.V371436.R02.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!