Care Home: Beech Lodge

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What the care home does well xThe residents like living at the home. They live in a house, which is clean and comfortable.They are able to make their bedrooms homely with their own personal belongings suchas ornaments and photos if they wish. People can take part in a range of social and leisure activities if they wish. They said there were lots to do.They have monthly meetings when all the residents who live in the home can get together to talk about any changes they may like and raise any matters of concern. They told us they liked the meals and we saw that they have a choice.They said they felt safe andliked living in the home. What has improved since the last inspection? xThere are now nine residents in the home. People have the choice of colour in their rooms. The decoration of the home is very good. Those room’s which need repairs is carried out quickly.People are encouraged to read and work with carers on their care plans. What the care home could do better: xTraining for some staff needs to be better so that they can protect people’s rights. Key inspection report Care homes for adults (18-65 years) Name: Address: Beech Lodge Stanley Avenue Mablethorpe Lincolnshire LN12 1DP The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Douglas Tunmore Date: 0 3 0 2 2 0 1 0 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 37 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 © (2010) 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 37 Information about the care home Name of care home: Address: Beech Lodge Stanley Avenue Mablethorpe Lincolnshire LN12 1DP 01507479781 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) : Linkage Community Trust care home 9 Number of places (if applicable): Under 65 Over 65 9 0 learning disability Additional conditions: Date of last inspection A bit about the care home Beech Lodge is a modern detached house built on the same site as Oak Lodge in Mablethorpe, a Care Homes for Adults (18-65 years) Page 4 of 37 small coastal resort on the east coast. The home is run by Linkage Community Trust and forms part of their longstay project providing eight residential placements for younger adults with a learning disability. The home provides accommodation in single rooms for nine younger adults of both sexes. The home has a large lawned area to the rear of the property and carparking space to the front. It is centrally placed for service users to access shopping, recreation and work opportunities within a Care Homes for Adults (18-65 years) Page 5 of 37 very short distance of their home. Public transport is readily available to Skegness, a larger resort, fourteen miles away. There is a community centre, bowling green with hire shop, cafe and amenity area directly opposite the home, also developed by Linkage, which provides further occupational options for the resident. The home is part of Linkage Trusts long-stay project, which also operates a day centre facility at Scremby Grange, approximately nineteen miles from Mablethorpe. The residents are able to Care Homes for Adults (18-65 years) Page 6 of 37 access this facility and as part of their personal development, are also involved in community work experience projects. Care Homes for Adults (18-65 years) Page 7 of 37 The currently weekly fees for the service range from £483:50 to £562:00. Information about these and what the home has to offer are available from the manager. Everyone is given information telling them what they can expect if they live there. This is what the we did when we were at the home. The quality rating for this service is 3 stars, which means that people get excellent quality outcomes. *** Care Homes for Adults (18-65 years) Page 8 of 37 Throughout this report the terms we and us refer to the Care Quality Commission (CQC). Before the visit the manager had completed a questionnaire. This gave us some important information about their own assessment of how well they are meeting standards and how they plan to improve the service. We spent time with the people who live there. We talked to four of the Care Homes for Adults (18-65 years) Page 9 of 37 residents who live at the home. Care Homes for Adults (18-65 years) Page 10 of 37 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 11 of 37 How we did our inspection: This is what the inspector did when they were at the care home x What the care home does well x The residents like living at the home. They live in a house, which is clean and comfortable. They are able to make their bedrooms homely with their own personal belongings such Care Homes for Adults (18-65 years) Page 12 of 37 as ornaments and photos if they wish. People can take part in a range of social and leisure activities if they wish. They said there were lots to do. They have monthly meetings when all the residents who live in the home can get together to talk about any changes they may like and raise any matters of concern. They told us they liked the meals and we saw that they have a choice. They said they felt safe and Care Homes for Adults (18-65 years) Page 13 of 37 liked living in the home. What has got better from the last inspection x There are now nine residents in the home. People have the choice of colour in their rooms. The decoration of the home is very good. Those room’s which need repairs is carried out quickly. Care Homes for Adults (18-65 years) Page 14 of 37 People are encouraged to read and work with carers on their care plans. What the care home could do better x Training for some staff needs to be better so that they can protect people’s rights. Care Homes for Adults (18-65 years) Page 15 of 37 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Douglas Tunmore CQC East Midlands City Gate Gallow Gate Newcastle Upon Tyne NE1 4PA Telepone 0300 616161 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 set out 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 16 of 37 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 17 of 37 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents living at this home receive clear and detailed information to suit their needs to enable them or their relatives and or advocates to make an informed choice as to whether or not they wish to live in this home Evidence: We were told that, all prospective residents are given a full in depth assessment involving themselves, family, past carers and professionals to ascertain their needs. The are invited to have a look at the home and meet other residents and where possible stay over and sleep. We looked at the care plans of three people and found that prospective residents had been invited to the home with their relatives or advocates before they were admitted to have a look around. We were told by three residents that, we all visited the home with our parents before we decided that we wanted to come and live here. They all confirmed that they had received the service users guide. Page 18 of 37 Care Homes for Adults (18-65 years) Evidence: The manager told us that there is a DVD which gives people information about the home and how it is managed. She confirmed that when a referral is received each person would be invited with their parents or social worker and an assessment would be undertaken. Information would also be available from the placing local authorities prior to admission. The manager confirmed that the assessment process is undertaken in a sensitive manner to ensure that prospective residents and their families are fully involved in this process, ensuring a smooth move into the home by the resident. We spoke with three residents who said when we came here the staff were nice to us. Residents surveys showed that they were asked if they wished to move into this home and if they had enough information before they moved. All agreed that they wished to move in and had received enough information. Staff surveys showed that they felt that they were usually given up to date information about the needs of residents that they care for. From information seen in care plans, it appears that some residents have complex needs and considerable time and effort is made to ensure that all admission went well. Care Homes for Adults (18-65 years) Page 19 of 37 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. Residents are encouraged to make decisions for themselves and be independent with the support and guidance of staff. Care plans accurately describe peoples needs. Evidence: We were informed that, we promote choice and support to enable people to be as independent as possible. We were told by the manager that all residents have a care plan. We found that care plans contained personal information, including their likes and dislikes, photograph, daily support plan, communication record, my health action plan and a detailed initial assessment. A care plan had been produced which was clear and detailed. The care plan outlined the delivery of care needs, goals and action plan to achieve goal. Each aspect of care and support and their daily routine was very detailed and specific to each person and included nutrition and a healthy living programme. We found that care plans were reviewed every month with the full involvement, where Care Homes for Adults (18-65 years) Page 20 of 37 Evidence: possible, of each resident. Care plans were individual and the daily records were clear and identified the needs of people. During this visit the inspector observed interaction between residents and staff in which they were actively encouraged to make their own decisions and were asked what the likely outcome would be from their actions. Staff were seen to engage residents as equals and were flexible in their approach with good clear communication skills towards the students. We looked at care plans and found that there was evidence that new laws relating to the capacity of residents in what decisions they were able or unable to make had been recorded. We saw staff throughout our visit, talking and communicating with the residents in a kind, calm and sensitive manner respecting their views and opinions. We saw that residents Choice and decision making was clearly shown in the care plans. The residents were given choices concerning their interests, activities and lifestyle. Staff received training to assist and support them. We found that care plans had detailed risk assessments covering transport, activities and where required cooking or working in the kitchen. All entries were dated with signatures from staff and residents who are actively involved in their care plans. We were told by the manager that there is a wide range of taster courses arranged by employments services. Residents are enabled to learn about work and apply for jobs through this agency. They also attend training in first aid, health and safety and food hygiene courses so that people could choose which they wanted to do in the future. There is also a committee which is called Pointers, this the manager said gives people a independent voice. The manager also told us that they have a weekly meeting at which issues such as activities and meals are discussed. We were told by a member of staff of the support they gave to residents to enable them to make choices about the decisions they made each day, so as to improve their confidence and independence. Residents surveys show us that they usually make decisions about what they do each day, two felt that they sometimes did. All agreed but one that they make their own decisions about what they do in the evening and weekends. We were told by three residents that they are involved in their care plans and that they sign them. They also confirmed that they have meetings with staff and decide what meals they want and what activities they are going to do. Staff surveys show that the majority feel that they have the support, experience and knowledge to meet the differing needs of students who live in this home. Care Homes for Adults (18-65 years) Page 21 of 37 Evidence: Care Homes for Adults (18-65 years) Page 22 of 37 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. Residents are involved in meaningful and appropriate activities, which include work experience. They enjoy varied and nutritious meals which within their capabilities they are involved in. Evidence: We were told that, residents are supported by the care team to take part in appropriate activities within the home and community. They are encouraged to maintain family relationships and develop relationships with others with support if they require it. Weekly timetables of activities are available for each resident containing for example, house days for cooking and laundry, social inclusion, community based activity and leisure activities. Residents are also helped to find work placements if they wish, by the employment services. We were told by residents that they have the opportunity to go swimming, bowling, to Care Homes for Adults (18-65 years) Page 23 of 37 Evidence: the cinema, to work, and do crafts like making cards, knitting and sowing. Records show that residents are supported to maintain contact with their family and friends. The manager told us that residents are expected to complete their household and work based responsibilities before they engage in their leisure activity. During the visit, staff were observed to support residents to meet their responsibilities of living with others, for example, respecting everyones privacy. There are housework rotas and menus in place, and staff said that the residents decide what is included in both. There is also a healthy eating file with information to help residents make healthy choices of food. During the visit residents demonstrated their understanding of healthy eating when making their lunchtime meal. Residents said that they decide what they want to eat and make meals for the others when its their house day. They also said that they take turns to go shopping for the food, and they can make snacks and drinks whenever they want. We were told by the manager that there are policies available for food safety and nutrition, and that staff have training in basic food hygiene. Residents told us that they all have key workers who do monthly reviews in their care plans with them. They said we all get on really well with our key workers, they are nice to us and helpful. People showed the inspector their bedrooms, some had swimming medals and medals from the special Olympics. We were told by residents that they undertake a lot of activities. Two confessed to having boyfriends who they see regularly. They said they were looking forward to St Valentines day as they were going out to a party. All those people seen confirmed that they see their parents regularly and their parents visit them and they go home for holidays at Christmas, Easter and in the summer. Care Homes for Adults (18-65 years) Page 24 of 37 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and welfare needs of residents living in the home are fully met. Medication procedures keep people safe. Evidence: We were told that, we continue to offer a self administered medication system policy and procedure which is fully risk assessed to meet individual needs. We encourage residents where possible to make their own appointments. We were told that all residents are registered with the local general practitioner. We looked at care plans and found that people are fully involved in identifying their own needs and choices. Care plans are created from assessments of need to help ensure that residents health and welfare needs are fully met. we looked at care plans which had information about each persons health needs and where required specialist services are made available if required. Linkage encourages residents to maintain their own dentist and optician arrangements from where they have lived. Other services that are available are; Psychology, Psychiatry and Speech and language therapy, which is available through the Linkage Clinical Services Team. We were told by one member of staff that they try and maintain and improve residents independence and are mindful of their privacy. Observations made throughout this visit Care Homes for Adults (18-65 years) Page 25 of 37 Evidence: demonstrated a person centered approach to care, being flexible and sensitive to the needs of people who live in this home. Each resident had a detailed Health Action Plan and a nationally recognised health check assessment. We saw that there were also clear plans and risk management strategies in place for supporting people with behavioural needs. We found that the administration of medication is clearly recorded, and records are completed in full. The manager told us that any medication changes are appropriately highlighted, and there are detailed protocols for residents and or staff taking medicines out of the home, for example, to work. Stock levels of medication are checked and recorded at each change over of staff to make sure that there is always an adequate supply in place. The registered manager also said that she or her deputy audits medication records on a monthly basis to make sure that policies and procedures are being followed. There are very detailed risk assessments in place for areas such as selfmedication and infection control during administration. Residents described how staff support them to take their medication. Residents are able to have their medication in their own rooms in a lockable facility. Staff have the key and administer the medication. The last pharmacist visit was undertaken in July 2009 and no issues were raised regarding safe handling of medication. We looked at medication, which showed that on the day of this visit all medication given to people had been signed by the senior carer. The providers training file evidenced that care staff receive training in the administration of medication. Residents confirmed that some of them require some support with their personal hygiene and staff are supportive in helping them in this. One commented that I am helped by my carer and she dries my hair. A carer told us that she is careful in ensuring that peoples privacy and dignity is maintained whilst undertaking personal care. She also said that she encourages residents to do as much as they can for themselves so as to help them to be as independent as possible. Care Homes for Adults (18-65 years) Page 26 of 37 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have confidence that staff will take complaints seriously and feel safe living at the home. Evidence: We were told that, we have clear policies and procedures for handling complaints and allegations of adult abuse and we have the local authority abuse policy. We looked at three Staff personnel files and found that staff are recruited correctly to ensure that students are protected from abuse. One member of staff demonstrated a good knowledge of the adult protection procedures and knew what kinds of abuses there are. However, she confirmed that she had not undertaken any formal adult protection training. The manager told us that this training is to be arranged in the near future. Each person had a pictorial complaints procedure and a DVD was also available describing what they should do if they had any complaints or concerns. The complaints policy was also referred to in the service users guide. We had received one complaint concerning a carer using inappropriate language to a resident. The local authority safeguarding team and cqc was informed and the provider undertook an investigation taking appropriate action to safeguard the resident. During this visit the inspector talked to the resident who confirmed that she felt safe at this home and no one roughly handles me or shouts at me. She told us she knows who to see if she is unhappy. All residents seen expressed the same view, stating that staff are Care Homes for Adults (18-65 years) Page 27 of 37 Evidence: kind and have a laugh with us. We were told my the manager that action has been undertaken to ensure the well being of this resident. All surveys showed that residents knew who to speak to if they were unhappy. Surveys also indicated that residents knew how to make a complaint and that staff usually treat them well. During this visit no person living in the home or staff had any concerns about the home. Care Homes for Adults (18-65 years) Page 28 of 37 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in clean, safe, and comfortable accommodation suited to their needs. Evidence: We were told that, we encourage residents to personalise their rooms as well as the home and are asked to choose the colour scheme and furniture. We found that the home had a maintenance programme. We were told by the manager that each residents is encouraged and supported to take responsibility where they live with a cleaning rota to maintain the levels of cleanliness. People are also encouraged to personalise their bedrooms. Three residents showed the inspector their bedrooms and the rest of the home. All areas were found to be clean and comfortably furnished. Since the last inspection new soft furnishings have been purchased as well as carpets, a new cooker and various rooms have been decorated. People that we spoke to told us they liked their rooms and were able to bring their things from home. All surveys showed that people felt that the home was always fresh and clean. Residents said that anyone coming to their room has to knock before coming in. We found that risk assessments are in place for areas such as infection control issues, substances that could be hazardous to health, the use of knives and sharp utensils, falls and Legionella. All substances that could be hazardous to health are stored appropriately Care Homes for Adults (18-65 years) Page 29 of 37 Evidence: and a resident demonstrated their understanding of safety issues in relation to the substances. Residents are engage in recycling activities for household waste, which is again stored and managed appropriately; and aprons and gloves are accessible around the house for infection control measures. Care Homes for Adults (18-65 years) Page 30 of 37 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. There is a supportive staff team available who have skills to meet the varying needs of people in this home. Evidence: We were told that, residents are protected by a consistent, well trained and supported staff team. We were told by residents that, there is enough staff on duty to help us. One resident commented that, I need one carer to wash my hair and help me with other things and there is always someone there to help me. Another resident said some of us are independent and need less help with things. We looked at rotas which showed that there is a consistent staff team at this home. The manager told us that we have had one member of staff leave and another on maternity leave. She also said if we use bank staff they are consistent staff who come to the home. We looked at the annual training plan, which showed that staff have access to and receive specialist training in; Asbergers syndrome, Downs Syndrome, epilepsy, loss and bereavement and and behaviour management. We were told by a member of staff that she received training in food hygiene, administration of medication, infection control, fire Care Homes for Adults (18-65 years) Page 31 of 37 Evidence: safety, epilepsy management, communication and induction and moving and handling. She also confirmed that she had started a National Vocational training course for working with people with a learning disability. Carers personnel files also evidence a six week long induction process. The registered manager said that some residents now take part in the induction process for new staff, and help in interviews. The providers AQAA shows that there is a policy in place for recruitment and selection, and recruitment files contain appropriate information such as application forms, references, criminal record bureau checks and photographic identification. Care Homes for Adults (18-65 years) Page 32 of 37 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and staff benefit from the positive leadership of the management team. Health and safety systems are in place to ensure that students are safe. Students and their relatives have the opportunity to voice their views and opinions. Evidence: We were told that, we continue to operate a very well run service that protects the health and safety of our residents. The registered manager has many years of experience in learning disability and is well qualified and competent to lead this care team. We were told by a member of staff that, we all get on well with each other and as a new member of staff I have found the manager to be supportive and she helps us out when needed. Throughout our visit we saw a very relaxed and happy atmosphere in the home and staff were knowledgeable about the needs of the people living in the home. We looked at the Linkage systems, which monitor quality and seeking the views of the residents and their relatives. Regular detailed annual questionnaires are sent out to Care Homes for Adults (18-65 years) Page 33 of 37 Evidence: obtain their views of the service. We looked at the results of the last residents survey, which showed that they were happy with the care that they receive. Staff surveys told us that they were happy working for this organisation. Surveys showed that staff felt that the manager regularly gives them enough support and meets them to discus how they are working. One survey indicated that the manager sometimes meets and gives support to them. Residents throughout this visit told us that the care staff and manager listen and act on what they say. The home had a comprehensive and detailed health and safety policy together with detailed Risk assessments are available covering all aspects of daily living activities. Linkage have a health and safety manager responsible for this and each student carries out a Safe Learner an Induction Checklist, which covers fire prevention, accidents and staff support, so that they know what to do in an emergency. Care Homes for Adults (18-65 years) Page 34 of 37 Are there any outstanding requirements from the last inspection? Yes  No  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 35 of 37 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 Description 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 Description 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 36 of 37 Helpline: Telephone: 03000 616161 or 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 © (2010) 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. 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