Care Home: 53 Percival Road

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What the care home does well A specialist service is provided to younger adults with Asperger`s and both the management team and staff have the necessary skills and experience to deliver this service well. The home has received consistently good reports on the service since it was first registered in 2002. Strategies continue to be in place to enable residents to develop new skills and work towards achieving independence. Each resident has a detailed care plan in place that provides staff with guidance about how they should provide support. Communication between staff and management is good with daily hand overs and weekly staff meetings to ensure that care is delivered in the most effective and consistent way. Residents continue to be supported to be fully involved in the running of the home and participate in a weekly resident`s meeting where there is an opportunity for decisions to be made and suggestions put forward as to the running of the home. Resident`s rights and responsibilities as adults living together are fully respected. Residents have access to opportunities that develop their educational, vocational and social needs. What has improved since the last inspection? The home did not have any Requirements and one Recommendation, which has been met, made at the last inspection. The AQAA details that improvements made over the past twelve months include, the updating of the organisations policies and procedures, quality monitoring systems, health action plans, assessment packs and induction packs. Many of the recording systems and documentation have been improved. Resident`s families now receive a copy of the regular newsletter produced, are invited to give ideas and suggestions for any policies and procedures to be reviewed, and are invited to attend events in the home, which included a summer barbecue. Residents and staff have started a summer garden project to enable residents if they choose to grow their own fruit and vegetables, or purchasing and consuming the produce grown by other residents. Improvements to the homes environment continue to be made. What the care home could do better: No Requirements or Recommendations have been made following this inspection. The General Manager stated that storage and recording for control drugs would be put in place to meet requirements should these need to be administered. The recording of the recruitment process for any new staff would be developed to fully demonstrate a clear audit trail of the process followed. The detailed collation of quality assurance received from all the organisations services will be developed to enable the information from individual services to be referenced. Key inspection report Care homes for adults (18-65 years) Name: Address: 53 Percival Road 53 Percival Road Hampden Park Eastbourne East Sussex BN22 9JN     The quality rating for this care home is:   three star excellent 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: Judy Gossedge     Date: 2 2 0 4 2 0 1 0 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: 53 Percival Road 53 Percival Road Hampden Park Eastbourne East Sussex BN22 9JN 01323502829 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Autism and Aspergers Care Services Ltd Name of registered manager (if applicable) Hellen Spicer Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home 53 Percival Road is a semi-detached home located in the Hampden Park area of Eastbourne. The home is registered to provide residential support to three younger adults with Aspergers Syndrome. Resident accommodation provides each individual with their own single bedroom. All bedrooms are decorated and furnished to reflect individual tastes and interests. Communal areas provide a lounge, kitchen and dining Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 Brief description of the care home area. A well-maintained garden is available at the rear of the property. The home seeks to promote autonomy and choice and residents are encouraged to work towards achieving independent living. Residents are supported to access a range of educational, vocational and leisure activities as appropriate. The fees at the time of the inspection are from £1100 per week. More detailed information about the services provided at the 53 Percival Road can be found in the homes Statement of Purpose and Service User Guide - copies of these documents can be obtained, along with the CSCI inspection reports on request from the home. Care Homes for Adults (18-65 years) Page 5 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: three star excellent 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at 53 Percival Road will be referred to as residents. The last unannounced key inspection of 53 Percival Road was on 26 April 2007. Since the last key inspection two annual service reviews have been completed. This does not involve a visit to the service but is a summary of new information given to us, or collected by us. No concerns were raised following either of the reviews. This unannounced key inspection took place over three hours between 4.30 pm and 6.30 pm on 20 April 2010 and between 5.30 pm and 6.30 pm 22 April 2010. An Annual Quality Assurance Assessment (AQAA) had been completed by the Care Homes for Adults (18-65 years) Page 6 of 28 Registered Manager of the home. This was very detailed and information from which is quoted in this report. A sample of the homes communal areas were viewed during the inspection and one residents bedroom. A sample of care records were viewed and are detailed in the report but included information about the home, care records, medication records, staff records, complaints and health and safety records. Three people were resident and two of the three residents chose to be spoken with individually. Residents surveys were sent out prior to the inspection and two completed residents surveys were received. The care that two of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. Information was sought from the support worker on duty, and the Registered Manager who was on duty during the second visit to the home. Support workers surveys were sent out prior to the inspection and three completed support workers surveys were received. The organisations General Manager was also spoken with between the visits to the home. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: No Requirements or Recommendations have been made following this inspection. The General Manager stated that storage and recording for control drugs would be put in place to meet requirements should these need to be administered. The recording of the recruitment process for any new staff would be developed to fully demonstrate a clear audit trail of the process followed. The detailed collation of quality assurance received from all the organisations services will be developed to enable the information from individual services to be referenced. Care Homes for Adults (18-65 years) Page 8 of 28 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 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 9 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 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are detailed pre-admission procedures in place to ensure that residents are appropriately placed in the home, and aspirations are comprehensively assessed prior to moving into the home. Evidence: The AQAA details that all new admissions to the home are planned and thoroughly assessed, and that a comprehensive assessment process is in place. Prospective residents will be visited and an assessment completed by two of the management team and supporting information sought. A policy not to accept emergency admissions in the home is maintained as it is felt that any new resident must be properly assessed as compatible with those currently living at the home. There has been one new resident admitted since the last inspection. There was limited documentation to view of the assessment process followed as the Registered Manager stated this was at the organisations head office, so it was not possible to fully evidence the process followed. This was discussed with the Registered Manager, who detailed the process followed. The General Manager also confirmed the process which Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: had been followed. In the last twelve months the referral, assessment and admissions policy has been revised and the Service Users Guide has been updated. That each individual prospective resident has a clearly planned transition period and programme to meet their individual care needs. A trail period is also put in place with a continued assessment during this time. It will need to be ensured that all this information is available to view for any future inspections. The two residents surveys completed stated that they had been asked if they wanted to move in to the home and had received enough information about the home. The new resident was spoken with during the inspection and was able to confirm the process and support provided following admission to the home. Care Homes for Adults (18-65 years) Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents detailed individual care plans provide staff with the information they need to ensure that residents are supported in a way that enables and protects them. Residents are consulted with and enabled to make decisions about their lives. Evidence: Two residents individual care plans were viewed, and were very detailed. Goal setting and monitoring are fundamental principles in the way care plans are constructed. Both care plans viewed contained individual goals for each resident to enable them to achieve maximum independence and develop their skills. Each goal is backed up by a training plan which explains how staff should support residents in order to achieve that goal. Goals are discussed regularly with the resident and regularly monitored and reviewed in the home with a formal review at least annually. The AQAA detailed that the frequency of the monitoring and reviews has increased during the last twelve months. Discussion with the support worker on duty identified they were fully aware of the goals in place for each resident and their role in supporting the resident to achieve each goal. Observations of the care and support provided and feedback received was Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: that support was provided in a sensitive, dignified and respectful way. Residents are supported to take risks to maximise choice and independence. A range of detailed supporting risk assessments were in place. Risk assessments have been developed in line with the triad of impairment approach,which reflects the individuals imagination, social, communication and interaction skills. Each risk assessment is directly linked to a training and support plan which shows how that risk is managed. The sample viewed evidenced that risk assessments continue to be regularly reviewed and updated. Care Homes for Adults (18-65 years) Page 14 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. Residents are encouraged and supported to pursue their educational, vocational and social interests. The meals on the home are good offering both choice and variety and residents have the opportunity to plan and prepare their own meals. Evidence: Each resident has their own weekly programme, which is designed to meet their individual need and support them to reach their full potential for independent living. The weekly timetable, care plans, discussions with residents and surveys completed, observations and staff feedback evidenced that residents are being supported to access a range of educational, vocational and social activities. The planning of activities is being arranged across morning, afternoon and evening periods, seven days per week. Residents are being supported to be fully integrated with their local community and make use of available facilities. At the time of the Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: inspection, two residents had just returned from a visit to their gym, and the third had just returned home from their activity. The AQAA details that this is an area which continues to be updated to ensure that residents are fully aware of all the opportunities available to participate in. A new weekly activity of ten-pin bowling has been arranged for all the residents in the organisations services to enable residents to meet each other and compete against each other. It was observed that residents speak openly to staff about the things they enjoy and the things they do not like and staff respond appropriately and flexibly to their requests. Residents are also supported to participate in an annual holiday each year to experience a week or daily visits of places of interest. residents have chosen holidays in Scotland and Yorkshire this year. One resident spoken with stated they had been choosing where to go for their holiday this year. Each resident has their own key to the home, as well as to their bedroom door. During the inspection residents were observed to have the freedom to live their lives as they choose, whilst understanding the responsibility of living with other people. Feedback received and documentation viewed evidenced residents are supported to maintain contact and relationships with families and friends. Residents reviews include the opportunity for residents relatives and representatives to attend if the resident wishes. A rotating menu is in place and is drawn up in consultation with residents at their residents meetings to ensure the meals provided are what they wish to have. The weeks menu was viewed and detailed a range of meals to be provided. Residents purchase the ingredients, and to ensure that individual likes and dislikes are catered for more than one meal may be provided at meal times. Feedback from the residents spoken with was that the food was good. Dinner on the day was quiche with jacket potatoes, coleslaw and fruit yogurt. Residents are responsible on a rota for the preparation and cooking of the meals. The support worker on duty assisted the resident whose turn it was to cook that evening. Residents continue to have a social lunch out activity and a meal out activity together. Care Homes for Adults (18-65 years) Page 16 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from personal and health care support to meet their individual care needs. Medication policies and procedures are in place to protect residents. Evidence: Residents at 53 Percival Road largely manage their own personal care, with verbal prompts where required. Residents individual care plans provide detailed guidance for staff as to how they should support each individual. Risk assessments are in place to ensure the safety of residents. The philosophy of the home is to support residents to achieve maximum independence and systems are in place to assist residents to take full responsibility for their personal care. The support worker spoken with stated there are weekly staff meetings, which gives the opportunity for staff to discuss the way support is provided and ensure that care is delivered consistently. Staff support residents to ensure their health needs are met and each resident has a detailed health action plan, which records all their health care needs. Feedback and the sample of records viewed referred to specialist advice and guidance which had been sought, along with records of contact with healthcare professionals and the monthly monitoring of residents weights. Relationships between staff and residents Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: and the care given were observed to be very good, and residents were treated with respect at all times. The AQAA details there are policies and procedures in relation to medication in place. Residents can be supported to self administer within a risk assessment framework, but none of the residents were self administering at the time of the inspection. The storage and administration of medication were found to be satisfactory. Storage and recording of administration is not in place if any control drugs should need to be administered to meet requirements. This was discussed with the General Manager who stated that this would be put in place and to meet the requirements. Staff receive training in the management of medication and undertake a comprehensive competency assessment. The support worker spoken with confirmed they had received medication training. Care Homes for Adults (18-65 years) Page 18 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. Systems are in place to enable residents or their representatives to raise any concerns about the care being provided and to ensure that residents are protected from abuse. Evidence: The AQAA details that there is a complaints policy and procedure in place and that no complaints in relation to the service had been received in the last year. The CQC have not been directly informed of any concerns. The residents surveys stated that they were aware of the complaints procedure and knew who to speak to if they were not happy. The three support workers surveys all stated they knew what to do if any residents raised any concerns. The home seeks to operate an open culture where issues are openly discussed and opinions shared. Positive interaction was observed between residents and staff during the inspection. There are policies and procedures in place in relation to the safeguarding of vulnerable adults and a whistle blowing policy. The organisation ensures staff attend safeguarding training. The Registered Manager and support worker spoken with confirmed they had an awareness of safeguarding protection procedures. The two support workers training records viewed recorded this training had been undertaken. A copy of the East and West Sussex, Brighton and Hove Multi-Agency Adult Protection Guidelines was available for reference in the home. 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 standard of the environment is good and provides residents with an attractive, comfortable and homely place to live. Evidence: The AQAA details that there is a redecoration plan in place to promote a high standard of decoration, and that residents are encouraged to put forward their views as to how they would like the house to be. That over the last twelve months the bathroom, the utility room has been redecorated, new fittings provided for the bathroom and downstairs toilet, the sofa in the lounge has been recovered, a new tumble dryer purchased and a new radiator provided in the hallway. In the garden more pots and plants have been purchased and a new garden bed created to grow a variety of produce. Over the next twelve months it is planned to continue the maintenance programme and renew the lounge and bathroom floor and for new dining room chairs to be purchased. 53 Percival Road is an attractive semi-detached house which is situated in the Hampden Park area of Eastbourne, a short walk from local shops and public transport links. The home is pleasantly decorated and well-maintained both internally and externally. The home comprises of three single bedrooms and an office and sleep-in room. The lounge and dining room provide residents with sufficient communal space Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: to meet their needs. Residents have access to a garden at the rear of the property. The communal areas and one residents bedroom was viewed during the inspection. The residents bedroom had been personalised to meet their individual requirements and the resident stated they were happy with their room. The AQAA details that there is an action plan in place to deliver best practice in the prevention and control of infection and that all staff have received training. The home was clean and free from offensive odours. Feedback received was that the home was always or usually kept fresh and clean. Residents are supported to take responsibility for keep their own bedroom and the house clean and tidy on a rota basis. There is a separate laundry room for residents to use. A sample of routine fire checks undertaken in the home were viewed. 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. There are robust recruitment procedures and training is provided to staff to enable them to perform their roles effectively. Evidence: The home was calm and relaxed on the day of the inspection, the atmosphere was observed to be friendly and relaxed and of the positive relationships between staff and residents. The staff rotas were viewed and with staff feedback confirmed that 53 Percival Road as a small home for the majority of the time, residents are supported by one member of staff on each shift. At night one staff member sleeps-in. The support worker spoken with spoke of a team that are very supportive of each other and of good communication. The support workers surveys stated there was always enough staff to meet residents needs and that they always had enough support, and experience to meet residents different needs.The residents surveys stated that the staff always treats them very well and always acts and listens to what they say. Discussion with the Registered Manager and the support worker, identified that there have been little staff changes within the service. Agency staff are not used to work in the home, but the organisation has a bank of relief staff who will provide cover so that continuity for residents is maintained. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The AQAA details there is a comprehensive recruitment pack which all new applicants are taken through. Staff spoken with, feedback from the support workers surveys and the one new staff file viewed evidenced of the recruitment process followed for staff, which included the completion of an application form, the receipt of two written references and that a Criminal Records Bureau (CRB) and a Protection of Vulnerable Adults (POVA) check had been undertaken. The recruitment process was not always easily identified. This was discussed with the General Manager who stated that the recording of the audit trail of the recruitment process would be further developed to fully evidence the process followed. The AQAA detailed that four of the five support workers hold a National Vocational Qualification (NVQ) Level 2 in care. The AQAA details that new support workers undertake an induction which the General Manager has stated has been reviewed and updated over the last twelve months, and meets the requirements of Skills for Care induction standards. The one new support worker spoke of a detailed induction and that there is good training opportunities available for personnel development. The three support workers surveys stated the induction covered everything they needed to know and the sample documentation viewed evidenced that an induction had been completed. The AQAA details that support workers receive monthly supervision. All staff feedback and documentation viewed confirmed that supervision is provided to meet requirements. The organisation has an annual appraisal system which was evidenced to be in place. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a safe and well run home that has detailed policies and procedures in place to audit the service and inform the continued development of the home. Evidence: The Registered Manager for the home is Hellen Spicer, who holds a number of relevant qualifications including a National Vocational Qualification at Level 4 in Care and Management and the Registered Managers Award, and is supported by the General Manager. The organisation has an experienced management team, with monthly management meetings being held. The General Manager will undertake shifts in the home, attends meetings and accompanies residents on their holidays. The Responsible Individual is in regular contact, regularly visits the home and attends meetings in the home. The philosophy of Autisim & Aspergers Care Services is for staff and management to work together as a close team and this is again reflected in the high quality of service Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: that 53 Percival Road provides to the people who live there. Staff stated they felt valued and their ideas listened to. The Registered Manager stated she had an awareness of the Mental Capacity Act and the Deprivation of Liberty. The AQAA details a quality assurance system is in place. It was evidenced that feedback about the service provided was sought through the use of surveys with residents and their representatives and visiting professionals. Weekly residents meetings are held and a sample of the minutes of the meetings were viewed. A number of systems in place to self-audit, including daily hand overs for staff, weekly team meetings and regular supervision. A sample of the records were viewed and were detailed. There was a detailed record of the collation of the outcome from the quality assurance undertaken and available to be viewed by interested parties. This related to all the quality assurance undertaken within the organisation and all its services, and should be further developed to enable the information specific to 53 Percival Road to be referenced. This was discussed with the General Manager who stated this would be addressed. So a Requirement has not been made on this occasion. The Registered Manager stated that the Registered Provider conducts monthly monitoring visits in line with Regulation 26 and produces the required reports. The records were not available to view on this occasion. The AQAA details that policies and procedures are in place, but that they had not all been subject to a regular review. This was discussed with the General Manager who stated that all policies and procedures are currently being reviewed or have been reviewed and it would be ensured that this is undertaken at least annually. The Manager stated that residents are supported to manage their own finances and no money is held in safe keeping. A sample of the records of check of the environment which had been completed were viewed. The AQAA detailed that the maintenance of equipment and services has been carried out. Records detailed fire training was also provided with the fire drill. The support worker spoken with stated that they had received fire training and attended a fire drill in the last year. Individual risk assessments relating to the home were in place. A recording system is in place for any incidents and accidents, which had occurred in the home. 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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