Care Home: Aarons Unit

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What the care home does well People considering a placement at Aarons Unit are assessed by a range of health and social care professionals, to ensure that the services offered by Aarons Unit are appropriate to them, the assessment enables the Manager supported by other professionals to deliver an individual package of care which meets the expectations and needs of the individual, and maximises the independence of the person to enable them to move out into appropriate accommodation within the community. People who access Aarons Unit are supported by enthusiastic, committed and trained staff in specialist health and social care areas, that have a clear understanding of their roles and responsibilities. Individual needs are regularly reviewed, involving the person and supporting health and social care professionals, care plans are then updated and reviewed and agreed by all. Aarons Unit has strong links with specialist external supporting agencies, which ensures that people using the service receive a quality service. Aarons Unit provides a large private space for people, referred to as a Flat; the accommodation includes a large bedroom area, sitting area and full en-suite facilities. What has improved since the last inspection? Since the last inspection the service has changed the categories to which people accessing the service are admitted under, and therefore no direct comparisons can be drawn between the inspections. What the care home could do better: People considering or accessing the services of Aarons Unit need to have access to information, which is up to date and is provided in a format, which enables people to interpret and understand the services offered, its aims and objectives, and expectations of the individual and any restrictions in place. Individuals need to have the opportunity to engage more often in leisure and recreational activities within the community, in addition to those activities directly detailed within their care plan. The introduction of Person Centred Care in this area would ensure that individuals have a tailored programme, which included their hobbies and interests, and would require staff employed in sufficient numbers to achieve this. The environment in some instances has the potential to affect the daily lives of people using the service. A telephone intercom system operated by Rushcliffe Care, means that telephone calls are announced within the office, which can be heard by service users in communal areas, additionally communal areas have to be walked through to gain access to bedroom and bathing accommodation, creating a `corridor` effect, which impedes on the privacy and dignity of people using the service. CARE HOME ADULTS 18-65 Aarons Unit Epinal Way Care Centre Hospital Way Loughborough Leicestershire LE11 3GD Lead Inspector Linda Clarke Unannounced Inspection 7th April 2008 09:00 Aarons Unit DS0000001881.V361884.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 Aarons Unit DS0000001881.V361884.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. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aarons Unit Address Epinal Way Care Centre Hospital Way Loughborough Leicestershire LE11 3GD 01509 212666 01509 262710 admin@rushcliffcare.co.uk 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) Rushcliffe Care Limited Post Vacant Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Physical disability (20) of places Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Rushcliffe Care Limited is registered to provide personal care with nursing at Aarons Specialist Unit to male and female service users who fall within the following categories:Mental Disorder - including learning disability or dementia - (MD) 20. Physical disability - including mental disorder or dementia (PD) 20. The maximum number of persons to be accommodated at Aarons Specialist Unit is 20. 2. Date of last inspection Brief Description of the Service: Aarons Unit is a care facility providing nursing and personal care for up to twenty younger adults who have a physical disability or mental disorder, and specialises in providing a rehabilitation service and supporting people who display inappropriate behaviour, with a view to enabling people who use the service to return to semi independent or independent living. Aarons Unit is purpose built and is part of a complex owned and managed by Rushcliffe Care Limited, and is situated close to Loughborough University on Epinal Way in Loughborough. Aarons Unit accommodation is located on the ground and first floor, with communal facilities, bathing facilities and bedrooms located on both floors. Access between the floors is via a passenger lift. Aaron’s unit has a small central courtyard providing plants and an area in which to sit. Information about Aarons Unit is provided in the form of a Service Users Guide and a Statement of Purpose. Information regarding provided by Rushcliffe Care on the day of the site visit confirm that fees for accessing services at Aaron Unit range from £980.00 to £1985.00 per week. Aarons Unit DS0000001881.V361884.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 3 star. This means the people who use this service experience excellent quality outcomes. The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is selfassessment tool completed by a representative of the service and previous Inspection Reports. We sent out surveys seeking the views of people using the service, their relatives/carers, health and social care professionals and staff working on Aarons Unit, information received from the surveys had been incorporated within the Inspection Report. The unannounced site visit commenced on the 7th April 2008, and took place between 09:00 and 16:30 The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was ‘case tracking’. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Aarons Unit. Two people accessing services were selected, with a range of individual needs. Discussions were held with four out of the seven people currently accessing services on the day of the site visit. What the service does well: People considering a placement at Aarons Unit are assessed by a range of health and social care professionals, to ensure that the services offered by Aarons Unit are appropriate to them, the assessment enables the Manager supported by other professionals to deliver an individual package of care which meets the expectations and needs of the individual, and maximises the independence of the person to enable them to move out into appropriate accommodation within the community. People who access Aarons Unit are supported by enthusiastic, committed and trained staff in specialist health and social care areas, that have a clear understanding of their roles and responsibilities. Individual needs are regularly reviewed, involving the person and supporting health and social care professionals, care plans are then updated and reviewed and agreed by all. Aarons Unit has strong links with specialist external supporting agencies, which ensures that people using the service receive a quality service. Aarons Unit provides a large private space for people, referred to as a Flat; the accommodation includes a large bedroom area, sitting area and full en-suite facilities. Aarons Unit DS0000001881.V361884.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. Aarons Unit DS0000001881.V361884.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 Aarons Unit DS0000001881.V361884.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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering a placement at Aarons Unit do not have access to information that is up to date, or in a format suitable for their needs, however they can be confident that they will receive a comprehensive assessment ensuring that the Unit is appropriate and can meet their needs. EVIDENCE: People considering accessing the services of Aarons Unit are provided with information in the form of the Statement of Purpose and Service User Guide, which outlines the services provided by the Unit, both documents require updating to reflect changes to the services offered including information regarding smoking and the consumption of alcohol on the Unit. We sent people living on Aarons Unit a survey asking them questions about the service they receive, all said that they had received information about the Unit before moving in, one person said the information they received was not sufficient. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 9 The format of both documents could be improved to help individuals who are considering accessing the Unit to have a greater understanding of its content by the inclusion of photographs, symbols, and by being produced in plain English. A range of professionals including Occupational Therapists, Physiotherapists, Speech and Language Therapists, Nutritionist and Dieticians supported by Psychologists and Psychiatrists undertake an assessment to determine the individual’s needs to ensure that Aarons Unit is the appropriate placement. Specialist services are provided by staff employed by Rushcliffe Care, on Aarons Unit and on its sister unit, being located on the same site. Rushcliffe Care employs Occupational and Physiotherapists and their Assistants who work as a team enabling people to regain skills promoting their independence and supporting them in managing inappropriate behaviour supported by external health care professionals. Whilst introductory visits are encouraged, due to the needs of people requiring support, visits in some instances are not possible. One person accessing the service on the day of the site visit confirmed they had visited, two people knew of the service as they were transferred from Aarons sister unit, whilst one person was transferred directly from hospital. Written information supplied by the Manager states that people using the service have a contract outlining their terms and conditions of occupancy. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People accessing services at Aarons Unit are actively consulted and involved in the development and review of their care package, and are supported by specialists who deliver the care as agreed. EVIDENCE: The Manager supported by health and social care professionals agrees with each person an individual plan, which includes details as to their rehabilitation and specific areas of needs such as support in relation to inappropriate behaviour as identified within their initial assessment. Care plans detail how the individual is to be supported by all staff involved, and the responsibility of the individual themselves in their rehabilitation. Regular reviews take place involving all interested parties, with care plans being reviewed to reflect the changing needs of people using the service. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 11 On the day of the site visit, individuals spoke of their reviews, and their aspirations and goals for the future. All individuals spoken with had a clear understanding of their rehabilitation programme, and were very complimentary about the support received from Occupational and Physiotherapy services. We sent surveys to people using the service, their relatives and supporting health and social care professionals, all surveys reflect satisfaction with the care provided, and confirm that all are encouraged to make decisions, and are supported by staff who promote independence and have a good understanding of their individual needs. Care plans reflect decisions made by people using the service and make reference to their equality and diversity, and include the role of staff in promoting choice and independence. Care plans are supported by risk assessments, which promote independence in a way, which involves minimal risk to the individual. Records viewed evidenced that some people using the service chose not to adhere to the recommendations of the Manager, with regards to their safety, and make alternative decisions and choices. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People accessing Aarons Unit have access to a range of activities as part of their plan of care to maximise independence and to achieve the goals as detailed within their care plan, however there is limited support available to enable people to participate in recreational and leisure pursuits within the community. EVIDENCE: People accessing services at Aarons Unit are provided with the opportunity to regain and develop their social, emotional, communication and independent living skills, supported by a range of social and health care professionals, who work with individuals to deliver a programme of individualised support. External agencies provide support, including the Brain Injury Unit, which provides additional resources to support people using the service to access the Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 13 wider community for shopping, banking etc. Occupational Therapists work with individuals in a wide range of areas, including cooking and the budgeting of money. Further development is required to increase individuals access to recreational and leisure pursuits which is not directly part of their rehabilitation package. The Manager advised his intention to further develop Person Centred Care, to include recreational and leisure pursuits and activities of interest to the person. We viewed the care plans and records of two individuals which evidence that contact with family is encouraged, with some people visiting relations at the weekend, supported by specialist agency staff, who have links with Aarons Unit. Daily routines are flexible within the Unit, which enable individuals to choose whether they wish to take part in their timetable of rehabilitation and support. The policy of smoking has been reviewed on the Unit, all smoking now takes place outside within the Courtyard, the Manager encourages people to adhere to scheduled times for smoking, to encourage people to participate in their rehabilitation programme. We sent surveys to individuals currently residing on Aarons Unit, all indicated that they do make decisions about what they do each day, and are supported by staff that listen and act upon what they say. Choices are available with regards to meals, with people being asked their choices of meals for the following day, each floor of the Unit has a small kitchen, and additional hot and cold snacks can be prepared. Occupational Therapy Assistants support people in cooking their own meals as part of their rehabilitation. People we spoke with gave mixed views about the meals, but general satisfaction was expressed. Specialist diets are also provided, where necessary specialist feeding techniques are undertaken by nursing staff, with the support and involvement of Nutritionists, Dieticians and Speech and Language Therapists. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People residing on Aarons Unit have access to a wide range of health and social care professionals, which ensures that healthcare needs are met as expected and agreed by them. EVIDENCE: People accessing services at Aarons Unit can be confident that personal support and nursing care is provided in a manner that suits the individual and maximises privacy, dignity and independence. Care plans cover all aspects of personal and health care, and detail how the care is to be delivered and by whom, including the gender of the care staff. Daily routines are flexible within the Unit, times for getting up, going to bed, having a meal are flexible, people accessing the service are actively encouraged to take part in there rehabilitation programme. Specialist equipment is provided to maximise individual independence, and all aspects of care are regularly reviewed with the individual and supporting health and social care professionals. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 15 In addition to the health care professionals supporting people using the service, additional support through General Practitioners, Chiropody and Dentists is also available within the community. A General Practitioner visits weekly meeting with people who have ongoing health care needs. We spoke to staff and observed the support offered to people using the service, staff spoke with enthusiasm and commitment to the people in their care and had a good level of understanding as to the persons needs, and their role in providing rehabilitation and support. Observations evidenced that staff promote peoples choices, privacy and dignity, and delivered care and support as detailed within the individuals care plan. We sent surveys to health and social staff who support people accessing a service on Aarons Unit, one survey was returned that provided information that the service seeks advice and acts upon the advice give to improve the health care needs of people. Medication is administered by nursing staff; medication records of two people using the service were viewed on the day of the site visit and were found to be in good order. Information supplied by the Manager states that Nursing staff are regularly assessed to ensure their competence in administering medication, and that regular checks with regards to medication are carried out internally and by the supplying Pharmacist. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of individuals’ rights. EVIDENCE: Information supplied by the Manager states there have been no concerns or complaints raised within the last twelve months. Information supplied to people using the service, includes information on how to raise concerns and make a complaint. We spoke with several people using the service all said they knew how to raise concerns. There is currently one on-going investigation with regards to an allegation made by a person using the service. The organisation and the Manager have taken appropriate action and involved all relevant agencies, and are supporting the individual involved. Staff we spoke with had a clear understanding of ‘safeguarding adult’ policies and procedures, and confirmed they had received training in the types of abuse people may be exposed to, and their role as staff in reporting any concerns or suspicions they may have. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 17 We sent surveys to people accessing a service at Aarons Unit, and their relatives and carers, all indicated that they know who to speak with if they are unhappy, and know how to raise a concern. Surveys sent to staff evidenced that staff know how to respond should someone wish to raise a concern. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 18 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, 25, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal accommodation is spacious and of a high standard, however communal areas do not ensure individuals’ daily life are free from interruption and compromises their privacy. EVIDENCE: Aarons Unit can accommodate up to twenty people, ten on the ground floor, and ten on the first floor. Access between the floors is via a passenger lift. A central courtyard is available, with potted plants and seating. Both floors provide communal lounge/dining rooms, and additional communal areas for activities, and a kitchen which is accessible to people using the service, for the preparation of drinks and meals and bedrooms. Additional bathing facilities are provided that have specialist equipment. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 19 Lounge/dining rooms are decorated to a good standard, and have flooring which is easy to keep clean, and enables those accessing the service that require the use of wheelchair to move around easily. Lounge/dining room facilities lack a homely feel with privacy and dignity being compromised, as access to bathing/toilet facilities and bedrooms is only accessible by walking through communal areas, creating a ‘corridor’ affect. We observed on the day, that telephone calls are announced over a speaker system in the office, which can be heard by people using the service and has the potential to disrupt and intrude on their lives. All bedrooms include a large bedroom and sitting room area, and benefit from a full en-suite that includes a walk-in shower. People using the service are encouraged to personalise their room, with personal effects. Aarons Unit employs personnel for the purpose of ensuring that the Unit is clean, infection control policies and procedures are in place and are adopted by all staff, which includes the wearing of protective clothing including gloves and aprons. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An enthusiastic, competent and knowledgeable staff team, who have undergone a robust recruitment process, support people accessing the service. EVIDENCE: Aarons Unit employs nursing staff, with a nurse being on duty twenty-four hours a day, supported by care staff. Information supplied by the Manager reflects that of the nine care staff employed, one member of staff has attained a National Vocational Qualification (NVQ) in Care, representing 11 of the care staff team, with an additional four members of staff working towards an NVQ. We observed that on duty throughout the day is a qualified nurse, supported by two care staff, and the Manager advised that at night a qualified nurse and one care staff are on duty. Staff we spoke with demonstrated knowledge and enthusiasm in their work, and are committed to supporting and maximising the independence of people accessing services. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 21 Staff we spoke with confirmed that since the appointment of the new Manager team meetings are now held regular, with minutes being taken. We spoke to two members of care staff on the day of the site visit, one having recently been recruited. Staff confirmed they had 3 days initial induction, which included an introduction into care that included training on safeguarding adults from abuse, personal care, moving and handling, and meal preparation. Staff said training was both theoretical and practical. The files of staff on duty were viewed, which confirmed that staff are required to complete an application form, attend for an interview, provide two written references and have a satisfactory Criminal Record Bureau (CRB) disclosure prior to their commencing work. Following the initial three day induction, a three month induction period beings on the Unit, with new members of staff being assigned a Mentor, who they meet with regularly offering support and guidance, working through a booklet, which focuses on specific areas of care. Staff have access to a variety of training, which supports and enables them to deliver the care and support required by people who access care services on Aarons Unit. We spoke to the Manager who identified additional training opportunities he wished staff to access, which included the management of behaviour through role-play, epilepsy training, and equality and diversity training. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 22 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 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People accessing Aarons Unit reside in a Unit, which is managed well and are afforded opportunities to influence the care they receive. EVIDENCE: The Manager of Aarons Unit was appointed in December 2007, and is a Registered Nurse in Learning Disabilities (RNLD). The Manager stated his intention to submit an application to the Commission for Social Care Inspection for become the Registered Manager. People accessing services at Aarons Unit have the opportunity on an annual basis to take part in Rushcliffe Care Limited annual quality assurance process, which provides an opportunity for people to comment on the care they receive. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 23 Information gathered from the process is then used to develop Rushcliffe Cares Strategic Business Plan, which sets objectives and goals for each Unit to attain. The quality assurance process does not seek the views of health and social care professionals, or relatives and friends of individuals accessing services, outside meetings, which take place with regards to the reviewing of care packages and comments from these groups should be considered as part of the formal process. An individual document is not produced for each Unit that can be circulated and discussed with those that took part in the process. In order for the quality assurance process to be open and transparent all that take part in the quality assurance process should be advised as to the outcome, and be made aware of how the information will be used to develop and improve services, and the document should be made available in a format appropriate to the those using the service. People using the service have the opportunity to attend meetings to express their views, the process of meetings needs to be formalised to ensure that views expressed are recorded and followed through at the next meeting. Information supplied by the Manager to us prior to the site visit confirmed that the Unit is maintained which includes the maintenance of fire, gas and electrical systems. Aarons Unit DS0000001881.V361884.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 2 2 3 3 3 4 3 5 3 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 4 26 3 27 3 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 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 25 N/A 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. 1 Standard YA1 Regulation 4(1) Requirement Information detailed within the Statement of Purpose and Service User Guide to be reviewed to ensure people using the service have an accurate record of services provided by Aarons Unit, and any restrictions imposed. Timescale for action 07/06/08 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. 2 Refer to Standard YA1 YA14 Good Practice Recommendations The Statement of Purpose and Service User Guide to be provided in a format, which promotes greater understanding of its contents to people using the service. People accessing services at Aarons Unit would benefit by an increased involvement with leisure and recreational pursuits external to the Unit, which should be supported by a Person Centred Care approach. The quality assurance process should include seek the views of health and social care professionals, and relatives and carers of people using the service. DS0000001881.V361884.R01.S.doc Version 5.2 Page 26 3 YA39 Aarons Unit 4 5 YA39 YA39 People using the service should have access to formalised meetings, which are recorded with issues raised being followed up and recorded as such. People accessing services to receive a report, which is in a format appropriate to their needs, which provides the outcome of their involvement in the quality assurance process, and details the aims of the service to address issues raised and improve the quality of care. Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Aarons Unit DS0000001881.V361884.R01.S.doc Version 5.2 Page 28 - 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. 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