Care Home: 27-29 Kingsley Road

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What the care home does well Kingsley Rd is a positive and friendly home. You will be made welcome during your visit.Bedrooms viewed were clean and contained personal items.Support plans are developed with people who use the service.People who use the service are fully involved with decisions made about them.People using the service are supported to be as independent as possible.Support workers will assist people in meeting their personal and health care needs.Your privacy will be was respected. What has improved since the last inspection? An issue that was making people living at the home unhappy has been resolved.Medication administration has improved. A controlled medication cabinet has been fitted.Safeguarding procedures are now operating well.The admissions procedure ensures that the service can meet the needs of people making an application to move into the home.Additional staffing is clearly identified for individuals.Management Reviews are consistently undertaken. What the care home could do better: Complete person centred plans to ensure that the present service is meeting personal choices. Key inspection report Care homes for adults (18-65 years) Name: Address: 27-29 Kingsley Road Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN 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: Judith Roan Date: 2 9 1 0 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 31 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: 27-29 Kingsley Road Roseneath 27/29 Kingsley Road Northampton Northants NN2 7BN 01604459432 01604459432 helen.kimber@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Mrs Richelle Claire Clark Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 10 0 care home 10 learning disability Additional conditions: To include 3 people with an assoicated Physical Disability (PD). Date of last inspection 1 2 0 2 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home 27/29 Kingsley Road is a Residential Care Home providing long-term care for 10 Adults with a learning disability. The home is run by the Royal Mencap Society and is situated on a busy main road within easy reach of local shops and amenities and has good access to public transport. Northampton town centre is only a short distance away. The bedrooms for people that use the service are located on all three floors of the home with a stair lift, which can be used to assist with access to the first floor. There are eight single bedrooms and one double. Three of the bedrooms have en-suites and there are two shared bathrooms in the home. There is one shared lounge plus a conservatory, a separate dining room and a large garden to the rear of the home. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 31 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We selected two people who use the service and tracked the care they receive. We looked at records and spoke with them, and the care staff. We also observed what happens in the home. We also received information other people who use the service, relatives, support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CQC. The inspection was unannounced and was undertaken during the morning and afternoon lasting 6 Hours. People using the service said that: I am happy at the home but I would like to look at moving into my own home, It is much better here now it is not noisy, The staff are good and know what I need. Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well Kingsley Rd is a positive and friendly home. You will be made welcome during your visit. Bedrooms viewed were clean and contained personal items. Support plans are developed with people who use the service. Care Homes for Adults (18-65 years) Page 8 of 31 People who use the service are fully involved with decisions made about them. People using the service are supported to be as independent as possible. Support workers will assist people in meeting their personal and health care needs. Care Homes for Adults (18-65 years) Page 9 of 31 Your privacy will be was respected. What has got better from the last inspection An issue that was making people living at the home unhappy has been resolved. Medication administration has improved. A controlled medication cabinet has been fitted. Care Homes for Adults (18-65 years) Page 10 of 31 Safeguarding procedures are now operating well. The admissions procedure ensures that the service can meet the needs of people making an application to move into the home. Additional staffing is clearly identified for individuals. Care Homes for Adults (18-65 years) Page 11 of 31 Management Reviews are consistently undertaken. What the care home could do better Complete person centred plans to ensure that the present service is meeting personal choices. Care Homes for Adults (18-65 years) Page 12 of 31 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 Judith Roan Care Quality Commission East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel: 03000-616161 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 13 of 31 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering the service will have their needs assessed to ensure that the service can meet their needs. Evidence: Good information and pre-admission assessment ensures that the personal care needs of peoples using the service can be met. In reviewing the care files an assessment of need was undertaken prior to admission gaining information about their needs and social history. In discussion with the registered manager they confirmed that there is a clear admissions procedure in place and that they would be able to confirm in what situations the service can meet the needs of people enquiring about support. The care files also contained signed contracts. To improve the service it is recommended that within the contract an additional sentence is included to confirm that the service users guide and complaints procedure have been received. Care Homes for Adults (18-65 years) Page 15 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of people who use the service are met through effective support plans. Evidence: We case tracked two people at this inspection and met others to discuss how their individual needs were being met. All people said that they were so much happier at the home and were more settled. Some people indicated that their needs were to be reviewed as part of a process of them becoming more independent. Everyone said that they were supported well and that the support workers respected their right to privacy. The care files viewed contained good information on how support workers were to support the person to meet their needs. Considerable work is taking place to produce support plans in easy read formats and to be person centred. The coordinator from the local council is to begin work with people living at the home to complete person centred plans. Additional one to one support was in place for people who no longer used local day centre facilities and this was enabling them to make real choices about how the used their time. The files contained a range of risk assessments in support of the plans. These Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: were specific in relation to activities undertaken by people using the service. They could be improved by being in an easy read format. Support plans are reviewed on a monthly basis and where necessary updated to meet changed needs. Support workers spoken with were knowledgeable about the care and support each person required. During the inspection positive work was observed with individuals who demonstrated a professional approach in their work. They all spoke respectfully and clearly to the people they were supporting. It was also observed that support staff promoted choice which appeared naturally within their practice.People spoken with during the inspection all confirmed that they had worked with their key worker to produce their support plans. One person was not able to communicate their needs easily and it was unclear whether all their needs were being met as per their support plan. In discussion with staff supporting them they confirmed that at times the routine was changed to meet the arrival of the taxi for day services. It is therefore important for staff to communicate to others during change over of shifts that needs not met need to be addressed. It was not evident that this had been achieved. In discussion with the registered manager they informed the inspector that their had been a number of changes to staff and that new staff were still learning the routines and systems within the home. Regular house meeting are undertaken where individuals are supported to voice their views and to make informed choices about everyday activities within the home. All house meetings have minutes with appropriate action plans. Care Homes for Adults (18-65 years) Page 17 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to have access to a range of activities of their choice. Evidence: Each person has a programme of daily activities within their support plan. Copies of these are also held by people using the service in their own rooms. One person spoken to said that they were able do activities of their choice and that they liked going out. It was evident that additional staff had been agreed with the funding authority to meet identified needs. The manager clarified the practice in relation to expenses for staff when supporting people with outside activities. The new procedure was available and now clear. Several people who us the service attend a variety of day placements and some who have retired, enjoy their time undertaking new options from the home. The additional funding for one to one support has enabled people to make real choices of activities. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: The weekly activities programmes are updated to take account of various events and personal choices. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint responsibility for their environment and their belongings. One person discussed their hopes of moving to more independent accommodation. Staff were enabling the person to develop and maintain their independent living skills. Individuals choose daily routines, like going to bed when they choose and listening to music or watching TV in their own rooms. During the inspection two people were supported to go out shopping and to the bank. These activities are supported with appropriate risk assessments. On their return it was observed that the support worker made meticulous records on the financial records and stored the receipts. People using the service are involved with the weekly shopping at a local supermarket and are also supported with personal banking and shopping. The menu is chosen at house meeting, using picture where necessary to aid people with their choice. If someone does not like the chosen meal they are offered a different choice. Meals are served in the family style dining room. People were seen to choose what they had for breakfast and there was a relaxed getting up process for people staying at the home during the day. Several people were seen to be preparing their lunchtime meal and assisted each other to accomplish this task. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is good. The AQAA also confirms the processes that are ongoing within the home. We now have House meetings once a week on a Sunday afternoon to give every one the opportunity to discuss issues, plan activities and Leisure opportunities, discuss the menu for the following week. Mencap has a Families Charter that supports and guides staff in supporting people to maintain and strengthen family connections that are important to them. Support workers confirmed that there was a good relationship between the service and families. The manager indicated that development over the next year will be To ensure that all choices and decisions made by service users are documented and that staff can show how they came to the decision. and to look at more detailed individualised communication systems so that service users are enabled and more confident to express their choices, needs and wishes. Care Homes for Adults (18-65 years) Page 19 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have their health care met and are now protected by robust medication practices at the home. Evidence: In the case tracking of people using the service we found evidence that they were supported to have regular health care checks. In discussion with people who use the service they confirmed that if they were not well they were supported to see their GP and that regular health checks were undertaken. There is good information kept which gives an overview of all medical appointments and check ups on an individual basis. This is contained in a Health check and health action booklet that forms part of the support Plan. Support plans are in development to be person centred and these will cover aspects of health care. Accident/Incident Records stored in the files of people using the service. The manager holds a combined record of incidents to show patterns and trends that can be analysed. Accident and incidents are now notified to the commission to ensure that the service is Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: meeting regulatory requirements. Staff training has been undertaken to ensure that administration of medication practice is improved within the home. Medication records were checked and found to meet standards. Staff spoken with were aware of the importance to administer medication accurately and knew what medication was for through the profiles available within the files. There has only been one medication error since the last inspection. The manager must ensure that they continue their vigilance in this area. Medication is kept in a locked room with a controlled drugs cabinet stored within the mobile cabinet. This cabinet is fixed to the wall when not in use. The manager has arranged for a new and larger cabinet to be bolted to the wall the day after the inspection. Care Homes for Adults (18-65 years) Page 21 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are protected and listened to. Evidence: There has been a review of the complaints process within the service and a new procedure is in place. The manager in the AQAA states that There is a new complaints, compliments and feedback procedure in place which enables people to give feedback. These can then be dealt with through a more rigorous process that shows evidence of the process and action taken. People using the service now state that are listened to about their future needs. People using the service said that if they were worried about anything they would speak to a member of staff or the manager. In speaking to the person that was very unhappy on the last inspection they confirmed that they were pleased with the outcome of their complaint. Residents meetings are held where everyone is invited to attend and share their views about the home. A record of these meetings is available for residents and staff to refer to. The home has policies and procedures regarding the Protection of Vulnerable Adults The staff training records provided evidence that this training has been provided. Recruitment procedures ensure that there is robust checking of new staff through references and Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: criminal record bureau disclosures. The manager states within the AQAA that they have been very proactive in this area All Staff have completed Mencaps induction and foundation training which includes a comprehensive understanding of protecting vulnerable adults and supporting them to make complaints. All service users have the right to an advocate if they choose to and staff would support them to do this. We have picture guides, CD ROMs and staff to support service users raise any complaints or concerns. All service users have been issued with a copy of the complaints procedure and this is kept in their personal files. The complaints procedure is also displayed on the residents notice board in the dining room. The manager also states that We recognise that in supporting people who can be vulnerable and who may also have difficulty in expressing their feelings and fears, that the awareness and vigilance of staff is key to protecting people from harm. Care Homes for Adults (18-65 years) Page 23 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a warm family setting with individual space that is well maintained clean and hygienic. Evidence: The communal areas provide a choice of space where individuals can watch TV or spend time relaxing. Although at the time of the inspection several people preferred to spend time in their own rooms. Standards of cleanliness and odour control in all areas of the home were good. The manager within the AQAA indicates how people using the service are involved with their environment, As a mencap service we encourage service users to be involved in the decoration of their home and make decisions about how it furnished. We support service users to personalise their bedrooms with items of their own choice. Service users bedrooms are decorated to their own taste, service users are supported to choose what colour they want and furnishings. Service users clean their bedrooms once a week and are supported by staff to do so. We have a daily task sheet and cleaning is separated into morning and evening tasks, service users are encouraged to be involved with the cleaning when possible. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff skills and recruitment practices ensure that the needs of people who use the service are supported and that they are protected. Evidence: Mencap has a thorough recruitment procedure and files seen confirmed that required employment checks, application form, two references, criminal records bureau disclosures and interviews that involve people who use the service had been undertaken. The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection they showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. Support workers are offered a range of opportunities to train. The AQAA confirms the training undertaken with staff at the home. staff are actively encouraged to take on further training, at present we have 1 member of staff working towards their National Vocational Qualification (NVQ) level 3 in social care, 5 staff have NVQ level 2 and the deputy manager has NVQ level 3. Mencap has recently introduced a new induction programme which replaces the previous induction and foundation courses. This seems to be in a more user friendly format and easier to understand. Some training has been service specific, for example, one service user has diabetes and staff have attended a training course about diabetes. Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: The service has had significant changes to the staff team. The manager has been able to recruit to these vacancies but this has meant a higher use of relief staff than normal. People using the service say that although they are sad about staff leaving, they are getting to know the new staff. The Homes manager has also supported the shifts and this has reduced their availability and capacity to undertake management tasks. However despite this additional workload they have achieved significant progress on quality within the service. Staff have access to regular supervision which the manager and deputy manager share the responsibility. Staff undergo a probationary period of 6 months and probation interviews are carried out at 3 and 6 months. Staff use the communication systems within the service to full effect, these include the daily task list, communication book, diary and telephone. Support workers spoken to had a good knowledge of the needs of people using the service and were committed to providing a good service. They have had regular supervision since the appointment of the new manager Support workers have access to a wide range of training topics that includes Person Centred Planning, a system that identifies the individual needs, of people using the service Lifestyle Planning, Epilepsy, Communication, Health Action Planning, Risk Assessment, Report Writing, Fire, Food Hygiene, etc. Training records are kept within individual staff files. New staff have to go through a detailed induction programme, based on the Skills for Care professional model. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is person centred and effectively managed in the best interest of people who use it. Evidence: The manager effectively manages the home in the best interests of people who use the service and the support workers. Since the last inspection the manager has been registered with the CQC. There was good feedback from people who use the service and support staff about the role of the manager. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. All meetings have clear and comprehensive records. The registered manager reviews the service through the continuous improvement plan with their manager on a monthly basis. The AQAA confirms this area of improvement We are now having Quality Review Visits every month that where not happening on a regular basis prior to January 09. In addition, monitoring forms are completed to ensure that the service develops and maintains a quality assurance system. The meetings demonstrate how the views of people using the service are fed into the ongoing review. The AQAA was reflective about the future development needs of the service and shows that the management team are Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: proactive. Over the next 12 months their aim is to support people within the service to be engaged in the everyday running of their home and take more ownership and responsibility for how their home is run. The AQAA confirms that this will be achieved through the use of information in accessible formats,information being shared, more detailed support plans and live person centred plans. The manager has ensured through delegation that all health and safety checks required have been completed. Clear records of all checks are well maintained. The AQAA also confirms these checks are undertaken. At Kingsley Road we are compliant with Health and safety. These checks are broken down into specific days i.e. water temperature checks are completed over 7 days, a sink temperature will be recorded on the day that the service user cleans their room and they will be encouraged and supported by staff to take the water temperature and record it. The fire alarms are checked regularly , all electrical equipment is visually checked. We saw evidence of the daily tasks being completed and recorded on the task sheets for each shift. Health and Safety Policies and Procedures are in place and support workers are aware of these. Induction training ensures staffs knowledge and understanding of these. Mencap has robust financial checks of personal monies that require records of receipts, running balances and two signatures. Monies are checked daily to ensure they are correct. Care Homes for Adults (18-65 years) Page 28 of 31 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 29 of 31 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation 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 1 6 Support plans need to be person centred and be in a format that is chosen by individuals that use the service. Care Homes for Adults (18-65 years) Page 30 of 31 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 31 of 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!