Care Home: 135 Tennyson Road

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What the care home does well Residents expressed a good level of satisfaction in respect of the quality of service they receive. Their views/comments including those of staff have been reflected throughout the report. Residents have access to a good variety of social and recreational activities. This ensures an appropriate level of stimulation for residents, which promotes their welfare and development. Evidence shows that residents are treated with dignity and respect. The home is well presented and offers residents a homely and supportive environment in which to live. Conversations with the residents, manager and staff indicate that great emphasis is placed on maximising residents` independence as far as possible. Evidence also indicates that residents are encouraged to take a full part in the domestic and social life in the home, with staff assistance available as required. Staff members are committed and they have a good understanding of residents` needs, including equality and diversity issues. We saw that staff were courteous, sensitive and helpful towards the residents. Care and staff management systems are being implemented satisfactorily. This means that the residents benefit from a home that is well run. Staff members spoken to said they are well supported. What has improved since the last inspection? The registered manager has been on maternity leave since July 2009. An acting manager is in post to cover the registered manager`s absence. Staff we spoke with are positive about the management style and support they receive. The manager is capable of managing the home well. There were twelve requirements arising from the last inspection report dated 11 November 2008. There is evidence to indicate that these have been addressed to good effect. The home now ensures that effective guidelines and infrastructure are implemented to ensure people with mental health needs receive the support they need to live a fulfilling lifestyle. Good opportunities are offered to all the people using the service in regards to activities and stimulation by ensuring sufficient numbers of staff are rostered on to support people. The environmental standards have been reviewed to ensure all areas of the home are safe for people to use and is in good decorative state. All taps have been fitted with blenders, in order to ensure that hot water temperatures are within safety limits. Covers have been fitted to all radiators to prevent accidental burn; trip hazards have been removed from the pathway of people needing to access areas of the home. Redecoration of all rooms have been completed and some flooring replaced to ensure safe standard of hygiene. Risk assessments carried out now highlight the level of risk posed to the person being assessed. The staff team have received specific training, including an awareness of mental health. Mandatory training is updated for all staff. Most staff members have completed their NVQ level 3 training, which means that residents receive care from a knowledgeable and skillful team. What the care home could do better: There is one requirement and one recommendation arising from this report; these need addressing. One staff member must receive training in safeguarding of vulnerable adults. This would ensure the safety of residents. Recommendation: The terms and conditions should be signed by the resident`s relative or advocate as well. This would demonstrate that people`s interests are being represented effectively. Key inspection report Care homes for adults (18-65 years) Name: Address: 135 Tennyson Road 135 Tennyson Road Luton LU1 3RP     The quality rating for this care home is:   two star good 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: Neil Fernando     Date: 2 0 1 1 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: 135 Tennyson Road 135 Tennyson Road Luton LU1 3RP 01582721257 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): eileen.wright@advanceuk.org Advance Support Ltd Name of registered manager (if applicable) Mrs Chido Shamu Rodriguez Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category/ies 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 Code LD Date of last inspection Brief description of the care home 135 Tennyson Road was a mid-terrace house owned by Advance Housing and Support Limited and situated in Luton. It accommodates up to four adults who have learning disabilities. The first floor consists of three single bedrooms, a utility room, a toilet and a Care Homes for Adults (18-65 years) Page 4 of 29 1 1 1 1 2 0 0 8 4 0 4 Over 65 0 4 0 Brief description of the care home bathroom. The ground floor offers a lounge, single bedroom, ground floor toilet/shower room and a kitchen/diner. A pay phone for people using the service is also available. There is access to a bus stop at the end of the road and the buses go to Luton, Harpenden, St Albans, Watford and London. The are local shops, churches and a memorial park nearby. Stockwood Park is within ten minutes walk. The home has a ramped access to the front door intended for wheelchair users and a pleasant garden at the rear of the house for staff and people to enjoy. A copy of the statement of purpose and service users guide is available at the home for potential residents and any visitors to read. The fees is between £988:95 and £1043:46 per resident, per week. 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: two star good 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 2 stars. This means the people who use this service experience good quality outcomes. We, the Care Quality Commission, undertook this unannounced key inspection on 20 November 2009, the last having occurred in November 2008. We spoke with two residents, the manager and two staff. We spent time discretely observing residents and staff care practices. We had a look round the home and viewed a range of records the home must keep. We have received a completed annual quality assurance assessment, a document, which gives the manager the opportunity to tell us how the home is meeting the standards and regulations. We have also received surveys from three residents and two staff. At the time of the visit, there were two people in residence with two vacancies. Care Homes for Adults (18-65 years) Page 6 of 29 The manager was present throughout the inspection. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? The registered manager has been on maternity leave since July 2009. An acting manager is in post to cover the registered managers absence. Staff we spoke with are positive about the management style and support they receive. The manager is capable of managing the home well. There were twelve requirements arising from the last inspection report dated 11 November 2008. There is evidence to indicate that these have been addressed to good effect. The home now ensures that effective guidelines and infrastructure are implemented to ensure people with mental health needs receive the support they need to live a fulfilling lifestyle. Good opportunities are offered to all the people using the service in regards to activities and stimulation by ensuring sufficient numbers of staff are rostered on to support people. The environmental standards have been reviewed to ensure all areas of the home are safe for people to use and is in good decorative state. All taps have been fitted with blenders, in order to ensure that hot water temperatures are within safety limits. Covers have been fitted to all radiators to prevent accidental burn; trip hazards have been removed from the pathway of people needing to access areas of the home. Redecoration of all rooms have been completed and some flooring replaced to ensure safe standard of hygiene. Risk assessments carried out now highlight the level of risk posed to the person being assessed. Care Homes for Adults (18-65 years) Page 8 of 29 The staff team have received specific training, including an awareness of mental health. Mandatory training is updated for all staff. Most staff members have completed their NVQ level 3 training, which means that residents receive care from a knowledgeable and skillful team. 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place to ensure that residents needs would be fully assessed; this is so that identified needs could be fully met by the home, on admission. Evidence: The AQAA tells us The service has a Statement of Purpose and Service User Guide. The service user guide has been adapted to include pictures for service users better understanding. Potential service users needs and aspirations are fully assessed by the manager the service user and external stakeholders to ensure that an appropriate and effective service can be provided. The home has a statement of purpose and a service users guide in place. Both residents said that they have received a copy of the above documents. The manager reported that a copy is also offered to the residents relative. Case files viewed for both residents contain a pre-admission assessment completed by the manager, prior to an offer of a placement being made. Each file provides detailed Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: information of the residents identified needs and the level of support required. This includes physical, health, personal care and well being, safety and risk, social and recreational activities, culture and religion and preferences. At the time of the inspection, there were two residents accommodated, with two vacancies. Both residents have lived there for a significant number of years. No admissions have therefore taken place since the last inspection on 11 November 2008. The home has an admission policy and procedure in place should it be needed in the future. Both residents said that they had visited the home before they decided to come to live at 135 Tennyson Road home. A copy of the terms and conditions is available in each file. These have not been signed by their relatives or advocates. It is good practice to show that peoples interests are being represented effectively. The manager said that she would take remedial action, as appropriate. Care Homes for Adults (18-65 years) Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning system is clear and this ensures that staff have the information they need to meet the identified needs of the residents. Evidence: The care plans for both residents were viewed. Each care plan contains a good level of information about the residents personal routines and likes and dislikes, so that staff are able to support them in the way they like. The current residents have good verbal communication skills and abilities. The content and details in the care plan is based on contribution from the resident, their relative, staff and information from the care manager. There is a good network of support available from various health care agencies as evidence in care records maintained at the home. Staff said and residents confirmed that they are able to express their wishes, feelings and preference. Risk assessments have been completed and and these are updated as and when required. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Both residents said that they are happy with the manner staff care for them. Staff help me all the time and My key worker supports me to clean my room and takes me out for shopping, are examples of comments from residents. We have received completed surveys from three residents and they are all positive about the care they receive. When I need support Ill get it from the staff, said one resident. No areas of concern are noted within the surveys. We discreetly observed staff care practice and spent time in the company of residents. Residents related well to staff. They were noted to be happy, comfortable and relaxed in the company of staff and their physical environment. Evidence of internal and external reviews to ensure that needs are being addressed and unmet needs monitored, is available. We spoke with two staff members and they demonstrated a good knowledge of the identified care needs of each resident. They provided examples of established ways of ensuring that residents are offered choices, as appropriate. Care Homes for Adults (18-65 years) Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents experience a varied lifestyle according to ability and enjoy a good diet. Evidence: The AQAA states Service users are enabled by staff to access activities within the home environment and the local community, cultural, spiritual, learning and work opportunities are promoted where desired. Following the last inspection there has been good progress in improving the level and variety of social and recreational activities for residents. Residents enjoy a more personal and individually tailored activity programme. The manager and staff told us that residents participate in various community activities and evidence of this is available in the activities programme viewed. Both residents said that they are happy with the level of activities they participate in. I am always busy doing things with staffs help and I go to the day centre four times a week and my friend visits me at Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: home, are comments made by the residents. During the morning of the inspection, both residents were occupied with meaningful activity. In the afternoon, one resident went out with a member of staff whilst the other resident spent time at home. Records examined show that residents are well supported to experience, participate in and enjoy individually tailored activities and social events both within the home and within the wider community. Staff reported that residents also have an annual group holiday of their choice. This year they went to Dublin for four days accompanied by staff members. Residents spoke positively about the annual holiday and were only too happy to recount the good time they have had. We note that residents had also enjoyed days out to various places of interest to them. Residents are offered a key to their bedroom and main entrance doors. Staff members do not enter without permission, as each resident is able to indicate, come in. Locks on bathroom and toilet doors can be overridden in an emergency. Residents open their own mail and they have access to all parts of the house. Menu is organised daily, in order to ensure that residents have access to the meal of their choice. They are involved in shopping and cooking, and appropriate staff support is available. A record of what residents eat is maintained on a daily basis. Records indicate that residents experience eating out occasionally. 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. Residents receive good health and personal care support, which enables them live as independently as possible. Evidence: Residents personal and health care needs are assessed and the details are clearly recorded. Case files examined show that residents ongoing care needs are being reviewed on a regular basis and care plans are updated, as appropriate. There are systems in place to encourage and enable residents to make independent choices with respect to personal care, clothing, daily routines and food. Throughout the day, we observed staff encouraging residents to make personal choices regarding various matters. The personal and health care needs of each resident are appropriately identified and well documented. All residents are registered with a doctor from a local group practice. Other professionals they have access to include district nurse, optician, podiatrist and dentist. The manager said that the residents are being supported well by the various community health care agencies. Records are in place to demonstrate this activity. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The policy and procedure on medication is available and accessible to staff. All members administer medication to residents and they have received appropriate training on the subject. We also have refresher training regularly reported one staff. We sampled various aspects of the medicines storage, recording and administration system and these are noted to be in order. None of the current residents selfmedicate; however, staff interviewed are clear that a risk assessment would be completed, prior to any residents self-medicating. Staff always give me my medicines on time, said a resident. 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. Residents would be able to raise a concern and there are systems in place to ensure they are safe from harm. Evidence: The AQAA states Service users are provided with information on what constitutes abuse and harassment via their support files and are provided with accessible information on how to raise concerns or make a complaint. The home has its own complaints procedure, details of which are in its statement of procedure and service users guide. Residents have a copy of the complaints procedure and staff reported that their relatives are also given information on how to make a complaint. Surveys completed by three residents indicate that they would be able to raise a concern, if dissatisfied with any aspects of about their care. I can speak to a staff if Im not happy, but Ive no problem, said a resident we spoke with. Record shows that two minor complaints have been raised by residents and these have been resolved satisfactorily. Staff on duty explained to us how residents express their personal choice and preference on routine issues and also how they would be able to express a concern about anything. Staff we spoke with are clear that issues are picked up through the key worker system, monthly residents meetings, direct observation, any change in a behavioral pattern or through one of the homes established monthly summary report Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: of relevant development, prepared by the key worker. Documentary evidence is available to support what staff had told us. Records show that all staff, bar one, have received training on safeguarding of vulnerable adults from harm. The manager is aware of this shortfall and the need for remedial action. We asked both members of staff on duty about their understanding of the term and what they would do, should an incident be detected. Both made reference to the reporting procedure, which they said is available and accessible to them. Both staff echoed confidence in the system in place. There has been no safeguarding matter arising since the last inspection undertaken on 11 November 2008. 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. Residents live in a home that is clean, homely and comfortable that suit there needs. Evidence: The AQAA states Building is suitable for the placement (that it meets service users needs),we ensure it is kept safe and well maintained. The home is decorated and furnished to a good standard, and the premises are well maintained. There is a well presented lounge incorporating a television. The kitchen/diner is of a good size, well equipped and is close to the lounge. There are four bedrooms and two were occupied at the time of the visit. They are noted to be well decorated and furnished. Evidence is available to indicate that residents are being encouraged to personalise their bedrooms and redecorate them if they so wish. Residents are offered a key to their bedroom and main entrance doors, thus promoting their independence. There are communal bathroom/shower and separate toilet facilities, which are adequate for the resident group. The first floor is not suitable for people with a physical disability who are dependent on a wheelchair or other mobility aids. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: There is a good size, well maintained garden to the rear of the property, which is well used by residents during the warmer season. A good standard of cleanliness was noted throughout the building. There were no health hazards noted. 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. Staff members are appropriately trained, which means residents receive good quality care from a competent staff team. Evidence: The AQAA states All care staff are recruited in accordance with the corporate selection and recruitment procedure which includes the completion of an application form with full history of employment, the signing of a Rehabilitation of Offenders Declaration, an interview and satisfactory Criminal Records Bureau (C.R.B) and reference checks. The staffing arrangements have been reviewed and there are now adequate care staff available on each day and night shift. In terms of numbers and skill mix, the staffing arrangements are appropriate to ensure that the needs of the residents could be met. Information gained from residents and staff including the manager, confirms that they consider the staffing levels to be appropriate; also, both residents spoken with were very positive about the quality of assistance they received. Staff are always here, said one person and Staff help me with a lot of things, reflected another resident. Examination of personnel files for two staff members shows that the required documents including proof of identity, written references and Criminal Records Bureau Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: clearance had been obtained. Staff interviewed said that the required checks including CRB checks and references had been obtained before they started work at the home. One staff said that My induction programme took place over a period of six weeks and it helped me settle in my job pretty well. Staff told us that they have regular supervision sessions and team meetings; they also told us that there has been good training opportunities provided. We saw documentation to support these. Most of the staff members have completed an NVQ level 3. Staff were positive and committed to their work. They have a good understanding of their respective roles and responsibilities. Surveys from two staff also indicate good training opportunities. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The day to day management of the home is stable, thus ensuring that residents receive a good and safe standard of care. Evidence: The AQAA states The organisation has a dedicated Health, Safety and well-being Manager and good policies and procedures for ensuring the health, safety and wellbeing of staff and service users. Training is provided to all staff during induction on all statutory health and safety Requirements and updated in line with legislation. The registered manager has been on maternity leave since July 2009; she is expected to return to work by June 2010. An acting manager is in post to cover the registered managers absence. She has an NVQ level 3 and she hopes to do the Leadership in Management and Care course in the near future. The manager said that she is well supported by her locality manager. Both members of staff we spoke with were also very positive about the management style and support they receive. Examples of comments include Management support is very good and She is approachable and available. The manager is capable of managing the home well. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: A quality monitoring system (form of annual surveys), based on seeking the views of residents, representatives, professionals and staff, in order to improve the quality of its service for residents is in operation. The manager is hoping to complete the next survey by February 2010. Monthly visits have been carried out, in order to ensure appropriate standards are being maintained; reports on these visits were available at the home. A range of records were viewed and these are noted to be satisfactory. The homes policies and procedures are stored in the office and are accessible to staff. Evidence shows that Staff have received training relating to health and safety; their practice in this area is noted to be good, thus ensuring the safety of residents. 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 1 23 18 One staff member must receive training in safeguarding of vulnerable adults. This would ensure the safety of residents. 15/02/2010 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 5 The terms and conditions should be signed by the residents relative or advocate as well. This would demonstrate that peoples interests are being represented effectively. 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. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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