Care Home: Albemarle Mews

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Muston Road (70)
• Grayling

What the care home does well The home has an enthusiastic team of people working within the service, who like doing their jobs and learning more about how to do it well. The people working in the home want to make sure that the people who live in the home receive good care. People being cared for have good access to professional medical staff and are able to access external services such as dentists, opticians, physiotherapists, chiropody and dieticians, so their health is looked after and they are kept well. The people spoken to are positive about the home and like living there. People living in the home expressed their satisfaction during this visit regarding the care given and the service received. Staff are hard working and do their best to meet the needs of those people living in the home. What has improved since the last inspection? Repairs and redecoration of the home have improved the living environment for people using the service. Staff training has got better and includes a good range of subjects that relate to looking after people with learning disabilities. Evidence from this visit shows that the manager and staff have worked extremely hard to improve the service and meet the needs of the people living in the home. What the care home could do better: The home continues to offer people a good service and a warm, friendly and comfortable environment in which to live. The home has exceeded the minimum standards in a number of areas and continues to improve its practice wherever possible. We would like to thank everyone who completed a survey or spoke to us during this visit. Your comments are very important to us and ensure this report includes the views of people who use the service or work within it. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Albemarle Mews Albemarle Mews Baxtergate Hedon East Riding Of Yorks HU12 8JN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Eileen Engelmann     Date: 2 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Albemarle Mews Albemarle Mews Baxtergate Hedon East Riding Of Yorks HU12 8JN 01482890372 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Sally Ann Lowson Type of registration: Number of places registered: Humberside Independent Care Association Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Albemarle Mews provides personal care and accommodation for up to six younger adults with a learning disability. The home consists of two bungalow style properties which have been jointly registered as one service, and are situated next door to each other. All bedrooms are for single occupancy and there are separate lounge/dining areas, together with a small kitchen within each of the two properties. A large garden together with a patio area is situated to the rear of the home. The gardens are well kept. The home is located on Baxtergate in Hedon, a town east of the city of Hull. The location of the home provides people using the service with easy access to a variety of local shops, pubs, services and local transport. Albemarle Mews is owned and operated by Humberside Independent Care Association Ltd (HICA) which is a not for profit organisation. The standard fees charged by the home range from 464 pounds to 518.88 pounds per week, with additional charges made for hairdressing, chiropody, Care Homes for Adults (18-65 years) Page 4 of 29 6 Over 65 0 Brief description of the care home toiletries etc. Albemarle Mews provides information about the service in its Statement of Purpose and Service User Guide and copies of these are available from the manager of the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. Information has been gathered from a number of different sources over the past 15 months since the service had its last key visit from the Commission for Social Care Inspection on 30 August 2007. This has been analysed and used with information from this visit to reach the outcomes of this report. This unannounced visit was carried out over one day and took place with the manager, staff and people using the service. The visit included a tour of the premises, examination of staff and peoples files, and records relating to the service. Informal Care Homes for Adults (18-65 years) Page 6 of 29 chats with staff and people living in the home took place during this visit; their comments have been included in this report. Questionnaires were sent out to a selection of people living in the home and staff. Their written response to these was adequate. We received 2 from staff (40 ) and 5 from people using the service (100 ). The manager completed an Annual Quality Assurance Assessment and returned this to us within the given timescale. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People undergo a full needs assessment and are given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their needs can be met by the service. Evidence: Two peoples care and records were looked at as part of this visit, they each have been provided with a statement of terms and conditions/admission agreement and these are signed by the person or their representative. In the two care plans looked at during this visit there was a copy of the community care assessment and Local Authority care plan. The home also completes their assessment of need and from these a detailed and descriptive care plan is developed. Input from other professionals and/or family is also recorded and each plan is individualised to the person using the service. All the people using the service are funded by the local authority and have been in the Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: home for a number of years. It is a small home and individuals have a close relationship with each other and the staff. Staff members on duty were knowledgeable about the needs of each person they looked after and had a good understanding of the care given on a daily basis. Information from the Annual Quality Assurance Assessment and discussion with the manager and people living in the home indicates that all of the people using the service are of White/British nationality. The home does accept people with specific cultural or diverse needs and everyone is assessed on an individual basis. Discussion with the manager indicated that the home looks after a number of people from the local community, although placements are open to individuals from all areas. People using the service do not have a choice of staff gender, for those giving them personal care, as the home only has female care assistants in post at the moment. The manager told us that this was discussed as part of the assessment of need process, with each prospective client. Information from the training files and training matrix indicates that the majority of staff are up to date with their basic mandatory safe working practice training, and have access to a range of more specialised subjects that link to the needs of people using the service. Some individuals in the home have limited or no verbal communication skills but alternative methods, such as the use of Makaton and simple sign language, are used to good effect. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are involved in the planning of their care and are encouraged to take control of their own lives. Individuals are able to make their own decisions and choices within a supportive and caring environment, in which people feel secure and comfortable. Evidence: Information from the surveys indicates that the majority of people who responded are satisfied that the staff give appropriate support and care to those living in the home. People said they are able to make their own decisions about their daily lives most of the time; that staff treat them well and listen and act on what they say. Each individual has a detailed, descriptive and person centred plan, which identifies their individual needs and abilities, choice and decisions and likes and dislikes. In addition to this information there are risk assessments to cover daily activities of life, behaviour management plans where a risk to the person or others has been identified, and clear information about health and input from professionals and the outcomes for Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: people. Staff are monitoring and reviewing the care plans on a regular basis and work is carried out to ensure each plan is explained to the person concerned and that their signature/or their representatives signature is obtained to show they agree with the content. The format of the plans includes clear print, pictures and symbols to assist the people using the service to understand the information in their care plans. Reviews of care with the families, person living in the home and care co-ordinator from the local authority are taking place and minutes of these meetings are in the plans. Staff enable people to take responsible risks in their every day lives and information within the care plans includes a number of risk assessments covering activities of daily living. Talking to the people living in the home and watching them go about their daily business showed that some individuals are able to make their choices and decisions known without a lot of input from the staff. Others require a lot more from the staff because of communication difficulties, physical support and assistance and this is managed well on a day-to-day basis. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of activities within the home and community means that people living in the home have the opportunity to maintain and develop their life skills and participate in stimulating and motivating activities that meet their individual needs, wants and aspirations. Evidence: Information in the two care plans that we looked at indicate that the people who live in the home attend day centres four days a week. Each person has a different day off and this time is used to do 1-1 work with individuals, including going out with the staff, shopping and carrying out small domestic tasks such as cleaning their own bedroom. We met and spoke to one person who was at home, they invited us to see their bedroom which they had just tidied up and they were looking forward to going out for a walk with a member of staff. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Discussion with the manager indicated that the people do most of their social activities with members of the day centres that they attend. Individuals are able to go on a range of outings such as bowling, line dancing and shopping whilst at the centres and like to relax in the evenings. The home has arranged a number of christmas activities for people to attend including a party, going to the pantomine and meals out with the staff. At the moment there are no church services in-house, but people can access the local church in Hedon. One person attends regularly and others can join in when they want to. People living in the home are encouraged to celebrate Christian festivals such as Christmas, Easter and Harvest Festival; birthdays are celebrated in different ways depending on the individuals wishes. Considerable importance is attached by the manager for people to have contact with members of their family. Information in the care plans shows that individuals enjoy having regular visits from their family and some people go home to see relatives. Staff encourage people to keep in touch with family and friends through telephone calls, letters and cards. A number of people have their own mobile phones and everyone using the service has some kind of contact with their relatives. Staff have accessed equality and diversity training through their NVQs and the homes training programme, they are aware of peoples rights and can offer individual support in the community and at the home. Evidence in the care plans indicates the people in the home are registered to vote should they wish to do so, and advocacy information is available if needed. The people living in the home relate well to each other and the staff. The conversations between the people using the service and the staff were natural and spontaneous, and it was evident that the people living in the home have a good sense of humour and enjoy a laugh and a joke with others. Observation of the lunchtime meal indicated it was a relaxed affair with two people sitting in the dining room/lounge of one part of the home. One person in the home is a vegetarian and is involved with helping staff do the weekly shopping, when they are able to choose their meals for the next week. Information in the care plans indicates that people have had a nutritional risk assessment completed and this is reviewed regularly. If the staff have any concerns around a persons wellbeing they call out the dietician or GP. Care Homes for Adults (18-65 years) Page 15 of 29 Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare needs are met through good inter-agency working and by the staff having a sound knowledge of each individuals needs. Evidence: It was apparent from discussions with the staff and observation of the people using the service that people require primarily support and encouragement to do as much as possible for themselves. Whilst some individuals require some assistance with personal care such as bathing and washing, this is relatively low key and in the main consists of staff supervision and guidance. The staff are fully aware of the need to maintain peoples dignity and efforts are ongoing to achieve this whilst carrying out care tasks. The care plans are very detailed about individual wishes and routines so that peoples independence is supported and individuality is not lost. People said that they have good access to their GPs, chiropody, dentist and optician services. Each care plan we saw contained a health action plan documenting visits to outside health professinals, and highlighting outcomes and the action to be taken where needed. Staff also use these records to monitor peoples health needs and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: change care as appropriate. People all have access to outpatient appointments at the hospital and records show that they have an escort from the home if wished. Comments from the people indicate they are satisfied with the level of medical support given to them. Whilst we were visiting, two people returned from external medical appointments. A member of staff had gone with them to offer support and a handover of relevant information took place on their return. Staff told us that the information would be written up into the individuals care plans that afternoon. One person using the service is hard of hearing and risk assessments are in place for protection of the individual should there be a fire. This persons room is equipped with a vibrating pad under their pillow, which is activated by the fire alarm, they also have a strobe light and an additional fire bell fitted to alert them to the alarm going off. Checks of the systems showed that medication is secured in a dedicated drugs cabinet. The staff who are responsible for administration of medication have received appropriate training. The bulk of the medication is administered from a nomad system. Other medication including creams, ointments and liquids is administered directly from their original containers. An appropriate medication administration policy and procedure is in place. From a description of the process provided by a member of staff, it was apparent that it was safe and efficient. The medication records are complete and up to date. There were no controlled medications being used in the home at the time of this visit (November 2008), but a controlled drugs cabinet and register is available if needed. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory complaints system with some evidence that peoples views are listened to and acted upon. Evidence: The complaints policy and procedure is available in a normal print and easy read formats. It is on display in the home and a complaints form is available should anyone wish to make a complaint. Peoples survey responses showed individuals have a clear understanding about how to make their views and opinions heard and those people spoken to said we can always talk to the staff or the manager. Checks of the records show that there have been no formal complaints made about the home or its service since the last key visit in August 2007. The staff demonstrated a good awareness of the process to safeguard the people in the home. The majority of staff have had training on the subject that included the types and indications of abuse. Staff have also had access to training on management of challenging behaviour. No referrals have been made in the last year, under the Protection of Vulnerable Adults procedure. Appropriate policies and procedures are in place in relation to the protection of the people using the service. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Discussion with the people using the service indicates that they feel safe within the home and are confident that staff would help them if they had any concerns or problems. Checks of the personal allowance accounts kept for people, showed these are up to date and accurate. Each person living in the home has their own account with the post office or bank and a seperate financial sheet is written out for each person and these are monitored and checked on a regular basis. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment provides people with safe, comfortable and homely surroundings in which to live, that meet their individual needs and lifestyles, Evidence: Albemarle Mews is made up of two individual bungalows that are jointly registered as one service. The bungalows are side by side and linked by covered walkways. Accomodation is offered on one floor to aid those with disabilities, access to the properties and around the outside is by flat walkways. People who live in the home have an outside patio area and secure garden to walk around or sit in during the better weather. Each bungalow has three single bedrooms fitted with hand wash basins, a bathroom with shower facilities, a kitchen, a laundry area and a dining room/lounge. All areas are domestic in nature, furnished and decorated to a good standard and are appropriate for the needs of the people living in the home. There is a nurse call system in place for people to use if they require assistance from staff, and additional equipment has been supplied for one person as a result of a fire risk assessment being carried out (see section four of this report). Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Discussions during this visit indicate that people using the service are satisfied with the laundry service provided by the home. Infection control policies and procedures are in place, and staff have access to good supplies of aprons and gloves for use in personal care. The staffing matrix supplied to us on 24 November 2008 indicates that infection control training took place on 11 November 2008 and forms part of the rolling programme of training. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff morale is high resulting in an enthusiastic workforce that works positively with people to improve their whole quality of life. Evidence: Comments from the surveys completed by people using the service and staff indicate that individuals are satisfied with the number of staff on duty and they feel that the needs of people living in the home are being met. At the time of our visit to the service there were six people in residence. The manager told us all the people were assessed as low dependancy needs. We were given a copy of the staffing rotas and these showed that the normal staffing levels are two staff on duty during the day and one person awake at night. Policies and procedures are in place for emergency cover at night should anyone need to go to hospital. The staffing training matrix supplied to us during this visit (November 2008) shows that staff are attending mandatory safe working practice training and some specialised subjects including equality and diversity, communication and record keeping, safe handling of medication, response to challenging behaviour and safeguarding of vulnerable adults. 78 of care staff have completed their NVQ 2 in care and all staff Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: undergo Learning Disability Award Framework (LDAF) training with the company. New starters complete a five day induction at the companys head office and everyone has their own personal training plan in place. The employment records show that the manager is using a selective approach to recruitment; ensuring new staff have the right skills and attitude to meet the needs of people in the home. Checks of the staffing rotas and observation of the service showed that the home employs female care staff. The manager told us that this is due to a lack of suitable male candidates rather than from choice. The home has an equal opportunities policy and procedure. Information from the staff personnel and training records and discussion with the manager, shows that that this is promoted when employing new staff and throughout the working practices of the home. The home has a recruitment policy and procedure that the manager understands and uses when taking on new members of staff. Checks of two staff files showed that police (CRB)checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience 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 the home is satisfactory overall and the home regularly reviews aspects of its performance through a good programme of audits and consultations, which includes seeking the views of people using the service, staff and relatives. Evidence: The registered manager is Miss Sally Ann Lowson and she has been in post for the last five years. She has an NVQ 4 in care and has started her Leadership and Management Course, which she hopes to have achieved by the end of June 2009. The home does not have a formal quality assurance process in place, but does have a range of quality monitoring systems in use. Policies and procedures within the home have been reviewed and updated to meet current legislation and good practice advice from the Department of Health, local/health authorities and specialist/professional organisations. The responsible individual does spot checks and completes the regulation 26 visits. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Feedback is sought from the people living in the home and relatives through regular satisfaction questionnaires, and the manager has produced a development report as part of this process to highlight where the service is going and/or indicate how the management team is addressing any shortfalls in the service. Meetings for people using the service are held on a regular basis and minutes are available for those expressing an interest. Staff have meetings with the manager and everyone is encouraged to join in with discussions and voice their opinions. People and staff agreed that they are able to express ideas; criticisms and concerns without prejudice and the management team will take action where necessary to bring about positive change. Maintenance certificates are in place and up to date for all the utilities and equipment within the building. Accident books are filled in appropriately and regulation 37 reports completed and sent on to the Commission where appropriate. Staff have received training in safe working practices and the manager has completed generic risk assessments for a safe environment within the home. Risk assessments were seen regarding fire, moving and handling and daily activities of living. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 37 The registered manager should complete her Leadership and Management training by the end of June 2009. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!