Care Home: 2 Cross Heath Grove

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What the care home does well The service is really flexible. People can ring up and book what dates they want to come in. People can also say who they would like to come in with, such as friends from the same day service. People have a "customer meeting" to plan and make decisions for their stay, deciding what food to eat and where they would like to go. The staff team makes sure that people with different abilities get the same chances to do things as everyone else. They make sure that if people have chosen to do something then they can do it safely. People have good support plans, which tell the staff what help each person needs and what they want to do. Information is presented in a really good way that is easy for people to understand, with photographs and pictures showing what the written document says. The staff get very good training, which helps them to support people in the rightway. People told us that the staff support them very well. The house is new and has all the equipment that people need to make their stay enjoyable. People said that they like the house and like where it is. What has improved since the last inspection? This was the first inspection since this service moved from where it used to be at Park Lees. What the care home could do better: Nothing was found that was wrong, or that wasn`t up to a good standard. Key inspection report Care homes for adults (18-65 years) Name: Address: 2 Cross Heath Grove 2 Cross Heath Grove Beeston Leeds West Yorkshire LS11 8UQ The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Stevie Allerton Date: 2 3 0 9 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 29 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 2 Cross Heath Grove 2 Cross Heath Grove Beeston Leeds West Yorkshire LS11 8UQ 01132718194 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): marie.simpson@leeds.gov.uk Leeds City Council Department of Social Services Name of registered manager (if applicable) Mrs Marie Elayne Simpson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: 1.The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Service users with a learning disability - Code LD. 2. The maximum number of service users who can be accommodated is 5. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home 2 Cross Heath Grove provides respite care for adults with learning disabilities and is part of a city-wide service run by Leeds City Council Social Services Department. People allocated the service are given a number of days for the year and they and their carers arrange their stays directly with the service. The house was newly-built in 2009 and is in a quiet residential location near to Elland Road football ground. There is a good sized enclosed garden surrounding the house. It is within easy walking distance of shops, pubs and transport links into Leeds and Morley. The house is easy for people who use wheelchairs to stay there. There are bedrooms on the ground floor with the equipment that people might need. Everyone has their own room when they come to stay, with their own toilet. There are two sitting rooms and a very big kitchen where people also eat their meals. The kitchen has worktops and sinks that can be made lower, so that people can use them when they are sitting down. People using the service are called customers. Current charges range from 8.08 - 14.70 per day to 56.55 102.90 per week, depending on the persons age. The manager can provide further information about the service and the current charges. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home Before the visit, we looked at all the information we have about the service. This included any incidents or accidents that we were told about. The home completed a document called an Annual Quality Assurance Assessment (AQAA), which gave us lots of good information and helped us to plan the inspection. This was the first time this new service has had an inspection. We didnt tell people we were coming. Surveys were sent out to people using the service, some staff and other professionals, like nurses and Social Workers, who also support people. 2 surveys were returned to us and both of them said positive things. 3 people were case tracked, and other peoples files were looked at. Case tracking is how we decide whether people who use services receive good quality care that meets their individual needs. We spent time with people staying there, who like to be called customers, and spoke to members of the staff team who provide support to them. We also looked round the building and looked at written records in the office. Care Homes for Adults (18-65 years) Page 7 of 29 We were able to look at all of the standards that the law says services like this must meet. Because this is a brand new service, the highest quality rating it can get is 2* (Good). However, most of the outcomes for people are Excellent. What the care home does well The service is really flexible. People can ring up and book what dates they want to come in. People can also say who they would like to come in with, such as friends from the same day service. People have a customer meeting to plan and make decisions for their stay, deciding what food to eat and where they would like to go. The staff team makes sure that people with different abilities get the same chances to do things as everyone else. They make sure that if people have chosen to do something then they can do it safely. People have good support plans, which tell the staff what help each person needs and what they want to do. Information is presented in a really good way that is easy for people to understand, with photographs and pictures showing what the written document says. The staff get very good training, which helps them to support people in the right Care Homes for Adults (18-65 years) Page 8 of 29 way. People told us that the staff support them very well. The house is new and has all the equipment that people need to make their stay enjoyable. People said that they like the house and like where it is. What has got better from the last inspection What the care home could do better Nothing was found that was wrong, or that wasnt up to a good standard. Care Homes for Adults (18-65 years) Page 9 of 29 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stevie Allerton St Nicholas Building St Nicholas Street Newcastle upon Tyne Tyne and Wear NE1 1NB 01912333300 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. 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 10 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective customers have the information they need to make an informed choice about using the service. The service makes sure that people are properly assessed and that their needs can be met, before they come to stay. This makes sure that people get the right service. Evidence: Not all of the information about the service is in its final form yet, as this is a newly launched city-wide service. Brochures, symbolised for ease of access, are not yet printed. These are in progress and should be ready in three months. This information is also to be produced on DVD. However, there is a Statement of Purpose and a written information sheet that can be given to peoples carers. This includes details of what is included in the fee and what has to be provided by the carer, eg, continence aids, toiletries, etc. The information pack and new contracts were also sent to all of the existing customers carers at the launch of the new service. There are currently 45 people using the service at this location, and more being assessed for places. The referral and assessment process was discussed with the manager and senior staff, and a range of written records were seen that confirmed the process, such Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: as care records and support plans. The allocations panel meets and allocates so many nights for the year, according to need. This can be taken in blocks of 2 weeks, 1 week, weekends, etc, and parents are able to now book up to 6 months in advance (more flexible than previously, when they had to book 1 year in advance). Places are allocated at Cross Heath Grove if customers are attending day services in the south of the city (West Ardsley, Rothwell & Moorend day centres). There are some wheelchair accessible rooms on the ground floor, so these are allocated to those customers needing these facilities. The compatability of characters are also a criterion for booking dates. People now have the option to state who they would like to come in with, eg, friends from the same day service. Once allocated, the person can be in the service, receiving respite, within 4 weeks. One survey was returned in time to be used in this report, from a person using the service, helped by a relative to complete the form. They gave very positive indications to all questions and made the comment: Looks after every aspect of my needs. The home is very good all round. I enjoy attending - its home from home! Care Homes for Adults (18-65 years) Page 13 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are consulted on and participate in all aspects of life in the home during their stay, which increases their enjoyment of staying there. Support plans give the staff the information they need about how to support people, which makes sure their needs are met. Evidence: During the site visit, we looked at support plans, risk assessments and other documents and records. We had discussions with the team leader for the house, other support staff and the registered manager. Staff said that they are noticing positive changes in customers well-being whilst on respite. They feel the smaller size of the service is contributing to a much calmer atmosphere in general. Staff ratios are better and staff say they have more time to really get to know people as individuals, and are noticing subtle behaviours and indicators of well or ill-being that were being missed before. We looked at suppprt plans for three customers with diverse needs: a new customer in Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: the process of being introduced to the service, who had had an overnight stay earlier that week, and two other people that were in the service at the time of the visit and who were met later in the day. Integrated Needs Assessments provide a good level of background information. Initial support plans are drawn up in readiness for customers first overnight stays, written in the first person and illustrated by symbols. Review sheets are in place in the files, completed by staff phoning the carer prior to a visit, asking about any changes or things to be aware of. Support plans detail whether people with no verbal communication can use Makaton, gestures and noises to indicate choices, likes/dislikes, etc. Support plans also detail where people can communicate well, can ask for what they want and express choices easily. This was confirmed when we met the people later in the day. Support plans were signed by the carer and the staff member completing them. Another example of good practice that was seen were the signed consent to share information forms. Records show that people have the same routine during the day when they are on respite as they do when at home, for example going to work, college or day services. Care files show recently updated support plans, referring to numbered risk assessments. These were in place, easy to access in the file alongside the support plans. They were detailed enough for someone without prior knowledge of the person to be able to support htem. For all three people there was evidence in the daily records of individuals making choices, eg, what time they wanted to go to bed, what food they wanted, what to do/where to go on outings. A Customer Meeting is held every week, the minutes of which were seen, showing the planning process for the coming week: food, outings and activities. Care Homes for Adults (18-65 years) Page 15 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to take part in interesting and fulfilling activities during their stays, and support staff help them to take an active part in the community. People have a healthy diet and enjoy the meals they have chosen. Evidence: We looked at support plans and daily records, customer meeting minutes, staff rotas and menus. We observed preparations for the evening meal. We had discussions with two people staying on respite that week. We had discussions with support staff, the team leader for the house and the manager. The Activities Book showed a good range of things that people have done outside the service, including outings to the local pub, Elland Road football matches, walks, drives in the minibus, ten pin bowling, using the local shops and the park. There is currently only one minibus driver on the staff, which limits how often the minibus Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: can be used - this is only available at weekends anyway. Customers are supported to use public transport and staff encourage carers to get bus passes for people if they have not already got them. One persons records showed what he had been doing during his stay, including going to work on the bus on his own, going to see a football match, getting the bus into Leeds, visiting the Canal Gardens and being supported to do his ironing. Another person came to shake hands and introduce himself when he arrived home from day service. He said that he was going to see a film that night, with another customer and a staff member. He was happy to converse and say what he liked doing when he came to stay: spending time with his friends, going to see Leeds United FC play and going to the pub. He busied himself in the kitchen, helping support staff to prepare the evening meal (cottage pie & vegetables). He cut some vegetables up, mashed the potatoes and put them on top of the mince for the cottage pie. He said he liked helping and he clearly had a good level of skill in the kitchen, even washing up as he went along. Food records are kept within individuals file notes, eg, one person does not eat much and staff have to give her a lot of assistance. The level of staff recording about this was good and gave the reader a clear idea of how best to support her. Care Homes for Adults (18-65 years) Page 17 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff provide sensitive and flexible personal support that promotes peoples privacy and independence. They work well with peoples carers to make sure that health needs are met. Evidence: During the site visit we looked at aids and adaptations, support plans and the medication system. We observed interaction between customers and support staff, and we had discussions with staff. No-one staying during that week had prescribed medication. However, the arrangements for storage were seen - the main cabinet in upstairs office and individual lockable cabinets in every en-suite bathroom - along with records from a previous customer. The staff make it clear to carers that any medication sent with the customer is in the original box/bottle, with the original pharmacy label. Aids and adaptations in place include profiling beds in the accessible ground floor rooms, full ceiling tracking for hoists in ground floor bedrooms and en-suite facilities, height adjustable bath, wheel-in shower and mobile hoist. There are currently no wheelchair users on the books. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Observations of staff supporting customers showed good rapport between them and good attention to privacy when staff were providing help with personal care. Files did not contain any long-term health action plans, as staff in a respite unit would not normally be expected to follow this up. However, records showed that they do make contact with carers before each persons next visit and ask for updates in health, medication and general well-being. One survey was returned by a health and social care professional, in time for the comments to be included in this report. Very positive comments were made: The service provides a person centred service. Responds well to the needs, wishes and choices that those who use the service make or have. Actively promotes an environment which enables those who use the service to have a wide range of choices/activities. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know that their views matter and that they will be listened to if they have concerns or complaints. The safeguarding training and procedures in place protect people from abuse. Evidence: During the site visit we looked at the complaints procedure and staff training on safeguarding. We observed peoples interaction with the support workers, and spoke with them where possible. All existing as well as new customers got an information pack at the launch of the new respite services, of which Cross Heath Grove is a part. This included the complaints procedure. It is presented in easy-read format and staff have written guidance on how to proceed if anyone makes a complaint. None have been received since the service started 6 months ago. All staff have been trained in Safeguarding, the Mental Capacity Act and the Deprivation of Liberty Safeguards. There are written procedures for staff to follow, easily accessible in the What to Do procedures file. Customers were at ease with the support staff. They said they would tell them if they were worried about anything, or tell the Manager or her Deputy, or tell their family. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a homely, comfortable and safe environment that fully accessible and in a good location to meet their needs. People have access to the specialist equipment they need to maximise their independence. Evidence: The site visit confirmed the information given in the AQAA. We toured the premises, spoke to staff and customers about the new house, looked at health and safety related checks, and cleaning schedules. This is a green building - the water collection butts, bird boxes and bat boxes were included in the building specification, and interior lights turn off automatically when not needed. The design of the house works well for people - there is good use of space, with the office upstairs and bedrooms on both floors. Aids and adaptations in place include profiling beds in the accessible ground floor rooms, full ceiling tracking for hoists in ground floor bedrooms and en-suite facilities, height adjustable bath, wheel-in shower and mobile hoist. The kitchen/diner is very large and acts as the hub of the house. The kitchen is designed for disability access - sinks and worktops can be lowered so that people in wheelchairs Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: can use them. The hob was originally gas, but has been replaced by an induction hob, much safer. The garden is fully enclosed with high quality fencing and equipped with shed, storage area, rotary washing-line and a patio set, all included in the building specification. There is CCTV and videophone entry to the main door. The company who built the house have the contract to maintain the building and carry out all of the systems checks, eg, fire protection system, emergency lighting, etc. Records confirmed this. There is a 12 months snagging period for the building, following which the interior is to be repainted. The manager said that they would like to introduce some colour at that point, as currently it is a blank canvas. People said they liked the house (but also liked it when they stayed at Park Lees). One person said: I like my bedroom, its nice and big. Ive got my own toilet. He also likes the fact that he can walk to Leeds United FC ground at Elland Road and can get a bus directly to work. Another person said: I like the kitchen best. Its nice and big and I can help cook tea. Everyone has a laundry basket in their room and their clothes are washed individually rather than communally. A clothing list is completed every time they come to stay, very detailed with everything itemised, so that clothes can be identified and reunited with their owner before they leave. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have the personal qualities, qualifications, training and supervision to support the people they provide a service to. They are an effective staff team that work together to make sure peoples needs are met. Evidence: The site visit confirmed the information given in the AQAA. We looked at recruitment records for two new staff, training records, supervision records and staff rotas. We spoke to the staff on duty and the manager. The manager feels that the team are really dedicated and committed to the work. She said that staff have good ideas and are imaginative in looking for activities. The team comprises a Senior/Team Leader and nine Support Workers. Staff sickness is high at the moment, with two people on long-term sick leave, plus other absences. The rota shows a minimum of two staff on duty at all times. They are currently using agency staff to cover long-term sick leave on the waking night duty. Current training for the team is focussed on NVCI or Non-Violent Crisis Intervention. All of the staff are booked in on various dates for this training. Prior to the launch of the service, all staff had a full weeks induction training, and specific training dates continue to be put on for the respite service as a whole. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Staff files showed that all relevant documents had been obtained prior to employment commencing. There were records of the induction training, which included Safeguarding, Safe Handling of Medicines, Person Centred Planning and the Mental Capacity Act. Certificates were seen in the staff files, also a copy of the induction workbook and supervision records. A notice announced that the next staff meeting was arranged for two weeks time. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well run, with a strong sense of direction and leadership that promotes peoples rights and best interests. People feel they have a say in how the service runs. The quality outcomes for this service would rate it as 3 * or excellent. However, because it is a brand new service, the highest rating it can achieve is 2 * or good. Evidence: We looked at a selection of written records and procedures, including: Support Plans and daily records, accident records, menus, cleaning schedules, medication records, maintenance records, fire safety records, staff files, training records, staff rotas, minutes of customer meetings, financial records and the policy files. We also spoke to the manager and other support staff. The registered manager manages all of the Leeds Social Services Respite Service for adults with Learning Disabilities, across 4 different sites. She is supported by a Deputy and each site has a Senior/Team Leader. She also now has 35 hours a week admin support, which she says has made a big difference. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The main problem currently at Cross Heath Grove is that there is no internet service yet, which means that all support plans have to be written out and updated by hand and the manager has to physically bring documents to the site rather than being able to disseminate them by email. All Learning Disability client records in Leeds are being put onto a dedicated drive, which all services will be able to access, once they have an internet service. The What to Do policy file, povided by the organisation, contains web-links to electronic information, again not able to be used by the staff at this service yet. Staff training has been delivered regarding the Mental Capacity Act and Deprivation of Liberty Safeguards and staff are being provided with laminated quick reference guides to these. Stakeholder surveys would be going out the following week for customers of the Learning Disability services. The manager is proactive in the marketplace events that raise the profile of the services on offer, organised by Leeds Social Services Department, who also host customer involvement days. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes  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 Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description 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 Description 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 28 of 29 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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