Care Home: 275a Rutland Road

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall
• The Cornerstone
• John Street Nursing Home

What the care home does well The home is well managed and the manager provides good leadership to the staff team and makes sure people`s rights are protected. This is what people told us about the staff, "I like all of them", "Nice people" and "They are great". The staff team is stable and they have formed good relationships with people. From our observations and interviews with staff it was clear they have a good understanding of the needs of the people they support. The manager and staff create a warm and friendly atmosphere, treat everyone as individuals and wherever possible provide care and support in line with their wishes. The admission procedure is thorough and the manager will not admit a person unless he feels they are compatible with people already living there and staff can provide the level of care and support they require. People are supported in making decisions about their daily lives and are encouraged to participate in activities outside the home so that they feel a valued member of society. People staying at the home said that they looked forward to their stay and the staff were always kind and caring. Comments included, "I can choose what activities I do at night and at weekends". "We can choose our meals and whether to spend time with others or just have time on our own". People have access to a complaints procedure and this protects their rights. The manager and staff team have all been trained in safeguarding adults procedures and this will help to keep people safe from harm and report any suspected abuse. What has improved since the last inspection? The registered manager has started to implement a new person centred planning or PCP care planning system. This now needs to be implemented for all of the people who use the service. To ensure that that information about people is more easily accessible and staff can use the care plans as working documents. The registered provider has made sure that staff recruitment files are securely held at the home and available for inspection on request. This has ensured that the organisation can evidence that they have a thorough recruitment and selectionprocedure. The garden and patio areas have been improved and are safe and accessible for people to use. What the care home could do better: The manager told us that the care plans were currently being developed in to PCP`s and that not all of the people who use the service had been offered the opportunity to develop these plans as they may not have used the service for some time. When we checked peoples care plans we found that one persons plan and their risk assessments had not been reviewed for a year. This must be updated to ensure the persons health, safety and welfare is protected. We would also recommend that details of peoples health appointments are included in their care plans or records to ensure peoples health care needs are supported. The manager advised us that there were plans for the home`s environment to be refurbished and redecorated throughout. We would recommend that this is carried out to ensure people can come and stay in a nice, homely environment. When we visited we found that two radiator guards were coming loose from the walls in a bedroom and in the lounge area. We also found that the hot water temperatures in two areas exceeded 45c and these could place peoples safety at risk. Therefore the manager agreed to ensure that these maintenance issues were remedied immediately. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 275a Rutland Road 275 Rutland Road Pitsmoor Sheffield S3 9PZ     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: Shelagh Murphy     Date: 1 1 0 6 2 0 0 9 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 33 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: 275a Rutland Road 275 Rutland Road Pitsmoor Sheffield S3 9PZ 01142812272 01142812272 steven.danford@sheffield.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sheffield City Council - Disabilities Services Division care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 5 Rutland Road is a care home providing short term care to adults with learning disabilities. It is located in a residential area of Sheffield with good access to public services and amenities e.g. bus services, shops, libraries and pubs. Accommodation is on two floors and consists of two bedrooms, a small lounge and dining kitchen area on the ground floor and a further three bedrooms on the first floor. There are sufficient toilet and bathing facilities. A range of fees is charged for the service dependent on the persons age. Care Homes for Adults (18-65 years) Page 4 of 33 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is Two star. This means that people who use the service experience good quality outcomes. Shelagh Murphy carried out this unannounced visit to the service over one day and the total time spent on site was 7 hours. In the report we make reference to us and we. When we do this we are referring to the inspector and the Care Quality Commission. We used a variety of information as well as our findings from the visit to assess the quality of service offered to people who live at this home. Care Homes for Adults (18-65 years) Page 5 of 33 Prior to the site visit the Annual Quality Assurance Assessment or AQAA report was sent back to CQC. This report detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. Some information from the AQAA is included in the main body of the report. Some time was spent with the people who use the service. It was difficult to conduct conventional interviews with some people, due to their learning difficulties. However, most people were able to let us know their feelings using their specific ways of communication to let us know their thoughts about the home and the staff. We observed two people who had communication difficulties, to gauge how staff at the service supported them. It gave us some insight into how staff interacted with people, how people are supported by the staff and also an indication of peoples well being. We spoke to two people who live at the home. Two staff attended interviews with us. Comments and feedback from these stakeholders have been included in this report. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home and check the homes policies and procedures. The inspector checked all key standards and the standards relating to the requirements outstanding from the homes last key inspection. The progress made has been reported on under the relevant standard in this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The scale of charges ranges from £11:07 to £18:25 per night. For more details please contact the Homes manager. The inspector wishes to thank the people living in the home, staff, managers and relatives for their time and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? The registered manager has started to implement a new person centred planning or PCP care planning system. This now needs to be implemented for all of the people who use the service. To ensure that that information about people is more easily accessible and staff can use the care plans as working documents. The registered provider has made sure that staff recruitment files are securely held at the home and available for inspection on request. This has ensured that the organisation can evidence that they have a thorough recruitment and selection Care Homes for Adults (18-65 years) Page 7 of 33 procedure. The garden and patio areas have been improved and are safe and accessible for people to use. 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. 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 8 of 33 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 33 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 who use the service have their needs assessed, to try to ensure that the staff can meet their needs before they are admitted to the service. Evidence: From the AQAA report we are told by the registered manager that all of the people who use the service are assessed by the Assessment and Care Management team. They carry out an overview and contact assessment, which is then sent to an allocation panel team at Sheffield Council to decide whether the persons needs can appropriately be met within this respite service. We checked three peoples needs assessments. Peoples needs assessments had been completed by local authority case managers or social workers in each case. There was also a copy of the needs assessment carried out by managers, who visited people in their own homes to complete these. The needs assessments were all appropriately detailed to ensure the service could Care Homes for Adults (18-65 years) Page 10 of 33 Evidence: assess whether peoples needs could be met at the service. Care Homes for Adults (18-65 years) Page 11 of 33 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. People are involved in making decisions about their lives, and can play a part in planning the care and support they need and want and the risks associated with the support plans. However, systems need to be tightened up to ensure all of the people who are offered a service have regular reviews of their care and risk assessments. Evidence: Information contained in the AQAA report tells us that people are supported to devise care plans for when they use the respite service. The care plans would incorporate peoples preferences, which respected their lifestyles, culture, religious beliefs and abilities. We checked three peoples care plan files and found that overall they contained adequate information for staff to support people. Two were very comprehensive and up to date, one needed to be reviewed as a priority to ensure the persons needs were being met. This information was fed back to the manager to address. Care Homes for Adults (18-65 years) Page 12 of 33 Evidence: The staff told us that because some people have less than 35 nights per year at the service, that keeping their care plans up to date can be difficult, but they felt that a system needs to be introduced to capture this information via other means. This would better ensure peoples current needs were always known about. One of the plans had been developed using person centred principles, was accessible to the person and was very detailed. This plan had also been reviewed and the person and their relatives had been fully involved in developing their PCP and in the reviews of the plans. This supports peoples rights, choices and independence. From the AQAA report we have been told by the registered manager that a few days prior to someone using the respite service staff would phone people to gather any new information that may be relevant from them or their relatives and also to plan with people their choice of meals and activities. This is very proactive and enables staff to prepare and plan to meet peoples individual needs. We asked how people are supported to make decisions about their lifestyles. The people who use the service told us, I can choose what activities I do at night and at weekends. We can choose our meals and whether to spend time with others or just have time on our own. From observations of the staff and people who use the service we saw evidence that the staff really encourage people to make everyday decisions and listened to peoples requests, and were empowering in their approach to people. It was also clear that the staff knew people very well and were able to communicate with people who had communication needs and to interpret their needs and wants. Information contained in the AQAA report tells us that all of the people who use the service have risk assessments in place and these are reviewed and updated as necessary. Three people had comprehensive risk assessments, which covered issues such as risks associated with road safety, safety within the home, financial abuse, misuse of medication etc. Overall, we found that people have opportunities to take appropriate risks associated Care Homes for Adults (18-65 years) Page 13 of 33 Evidence: with leading everyday lifestyles. Three of the risk assessments we checked were comprehensive. They clearly defined the risks and the instructions to staff to support people were realistic in not depriving people of their liberty, whilst trying to protect people. Two were up to date, one had not been reviewed for over a year. This was brought to the managers attention to address as a priority, to ensure the persons safety. Care Homes for Adults (18-65 years) Page 14 of 33 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 who use the service are treated with dignity and respect. Staff support people to be able to make choices about their lifestyle, and they are supported to develop social, recreational and general life skills. The service provides people with suitable diets to meet their individual needs. Evidence: Throughout our visit we observed staff interactions with people, which were at all times respectful, empowering and friendly. People told us that they liked the staff. All of the staff we saw and spoke to were positive and enthusiastic and there was a very calm and confident approach to their support of people. This is what three people who stay at the respite service told us about the staff, They are great. Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: Nice people. I like all of them. There was evidence that people are involved in meaningful daytime activities of their own choice, which, had been planned in accordance with their wants, needs and capabilities. The manager told us that most peoples daily activities were planned with them by relatives and social workers and the short stay services responsibility was to support people to attend these activities via taxis and other means of transport. This is what people who stay at the respite service told us, I go to Brockwood training centre on Tuesday and Thursdays to work in the kitchens. Another person told us, I go to the day centre we do gardening there. One member of the staff we spoke to said, We arrange some activities for people and at weekends we go all over with people, shopping, swimming to the cinema etc. Another member of staff said, Some people just like to come and stay here and not go out, as they see coming here as a short holiday break. People who stay at the service told us how they are supported to maintain and develop relationships with people. One person said, I like to come when one of the other guests here is staying as we have a good laugh. The staff told us they can arrange for people to come and stay with other people who use the service, as they know some people have developed friendships from meeting at the service. This was really positive as it supported people to develop and maintain new friendships. We asked people and checked peoples care records and found evidence that staff supported people to make regular phone calls to relatives if they wished to. From our observations and from some records we could see that mealtimes are arranged around peoples needs and wants. People told us, We can choose what to eat, we can have snacks at any time. The staff help us to make the meals, I like cooking. Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: The staff confirmed that people are always offered a choice of meals and can cook, prepare their meals if they so wish. Some people told us they were encouraged to go shopping with staff to buy food for meals. We checked to see if people were offered a varied and nutritious diet and menus showed that this was the case. Care Homes for Adults (18-65 years) Page 17 of 33 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. The health and personal care that people receive was based on meeting their individual needs. Evidence: We asked two people who lives at the home if they are offered appropriate support from staff with personal care tasks. This is what they said, I dont need staff to help me, I can do it myself. Another person said, She, the support worker, just helps me with washing and drying my hair. We checked in some care plans to see if the support people needed was recorded. It was and was detailed. In some peoples care plans it advises whether people just need to be prompted, and other people needed support to wash, bathe and dress themselves. Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: All of the people who were staying at the service were observed to be well dressed and their clothing was age appropriate. One person told us, The staff help me to wash and Iron my clothes. Another person was stood in the kitchen ironing as we visited and told us they did all of their own laundry whilst staying at the service. Staff told us, personal care or support was offered to people on an individual basis and had to be flexible to meet peoples needs. For example, rising and retiring times were dependent on the individuals choice, with advice from staff if they were having to get up early for an activity the next day. People also told us they could wash or shower whenever they chose to. We then asked people for their views about whether they were supported to meet their health care needs, this is what they told us, Yes, the staff went with me to the doctors last week for a blood test. My Mum helps me to go to see the doctor and the dentist. The manager told us that if people needed to attend appointments during their stay at the service this would be facilitated to ensure peoples health care needs were met. From the care plans it was in some cases, but not always evident that people had attended regular health appointments. For example that people had seen the dentist, the G.P. and a chiropodist on a regular basis. We discussed this with the manager who agreed that this information needed to be sought at the time when care plans were reviewed. In the care plans checked there was some evidence that other specialist health professionals were also supporting people who had more complex needs. And there was evidence in the care plans that some people had attended appointments with specialist health professionals. The staff on duty told us that some of the people who lived at the home were able to administer their own medication. Staff told us people bring in their own medication with them for the duration of the stay and this is checked and signed in and out by the staff. We checked three peoples drug sheets and found that a system was in place which Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: identified the medication prescribed, the dosage and times to be administered. This was good practice and ensured that staff were made aware of these details to safeguard peoples welfare. Care Homes for Adults (18-65 years) Page 20 of 33 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 who use the service are able to express their concerns and have access to a complaints procedure. People are protected by the safeguarding policies and procedures as the staff have been trained in how to respond to allegations of abuse. There are procedures to ensure all allegations of abuse are thoroughly investigated. Evidence: Information contained in the AQAA report tells us that people are supported to devise care plans for when they use the respite service. The care plans would incorporate peoples preferences, which respected their lifestyles, culture, religious beliefs and abilities. This helps to protect peoples dignity. The service had a complaints procedure for people. This is in accessible formats. This helps to protect peoples rights. From the AQAA report we can see that no complaints have been made to the service over the last year. We asked people whether they knew how to make a complaint one person said, Yes, I would tell the staff or the manager. Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: Another person said, I would tell my Mum and she will sort it out, yeah. The staff told us that other people who had more profound needs may need to rely on relatives or their key workers to support them to make complaints. The staff said they felt confident top act as advocates if needed. All of the staff we spoke to said they were aware of the adult safeguarding procedures and they had completed training on this subject. The manager confirmed this. The manager also advised that a copy of the new local area safeguarding adults procedure was available to all staff as required. The AQAA report stated that the service has a whistle blowing procedure for staff to report concerns about bad practice and staff were aware of this. The manager informed us that over the last year no adult safeguarding referrals have been made to the local safeguarding adults team. However, the manager told us they had worked with a multidisciplinary team as part of a adult safeguarding plan to safeguard one person who uses the service. Care Homes for Adults (18-65 years) Page 22 of 33 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Overall, the accommodation offered to people was of an adequate standard. However, some areas of the home need redecorating and refurbishing. The manager told us that there were plans in place to address this in the near future. Evidence: In the short stay house there are five single bedrooms, a small lounge, kitchen diner room and sufficient toilet and bathroom facilities. The bedrooms vary in sizes but are all comfortably furnished and have a television and video recorder as standard. People are also encouraged to bring small personal items with them during their stay to make the rooms more homely. The lounge and kitchen diner are domestic in size and the atmosphere within the home is that of a small residential home. We were told by people that use the service that the home is always kept clean and bedrooms are comfortable. Unfortunately, the layout of the building restricts people with a physical disability from Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: accessing the service as there is no wheelchair access and three of the five bedrooms are located on the first floor. At the time of our visit three people were staying at the short-stay service. The house was generally clean, tidy and comfortable. Having said that, the manager told us that there were plans in place to refurbish and redecorate throughout the building over the next year. This is also reflected in the last Regulation 26 report carried out on 4th June 2009 by the service manager. We would agree with this, several areas of the home are in need of refurbishment and redecoration in some areas. For example some walls are marked and scuffed in the kitchen diner, on the staircase and in most bedrooms. These will need redecorating. One person who uses the service showed us round and highlighted areas of the home which, they thought were needing maintenance and repair. These included radiator covers, in lounge and one bedroom, which were coming loose. The manager was advised of this and agreed to address this immediately. This could place peoples safety at risk. The kitchen was also generally clean and tidy. However, again the kitchen units need replacing or refurbishing as several cupboards are delaminating, which makes it difficult to keep areas clean. This could place peoples health at risk and so must be addressed as a priority. We asked people what they liked about the short stay service house and this is what they told us, I like the lounge, weve got a good T.V and DVDs. Another person said, Its nice and cosy. The bathrooms checked were clean and appropriately adapted. Hot water taps temperatures were checked, most were within the appropriate range between 41-45c , to prevent people from being scalded. But two others, one in a bedroom and one in a toilet were too hot and this could place people at risk of harm. The manager agreed to address this issue immediately. Outside there was a communal garden area with patio furniture. The garden was well maintained and attractive. Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: People who live at the home and the staff said there were adequate washing and drying facilities in the home to keep peoples laundry clean. There was evidence that staff had completed infection control training and that measures were in place to wash soiled laundry safely. Care Homes for Adults (18-65 years) Page 25 of 33 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. Overall people were supported by a staff team who were appropriately trained, skilled and experienced to meet their needs. People were supported by the homes recruitment practices to help keep them safe. Evidence: On the day of our visit there were three support workers on duty, one in the morning shift, one on a day shift and one person on the afternoon shift. They was also an assistant manager and the registered manager at the service for some of the day to support people who were staying at the short stay service. This staffing level was adequate to meet peoples needs on the day of the visit. Two staff recruitment files were looked at during this visit and they all contained adequate information to ensure peoples safety, including enhanced CRBs, two references and application forms detailing peoples work histories and health details. The staff told us they had contracts of employment and job descriptions, which outline their roles and responsibilities within the home and staff said that they felt well supported by the manager in meeting personal objectives. Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: The home has a small but well established staff team that are committed to ensuring the people living at the home receive the best possible quality of care and support. The AQAA report told us that agency staff are used at times to cover for sickness or annual leave and wherever possible the home try to use the same agency staff so that people receive continuity of care. There continues to be a commitment to staff training and the manager confirmed that following their induction training, staff go on to complete further training. This included the expectation that all members of care staff will achieve a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. However, at present less than 50 of staff have achieved this award. This is currently being addressed by the Assistant Manager who told us they are working with the training team to increase the present 33 of the staff team who have completed this award. The staff told us that their training needs are discussed during their formal one-to-one supervision with their line manager, which takes place at regular six to eight weekly intervals throughout the year. We asked to check the staff training records. These clearly show that staff receive the training they require to meet the needs of people staying at the home and for their own personal development. Including all of the mandatory training, such as First Aid, Manual Handling, Food Hygiene, Infection Control and Fire safety. This was really positive and shows the employers continued commitment to the staff team. Staff spoken with said that the level and quality of training provided is good and confirmed that the home is committed to having a trained, skilled and experienced workforce. Care Homes for Adults (18-65 years) Page 27 of 33 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. There were good relationships between the managers and staff team and it was clear this had a beneficial effect on the services offered to people. Peoples health safety and welfare is protected by the organisations policy and procedures. Evidence: The manager of the home was registered. Steven Danford has been the manager of the home since it opened and has many years experience working with people with a learning disability. Steve Danford has achieved a National Vocational Qualification or NVQ at level four in management and care and continues to update his skill and knowledge base. The staff reported that the manager was supportive and listens to them. They said he has an approachable management style and ensures clear channels of communication within the home by holding regular meetings with staff and people that use the service. Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: From observations and discussions with people who live at the home we found that their opinions are listened to. One person told us, Staff let us choose, what we do and help us to do it. They are helping me move into my own flat soon Quality assurance monitoring systems are in place and the manager is proactive in obtaining the views and opinions of people using the service, their relatives and other professionals about how the service is meeting stated aims and objectives. He told us that he has sent out new pictorial questionnaires to people that use the service and that a summary of the results of the survey will then be made available to all stakeholders. Through discussion with the manager and staff it is also apparent that they are constantly self-assessing the service they provide and are aware of what they do well and what areas of the service need further development. As part of the quality assurance monitoring process the line manager for the service also visits the home, to carry out Regulation 26 visits. However, the manager informed us that this has not been on a regular monthly basis until January 2009, when a new Service manager was appointed. The AQAA report confirms that policies and procedures are in place at the home to ensure the health and safety of people using the service, visitors and staff, and are reviewed on a regular basis to ensure they comply with present legislation. This ensures peoples safety and welfare. As part of the site visit we examined some of the maintenance and servicing records including, Premises electrical circuits, were last checked September 2008. Fire detection and fighting equipment, were last checked 9.12.08. Fire drills, were last carried out on 10.6.09 Fire alarm, were last checked on 10.6.09 Water temperatures, were checked on 10.6.09 These checks help to protect peoples welfare. Care Homes for Adults (18-65 years) Page 29 of 33 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 33 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 1 23 The registered person must ensure that peoples care plans are regularly reviewed. To protect peoples safety. 30/09/2009 2 23 The registered person must ensure that that radiator covers are fitted appropriately and adequately maintained. To protect peoples safety. 30/09/2009 3 6 15 The registered person must ensure that peoples care plans are kept up to date. To protect their welfare. 30/09/2009 4 9 13 The registered person must ensure that peoples risk assessments are regularly reviewed. To ensure people are protected from harm. 30/09/2009 Care Homes for Adults (18-65 years) Page 31 of 33 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 The registered person should devise a system to ensure that peoples care plans can be updated at least every six months. Ensure that people health appointments are included in their care plan reviews to ensure peoples health care needs are supported. The registered person should ensure the plans in place to redecorate or refurbish the house are completed to ensure that people can stay in comfortable and well maintained building. 2 18 3 40 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or Textphone: 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) 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 33 of 33 - 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!