Care Home: 429 Warwick Road

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What the care home does well Information is available about the service is available in different formats. Before being admitted to this home there is a full assessment of the person`s needs. People have the opportunity to visit the home several times and stay overnight before making the decision about whether this home would suit them. People who know the person including health and social care professionals are involved in giving information for the assessment. All the people in the home benefit from structured day services. People spoken to were happy with the activities. It was clear from residents meetings that people have a say in how to spend their leisure time. People spoken to assert that they had attended concerts as they had asked to.. One person commented `happy with everything- yes I like cooking I`m happy wouldn`t want to change anything.` Another comment card said `People help me by choosing an activity they think I would enjoy.` People are supported to get health care when needed. One healthcare professional commented that they had `no concerns the home attempts to focus on individual needs and are good advocates.` The administration of medication is safe and this promotes the health and wellbeing of people living in the home. The management of the home are aware of local procedures and will refer situations to other agencies if they are concerned about the well-being of people. Staff receive regular supervision and this helps to ensure that good standard of work performance is maintained. The home has systems in place to ensure that people living there are consulted about the day-to-day running of the home and their views listened to. What has improved since the last inspection? There is now a commitment to Person centred planning, this involves gaining information about the person`s usual routines, likes and dislikes are added to the information about the person. This information helps staff plan a way of caring for people that meet their needs and wishes. The home has replaced furniture in the lounge and a dining table and chairs have been replaced. A number of people`s bedrooms have been decorated. Staff have been given training on sexual orientation and diversity and this enables staff to manage these needs sensitively should they be required to do so. CARE HOME ADULTS 18-65 429 Warwick Road Solihull Birmingham West Midlands B91 1BD Lead Inspector Jill Brown Unannounced Inspection 12th September 2008 09:00 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 429 Warwick Road Address Solihull Birmingham West Midlands B91 1BD 0121 704 4563 F/P 0121 704 4563 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.voyagecare.com Milbury Care Services Ltd Mrs Sue Kiely Care Home 7 Category(ies) of Learning disability (7) registration, with number of places 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 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: 2. Learning disability (LD) 7 The maximum number of service users who can be accommodated is: 7 13/09/07 Date of last inspection Brief Description of the Service: 429 Warwick Road is registered to provide accommodation and care for a maximum of 7 adults with learning difficulties. The home is situated on a main road with its own small car park at the front of building. The home is a large attractive modern building in keeping with the design of other houses in the neighbourhood. Bedrooms are situated on both the ground floor level and the upper floor of the home. Whilst the dimensions of the hallways and the staircase to the first floor make the house unsuitable for wheelchair users, the bedrooms on the ground floor levels provide a suitable living situation for some service users with minor / moderate mobility related needs. The home provides care to male and female service users, although service users often spend sometime at home. The home is situated within reasonable distance of shops and local amenities and the service has its own vehicle to support residents to access the community. The current fees start at £997.00 per week. People are required to pay personal items and extras, such as clothing. People contribute their mobility allowance to the cost of transport as part of their contract with this home. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. We visited the home on 3 occasions to complete a key unannounced inspection. This type of inspection seeks to find out how the home cares for the people living there. A key inspection looks at the majority of the standards in the National Minimum Standards and makes a judgement about the care provided. As part of the inspection process the inspector reviewed information about the home that is held on file by us, such as notifications of accidents, allegations and incidents. Four people at the home returned questionnaires these were completed with the help of day centre staff and in one case an advocate. We also received questionnaires from two relatives, two health professionals and two staff and this helps to give an overall view of the service the home is providing. The inspection included seeing the six people that live at the home. The inspection also included case tracking the needs of two people that live at the home. This involves looking at people’s care plan and health records and checking how their needs are met in practice. Discussions took place with two members of staff, on duty at the home, as well as the manager. A number of records, such as care plans, complaints records, and fire safety records were also sampled for information as part of this inspection. An annual quality assurance assessment was completed and returned by the provider in time for this inspection, providing the manager’s views of the home’s performance during the last year. What the service does well: Information is available about the service is available in different formats. Before being admitted to this home there is a full assessment of the persons needs. People have the opportunity to visit the home several times and stay overnight before making the decision about whether this home would suit them. People who know the person including health and social care professionals are involved in giving information for the assessment. All the people in the home benefit from structured day services. People spoken to were happy with the activities. It was clear from residents meetings 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 6 that people have a say in how to spend their leisure time. People spoken to assert that they had attended concerts as they had asked to.. One person commented ‘happy with everything- yes I like cooking I’m happy wouldn’t want to change anything.’ Another comment card said ‘People help me by choosing an activity they think I would enjoy.’ People are supported to get health care when needed. One healthcare professional commented that they had ‘no concerns the home attempts to focus on individual needs and are good advocates.’ The administration of medication is safe and this promotes the health and wellbeing of people living in the home. The management of the home are aware of local procedures and will refer situations to other agencies if they are concerned about the well-being of people. Staff receive regular supervision and this helps to ensure that good standard of work performance is maintained. The home has systems in place to ensure that people living there are consulted about the day-to-day running of the home and their views listened to. What has improved since the last inspection? What they could do better: Daily records were not detailed enough to show how people spent their time. Records of behaviour were not detailed enough to ensure the future planning to minimise risk and to maintain a persons health. One staff member spoken to still had to undertake adult protection training although they had been in post some time. The carpet in the lounge still needs to be replaced and this was recommended at the last inspection. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 7 Although staffing levels have been maintained, some staff are having to be flexible with their shifts to ensure that a driver is available to take people to their day services or for leisure activities. A health professional and a relative commented that the home needed more staff. Information about when references have been received and the outcome of those references should be kept on staff files so that they can be inspected. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 &5 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The Service User Guide has relevant information about the home which enables people to make an informed choice about living there. People have opportunities to visit the home and an assessment is completed to find out if the home will suit them. EVIDENCE: Information about the service is given to the person and their family before the person is admitted to the home. This is called a statement of purpose. The person moving into the home has a service user guide. Part of this information is available in a picture format using Makaton signs. This allows the person to decide whether the home can provide the care for them. The information provided has been looked at this year to check that it is still correct. As part of the service user guide there is a copy of the contract this includes the terms and conditions and how a person stay is funded. There is also a copy of the home’s complaint procedure included. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 10 We looked at the admission records of the person admitted this year and found that the manager of the home had completed a full assessment of the person’s needs. The assessment included information from professional people who are involved with the person. It included information about the skills and abilities that the person had. The homes assessment procedure was looked at during the last inspection and found to be appropriate. The person admitted to the home had tea visits and overnight stays before they decided to move in permanently. One professional had developed a book of photographs to assist the person with their move into the home. A comment card from a relative stated that there is usually enough information. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Person centred care planning is being developed to ensure care plans become more responsive to people’s individual needs. Daily records and behaviour records need to be improved to ensure that people’s future care needs can be determined accurately. The people in this home benefit from good risk assessments that assist people in achieving a good life style. EVIDENCE: We looked at two peoples care plans. One of the care plan looked at showed that the home was undertaking person centred planning. This means that peoples routines, choices, gifts, skills, and information from other people who know about the person is used to develop a person centred plan. This improves the homes communication with people. For example a person will bring their coat when they want to go out and likes putting makeup on and having their hair done. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 12 Care plans show that the home intends for people to develop skills that would enhance their daily lives. For example long-term goal -- to be able to indicate by gesture, behaviour or body language when they are in pain, discomfort or distress. Care plans review notes demonstrate that people’s needs are being routinely reviewed with the involvement of their relatives and social workers. Work is continuing to ensure that care plans become more accessible to the person. However at the moment priority is being given to person centred planning. A satisfactory range of risk assessments were seen for people addressing general hazards (e.g. kitchen safety, and road safety) as well as risks specifically associated with their personal needs, such as epilepsy. Guidelines were seen for a person who has occasional outbursts. The guidelines have been devised with a psychologist and provide staff with practical advice for sensitively supporting the person concerned. We looked to the daily records and found records of people that have outbursts were not having these recorded in a way that would help to determine when these outbursts were more likely or what worked in calming situations down. We also found difficulty in assessing the frequency and length of time of these outbursts, and this was concerning as medication had been changed because of these. We watched the interaction between staff manage and the people living in the home. It was clear that people were encouraged to undertake day-to-day living tasks for themselves such as making drinks and assisting those people that needed more help. One person in the home was seen confidently getting their bag together with sandwiches, a drink, a piece of fruit and a packet of crisps ready for their daily activity. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to take part in a good range of community leisure activities and are involved in menu planning so that they are provided with a good social life and with meals they enjoy. EVIDENCE: The people at the home attend day services during the week. Day services are varied for the individual person, for example one person enjoyed going sailing. This activity was reviewed by the college to determine whether the person enjoyed it and any risks that might be identified. The rotas show that there is a member of staff on duty during the day so that people can stay at home if they need to, e.g. if they are sick. The activities record suggests that people are encouraged to be involved in outside activities. One persons record showed that they went to: - the disco, the pub, the cinema, and went out for meals and shopping. Records of 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 14 residents meetings show that people are involved in making choices. An example of which was the people chose that the 10th anniversary party be fancy dress. Photographs of the party were available to show that this had taken place. Photographs were also available of people visiting Coronation Street. People can make requests for activities that they would like to do and events that they would like to attend. We went to the home on an evening to meet people however all but one person was going to the Walsall illuminations. As a result of the last inspection number of staff have had access to sexuality and personal relationships training. This training is helpful so that staff are better equipped to give sensitive advice and support to people where necessary. Encouragement is provided for service users to take part in many aspects of daily living, such as cleaning and tidying, shopping for personal items and carrying their personal laundry baskets to the laundry room. People have lockable furniture in their bedrooms to keep their personal belongings safe. No restrictive practices are evident in the home. The menu for the day is displayed on the board in the dining area. There is picture representation of some of the food available. At a further visit to the home this information had been transferred on to a menu card for the day with pictures. A person at the home was able to use this to know what was available for the day. The menus and the records of food eaten indicate that people are provided with a varied, balanced diet. Weight records are being kept to help staff to monitor any weight variations, which might indicate any health issues or the need for dietary changes. During the week some people have their main meal in the dining area and others eat in the conservatory this is to ensure that this mealtime is calm following peoples return from the day services. One person commented ‘happy with everything- yes I like cooking I’m happy wouldn’t want to change anything.’ Another comment card said ‘People help me by choosing an activity they think I would enjoy.’ 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the care and support they require form staff and healthcare professionals in order that their personal care and health care needs are met. EVIDENCE: A sample inspection of health records indicates that people are receiving routine access to general health services, such as well person’s checks, dentist, eye tests, flu vaccinations and chiropodist. Evidence of regular weight monitoring was observed on people’s files. Where necessary people are being referred to health professionals for advice and treatment. The home has made use of input from other health professionals in the development of guidance and to monitor people’s care, e.g. psychologist has been used to develop behaviour management guidelines. A health professional said ‘…..have had some tenants referred due to behavioural issues, have no concerns the home, attempts to focus on individual needs and are good advocates. .. one of the better services.’ Staff spoken to were aware of the outcomes of consultations with health professionals and actions they needed to take to ensure that persons care. For example a person visited the dentist and staff knew that the person needs 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 16 more support in brushing their teeth. A person that can have continence issues did not have this recorded in the care plan. Another health professional commented ‘They provide help where needed’. Health action plans are in place for people containing details of people’s health needs and the arrangements to address these needs. The action plans have been devised with a lot of picture symbols with the aim of making the information easier to understand. People were dressed in clothing that reflected their interests and clothing was clean and appropriate. It was clear that people’s hygiene needs were attended to and efforts were made to style peoples hair in the way that they wished. The people living the home were keen to give the manager news of what had happened over the weekend and what they had done showing that there was a family feel to the homes environment. The home uses a monitored dose system for medication. Records that medication had been received, administered and where appropriate returned are being appropriately kept. We looked at the medication to two people living in the home. The home retains copies of prescriptions so that staff can check the correct medication has been received from the chemist. This enables the home to account for all the tablets correctly. Photographs of the person are alongside the medication and this helps to ensure that medication is given to the right person. Medication was kept securely and in an ordered fashion and this helps to ensure appropriate administration. Medication looked at matched the record in all but one case and this had not been picked up when medication was brought into the home. Protocols are in place for home remedies, explaining the reasons that the medication may be given and any side effects that could occur. The training matrix shows that staff have received medication training. The manager carries out assessments of staff to check their understanding of safe medication practices. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The manager of the home ensures that people’s concerns are listened to and that issues that are of concern are referred to appropriate agencies and this ensures the safety and well being of the people living here. EVIDENCE: Since the last inspection there has been one complaint about the home concerning the behaviour of people living in the home. We looked at the home’s action on this and found that they had involved other agencies under the safeguarding procedures appropriately. There has been an allegation about a member of staff this continues to be investigated and there has been no outcome. People have been provided with access to an illustrated version of the complaints procedure; a copy is in the information pack in the hallway. While looking at the complaint records we also found a compliment letter, which said that one person had become physically and mentally better since being at home. Of the two members of staff that were interviewed one member of staff has yet to receive training on safeguarding. This training ensures are necessary so 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 18 that staff know how to raise any suspicions of abuse or report concerns about the running of the home. We look at the financial records of two people and found that the money held match the record and receipts were available. We found that the care plans needed to be a little bit more detailed about the individual persons access to their money. It was clear that the home were trying to encourage people to gain skills in this area. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The accommodation continues to be well maintained and improved so that people live in a comfortable, homely environment that meet’s their needs. EVIDENCE: Generally the environment is attractive providing good accommodation in a domestic family way. The home was fresh and clean at the time of the inspection. There was evidence of the improvements, repair and maintenance being undertaken. A previous recommendation to replace the settee had been undertaken however the recommendation to replace the carpet had not. The manager said that this was to be replaced shortly. The kitchen cupboards fronts were looking tired and hard to clean. The kitchen had a cleaning schedule, was clean and food was stored appropriately. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 20 People’s bedrooms are decorated, furnished and equipped, in keeping with their preferences and personalities. One person has had a mural painted on the walls by an artist, and the ceiling has been painted with pictures that reflect in a special light at night time. Other people have rooms have been decorated in a way that demonstrate the interests they have. One persons room was in the midst of the bed linen being changed when viewed. The person had gone to college and was going to continue changing the bed on their return. People in this home are encouraged to undertake daily living tasks. Between our visits another bedroom has been decorated. The home has a walk in shower, downstairs and a domestic style bathroom upstairs. The garden is well maintained however the weather this year has limited the amount of time that people could spend in the garden. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. There is some pressure on staffing and this may affect how responsive staff can be in meeting people’s wishes although currently people’s needs are met. EVIDENCE: There is a small number of staff in this home and this ensures that people living there know who is caring for them. However, a number of staff have moved on to other posts. Shifts are being covered by bank staff and staff have to be flexible about the shift times they work. On occasions staff that can drive have to come in to ensure that people can get to day services especially if the manager is on leave. The numbers of carers that can drive has diminished and this could leave people not able to get to their day services. Further pressure is put on staffing by the assumption that people will not need assistance during the night. Special arrangements have to be made if the sleep in staff have to work during the night. Rotas showed that on occasions staff were completing long shifts. A comment card said ‘they treat relatives with respect but need more staff.’ The manager stated they were recruiting a senior care. The home has a number of male staff which helps to meet the needs of 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 22 male people living in the home. There is a culturally diverse staff group although the people of living in the home are from a white UK background. We looked at 2 staff records and found that criminal records bureau checks had been undertaken. Some staff records were kept centrally at the organisations head office and this made it difficult to ensure that all checks such as references had been completed. Recruitment had not been an issue at previous inspections. Staff records show that staff receive ongoing training. Examples of training recently were medication, mental capacity act, and fire safety training. Some staff have completed recently equality, diversity and sexual orientation training and this assists staff to be aware of people’s needs. The majority of staff had undertaken a National vocational qualification level 2 in care and this helps to ensure that staff know how to care for the people living in the home. The annual quality assurance assessment (AQAA) said that they intend all further staff to gain NVQ qualifications. We have also been advised that the home has developed computerised training for certain courses, the manager needs to keep a record of how staffs competence is determined after completing these courses. An examination of the home’s records confirmed that staff meetings are routinely taking place. The supervision matrix and discussion with staff shows that supervision is regular to ensure staff are well supported in their job role. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place for consulting with the people at the home and other interested parties so that the home is managed in a manner that takes account of the views of the people that live there. EVIDENCE: The Manager demonstrated good knowledge of the needs of people living in the home. She has many years experience in care and has successfully completed both an NVQ 4 and the Registered Care Managers Award. The annual quality assurance assessment (AQAA) showed that the manager had completed an internal verifier award for training courses. The two comment cards received from health professionals were happy with their contact with the home. The AQAA showed the managers intent to continue to improve the service. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 24 The home has systems in place to assess the quality of the service they provide. We saw records of staff and residents meetings. We found that people were asked about the activities they wanted in their leisure time and the people we spoke to confirmed that they had undertaken these activities. People living in the home have undertaken surveys about how they feel about living in the home. Audits are undertaken by managers to ensure a good standard in the home. We looked at a number of safety certificates for fire safety and gas safety and found these were in place. This helps to ensure about the environment is safe for the people living in the home. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 17(1)(a) Requirement Reports of behaviour incidents must be improved to ensure that a determination can be made whether the incident needs: Referral for safeguarding For consideration for psychology or psychiatric intervention Timescale for action 30/11/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA23 YA24 YA33 Good Practice Recommendations All staff should have PoVA training within 6 months of starting work. Plans should be made to replace the carpet in the lounge (with iron burn mark). You should review the staffing to ensure there are sufficient staff with the skills needed to provide for the care and transportation needs of the people in the home. 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 429 Warwick Road DS0000004512.V372244.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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