Care Home: 52 Wellington Road

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What the care home does well People told us they are very happy living at the home. Comments included `I`m happy at 52, I get on well with the staff` and `I`ve got choices`. The home has a stable staff team. Staff spoken with were enthusiastic about their work, enjoy supporting people, are happy with the training opportunities available to them and feel well supported. Health professionals told us the home has `a proactive staff team who are happy and enthusiastic` and `a home which is efficient caring and good fun. Excellent rapport with staff and residents is always maintained`. Care plans are person centred and contain a good level of detail so that staff know how to best support people. The home accesses advice and guidance from health professionals to ensure that peoples needs are met appropriately. Comments included the home `has a very person centred approach` and `they always have the best interests of their clients foremost and provide consistently good care`. There is a wide range of activities on offer within the home and in the community. People are encouraged to take part in the daily routines of the home where possible. What has improved since the last inspection? The individual activity planners give people more choice and independence. People are now offered a choice of dishes at mealtimes. The home now provides people who live at the home with an accessible version of `letting us know what you think`. Some bedrooms have been redecorated and refurbished. The home has created a good sized private bathroom for one person who lives at the home. The kitchen has been recently refitted with a range of new units and equipment. The home has introduced the EL Box system so that staff can complete mandatory training at their own pace. What the care home could do better: The home has a small laundry area which is used by people who live at the home. We observed that the walls and flooring were damaged making them difficult to keep clean. This does not promote good hygiene and presents an infection control risk. The home should carry out maintenance work to ensure the walls and flooring are readily cleanable. The carpet in one bedroom was stained. The home told us they hope to get this replaced in the near future. Key inspection report Care homes for adults (18-65 years) Name: Address: 52 Wellington Road 52 Wellington Road Taunton Somerset TA1 5AP     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: Alison Philpott     Date: 1 9 0 8 2 0 0 9 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 28 Information about the care home Name of care home: Address: 52 Wellington Road 52 Wellington Road Taunton Somerset TA1 5AP 01823334132 01823327560 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Home First & Foremost Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home 52 Wellington Road is registered with the Commission for Social Care Inspection to provide care for up to 12 people in the categories of LD (learning disability) and PD (physical disability). The home is a large older style house situated within walking distance of Taunton town centre and many other local facilities. All service users rooms are for single occupancy and there are a variety of communal areas. Milbury Care / Voyage South Limited owns the home. Samantha Murphy is the Registered Manager. For current charges please contact the provider. 12 12 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection which took place over 6 1/2 hours on 19th August 2009. Throughout the report the term we will be used as it is written on behalf of the Commission. On the day of the inspection, eleven people were living at the home. As part of this inspection we received three completed surveys from people who live at the home, seven completed staff surveys and five completed social and health care professional surveys. The home sent us their Annual Quality Assurance Assessment (AQAA) prior to the inspection. Care Homes for Adults (18-65 years) Page 5 of 28 During the inspection we observed care practice, and spoke with people who live at the home, management and staff. We viewed the accommodation and facilities at the home. We looked at two individual care plans, and looked at records relating to medication, finance and health & safety. We carried out an annual service review on 20th August 2008. People were generally happy with the service. Staff told us that staffing resources are often stretched. We reviewed staffing levels at this inspection. The focus of this inspection visit was to inspect the relevant key standards under the CSCI Inspecting for Better Lives 2 framework. This focusses on outcomes for people living at the home. The quality of the service is measured under four ratings. These are excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 7 of 28 following this report, you can contact them using the details 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 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a range of information including its Statement of Purpose and Service Users Guide to people before they move into the home so that they can make an informed decision that it is the right place for them. The home carries out comprehensive pre admission assessments to ensure that it can meet the needs of people before they move there. People are invited to visit the home and spend some time there. Evidence: The home told us on their AQAA we provide individual service user guides in a format appropriate to the individuals needs. The home has a service users guide which is available in accessible formats which include large print and pictures. There are plans to put the guide on audio CD for one person. The home has not had any recent admissions and on the day of the inspection the home was fully occupied. The information provided in the homes AQAA describes what the home would do before a person moves to the home new service users are Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: offered introductory visits to the service with structured transition plans. Service users are involved and agree to their individual plan. A health professional commented I have been very pleased with the effort that has gone into supporting X and helping them to settle in. People who live at the home confirmed that they were asked if they wanted to move to the home. They also felt they got enough information about the home before they moved in so they could decide if the home was the right place for them. One person commented I was shown photos of the home and the people that lived and worked here. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are person centred and contain good detail. People are involved in the development of their care plans. People are encouraged to make their own decisions and choices wherever possible. Risk assessments are carried out to support people to take responsible risks and increase independence. Evidence: We looked at two care plans. These were person centred and contained a good level of detail. They provide good information and guidance for staff to follow so that they know how to best support people. The care plans included peoples preferred daily routine, likes and dislikes. We looked at a detailed communication care plan for one person with the headings how I communicate, and if I dont understand I will let you know by. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: The home carries out monthly reviews of care plans with goals. These are recorded in a monthly summary. Staff told us that they are always given up to date information about the needs of the people they support. Health professionals told us the home has a very person centred approach and they always have the best interests of their clients foremost and provide consistently good care. We looked at the minutes of the most recent service user meeting in June 2009. People are able to put forward their ideas about what they would like to see on the menus, and what activities they would like to do. The meetings are also used for information sharing, event planning and to discuss any concerns. People confirmed that they can make decisions about how they spend their time. Comments included I got the things I want to do. Ive got choices. The home carries out risk assessments for each identified area in the care plan. We looked at detailed risk assessments relating to communication, bathing, use of equipment, mobility, transport, visits to family and activities. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered a wide range of activities. Each person has their own individualised activity planner. People are supported to maintain contact with family and friends. Staff support people to meet their goals. The home encourages people to be as independent as possible. People are involved in food shopping and planning menus. Evidence: Each person who lives at the home has an individual activity timetable that reflects their interests. Activities include holistic therapy; swimming; pub trips; evening out; walk; bowling; cinema; park; Triad centre; music; Karaoke; horse riding; Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: trampolining; art & crafts; and YMCA. One person is attending a life skills course at college four days a week. On the day of the inspection, four people went out for lunch and one person went out for a walk. On the afternoon of the inspection, a music man visited the home to provide entertainment. This was well attended and we observed people who live at the home and staff enjoying the music, singing and dancing. The home has two minibuses to take people out. We looked at a list called make a wish and hope it comes true with things people would like to do. People have recently been to the Zoo and Bristol Hippodrome as a result of this. The home held a summer party with a rock and roll theme in July 2009. Some people have been to Center Parcs for a holiday this year. There are plans for other people to go on holiday later this year. The company produces a monthly newsletter called The Kite. This provides information about what is happening in all of its homes. There is a service user focus with photos and stories about people who live in the homes. We looked at the homes communication log. This contains information relating to phone calls, letters sent and received, and visitors. One person we spoke with had their mobile phone with them. People are encouraged to take part in the daily routines of the home where possible. Individual activity timetables included food shopping, 1:1 living skills & choice, cleaning room, washing, gardening and cooking. Some people who live at the home are encouraged to manage small amounts of money with support from staff. The home has a four week menu. The main meal is usually at lunchtime and people are now offered a choice of three dishes. On the day of the inspection, people were having sandwiches and salad for lunch, and their main meal in the evening as a new kitchen floor was being laid. Staff were sitting with people in the dining room at lunchtime. We observed good interactions between staff and people who live at the home. People who live at the home told us they enjoy the food. A board is displayed in the dining room with photographs of breakfast choices. The home is currently introducing menu planners with symbols and photographs of all dishes. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported in their preferred way. People are supported to access a range of health professionals. Individual health plans are being developed. The homes medication policies and procedures protect people from risk of harm. Evidence: Each person who lives at the home is supported by a key worker. Peoples care plans contained information about whether the person preferred male or female staff to support them with personal care. We spoke with one key worker who told us they support people to go shopping and maintain contact with their family. Staff photos are displayed on the noticeboard so that people know who is on duty each day. Each person has a health file. This contains details of appointments, letters and reports. People have access to a range of health professionals including GP, dentist, dietician, optician, chiropodist, speech and language therapist, psychologists and psychiatrists. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: One person who lives at the home has presented some challenges to the service. There was evidence that a multi disciplinary approach had been taken. The home had implemented a behaviour plan. When we spoke with staff they were aware of the guidance and knew what to do. Health professionals told us I have been providing care for clients for many years - I have found them always very supportive of these residents and they do their best to respond to any advice. Senior staff and management currently administer medication for everyone who lives at the home. We looked at the homes medication and records. All medicines are stored securely. The home uses a Monitored Dosage System. We looked at the Medication Adminstration Sheets (MAR). There were no gaps in these. Where people were prescribed as required medication, the home had written a protocol for this. This provides information for staff so that they know signs to look for, guidance for administration and recording. Where MAR Sheets had been written by hand, two signatures were obtained. On one occasion, staff had not recorded the maximum stated dose for paracetamol. We checked the balance of one controlled drug and this was found to be correct. We looked at faxed instructions from the GP when peoples medicines had been changed. The home has a separate folder which provides information on medicines and their side effects. The home carries out weekly checks and a weekly medication audit. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints policy. The homes policies relating to abuse and whistleblowing protect people from the risk of harm. Evidence: The home told us on the AQAA all service users and their families are provided with an accessible version of letting us know what you think policy and service users are each provided with I am worried cards. The home has also put in place an audio version of letting us know what you think. The home has a complaints procedure. An accessible complaints procedure with symbols and pictures is displayed on the noticeboard. People who live at the home knew who to speak to if they are not happy. Concerns can also be raised at the regular meetings held at the home. The home has not received any complaints in the past 12 months. We found that staff recruitment files contained all of the required checks to protect people from risk of abuse. The home has a whistleblowing policy and staff spoken with knew what to do if they suspected or witnessed abuse. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The home holds small amounts of monies for people who live at the home. These are stored individually. We checked the balance of one persons monies and this was found to be correct. Two signatures had been obtained for financial transactions and receipts were available. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is homely, comfortable and safe. The home has ongoing plans for maintenance including redecoration and refurbishment. Peoples bedrooms are personalised to reflect their individual tastes and interests. The home is clean and tidy. The laundry does not currently promote good hygiene and presents an infection control risk. Evidence: We viewed the premises. The home has a comfortable lounge where people like to sit together, dining room, and quiet room. On the day of the inspection, a new kitchen floor was being laid. The kitchen has been recently refitted with a range of new units and equipment. The accommodation is provided over three floors. All communal areas are on the ground floor. All bedrooms at the home have en-suite facilities. Bedrooms were personalised with items to reflect peoples interests and tastes. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Several bedrooms have been redecorated and refurbished since the last inspection. The shower of one bedroom has been removed and the bedroom has been redecorated and refurbished according to the taste of the person who lives in the room. The home created a new larger private bathroom for the person who occupies the room. The private bathroom was previously used as a bedroom. The home can now accommodate a maximum of 11 people even though it is registered with the Commission to accommodate 12 people. On the day of the inspection, we noted a large damp area on the ceiling in one of the bedrooms. The deputy manager took prompt action and the companys maintenance staff attended the site the same day to resolve the problem. The home advised that the ceiling will be redecorated. The carpet in one bedroom was stained. The home told us they hope to get this replaced. A number of the bedroom doors have a keypad that people use to access the bedroom. Staff confirmed that people knew the codes to enter their individual bedrooms. we observed that individualised specialist equipment such as electric profiling beds, jacuzzi baths, bath seats, and monitors were in place to meet peoples needs and keep them safe. The garden provides a pleasant area with plenty of seating, parasols and a barbecue. We observed attractive hanging baskets. People who live at the home have access to an indoor swimming pool with facilities at a nearby home. The home was clean on the day of inspection. We observed that liquid soap and paper hand towels were available. The home has a small laundry area which is used by people who live at the home. This contains commercial washing machines. We observed that the walls and flooring were damaged making them difficult to keep clean. This does not promote good hygiene and presents an infection control risk. The home should carry out maintenance work to ensure the walls and flooring are readily cleanable. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good knowledge of the people they support. Recruitment procedures are robust to ensure that people benefit from good staff support. The home provides a comprehensive training and development programme for staff to ensure they are able to meet peoples needs. Evidence: On the day of the inspection, there were 6 support staff on duty in the morning; 6 support staff in the afternoon; 3 staff after 6.30pm and two waking staff overnight. The home has an on call system so that staff can contact senior staff and management if necessary. 6 staff told us that there are always enough staff on duty to meet individual needs of the people who live at the home. 2 staff said usually; one commented there is sometimes sickness and holidays. We observed good interactions between staff and people who live at the home. We spoke with staff who had a good knowledge of the people they support. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Staff told us they are passionate about their work and keen to obtain the best outcomes for the people they support. All staff spoken with commented on how well the staff at the home work as a team. People who live at the home confirmed that staff treat them well and listen and act on what they say. Comments included staff are always helpful if I need them and I get on with all the staff. Health professionals told us the home has a proactive staff team who are happy and enthusiastic and a home which is efficient caring and good fun. Excellent rapport with staff and residents is always maintained. The home holds staff meetings every three months. The last meeting was in May 2009. The home had kept a detailed record of what was discussed at the meeting. We looked at three staff files. These contained all of the required checks. Some information is stored at the companys head office. We looked at staff training records. Training is provided in the following areas; Protection of vulnerable adults; food hygiene; health & safety; first aid; fire; manual handling; medication; infection control; communication; mental health; autism; Learning Disability Qualification (LDQ); and non violent crisis intervention. Some staff have completed training in oral health. Staff told us they are pleased with the training opportunities they receive. One member of staff said I was supported well with my induction and training which has been monitored and kept up to date, which has given me an in depth understanding of my roles and responsibilities as a support worker. 14 of the 21 staff who work at the home have completed an National Vocational Qualification (NVQ) at level 2 or above. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well managed home. The home has quality assurance systems in place. The homes health & safety policies and procedures protect peoples health, safety and welfare. Evidence: Samantha Murphy is the Registered Manager. She has been working at 52 Wellington Road for six years and has been registered manager since December 2007. Samantha has completed NVQ 3 and the Registered Managers Award. Staff spoken with all confirmed that they find the manager very approachable and feel well supported. The homes operations manager visits the home every month to monitor quality. We looked at the report for August 2009. This was detailed and provides an audit against Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the National Minimum Standards. The home sent out surveys to relatives and care managers in 2008. Comments included care and support is always of the highest quality. Staff are caring and attentive. We looked at health & safety records and checks for the fire alarm system, gas safety, electrical installation, and equipment. These were all found to be up-to-date. The home has a legionella risk assessment and checks water temperatures every month. The home carries out a monthly health & safety inspection. The homes fire procedure is available in an accessible format with symbols so that people know what to do in the event of a fire. We looked at accident and incident reports. These are sent to head office for review. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 26 30 The home should replace one identified bedroom carpet that was stained. The home should carry out maintenance work to ensure the walls and flooring in the laundry are readily cleanable. This is to promote good hygiene and infection control. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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