Care Home: 8 St Winifred`s Road

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well People who use the service have thorough assessments in place before they come to live at the service so they can be confident the staff are able to meet their needs. Information about the service is provided in pictorial format so it is more appropriate for peole to use. Care plans and and risk assessments put needs into written format for staff to follow to ensure they deliver support safely and to the person wishes and choices. Purposeful and fulfilling activities and opportunities exist for people who use the service and their daily lives are directed by themselves. Health care and emotional needs are well met with good contact with relevant health care professionals. The environment in homely and comfortable and people who use the service have control over the decor and layout of the service.An established , well trained and safely recruited staff team provide a good quality of care and support to people who use the service. A registered manager leads the staff team and works with the people who use the service to support them to decide how the service operates. What has improved since the last inspection? Since the last visit all care plans have been reviewed and more paper work in being archived so files are easier to use. A recruitment drive has taken place and a new staff team are now established which provides better consistency for peole who live at the service. Medication systems have been reviewed and people receive their medication safely and with the support they need. Refurbishment of the service means that people benefit from comfortable surroundings. Appointment and registration of a manager enables people who use the service to have consistency and a clear point of contact for their views and support in living in their home. What the care home could do better: When action is taken to address concerns and comments the timescale and action taken needs to be recorded so people who raised concerns can be confident a record is kept of their issues. Key inspection report Care homes for adults (18-65 years) Name: Address: 8 St Winifred`s Road 8 St Winifred`s Road Shirley Southampton Hampshire SO16 6HP     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: Kathryn Emmons     Date: 1 4 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 27 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 27 Information about the care home Name of care home: Address: 8 St Winifred`s Road 8 St Winifred`s Road Shirley Southampton Hampshire SO16 6HP 02380705506 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): H4012@mencap.org.uk www.mencap.org.uk Royal Mencap Society Name of registered manager (if applicable) Miss Tiffany Gloria Elizabeth Corry Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 8. 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 Disabilities (LD) Date of last inspection Brief description of the care home 8 St Winifreds Road is a large detached family home situated in a quiet cul-de-sac close to Shirley High Street and local amenities. The home is registered to accommodate 8 residents with learning disabilities between the ages of 18 - 65. The home comprises eight single bedrooms. There is a lounge, lounge/dining room and large kitchen and the home has a rear garden for recreational use. Hyde Housing Association owns the property and the Royal Mencap Society are the registered Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 8 Brief description of the care home providers. Care Homes for Adults (18-65 years) Page 5 of 27 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: We visited the service on Friday 14th August 2009 from 9.30am until 3 pm. The AQAA (Annual Quality Assurance Assessment) was received when we requested it and this provided us with a lot of information about the service.We were able to use the information this contained to help us prepare for the inspection visit. We request a completed copy of this document every year. We saw six of the people who use the service during our visits and spoke to three staff and the manager. Prior to the inspection visit we sent out comment cards to the service, for the people who use the service and staff and health care professionals. We received five from people who use the service, one health care professional and three staff comment cards. We have used the comments these contained to help us gain information about the service and have reproduced some of these comments in the main part of the report. Care Homes for Adults (18-65 years) Page 6 of 27 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 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 7 of 27 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 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident that the service can meet their needs following a pre admission assessment. People who use the service have their rights upheld and know them through their tenancy agreement and staff support. Evidence: We looked at three sets of records for people who use the service we wanted to see what work had taken place to ensure people who use the service were happy that they lived at the service and that their needs had been assessed before they came to live there. We spoke to one person who uses the service and had been admitted recently. They told us I love it here . We also saw a comment card card which said I wish I had moved here a long time ago. The manager told us that another person was due to move into the service in a few weeks time. The staff from the service had been meeting the person and providing outreach support to them so that they could begin to learn who the staff team were. The person had been able to visit the service to start to meet the other people who use the service so that it was a smoother transition when they moved in. We were told that the person had picked the colour of their bedroom walls and curtains and the room had been painted in preparation for Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: their move. We saw a very comprehensive pre admission assessment which is completed by the registered manager. This means that the persons needs are known before they are admitted to the service and any additional equipment or support is in place. Other health and social care professionals such as care managers and learning disability team members are also involved in the assessment to enable as much information as possible to be obtained . All of the people who use the service have a tenancy agreement with the housing association who manage the building. People who use the service are supported by staff to pay their rent and understand their tenancy agreement. There are two documents in place called the service user guide and statement of purpose. These enable people who use the service to gain information regarding the service they can expect to receive if they chose to live at St Winifreds Road. The manager confirmed work had been carried out on these documents since the last visit to provide them in pictorial format for people who use the service to understand the content in a more appropriate format. We did not view these on this occasion. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about how they live their lives. Risk assessments keep people safe while maintaining their independence. Staff understand the importance of regular reviews of plans and ensure all information about people who use the service is kept in a secure manner. Evidence: During our visit we spoke to three people who use the service. We were trying to assess if people knew that care plans and daily records were held about them. One person knew they had a plan in place and we saw signatures to evidence they had seen these documents. We watched many observations to see how much choice people who use the service were given. We saw examples of a person choosing where they were going out for the day. Other people were able to decide if they were going to day services. Two people were choosing what they had for lunch. Comment cards we received back for people who use the service indicated that they were able to chose how they spent their days and evenings. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The AQAA informs us that all people who use the service have individual support plans which include all needs and wishes. Key workers are responsible for reviewing these plans monthly. There are house meetings , key workers meetings, quality visits and meetings with the housing officer so people who use the service can continue to discuss their choices and needs. We looked at three files belonging to people who use the service. We looked at risk assessments to see how these upheld peoples choices while also keeping them safe. We could see that all of the risk assessments where possible had been written using the persons wishes and acknowledging their level of independence. The manager confirmed that risk assessments were constantly under review as people abilities changed frequently so the risk assessment was then amended. The key workers also liaise with day services to assess if the risk assessments relevant for there are still meeting peoples needs. We saw risk assessments for areas such as bed rails , using a hoist, adequate nutrition and for more independent people, going out of the service with no support . Two people who use the service were able to tell us that information regarding them was kept in the office and one person said Its away so no one can find it and its safe. The manager confirmed that all information was stored in a confidential manner and that some information was limited to only being available for those people who needed to see it. There was also a form in place asking for permission to share peoples information with relevant health care professionals where necessary. This means that people who use the service can be confident that information about them is stored correctly and their confidentiality is maintained. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to chose their lifestyle with support from staff. They engage in fulfilling and relevant activities.People have their rights acknowledged and upheld. Relationships and friendships are acknowledged and supported. Dietary preferences are catered for . Evidence: Comment cards we received back indicated that people who use the service were satisfied with how they lived their lives at the service and the opportunities available to them. We spoke with people during our visit and were told how they spent their days. This included, going in to town with support, using the computer, going out for meals and shopping. There were many opportunities to go to day services and undertake voluntary work if this was the persons choice. The AQAA informs us that people are also able to attend college and courses. An annual holiday is planned for people with their involvement and these are varied and include caravan holidays and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: activities centres. Staff had a very good understanding of people rights to express their culture and religious beliefs. We were given example of how people had been supported to go to Church and for one person a memorial service was arranged for their relative as they had not been able to attend the funeral. Staff gave us examples of how their religious beliefs were acknowledged by the manager and respected. There are evening activities planned and this included going to the pub, Gate way club swimming and cinema. We received comments which included I would Like a Wii to play on, I like going out and we do it a lot, I went to town and I can go out when I want, I like day centre its good and I dont like the pub. Staff we spoke with said that they supported people to be involved in activities around the service if they did not want to go out into the community. At our last visit due to high agency staff numbers people were not able to access the community or attend activities as often as they wanted to. The manager told us and we could see from reading daily records that this had improved now there was a full permanent staff team. Within care plans there is a section regarding relationships and friendship. We could see that an assessment had taken place to ensure that while friendships were promoted these were people who use the services choice and that the relationships and friendships did not place people at risk. We saw from reading records and speaking with staff that people who use the service are provided with many opportunities to have community inclusion . Staff provide support and enable people who use the service to have their rights upheld. There is an advocacy service available to people who use the service. Staff assist people to maintain their tenancy with the Housing association who manages the building. We saw good examples of people having ownership of their home. We saw they had keys to their bedroom doors and were able to be involved in the decoration of the building. Staff supported peole to make decisions regarding how all of the people live together and this included issues such as keeping the garden tidy , what vegetables to grow, what was on television and where people took their meals. People who use the service are able to use the kitchen when they want. They are supported by staff to prepare meals and snacks. A menu is devised with people who use the services input and during our visit we could see that people could chose what they had for lunch. We saw care plans which recorded peoples dietary needs including a support plan for a person who had a specialised diet. Staff will take meals with people on occasion and mealtimes are seen as a social occasion. People we spoke to indicated to us they like the food provided. Care Homes for Adults (18-65 years) Page 14 of 27 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. Peole who use the service receive their support as they prefer. Their health care needs are met and emotional support is provided. Safe medication systems are in place. The ageing ,illness and death of people who use the service is acknowledged and handled sensitively. Evidence: We could see from reading care plans that people who use the service had been involved in detailing how they liked to receive their personal support. Many of the people were able to wash and dress themselves and use the toilet with minimal assistance. We looked at records for the people who needed the most help. We could see that their key worker and in one case a relative had been involved in producing the care plan. We asked people if they received support the way they wanted. We were told Yes, good and I get help and its good. We received comment cards which stated that people were satisfied with the support they received and a comment card from a health care professional made positive comment regarding a person who has very high care needs, staff have adapted and are able to meet the needs and use hours of support appropriately. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: We saw from records that good links are maintained with health care professionals, practise nurse, epilepsy nurse, psychologists and social care professionals such as care managers. All people have plan in place called my health which they are supported to complete. This provides details about the support they need with any condition they have. There is also a sheet which is always kept up to date which is used if the person has to go into hospital so staff know how to care for the person. We looked at the medication sheets for all of the people. We could see these had generally been completed correctly except for one medication on one sheet when it was unclear how long the dose was to be given for. The manager addressed this immediately. Staff we spoke with confirmed they had attended medication training and we saw evidence of this in staff records. There was a clear audit trial of medication being ordered and returned to the pharmacist. Alongside medication sheets were care plans to enable staff to be clear on how much support and assistance people need to enable them to take their medicines safely. Staff confirmed they had seen the service medication policy and were clear on the services expectation of them when administering medication. The ethos of the service is for people to consider moving on if they develop the skills needed to move towards more independent living and this was their choice. The manager said if this was not possible the service would always remain the persons home until they needed nursing care. Currently one of the people who uses the service has very high care needs following a serious illness. The staff have received the additional training to enable them to meet the changing needs of the person and enable the person to remain in the service. One of the people has suffered a bereavement and the manager was able to inform us of what action they had taken to provide emotional support to this person. Staff we spoke with were also aware of the ageing process and possible medical conditions people may develop and that they had received training in areas such as dementia awareness. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident that their concerns will be taken seriously and responded to. Polices and training in recognising safeguarding adult issues means that people who use the service remain safe. Evidence: The AQAA tells us that there is a postcard type system called I want to tell Mencap which people who use the service can use to make comments and give feedback or raise complaints. The service has its own complaints log and this is reviewed each month by a senior manager who carries out the monthly quality visit. We looked at the log book and could see that the couple of complaints made were from two people who use the service making comments about other people who use the service. The manager had taken action and this was recorded in the complaint log however the timescale for resolving the issue had not been recorded. This was discussed with the manager, as it is important that people who make complaints or raise concerns can be confident that the issues will be addressed within agreed timescales which are contained within the complaint procedures. We saw that all of the staff who work at the service including bank staff had completed training in safeguarding adults procedures. Staff we spoke with were clear on their responsibilities and how they would report any concerns they had regarding care support that was not appropriate. Staff also understood that they needed to be aware of people who use the service and how they interacted with each other. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: The manager confirmed that safeguarding adults and protecting people was often discussed and was embedded in staff practice and this includes staff carrying identification cards . Care Homes for Adults (18-65 years) Page 18 of 27 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. People who use the service live in a comfortable home which they have control over. Safety testing and servicing of equipment keep people safe. Training in infection control and fire awareness means that risk is minimised to people at the service. Evidence: The organisation rent the building from a housing association and all of the people who use the service have a tenancy agreement with the association. A housing officer visits so that people can raise any issue they have about the building. The AQAA tells us that all of the people who use the service have chosen a domestic task they enjoy doing and they carry this out with staff support. There is a pictorial rota in place and people discuss cleaning at house meetings. Since the last visit a lot of work has been carried out at the service and this includes replacing all lavatory flooring, installation of wall mounted aromatherapy units to provide good odour control and create a relaxed ambiance. Additionally there has been installation of TV ariel sockets in bedrooms, a new television and radio and redecoration of hallway stairs and landing. There is a large kitchen area where people can chose to take their meals or they can sit in the dining area. There is a large spacious lounge and laundry room on the Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: ground floor. People can chose which bathroom or shower room they use and these have thermostatic temperature controls fitted to prevent people from scalding themselves. The manager confirmed that all necessary checks such as gas, electric water and fire alarm have been carried out regularly to ensure people live and work in a safe environment. Outside in the garden work has been carried out to provide an organic vegetable patch and ensure walkways are clearer to prevent possible slips and trips. The manager told us that all of the people who use the service and staff work together to look after the garden. There is seating outside and a BBQ area.The garden has security lighting so people are safe if they are out in the garden in the dark. We received comment cards which tell us comments such as It is always clean and tidy, I like my room, I dont like the pink walls and I like my walls. We were invited into one persons room. They told us they had chosen the colour and liked their room. We saw a couple of other rooms with peoples permission and could see that these were personalised to the person. This was done by colour schemes and personal possessions. We saw a person had a key to their bedroom and were clear This is my room and no one else is allowed in here unless I say so. We saw in another room that a specialised bed was in place and a hoist had also been purchased. The manager confirmed that staff had received instruction in how to use the hoist and the hoist had recently been serviced. We saw a locked cupboard for cleaning liquids and other potential harmful substances. The manager told us and staff confirmed that they had received training in infection control and fire safety. One of the people who uses the service also told us they had received instruction regarding what to do in the event of a fire and also assisted with the regular fire drills and safety testing. Care Homes for Adults (18-65 years) Page 20 of 27 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. People who use the service can be confident their needs can be met by a skilled team of staff who have been recruited safely. Staff numbers enable people who live at the service to have consistency with their support from staff who know them. Supervision systems enable the manager to monitor staff training and development needs. Evidence: Since the last visit the manager has recruited seven new staff who have all remained working at the service. This has provided a consistent staff team with only relief staff now covering night shifts. This means that people who use the service have more opportunities to access the community and know who will be supporting them. We looked at the recruitment files for three new staff. They all contained evidence of a robust recruitment process including a job description, photo identification CRB (Criminal record Bureau Check). Staff we spoke to said they had had an in depth induction and had worked supernumerary for up to six weeks so they could learn how to support the people using the service. Training is provided regularly and this included subjects such as a diversity workshop, working with families,first aid, assessment plans, people moving people, epilepsy training moving and handling medication awayness, Safeguarding adults and The person worker, Mental Capacity Act, Professionalism and dementia awareness. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff we spoke with said they thought the level of training was good and found the training useful and provided them with Skills to do my job well for the residents We saw supervision records and these evidence that every couple of months there is a formalised process for reviewing staff development needs and progress reviews. People who use the service and staff made comments such as I like the staff team, Good team of people Staff are largely empathetic and hard working, My key worker is also my friend he is very kind to me. We looked at the duty rota and could see that there are at least four staff on each shift. Staff said they had a good rapport with each other and this is reflected in a team that has remained consistent since the last visit. Care Homes for Adults (18-65 years) Page 22 of 27 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. The service operates in the best interest of people who use the service. People who use the service and staff benefit from a registered manager being in post who directs and supports the ongoing development of the service to provide good outcomes. Health and safety arrangements keep people safe. Ongoing Quality Assurance systems enable the organisation to monitor the service they are providing. By obtaining the views of people who use the service the organisation are putting people at the centre of the running of the service which means the service continues to operate a user led ethos. Evidence: Since the last visit a new manager had been appointed to work at the service. The manager was registered with the Commission the week previously to this visit. The registered manger is Tiffany Corry and has many years experience of working with people who have learning disabilities. Ms Corry has received regular training and through discussion with us we could see that ongoing training is provided including working towards a Leadership and Management of Care Services certificate. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Comment cards and discussions with staff and people who use the service provided very positive comments regarding the registered manager and inform us that the manager understands the ethos of Mencap and works well to deliver this at the service. Comments included the manager is very approachable, I never wake up in the morning and think oh no I have to go to work, thats a good place to be, I like tiffany she looks after us good ,I like Tiffany, she is nice and the manager here is very approachable and supportive she has done well to get a staff team together. Monthly quality visits take place by one of the senior managers of the organisation. On our last visit we found that people who use the service were not always involved in this process. The manager confirmed that people who use the service are always spoken to on each visit and their views recorded in the report the senior manager produces. There is a Continuous Development plan in place which enables the manager to continually review the service provision and try to improve the service provided. Linked into the Quality Assurance systems are user meetings, staff meetings and a Mencap Family Charter which is given to parents and relatives of people who use the service so they can be clear on the organisations aims and progress. The manager confirmed that all policies and procedures were in place and that these had been updated as per the dates recorded in the AQAA. We did not view any on this visit. The manager was very aware of health and safety requirements and said that full risk assessments for the environment were reviewed monthly to ensure that people who use the service and staff are safe. The AQAA informs us that all staff have received Health and Safety training and three staff we spoke with confirmed they had received this training. The manager continues to inform us of any issues we need to know about and if an accident occurs this is reported in the accident book and a review of the relevant risk assessment and care plan takes place. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!