Care Home: Bath Road, 85

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What the care home does well Each person has their own care plan so that staff know how to support them to meet their needs and do the things they want to do. Each person has their own bedroom with a number of personal belongings in them. This gives them their personal and private space. People have the freedom to go out on their own if they want to and are able to. Staff make sure it is as safe as possible for them to do this. The people who live there know who their key worker is and said they helped them to do the things they want to do. People who live there do the activities they enjoy doing and this helps them to develop skills to be more independant. The home has a pictorial board displayed in the reception area which shows where the people are for the seven days and the staff working. The interpreter commended this and stated that they had not seen one in use at any other service. Staff have training to make sure they know how to support individuals in the right way and keep them safe. What has improved since the last inspection? People in the home have had their risk assessments updated which helps to minimise any potential risk and so protect the persons` health and safety. Information about the home has been updated this includes the Statement of Purpose, Service User Guide and Peoples` contracts. The format is pictorial so that the people using the service can understand them more easily. There is a system in place that monitors what the people living there think about the home so that their views make a difference to the overall service provided. The staff are working closely with the people to ensure that they are having a healthy diet to include the recommended five portions of fruit and vegetables daily and a more structured exercise program. A male carer has been employed to offer the people their preference for male or female staff to deliver their care. What the care home could do better: To assist the people living in the home from risk of scalding themselves from the hot water taps a system should be introduced to check that the thermostatic valves are working correctly to keep the temperature below 44 degrees. The frequency of reviewing risk assessments for individuals to ensure that they are an accurate assessment of the person`s needs and will minimise any potential risk. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bath Road, 85 85 Bath Road Worcester Worcestershire WR5 3AE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Potter     Date: 1 9 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Bath Road, 85 85 Bath Road Worcester Worcestershire WR5 3AE 01905360439 01905360447 bathrd85@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Josephine Mary Fowler Type of registration: Number of places registered: Mr David George Broadbent care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: The service is for people with a learning disability who also have a hearing impairment. Date of last inspection Brief description of the care home 85 Bath Road offers accommodation for up to five young adults with learning disabilities and who are profoundly deaf. 85 Bath Road is a large terraced house within a residential area of Worcester and is well served by public transport. It is within walking distance of the town centre, shops, pubs and restaurants. Parking is limited for visitors on the main road. Each person living there has their own bedroom. The home has a dining room and kitchen, comfortable sitting room and utility room/laundry. The staff sleeping in room is also used as the office. There are bathrooms and toilets located on all floors. The premises can accommodate fully mobile adults, and does not offer disabled access. Some specialist equipment is fitted to assist the people with there their loss of hearing. These include flashing lights to show when the fire alarm is activated and a light to alert the person a staff member wishes to enter their room. Care Homes for Adults (18-65 years) Page 4 of 29 5 5 Over 65 0 0 Brief description of the care home There is an enclosed garden to the rear of the house offering a patio area and a lawned area. The CSCI inspection report is available in the home for visitors to read if they wish to. The service users guide includes the weekly fees 1078.00 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last Key Inspection was carried out on the 31st October 2007, and the overall rating from that inspection was adequate. This visit was carried out over two part days the first day 4th November 2008 and the second day 19th November 2008. The home did not know we were going to visit on the 4th, and we were accompanied by an interpreter from Deaf Direct to assist us in communicating with the people who live there. This was the homes key inspection this is where we look at a wide range of areas. Before the inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the service for completion. The AQAA is a self-assessment and a dataset that Care Homes for Adults (18-65 years) Page 6 of 29 each registered provider has to complete each year and send to us within agreed timescales. The document tells us about how providers of services are meeting outcomes for people who use the service and is an opportunity for them to share with us what aspects of the service they believe they are doing well. Information was gathered from speaking to and observing people who lived at the home. Three people were case tracked, and this involved discovering their experiences of living at the home by meeting and observing them, looking at medication and care files, and reviewing areas of the home relevant to these people in order to focus on outcomes. Case tracking helps us understand the experiences of people who use the service. Surveys were returned from four people using the service, eight members of staff and three professionals who have regular contact with the service. The people who live at the home, the manager and staff on duty were spoken to. People living there were unable to verbally communicate their views were sought by an experienced interpreter using sign language. Time was spent observing interactions and support from staff. 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 Care Homes for Adults (18-65 years) Page 8 of 29 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the information they need in a suitable format so they can make a choice as to whether or not they want to live there. Evidence: Records sampled included a service user guide. This was produced using pictures making it easier for people to understand. It included relevant and required information so people would have the information they need to make a choice as to whether or not they want to live there. Since the last Key inspection the home has developed a new website where additional information about the company can be looked at: www.thebroadgroup.co.uk. A person living at the home confirmed that they were aware of the information and could understand the format with some help from the staff. Comments from people living at the home included: I like living here I chose this home because the other people are deaf and two of the staff are deaf so they understand us There were five Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: people living at the home so there were no vacancies. The people living there have lived at the home since before the last inspection. Therefore, the standard relating to assessment was not assessed at this visit. Since the last inspection all the peoples contracts have been updated using pictures and easy print read to assist the individual understanding them. The people have signed them to confirm they have understood them. One person shared their contract with us and confirmed the contents to be accurate. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are supported to make choices and decisions about their day to day lives. Evidence: Three peoples care records were looked at during the inspection. These included an individual care plan that detailed how staff provide support for the individual to meet their needs. Care plans were cross referenced to other documents where appropriate such as medication charts and behaviour management strategies so that it was clear to staff how to support the person in all areas of their life. Where people are able to they had signed their care plan to say that they agreed to it. Comments from professionals using the home included: the service provides a good standard of care in line with the peoples pace, good level of understanding of their needs, routines are flexible for the peoples lifestyle choices, communication needs, anxiety and behaviour management. having had considerable involvement over the Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: years with people who use the service. I can say that it is a good quality service which provides an important specialism. I have always received the utmost cooperation and access to information whenever I have visited The care records have been reviewed and updated since the last Key inspection, and are person centred for the individual. The records have been produced using pictures and photographs of the individual, and it was clear that the person had been involved with the development of their plan. For example one person told us that they liked banana and ready break for breakfast and pictures were in their care plan showing their breakfast preferences. They pointed to the picture and signed to the interpreter that this was good. A mood chart with pictures is used by the staff to assist them in understanding a person who has difficulties in expressing their feelings and emotions. The person pointed to the picture to describe their feelings on the day, which was happy. To assist in respecting the peoples privacy and dignity staff use a flashing light before entering their room, one person confirmed that this was always done by the staff before they entered their room. One person went through their care plan with us and confirmed that it reflected their likes and dislikes about their care and social activities. The people in the home are allocated a Key worker who is their first point of contact. The key workers have developed a good understanding of the individual, and know there likes and dislikes which they were able to demonstrate during the inspection. The care records showed that they have regular reviews about the people to ensure that the people are fully involved in all aspects of decision making throughout the home, and the information is then included in their plan of care. Regular meetings are held with the people and minutes are recorded to assist in monitoring that the persons views are being listened to. They discuss issues about food, holidays and planning future events. The home has developed a notice board in the entrance to the home in a format suitable for the people living in the home. It provides details of the planned weekly events including social activities. The person from the Deaf Direct commended the board and the format used which was appropriate for the people living in the home. People living there communicate using sign language. Staff were observed communicating well with individuals using this practise. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Records included individual risk assessments. These detailed how staff are to support the person to be as independent as possible whilst minimising any risks to their health, safety and welfare. It was recommended that the risk assessments are reviewed and updated more frequently. Care Homes for Adults (18-65 years) Page 15 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living there experience a meaningful lifestyle, and are supported to develop their life skills. Evidence: At the time of the inspection two people were on holiday in Fuerteventura with two members of staff. The three people remaining in the home were preparing to go out to do activities supported with the staff. One person was going swimming and two were going shopping. Other activities which the people take part in include going to college for computer courses. Two people attend supported work placements. One person told us that they enjoyed this and described the uniform they wear for work. People where possible use public transport and occasionally go in the staff cars to get to their destination. Throughout the day people were observed going out with staff to do individual activities or doing activities in the home. Daily records sampled showed that Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: people go shopping, on bus rides to the places they want to go to, watch television and DVDs, go for walks, go to parks, local leisure centre and go to meet their friends at the other homes which are part of the group. Two of the people have close friends at the other home and told us that they enjoy meeting up with them. Holidays were being planned for next year. This year some people have been on holiday to Somerset and camping which they have enjoyed. Two people were on holiday in Feurteventurra. Staff said they were looking at how they could ensure that people had an opportunity to go to the places they want to go to. People have regular contact with their families, sometimes at the family home and sometimes at 85 Bath Road. One person confirmed that they go home alternate weekends to stay with their family. Staff were helping a person arrange a birthday party, which the individual was looking forward to and told us what they were going to wear. Records sampled showed and it was confirmed by the staff and people living at the home, that they are supported to be as independent as possible. This included doing their laundry, cleaning their bedrooms, changing their bed, going shopping and cooking. Food records sampled showed that people are having a healthy diet that includes five portions of fruit and vegetables a day. The home maintain a record of the persons weight to ensure that they are not gaining or losing a significant amount of weight, which could be an indicator of an underlying health need. Staff said that the menus are in picture format making them easier to understand. Staff said they had spoken to the people living there about the menu changes and they were happy with it. The menu will also include alternatives. There were fresh vegetables and salads in the fridge. The people were seen helping themselves to hot and cold drinks as they required throughout the inspection. Care Homes for Adults (18-65 years) Page 17 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practise. Evidence: The people had been well supported with their personal care and clothing. They all confirmed through the interpreter that the clothes were their own personal choice, and they shop with staff or family to buy new clothes. They looked smart and the choice of clothes was appropriate to their age and the weather conditions. Records sampled included an individual health action plan. This is a personal plan about what support the individual needs to meet their health needs and what healthcare services they need to access. These had been produced using photographs and pictures making it easier for people to understand. People living in the home described how staff helped them, and said they liked the staff. All staff working at the home are able to communicate with the individuals by using Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: sign language, staff were observed communicating well with the people. The home have a system in place that when the fire alarm is activated flashing lights alert the people of the alarm. Records sampled showed that each person is registered with a local GP, who they are supported to visit if they are unwell. Where appropriate health professionals are involved in the care of individuals. The outcome of any health appointments are recorded and records showed that staff follow the advice given to ensure individuals health and well being. Boots supply the medication in monitored dosage blister packs, which makes it easier to ensure that the person receives the right dosage at the right time. The medication cabinet was locked so that people could not take out medication that may harm them. Only staff who have received medication training give out the medication. Two members of staff give out the medication together to try to avoid errors. Some people are prescribed as required abbreviated to PRN medication. Clear records were kept of when PRN medication is given, which included the signature of the person having it if they are able to. This helps to ensure that the person agrees to have this medication and it is in their best interest to have it. Protocols were in place for people who are prescribed PRN medication that stated when, why and how much of the medication should be given to the person to ensure it is used appropriately. Copies of all prescriptions are kept so that it can be tracked what each person has been prescribed and staff ensure this cross references with the medication supplied for the individual. One person advised us that the staff give them their medication every day and go with them to the doctors for a new prescription. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living there feel there are able to express their views and feel listened to. The people living there are protected from abuse, neglect and self-harm. Evidence: The procedure for making complaints is available in the statement of purpose and the service users guide. A copy of the policy is displayed in the entrance to the home. The policy is produced using pictures making it easier for the people to understand. The people living there said, I know who to speak to if I am unhappy and how to make a complaint. Since the last inspection we have not received any complaints about this home and the service provided. No complaints have been made directly to the home since the last inspection. Staff have completed training in adult protection and the prevention of abuse so they know how to protect the people living there from abuse, neglect and self harm. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, comfortable environment, which encourages independence. Evidence: The home is a large terraced house in Worcester. People have their own bedroom which has been personalised to reflect their personality. Staff and the people living there said they had been involved in choosing the decoration and the furnishings of their bedroom. People said they have the things they want in their bedroom. People who want to and are able to use a key to their bedroom. The three people showed us their bedrooms and confirmed that they liked the room and the colour scheme. All rooms have a flashing light to alert the person that they wish to enter the room. In addition to their bedrooms the people share a lounge which is homely, and they were sitting together for parts of the day during the visit. A small dining area which can accommodate all the people, and a kitchen. All areas of the home were clean and tidy. In addition their is sitting area in the garden for the people to use when the weather permits. In the last twelve months the home has redecorated the hall, landing and stairs to assist in maintaining the homes appearance. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Individualised specialist equipment was in place for each person dependent on their assessed needs. These included doorbells on the front door and bedroom doors. flashing lights to show that the fire alarm was being activated. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained and skilled and in sufficient numbers to support the people who use the service. Evidence: Throughout the day good interaction was observed between staff and between staff and the people living there giving the home a good atmosphere to live in. Staff said that they are working as a team and they now get the training they need so they know how to support the people living there. The manager said that two staff, one full time and one part time have left since the last inspection. These staff had been replaced and agency staff had not been used for about the last three months. This ensures that staff know the people living there and what they need. Friends of the people living there said, Staff provide an excellent, high level of care to the people who live there. Two records of the staff working there were looked at. These included the required recruitment records including evidence that a Criminal Records Bureau (CRB) check had been applied for to ensure that suitable people are employed to work with the people living there. More than 50 of staff have completed a National Vocational Qualification referred to as NVQ level 2 or above in Care. This exceeds the standard that at least 50 of staff have this qualification so ensuring they have the skills and Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: knowledge to work with the people living there. All training records are kept with the member of staffs personal file. Staff told us that they received regular training and new staff confirmed that the first two weeks had been a basic introduction to the home and the policies and procedures. The staff confirmed that they felt that they had received the appropriate training to meet the needs of the people living in the home. All staff have completed or are working towards level one or two in British Sign Language depending on their length of employment. A requirement from the last inspection that all staff receive regular fire training has been addressed from an external trainer. Staff comments included the home is a warm, friendly, relaxed environment where all the residents are enabled and supported to lead a fulfilled inspired and happy life Rotas showed that on days the number of staff is between two and three depending on what the people are doing. Staff told us they preferred to have three because it provided them with more time to spend with the people. In the evenings there is two staff with two staff sleeping in at night. The people stated that there was enough staff and they were always able to do their planned activities. Staff confirmed that they felt supported in their role and the manager was always available to offer advice and support. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements ensure that the people living there benefit from a well run home and their views are considered. Evidence: The registered manager has worked at the home for 13 years, as the manager for the last six years. She holds the advanced management for care certificate and has completed the Registered Managers Award NVQ level 4. Staff told us that she was supportive and approachable. The service has developed a quality review process which seeks the opinions from people using the service, staff, relatives and other professionals. The focus is on the eight key areas covered in the National Minimum Standards, the results of which is included in the Service User Guide. In addition quality audits are completed throughout the year which enables them to produce their development plan. Overall the results of the quality assurance was positive from all sources. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Records showed that staff had tested the fridge and freezer temperatures daily. These were within the recommended limits to ensure that food is stored safely so the risk of food poisoning is reduced. The fire risk assessment had been reviewed and updated since the last inspection. Staff sign to confirm they have read this and understand the contents. Fire records showed that regular fire drills take place so that staff and the people living there know what to do if there is a fire. Each person has their own emergency evacuation and flashing lights alert the people and staff that it has been activated. Staff test the fire equipment regularly to make sure it is working. It was recommended that a system is introduced in addition to the annual service to check that the thermostatic valves are working correctly, they can become corroded and thus the water temperature not being maintained within safe levels which may result in a potential scald for a person. Staff confirmed that they were receiving supervision with their manager, and that this was helpful in their performance. The AQAA which was completed by the manager provided an accurate reflection of the service and its progress. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 9 Even if there is no change to the risk assessment, it should be reviewed and the date changed to ensure that staff are following the correct guidance. This assists in ensuring the persons health and safety from potential identified risks. To reduce the risk of the people being injured from hot water, a system should be introduced in addition to the annual service to check that the thermastatic valves are working correctly and the water does not exceed 44 degrees celsius. 2 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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