Care Home: 14 Gerrards Terrace

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The people who use this service live in a large, well-appointed house in a residential area of Poulton-le-Fylde. It is clear that the residents benefit from the good facilities and space that is offered by the property. It was pleasing to see that all of the people who used this service had individual support on the day of our visit. This meant that they could enjoy individual activities and daily pursuits. The people who used this service had a good level of care that was planned, reviewed, and delivered with their interests at heart. Because of this, those who lived at Gerrard`s Terrace received good quality outcomes from an excellent service. There is a strong emphasis on using activities and resources that are available within the local community. A number of community based activities and interests are promoted. The gentlemen have a good community presence despite the difficulties that are presented from a transport perspective. A mini- bus was used when the people who used the service were attending important appointments. public transport was also used wherever possible. The support workers told us that there had been recent training events that helped them to a better job and most of them had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). They were supported well in their roles and all had a good value base; the needs and interests of the people who used the service were paramount, and the staff were very positive with regards to their rights. Strong policies and procedures, clear directions for staff and good management procedures safeguard the residents interests and help to keep them safe from harm. The people who use this service all have communication difficulties, and the support workers were skilled in ensuring that people were listened to. An increasing number of communication formats and methods have been used to ensure that the residents are able to understand important issues regarding their support. What has improved since the last inspection? There have been a number of training events to promote the knowledge, skills and ability of the care staff. Alterations within the building have now been completed and the facilities that are available to each individual person are very good. A shower room on the first floor has been added, along with office and storage facilities that are away from the living areas of the home. What the care home could do better: The service needs to appoint a manager who is registered by the Care Quality Commission. A permanent, registered manager will help the service to develop further and maintain excellent quality outcomes for the gentlemen who live at Gerrard`s Terrace. Key inspection report Care homes for adults (18-65 years) Name: Address: 14 Gerrards Terrace 14 Gerrards Terrace Carleton Blackpool Lancashire FY6 7NB     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: Christopher Bond     Date: 0 2 0 9 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: 14 Gerrards Terrace 14 Gerrards Terrace Carleton Blackpool Lancashire FY6 7NB 01253895883 F/P01253895883 saml@ubu.me.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Northern Life Care Limited T/A U.B.U. care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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 - Code LD The maximum number of service users who can be accommodated is: 4 Date of last inspection Brief description of the care home 14 Gerrards Terrace is one of four small homes in Blackpool area that is owned by UBU (formerly Northern Life Care). It is registered to provide care to four adults who have a learning disability and physical disabilities. It is situated in Carleton, close to the local shops, public transport and other community facilities in the area. The property consists of a large detached bungalow that accommodates all residents in single bed rooms. Three bedrooms are on the ground floor and one is on the first floor. There have been recent renovations to the home and the accommodation on the first floor has improved. The home has two bathrooms - one on each floor, and there is a Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 4 Brief description of the care home communal lounge, dining room and a large garden area. Information relating to the homes Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, (02/09/2009) the information given to the Commission showed that the fees for care at the home are from GBP1,508.70 per week, with added expenses for holidays and chiropody. 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: This inspection activity took place on 2nd September 2009 and took a total of three hours. As part of the inspection process we spoke to three of the support workers and the assistant manager. The acting manager of the service was unavailable on the day of the inspection. We also spoke to three people who used this service. We looked at the care records of the gentlemen who used the service and how their care was planned and delivered. We also looked at medication records, and policies and procedures, to assess if medication was being administered safely. by the support workers. Care Homes for Adults (18-65 years) Page 6 of 29 We looked at the recruitment process and some of the information that the service held on the people who worked there. We saw how the service ensured that people were safeguarded from harm and protected from unsuitable staff by a robust recruitment procedure and proper checks. Every year the person is asked to fill out an annual quality assurance assessment that tells us about how the service is being run and what plans are being made for the future. We have used some of this information within this report. We also sent out surveys to people who worked within the service and the replies that we received have helped us to reach a quality rating for this service. 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: The service needs to appoint a manager who is registered by the Care Quality Commission. A permanent, registered manager will help the service to develop further and maintain excellent quality outcomes for the gentlemen who live at Gerrards Terrace. Care Homes for Adults (18-65 years) Page 8 of 29 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. Admission procedures are good and people have the information they need to make to make a decision as to whether the home will meet assessed needs. Evidence: The caring organisation had some good information that is available for new residents to help them to make a decision about whether or not the service can meet their specific needs. The Statement of Purpose and Service User Guide both contained valuable information about the service and gave prospective residents and their families/ carers. The assistant manager told us that this information had been given out to interested parties when recent vacancies within the home had been filled. We looked at the information that had been gathered about prospective residents before they came to live at the home. A detailed assessment was available for the manager of the service to make a decision about the suitability of those who wished to use the service, and whether or not they would be compatible with those who already lived at the home. It is important that the right decision is made at this stage because it could cause disruption if someone does not fit in and asks to move service later on. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: It was good to see that new residents were introduced to the service gradually, and that they had time to experience the service before a decision was made as to whether the service was right for them. One gentleman had been admitted from hospital and his admission to the service was done fairly quickly. Introductory visits had been made prior to him moving in and information had been gathered to help ensure that his stay was successful. 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 people who use this service have their needs met in a planned and consistent way. They have a voice regarding how they are supported and are cared for well by the staff at the home. Evidence: Everyone who lived within this service had a care plan where their needs and progress were recorded, along with any health issues that there might be. Some of this information was available in written form, and each person held their individual plan in their room. Other information was available for the support workers on-line, via a computer. All of this information was held confidentially and the support workers that we spoke to were aware of the importance of ensuring that information remained safe. All of the peole who used this service has a communication passport which contained important individual and contact information in illustrated form. This could be used in the event of an emergency when people were bein supported in the community, or for general communicaton purposes. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: A process called getting to know you had been developed that helped the manager and support workers to make decisions about appropriate activities and achievements that would help people to live more independently and develop skills and develop individual competencies. We were able to view some of this information and the support workers told us that peoples lives were developing and progressing appropriately. The gentlemen who lived within this service were making decisions about their lives and communication strategies had been developed to help this. The care plans showed us that any risks that were evident had been properly assessed. A certain amount of risk is necessary to help ensure that people develop and attain new skills. Each risk had been carefully assessed and potential dangers avoided. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Daily activities were individual and well chosen. Good support was available to help people enjoy community activities in a planned and consistent way. Evidence: We looked at the care plans and spoke to the support workers about the opportunities that were available for the people who use the service. It was clear that everyone had an individual life and that the support was available for people to enjoy their chosen leisure pursuits. We looked a the staffing rota and found that, for most of the time, staffing was planned around the needs of the people who lived there. There were four people at home when we visited, and four support workers were on duty. Plans had been made for people to go swimming, shopping and out to other leisure activities during the day. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Everyone chose to attend the local church community events, and other important community resources were used on a regular basis. This helped the people who used this service to become part of the local community. A mini- bus was available as access to local public transport was quite difficult. Traditional day services were not used in order that people could have more individual and meaningful day time occupation. It was nice to see that the support workers were encouraged to have leisure opportunities planned and that routines were part of the service. One gentlemen used a local pool for aqua therapy on a weekly basis and also had a season ticket for the local football club. He had also recently been to a major rock concert with an overnight stay in a hotel. Another gentleman was a railway enthusiast and had personalised his bedroom to reflect this. One person who used this service was a member of a local rambling club and enjoyed frequent walks, and country holidays. Overall, the people who used this service had a good standard of life, with daily activities that reflected their personal interests. This was good to see. People were being seen as individuals with different interests, views and personalities, and daily events reflected this. A small vegetable garden had been started at the side of the house and the people who used the service were involved in growing a small amount of produce. It was good to see that relatives and friends were encouraged to visit the house and that family relationships were ongoing. Two people had recently gone away on holiday with their family. One person who didnt have much family contact had a longstanding advocate who was able to look after his interests and be part of his social life. Mail was not opened without the residents permission. There was a strong emphasis on maintaining the residents individual rights and ensuring that they were involved in the decision making process as much as possible. The service was currently re-assessing meal provision and the people who use the service are being encouraged to select their own meals at a time of their choosing. The support workers were aware of the benefits of providing a balanced nutritional diet. Information about likes and dislikes was available within the care plan. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health needs were being met properly by a supportive and trained staff team. Evidence: It was clear that the service was very aware of the health care needs of the people who lived at Gerrards Terrace. There were clear and precise notes regarding visits to health care professionals. There were records and notes of peoples health issues and the support workers had a good knowledge of each individual and any issues they may have had. We observed the people who used the service being supported in a respectful manner, and dignity was safeguarded. We saw that there was a high support ratio with people being offered one to one support. The support workers were very polite and considerate, and the residents were given time and attention. The atmosphere was very relaxed and there was a general feeling of well-being. Permission was asked for when we looked at peoples rooms and the support workers told us that they always knocked on entering. There were plenty of aids about the home to ensure that the residents could enjoy daily life without discomfort. This Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: included a special bath, a hoist to transfer people comfortably and safely, and hand and grab rails. Advice had been taken regarding postural care and specially designed wheelchairs and lounge chairs were used. We looked at the policies and procedures that were used when the support workers were administering medication. There were detailed, and gave good instruction in administration and storage. The staff needed to be of certain age to administer medication and to provide personal care. Training in medication awareness was also evident. This helped to safeguard the people who used the service from poor practice. Medication was stored individually in each bedroom in a locked drawer. We looked at the records of administration and these were filled out correctly and signed when medication was given. Good medication practice means that people are not put at risk because of poor administration and inconsistency. Most of the people who used this service had some issues regarding verbal communication and the support workers were able to communicate affectively using their awareness of individual communication preferences. It was good to see that peoples needs were being met by a responsive and caring staff team. The recent flu pandemic had increased the caring organisations awareness of the need to protect the people who used the service. Visitors and staff were asked to cleanse their hands on entry to the home, and the staff had a good awareness of infection control. 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. Good training, policies and guidance within this service helped to ensure that people were listened to and safeguarded from harm. Evidence: There was evidence within the Statement of Purpose that there was a complaints procedure within the home and every effort was made to help ensure that each resident was either aware that they could make their feelings about the service known or have an advocate to represent their interests. Support workers were skilled in advocating on behalf of the residents and looking after their interests. One person had an external advocate who was able to speak on their behalf. Support workers and the assistant manager spoke of how the staff team were skilled in recognising when people were not happy or when the service needed to be altered slightly to meet the residents needs. The support workers had received training in safeguarding people. This was also part of the Learning Disability Award Framework, a foundation course about supporting people who had a learning disability. Both of the support workers who we spoke to demonstrated that they had a good knowledge of protection issues and what they should do if they were worried about how people were being treated. There was a strong emphasis on the Mental Capacity Act and what peoples rights Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: were if they were unable to speak up for themselves. We sent out questionnaires to the care staff to ask them about their thoughts on the service. Four of the care staff returned these to us and stated that they were aware of what action to take should anyone have concerns about the service. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a homely, comfortable, safe and positive environment. Evidence: The house was situated in a pleasant residential area of the town. There were transport links fairly close by, and parking to the immediate front of the house made it possible for visitors to park safely. The aura of the house was very homely and the people who used the service looked content and relaxed. We looked around the home to view the facilities on offer. All of the bedrooms were large and there were plenty of personal possessions around. All of the people who lived there had single bedrooms. The rooms were decorated with the interests of the residents in mind. This is important because it helps to ensure that people feel at home and that their room is their space. There were garden areas at the sides of the house, which had wheelchair access. There was a pleasant patio area to the side of the house where people could sit out when the weather was fine. A large lounge area was situated at the front of the house. All the rooms were nicely decorated and furnished. There was a comfortable and homely feel to the house and the residents looked relaxed and comfortable. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The home was very clean, and it was clear that care was being taken to ensure that the home was hygienic and safe for the people who lived there. Laundry facilities were good and the service promoted an awareness of the control of infection. The support workers that were spoken to were aware of this issue. Special measures had been taken to combat the flu pandemic that was currently affecting the country. The bathroom was specially designed to cater for the gentlemens individual needs. A tilting bath was available and an area where personal care could take place comfortably and with dignity. There were aids and adaptations around the home to help ensure accessibility and comfort. 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. Good staff support and regular training helped to ensure that people received a good service that was tailored to their individual needs. Evidence: Almost all of the support workers had a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). The caring organisation had ensured that all of the care staff undertook the Learning Disability Award Framework, which is a qualification that helps ensure that people undergo a good induction into the service and have knowledge of the issues that effect people who have a learning disability. Two support workers that we spoke to confirmed that training had taken place in relevant areas and that mandatory safety training had been given. Proper checks were carried out prior to people being employed to ensure that the residents were protected from unsuitable staff. The staff files were looked at and were found to be in order, with the required information available regarding each of the support staff. The support workers received plenty of individual support from the manager. Both people who were spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: There were enough support workers on duty whilst we were at the home to ensure that the assessed needs of the residents were properly addressed. Staffing rotas confirmed that support was good and there was individual support available at times during the week for all four of the residents at important times. There were waking staff employed to attend to the needs of the residents during the night and a member of the care team slept over. The care staff that we spoke to were very positive about their role and all told us that staffing levels were usually quite high to enable the people who used the service to do things individually, instead of in a group. The Care Quality Commission sent out questionnaires to enable the staff to tell us their thoughts about the service. One person told us, Im pleased with the training, and Im confident that we support people well and enable them to have a good life. We were also told via questionnaires that care staff were appropriately inducted into the service properly before they started as part of the care team. This helped to ensure that people had the right skills and attitude to provide a good level of care. 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 service is manged well, providing a safe environment for people to live in. Care is monitored appropriately to help ensure that a quality service is provided for the people who use the service. Evidence: There had been training in safety issues, including load management, first aid, food hygiene and health and safety. Records of this training were available within the home and the support workers confirmed this. Proper checks had been carried out on the electrical system, gas appliances and fire systems within the home. Training had taken place to help ensure that the gentlemen were assisted to move around the home safely, professionally and with dignity. We looked at the financial aspects of the residents. There were clear and concise records available regarding each persons personal finances and daily transactions were recorded properly. Regular auditing and checks were carried out to ensure the residents money was handled safely. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The caring organisation carries out monthly themed audits on each of their services to ensure that standards are being maintained effectively. This helps to ensure that quality issues are maintained and that people receive positive outcomes from this service. The manager wasnt available on the day of our visit to the service. She has yet to be registered as manager of the service, and an application must be made as soon as possible. We saw that the service was being managed properly; regular quality monitoring checks were being made and staff meetings were being held to pass on important information. The safety of the residents and staff was important and risk assessment was used properly and risks minimized to provide a safe environment. 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 37 A suitably qualified and experienced manager should be registered with the Care Quality Commission. This will help to ensure that the service progresses in a measured and managed way with the interests of the people who use the service at heart. 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. 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!