Care Home: Arthur Lodge

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well There has been significant and ongoing improvement in the home so that outcomes are now good residents. The home is make sure that all assessment information is gathered prior to people coming to lived at the home. There has been a greater emphasis on providing individualised care to residents through Person centred care planning. Residents told us that more activities were being provided. They were supported to access their local community and to maintain their personal relationships. Residents health and personal care needs had been identified and were being met. They were receiving all the medication that had been prescribed for them by their doctors. Residents health needs are identified to maintain their health and well-being. Residents told us they knew how to make complaints or raise concerns about their care. We observed that staff took time to listen to and respond to resident requests. Residents are confident that they will be listened to and action taken about their concerns. Staff were available at all times to meet the needs of her residents. All new staff had received a full induction.50% of staff had achieved the National vocational qualification in care at level II. Staff knew how to support residents. What has improved since the last inspection? We found that all areas for improvement had addressed. Residents who come for respite care have up-to-date care plans and risk assessments that are reviewed prior to them coming to stay out the home. Residents needs are assessed so that they receive the care and support they need. Care plans have been improved so that they are more person centred. They provide information based on what residents want. Risk assessments had also been improved and were being reviewed regularly to ensure the safety and well-being of residents. Residents told us they were offered a choice of meals and snacks. The menu was found to offer options with each meal. Residents can choose what they would like to eat. All medicines are stored safely. All medicines including lotions and creams are signed for when they are administered. This make sure that residents medication needs are met appropriately and safely. A training profile during full details of training provided and when updates are required has been put in place. Residents told us that the registered manager was approachable and would listen to their point of view about the running of the home. The home has carried out a quality assurance survey that included the views of all stakeholders. The appropriate tests and drills have been carried out of the fire prevention system to ensure the safety of residents. What the care home could do better: There are two areas for improvement identified in this report. staff were found not to have had training in learning disabilities and how to address behaviours that might challenge the service. Staff need to have all the skills necessary to meet the needs of residents. We also found that new staff did not have two references prior to commencing work at the home. The necessary checks need to be carried out to make sure that staff are safe to work with residents. Key inspection report Care homes for adults (18-65 years) Name: Address: Arthur Lodge 16 - 18 Arthur Road London N9 9AE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Tony Brennan     Date: 2 1 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Arthur Lodge 16 - 18 Arthur Road London N9 9AE 02083455743 02083455743 arthurlodge@googlemail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Dhenraj Hurdowar care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: As agreed on the 16th May 2006, one service user over the age of 65 years can be accommodated within the home Date of last inspection Brief description of the care home Arthur Lodge is a care home for 11 adults with learning disabilities. It was originally registered as a small home for 3 people, but expanded in 2001 to accommodate six people. In Spring 2005 it expanded further with the conversion of a neighbouring property so that Arthur Lodge now has 3 places for respite care and 8 places for longterm residents. Mr Hurdowar both owns and manages the home. The home is situated in a residential street, a short walk from the local shops and business premises in nearby Edmonton Green. It consists of 2 adjoining properties with a shared garden at the rear. The residents rooms are located on the ground and first floors. The home has a vehicle so that people living at the home can get out and about. Weekly fees are approximately 650GBP - 750GBP and the most recent CQC inspection reports can be obtained from the homes office, or the CQC website at www.cqc.org.uk 3 1 0 3 2 0 0 9 11 Over 65 1 Care Homes for Adults (18-65 years) Page 4 of 28 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 of this service is two star. This means the people who use this service experience good quality outcomes. This unannounced key inspection was undertaken as part of the annual inspection programme. We sought to confirm that the home had addressed the areas for improvement identified at the last key inspection and thereby improve the outcome is residents. The inspection took place over one day stop we are assisted by a deputy manager. I spoke with four residents, one relative and two members of staff. We observed care practice, and interaction between star and residents. We toured the building had examined a number of records relating to the care, health and safety and management of the home. At the end of the inspection feedback was given to the deputy manager, and areas for improvement were discussed. We would like to thank the residents and staff assisted us by answering questions Care Homes for Adults (18-65 years) Page 5 of 28 about the running of the home. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? We found that all areas for improvement had addressed. Residents who come for respite care have up-to-date care plans and risk assessments that are reviewed prior to them coming to stay out the home. Residents needs are assessed so that they receive the care and support they need. Care plans have been improved so that they are more person centred. They provide information based on what residents want. Risk assessments had also been improved and were being reviewed regularly to ensure the safety and well-being of residents. Residents told us they were offered a choice of meals and snacks. The menu was found to offer options with each meal. Residents can choose what they would like to eat. All medicines are stored safely. All medicines including lotions and creams are signed for when they are administered. This make sure that residents medication needs are met appropriately and safely. A training profile during full details of training provided and when updates are required has been put in place. Residents told us that the registered manager was approachable and would listen to their point of view about the running of the home. The home has carried out a quality assurance survey that included the views of all stakeholders. The appropriate tests and drills have been carried out of the fire prevention system to ensure the safety of residents. Care Homes for Adults (18-65 years) Page 7 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 28 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. The same purpose is an accurate description of the service provided. Residents needs are assessed prior to admission to the home to make sure they receive the care and support they need. Evidence: Residents and a relative with whom we spoke of the flat I had been given information about the home. A relative told us, They gave me enough information about the home so I knew how they would help my relative. The purpose clearly set out the aims and objectives of the home. We found that the needs of residents case tracked were within a range of those specified in the statement of purpose. The statement of purpose also identified the skills of staff and resources that are available to meet the needs of residents. The home provides a statement purpose that is specific to the individual service, and the residents who live there. We spoke to the manager who explained how the needs of new residents are assessed prior to their admission to the home. A resident told us, I get the help I need. We case tracked residents and found that they all had a detailed initial assessments Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: outlining their needs. Where appropriate initial assessments outlined peoples behavioural needs. Initial assessments have been used to create personalised care plans for residents. Information had been gathered from the perspective resident, the relatives and professionals. Admissions to the home are made on the basis of a detailed initial assessment that makes sure that the prospective residents can be met. At the last key inspection it had been highlighted that residents care should have their assessments and care plans review and updated prior to their next visit to the home. We looked at the folder for one person currently receiving respite care and found his assessments and care plan had been updated prior to his stay starting. Up-to-date information is obtained to ensure that people receiving respite that the care and support they need. Care Homes for Adults (18-65 years) Page 11 of 28 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. Care plans reflect the individual needs and aspirations of residents.Residents are consulted about their preferences and how they wish to be supported. Risks two residents are assessed to ensure their safety and independents. Evidence: The deputy manager explained that since the last inspection all care plans have been updated so that they were more person centred. We looked at a number of care plans and found that they were personalised and detailed how the needs of these residents would be met. Care plans were found to provide detailed mention on the support provided to meet the individual needs of residents. They included information related to peoples cultural and religious needs. This included whether or not they wish to take part in religious activities. Care plans have been reviewed regularly and were being kept up to date. We felt that care plans had been developed with the involvement of residents. We observed the start time to understand residents and to do things in the way that they Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: had been passed by residents. The home involves individuals in the plan of care that affects their lifestyle quality of life. Risk assessments were found to cover all the areas that affected peoples daily life. Risk assessments identified the specific risks facing people. Risk assessments were detailed and based on the history of previous risk-taking on the part of residents. Risk assessment had been kept under regular review and updated as necessary. Changes to the level of risk had been addressed. Relevant information in the risk assessments had been referred to in care plans. Staff were able to describe how they prevented risks to make sure that residents were safe and well supported to exercise control over how they wish to live their lives.. We spoke to residents who confirmed that they were able to move around the home without restriction as they wished to. This belated behaviour issues were identified. We observed that staff engaged with residents in an adult way. Comprehensive risk assessments that are reviewed regularly are in place to ensure the safety and the dependence of residents. Residents told us that they felt that staff kept confidential issues Private. There were clear policies on how confidentiality must be maintained both observations and discussions with staff showed us that they were sensitive and where the importance of maintaining residents confidentiality. Residents told us they had seen their records and had discuss their needs staff. Residents know that their confidentiality will be maintained at all times. Care Homes for Adults (18-65 years) Page 13 of 28 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. Residents are supported to engage in a range of activities that meet their needs. Residents have community contacts are supported to maintain their personal relationships. Residents are supported to have a nutritious diet that reflects their personal choice. Evidence: Residents told us that more activities were now being provided. Records showed that residents were being provided with activities in the home. A resident said, The staff spend time with you. Some residents also attend day centres on a regular basis. A resident said, I can choose to go out with staff. Record showed that residents had been supported to access local facilities such as shops and the park. staff told us that they readily assist residents to plan trips out to the local area. Residents spoken to gave us examples of activities that they had taken part in stop Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: these included going for walks, watching television and listening to music. minutes from residents meeting is confirmed that they had been consulted about him that is that word to be provided in the home. Care plan is identified residents interests and hobbies. We observed a staff spent time supporting residents to engage in activities. Records in discussions with residents showed that they had been on a holiday this year. Residents are involved in the activities of their own choice, according to their individual interests and capabilities. Daily notes and care plans show that residents were regularly involved in activities that help them develop their independent living skills. This included household tasks such as general cleaning and washing up. We observed a number of residents making sandwiches with the support staff. residents are involved in the domestic routines of the home to further develop their daily living skills. At the last inspection a requirement was made that the home and provide more choice of meals and snacks for residents. We spoke with residents who told us that they had been offered a more varied range of meals. One resident said, I can ask for what I like to eat is and they get it for me. We found that the menu show that options are offered at each meal. The menu was available in a picture format so that residents were able to make their own choices of what they would like to eat. Regular meetings are held for the residents to discuss food choices. A resident confirmed that, The food is good. We observed that residents were able to enjoy it then ill together in a relaxed atmosphere. A variety of meals are offered that reflect the individual preferences of residents. Care Homes for Adults (18-65 years) Page 15 of 28 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. People are supported with their personal care needs in ways that maintain their dignity and independence. People are able to access their medical care they need. But that people are protected by safe procedures for handling medication. Evidence: Care plans outlined the support that residents required to maintain their independence and being assisted personal care.Residents told us that staff provide support and encouragement to help them maintain their personal hygiene. Staff explained that they encouraged residents if they need support with personal hygiene. Care plans gave specific guidance on how the personal care needs of residents should be met. A resident said, staff are supported and help me. This included whether the resident wish to have the same gender care. Staff were able to explain how they supported people with personal care. Residents are supported with their personal care in ways that reflect their varied individual needs and preferences. Medical needs had been identified as part of the initial assessments and were referred to in residents care plans. Residents daily notes recorded that they had access to opticians, dentists and chiropodists. Residents confirmed that they could see the GP Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: when they wished. Residents medical needs had been reviewed with the relevant health professionals. Residents are supported to access the healthcare they need to maintain their well-being. At the last key inspection it was foul that some medications were not being stored safely in a locked cabinet. We observed that all medications were stored appropriately in a locked cabinet. All medications received or carried over from the last month were being recorded. The Administration show that all medications including creams were being signed for when they are administered. We checked the medication records of the residents who we case tracked. These confirmed that they were receiving all the medicines they had been prescribed by their doctors. There was a record of residents and agreements to staff administering their medicines. Daily notes showed that health professionals had been consulted about the medicines that residents were receiving. Training records in discussions with staff confirmed that they had training on the safe administration of medicines. The home has an effective medications policy that makes sure that medicines are administered safely. Care Homes for Adults (18-65 years) Page 17 of 28 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. Residents can be confident that their complaints are listened to, and acted upon. Residents are protected by homes safeguarding procedures from neglect and abuse. Evidence: The complaints policy provided a clear explanation of how to make a complaint and how it would be dealt with. It is available around the home. This makes the policy accessible to residents. Residents confirm that they knew how to make a complaint. A resident said, I know who to talk to about anything that bothers me. residents confirmed that they took part in regular meetings and had been able to discuss and resolve any issues. The deputy manager explained that residents are encouraged to discuss their views of the home. The home has a record of any complaints and how these have been resolved. There had only been minor issues since the last inspection. The home has an open culture that allows residents to express their views and concerns in a safe understand the environment. The home has a policy detailing Powell itll make sure that its safeguard residents from potential abuse. Residents told us they felt safe in the home we observed that residents appeared relaxed around staff. Trading records confirmed that staff had had safeguarding adult training. Spoke with staff they showed us that they understood how to respond to safeguarding issues. There have been no adult protection issues Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: since the last key inspection. Residents feel safe and well supported by the home that has their protection and safety as a priority. Care Homes for Adults (18-65 years) Page 19 of 28 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. Residents live in a safe and homely environment that is personalised to meet their needs. The home is clean and hygienic. Evidence: We walked round the home and found that it had all the necessary adaptations to meet the needs of residents. We saw that the home was appropriately decorated and furnished to meet the needs of residents. Residents told us that they had access to all parts of the home. The homes environment meets residents needs and aspirations. Residents spoke to were pleased with their bedrooms. We saw that each and everyone had been decorated and furnished in a way that reflected residents individual preferences. A residents confirmed that he had been encouraged to personalise his bedroom. The deputy manager explained that residents were in courage to make their bedrooms a space of their own. Residents are encouraged and supported to personalise their bedrooms. Appropriate measures are in place to prevent cross infection. The home has detailed policies on the prevention of cross infection. Training records showed that staff had received infection control training. Staff spoken to understood how to work to minimise the possibility of cross infection. They confirmed that they had access to Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: disposable gloves and aprons. Liquid soap and paper towels were available throughout the home. They practised infection control policy make sure that the risk of infection to resident is minimised. Care Homes for Adults (18-65 years) Page 21 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are available to meet the needs of residents. However, staff do not have all the training necessary to meet the needs of residents. Residents are not protected by the homes recruitment procedures. Evidence: We found the rota to show that it is still unable was maintained at all times. Two to three so well at all times, depending on the number of residents who were at home. Residents confirmed that there were enough staff available to meet their needs. Daily notes show that staff were available to provide escorts and trips to local facilities. Sufficient staff are available at all times to meet the needs of residents. At the last inspection the home had been asked to provide a training profile as a way of ensuring that staff receive all the training they need in a timely way. We were shown the training profile for the home. This contains the necessary information to show that training was being provided. Staff are currently being updated in areas such as safeguarding to make sure that they have the necessary skills. The files of new staff showed that they had been given a full induction. Records were available to confirm that star had been on the necessary induction programme all areas of statute while training has been provided. Training records and the training Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: profile showed that over 50 of staff have achieved the National vocational qualification in care at level II. However, discussions with staff and examination of the training recommends showed that they had not been provided with training on learning disability needs and how to address behaviour that might challenge the service.these areas of training need to be addressed to make sure that staff have all the necessary skills to meet the needs of residents. We looked at a number of files of staff who have recently come to work at home. Although they had CRB checks and their employment record had been confirmed their references were not available for inspection. It was not clear whether these had been obtained. This would raise with the deputy manager who agreed to make sure that all staff and two references prior to coming to work at the home to make sure they are safe to work with residents. Care Homes for Adults (18-65 years) Page 23 of 28 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. Effective and accessible management makes sure that residents well-being and safety is promoted. Residents views of the service of sought and used as the basis for improvement. Residents and staffs health and safety always promoted. Evidence: Both residents and staff confirmed that since the last inspection registered manager has adopted a more open and accessible approach. They said they felt they could raise issues and discuss their concerns with the registered manager. Records of residents and staff meetings showed that the registered manager had been involved in residents and staff in the running of the home. Training records showed that the registered manager had maintained his skills. Management is approachable and listens to the views of both residents and staff about the running of the home. Since the last key inspection the home has included in its quality assurance survey the views of all relevant stakeholders. We looked at the latest quality assurance and found that relatives, professionals and residents had been asked for their views of the quality of the service provided by the home. These were generally positive. Any issues Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: raised had been addressed. Residents are consulted about how the home run. Minutes were seen to discuss their views of the home. Residents said they were encouraged to discuss their views of the home with the registered manager and staff. Actions for improvement to the home had been agreed with residents and their families. There is an emphasis on being open and transparent in all areas of the running of the home. Since the last key inspection regular checks are carried out and the fire all points. We found that the records showed this was done every week. There was also a record of five drills. These had been carried out regularly will stop staff spoken to understood important issues regarding fire prevention. Training had been provided in fire safety. Fire safety measures and procedures make sure that residents are safe in the home. The home has a persistent record of meeting the relevant health and safety requirements. All health and safety policies were available. Certificates the gas, legionella and electrical testing were in date. COSHH guidance was in place and chemicals stored safely. We discussed health and safety issues with star they demonstrated their understanding of these issues. The home has an effective system for monitoring accidents to maintain the safety of people living and working at the home. The temperature of fridges and freezers were recorded and within safe limits. Health and safety checks, procedures and training make sure that residents are safe. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 1 34 18 The registered persons must 26/02/2010 make sure that staff receive training in learning disabilities and the management of challenging behaviour. Staff need to have all the skills necessary to meet the needs of residents to promote Their well-being. 2 35 19 The registered persons must 29/01/2010 make sure that all new staff have two references before commencing work at the home. Staff need to be safe to work with residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 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. 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!