Care Home: 163 Newington Road

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What the care home does well People living in this home really have a say about what they want to do with their lives. They each have their own personal plans that they develop with their key worker, using colourful pictures that are relevant to them and that they can understand. Their plans focus on their dreams, which are recorded and then small steps are set out to show how they will achieve them. Innovative methods have been used to bring these plans to life and ensure they are meaningful. All of the people living in this home have achieved lots of their dreams in the past year. They enjoy a wide variety of activities in the community that include: swimming, horse riding, archery, bowling, snooker/pool, ice skating, shopping, visits to the local pub and eating out. Holidays are arranged that people have chosen and helped plan themselves. They have each had two holidays in the past year, with staff support, that they have really enjoyed.Contacts with families and friends are fostered and supported, with most people having regular family contact. Staff listen to families` views as well of those of the people living at the home. This helps to ensure that any matters of concern, or needing clarification are immediately dealt with. The home is clean and homely. There is a friendly atmosphere and lots of laughter. Staff receive the training they need to do their jobs properly. This includes signing and other communication methods to make sure they can give the right support to people who are deaf, blind, or have physical and learning disabilities. What has improved since the last inspection? In the past year, a new conservatory has been added to provide extra space for people living at the home to relax in. There are now three separate lounge areas, as well as the kitchen diner, providing the young people with more choice of communal space. A sensory garden has been created with scented plants, providing a pleasant area to stimulate the senses. This is particularly beneficial for people who are deaf/blind. Two raised beds have also been added to enable people in wheelchairs to be able to do some gardening if they choose. All of the bedrooms have been redecorated during the past year in colour schemes chosen by the individuals. The rooms are all different, reflecting the choices, interests and personalities of the people occupying those rooms. For example one person has chosen to have one red wall with a red door, another room has a blue theme and another mauve. There has been a stable staff team over the past year and the organisation has ensured that staff have developed their skills. For example the whole staff team have been doing an in-depth signing course and were due to take their examination the week following the visit to the home. Staff were observed communicating well with the young people. What the care home could do better: As this is a purpose built home, appropriate support is in place throughout the environment. The registered manager and senior staff have extensive experience of working closely with the client group and act as advocates to the people living in the home, ensuring that the right action is taken to address any new needs identified. The organisation and manager have an annual development plan for the home, which they work to, adding new things as they are identified throughout theyear. The manager has completed an Annual Quality Assurance Assessment that identifies the home`s strengths and areas for development, with its improvement plans for the forthcoming twelve months. The organisation also carries out its own internal Service Quality and Financial Audit every two years. The manager indicated that the latest report gave very positive feedback. This, together with evidence in the full body of this report, indicates that this home has excellent management practices that promote and protect the best interests of the people living there. CARE HOME ADULTS 18-65 163 Newington Road 163 Newington Road Ramsgate Kent CT12 6QB Lead Inspector Christine Grafton Key Unannounced Inspection 18th October 2007 09:50 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 163 Newington Road Address 163 Newington Road Ramsgate Kent CT12 6QB 01843 596896 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) jill.sutton@sense.or.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Jill Helen Sutton Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: 163 Newington Road is a new, purpose built bungalow situated close to Ramsgate town centre, with local bus routes close by. There is allocated parking to the front of the building with ample on road parking also available. There are four bedrooms that are large, all have an ensuite shower and toilet, and there is ample space for armchairs and desks if required. There is a paved area surrounding the building for wheelchair access to all external areas with a small garden and sensory area. Internal corridors are wide and the building offers a homely, comfortable and welcoming atmosphere. The home is staffed by a manager, who works weekdays supernumerary to the staff team of a deputy manager and support workers. The deputy manager and support workers work shift patterns covering daytime hours with one person sleeping-in on the premises at night. Staffing levels are set to support service users’ activities and needs. The fees for support provided by the home are agreed during the assessment period. Fees are set to the needs of the individual service user, depending on the level of support required and the staffing numbers provided. This range could vary greatly, for example, fees are currently from £1,963.6 to £2137.5 per week. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes account of information received since the last inspection, including a visit to the home. A short notice visit to the home was arranged to ensure it would be at a time when people living there would be at home and when staff would be available to aid with signing communication. This was undertaken on 18th October 2007 between 09.50 hours and 16.30 hours. The visit included talking to the manager, staff and with people living at the home. Some records and all areas of the home were seen. At the time of the visit there were four people living at the home and they were all in at various times of the day and encouraged to participate fully with the inspection if they wished. Telephone surveys were undertaken with relatives of three of the young people who live at the home and the feedback has been used to inform judgements made throughout the report. The findings of this inspection indicate that the people living in this home enjoy a very good quality of life. What the service does well: People living in this home really have a say about what they want to do with their lives. They each have their own personal plans that they develop with their key worker, using colourful pictures that are relevant to them and that they can understand. Their plans focus on their dreams, which are recorded and then small steps are set out to show how they will achieve them. Innovative methods have been used to bring these plans to life and ensure they are meaningful. All of the people living in this home have achieved lots of their dreams in the past year. They enjoy a wide variety of activities in the community that include: swimming, horse riding, archery, bowling, snooker/pool, ice skating, shopping, visits to the local pub and eating out. Holidays are arranged that people have chosen and helped plan themselves. They have each had two holidays in the past year, with staff support, that they have really enjoyed. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 6 Contacts with families and friends are fostered and supported, with most people having regular family contact. Staff listen to families’ views as well of those of the people living at the home. This helps to ensure that any matters of concern, or needing clarification are immediately dealt with. The home is clean and homely. There is a friendly atmosphere and lots of laughter. Staff receive the training they need to do their jobs properly. This includes signing and other communication methods to make sure they can give the right support to people who are deaf, blind, or have physical and learning disabilities. What has improved since the last inspection? What they could do better: As this is a purpose built home, appropriate support is in place throughout the environment. The registered manager and senior staff have extensive experience of working closely with the client group and act as advocates to the people living in the home, ensuring that the right action is taken to address any new needs identified. The organisation and manager have an annual development plan for the home, which they work to, adding new things as they are identified throughout the 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 7 year. The manager has completed an Annual Quality Assurance Assessment that identifies the home’s strengths and areas for development, with its improvement plans for the forthcoming twelve months. The organisation also carries out its own internal Service Quality and Financial Audit every two years. The manager indicated that the latest report gave very positive feedback. This, together with evidence in the full body of this report, indicates that this home has excellent management practices that promote and protect the best interests of the people living there. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People moving into this home are given all the information they need to decide if the home is right for them. Their needs and aspirations are thoroughly assessed and they can move in knowing that they will be supported to achieve their aspirations. EVIDENCE: The home provides a very clear statement of purpose and an informative service users’ guide. Both of these documents are also written in versions with simple language, symbols and pictures, making it easier for the young people living in the home to understand. People living at the home have their own copy. A relative confirmed that they had been given ample verbal and written information about the home before deciding if it was the right one for their family member. A young person’s admission process was discussed with the manager and confirmed by the relative. This involved the young person visiting the home with their parents and social worker initially, after which several visits were arranged over a period of time, including a meal time visit, overnight stay, a 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 10 two night stay and participating in an outing. A trial period is then arranged. The relative confirmed that the admission process had been a positive experience for the young person and family. The assessment documentation is very thorough and the information is used to inform the individual’s person centred plan. Each young person has two key workers who work with them to develop their person centred plan. Evidence was seen of innovative methods used to make these individual and meaningful to the person, taking account of their diversity needs. Assessments are undertaken with multi agency participation, including care managers and families/advocates, if chosen by the young person. Assessments include risk assessments, full assessment of needs, what the young person wants to achieve and a detailed support plan. Also included are guidelines on communication needs, interventions for minimising risks and implementing safeguards. A ‘Personal Passport’ is developed for each person with their preferred communication method, pictures and names of important family members and friends, what they like and what is not liked and a host of other important information, relevant to them, which is assimilated into a booklet. This can be taken with them when they go out to places such as college and hospital and they can give it to other professionals to aid communication and make sure their needs are understood. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in this home have their own individual person centred plan that celebrates them as an individual and ensures their needs are met. They are enabled to make their own decisions and choices and are supported by competent staff to enjoy fulfilled lifestyles. EVIDENCE: The person centred plans (PCP’S) use visual displays that are developed by each young person with the assistance of staff. The plans present both dreams for the future and the goals that the person decides they want to work towards at a given time, with the steps and timing of each move to achieve the goal. The PCP’s enable the young people to decide exactly what is important in their lives, they choose how goals are to be achieved and who will be involved. They 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 12 choose pictures to explain their dreams for the future, to describe the important people in their lives and who is in their ‘Circle of Friends’. Pictures explain and show details from birth, from childhood, covering important events and people who make up social and family members. This explains the life and needs of the young person, who is important to them and where support comes from. This gives them complete autonomy with regard to their plan and also presents a pictorial reminder for them. The PCP’s seen and discussed with the young people and their key workers were highly individual. Discussion with staff indicated an exemplary level of understanding of the uniqueness of the individual and what is important to them. Pictures and photographs are used in creative ways and clearly show progress made, when goals are achieved and new dreams identified. Then the plan moves to the next goal. Examples of goals achieved include: choosing and planning a holiday; choosing a new wardrobe of clothes, including going shopping to a variety of different stores, the young person communicating with shop assistants, rather than staff doing it for them; going to a famous fast food outlet for a strawberry milkshake; having a hair cut at a hairdressers in the community. These are important achievements demonstrating equality for these young people who are deaf and/or blind and might also have physical and learning disabilities. Some of these activities might involve an element of risk, which is considered within in a risk management framework. Risk assessments are carried out prior to any activities being undertaken with appropriate support mechanisms in place for safety. Regular reviews are undertaken with each young person and all other appropriate agencies, agreed by the individual. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The young people living in this home enjoy their chosen activities, many of which are undertaken in the community, supporting both choice and independence. They are supported to maintain contacts with families and friends and they enjoy a balanced and healthy diet. EVIDENCE: The young people in this home take part in a wide variety of activities chosen by themselves. These include individual activities and some group activities. They attend colleges, go out into the community a lot, doing things such as: horse riding, swimming, bowling, archery, going to the gym, belonging to a social club and playing snooker and pool, shopping, visiting pubs and eating out. Some of the group outings during the past year have included: a river boat cruise in London, a steam train ride at Tenterden, a short break at a 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 14 holiday camp prior to last Christmas and a recent week’s holiday at a Centre Parc activity centre. Pictures in the PCP’s and review records evidence the enjoyment of the young people attending these events. The holiday was chosen and arranged by them with support from key workers. Discussion with the young people at the home and relatives spoken to indicated that they like living at 163 Newington Road and confirmed that they lead fulfilled lives. All activities are decided through consultation with the individual and clearly set out in the PCP’s and supported by appropriate staffing levels. Discussion with the young people and their relatives confirmed that they are supported to maintain family links and friendships. A relative commented on how well the home is meeting the needs of the young person and stated that the home is extending them further. Meals are decided on a daily basis and are eaten in a congenial environment in the kitchen diner. The young people are involved in cooking their own meals with assistance from staff and choosing what they want to eat. Visual prompts/suggestions are made with pictures if support is needed. Meals are also decided around the activities programme and some meals are eaten out. Take aways are enjoyed, usually once a week at weekends and finger food is provided at times when the young people want to watch something that is important to them on the television, for example football matches. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal support is provided in a sensitive manner that maintains privacy and dignity. The young people living in this home benefit from good health care support and they are protected by the home’s procedures for managing their medication. EVIDENCE: From the records seen, observations and discussion with staff, it was clear that personal care and support is provided in a manner that promotes dignity, privacy and independence. For example, the young people choose their own clothes; preferences regarding personal hygiene needs are identified in the PCP’s and staff offer support to ensure these are met. This might be something as simple as making sure that a person smells nice and has their favourite perfume, or body spray to hand; knowing and ensuring hair care needs are met. The young people’s files contain details of their individual health care needs. Records indicated that any health issues are appropriately addressed. The 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 16 young people have access to healthcare professionals and visits recorded include: contacts with doctors, hospital consultants, occupational therapist, speech therapist, dentist and optician. Staff are knowledgeable about medical conditions that affect the young people. Appropriate moving and handling equipment is provided and staff are properly trained to ensure safety. The home uses a monitored dosage medication system. Medication is stored securely and appropriate records maintained. Since the last inspection, there has been a change in the way medication is stored and administered, following risk assessment. All the medication is now kept in one locked cupboard, rather than in individual bedrooms following an appraisal of the previous procedure. Staff agreed that the new way offers more safeguards and confirmed that the young people were fully consulted and agreed to the change. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in this home are listened to and their views taken seriously and acted upon. They are protected from harm by the home’s policies and procedures and good staff practices. EVIDENCE: The complaints procedure is simplified in a pictorial and symbol format, making it easier for the young people to understand. Staff have regular contact with families, encouraging discussion and working closely with them, ensuring continuity and agreement on what is best for the individual. Staff ensure that they have discussions with the young people on a daily basis. They might use meal times for group discussions, or talk to people individually in the privacy of their rooms, or when they take them out. Staff have got to know the young people well and described how they notice changes that might indicate something wrong. This might be facial expression, pallor, going quiet, or withdrawing. A staff member said, “We would then ask the person if they were OK, or say if you want anything come and speak to me.” Each young person also has a weekly meeting with their key worker, which provides them with the opportunity to say if they are unhappy about anything. The young people were interacting with staff in a relaxed manner and were 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 18 clearly confident and comfortable when discussing recent events that they had enjoyed. Staff confirmed that they have received training on adult protection and this was also reflected in the staff training records. Discussion with the manager indicated that all staff are expected to attend abuse training. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. This home provides an attractive, spacious, safe and homely environment that suits the individual and collective needs of the people living in it very well. EVIDENCE: This is a purpose built home, on one level that has been specially adapted to accommodate people with disabilities using wheelchairs. Corridors are wide and the building offers a homely, comfortable and welcoming atmosphere. The four single bedrooms are all large, with ensuite facilities of a shower, toilet and washbasin. There is ample space for armchairs, desks and personal possessions. All of the bedrooms have been redecorated during the past year in colour schemes chosen by the individual. The rooms reflect the choices, interests and 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 20 personalities of the people occupying them. For example décor colours chosen include: a red theme, another room has a blue theme and another mauve. There are two lounges, a large kitchen/diner that accommodates wheelchair users, a small office and a sleeping in room for staff. Since the last inspection a new conservatory has been added off one of the lounges, providing more communal space. This gives the young people more choice of spaces to pursue their activities, or be quiet if they wish. There is a paved area surrounding the building for wheelchair access to all external areas. A sensory garden and raised flowerbeds have been added since the last inspection. There are scented plants to provide stimulation for people who are blind and the raised beds provide the opportunity for people in wheelchairs to do some gardening if they wish. Appropriate equipment is in place to support independence, including: access lights prior to entry into personal rooms, fire alerts and indicators that the doorbell is ringing. There is also specialist equipment to meet the individual needs of people living in the home. The home was clean throughout and appropriate infection control procedures in place. There is a well-equipped laundry facility and the young people are supported to do their own laundry, with assistance from staff. The bathroom is homely and adapted to meet the needs of the young people. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The well-trained, enthusiastic and supportive staff team at this home enhances the quality of life of the people living there. The good recruitment procedures and practices and the thorough induction programme ensures that the people living there are properly protected EVIDENCE: Any prospective staff member is asked to spend time with the people living at the home, providing an idea of how they will interact and undertake their duties. This also enables staff to observe interaction and the young people are able to give their impression of the person themselves. Decisions in the home are only made after gaining the opinion of the young people. All staffing levels are set after an assessment of daily needs is undertaken. Depending on the daily activities, the rota then reflects the support that is required for each person. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 22 Staff files sampled at this time contained all appropriate paperwork. Criminal records bureau (CRB) checks and protection of vulnerable adults register (POVA) checks are completed prior to any new person starting work in the home, providing appropriate safeguards. Training is decided and driven by individual needs. The induction programme supports both the people living at the home and the staff member. It is undertaken through the organisation in the first instance and then continues in the home until the member of staff is assessed as being fully competent in all areas. There has been a stable staff team at the home during the past year. The home is committed to ensure that the staff team achieve their National Vocational Qualification (NVQ) in care level 2. The manager stated that one staff member has already achieved it and the rest of the staff are currently working towards it. The deputy manager has achieved NVQ level 3 in care. Staff have also completed a wide variety of training courses to enable them to effectively support the people living in the home. Ten staff (including the manager) have done their British Sign Language (BSL) level 1. In addition, one staff member has almost completed BSL level 2. Staff spoken to during the visit demonstrated a high level of understanding of the diverse needs of the people living in the home and demonstrated competence through their actions and discussions. Records seen and comments from relatives supported this. The manager ensures that all staff receive regular formal supervision. All of these things combined with the emphasis on good communication training and evidence in previous sections of this report indicates that the staff team has the skills, knowledge and experience to ensure the people living in the home have a very good quality of life. A relative stated: “People who work there – it’s not just a job, they really care about the …” (young people). 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people living there, with their choices and goals at the centre of all care delivered. The home protects and promotes the safety of the people living in it and of the staff working there. It is run in an exemplary way. EVIDENCE: The manager is appropriately experienced and qualified to run this home. She operates an open management style and observations and discussions with the young people and staff indicate that they are confident and comfortable to speak to her. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 24 A responsible person from the organisation visits the home each month to monitor the quality of the service and identify any areas needing development or improvement. Records and discussion with the manager indicated that as things are picked up, plans are put into place to address any areas requiring improvement. The manager holds a budget for the home and can instigate things quickly where necessary. Health and safety records sampled were well kept. Staff are trained in all areas of health and safety specified in the national minimum standards as important. The manager completed an Annual Quality Assurance Assessment that was submitted to the Commission by the due date and has been used to inform the findings of this inspection. It clearly identifies the home’s strengths and areas for development. It indicates that every two years the home has full internal Service Quality and Financial Audits and the most recent audit gave very positive feedback. The health and well being of the people living in the home is considered at all times and staff expressed a thorough knowledge of individual needs. Two staff members explained the person centred plans and how these are developed, providing an opportunity for the young people to take control of their own future. The enthusiasm that was injected into these explanations clearly confirms the support that young people receive and that their best interests are at the centre of the service given. Comments from parents of three of the young people support the findings of this inspection that this home enables the young people to feel secure and offers a high level of service. 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 4 3 4 4 4 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 4 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 4 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 4 4 X X 3 x 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 163 Newington Road DS0000065732.V352257.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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