Care Home: 145 Kingsley Road

Similar services:

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

What the care home does well All service users have an individual plan of care and this is made up with the involvement of service users. Care plans are simple and easy to follow and give staff all the information they need to provide the correct type and level of support that service users need and want. Residents who we spoke with were aware that they had a plan of care and they told us that the staff knew what they liked to do and that they supported them well. We observed staff interacting with service users and we saw that the home was a busy and lively place and that service users felt relaxed and confident in the home, we saw that people are treated with respect and their right to dignity maintained. Those service users we spoke to told us that staff listen and act on what they say. When asked in surveys What the Home Does well comments included; Everything, I like it all, I love going out with staff and my friends and I have lived her over 20 years and I want to stay here. The daily routines in the home are flexible and service users are able to make informed choices, there was evidence in care plans to show that service users were able to make their own decisions wherever possible and this allows service users to be in control of their lives as much as possible. Service users told us that they liked being able to choose what they want to do. The service has robust recruitment procedures in place and service users are involved in the recruitment process and have a say of who is employed at the home. Staff only start work at the home once all recruitment checks have been undertaken and this provides protection for service users. New staff at the home complete a thorough induction and are provided with the training they need to provide the correct support to residents in the way they prefer so service users can be confident that they are supported by trained staff. What has improved since the last inspection? Since the last inspection the home has supported a new resident to move into the home and settle in well, this has been a success as the service user had previously had a number of failed placements. The home has also managed to recruit a male member of staff and this has proved to be a positive appointment for all of the service users especially the two male residents. The outside of the home has been re decorated and one service user has been supported to have their room re decorated. What the care home could do better: There were no requirements or recommendations made as a result of this visit and when we asked service users What the Home Could Do Better the response from service users was; Nothing, Stay just the same and everything is good. Staff who returned surveys also did not identify any areas for improvement.One area where we felt there could be improvements was with the internal decoration of the communal areas of the home and for the home to put in place a programme of refurbishment and redecoration to ensure that the home is kept in a good state of repair both externally and internally. Key inspection report Care homes for adults (18-65 years) Name: Address: 145 Kingsley Road 145 Kingsley Road Milton Portsmouth Hampshire PO4 8HN     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: Mick Gough     Date: 1 2 0 8 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 31 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 31 Information about the care home Name of care home: Address: 145 Kingsley Road 145 Kingsley Road Milton Portsmouth Hampshire PO4 8HN 02392294649 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.mencap.org.uk Royal Mencap Society care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 145 Kingsley Road is a residential home providing care and accommodation for up to eight adults and older persons who have a learning disability. The registered provider is Royal Mencap. The property is owned by Portsmouth City Council who lease it to New Era Housing Association, who have financial responsibility for the maintenance of the majority of the physical environment. The home is located in the Milton area of Portsmouth and is close to shops, a post office and other community facilities such as a public house. The sea front, including a promenade and beach, is within walking distance of the home. The home has 8 single bedrooms and there are 2 bathrooms and Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 8 Brief description of the care home a shower room, there is large lounge and a large kitchen/dining room. Care Homes for Adults (18-65 years) Page 5 of 31 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 report details the evaluation of the quality of the service provided at 145 Kingsley Road and takes into account the accumulated evidence of the activity at the home since the last visit to the home which was conducted in July 2007 and the homes Annual Service Review which was carried out in August 2008. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA), which arrived when we asked for it and was completed satisfactorily. The AQAA is a self assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Prior to the site visit we sent out surveys to service users, staff and health care professionals to obtain their views on how the home was meeting the needs of service users. We received responses from six users of the service and all the responses were positive and comments included; I like cooking meals with the staff, I like being able to Care Homes for Adults (18-65 years) Page 6 of 31 choose what to do, I have lived here over 20 years and I want to stay here and I like going out with the staff and my friends. Four members of staff also returned surveys and responses were all positive about the home comments from staff included; The staff team all work well together and always want the best for service users, we meet the needs of 8 very individual people well, staff involve residents in all the things that happen and support them to go out in the community, the residents have a lot of input making the home a good place for service users to live and for staff to work. Included in the inspection was an unannounced site visit to the home, which was conducted on the 12 August 2009 between 1330 and 1700 and for this visit we involved seven users of the service and 3 members of staff who we spoke with on the day of the visit and this provided us with information about the home and how the service users are supported. Other evidence for this report was obtained from reading and inspecting records, including pre admission assessments, plans of care, medication records training and recruitment records and records relating to health and safety and quality assurance. We also looked at how the agency deals with any complaints and issues regarding the protection of vulnerable adults. We looked at some of the homes policies and procedures and throughout our time in the home we also observed the interaction between staff and users of the service. On the day of the visit the registered manager was not available, however we were assisted through the visit by the homes deputy manager who was able to provide us with all of the information we asked for. The home is registered to provide support for 8 residents and at the time of the inspection the home was full. Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this visit and when we asked service users What the Home Could Do Better the response from service users was; Nothing, Stay just the same and everything is good. Staff who returned surveys also did not identify any areas for improvement. Care Homes for Adults (18-65 years) Page 8 of 31 One area where we felt there could be improvements was with the internal decoration of the communal areas of the home and for the home to put in place a programme of refurbishment and redecoration to ensure that the home is kept in a good state of repair both externally and internally. 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 31 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 31 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. Prospective users of the service can be confident that their needs would be fully assessed before they move into the home. Evidence: The majority of the residents have lived at the home for over six years with some moving in when the home opened over 20 years ago. There has been one new service user since the last visit to the home and we looked at the pre admission assessment for this person. The pre admission assessment was completed by the care manager and this was a comprehensive document. We also saw social service assessment in place. The person moved in from another care home and there was good information provided by the previous home. The service users was well known by the other residents at the home through the day service that they use and all existing residents were happy for this person to move into the home. 5 or 6 short visits were arranged including staying for lunch or evening meal so the person could find out what it was like to live in the home and this also gave existing residents the opportunity to see how the person fitted in. A weekend stay was also arranged, which went well. After these visits a decision was made to admit the person on a trial basis before making a Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: final decision. All of the pre admission visits were recorded and the pre admission process was through and this ensured that the home, and the person who was moving in could be confident that the service could meet thier needs. Care Homes for Adults (18-65 years) Page 12 of 31 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. The assessed needs and personal goals of residents are reflected in an individual plan of care and this enables them to lead fulfilling lives. People who use the service are well supported and are encouraged to make decision about their lives with assistance given by staff. Residents are supported to take responsible risks and this allows them to live an independent lifestyle as much as possible. Evidence: Care and support plans were seen for 2 residents and these were comprehensive documents and were clear and easy to follow. Care plans were person centered and they gave clear information on individual, problems and needs and included information on daily routines, general health, sleep patterns, eating and drinking, likes and dislikes, hair care, personal care, mobility, communication and detailed their ability to make decisions. Care plans also had detailed support plans, which identified needs, gave information on desired outcomes and provided an action plan to achieve this. For example one plan said - I need to be reminded to eat slowly and I need to be supported in the kitchen as I do not use knives or the oven. Another example was I Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: need support when I am walking on uneven ground and staff need to link arms with me to give me support and confidence. We spoke to residents and they were aware of their care plan and knew who their key worker was, they told us that the information in the care plans reflected their views and wishes on the support they needed and they understood what support would be provided and how this would be given. The detailed information in the care plans gave staff the information they needed to be able to support the residents in the way they wanted to be supported and allowed residents to be as Independant as possible. Care plans were reviewed every month by the service users and their key workers and there was a more formal three monthly review and the reviews provided an evaluation of how the care plan was working and also detailed any changes that were required, this helps ensure that any changing needs are identified and the care plan is up to date to reflect service users needs. Daily recording was clear and detailed what the person had been doing during the day/evening and also provided good evidence of care delivery. Residents are supported to make decisions about their day to day lives and staff were observed interacting with residents and taking their views into account. Care plans and recording gave good information on how staff involved residents in decision making and staff told us that they would respect residents wishes. All residents have keys to their rooms and also keys to the front door of the home. Some residents are able to go out independently while others need staff support. The deputy manager told us that the home is currently in the process of supporting a resident to go out independently and there is a plan in place to provide step by step support until the person and the home are confident that the resident can go out on their own. We were able to speak with 6 residents and they were all able to tell us what they had been doing during the day, they told us that they made there own decisions and had meetings every month to plan the menu and had house meetings every two months. There are regular one to one support sessions and service users had the confidence in the staff to challenge any decisions if they did not agree with them. Care plans looked at contained risk assessments and these gave details of the assumed risk, the level of risk and also details of the risk. They detailed control measures to minimise the risk and they gave staff good information on any support that was required. The homes completed AQAA told us that care plans are very comprehensive and are person centered and service users are fully involved in compiling and reviewing care plans. It also told us that there are comprehensive risk assessments and service users Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: are fully involved. From discussions with service users, staff and the deputy manager and from viewing care plans we were able to confirm this. Care Homes for Adults (18-65 years) Page 15 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to take part in appropriate activities and they have opportunities for personal development and are encouraged and supported to be part of the local community where they engage in appropriate leisure activities. The homes visiting policy supports residents to maintain family links and their rights are respected. Residents are offered support to plan their own menu are provided with a balanced diet in pleasant surroundings. Evidence: The homes completed AQAA told us that told us that all service users attend day services and this includes college courses and activities. It also told us that service users are supported to use the local community and visit local cafes, bars and restaurants as well as leisure facilities. This was confirmed by the activities plans we saw for each resident. There was a board in the staff office which told staff what each residents had planned for each day. Service users told us that they knew what they Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: were doing and enjoyed a range of different activities, theses included; swimming, keep fit, photography, tea dance, line dancing, arts and crafts, scrap booking and trips into the community. One service users enjoys gardening at the day service allotment and staff told us he regularly brings back fresh vegetables, which everyone eats and enjoys. The home also organises, walks trips to cafes, shopping and meals out. College courses were arranged through day service and these included, cooking skills, numeracy, literacy, computer skills and maintaining relationships. Most of the residents had one day off from day service each week and they used this time to go out with staff to pay their rent, go shopping and to clean their rooms and do their laundry, those residents who did not have a day off did these tasks at weekends. Residents told us that they always have lots to do and that they enjoyed going to day service, one resident who did not go to day service on the day of the visit told us that she liked the day off to do all her chores. One resident works at Portsmouth football club at every home game and he told us that he enjoys this. All residents are involved in planning holiday/ short breaks etc, holidays this year are planned for Yorkshire and also Egypt. We were told that in the past holidays have been arranged to Turkey, Morocco, Isle of Wight, Disneyland Paris and Corfu. There were pictures around the home of these holidays and residents and staff told us that they are always fun. The education, occupation and leisure activities provided for residents enable them to lead meaningful lives outside and within the home. The home supports residents to maintain contacts with family and friends and residents exchange greeting cards and speak to relatives on the phone and some relatives visit the home or residents are supported to go and visit relatives. The home has a clear visiting policy and visitors are always welcome and we were informed that staff would respect residents wishes on who they wish or do not wish to see. Daily routines in the home promote residents independence as much as possible and they are encouraged to participate in day to day routines. Residents have a rota for chores around the home including helping with cooking, household cleaning and feeding Felix the house cat. During the visit staff were observed interacting with residents and they got on well together, staff used residents preferred form of address and those residents we saw and spoke with were very happy at the home. The deputy manager told us that residents could be involved as much or as little as they want. Mail is given to residents unopened and staff support is available if required. Residents have access to all areas of the home and there were no restrictions. Menus at the home are made up with residents involvement and there is a monthly meeting to discuss the following months menu and all service users are involved in this process with staff support to ensure a balanced diet. The home has a pack of Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: meals in picture format and this is used to help plan the menu along with cook books. Breakfast is normally a choice of cereals, toast or cooked items, lunch is normally a packed lunch which service users make up themselves the night before with staff support. The main meal of the day is in the evening. A picture board with the menu for the evening meal is displayed in the kitchen and a record of all food consumed is kept. The manager told us that the menu is flexible to allow for meals out and takeaways. Residents go out with staff to buy the weekly shopping and they are also encouraged to help as much as possible with meals and meal preparation. Residents are able to make their own drinks and most are able to make their own snacks but staff are on hand to give support as and when required. Residents told us that they enjoyed the food at the home, one resident had been out for lunch and told us that he had a good time when he was out. On the day of the visit we observed staff supporting residents with their evening meal and residents helped to lay the table and this was a social occasion where all residents sat down together with staff. Care Homes for Adults (18-65 years) Page 18 of 31 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. The health, personal and social care needs of residents are set out in an individual plan of care and residents have access to all relevant health care professionals. The staff at the home supports residents to have regular health checks and ensures that their health care needs are met. Residents are protected by the homes policies and procedures regarding medication. Evidence: The majority of residents at the home are independent and do not require a great deal of support with personal care tasks. The homes completed AQAA told us that personal care is offered in private and service users can choose when they want support. Service users are encouraged to be as independent as possible. It also told us that support plans provide information on what support is required and when. We were able to confirm this on the day of the visit by looking at care plans and by speaking with staff and residents. Care plans provided good information on what actual support was required and all support needed was detailed in care plans and support is offered flexibly to suit residents needs. The majority of residents just needed verbal prompts, however one care plan had good information for staff on the persons morning routine and gave clear information on how the person wanted to be supported to brush their Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: teeth. Support plans enabled service users to be in charge of their personal care but also enabled the correct support to be given when required. One resident spoken to told us that she can do most things herself but staff help her to wash her hair. All residents are all registered at local GP surgeries and service users are able to keep their own GP. Dental checks are obtained through 3 local dental surgeries sight tests are obtained from local opticians. 3 members of staff at the home have received training to provide foot care for residents and staff and residents have support from the local learning disability team if required. Any other health care professionals are available through GP referral. Residents folders contained details of health care visits and all service users have an annual health check. The files seen contained information on any health care appointments and these provided evidence that residents health needs are monitored and met. The completed AQAA told us that the home uses a monitored dose system and some service users self medicate and that there were appropriate risk assessments in place. We looked at medication procedures and 2 residents self medicate, the home had risk assessments in place and residents had suitable storage facilities in their rooms for their medication. Although the home did not administer medication for these service users staff did sign Medication Administration Records after they had checked that the service users concerned had taken their medication. These checks were welcomed by residents and gave them the confidence to administer their own medication. Staff support other residents with their medication and this is provided to the home in a monitored dose system by a local pharmacist. All staff have completed training in medication procedures and administration and we looked at medication records and those seen were clear and up to date. Care Homes for Adults (18-65 years) Page 20 of 31 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 a clear and accessible complaints procedure, which includes timescales for the process and service users can be confident that their views would be listened to and acted upon, any complaints are logged and responded to appropriately. The homes policies and procedures help to protect service users from any form of abuse. Evidence: The homes completed AQAA told us that there had been no complaints since the last visit to the home and this was confirmed on the day of the visit. The home has a clear and accessible complaints procedure and this was in a format suitable for the residents at the home. Staff members spoken to were aware of the complaints procedure and the deputy manager told us that she would assist and support any resident who wanted to make a complaint. Residents told us that they would speak to a member of staff if they had any concerns and they were confident that they would be listened to and taken seriously and any concern would be sorted out quickly. The home has a copy of the Hampshire Adult Protection procedure and has a whistle blowing policy. Staff training records showed that staff receive training with regard to adult protection and Protection of Vulnerable Adults (POVA) as part of their induction, there is also annual training in Safeguarding. The deputy manager told us that there had been one adult protection issue that had been referred to social services, which after appropriate investigation was not substantiated, however clear records were kept at the home. Staff members spoken to confirmed that they had received training and Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: were aware of their responsibilities in this area. Care Homes for Adults (18-65 years) Page 22 of 31 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. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours Evidence: The home is a large and spacious and offers a good standard of accommodation. The home is in a reasonable state of repair, however there are some areas of the home that would benefit from redecoration. There are 8 single bedrooms, The ground floor has one bedroom, 1 shower room with WC and a separate WC, there is a large lounge and an open plan kitchen dining room. The downstairs also has a staff office/sleep in room and there is also a utility room and an additional office for the manager and her deputy. Upstairs there are 7 bedrooms, 2 bathrooms and 2 separate WC.s. Residents rooms were personalized and decorated to individual choice, but some of the communal area were looking a little tired and residents told us that they would like it to be redecorated to brighten the place up. There had been a leak from the down stairs shower room and this resulted in the flooring being taken up and this has yet to be replaced. The home is owned by Portsmouth City Council but is managed by a managing agency We were told that repairs to the home can take some time and we were not able to see a programme of repair refurbishment and decoration so it was not clear how regular maintenance and decoration is carried out or who is responsible for this. We spoke to the deputy manager who told us that she will speak to the area Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: manager about this issue so it can be raised at a more senior level. There is a pleasant garden with a sitting area and residents can choose to spend their time where they wish. All areas of the home were clean and tidy and we were told that residents are encouraged to keep their own rooms clean and tidy and are supported by staff to do this. All hot water outlets in the home have thermostatic regulator valves which keeps hot water temperatures at a safe level and these are checked weekly to protect service users. There is a small utility room which has separate facilities for laundering clothing and this is equipped with a domestic washing machine and tumble drier. Residents do their own laundry with staff support as required. Residents spoke to told us that they enjoyed doing their laundry. The home has policies and procedures on infection control and staff receive training in this area. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides support for residents in a flexible way to ensure that there are always sufficient staff on duty to meet residents needs. Service users are supported by competent, qualified and appropriately trained staff who have the skills and knowledge required to supports residents and meet their needs. There is a thorough recruitment process and the homes recruitment policy and practice protect residents. Evidence: We looked at the homes staff rota and this showed us that there is a minimum of one staff member on duty at all times and additional staff are provided to provide cover at meal times. Service users are out at day service from Monday to Friday from 0830 to 1530 so this is sufficient to meet their needs. At weekends additional staff are provided to allow for planned activities and we were told by staff that residents like to have their days planned out so extra staff are provided as and when required to cover residents social activities. Residents told us that there is always someone around to help them and they felt that there was enough staff on duty to meet their needs. Staff told us that if they wish to plan any activities the management will ensure there is enough staff on duty to enable the activity to take place. The staff rota allowed for flexible shifts to enable staff to support residents out in the community and additional staff are provided to facilitate activities and appointments. The deputy manager told us that she has a stable staff team who are reliable and flexible to meet residents Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: needs. The homes AQAA told us that the home has a robust recruitment procedure and we looked at the staff files for 2 staff members and both files contained all of the required information including;application form, 2 references, Criminal Record Bureau and Protection of Vulnerable Adults checks, photograph, and proof of identity. The provider organisation has a human resources department who assist in the recruitment of new staff and the home has also provided training for 2 residents to enable them to assist in the recruitment process and be involved with interviews, this allows residents to have a say of who works at the home. Staff spoken with told us that their recruitment was thorough. The deputy manager told us that the home has a low staff turn over and there has been one new staff member employed in the past 12 months. The organisation that runs the home has a training co-ordinator who provides training for all staff employed at the home, there is a yearly training plan and managers can book staff on training as the courses come up. Staff undertake a comprehensive induction and we spoke with a new member of staff who told us that the induction was good and relevant to the work undertaken. Staff have to complete an induction workbook and this is signed of by the manager or her deputy as each section is completed. Once the workbook is completed it is sent away for independent verification. Mandatory training is carried out in; moving and handling, fire safety, adult protection, medication, first aid, health and safety, food hygiene and infection control. Additional training is also made available to meet the needs of residents and this includes; learning disability, autism awareness, deprivation of liberty person centered planning and communication. The deputy manager told us that training needs are discussed at supervision and also at staff personal development planning, she told us that the organisation would support any training that would benefit the residents. Staff members spoken with confirmed that they had received a good induction and said that there was regular training provided at the home and this benefits both staff and users of the service. Care Homes for Adults (18-65 years) Page 26 of 31 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. Residents benefit from a well run home and the views of residents and other interested parties are sought on how the home is meeting needs. The health, safety and welfare of residents and staff are promoted and protected. Evidence: The homes completed AQAA told us that the Registered Manager is experienced and that there is a good quality assurance system. It also told us that the health safety and welfare of residents and staff are protected. The homes manager was not available on the day of our visit. The home deputy manager told us that the manager has been running the home for over 20 years and has completed NQV4 in Care, and the Registered Managers Award. The manager has just returned from maternity leave and in her absence the deputy manager has been running the home, she has also completed NVQ4 in care. The deputy manager assisted us throughout the visit and was able to answer any questions asked of her and all records and documents were up to date and readily available. The deputy manager works well with her team and the residents, and it was clear they everyone Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: got on well together, comments from staff who completed surveys told us that there was a very good staff team who supported each other and were flexible to meet the needs of residents. The provider carries out regular visits to the home in accordance with the regulations and reports of these visits were available at the home. There are regular staff meetings each month and residents meetings are held every two months and all staff receive regular supervision. The deputy manager told us that she sends out annually questionnaires to relatives and other stakeholders to seek their views on how the service is operating and the organisation sends out questionnaire to residents. Staff told us that there views are sought and taken into consideration to ensure that the home is operating in the best interests of service users. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for gas safety, fire alarms systems and equipment. There is an in date fire risk assessment for the building and regular health and safety monitoring takes place to protect residents and staff Care Homes for Adults (18-65 years) Page 28 of 31 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 29 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 30 of 31 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 31 of 31 - 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!