Care Home: 72-74 Walsingham Road

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What the care home does well The relaxed, homely and welcoming atmosphere has evolved over several years and reflects the commitment of the manager and the close professional relationships that have developed between residents and the dedicated staff team. Staff are evidently valued and supported by the manager and she is clearly held in high regard not only by members of staff but residents and their relatives as well. Effective systems are in place for the admission and ongoing care of residents. High quality individual care plans developed from comprehensive pre admission assessments ensure that the care and ongoing support needs of residents are met in a structured and consistent manner. Communication and consultation with residents` family members is effective with relatives having the opportunity to partake in individual assessment, care planning and reviewing processes. What has improved since the last inspection? Improved communication systems, including pictorial formats, have been developed and implemented to enable residents to have a greater understanding around their health needs and provide them with more informed choices in this important area of their life. Staff have recently accessed Mental Capacity Act training, to give them a more indepth understanding around the implications of the Act. All lead support workers, in the last 12 months, have accessed in house and external training, including adult alerting, CQC, whistle blowing, and policies and procedures for safeguarding vulnerable adults. More residents are now directly involved in the selection and recruitment of new staff. Having developed and implemented a more `Person Centred` approach to care, the home has enabled residents to take more independent control in different aspects of their life that are important to them. What the care home could do better: Information made available to prospective residents, including the Statement of Purpose and Service User Guide, should be reviewed and updated so as to accurately reflect the current situation within the home. For the benefit of residents who cannot read, the weekly menu could be enhanced with the use of pictures or photographs of the `dish of the day`. The outdated and `tired` looking bathroom on the first floor should now be refurbished. Key inspection report Care homes for adults (18-65 years) Name: Address: 72-74 Walsingham Road 72-74 Walsingham Road Hove East Sussex BN3 4FF     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: Nigel Thompson     Date: 2 1 1 0 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 29 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 29 Information about the care home Name of care home: Address: 72-74 Walsingham Road 72-74 Walsingham Road Hove East Sussex BN3 4FF 01273888077 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.caremanagementgroup.com Care Management Group Ltd care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Service users should be aged between 25 and 65 years upon their admission That the category of service users admitted have a learning disability, not falling within any other category That the home is registered to accommodate up to twelve (12) service users Date of last inspection Brief description of the care home 72-74 Walsingham Road is a care home, which is registered to provide personal care and accommodation for 10 residents with mild to moderate learning disabilities. The home is owned and run by Care Management Group (CMG) who are a large organisation that provides care for people with learning disabilities. The home is located in a quiet residential area in Hove near to the seafront. There is good access to local amenities and public transport. There is no parking available at the home, but free parking is available in the adjacent streets. Accommodation consists of nine single and one double bedroom, two of these have enCare Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 10 Brief description of the care home suite facilities. All bedrooms are located over the ground and first floor. Residents must be able to mobilise independently as stairs and other access arrangements would make it unsuitable for residents with significantly restricted mobility. The layout of the home is not suitable to accommodate wheelchair users. Communal facilities include a goodsized lounge area, separate dining area and well maintained rear garden. There are two bathrooms, which are located on the ground and first floor. The home provides personal care and support to residents who are funded by Social Services. The fees as of 21 October 2009 range between £883.84 and £1068.17 per person per week. Additional costs are charged for hairdressing, personal toiletries and certain social activities. Prospective residents and their relatives are provided with written information regarding the services and facilities provided at the home prior to admission. A copy of the homes most recent inspection report is available on request. Care Homes for Adults (18-65 years) Page 5 of 29 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 quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This unannounced inspection took place over four hours, between 09.30 and 13.30, in October 2009. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was very good. On the day of the inspection there were ten residents living at the home. The inspection process involved observation of working practices, examination of the homes records and discussion with four residents, two residents relatives, two members of staff, the Registered Manager and the Regional Director. Communal areas throughout the home were seen and all residents bedrooms were viewed. Care Homes for Adults (18-65 years) Page 6 of 29 The focus of the inspection was on the quality of life for people who live at the home. Care Homes for Adults (18-65 years) Page 7 of 29 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 8 of 29 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 29 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 29 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 thorough admission policy and procedure ensures that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs Evidence: Comprehensive and detailed information regarding the home has been produced and is made available to all prospective residents. The quality and accessibility of the Statement of Purpose and Service User Guide is further enhanced by the effective use of photographs and diagrams. The Statement of Purpose provides an introduction to CMG including the organisational, management and staffing structure. It also includes details of the homes admission criteria, complaints procedure, facilities and activities available and arrangements in place for residents visitors. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The Service User Guide provides residents with a summary of the Statement of Purpose, residents charter, the terms and conditions of contract, information in relation to what residents can expect from the home and arrangements in place for meeting their personal and healthcare needs. It is presented in an easy to read format, which incorporates the use of colour pictures and symbols. Residents are provided with a copy of both documents prior to admission in order to support their decision of where to live. However it was noted that the Statement of Purpose had not been reviewed since February and consequently includes inaccurate information relating to the Regional Director and also contains out of date contact details for the CQC. In addition to establishing whether the individuals care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing residents. As well as being invited to visit the home to look around and meet with existing residents and staff, prospective residents have the opportunity to stop overnight or occasionally for a weekend stay before moving in. The manager confirmed that new residents undergo a flexible trial period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Care Homes for Adults (18-65 years) Page 12 of 29 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. Comprehensive, high quality care plans enable staff to meet the assessed support needs of residents in a structured and consistent manner. Systems for consultation and participation are effective. residents are treated with respect and encouraged and enabled to make decisions about their day to day living. Evidence: High quality care plans and Person centred plans (PCPs) are in place for each resident. As previously documented, the effective use of pictures, photographs and diagrams in the plans ensures that the assessment and ongoing care planning process is more clearly focused on and accessible to the individual resident. The manager confirmed that residents and, where appropriate, a relative or representative continue to be directly involved in annual care plan reviews. It was evident from plans that were examined that reviews are appropriately recorded and plans, including risk assessments, are amended appropriately to reflect changing needs or circumstances. Information recorded includes who was present at the review Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: and details of issues discussed and agreed goals. In accordance with the person centred approach to care planning, it was noted that risks are recorded in the first person and provide evidence of regular and effective consultation with residents. Individuals are clearly enabled and supported to make decisions about many aspects of their life and are made aware of and understand the reasons for specific action being taken. Residents continue, as much as is practicable to be enabled and supported to participate in all aspects of life in the home. They are encouraged to help with meal preparation, make their own hot and cold drinks, go shopping, attend to the laundry. Certain residents continue to play a significant part in the selection process for new staff. There was documentary evidence of detailed risk assessments and management plans to enable residents to undertake a wide range of activities in the home and in the community. All of those seen had been recently reviewed and updated as necessary. Independence and individuality continue to be encouraged and promoted within the home and are clearly reflected in the personalising of residents rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. Care Homes for Adults (18-65 years) Page 14 of 29 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 supported to take part in a wide range of activities to lead fulfilling lives, meet their needs and ensure their personal development. Residents play and active and fulfilling role in the life of their community. They are supported to maintain positive relationships with family and friends. The ethos of the homes promotes the right of residents to make choices in all aspects of their lives. Evidence: The manager confirmed that, where appropriate, residents family links continue to be supported, however not all residents have regular family contact. Visiting to the home is unrestricted and residents relatives and friends are made welcome at any reasonable time. As part of the inspection process, two residents relatives were spoken with and both expressed a high level of satisfaction with the home and the care and support provided: Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: She is so happy there and that is very important to me. The staff are so kind and cant do enough to help. Im always made very welcome. Its a great comfort to know that he is being looked after so well. Community participation remains a focus and residents are evidently encouraged and supported to attend local colleges and visit restaurants, cinemas, theatres, shops and other amenities in the area. In addition to this, the recreational and leisure interests of residents are identified and recorded in their individual care plan. They continue to be supported to access activities and facilities, including bowling and swimming, reflecting their individual needs, preferences and abilities. The varied, balanced and nutritious menu reflects seasonal variations and is based on residents identified likes and preferences. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. However, with dinner clearly being one of the highlights of the day and as many residents are evidently unable to read, it is recommended that the menu be enhanced with the use of pictures or photographs of the dish of the day. Staff confirmed that many residents are involved in various aspects of meal preparation, including laying the tables, washing up and drying and preparing packed lunches. On the morning of the inspection some residents, with staff support, were clearly enjoying baking cakes. Care Homes for Adults (18-65 years) Page 16 of 29 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. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. residents are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, residents were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Individual care plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of residents and their relatives. Comprehensive needs assessments and details of staff intervention and action to be Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: taken, ensures a structured and consistent approach to individual care and support. The manager confirmed that close and effective working relationships between residents and their key worker ensured that any subtle change in an individuals mood or behaviour can be identified and addressed at an early stage. As residents grow older they are inevitably more susceptible to developing additional healthcare needs, including reduced mobility, eating and drinking difficulties, epilepsy and early onset dementia, associated with Downs Syndrome. It is clear that since the previous inspection one residents physical condition has significantly deteriorated and the home is currently working hard with other agencies to identify a more suitable placement to meet his increased care and support needs. In the meantime appropriate action has clearly been taken by the home and revised strategies and interventions have been implemented, to address issues related to his reduced mobility. All residents are registered with local GPs and have access to other health care professionals, including psychologists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The manager confirmed that only senior staff have responsible for administering medication and all have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Care Homes for Adults (18-65 years) Page 18 of 29 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 open and inclusive atmosphere within the home enables residents, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Residents are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: A clear, simple and concise complaints procedure has been developed. For the benefit of residents relatives and other visitors to the home, a copy of the procedure is displayed in the entrance hall. All complaints are recorded and include actions taken and outcomes achieved. Close working relationships and effective communication and consultation provides adequate opportunities for any concerns to be raised and discussed before they become complaints. Residents, relatives and members of staff confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. The manager confirmed that there have been no concerns, complaints or safeguarding alerts received by the home since the last inspection. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents have evidently been drawn up in accordance with the multi agency guidelines for the protection of vulnerable adults (Safeguarding adults). The manager confirmed that all care staff have undertaken appropriate training regarding abuse awareness and procedures relating to Safeguarding Vulnerable Adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Care Homes for Adults (18-65 years) Page 20 of 29 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 service is accessible, safe and clean and remains clearly suitable for its stated purpose. Residents benefit from pleasant accommodation that is comfortable, homely, well maintained and decorated to a satisfactory standard. Evidence: The well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and very homely environment for residents. The manager confirmed that independence and individuality are promoted within the home, as far as is practicable, and this is evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. All rooms were found to be exceptionally well decorated and contain personal furniture and belongings, including a TV, DVD player, CD player and a large poster entitled Important Things for Me, which contains personal photographs of the individual and other significant people in their life. Communal facilities include a sitting room, separate dining area and large conservatory and well-maintained rear garden. Residents are evidently encouraged to help with the gardening and look after the fishpond. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: There are two bathrooms in the home, one located on the ground floor and one on the first floor. It is evident that since the previous inspection the ground floor bathroom has been completely refurbished and decorated to a very high standard. Welcome improvements made include the provision of an assisted bath and showering facilities, which are clearly of great benefit to those residents with reduced mobility. By contrast, the first floor bathroom looks very tired and dated and, as discussed with the manager and Regional Director, is now in need of total refurbishment. A maintenance team is employed by the organisation to carry out any identified repairs or necessary redecoration. Any areas that are in need of addressing are recorded in a maintenance book, which staff confirmed are usually promptly dealt with. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Care Homes for Adults (18-65 years) Page 22 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the homes thorough recruitment policy and procedures and benefit from sufficient trained, competent and dedicated staff on duty at all times to meet their assessed care and support needs. Evidence: The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training. In addition to these programmes, appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and supported by training records examined: There is always plenty of training going on here. Ive had masses of training since I started. The home employs a total of 10 Support Workers and a Deputy Manager in addition to the Registered Manager. Residents, staff and duty rotas confirmed that there are always three members of staff on each shift with one waking night person and a Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: sleep-in. This is sufficient to meet the current assessed needs of residents. In accordance with company policy, the manager confirmed that formal supervision is provided for all care staff on a regular basis. Through direct observation and discussions with members of staff, it is evident that the manager also operates an open door policy, with staff feeling confident and able to discuss any issues at anytime. Staff morale is evidently very high within the home and individual members of staff, spoken with during the inspection, clearly feel valued and supported by the manager. Shes the best manager Ive ever had, always ready to listen or help if you need it. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of residents. Individual staff recruitment files are held at the Head Office. The manager confirmed that before a new member of staff starts work in the home she wll receive confirmation that all relevant and necessary information has been received, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 24 of 29 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 a skilled and experienced manager, providing clear direction and support to care staff. The views and rights of residents underpin the ethos and development in the home. Evidence: The Registered Manager has been in post for six years. Prior to this she worked as the Deputy Manager of the home. She is very competent and experienced and holds the Registered Managers Award (RMA). From direct observation and through discussions with residents, relatives, and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and, ably supported by a very effective and efficient deputy manager, creates an open and inclusive atmosphere within the home. Shes just a brilliant manager, so passionate about the residents and so supoortive of Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: the staff. This place wouldnt be the same without her. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for residents, their relatives and other visitors to the home. The manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to residents. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 1 It is recommended that information made available to prospective residents, including the Statement of Purpose and Service User Guide, be reviewed and updated so as to accurately reflect the current situation within the home. It is recommended, for the benefit of residents who cannot read, that the weekly menu be enhanced with the use of pictures or photographs of the dish of the day. It is recommended that the outdated and tired looking bathroom on the first floor be refurbished. 2 17 3 27 Care Homes for Adults (18-65 years) Page 28 of 29 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). 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