Care Home: Abbotsford

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What the care home does well The home continues to decorate the home and upgrade the environment as needed.The owners encourage staff training and development ensuring that people who live at the home receive the best possible service.The home encourages people to have outside interests including employment, voluntary work and a variety of leisure activities available inside the home and in the community.People living in the home are able to enjoy a stimulating lifestyle with a variety of options to choose from.The home supports people to be independent and involved in all areas of daily living including housekeeping tasks and planning meals.Staff supported people who needed help and support in a relaxed and helpful way.The staff ensures that the care provided is flexible, consistent and is able to meet the changing needs of individuals. What has improved since the last inspection? The recent improvements to update the home have included the fitting of a new roof.The rear garden has been professionally landscaped and is accessible for all who currently live in the home.All individual bedrooms have been upgraded and updated to include new carpets and beds.The home has converted the garage to a games room for people to enjoy. What the care home could do better: No Requirements were made during this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Abbotsford 7 Bracken Road Southbourne Bournemouth Dorset BH6 3TB The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kim Fowler Date: 2 5 0 8 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 38 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 38 Information about the care home Name of care home: Address: Abbotsford 7 Bracken Road Southbourne Bournemouth Dorset BH6 3TB 01202417847 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : wells4269@fsnet.co.uk The Stable Family Home Trust care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is 8. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection 1 3 0 8 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 38 A bit about the care home Abbotsford is owned by The Stable Family Home Trust [S.F.H.T] a registered charity that provides residential care, a day service and related services for adults with learning disabilities. Eight people with learning disabilities live at the home. The house is close to shops and the city centre. There is a bus stop near the home where people can take buses into the city centre or other places. Care Homes for Adults (18-65 years) Page 5 of 38 People can use trains and taxis to go to other places. There is a lounge area on the ground floor and large kitchen dining room were most people meet. There is also a games room in the rear garden. Each person has their own bedroom. No-one has to share a bedroom. All the bedrooms have en suite toilets and showers. There is a patio and large courtyard at the back of the house. Care Homes for Adults (18-65 years) Page 6 of 38 Fees levels are between 580 pounds and 735 pounds, although these may vary depending on people’s individual needs. Care Homes for Adults (18-65 years) Page 7 of 38 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 8 of 38 How we did our inspection: This is what the inspector did when they were at the care home The inspection was carried out by one inspector who visited the home without telling anyone she was coming. She was there from 8:40am to 12:30pm on Tuesday 26th August 2009. Throughout this report the term “we” will be used as the report is written on behalf of the Care Quality Commission. We spoke to some of the people living in the home. Care Homes for Adults (18-65 years) Page 9 of 38 We talked to the staff on duty and the acting manager. Six surveys were returned from people living in the home. Two professional and two staff survey forms were also returned to us. We looked all around the home. Care Homes for Adults (18-65 years) Page 10 of 38 We looked at the care records of three people who lived in the home. We looked at other records that told us how the home is run. This included staff records and health and safety records. Before the inspection an Annual Quality Assurance assessment (AQAA) was completed by the manager. Care Homes for Adults (18-65 years) Page 11 of 38 What the care home does well The home continues to decorate the home and upgrade the environment as needed. The owners encourage staff training and development ensuring that people who live at the home receive the best possible service. The home encourages people to have outside interests including employment, voluntary work and a variety of leisure activities available inside the home and in the community. Care Homes for Adults (18-65 years) Page 12 of 38 People living in the home are able to enjoy a stimulating lifestyle with a variety of options to choose from. The home supports people to be independent and involved in all areas of daily living including housekeeping tasks and planning meals. Staff supported people who needed help and support in a relaxed and helpful way. The staff ensures that the care provided is flexible, consistent and is able to meet the changing needs of individuals. Care Homes for Adults (18-65 years) Page 13 of 38 What has got better from the last inspection The recent improvements to update the home have included the fitting of a new roof. The rear garden has been professionally landscaped and is accessible for all who currently live in the home. All individual bedrooms have been upgraded and updated to include new carpets and beds. Care Homes for Adults (18-65 years) Page 14 of 38 The home has converted the garage to a games room for people to enjoy. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kim Fowler Regulatory Inspector- South West Care Quality Commission Citygate Gallowgate Care Homes for Adults (18-65 years) Page 15 of 38 Newcastle Upon Tyne NE1 4PA Tel:03000616161. Fax: 03000616171 E Mail: enquiries.southwest@cqc.org.uk Care Quality Commissions website at www.cqc.org.uk 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 set out 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 16 of 38 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 17 of 38 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. Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: The home has not had any new admissions for 12 years. However the home currently has a vacancy and from discussions held with the acting manager it showed that the admission process is currently being put in place for a prospective new admission. This included trial visits and meeting with the prospective new admissions current carers and other professionals involved. The acting manager stated that a meeting had been arranged to complete the preadmission assessment and the person has already been on several visits to the home including a meals visit with further visits arranged. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. Care Homes for Adults (18-65 years) Page 18 of 38 Evidence: The homes AQAA returned to the Commission said, Potential new service users will have assessments, visits and family involvement. Care Homes for Adults (18-65 years) Page 19 of 38 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 are encouraged and supported to make daily decisions about their own lives to maintain their independence. Evidence: The files for three people living at the home were examined. All files examined held individual care plans in place and the details held on these files are needed by staff to meet individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. Each individual plan provides staff with the information on how to care for each person and ensures continuity in care and has been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. The homes files and care plans were supported by a PCP (Person Centered Plan) completed or started by the home. Each file showed that they had been reviewed regularly and updated when needed. Individuals are invited to attend review meetings Care Homes for Adults (18-65 years) Page 20 of 38 Evidence: and participate as much as possible. Observations throughout the inspection were staff assisting people to make decisions about everyday issues. This included any trips out that day and the choice for breakfast and shopping. One person chooses to stay in bed late on their day off. The acting manager stated that each person is given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. Many of the people living in the home choose to go on holiday with the Stables Day Service. Further observation showed that the staff in the home have an excellent relationship with the people who live their. Some people manage their own money and some receive staff assistance. Four people currently hold their own bank card and all people have a bank account where all benefits and money is paid. The statements for some people were seen and confirmed benefits were paid into individual bank accounts. One family member manages one persons money with regular money sent to the home to enable the person concerned to access money when they wish. One person confirmed they are going to Butlins and another person went independently to Switzerland earlier this year. The homes AQAA states that, We identify individuals wants, needs and dreams and support them in achieving them. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and trip out into the community. This information is important to minimise risk. All six surveys returned to the Commission from people living in the home ticked, Always, when asked if they are able to make decisions about what they do each day. One survey returned to the Commission from one person living in the home wrote under what the home does well, Allow me to live independently. Care Homes for Adults (18-65 years) Page 21 of 38 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in Abbotsford can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: Only two of the people living in the home were available during the inspection. Both were able to confirm that they go out to different places and include local shops and day services. The staff on duty spoken with were able to confirm that either the home or the day service arrange holidays of people choice and included overseas holidays or local trips. Observation during the inspection was one person discussing with staff the plans for their day off and included going to the shops and what they wished to purchase with their money. Several other people had information recorded into their files, and one person was able to Care Homes for Adults (18-65 years) Page 22 of 38 Evidence: confirm about the work they undertake. The home is currently looking for employment for one person who has request a job in care. Many of the activities people undertake are arranged through the Stables Day Care Services. This includes a Sea Fishing trip due next month and more weekend trips away. The home has a prospectus for the local college course and staff were observed discussing courses people have requested to start next month. This included Money and Budgeting, Independent Traveling and Craft courses. Information recorded onto peoples files showed that last year people undertook courses on Digital Photography and Cookery. One person living at the home said, I went to Butlins. The homes AQAA records under what they do well, Support service users to meet with friends on a more regular basis. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that several people have regular visits from family members and some people visit the families at home. One person said, I went abroad to visit my family. Several peoples files held information on visits to friends living elsewhere in the area and staying overnight. This included people staying with people they are in a relationship with either at their home or within Abbotsford. These visits are supported by the homes risk assessments. One professional survey returned to the Commission stated under what the home does well, Good communication with families. Observation throughout the day was people living in the home participating in daily routines including preparing the tables for meals. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home and the grounds are assessable for all. The acting manager stated that a menu is drawn up weekly and works along side the day services menus to ensure people have a varied and nutritional diet. One day a week is set aside for people to make individual chooses and one person confirmed they like a take away that night. The home has Healthy Eating menus available in picture format to assist people when planning a menu. One person was observed shopping and preparing and cooking their own lunch. Further observation showed one person discussing with the staff what they would like for their late breakfast. Page 23 of 38 Care Homes for Adults (18-65 years) Evidence: Most people have weekly routines that they have been involved in planning. These include attendance at day centre, visits to friends or relatives, work experience and housekeeping course. One person living in the home wrote on the survey returned to the Commission when asked what the home does well said, Food. Care Homes for Adults (18-65 years) Page 24 of 38 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were observed promoting individuals independence and providing good personal support promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of all who live in the home. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff and all rooms are single. People who require assistance with moving has a moving and handling plan and risk assessment to assist staff on how each person prefers to be supported. The home has also produced a file for agency and bank staff to access. This has thumbprint information on each person needs. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Care Homes for Adults (18-65 years) Page 25 of 38 Evidence: Other professionals involved in the home include the local Psychologist and Psychiatrist. The home has produced an Appointment Feedback Sheet which is held on file and this shows the date, time what happened and any follow up required by the home. The homes AQAA states on what they would have improved over the last 12 months, Continue to support people according to their individual health needs. The home has had to copy with a recent death of a person who has lived at the home for a number of years and the home is to be commended on the care and support they provided. It was clear from discussion with the acting manager and the staff on duty that during the last few weeks of this person terminal illness they managed very well with the care this person required. This included this person being able to stay in the home until their death with input and support from McMillan nurses, the Palliative Care team, GP and the person family. The acting manager stated that the staff team were excellent and supportive to each other and the other people living within the home. The medication system was checked during this inspection and found to be well recorded and documented. The home uses the blister pack administration system. Staff designated to administer medication have received medication training and one staff member confirmed that they had received medication training. One person self-medicates and is supported by risk assessments and agreements that involved other professionals. All non prescribed medication, paracetamol, is agreed by the individuals GP. Care Homes for Adults (18-65 years) Page 26 of 38 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Abbotsford can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The home has a complaints procedure in place and is clearly displayed on the homes notice board and is also available in the homes Statement of Purpose and Service Users Guide. This information included how to contact the CQC and the process of how a complaint is dealt with including timescales. The Commission had received no complaints. The home has received two minor complaints from family members and the acting manager stated the outcomes for each had been recorded including the actions taken. The complaints file was not seen on this occasion. One file examined showed the home had reported one incident to the Safeguarding team to investigate. The outcomes were recorded on this issue and no staff within the home were involved. The acting manager had completed the Safeguarding training and staff had received inhouse training on safeguarding with safeguarding issues covered in the home induction programme. Care Homes for Adults (18-65 years) Page 27 of 38 Evidence: The home AQAA states, Implemention of an in house quality assurance system to monitor and record individuals complaints. Care Homes for Adults (18-65 years) Page 28 of 38 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. Abbotsford continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Evidence: A full tour of the premises showed that the home is suitable for its stated purpose. This spacious home is well kept, safe and accessible for all the people currently living at the home. Individual bedrooms showed that peoples rooms contained personal items including furniture, ornaments and pictures that reflect their personality and interests. All bedroom doors now have locks fitted, however some people choose not to hold keys. Risk assessments are held on individual files reflecting these choices. The recent improvements to update the home have included, a new roof, the rear garden landscaped and each individual bedroom has been redecorated and refurbished with new carpets and beds. The rear garden has a games room for people to enjoy. The acting manager stated that they are waiting for a quote on new hall carpets. Care Homes for Adults (18-65 years) Page 29 of 38 Evidence: Other staff confirmed that the home provided disposable aprons and gloves for their protection. And the manager confirmed that all staff has completed an infection control course and the premises were clean, hygienic and free from offensive odours and the laundry facilities were separate. The homes AQAA under the plans for the next 12 months say, New carpet on communal stairs and landings and also states Decorate communal lounge. Care Homes for Adults (18-65 years) Page 30 of 38 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 living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff were observed throughout the inspection responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activities observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. The staff spoken with were able to confirm that there were sufficient staff on duty to met the current needs of people living in the home. One staff confirmed there was additional funding for some people to have a one-to-one staffing level at present. On the day of the inspection there was the acting manager and two support staff. The home also provides Care Homes for Adults (18-65 years) Page 31 of 38 Evidence: sleep in staff and an on-call system for the management. Observation showed that the staff members on duty were aware of individuals needs and how best to support them. One person living in the home was able to say that the staff team were very good and it was evident that there was a good rapport between everyone living and working in the home. Examination of staff files showed that most staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. However their was inconsistently in the information held. The acting manager confirmed that Stables Family Trust Human Resources department obtain all the relevant employment checks and inform the manager when this person is cleared to commence work. Of the four staff files checked not all contained the relevant information required. However the manager confirmed that Stables Family Trust recruitment checks are through and no staff would be employed without all satisfactory checks in place. The Commission would recommend that the homes staffing files hold a form stating when all recruitment checks were obtained or a copy of each relevant information is held on individual files. The Commission contacted the Responsible Individual, Jan Mills, about the staff files and they agreed to review the systems in place to ensure the recruitment guidance is followed. The homes AQAA returned to the Commission states We have a recruitment process that encourages participation from service users. Discussions with acting manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that induction, adult protection, first aid, health and safety, fire safety, medication, food hygiene, National Vocational Qualifications (NVQs) and courses related specifically to working with people with learning disabilities is regularly undertaken. These include course on epilepsy, dementia and total communication skills. Some people have already completed the Mental Capacity Act course with the Deprivation of Liberty course booked for later this year. The home is to be commended that all staff employed at the home hold an NVQ qualification. The homes AQAA records that in the next 12 months they will, Introduction of Personal Development Plans for each staff member. One staff member and one regular bank staff was spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to Care Homes for Adults (18-65 years) Page 32 of 38 Evidence: express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said of the staff team, Good staff team and supportive. A staff survey returned to the Commission from a staff member wrote under what the home does well said, Very caring towards residents, always meets residents needs and we work together as a team. Staff and the acting manager and records held showed that supervision and appraisals are regularly undertaken and staff confirmed they are well supported. Care Homes for Adults (18-65 years) Page 33 of 38 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 management of this home is very good and ensures that records are effectively maintained. And the staff team are well trained to meet the needs of people living at the home. Evidence: The Registered Manager is currently unavailable and the home has an acting manager in place. The acting manger holds a NVQ 4 in care and has worked at the home for a number of years and also has worked for the company in their day care services. The staff spoken with were able to confirm that the acting manager is approachable and is highly thought of by all spoken with. The home has produced a quality assurance survey that will be given out at the next residents meeting. The format was available for inspection and is in sign format to assist people. The Stables Family Trust is arranging a Quality Assurance steering group which will have Care Homes for Adults (18-65 years) Page 34 of 38 Evidence: people living in the homes, family member and staff sat on the group to discuss producing surveys for other interested parties. The AQAA states, Develop a more effective quality assurance process for the home. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 35 of 38 Are there any outstanding requirements from the last inspection? Yes  No  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 36 of 38 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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 34 All staff files should hold consistent information on recruitment. Care Homes for Adults (18-65 years) Page 37 of 38 Helpline: Telephone: 03000 616161 or 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. 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