Care Home: 8 Winton Street

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What the care home does well The people who live at 8 Winton Street all appeared happy and well cared for. Interactions with care staff and the acting manager were warm and positive with a very consistent team of care staff having a good knowledge of everyone and their needs. The home provides a wide range of in-house and community activities. These provide leisure and social opportunities that people enjoy. Everybody enjoyed a holiday last year and are due to go on holiday again this year. People are provided with choice about most aspects of their lives. The people who live at 8 Winton Street stated that they are very happy and all get on well together, which was also observed by the inspector. What has improved since the last inspection? The home has met the six requirements made following the previous inspection undertaken in June 2007. Care plans and risk assessments now accurately reflect people`s needs and everyone has a Health Action Plan. The acting manager stated that she will ensure that quality assurance forms completed by the people living at the home are collated by the area manager and staff and people who live at the home receive feedback for quality assurance work they have participated in. The home now has all the certificates to prove that services (gas) have been serviced and are safe. The home now undertakes weekly checks of the homes fire detection equipment. The home has provided new dining table and chairs for the lounge/dining room and new flooring in the upstairs WC. The home no longer uses external gardeners with this task now being completed by care staff with the help of people who live at the home. Gardening equipment has been provided to the home. What the care home could do better: There were no requirements made following this inspection. It is recommended that the home is provided with its own computer to enable staff to maintain and update records and information without having to visit a nearby home owned by the same provider. CARE HOME ADULTS 18-65 Winton Street (8) 8 Winton Street Ryde Isle Of Wight PO33 2BX Lead Inspector Janet Ktomi Unannounced Inspection 29th May 2008 2.45 Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winton Street (8) Address 8 Winton Street Ryde Isle Of Wight PO33 2BX 01983 566437 F/P 01983 566437 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Islecare Mrs Amanda Minshull Care Home 4 Category(ies) of Learning disability (0) registration, with number of places Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: 2. Learning disability - LD The maximum number of service users who can be accommodated is: 4 4th June 2007 Date of last inspection Brief Description of the Service: 8 Winton Street is a residential home providing care and accommodation for up to four younger adults with Learning Disabilities. The home is a two storey, semi detached house in a residential area of Ryde, a short walking distance from local shops, the beach and leisure facilities. Also relatively convenient are Ryde town centre, the railway station and Ryde bus station. There are several steps with a handrail to the front door and ramped access to the rear garden. Parking is limited to the streets around the home. There is no lift so people whose bedrooms are on the first floor must be fully ambulant. The home’s registered manager Mrs Amanda Minshull has not been managing the home for the past six months whilst undertaking an area management position with the provider. An acting manager has been appointed by the registered provider Islecare, part of Somerset Care. Fees are in line with social services rates. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report contains information gained prior to and during a visit to the home undertaken on the 29th May 2008. All core standards and some additional standards were assessed. Compliance with the six requirements made following the previous inspection was also assessed. The visit to the home was undertaken by one inspector and lasted approximately three and a quarter hours commencing at 2.45pm and being completed at 6 p.m. The inspector was able to spend time with the registered manager and staff on duty and was provided with free access to all communal areas of the home, documentation requested and people who live at the home. Information from the Annual Quality Assurance Assessment (AQAA) completed by the acting manager is also considered. During the visit to the home the inspector was able to meet with and talk to all of the people who live at the home. The inspector telephoned the homes registered manager following the visit to the home. What the service does well: The people who live at 8 Winton Street all appeared happy and well cared for. Interactions with care staff and the acting manager were warm and positive with a very consistent team of care staff having a good knowledge of everyone and their needs. The home provides a wide range of in-house and community activities. These provide leisure and social opportunities that people enjoy. Everybody enjoyed a holiday last year and are due to go on holiday again this year. People are provided with choice about most aspects of their lives. The people who live at 8 Winton Street stated that they are very happy and all get on well together, which was also observed by the inspector. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home would only admit new people whose needs could be met at the home and who were compatible with people already living there. EVIDENCE: The home has not admitted any new people for approaching three years. The home currently does not have any vacancies. The acting manager identified the procedure that she would undertake should a vacancy arise and she was in the position of admitting a new person. This would include a thorough assessment, information from professionals involved with the person, meeting the person and if the manager felt the home could meet the persons needs she would invite them to visit the home on a number of occasions. The opinions of the people already living at the home would be sought following the visits and a final decision would be based on their views. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are in control of their lives and they direct the service. Staff are committed to supporting people to lead purposeful and fulfilling lives as independently as possible. People who live at the home make their own informed decisions and have the right to take risks in their daily lives. EVIDENCE: Two care plans were viewed. Risk assessments and the ways in which risks should be managed were seen in care plans. The inspector spoke with staff and the people who live at the home about their care plans and the person centred training they have undertaken since the previous inspection. The inspector also discussed how decisions are made and observed how people who live at the home are encouraged and supported to be active and independent. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 10 During the previous inspection it was identified that care plans and risk assessments were out of date, did not accurately reflect peoples current care needs and were not in a person centred format. A requirement was made. The acting manager stated in the homes AQAA that all care staff have undertaken person centred care training and that the home has reformatted all care plans in a person centred format. Care staff on duty at the time of the inspection visit confirmed that they had attended person centred care training and that the training had been good and they had found it interesting. The two care plans viewed were person centred and followed a new format. Care plans had been reviewed every three months. Care plans contained information about, and risk/management plans in respect of, health needs as well as social and independence skills training. The home uses a key worker system. Each care plan contained risk assessments relevant to the needs identified in the person’s care plan. Management of risk positively addressed safety issues whilst aiming for improved outcomes for people using the service in terms of skills development and independence. Observation during the inspection visit and discussions with people living at the home confirmed that they are able to make decisions and that these are respected and acted upon by the home. People discussed their plans for a holiday this year and records of discussions and choices were seen within the resident meeting minutes. The home stated in their AQAA that monthly resident meetings are held and people living at the home and records seen confirmed this. Throughout the inspection visit people were observed making suggestions and their views being sought by the acting manager and staff. People are also involved in decisions about the menus. People also stated that they choose what they spend their personal money on and showed the inspector items they had purchased. The support people receive in relation to their personal finances is recorded in care plans and varies between the people living at the home depending on the level of support required. The inspector viewed the arrangements in respect of personal finances and the procedures and records are appropriate and well maintained. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported to live the lifestyle they choose. EVIDENCE: Everybody has an individual weekly programme of activities that includes a range of day services, college, work opportunities and leisure activities, intended to help develop and maintain life skills and provides opportunities for socialisation away from the home. A list of weekly planned activities was seen in each care plan. Discussions with care staff and people confirmed that they enjoy these activities and had been involved in the development of their individual plans. During the unannounced visit by the inspector to their home people discussed with the inspector what they had done that day. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 12 Within their bedrooms people have a variety of home entertainment equipment such as TVs, videos, music systems and relaxation equipment. During the inspection visit people were noted to be able to spend their time as they wished. The location of the home is close to the beach and town centre of Ryde with easy access to local bus and train services. People said they regularly attend local pubs and restaurants and staff support is provided if necessary. There is usually two staff on duty in the evenings and at weekends therefore support to attend community events is available. The acting manager stated that on one Saturday each month four staff are on duty allowing each of the people who lives at the home to have a 1-1 activity of their choice. People have different home days each week also enabling further 1-1 time. People said they are involved in assisting care staff with food shopping in the local shops and use local health facilities. Staff rotas confirmed that two staff are provided at evenings and weekends to facilitate leisure activities. Care plans contained records of activities both in the home and local community that people have undertaken. Everyone living at the home is going on holiday again this year. Discussions with people and the records of resident meetings viewed confirmed that people had been fully involved in choosing were to go on holiday and what they will do whilst on holiday. People are supported to celebrate life events. People spoke about forthcoming birthdays. People are able to invite friends to visit them at the home. Family members are also welcome at the home. The home’s routines tend to be organised around the people who live there and if they are not home when main meals are served these are plated and available when they return home. All the bedrooms have a lockable door that some people choose to use. The home has a non-smoking policy, however one person does smoke. The home has a limited shelter outside the back door that will protect him from some of the worst extreme weather. The home does not employ separate catering staff so care staff take turns to cook each day. Staff help people to choose menus, and they are encouraged and supported to cook their own meals during home days. People all confirmed that they help to cook the Sunday Roast meal. People take packed lunches to work, college or day services and have a main cooked meal in the evenings. Records showed that meals are varied and nutritious. People commented that they liked the food at the home and that they could ask for something different if they did not want what was available. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal care and support in the way they prefer and their health needs are met. Medication is appropriately managed in the home. EVIDENCE: The people who live at 8 Winton Street are largely independent in their personal care and require minimal support. Male and female staff are employed so choice would be available if support were required. One person has additional mobility needs and has a bedroom on the ground floor with walk in shower. Interactions observed during the inspectors visit to their home indicated that people felt relaxed with care staff such that they would discuss any health concerns they may have or request support if they needed this. Evidence of personal care is recorded on a monthly tick chart that is quick and easy for staff to complete. People living at the home are registered with local GPs and support is provided from care staff to make and attend appointments. Care plans contained a record sheet that indicated that people are able to see chiropodists, Dentists, Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 14 opticians and doctors when required. People stated that if they are ill then staff will arrange for them to see a doctor. Both care plans viewed contained Health Action Plans that the acting manager stated she is in the process or updating, however as the home does not have its own computer and staff must visit a neighbouring home to use their computer there has been a delay in completing these. At the previous inspection it was identified that one person did not have a health action plan, this was now present in his care plan. At the time of the unannounced inspection all medication was found to be stored correctly. The medication administration records were viewed and had been fully completed. The home uses a pre-dispensed system for tablets with liquid medication dispensed at the time of administration. None of the people living at the home self medicate, therefore all medication is administered by care staff who have received external training and been deemed competent. The home keeps information leaflets about medication in use in the home and individual people have a list of current medication and information relating to the tablets such as potential side effects in the folder with the Medication Administration Records. There are individual guidelines for ‘as required’ medication such as occasional painkillers. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People at the home are able to complain and protected from abuse. EVIDENCE: The provider has a complaints policy which is made available to people or their representatives, with a copy of an easy read version seen in peoples care plans. There is also information as to how to complain available around the home. The complaints policy should ensure that all complaints are appropriately investigated within twenty-eight days. The home maintains a complaints book and has received no complaints in the past twelve months. Staff spoken with were aware of what procedure they should follow should a person or their representative make a complaint. People stated they would tell staff if they were unhappy about something at the home. People who live at the home are cognitively able to make a complaint and should they wish to do so people are able to complain. The home has a copy of the Isle of Wight Adult Protection Policy together with the Islecare adult protection and whistle blowing policies. Staff spoken with during the inspection were aware of the adult protection policy and procedures and clear about their responsibilities to report issues of concern without delay. The acting manager and staff confirmed that staff have received adult protection training. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 16 The personal finances and employment procedures followed should ensure that people are protected from abuse. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a comfortable homely house suitable for their individual and collective needs. EVIDENCE: The inspector viewed the homes communal rooms and one person who lives at the home showed the inspector their bedroom. The inspector spoke with the other people who live at the home about their bedrooms. The home is safe, well maintained and at the time of the unannounced inspection clean. The home meets peoples’ needs in a homely and domestic way. Bedrooms are all single and spacious with communal areas, lounge and kitchen/diner appropriate for the people who live at the home. The home has a rear garden, which is mainly laid to lawn with seating. The home is situated close to local amenities and transport links and is maintained with the help of a handyman employed by the provider. One of the care staff is now responsible for the grass cutting and the home has been provided with a new lawnmower. People Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 18 who live at the home are involved in gardening as they wish. As previously stated, one of the four people who lives at the home smokes. The home has a no smoking policy therefore they must smoke outside in the back garden. A limited shelter has been provided at the back door to provide some shelter from the extremes of weather. Everybody has their own single bedroom, one of which has en-suite shower facilities. People confirmed that they like their bedrooms and can have a key to lock the door if they wish. The bedroom seen was pleasantly decorated and individually personalised. Personal home entertainment equipment such as televisions, music centres and sensory lights were seen in the bedroom. The communal space provided is domestic in nature and appropriate in size and furnished to meet peoples needs. There is a kitchen/dining room and lounge (with a second dining table and chairs). Since the previous inspection new table and chairs have been provided in the lounge and the chairs from the dining chairs from the lounge have replaced the less comfortable and older chairs in the kitchen/diner. The home does not have a separate area for visitors to be received in private. The hallway was redecorated in the summer of 2006 and the main lounge had been redecorated in 2007 with people living at the home confirming that they had been involved in the choosing of wallpaper and colours for paintwork. The home has a reasonable sized level rear garden which people are able to enjoy during the summer months. Handrails and are provided at the rear door from which there are two shallow steps to the garden. The acting manager stated that new flooring has been provided in the upstairs WC. The inspector noted a number of cracked tiles in the kitchen, some with corners missing. The acting manager stated that she would ensure a maintenance request to replace the damaged tiles is completed. A requirement is not made however this will be checked at the next inspection. On the day of the unannounced inspection the home was noted to be clean, tidy and free from offensive odours throughout. The people who live at the home and care staff undertake all domestic and laundry activities. The home has policies and procedures in place for the control of infection. The acting manager stated, and training records, confirmed care staff have received initial and update training in respect of food handling, health and safety, infection control and hygiene issues. Supplies of liquid soap, disposable gloves, aprons and paper towels were seen during the inspection. Laundry facilities are able to wash to high temperatures if required. The home has been awarded four stars for kitchen hygiene. The acting manager stated that the only reason for not getting the final fifth star is because the homes laundry facilities are sited in the kitchen, as is the case in many domestic houses. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 35. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by a very consistent staff team who are provided in sufficient numbers to meet their individual and collective needs. EVIDENCE: People stated that they liked the care staff, that they were helpful and they could ask their help with any problems. Interactions observed during the visit indicated that people and staff have a warm friendly relationship with people feeling able to express themselves in all respects. There are four permanent care staff and the acting manager employed at the home. Staff rotas and discussions with staff confirmed there is one staff member on duty in the daytime with two staff available from about 4.00 p.m. throughout the evening and all day at weekends. One staff member sleeps in during the night with the manager available on call. One Saturday per month four staff are on duty during the day enabling everyone who lives at the home to have 1-1 time with their key worker. People have different home days and Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 20 therefore are able to have 1-1 support on their home day. Staffing rotas are designed to ensure staff are available at times when people are at home and where possible key workers are on duty for home days. Staff spoken with felt that the staffing levels and arrangements were appropriate to meet the peoples needs and that activities relating to social and leisure were organised during the evenings and weekends. Staff are again accompanying people on their holiday this year. All staff have worked at the home for several years. Both male and female staff are employed. The home has not needed to use agency staff as staff cover each others annual leave and occasional sickness. Care staff and people who live at the home confirmed that people are able to stay out later if they wish with staff support and do not have to leave parties/events early due to staff finishing time as staff will work later when required. As stated all care staff have worked at the home for a number of years. The inspector has previously viewed all their recruitment information and discussed their recruitment procedures. The acting manager confirmed that in the event of new staff being required the home would use the providers’ recruitment procedure. The acting manager stated that three of the four care staff and herself have at least an NVQ level 2 in care and have undertaken all mandatory training. The inspector has previously seen the NVQ certificates for these staff. Care staff confirmed to the inspector that they have undertaken all update training. Copies of staff training undertaken and that planned was seen in the duty rota file. Booked training being noted on duty rotas. Care staff stated that they had been unaware that some training was available and that some training had been cancelled as this information is provided via email and the home does not have its own computer having to rely on information being passed from the manager of the nearby home or when a member of staff goes to the other home to use the computer to update records etc. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 and 42. People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Outcomes for people are good however the acting manager must be registered and therefore responsible for the service in order for this to be sustained. EVIDENCE: The provider informed the commission in December 2007 (over six months prior to this key inspection) that the homes registered manager had been promoted temporarily to a more senior position in the company. This was initially for two months, this was extended and the acting manager has now been informed that she will be acting manager for at least the next six months totalling over one year. The acting manager was not clear if the registered manager would be returning after this time or if she would be applying to be registered manager. The acting manager stated that she has been allocated Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 22 nineteen hours per week for management tasks and, although she does not always use all these hours it is sufficient for the size of the home and management that is required. The remainder of the acting managers full time hours are worked as care hours. The inspector telephoned the homes registered manager following the inspection visit to clarify the situation re the provider’s plans for the management of the home. The registered manager stated that the acting manager would be applying to the commission to become the homes registered manager. The homes management situation will be reviewed in respect of the homes next piece of regulatory activity. The acting manager completed the homes Annual Quality Assurance Assessment that was returned to the commission within the required timescales. This was discussed with the acting manager as to how more information could be provided in some sections. It was noted when viewing regulation 26 reports that the homes registered manager is undertaking some of the monthly regulation 26 visits at the home. Whilst it is known that she is currently undertaking another role for the provider she remains the registered manager, with a legal responsibility for the home and cannot therefore complete regulation 26 visits on the home for which she is the registered manager. It was noted following the previous inspection that people who live at the home had completed quality assurance questioners sent by the provider but that these had not been collated. The acting manager stated that quality assurance questionnaires had again been sent by the provider and the people living at the home had completed these approximately three weeks before the inspection visit. These had been taken by the area manager. The acting manager was not sure what would happen to the information in them but stated that she would ensure that she received feedback to pass onto staff and the people who live at the home. The home does undertake meetings for the people who live there on a monthly basis and extra meetings are arranged if required to discuss a particular issue. The inspector viewed the records of these and these showed that people feel able to give their opinons and are asked about issues that affect the home. Staff meetings also occur monthly and again the notes of these indicate that all staff have an opportunity to express their views. During the inspectors visit to the service a variety of records identified earlier in this report were viewed. All were stored appropriately and well maintained. The provider is increasingly using the Internet and computers for documentation and passing information to managers and staff. The home does not have its own computer and the acting manager and care staff must visit a nearby home to use their computer. The means that the people living at the other home have staff using their home as an ‘office’ which decreases their right to privacy, it also prevents the acting manager and care staff from free Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 23 access to a computer. Care staff identified various incidents when they had not been aware of changes to training that had been emailed. It is recommended that the provider provide a computer with Internet access in the home. It was noted at the previous inspection that the home did not have evidence of a gas safety check and a requirement was made that this must be undertaken and evidence sent to the commission. The registered manager provided this evidence to the commission soon after the previous inspection. The acting manager showed the inspector a file containing all the necessary electrical, portable appliance and gas safety check certificates. These were all in date. It was also noted, and a requirement made, at the previous inspection that the weekly checks of the homes fire detection equipment had not been undertaken every week. The inspector viewed the records relating to fire detection equipment checks and drills and these had all been fully completed. A discussion with the people who lived at the home confirmed that they had participated in fire drills and were aware of what to do in the event of a fire, how to exit the home and where they should meet staff. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X 3 3 X Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA41 Good Practice Recommendations It is recommended that the home is provided with its own computer to enable staff to maintain and update records and information without having to visit a nearby home owned by the same provider. Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Winton Street (8) DS0000012557.V364428.R01.S.doc Version 5.2 Page 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. 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