Care Home: Barnhill Road (11)

What the care home does well The manager clearly described the procedures she would carry out for assessing and admitting a new resident to the home. Each resident had a person centred care plan, which clearly set out how staff need to meet their health, personal, and social care needs. All plans of care are regularly reviewed and updated so that the information is relevant and up to date ensuring that residents current and changing needs are met. During the inspection visit staff were seen treating residents well and talking to them in a polite and respectful way. A relative said, "Staff always treat my sister well". There were good polices and procedures at the home for responding to concerns and complaints and for ensuring that residents are safe from abuse, harm or neglect. Polices are rules that people have to follow and the procedures explain how the rules should be followed. The manager clearly described the procedures she would carry out for assessing and admitting a new resident to the home. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Each resident had a person centred care plan, which clearly set out how staff need to meet their health, personal, and social care needs. All plans of care are regularly reviewed and updated so that the information is relevant and up to date ensuring that residents current and changing needs are met. During the inspection visit staff were seen treating residents well and talking to them in a polite and respectful way. A relative said, "Staff always treat my sister well". There were good polices and procedures at the home for responding to concerns and complaints and for ensuring that residents are safe from abuse, harm or neglect. Polices are rules that people have to follow and the procedures explain how the rules should be followed. What has improved since the last inspection? Each of the residents personal files included a written contract or statement of terms and conditions, which they have agreed with the home. Care plans and risk assessments have been reviewed and updated with information about residents changing needs The flooring in the lounge and one resident’s bedroom has been replaced. Residents bedrooms have been decorated and some furniture and fittings have been replaced in bedrooms and the lounge improving their comfort. Fire systems and equipment used at the home has been regularly tested, written records of the tests were available. Records showed that staff have received training in fire prevention and have been involved in regular fire drills. Staff files included all the information, which is required to show they are right for the job. What the care home could do better: The carpet in the hallway, which is worn and stained in parts, should be replaced so that all the flooring in the home is of a good standard. Key inspection report CARE HOME ADULTS 18-65 Barnhill Road (11) 11 Barnhill Road Wavertree Liverpool Merseyside L15 5BE Lead Inspector Janet Marshall Unannounced Inspection 22nd February 2009 10:00 Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. 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 home adults 18-65 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. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 2 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 Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Barnhill Road (11) Address 11 Barnhill Road Wavertree Liverpool Merseyside L15 5BE 0151 733 7646 9999 barnhillroad@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Bernadette Maria Hardy Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection 9th July 2007 Brief Description of the Service: 11 Barnhill Road is registered with the Commission to provide care for three adults under the category of learning disability (LD). The home is part of and is managed by Community Integrated Care. The home is situated in the Wavertree area of Liverpool. The home benefits from being part of a small residential area and is close to local amenities, bus and rail routes. The building is a bungalow and has been adapted over the years to meet the needs of the residents. Residents occupy single rooms and share communal bathroom, kitchen and lounge/dining room facilities. The home is accessible to wheelchair users; the accommodation provided is spacious and the home is well maintained and furnished to a high standard. The fees for the home are £2,350 per week. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good outcomes. This was a key inspection. The report has been put together using information gathered from a number of sources including information that the Commission have received about the service since the last key inspection, and details provided in the Annual Quality Assurance Assessment (AQAA). The AQAA, which is in two parts, a selfassessment and data-set, provides the Commission with important information about the service and the people that live and work there. The document, which was sent out to the service was completed satisfactory and returned to the Commission before the site visit took place. The inspection also involved an unannounced visit to the home (site visit). The manager was on duty at the time. Records that were examined and comments and observations made during the visit have also been used as evidence for the report. Residents were unable to give their views and opinions about the service, so two of them were case tracked. This process involved observing and talking to staff, looking at the environment and a selection of residents records such as assessments, care plans and daily notes to get an idea about peoples experiences and to find out if they are receiving the care and support that they need. What the service does well: The manager clearly described the procedures she would carry out for assessing and admitting a new resident to the home. Each resident had a person centred care plan, which clearly set out how staff need to meet their health, personal, and social care needs. All plans of care are regularly reviewed and updated so that the information is relevant and up to date ensuring that residents current and changing needs are met. During the inspection visit staff were seen treating residents well and talking to them in a polite and respectful way. A relative said, Staff always treat my sister well. There were good polices and procedures at the home for responding to concerns and complaints and for ensuring that residents are safe from abuse, harm or neglect. Polices are rules that people have to follow and the procedures explain how the rules should be followed. The manager clearly described the procedures she would carry out for assessing and admitting a new resident to the home. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 6 Each resident had a person centred care plan, which clearly set out how staff need to meet their health, personal, and social care needs. All plans of care are regularly reviewed and updated so that the information is relevant and up to date ensuring that residents current and changing needs are met. During the inspection visit staff were seen treating residents well and talking to them in a polite and respectful way. A relative said, Staff always treat my sister well. There were good polices and procedures at the home for responding to concerns and complaints and for ensuring that residents are safe from abuse, harm or neglect. Polices are rules that people have to follow and the procedures explain how the rules should be followed. 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. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed assessments are obtained before admitting a new resident to the home to decide if their needs can be met there. EVIDENCE: There have been no new residents placed at the home since the last inspection. Following a requirement given in the last key inspection report, residents all have written contracts of terms and conditions of the home. They had been agreed and signed by the relevant people and were available in their personal files. The AQAA told us that assessment and admission policies and procedures are available at the home. The manager said she has completed assessment training and would be fully involved in carrying out assessments for prospective residents. She clearly described the procedures that she would follow for assessing and admitting a new resident to the home. The manager confirmed that regular care needs assessments are carried out for all the resident that live at the home so that they can be sure their needs will be met. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 People using the 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 have up to date information which they need so that they can support residents to live independent and safe lives. EVIDENCE: Each resident had an individual plan of care, which was kept, securely in the home. Two plans were looked at in detail as part of the case tracking process. They covered all aspects of each person’s personal and social support such personal care, personal development, accessing the community, relationships and financial needs. The plans which were person centred and covered in detail things such as what is important to the person, what they are good at doing, what they like and dislike what they need help with and what they want to happen with their lives. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 10 Communication logs were also a part of each persons plan. These are particularly important because all of the residents have limited verbal communication skills. The logs show staff how people communicate, what it means and how they should respond. This information enables staff to support and encourage residents to make choices and decisions about their lives so that they can be as independent as possible. Staff spoken with understood the importance of making sure residents rights are promoted and that limitations are only put in place for residents safety and welfare. Following a requirement given as part of the last inspection report, residents care plans have been reviewed and updated regularly to make sure that changing needs are met. Surveys returned to us from staff showed that they are given the right support and training to help them understand and meet the needs of the residents, this includes help about needs such as disability, gender and age. Following a requirement given in the last key inspection report residents risk assessments have been reviewed and updated regularly. They showed that residents are encouraged to take responsible risks. There was a range of risk assessments in place covering tasks and activities, which pose a risk to the resident. The assessments clearly described the action that staff must take to avoid any risk of harm. Also following a requirement given in the last report separate risk assessments have been carried out for the use of equipment used at the home, such as bed rails and the over head tracking. Staff have completed training about how to keep themselves and the residents safe from harm. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 & 17. People using the 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 stay active and eat healthily. EVIDENCE: Care plans included information about residents preferred interests and hobbies and the help they need with them. Examination of residents activity programmes and daily records showed that residents are provided with the right opportunities to live the kinds of live that they choose. None of the residents are currently involved in any educational or training programmes, however the manager explained that vocational courses are being explored for them. Discussion with the staff and details provided in the AQAA showed that residents are supported to take part in a range of tasks and activities both at home and in the local community. All the residents need the help of staff to get out and about in the community. Outdoor activities include Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 12 walks, shopping, trips to the hairdressers, holidays, and meals out at local cafes and pubs. Indoor activities include, watching TV listening to music, aromatherapy sessions, sensory activities and basic cooking. A relative said, My sister gets out a lot. Care plans had information about important personal and family relationships and how staff need to support them. Residents visitors are welcomed at the home and they can visit at any reasonable time. One resident received a visitor at the time of the inspection visit. The visitor said, I can visit anytime and am always made to feel welcome by the staff and other residents. The visitor also said they are always offered refreshments when they arrive at the home. Residents do not hold keys to their rooms because of certain limitations. Restrictions such as this were recorded in the persons care plan and agreed by the right people. The home has a large kitchen, which is of domestic style. It was bright and clean and equipped with ordinary house hold appliances such as a microwave, fridge and freezer. At meals times residents generally eat at the table in the dining room although sometimes they eat their meals in the lounge whilst watching TV. There was plenty of cutlery, pans, cups and dishes, which were in good condition. Food stores were examined. There were items of fresh, frozen and tinned food at the home. Records showed that Speech Therapists and Dieticians are involved with residents who have special dietary needs and staff have received training to help them understand and manage these needs. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. People using the 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 personal and healthcare needs are well supported making sure they stay well. EVIDENCE: Residents care plans included information about their health and personal care needs and each of them had a healthcare action plan, which was very individual to them. Staff spoken with were knowledgeable about residents health care needs as well as their routines and preferences with regards to personal care. Case tracking showed that residents are receiving the right kind of healthcare support and their preferred personal care routines are being followed. Staff talked about the things they do to ensure residents privacy and dignity and gave the following examples: “I always make sure that windows, doors and blinds are shut when assisting a resident with personal care”. “When helping a resident with personal care it is very important to know and understand the persons routine and what they Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 14 want and prefer”. I make sure the door in the bathroom is always locked when a resident is using the bathroom. I always knock before going into a residents bedroom or the bathroom. Records of all health care appointments were kept. The records showed that each of the residents attend regular health checks at their GP, dentist, optician and chiropodist. Records also showed that residents visit other healthcare professionals for more specialist appointments such as dieticians and speech therapists. Discussion with staff showed they know how residents communicate if they are in pain or distressed and they know how to respond to these signs. A key worker system is in place at the home. The key worker is responsible for reviewing the resident’s plan each month and for arranging residents healthcare appointments. During discussion a member of staff described clearly their role and responsibilities as a key worker. Staff are responsibility for the administering medication for all of the residents. Discussion with staff and information, which was in the AQAA showed that staff who administer medication have received training in the subject. The AQAA told us that available at the home are policies and procedures about the safe storage, handling and administration of medication. All residents medication and administration record sheets were looked at during the visit and found to be in good order. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. People using the 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 policies and procedures ensure that residents are safe from harm, abuse and neglect. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection and the AQAA told us that no complaints have been made directly to the home. There was a complaints procedure on display at the home. The complaints procedure is also summarised in the homes statement of purpose and resident guide. Staff spoken with showed good knowledge and understanding of the homes complaints procedure. They were confident about complaining if they needed to and said they know how to complain. A member of staff said, yes I know how to complain and I would if I needed to. Surveys from staff showed they all know what to do if a resident, relative, friend or advocate had concerns about the home. The AQAA told us that staff have received protection of vulnerable adults (POVA) training and they attend regular refresher courses in this subject. Staff spoken with knew what to do if they saw or thought somebody was being abused. They said, I would definitley report someone I saw abusing a resident. I would report it to the manager right away. A copy of the local Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 16 authorities protection of vulnerable adults procedure was available at the home along with the companies own POVA procedures. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements made to the home have improved the comfort of the residents. EVIDENCE: The home is a detached bungalow located in a popular residential area of Wavertree Liverpool. It is in keeping with the local community and provides a comfortable and homely environment for the people that live there. There are front and back gardens and parking is available directly outside the property. Residents are able to access all parts of the home, including the gardens. A number of requirements were given for the environment as part of the last key inspection report. That was because some parts of the home were in poor condition, which undermined resident’s comfort and dignity. The AQAA told us since the last key inspection there have been many improvements made to the home. They include: Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 18 • • • • • • The main bathroom has been refurbished The lounge, dining room and two residents bedrooms have had new wood flooring fitted. Bedroom furniture has been replaced in one residents bedroom. A leather suite has been bought for the lounge. The home has been decorated throughout. A specialist chair has been bought for one resident. All the improvements listed above were looked at during a tour of the home and showed the work has been carried out to a good standard. The AQAA told us that there are plans to improve the home further, including the redecoration of the other two residents bedrooms and the replacement of their bedroom furniture. It is recommended that the carpet in the hallway be replaced because it is worn and stained in parts. Residents bedrooms were warm, bright and well ventilated. They were all very different and personalised with things such as pictures, photographs, music players and TVs. On the day of the inspection visit the home was clean and tidy and there were no hazards identified. The AQAA told us that the required policies and procedures for control of infection and cleaning routines are in place at the home. It also showed that dirty laundry is washed in the right way and clinical waste is disposed of correctly. The AQAA, discussion with staff and examination of records showed that staff have completed training in relation to infection control. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35. People using the 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 by an effective staff team. EVIDENCE: There were two support workers and the manager on duty at the time of the visit. Discussion with a member of staff and examination of staffing rotas showed that there is a minimum of two staff on duty at all times and there are occassions when there are three staff on duty so that residents can benefit from one to one support. Staff spoken with said there is always enough staff on duty to support the residents. A relative said, when I visit there is always two or three staff on duty. The AQAA showed that staff have received both mandatory and specialist training. It also showed that all new staff take part in detailed induction training when they first start work at the home. Training and development records which were looked at during the inspection visit also evidenced this. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 20 A new IT system called Clear Vision is used within the company and has recently been introduced to the home. This allows the manager to view and update staff training records on a computer. Other information about staff can also be accessed by the manager using the system. Staff spoken with confirmed that they have completed the following training: POVA, medication awareness, fire training, moving and handling and first aid. The AQAA told us that more than half of the staff team have completed or are working towards a NVQ in Care Level 2 or above. The AQAA told us that recruitment, selection and equal oppertuities policies and procedures are available at the home. The procedures, which were looked at described the processes, which have to be followed to ensure that the staff are employed in the right way. Some new staff have started work at the home since the last inspection. A new member of staff who was on duty said that they took part in an induction programme when they first started work. They said the induction was interesting and they learned a lot about the home, the residents that live there and about how to support them and keep them safe. A selection of staff files were looked at during the inspection visit. They included information, which showed company procedures were followed to make sure that the staff were right for the job. It was recommended as part of the last inspection report that staff files include copies of their job descriptions. Files which were looked at during this inspection visit contained a copy of the workers job description. A member of staff said they were given a written job description when they started work at the home. A requirement was given as part of the last inspection to ensure that two references are obtained for new staff before they are allowed to start work at the home. This was because one staff file which was looked had only one reference and two are required to show that the person is right for the job. Staff files, which were looked at during this inspection visit all contained two references. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Records, which are required by law are better kept ensuring the residents health safety and welfare. EVIDENCE: There has been a change of manager since the last inspection. Bernadette Hardy was appointed as manager after the previous manager left. Bernadette has a number of years experience of working in care and knows the residents at Barnhill well because she worked at the home before becoming the manager. She also has a number of relevant qualifications including NVQ level 4 in care and the Registered Managers Award. Bernadette, who was on duty at the time of the inspection visit confirmed that she has completed training and Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 22 is planning to complete further training relevant to her job as manager. Following an interview with the Commission In April 2008, Bernadette was approved as the Registered Manager of the home. During the inspection people said, The manager is very good at her job The manager is positive and approachable I can talk to her about anything. She has made a lot of changes for the better. The AQAA told us that there are quality monitoring systems in place at the home, which ensure it is running properly. Records looked at during the inspection visit also showed this. Monthly checks are carried out on the home once a month by somebody who works for the company but not at the home. Questionnaires are also given out to residents, their families and representatives so that they can put forward their views about the home. The manager also regularly checks residents care, financial and medication records. Requirements were given as part of the last inspection report because fire records seen at the time were not up to date. Fire records, which were looked at during this inspection were well kept and up to date. Water temperatures and fridge temps were regularly recorded. The AQAA told us that all other records which are required by regulation are also in place, well maintained and kept up to date. A selection of records were looked at during the inspection visit. These included residents care plans and records of safety checks on equipment and systems used at the home. Up to date certificates of safety were available for the gas and electricity systems and appliances. The AQAA told us that all the required health and safety policies and procedures are available at the home. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 3 X X 3 X Version 5.2 Page 24 Barnhill Road (11) DS0000025220.V374930.R01.S.doc No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that the carpet in the hallway which is worn and stained be replaced with new, so that it is of the same good standard of other floor coverings in the home. Barnhill Road (11) DS0000025220.V374930.R01.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 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. 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