Care Home: 19 Church Road

What the care home does well The home actively encourages residents to be involved in the running of the home, and making decisions about their daily lives (e.g. through involvement with care plans, key workers, residents` meetings, quality assurance processes, etc.). A particularly good example of this was that keyworkers had monthly meetings with their allocated service user and these were documented. Sampling of care plans evidenced that risk assessments were in place, designed to enable people to maximise their independence. Observation of interactions between staff and people living in the home indicated that people are assisted and supported to make choices about their day-to-day lives, this was witnessed through interactions observed. People living in the home are supported in an environment that is homely and well maintained. Staff were positive in their approach to their work, and interacted positively with the people living in the home. One staff member stated "I love it here it`s great and being with the service users is like having another family". What has improved since the last inspection? The home has improved on and ensured that all prospective residents to the home have their needs fully assessed prior to any service provision being undertaken to ensure their needs are met. Improvements in social interaction and opportunities had been made and where capabilities allowed in discussions with people living at the home it was evident that the level of support and risk taking is proportionate to the capacity of the individual and this is achieved by a combination of formal risk assessment and intuitive judgement based upon knowledge and understanding of the person. One example was evidenced with regard to trips out and ensuring safety checks are made and a holiday had been booked for residents. Provision has now been made for all of the people`s medication to be held in the home, to minimise the risk of administration errors occurring. Provision has also been made to ensure that the home is made accessible to all people land to ensure that the home is able to meet the needs of all people living in the home. The home`s laundry has been refurbished and redeveloped to ensure that it meets the required standard. What the care home could do better: Discussions were held on the day of inspection in relation to regarding the admission of prospective residents and the need to ensure that future assessments take place prior to the prospective resident moving in and are not dated for the same day as admission, and that any prospective service user to be admitted meets the criteria specified in the homes conditions of registration. Some attention was also noted to be required to the dating and signing of documentation and to ensure a consistent approach with the writing of care plans amongst all staff. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 19 Church Road 19 Church Road Clacton on Sea Essex CO15 6AP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Helen Laker     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 19 Church Road 19 Church Road Clacton on Sea Essex CO15 6AP 01255 479926 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: The Regard Partnership Ltd Mrs Elizabeth Anne Barfield care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 6 Over 65 0 Date of last inspection Brief description of the care home 19 Church Road is an adapted property situated within walking distance of Clacton town centre and the local amenities that the town has to offer. The home provides single room accommodation with two bedrooms situated on the first floor. Communal areas consist of a lounge, dinning room and activities room. The home provides an enclosed garden to the rear of the premises. The home is situated providing easy access to the local bus route. Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was carried out as part of the annual inspection programme for this home. The senior carer and one other member of care staff were available on the day of the inspection. The inspection focused on all of the key standards. A tour of the premises was undertaken. Evidence was also taken from the Annual Quality Assurance Assessment (AQAA) completed by the management of the home and submitted to the CSCI. The AQAA provides an opportunity for the service to tell us what they do well and areas Care Homes for Adults (18-65 years) Page 5 of 28 they are looking to improve and/or develop. Improvements or changes are noted as this contributes to the inspection process and indicates the home’s understanding of current requirements, legislation changes and own audited compliance. Three residents and three staff were spoken with during the inspection. Two staff, three service users and one relative completed CSCI’s feedback survey sheets. All comments were taken into account when writing the report. Due to the care needs of the residents at the home it was not possible to fully obtain all their views specifically but from observations, residents’ looked happy, relaxed, well groomed and comfortable. Fees for staying in the home are £1157.90 per week and additional charges are made for hairdressing and toiletries. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 7 of 28 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. 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 9 of 28 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. The home has an assessment system in place that does generally ensure that they can meet the needs of people they admit to the home. Information is available to prospective residents to ensure they will receive accurate information about the service or facilities on offer when deciding to move to the service. Evidence: The home prior to the last inspection in September 2007 had been vacant for a considerable period of time, and the admissions to the home at that time were made on the basis of an emergency. Although the home had a detailed admission process, on that occasion due to the urgency of the admissions it was not followed resulting in the admission of a person whose needs the home is not registered to meet. This matter was discussed with the registered manager at the time of the inspection and is known to the CSCI. Subsequently the manager took steps to have an Occupational Therapy Assessment carried out on the home environment to assess how the home may be adapted to meet the needs of the residents. It is also recognised that because Care Homes for Adults (18-65 years) Page 10 of 28 of the circumstances surrounding the admissions they had all been living together in the same place and it was deemed appropriate to keep them residing together. The home has had no new permanent admissions to the home since the last inspection but has had one respite admission who stayed for three months. This person was also admitted via the emergency process and the home had the assessment and care notes available to review. A review of the admission process in this case showed appropriate processes had been followed and a comprehensive care management and pre admission assessment was seen. A discussion took place with the Senior Carer on duty regarding the admission of prospective residents and the need to ensure that future assessments take place prior to the prospective resident moving in and are not dated for the same day as admission, and that any prospective service user to be admitted meets the criteria specified in the homes conditions of registration. The AQAA acknowledges that There is well-documented evidence in place that the preadmission needs assessments are carried out. However the pre-assessments could be made available in a format that is more suited to the needs of people who use our service. We are told that a pictorial system is currently being investigated. Care Homes for Adults (18-65 years) Page 11 of 28 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. Care planning standards in the home ensure that the care of residents is monitored carefully enough and that they are supported to be involved in decisions about their lives. People who use this care service can be assured that their health care needs are met through the management of medication and they are supported to access health professionals as needed. Evidence: The care plans of all three people living at the home were sampled and inspected and they were used to case track care in the home. An assessment of needs identified, health, personal and social care needs. Person centered care plans had been created which covered topics such as Medical Care, Personal Needs, Mobility, Moving, Handling & Transferring, Behavioural & Emotional, Activities, Financial Management & Care Homes for Adults (18-65 years) Page 12 of 28 Restrictions of Choice & Specific Risks. The homes AQAA refers to “Care Plans being reviewed at least six-monthly and changes are made as appropriate. These changes are recorded and dated within the care plan. Keyworker meetings take place monthly, and relatives, professionals and advocates are involved in this process where appropriate. Full risk assessments are in place regarding service users taking risks. Care plan detail was seen in all of the three care plans and goals/objectives and agreed action were noted. Three monthly reviews were evident. The homes key worker system ensures care plan reviews and updates are consistent. Where capabilities allowed in discussions with people living at the home it was evident that the level of support and risk taking is proportionate to the capacity of the individual and this is achieved by a combination of formal risk assessment and intuitive judgment based upon knowledge and understanding of the person. One example was evidenced with regard to trips out and ensuring safety checks are made. The extent of the primary risk assessment by the staff member was suitable to ascertain whether the person was likely to be at known risk. Observation of interactions between staff and people living in the home indicated that people are assisted and supported to make choices about their day-to-day lives, this was witnessed through interactions observed during lunch. An example of this was that one service user said I want to go home, The carer recognised this as the residents way of saying I would like to go to bed after lunch and then gained confirmation from the service user that that was what they meant and once they had finished lunch that they would be helped to do that. Also a weekly schedule is recorded in each care plan entitled What I do with my time and pictorial records of keyworker meetings documented monthly. Discussion with the senior carer confirmed that the home does access advocacy services on behalf of the people living in the home, all service users have advocates. Documentation relating to limited decision making and the involvement of service users in the formulation their care plans was seen and the senior carer confirmed that where possible advocates were used and their involvement welcomed. Sampling of care plans evidenced that risk assessments were in place, designed to enable people to maximise their independence. Risk assessments were in place relating to the following areas, Mobility, medication administration and personal care, each of the assessments identified the nature of the risk, who the risk may have an impact on, and the steps taken to minimise the risk. Some attention was noted to be required to the dating and signing of documentation and to ensure a consistent approach with the writing of care plans amongst all staff. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can experience a relaxed environment and feel their choices and rights are respected and recognised in their daily lives. Residents can expect to receive an adequate range of food at times to suit their lifestyle and can expect to be supported by the staff team to maintain family links, friendships and access the community. Evidence: The location of the home is within central Clacton town centre and for this reason it is ideal for service users to access a variety of facilities within the town including seasonal entertainment, day drop in centres and general shopping. None of the Care Homes for Adults (18-65 years) Page 14 of 28 service users are currently in any paid or voluntary employment. Sampling of activity records showed that people were involved in the following daytime activities, shopping, going out for walks, visiting friends at the home’s sister home around the corner and attending local activity clubs. The home had a garden party in the summer and regularly takes the service user for trips along the seafront and lunch out. On the day of inspection one of the service users had taken delivery of a new car fitted with a ramp to enable them to be taken out. In addition to the above activities that people are currently involved in two people have done annual college courses. certificates for All about me and Sensory cooking were seen achieved for 2007 and courses booked for 2008 included personal care and sensory sport. One service user now belongs to the local library and service users are invited to attend a monthly afternoon club in Britlingsea and the Busby Club on Tuesday evenings. All three people are on the voter’s electoral role. We are also told that all the service users apart from one were to go on their first arranged holiday with the home on Friday 19th September 2008 to Great Yarmouth in a caravan specially adapted with ramps for wheelchairs. One person who did not like going out, we are told has made progress in the last year and has now ventured out into the garden a couple of times The home has an open door policy on the receiving of visitors, and viewing of the visitor’s book for the home indicated a range of visitors visiting the home. Discussion with the carers on duty on the day of inspection indicated that even though one persons relative had recently re-established contact with their relative after many years of having little or no contact, all of them had family or friends who had some involvement. Examination of records showed that the home operates a four weekly rotational menu. Samples of menus seen showed that a varied diet was provided with all nutritional needs being met. The menus provided were presented in a pictorial format to assist the people living in the home to make a choice. Service users views gauged by nodding and smiles on the day were that they were happy with their meal and the food provided. the homes AQAA does not make reference to how the home has improved in the last twelve months but does tell us Staff are to train in other forms of communication to meet the needs of our service users. Service users have the opportunity to develop independent living skills by sharing responsibilities for house-keeping task, i.e. cleaning, personal laundry, cooking etc. Surveys received from staff and relatives confirmed that improvements in social interaction and opportunities had been made. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect good support and assistance with health and personal care enabling appropriate consultation and respect of individual choice. People living in the home are adequately protected by the home’s practice around administration of medicines. Evidence: Observation of the interactions between staff and people living in the home, indicated that staff were respectful of peoples dignity and privacy, staff were polite and respectful whenever they were speaking to people, and the responses received were happy and cheerful, staff spent time speaking to the people living in the home and not exclusively with each other. Discussion with staff indicated that, times for getting up and going to bed were flexible. The care plans sampled clearly identified the individual’s needs, as well as the choices made as to how these needs were to be met. Care plans were well detailed, and took Care Homes for Adults (18-65 years) Page 16 of 28 account of the changing needs of the individuals. The services of healthcare professionals such as community nurses, occupational therapists, physiotherapists and dieticians were accessed as necessary, evidence of professional input into the home was seen in the care plans. At the time of the homes last inspection there was no storage facility in the home for peoples medication. A medication cabinet on order has now been delivered and is in use and storage and administration procedures were seen to be appropriate. The home does not retain any controlled medicines and the requirement for the home to be able to store them in line with the Royal Pharmaceutical Guidelines was discussed. All staff administering medicines have received training. Two members of staff were on duty on the day of inspection and confirmed they had received training and also the AQAA supports this All the Homes Care Staff have received training in the safe dispensing and handling of medicines. To supplement this training the Home carries out its own annual medication update programme. Medication records sampled on the day of the inspection were all in good order. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can generally feel confident about how to complain and can expect to be listened to and their complaints acted upon. Residents can also be assured that all carers are adequately trained to safeguard their welfare. Evidence: The home has an appropriate complaints policy and procedure, which promotes complaints being taken seriously and responses to them are handled efficiently. Although responses from service users were limited they were able to indicate whether they knew what a complaint was and were able to respond positively about the complaints process and who to direct a complaint to if required. The home maintains records of complaints received. These records showed that one complaint received since the last inspection in relation to food had been responded to appropriately. The provision of the complaints procedure in alternative formats was prominent, pictorially on the notice board and within service users plans where pictorial complaints forms were available. Management of complaints was discussed with the senior carer on duty and the home’s AQAA informs us that “The Home maintains a log for recording any complaints received. Service users are aware of who to speak to in the event that they are unhappy about any aspect of the care provided in the Home. We achieve this by setting out the complaints procedure in a format Care Homes for Adults (18-65 years) Page 18 of 28 suited to the needs of the service users. This is visible on service users notice board as well as in care plans, and is discussed at monthly keyworker meetings. The home has in place a robust complaints procedure that includes the contact details for the Commission for Social care Inspection. The AQAA details there have been no adult protection referrals made since the last inspection. A referral made previous to the homes last inspection in September 2007 was referred appropriately to the relevant agencies. Staff in post have received training in adult protection, and provision is made for any new staff appointed to receive the training once they are in post. The last POVA training course took place on the 7th August 2008. The two staff on duty on the day of inspection displayed via discussion a good awareness of the whistle-blowing policy and procedure. All staff have been appropriately checked for employment, and Criminal Records Bureau (CRB) clearance checks were evidenced. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can expect the communal areas of the home and bedrooms to be of a good quality standard and to live in a clean and safe environment overall. Residents are assured that the maintenance of the home protects their health and welfare. Individual rooms are personalised promoting service users independence. Evidence: The environmental tour of the premises showed the home to be homely, generally well maintained and decorated. Individual bedrooms were appropriately furnished and equipped to meet the needs of the people in residence. Furnishings and fittings in the home were of a good quality and were domestic in nature. It was noted at the homes last inspection that not all communal areas were easily accessible to all of the residents accommodated, it was with this fact in mind that the Occupational Therapist assessment was requested by the registered manager. The building is in keeping with the local community and provided easy access to local facilities. The AQAA, although not confirming any plans for the next twelve months tells us under how they have improved that a wheelchair ramp has been added to rear of the property to enable wheelchair access to the rear garden. and that they Care Homes for Adults (18-65 years) Page 20 of 28 would like to do better by making further improvements to the front and back garden. The back garden at present is just a paved concrete area. The home’s laundry facility was housed in a purpose built outhouse, which has been refurbished and issues were raised at the last inspection regarding problems with transporting laundry through the home, as access can only be made via doors from the dinning room or one of the bedrooms. This was discussed and the home will be looking at appropriate carriers for laundry in the event of inclement weather and to ensure cross infection procedures are maintained within the home, as resiting the laundry is not possible. Since the last inspection the hall has been widened to facilitate wheelchair users and a new wet room has been installed into one service users room. Service users rooms have been decorated and one person who does not like going out or going upstairs has had their room resited to the ground floor. Feedback from surveys did not highlight any environmental issues and one stated Very clean and fresh. On the day of the inspection the home was clean and tidy, and was free of any unpleasant odours. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff employed in the home are appropriately trained and skilled to meet the needs of the people living in the home, and people were supported by the home’s recruitment process. Evidence: Examination of two staff records, as well as discussion with the senior care worker and care staff provided evidence that care staff had a good understanding of their roles and responsibilities and that they were qualified and competent. Records sampled on the day of the inspection showed that staff were receiving Skills for Care induction and core training, which included, fire awareness training, health and safety, manual handling, first aid, food hygiene, abuse awareness and medication administration. Examination of staff rotas showed that staff were employed in sufficient numbers to meet the needs of those living in the home. Staff ratios were 2 staff in the morning, 2 staff in the afternoon and 1 awake member of staff overnight. An on call system is also accessible with support from the homes sister home across the road. The home’s recruitment records provided evidence that the home’s recruitment policies and procedures were robust and effective, records sampled all contained copies of the Care Homes for Adults (18-65 years) Page 22 of 28 following documents, application forms, copies of two written references, Criminal Records Bureau Checks (CRBs), evidence of induction, supervision and training and development. The AQAA confirms The home follows stringent policy and procedures in respect of recruitment of staff. Staff are not employed until they have a CRB check and all references and qualifications are verified. Comments from surveys said ‘staff are quick to attend to my relatives needs’, ‘I think the team does its best for the residents and the carers are very good.’ At the last inspection the formal supervision of staff had only recently commenced and it was not possible to determine if the frequency of supervision met with levels set out in the National Minimum Standards. Staff spoken to confirmed they did have regular supervision and evidence was seen. In discussion with staff and from observation of their practice, all went about their tasks in a caring, friendly and supportive manner. Care Homes for Adults (18-65 years) Page 23 of 28 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 can generally be assured that all aspects of the home are managed appropriately. They should expect that quality systems be based upon appropriate consultation and that they safeguard their health and welfare. Evidence: The current manager for the home was on holiday at the time of this inspection but the homes previous report states the home is managed in an open and transparent manner, by a manager who has many years of experience in the field of learning disabilities and who holds an NVQ level 4 award in management. The home’s quality assurance process is managed at corporate level and includes the use of questionnaires to a range of interested stakeholders including those living in the home, staff, relatives and visiting professionals. An analysis report of these is to be submitted to the CSCI. Care Homes for Adults (18-65 years) Page 24 of 28 In addition to this regular Regulation 26 visits are undertaken by a responsible individual to monitor the effectiveness of the service. Sampling of a range of the home’s safety certificates indicated that the home has in place safe working practices, which protect both the people living in the home as well as staff. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 2 14 The home must ensure that 31/12/2007 the needs of all prospective residents are appropriately assessed prior to any admission to the home. This is to ensure that only people whose needs the home is able to meet are admitted. The home must make 31/12/2007 provision for the safe storage of resident?s medication. This is to ensure that people living in the home are adequately protected. The home?s environment must be laid out and equipped to meet the needs of all of the residents in residence. 31/12/2007 2 20 13 (2) 3 24 23 (2a) Care Homes for Adults (18-65 years) Page 26 of 28 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 27 of 28 Helpline: 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 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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 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. 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!