Care Home: Bartlett Close 1

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What the care home does well People are being supported to review their support plan. The support plans are beginning to include good information about individuals life choices and personal care routines, they explain how much support the person needs and how to provide the support. The personal and healthcare needs of individuals are also now met by the introduction of staff who are awake at night who can respond to peoples needs. We think that this home would be able to meet the needs of lots of people and would take into account their religious, racial or cultural backgrounds. People who live in the home are encouraged and supported to take part in a variety of activities that generally reflect their choices and assessments are completed to ensure that people are safe. There is a friendly, relaxed and welcoming atmosphere at the home and there are positive relationships between individuals and the staff. People are provided with the information about how to complain, and how their concerns will be listened to. The home now has a level of staffing that supports the needs of the people who live there. Staff are attentive and respectful, they are well managed, supervised and trained to ensure peoples needs can be met. The home continues to have a good range of policies and procedures to assist staff to do their job well. What has improved since the last inspection? The organisation has now recognised the changing needs of the people living in the home providing staff who are awake at night who can respond to needs. Nutritious lunchtime menus are starting to be developed with individuals, so that the people living in the home can eat healthily regularly. The organisation is now reviewing how the increasing needs of the people living in the home need to be planned for, so that the health and safety risks are as few as possible. What the care home could do better: The kitchen has a large notice board containing a large amount of paperwork for staff use, very little of the information relates directly to the people who live in the home or is available in a format which they can use. The Expert by Experience supported this view, `In the kitchen, there is a notice board with fridge temperature recording, meal changes, cleaning rota and staff activities. There is nothing in easy read or picture format for the residents. Everything on the board is for and about staff.` Information posted within the kitchen should be accessible and relevant to the people who live in the home A shower room which is situated upstairs is currently being used to store household items. The Expert by Experience noted,` I had a look around the home and noted that there was a shower and a bathroom upstairs where X`s bedroom is. The shower room has been used for storage.` The Expert asked a staff member about the usage of the room. The staff member told the Expert `the shower is for staff use when sleeping-in, if the individual who`s bedroom is upstairs wants to have a shower then they are supported downstairs, and we don`t want X to have to walk around downstairs naked.` The Expert also commented,` The shower room is for staff use, but now it is used as a storage room. Staff don`t want to use the same shower as the residents.` The use of the upstairs shower room must be reviewed to ensure that the people who live in the home have access to rooms which maybe suitable for their use and not for the exclusive use of staff. If the shower room is considered to not be suitable for individuals then clear records of the decisions made must be held. Key inspection report Care homes for adults (18-65 years) Name: Address: Bartlett Close 1 Bartlett Close 1 Witney Oxfordshire OX28 6FD     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: Nancy Gates     Date: 2 8 0 8 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: Bartlett Close 1 Bartlett Close 1 Witney Oxfordshire OX28 6FD 01993709646 01993709659 donnamfp@yahoo.com www.macintyrecharity.org MacIntyre Care care home 4 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 4. The registered person may provide the following categories of service only: Care home only - (PC) to service users of the following gender: Either Whsoe primary care needs on admission to the home are within the following categories: Learning Disability (LD) Date of last inspection Brief description of the care home 1 Bartlett Close is home to four adults with learning and some physical disabilities close to the centre of Witney, a market town in West Oxfordshire. The home is managed by MacIntyre Care. The building is modern and purpose built to meet the needs of people with physical disabilities. Care is provided by a staff team and the homes manager. 2 3 0 2 2 0 0 9 4 Over 65 0 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 inspection of this service was an unannounced key inspection. The inspector arrived at the home at 10:00 on the 28th September 2009. The total number of hours spent at the home was 6 hours. The time spent in the service allowed for a thorough look at how well the service is doing. The inspection took into account detailed information provided by the service manager inclusive of information that the CQC has received about the service since the last inspection. The CQC is trying to improve the way it engages with people who use services so as to gain a real understanding of their views and experiences of social care services. A method of working includes the use of Experts by Experience who are an important part of the inspection team and help inspectors get a picture of what its like to live in or use a social care service. The term Experts by Experience used in this report describes people whose knowledge about social care services comes directly from using them. Care Homes for Adults (18-65 years) Page 5 of 28 The Expert by Experience who joined the inspector on the site visit to the home asked for the views of the people who sue the service. Three people were in the home at the time of the inspection. We also asked the views of other who support the needs of the people who use the service via a questionnaire that the CQC sent out, however no surveys were returned before the inspection visit. Te people who live in the home and the staff were very welcoming. We looked around the home including the bedrooms. A number of records were viewed including assessment information and care/support plans, staffing rotas and maintenance and health and safety records. We looked at how well the service was meeting the standards set by the government. the report includes judgements about the standard of the service and recommendations for improvement are included within the body of the report. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The kitchen has a large notice board containing a large amount of paperwork for staff use, very little of the information relates directly to the people who live in the home or is available in a format which they can use. The Expert by Experience supported this view, In the kitchen, there is a notice board with fridge temperature recording, meal changes, cleaning rota and staff activities. There is nothing in easy read or picture format for the residents. Everything on the board is for and about staff. Information posted within the kitchen should be accessible and relevant to the people who live in the home Care Homes for Adults (18-65 years) Page 7 of 28 A shower room which is situated upstairs is currently being used to store household items. The Expert by Experience noted, I had a look around the home and noted that there was a shower and a bathroom upstairs where Xs bedroom is. The shower room has been used for storage. The Expert asked a staff member about the usage of the room. The staff member told the Expert the shower is for staff use when sleeping-in, if the individual whos bedroom is upstairs wants to have a shower then they are supported downstairs, and we dont want X to have to walk around downstairs naked. The Expert also commented, The shower room is for staff use, but now it is used as a storage room. Staff dont want to use the same shower as the residents. The use of the upstairs shower room must be reviewed to ensure that the people who live in the home have access to rooms which maybe suitable for their use and not for the exclusive use of staff. If the shower room is considered to not be suitable for individuals then clear records of the decisions made must be held. 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. A clear assessment process that takes into account the needs of people who want to live in the home and the needs of existing household members is completed before people move into the home. Evidence: The home has information available for people who my want to live in the home. The information is also available to the people who live in the home detailing what Bartlett Close has to offer and to help people decide if the home is suitable to meet their needs. The people who live in the home are supported to gain an understanding of whats on offer in a one-to-one situation. There is a vacancy at the home, however at the time of the inspection visit no prospective residents were considering a move to Bartlett Close. We looked at assessments and information gathered for the people who currently live in the home which told us that peoples needs were assessed before they moved to the home and that careful consideration was made to ensure that individuals needs could be met. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: People who may want to live in the home would be asked to visit the home a number of times to assess whether the service at the home is able to meet their needs and whether the people currently living at Bartlett Close feel comfortable with the new person. The process also includes the views of people who support the individual to ensure the move is in the interest of all parties. 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. The needs and personal goals of people who live in the home are recorded appropriately and action has been taken to ensure the dignity and respect of people at night. People are appropriately supported to make decisions and to take acceptable risks. Evidence: All of the people living in the home continue to need significant support to communicate their needs and preferences, and through experience, the staff team has built up a knowledge of how they like to be supported. Revision of care and support plans continues to ensure that the information reflects the individuals preferences. We saw examples showing how individuals preferences are recorded, and noted that there is clear progress in updating support plans, that information is person centred and that the revision of support plans will be completed in the near future. At the previous inspection we noted that the needs of some of the individuals needs were changing and that care was needed at night. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: A member of staff is now on a waking duty throughout the night, is available to support individuals needs and is appropriately recording and monitoring needs. From the night time monitoring notes it is evident that people are assisted on a very regular basis, the notes indicated that over a one month period one individual was supported on 7 occasions during the night and another person was supported 12 times over the same period . Having a member of staff on duty throughout the night to respond to individual need meets the recommendations of the healthcare professional documented in June 2008 and the requirements of the last inspection. The healthcare professional stated that if care was provided at night individuals needs in relation to continence and epilepsy would be met, including the need to preserve their dignity and to show respect for the individuals. The manager told us that that use of night staff (waking) is being reviewed and alternative ways of supporting people at night i.e. assistive technology, is being considered. The manager confirmed that no changes will be made to the cover at night whilst alternative support systems are being considered. Two staff members spoken with at the time of the inspection also support staff being awake at night to ensure people welfare, All sorts of issues happen at night - X and X have epilepsy, this is without all the continence issues at night, hopefully nights will remain, I feel Xs seizures are worse, X is incontinent afterwards the night person can assist to change X. The Expert by Experience noted that Residents choices are respected. The staff member I talked to said the residents had choices of when to go to bed or get up in the mornings, though this has to be worked around the care needs if the resident. Staff work around residents going to bed before 2200 hrs to enable two members of staff to hoist a person to bed as there is one waking member of staff on duty after this time. This is good as the residents needs, safety and dignity are upheld. Risk assessments for all of the people who live in the home have now been reviewed and updated to ensure individual health and safety can be met as far as possible. 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. People who live in the home are supported to take part in a variety of activities that generally reflect there individual needs and wishes. Evidence: The support plans for each person at the home provides information about what people like to do and how they would like to be supported to engage in activities. Whilst we were at the home staff demonstrated a clear understanding of individual need and supported people to engage in activities described in their support plan. Many of the activities provided in-house are based on what people prefer to do in their leisure time; these included listening to music, watching TV, videos, DVDs, magazines, puzzles and games, arts and crafts, cooking, baking and gardening. Activities outside the home include going to the shops, out for coffee, organised groups, for walks and organised trips to places people have identified they would like to visit. The local Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: community remains very much part of the activity programme and there is a adapted vehicle for people to use. The manager is continuing to seek opportunities through day centres and local groups to increase the opportunities for individuals. The home supports family and friends involvement and welcomes visitors to the home. The Expert by Experience noted that, The home provides adequate activities for the residents in and out of the home, like going shopping, going for walks and general outings with the staff in and around Witney. Friends and relatives can visit their relatives when they want. During the visit we witnessed one male resident who had a female guest in his bedroom. The member of staff I talked to said other residents relatives/parents visited regularly and are happy with the support their relative received in the home. We were in the home when lunch was being prepared and served. Lunch is generally a snack due to people going out during the day with the main meal eaten as a group in the evening. One person generally chooses to eat tinned foods at lunchtime and this has been reviewed regularly to ensure that nutritional needs are met. It has been acknowledge that staff have gained knowledge of preparing health choices and that every effort is made to provide a balanced meal. People are encouraged to take an active part in the selection of the daily menu, participating in shopping and preparation of meals. Regular drinks and snacks are available; a more varied menu is now provided, including fresh ingredients and individuals special dietary needs are catered for. 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. The personal and healthcare needs of individuals are now supported appropriately in accordance with assessed needs. Evidence: We looked at the care plans for three people and noted that personal and healthcare needs are described in health action plans. This ensures that staff can meet individual healthcare needs in a manner in which people prefer to be supported. The records held are clear and showed us that people are supported to have regular health checks and attend healthcare appointments as necessary. All the individuals are registered with a local general practitioner, and see the dentist and optician as necessary. Issues raised at the last inspection regarding night time support have been addressed by the full time use of waking night staff to support people with continence and epilepsy needs at night. This now ensures individuals health, safety, welfare and dignity, however consideration is being given to the use of alternative support systems to meet night time needs. The manager told us the the waking night support would not be withdrawn whilst alternative support is being considered. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Staff continue to support people to look after their medication and there are policies in place to support staff to manager the storage and administration of medication. The home continues to use a standard medication administration record (MAR) which is provided by a pharmacy and no errors or omissions were noted within the records held. Staff are trained and assessed to ensure they are competent to administer medication and a member of staff confidently demonstrated how an individual is helped to take their medication. 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. The people who live in the home are provided with the information about how to complain which enables individuals to have their views listened to and acted upon. The people live in the home are protected from abuse, neglect and self-harm through safeguarding guidance, appropriate staff training and staff awareness. Evidence: Information on how to make a complaint, which has been produced in a user-friendly format is available to the people who live in the home. None of the people living in the home are able to make complaints, but the staff team continue to take care to learn the differences in behaviour that can alert them to anxiety in the individuals, and are responsive to any concerns. No complaints have been recorded at the home since the last inspection visit. Clear policies and guidance regarding complaints, concerns and allegations are available to staff to ensure they are aware of how to respond appropriately to concerns raised by individuals and their families. The Care Quality Commission has received no information in relation to complaints or safeguarding issues since the last inspection. All staff complete training regarding safeguarding and protection which reflects the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: multi-agency codes of practise. Staff were able to describe a good understanding of protection issues and how to respond to allegations. Refresher training is available to ensure knowledge remains up to date. We were assured that individuals finances are appropriately managed and monitored on a regular basis. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides a homely and safe environment for individuals that meets their assessed needs Evidence: We looked around all areas of the home and found that people are provided with a comfortable, homely place to live. The furniture and fittings are modern and domestic in style. The kitchen has a large notice board containing a large amount of paperwork for staff use, very little of the information relates directly to the people who live in the home or is available in a format which they can use. The Expert by Experience supported this view, In the kitchen, there is a notice board with fridge temperature recording, meal changes, cleaning rota and staff activities. There is nothing in easy read or picture format for the residents. Everything on the board is for and about staff. Information posted within the kitchen should be accessible and relevant to the people who live in the home. With individuals permission we were shown bedrooms, which we found to be individually furnished and reflected peoples personalities and interests. Specialist equipment continues to be provided to those who need it. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Toilets and bathrooms continue to offer privacy and comfortable safe areas in which to bathe. A risk assessment for one individual has identified changes needed to the bathroom to create a larger room to ensure the safe use for the individual. Consideration is being given to the changes alongside the advice of an occupational therapist. Specialist equipment for use within the bathroom continues to be provided to those who need it. A shower room which is situated upstairs is currently being used to store household items. The Expert by Experience noted, I had a look around the home and noted that there was a shower and a bathroom upstairs where Xs bedroom is. The shower room has been used for storage. The Expert asked a staff member about the usage of the room. The staff member told the Expert the shower is for staff use when sleeping-in, if the individual whos bedroom is upstairs wants to have a shower then they are supported downstairs, and we dont want X to have to walk around downstairs naked. The Expert also commented, The shower room is for staff use, but now it is used as a storage room. Staff dont want to use the same shower as the residents. The use of the upstairs shower room must be reviewed to ensure that the people who live in the home have access to rooms which maybe suitable for their use and not for the exclusive use of staff. If the shower room is considered to not be suitable for individuals then clear records of the decisions made must be held. Staff clearly aim to provide a clean and comfortable home for individuals. All areas of the home were seen to be clean on the day of the inspection. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home now has an appropriate level of staffing to support the needs of the people who live there. Staff are attentive and respectful. Training provided to staff ensures that they are competent and qualified to meet individuals needs. Evidence: Bartlett Close now has an appropriate level of staffing to support the needs of the people who live in the home including staff who are awake at night, meeting the requirements of the last inspection. The staff supporting people when we visited the service offered respectful support to individuals. This is supported by the view of the Expert by Experience, The residents I talked to said that the staff treat them well and listen to what they have to say. Staff described a robust recruitment and selection process conducted by the provider. We were not able to view staff records at this visit due to the manager being unavailable and staff not being able to access confidential staff information. Following the inspection the manager confirmed that recruitment information to ensure that protection of people who live in the home is held at the service. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Staff spoken with were knowledgeable regarding the needs of people who live in the home and described how courses provided by the organisation have supported their development and knowledge. This was confirmed by information held within staff files regarding the training that is provided and has been completed by staff members. The Expert by Experience noted, Staff member said he had worked at the home for a long time and McIntyre Care are very good in supporting the staff in dealing with residents changing needs. Staff also confirmed that regular supervision is being provided to ensure staff remain supported and that any training or support needs can be identified and acted upon. 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. The organisation has good systems in place to monitor the quality of care and to ensure that standards are being maintained. Health and safety practises safeguard the the people who live in the home. Evidence: A new manager has been appointed at the home. The manager is experienced and has the skills and knowledge relevant to supporting people in the home and has previously been a registered manager within a different McIntyre service. The manager confirmed that an application for registration will be submitted to the CQC to ensure the service is meeting legal obligations. The manager remains actively involved in the day-to-day running of the home and in providing hands on care and support to individuals and to supporting staff. Staff describe the manager as being supportive and knowledgeable, ensuring that the needs of individuals and staff members are met as far as possible. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Significant changes have been made to provide staff who are at night to support people needs and to ensure their health, safety, welfare and dignity. The manager has regular meetings with the people who live in the home, with relatives, with health and social care professionals and with staff to ensure continuity of support as far as possible. Regular visits to the home are completed by a representative of the organisation to look at the quality of care/support. Reports of the visits are held at the home and issues are raised with the manager for action to be taken. Policies regarding safe working practises are available and staff are required to undertake training. Health and safety is promoted; training is provided to staff in induction and all staff receive regular training updates. The manager confirmed within information provided to the CQC that records held in relation to health and safety are accurate and up to date, promoting the safety of all. Risks assessments are in place for the individuals who live in the home and for safe working practises. 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 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. 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