Care Home: Bailey Close

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What the care home does well Bailey Close has a relaxed, friendly atmosphere and the residents and staff were welcoming to visitors. The domestic style house is decorated in a homely manner, providing people with a pleasant place to live. It provides people living there with a home that promotes their independence, dignity and well being. The home is situated in a cul-de-sac and some of the residents have lived there for over 17 years and have become part of the community. All four people spent time talking with us and said that they liked living in the home and thought they were treated well and spoke highly of the staff, especially the manager. They told us that they took part in the running of the home, taking their turn on a rota basis to cook, clean and go shopping for groceries. What has improved since the last inspection? The home has introduced new care plans since the last inspection. They are designed to involve people more in choosing how they want to be cared for and the manager is reviewing all of the homes policy`s and procedures and is developing one around staff working on their own. One of the people living in the home has recently been supported to move on to live independently and the home continues to encourage the other residents to develop personally and all of them are working on their independent living skills. The manager has completed her registered managers award and one of the staff has gained their NVQ3 in care. The manager is in the process of introducing two volunteers into the home so that people will be able to plan outings and activities and to get out more on a one a one to one basis. What the care home could do better: We have feel that this service continues to offer excellent outcomes for the people living there and we have found no areas that need improvement, however the manager showed us that she is still looking for ways to improve the service and has plans to further develop it. Key inspection report Care homes for adults (18-65 years) Name: Address: Bailey Close 8 Bailey Close Haverhill Suffolk CB9 0LH     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: Ann Wiseman     Date: 2 2 1 0 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 27 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 27 Information about the care home Name of care home: Address: Bailey Close 8 Bailey Close Haverhill Suffolk CB9 0LH 01440763290 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Nemelita Seneviratne care home 5 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 Number 8 Bailey Close is a detached house, which is registered under the provisions of the Care Standards Act 2000 as a care home to accommodate a maximum of five people with a learning disability. There are currently three people living at the home. The home is situated in a quiet cul-de-sac on a residential housing estate that is approximately one mile from the centre of Haverhill. There is a regular bus service within walking distance of the house. The accommodation is domestic in nature, providing five single bedrooms, three on the ground floor and two on the first floor, all with hand washing facilities. The home provides a communal lounge where people living in the home can meet friends and relatives or watch the television. The lounge opens out to an enclosed garden laid to lawn with shrubs and a bird bath, a patio area with seating is also provided. The home has a statement of purpose and service users guide providing information for prospective service users. Each resident has an individual service agreement, which states the current fees charged by the home of £331 per week for 24-hour care. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 5 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 peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection; we arrived at 12 noon and left soon after 5pm. The manager was not on duty when we first arrived, she was on annual leave so the staff member on duty facilitated the inspection and we went back to the home on a later date to speak to the manager and to access staff files. This is a small home for five people and only has three carers including the manager. The staff member who was on duty when we arrived was knowledgeable about the people living in the home and assisted us in an open and helpful manner. During the day we had a look around the home and talked to the people living there, they were all interested in our visit and were happy to talk to us and to show us their home, we were able to observe the interaction between them and the carer. We looked at information belonging to two people and the available information of one of the staff. We also assessed some of the homes policies and procedures and sampled Care Homes for Adults (18-65 years) Page 5 of 27 a random selection of the health and safety files and records. Before the inspection the manager had sent us the Annual Quality Assurance Assessment (AQAA) she had completed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. The AQAA was very well written and gave us evidence to substantiate the information given to us in it, the AQAA was sent within our set timescales and showed that the home recognised areas that need further improvement. We sent surveys for distribution among the people in the home and the staff. We had a good response and all four residents and and both the staff members returned them. All of the comments were positive and the manger was mentioned favourably by the residents. The house was clean and tidy and the atmosphere was friendly and congenial, interaction between the staff and the people living in the home was observed to be friendly and open. When talking about the residents staff did so in a supportive and respectful manner and written notes were also written appropriately. Care Homes for Adults (18-65 years) Page 6 of 27 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 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 7 of 27 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 8 of 27 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 thinking of moving into this home are given enough information to enable them to make an informed decision about it and they will have an assessment done to make sure their needs will be met. People can visit the home beforehand and are given contacts when they do move in. Evidence: The homes statement of purpose and service user guide contains information about the service and provides clear guidance on how the home deals with referrals and admissions. There havent been any new admissions to the home recently but after supporting one of the residents to move on to live independently they now have two vacancies. The homes admissions policy has recently been reviewed and the manager assured us that people would be encouraged to visit the home before moving in. This would include tea visits and overnight stays. The placement would be reviewed before it was made permanent. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: During this inspection we examined two of the peoples care plans and found that they contained comprehensive pre-admission assessments that gathered good quality information, which allowed clear and comprehensive care plans to be developed. Each individual has their own service agreement, which identifies their contractual fee and the terms and conditions of residence at the home. These had been signed and dated by the person moving in and the manager. Care Homes for Adults (18-65 years) Page 10 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home have good quality care plans and are assisted to make decisions about their life. Evidence: While we were at the home we examined three care plans in detail. They were full and comprehensive and covered all areas of the residents health, social and welfare needs. They were divided into sections identifying the level and support people needed to meet their individual health and emotional needs. Information taken from the Annual Quality Assurance Assessment (AQAA) identifies that the manager has arranged for staff training to improve the care plan further by introducing person centred planning. The present care plans reflect the needs and aspirations of the person involved but are now a bit dated and have been in place several years and although they have been reviewed regularly, the manager agrees that they are due a revision and is in the process of completely reviewing and updating them. One excellent part of the old care plans we saw was a pen picture that had been written by the person whose care plan it was, they told their own story and made reference to their individual choices Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: concerning lifestyle, hobbies and interests. Monthly meetings are held with the person and their key worker where plans may be discussed and problems highlighted. People who live in the home make decisions about their lives and the things they do, they participate in all aspects of running the home and take turns to do various chores. One person started vacuuming the hallway, unprompted, while we were there and told us that they liked helping to keep the home clean and enjoyed the other jobs they did. People are also supported to choose the menus and help with the shopping. House meetings are held where everyone gets a chance to make suggestions for what they would like to do when they go out and risk assessments are developed to minimise the risk of harm in peoples every day activities. Induction training includes keeping confidences. When not in use, private information is stored in the office and is not left lying around in communal areas. People said they were happy in the home and that staff were good to them. They were smartly dressed and appeared well cared for. Care Homes for Adults (18-65 years) Page 12 of 27 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. People are able to advance their personal development and are offered a full range of activities in and out of the house that makes them a part of the local community. Evidence: Everyone has been away on holiday this year accompanied by staff from the home, we saw from the records that they had discussed where they wanted to go and made plans for the holiday during a house meeting. People also enjoy attending classes at the local adult education centre and go to a day centre where they are able to mix with their peers. During conversations with people they told us that they all go to day centres for different activities, which include attending the Haverhill Community Resource Unit. They told use how they are able to access a variety of activities and educational opportunities. They attend drama and dance classes and certificates seen in their Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: rooms showed that they had all obtained a National Vocational Qualification (NVQ) in food hygiene. People have access to a sports centre through the resource unit and they attend local clubs, such as Gateway and the Local Association for Mental and Physical Handicap club (LAMPH). They also enjoyed going out to the pub in the evenings and attending a drop in cafe called the Sunflower. One person has a work placement at the local social services office, where they are responsible for sorting the mail. The home is currently working with an organisation that recruits and safety checks volunteers with the expectation that one or two will come to the home to support the residents to take part in activities of their choice. When people arrived back from their day centre they gathered together in the kitchen for a cup of tea before dispersing to pursue their own pastimes individually; watching television or listening to music in their own rooms or starting their chores. During our visit we saw the residents and staff working together to complete the jobs listed on a rota, people were happy to take part in the housework, and were seen washing and wiping up the dishes and cutlery after their evening meal. One of the residents told us, I am happy living at the home, the manager is very nice to me, I get on well with everyone. another person told us, I have lived here for 14 and a half years and this is a good place and (the manager) looks after me properly. The home is in a small cul-de-sac and does not stand apart in any way from the other houses, over the years they have developed close links with the neighbours who are invited to the home on social occasions. In the AQAA we are told, We promote independence through risk assessments, as a result people can travel independently. Two people take part in volunteer work outside the Haverhill area, they also visit their family using public transport independently. They have gained confidence and have become a part of the community. Friends and family are welcomed in the home and often visit and are invited to help celebrate special events. All of the residents have their own mobile phone which they have been supported to understand and use independently. This allows them to keep in contact with their family and friends and lets staff keep in touch when people are out of the home. The menu is varied and offers a balanced diet, one person has special dietary needs and we saw that there were plentiful supplies of their food in the cupboards. We looked in the freezer and fridge and noticed that they were well stocked with fresh, tinned and frozen food as well as snacks and treats. Care Homes for Adults (18-65 years) Page 14 of 27 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. This home records peoples personal care needs in a way that enables them to be supported as they want to be and they have their health care needs met. Evidence: We looked at three care plans and found that peoples support needs were recorded and that they were written in a way that reflected their personal preferences. The care plans were reviewed regularly and the manager is in the process of completely overhauling them as they have been in place for several years. We found evidence, in the files we examined, that people have access to medical practitioners as and when they need, the residents are supported to make their own appointments with the doctor, optician or dentist and will go to the appointment independently if they chose to. Staff will accompany them to specialist appointments or if the person asks for support. We also saw evidence that they get support from specialists such as speech and language therapy, psychology and psychiatric support. We saw evidence in the daily progress records that peoples health and wellbeing is monitored on a day-to day basis. A record of appointments are kept as well as the the outcome of the visit. Appointment cards and letters were being kept in the care plans Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: which gave an audit of appointments with consultants and other health care professionals. One of the residents had chosen not to go to the day centre on the day of the inspection as they were feeling unwell. Normally the home isnt staffed while people are at the day centre, but arrangements had been made for someone to care for the person at home. We saw that despite the disruption of having the inspector in, the carer still made sure that the resident was kept comfortable, had lunch and that all their needs met. Two of the residents have been assessed as able to manage their own medication and they order their own prescriptions and collect the medication from the chemist. We examined the medication and its records and found that they were stored and managed as required. Care Homes for Adults (18-65 years) Page 16 of 27 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 takes all complaints seriously and acts upon them. People are protected from abuse. Evidence: The manager told us that if any of the residents wanted to talk in private, they are able to and from time to time disagreements do arise, but the home is small and the residents know each other well, so issues are sorted out immediately. The manager said that they havent received any complaints recently, but if they did it would be dealt with straight away. She showed us the complaints procedure and complaints log. It is as required and the complaints form logs the nature of the complaint, the action taken and the outcome. When we spoke to the people living in the home they told us that they knew how to make a complaint and one commented, The manager is a very good person, she listens to me and I like her very much. Another person said they have never needed to make a complaint but felt sure the staff would sort it out for me. We havent received any complaints about this service since the last inspection. The complaints procedure is made available in the home and people are offered the chance to raise any concerns they may have at their monthly house meetings or when they meet with their key worker. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: In the AQAA the manager tells us, There is a culture of openness between the residents, the staff and the manager, which results in good communication. The key worker and the manager work hand in hand to maintain the trust between them and the service user. A copy of the homes adult protection policy and procedure was shown to us, this clearly refers to the Suffolk inter agency guidance and refers staff to inform the Customer First team at Social Care Services if an allegation of abuse is made or if they suspect that people may have been abused. Staff training records demonstrate that they have received training in protecting vulnerable adults from abuse. Care Homes for Adults (18-65 years) Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, safe, clean and well maintained. Evidence: The residents were proud to show us around their home, it is decorated and furnished to a high standard, creating a homely environment in which to live. There are lots of ornaments and memorabilia in the communal living areas, which personalise the home including rugs made by one of the the people living there. There were also some photo portraits taken by a professional photographer. One person told us, I love living here, I have lived here years and years and I dont want to live any were else. Residents are able to meet together in the communal lounge or watch television in their own rooms. The bedrooms reflect their personalities and they had been encouraged to choose their own decor. Their rooms were homely and comfortable, they had been personalised with their own possessions, including a fish tank, medals won at sports events and private collections such as porcelain dolls, soft toys and a selection of compact discs and DVDs. All of the residents have their own keys to their rooms, which we saw to be locked when they were out of the building. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: There are sufficient toilets and bathrooms and people are totally independent and mobile and do not require any special adaptations. The dining and kitchen area are combined, there is a large dining table with sufficient seating for all residents and staff on duty. The kitchen area is domestic in nature and promotes independence and involvement in domestic tasks. The laundry room is on the first floor; this room is clean and tidy with shelving, washing and drying machines. People are encouraged to be responsible for doing their own washing and ironing. There is a lounge area, with comfortable seating and a wide screen television. The home has an attractive garden area, which the residents help to maintain. The garden has a good selection of shrubs, ornaments and a patio providing a seating area, which has an awning to protect people sitting outside from the sun. There is a table and chairs and a BBQ for the patio and some additional outdoor lighting. Care Homes for Adults (18-65 years) Page 20 of 27 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. The homes recruitment procedures safeguard the people living in the home from abuse and staff are supervised and provided with training to meet peoples needs. Evidence: The homes staff team is made up of two care staff and the manager. The staff roster reflects that one member of staff is allocated to work from 4-8pm to supervise people on their return from their day time activities. A member of staff is on the premises between 8pm to 9am to provide assistance as required and to cover the sleep-in. At weekends one member of staff works from 10am-7pm, when another member of staff takes over until 10am the following morning. One resident who was unwell on the day of the inspection had decided to stay at home during the day, staff cover is provided in these circumstances. The manager lives close to the home and is on call in case of emergencies, she has told us that, as staff spend most of their time working on their own, she has decided to carry out lone working risk assessments and will develop a lone working policy. We spoke with the member of staff on duty, they told us that they had been working at the home for over two years now and that they have many years of experience in working with people with a learning disability. They also told us that they had been Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: fully supported by the manager during their induction and had attended training with Suffolk County Council as part of the induction. They had completed six units of the Common Induction Standards covering, skills development, value base, adult abuse, health and safety, communication and moving and handling. Staff have also undertaken training around the mental capacity act and the deprivation of liberty. The staff personnel records reflected that the home has appropriate recruitment procedures in place. The relevant paperwork had been obtained prior to employment. These included a completed application form, two written references, a protection of vulnerable adults (POVA first) check, criminal records bureau disclosure (CRB), job description, contract, terms and conditions and copies of birth certificate, driving licence and passport. The file had a copy of the terms and conditions of employment, which they and the manager had signed and dated. They also had a job description for a support worker. The member of staff spoken with was clearly aware of the expectations of their role and demonstrated a clear knowledge of the people they support. The staff training records demonstrated two thirds of the care staff hold a National Vocational Qualification in care, which gives them an understanding of care needs. This exceeds the required minimum of 50 of staff with this qualification. The staff we spoke to told us that they felt supported and well trained and we saw evidence that staff receive formal one to one supervision and that the notes are kept on file. Care Homes for Adults (18-65 years) Page 22 of 27 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. This home is well run and the ethos of its management is empowering to the people living there and their views underpin its running. Evidence: The manager at Bailey Close holds a registered nurse qualification for people with learning disabilities. She has 17 years experience of working in a local hospital as a ward sister and left to open the home to provide care for people who have a learning disability within the community and has recently attained her registered managers award. Residents and staff spoke well of the manager, they felt she were approachable and provided a clear sense of direction and leadership to the home. There is a good working relationship throughout the house and the atmosphere was congenial and relaxed. We found the manager to be friendly and was committed to providing a high standard of care in a homely environment. The manager told us that she monitors the quality of the service through direct Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: observation, training and supervision. The home uses the better food-better business pack which continuously records and reviews their practise in the kitchen. She told us about the homes system for effective quality assurance monitoring; they obtain the views of residents, their relatives and other people involved with their lives, which is used to evaluate how the home is achieving the aims and objectives as set out in their statement of purpose. House meetings are held where people are encouraged to speak their mind about how the home is run and how it can be improved. Records are kept of these meetings and we were able to see them. We saw that the homes polices and procedures are in the process of being reviewed and updated as legislation dictates. Evidence was seen throughout the inspection that records and information relating to personal information were kept locked in the office upstairs. We were told that people were aware that their information was in the office and would be given access to them on request. A sample of health and safety records were inspected and were found to be in order. Fire points are tested weekly and fire equipment is tested annually. Fridge and freezer temperatures are taken and recorded daily and we saw that food kept in the fridge was stored appropriately and in line with environmental guidelines. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 Care Homes for Adults (18-65 years) Page 26 of 27 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. 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