Care Home: 11 Clewlow Place

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What the care home does well There have been no new admissions to the service in the past 5 years. The staff group remains static with many long serving members of staff. The staff group provide continuity for people and very positive relationships are established between staff and people using the service. Staff combine a friendly and professional approach that benefits people in their daily lives. The small staff group is extremely committed and often all are involved in supporting people on external visits and holidays. People live a purposeful and interesting lifestyle with a range of activities chosen by themselves rather than arrangements made simply for occupation. All people we spoke with said that they were happy about their life at Clewlow Place and told us enthusiastically about their activities both in and outside the home. External activities based in the community are very popular and people choose the type of activities they wish and access a wide range of social and recreational facilities. Plans of care, statement of purpose, complaints procedures, menus and other documents are all provided in an excellent pictorial format allowing all people using the service easy-read access to important information. The home is small in registration and provides a warm, homely environment that is constantly maintained and upgraded. There are no restrictions upon budget or finance. The Registered Manager and staff continue to promote the excellent quality of care that has been delivered in this home. What has improved since the last inspection? The ongoing redecoration and improvements continue with new lounge furniture, garden furniture and redecoration of communal and bedroom areas completed in the past year. Upgrading of the laundry area and the first floor bathroom are in process and will be completed in the new year. The home continues to further extend the range of activities both internally and externally particularly to compensate for the reduction in college places available to people using the service. Some progress has been made in relation to unlocking finances available to one person whose financial affairs are handled by the Local Authority. The home will continue to make representations to the Local Authority for the release of further funds. What the care home could do better: Improved recording of prescribed creams will ensure people have the correct treatment to ensure good health. The complaints contact information needs to be updated. Visits by the registered providers should be monthly and a report left in the home.We consider Clewlow Place to exceed many of the National Minimum Standards. Peoples views are solicited, they are listened to and their views and wishes are acted upon. This is central to the homes philosophy and the excellent service provided to people who live there. Key inspection report Care homes for adults (18-65 years) Name: Address: 11 Clewlow Place 11 Clewlow Place Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA     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: Peter Dawson     Date: 2 1 1 2 2 0 0 9 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 29 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 11 Clewlow Place 11 Clewlow Place Adderley Green, Longton Stoke-on-trent Staffordshire ST3 5DA 01782593743 F/P01782593743 gracelandcare@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Graceland Care Ltd care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home Only (Code 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) 7 Physical disability (PD) 1 Date of last inspection Brief description of the care home Clewlow Place is a residential home situated near to Longton and is registered to provide a service for seven adults with a learning disability, there is registration to accommodate one person with a physical disability. The home is a detached modern building with lawns and patio areas to the side and rear. All bedrooms are for single occupancy. Two are located on the ground floor; one providing adapted accommodation with shower and bathroom for a person with a Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 7 1 Brief description of the care home physical disability. There is a large lounge, separate dining area, kitchen laundry, toilets and office on the ground floor and five bedrooms and bathroom with shower cubicle on the first floor. A total of five bedrooms have en-suite facilities. The home has use of a minibus to access community facilities and has good links to public transport. The home is within walking distance of Longton town, which has a variety of shops and services. There have been no new admissions to the home in the past 5 years. The majority of people using the service are now over 60 years of age. The staff at the home are committed to accessing community facilities where possible and for individuals to be included in their local community. Health services are provided from the primary health care teams and specialist services from learning disability personnel where required. Current fee levels can be obtained by contacting the service direct. Care Homes for Adults (18-65 years) Page 5 of 29 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 last Key Inspection of this service was carried out on 21/03/2007. There have been 2 subsequent Annual Service Reviews. This Key unannounced inspection was carried out by one inspector on one day from 08:30 - 14:30. The service completed an AQAA (Annual Quality Assurance Assessment) that was returned to us on the required date following this inspection. Information from the AQAA could not be included in this report as the inspection was brought forward to an earlier date. The AQAA contains information about the standard of service being provided and we were satisfied as a result of this inspection that the service continues to provide excellent outcomes for people using the service. During the inspection we saw all seven people living at Clewlow Place and spoke to Care Homes for Adults (18-65 years) Page 6 of 29 them all separately or together. People told us with enthusiasm that they were happy with their life at Clewlow Place and gave us considerable detail about their daily lives and activities. We were able to sit an chat to some of the people and later able to observe and engage with them when they were involved in the usual daily activity sessions - on this occasion preparing for Christmas only 4 days away. Christmas decorations were seen throughout the home and people told us that they had chosen and helped with the decoration of the home. There was an air of excitement and anticipation. Prior to the inspection we had received seven questionnaires (one from each person) giving us their views of the service. These were very positive - confirming out views about the quality of service that we observed and that became evident from our discussions with people during the inspection. We inspected the communal areas of the home and saw all bedrooms, generally escorted by people using the service. We had access to all records including care plans, risk assessments, medication records, accident records, staffing rotas and files. We inspected the system of medication in use in the home including storage and administration. The Manager was present throughout the inspection and we were able to speak to four members of staff present for part of the day. We provided feedback to the Manager at the conclusion of the inspection about the outcome of the inspection day. We confirmed that the home continues to provide an excellent service for the people whose live there. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Improved recording of prescribed creams will ensure people have the correct treatment to ensure good health. The complaints contact information needs to be updated. Visits by the registered providers should be monthly and a report left in the home. Care Homes for Adults (18-65 years) Page 8 of 29 We consider Clewlow Place to exceed many of the National Minimum Standards. Peoples views are solicited, they are listened to and their views and wishes are acted upon. This is central to the homes philosophy and the excellent service provided to people who live there. 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 9 of 29 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 10 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peple have access to information about the home including the support and facilities availble to them. All information is provided in a pictorial format ensuring people fully understand the information availble to them. Evidence: There have been no new admissions to Clewlow Place since 2005. Documenation is consistent with current good practice. There is a statement of purpose and service users guide with pictures and symbols that have been written in plain English. All people using the service have a copy of these documents that they keep in their bedroom. Included is a copy of the annual contract with detailed clear information about how the home will support individual needs. Care Homes for Adults (18-65 years) Page 11 of 29 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. Person centered care planning focuses upon individual strengths and personal preferences Evidence: A sample of two care plans were examined in detail. They included information based upon holistic assessments including details of personal and health care needs, social networks, lifestyle, cultural needs and daily activities. They reflected the individual needs of people and were written in the first person defining the individuals usual routines and support they needed in daily living. Plans were written in plain English and presented in an excellent pictorial format for easy understanding. Care plans are reviewed regularly by nominated Key Workers who discuss the plans in detail with the individuals who had signed them. Plans were all different and highly individualised demonstrating the commitment in supporting individuals to lead purposeful lives chosen by them. Care plans included comprehensive risk assessments, regularly reviewed Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: demonstrating that risks are managed positively to help people lead the life they choose. Restrictions upon individual freedom are agreed with the person and fully documented. There are opportunities for people to influence key decisions in the home, including daily positive engagement with staff, weekly meetings to discuss the daily routines of the home and peoples choices. Involvement of relatives and advocates are sought to support or clarify any concerns in daily living and decision making. We again looked at and discussed the question of an individuals finances that were handled by the Local Authority. It was clear that the person had more than adequate finances to purchase items that would make her life more comfortable. This should be pursued, if necessary with assistance from an Independent Advocate. Care Homes for Adults (18-65 years) Page 13 of 29 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. People are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Evidence: The number of college placements have reduced over the past couple of years, due to age and general restrictions applied by the local colleges. Two people do still attend one for only one day each week the other person attends 2 days. They are involved in activities for personal development,drama, dance, music and art skills and enjoy attending. Staff have responded to the college course changes by developing a wider range of in-house activity sessions for all people using the service. On the day of this inspection, 4 days before Christmas, all were engaged usefully, naturally and spontaneously during the morning with individual activity together, this included crafts, making Xmas gifts, jigsaws, painting and completing personal scrap books of social events and experiences they have been involved in throughout the year. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Christmas music was playing, people were chatting together and excited about and making plans for Christmas. People told us that apart from the indoor activities they enjoy, they go into the community on at least 4 days each week to pubs, restaurants, bowling, theater or trips to local places of interest. All competed to relate their holiday experiences - all have been abroad previously but this year have chosen 3 breaks at Butlins Minehead, Llandudno and Blackpool. They make joint decisions about where and when they go and all the staff group go with them. All have enjoyed recent Christmas parties they had been invited to and had also all attended the Staff Christmas Party at a local hotel - staff enjoy the events too. People are involved in food choices and all said that they enjoy the food. There is a weekly meeting where the menu for the week is decided. People are involved in shopping, food preparation, baking. Care plans include risk assessments relating to food preparation and kitchen activity. On the day of this inspection all people were at home (college closed) and the group democratically discussed and decided to have lunch at a local pub/restaurant. There was good evidence of the homes objectives of promoting an individuals right to live an ordinary and meaningful life both in the home and in the community. It was clear that daily routines were flexible and chosen by the people using the service and not by staff. Routines are person centered, although the 7 people living together in this home choose external activities together as a large family group. The home have a vehicle solely available for their use that will seat up to 12 people. Most people have family support that is encouraged and promoted. People are encouraged in personal relationships inside and outside the home, two people told us they were boyfriend and girlfriend and they spend time together as they wish. Prior to this inspection we sent a questionnaire to each of the 7 people using the service, asking for their views. All returned the completed surveys and all were extremely positive about their lives at Clewlow Place. Some comments were as follows: I enjoy going to play bowling and playing in house on the Wii console. I like my bedroom and like helping cleaning it with help from staff. I like writing and doing my jigsaws with the other residents and staff. I enjoy going on holiday with the staff and Blackppol is my favourite. All the staff look after me and I like living here, there is nothing the home could do better I like going to college on Monday and Tuesday. We go on holiday at least two times a year with the staff. I like going to the supermarket on Thursdays to do the home shopping. I can go to the local shop on my own to fetch my TV book for the week. Staff take me to visit my sister in Cheshire. We do to Christmas parties and have birthday parties for all the residents. We go to the pub, Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: theater and bowling. I get on very well with the other residents and also the staff, we are one big happy family. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive effective personal and health care support from experienced and knowledgeable staff. Improved recording of creams will ensure people have the correct treatment prescribed to maintain good health. Evidence: Individual plans clearly record peoples personal and health care needs, with details of how they will be delivered. All have a separate Health Action Plan known and discussed with each person in the home. Many are independent in relation to personal care but require oversight and prompts to ensure good personal hygiene. One person needs assistance with bathing due to a physical disability but appropriate en suite bathing facilties, including a bath hoist are provided. Regular weights are recorded and regular monitoring of diabetic needs were seen. Diabetic eye screening had been carried out twice in the last year, although an annual optical test for this person is now due. Two people have been diagnosed with dementia, one successfully prescribed anti-dementia medication, the other person has some behavioural needs and has been referred to learning disability behavioural specialists. Behaviours are now being well managed with diversionary tactics Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: deployed. One person has epilepsy with regular minor seizures that are closely monitored and recorded. The health care needs of people are managed with external visits to the GP and other health professionals, they have good access to all NHS facilities. Staff have detailed knowledge of peoples health care needs and are alert to changes in mood, behaviour and general wellbeing. We looked at the medication system operating in the home. All medication is checked into the home with ongoing counts of medication allowing an ongoing audit check of all medication. Medication returned to the pharmacy is recorded and countersigned by the pharmacy. All staff administering medication have had appropriate training and we saw learning sheets for medication supplied by the pharmacy. There was evidence of anti-psychotic medication in place. We were told that attempts had been made at medication reviews with the GP to reduce this type of medication but long-term use presented problems when this was tried. In relation to prescribed creams, we saw that one person had 3 creams prescribed, although one only had been signed for on the MAR (Medication Administration Record) sheet. One had been administered every other night previously but another had been used daily. Staff had been signing for the wrong cream. This must be clarified with the GP/Pharmacist. Creams no longer in use must be removed from the MAR sheet and those in use provided with instructions for the correct cream to be applied in the correct place at the correct time. Care Homes for Adults (18-65 years) Page 18 of 29 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. There is an open culture where people are encouraged to express their views about the service. They are protected by a staff group trained and knowledgeable about Safeguarding Procedures. Evidence: There is a pictorial complaints procedure in the home - all people have a copy of this in their bedroom, together with a copy of the Statement of Purpose, Fire Safety procedures and telephone number of the Independent Advocacy Service. All documents are in easy-read pictorial form and the complaint procedure is also regularly discussed in meetings. The contact information in the complaints procedure for the Care Quality Commission needs updating. The home has an open culture that allows individuals to express their views and concerns. These are actively sought in the daily life of the home. No complaints have been received by the home or by us since the last Key Inspection in March 2007. Policies and procedures regarding safeguarding adults are available in the home and staff have clear guidance about what constitutes potential abuse and the procedures for reporting any concerns. All staff have received training in the Safeguarding of Vulnerable Adults. This is further discussed in staff meetings and supervision. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: One person does not have a personal bank account, monies are managed under Trust by the Local Authority. This has been disadvantageous to her in contrast to other people who have ready access to their own monies. Since the last inspection the person has been made aware of how much money she actually has. Apart from purchases of personal items and clothes she would like to purchase items of furniture and equipment for her bedroom in the way that other people do. The home were advised to make application for monies from the Social Services Care Manager, involving the use of an Independent Advocate if necessary. Care Homes for Adults (18-65 years) Page 20 of 29 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 living environment is homely, clean, safe and comfortable meeting the individual needs of the people living there. Evidence: The home is a detached modern building with lawns and patio areas to the side and rear. All bedrooms are for single occupancy. Two are located on the ground floor; one providing adapted en-suite accommodation with shower and bathroom for someone with a physical disability. There is a large lounge, separate dining area, kitchen, laundry, toilet and office on the ground floor and five bedrooms and bathroom with shower cubicle on the first floor. A total of five bedrooms have en-suite facilities. Ongoing redecoration and renewals are in place. In the past year some bedrooms have been redecorated, the lounge has been redecorated with new lounge furniture, new garden furniture has been provided. The laundry and first floor bathroom need refurbishing and this is planned for the new year. The Manager reports that there are no restrictions or budget for maintenance by the providers and finance is available for the laundry and bathroom improvements. Bedrooms were all well decorated with quality furniture and soft furnishings. The Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: individuality of people is reflected in the bedrooms that are comfortable, homely and well-presented. Individuals make decisions about colour schemes and fittings. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced and well trained staff team provide individual support and a quality service for people living at Clewlow Place. Evidence: There is a stable staffing team, many have several years experience working in the home. There have been no new staff appointed since the last inspection. All staff have completed NVQ training and other training is updated on an ongoing basis as needed. There are regular training days and workshop days. There are no restrictions or budget controls for training that is readily available to all staff. Staff supervision is carried out regularly and there is an annual appraisal for all. There is a minimum of 2 staff on duty throughout the daytime, usually 3 and sometimes more. To supplement the small staff group of 5 there are 2 bank staff who are former members of staff and will cover for sickness, holidays etc. One person sleeps in and on call at night time. The flexibility of the small staffing group is excellent. There are times when all staff come on duty (sometimes not paid) for example for holidays or other external events. The stable and committed staff team provide important continuity for people using the service and there are well established, close relationships between staff and people Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: using the service. Staff recruitment procedures have been good with appropriate checks to protect people using the service. Recruitment procedures were not further inspected on this visit, as there had been no new staff appointments. The Manager and Deputy have recently completed a Dementia Training Course and also a course on the Mental Capacity Act and Deprivation of Liberties Safeguarding at Stoke on Trent College, cascading this training to other staff and reviewing the practices of the home as a result. Care Homes for Adults (18-65 years) Page 24 of 29 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. People benefit from a well managed home with an experienced, well trained staff group. The choices and aspirations of people using the service are at the centre of the homes philosophy. Evidence: The Registered Manager has the required experience and qualifications to manage the home, having considerable experience in providing a quality service for adults with a learning disability. She works hands-on with other members of staff and has an open syle of management, at the same time taking a positive lead in the home. She is readily accessible to people using the service, their relatives, staff and visitors. The small staff team is extremely cohesive and committed to developing the service and provide individuals with a purposeful and social inclusive lifestyle. The health, safety and welfare of people is paramount to the homes objectives and are met. Quality assurance is supported by daily feedback and listening to people using the service. We saw written questionnaires the service had recently received from six Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: relatives of the seven people in the home. They were clearly satisfied with the service being provided at Clewlow Place comments from 3 relatives included: Christine and staff do a wonderful job, not only for (my relative) but all clients in the house, they are just wonderful We are delighted with the quality of care that ............receives I am very satisfied with all the efforts with ................ and how staff involve me if I need to be The above responses have been summarised by the home and are available to people using the service, staff and visitors. The home was awarded the Investors in People award three years ago. This has recently been considered for renewal at a cost of £2K. This is a small home and it was felt that the money could be used more usefully for the benefit of the people using the service, so did not apply for renewal of the award. The Dignity in Care Award, awarded by the Local Authority has been given to the home this year. It was reported that the providers regularly visit the home as required under Regulation 26 of the Care Home Regulations. A report on these visits should be left in the home for the Managers information and for inspection purposes. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 1 20 Greater clarity will ensure creams follow the prescribers instructions so that people receive the correct medication to ensure good health. Visits to the home by the Registered Providers should be monthly and a written report provided to the Manager and left in the home. 2 43 Care Homes for Adults (18-65 years) Page 28 of 29 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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