Care Home: Bellamys Cottage

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What the care home does well People thinking about moving in and their families are given enough information that is easy to read so that they know what they will get from the home. New people are able to visit the home and stay overnight to help them to decide ifthe home is right for them or not.Relatives are very involved in the home and are made to feel welcome, making sure that family can keep in contact.People are helped to eat a healthy diet.Each person has a health action plan which helps to make sure that their health needs are met.Peoples medicines are looked after well and staff help them to take theirmedicines safely.Everybody`s concerns and worries are listened to and staff make sure they take action to sort problems out quickly.The staff and managers know that they need to make sure people are protected from harm and what to do if someone is harmed.The managers make sure that staff employed are safe to work with the people that live in the home and they are protected from harm.The staff are very caring and treat people with respect and dignity. What has improved since the last inspection? There has been more redecoration, new furniture and other things bought for the bungalow, to give the people living there a comfortable, homely environment.Staff now do waking shifts during the night, so they are available 24 hours. More staff are now about in the evening to help people go out.90% of the staff group have achieved a National Vocational Qualification at level 2 or above; the remainder are working towards this award.Care plans and risk assessments have been improved, so staff know what help people want or need to do things. What the care home could do better: The service continues to provide an excellent service, no requirements were made at this visit. Key inspection report Care homes for adults (18-65 years) Name: Address: Bellamys Cottage Sleight Centre Weelsby Road Grimsby North East Lincs DN32 9RU 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: Wilma Crawford Date: 0 3 0 3 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 33 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Bellamys Cottage Sleight Centre Weelsby Road Grimsby North East Lincs DN32 9RU 01472241893 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Jean.Bristo@linkage.org.uk www.linkage.org.uk Linkage Community Trust Name of registered manager (if applicable) Mrs Jean Bristo Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 0 care home 8 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home only, Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Learning Disability, Code LD - maximum number of places 8 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Bellamys Cottage is a care home providing personal care and accommodation for up to Eight adults 18-65 years of age who have a learning disability. The home is situated in Grimsby and is owned by Linkage Community Trust Care Services. The accommodation is provided in an 8 bedroom bungalow that is set in private gardens within the Linkage College campus. The home is close to local transport links, parks and the resort of Cleethorpes. Care Homes for Adults (18-65 years) Page 5 of 33 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 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home We observed the people who live at the home. We also talked to the staff. Care Homes for Adults (18-65 years) Page 7 of 33 We looked at some of the (policies and procedures) in the home. Policies are rules about how to do things. Procedures tell people how to follow the rules. What the care home does well People thinking about moving in and their families are given enough information that is easy to read so that they know what they will get from the home. New people are able to visit the home and stay overnight to help them to decide if Care Homes for Adults (18-65 years) Page 8 of 33 the home is right for them or not. Relatives are very involved in the home and are made to feel welcome, making sure that family can keep in contact. People are helped to eat a healthy diet. Each person has a health action plan which helps to make sure that their health needs are met. Peoples medicines are looked after well and staff help them to take their Care Homes for Adults (18-65 years) Page 9 of 33 medicines safely. Everybodys concerns and worries are listened to and staff make sure they take action to sort problems out quickly. The staff and managers know that they need to make sure people are protected from harm and what to do if someone is harmed. The managers make sure that staff employed are safe to work with the people that live in the home and they are protected from harm. The staff are very caring and treat people with respect and dignity. Care Homes for Adults (18-65 years) Page 10 of 33 What has got better from the last inspection There has been more redecoration, new furniture and other things bought for the bungalow, to give the people living there a comfortable, homely environment. Staff now do waking shifts during the night, so they are available 24 hours. More staff are now about in the evening to help people go out. 90 of the staff group have achieved a National Vocational Qualification at level 2 or above; the remainder are working towards this award. Care Homes for Adults (18-65 years) Page 11 of 33 Care plans and risk assessments have been improved, so staff know what help people want or need to do things. What the care home could do better 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 Care Homes for Adults (18-65 years) Page 12 of 33 Wilma Crawford St Nicholas Building St Nicholas Street Newcastle upon Tyne Tyne and Wear NE1 1NB 01912333300 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 13 of 33 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 14 of 33 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. People accessing this service undergo a thorough assessment prior to admission and are provided with the necessary information to enable them to make an informed choice. Evidence: The home has a statement of purpose and this details all of the information required by this standard and Schedule 1 of the Care Homes Regulations 2001 for adults 18-65 years. A service user guide is available and this contains all the information required by National Minimum Standard 1.2. These documents available in written format have now been made these available in a pictorial, large print format. The Annual Quality assurance assessment submitted prior to the site visit states that each individual is assessed prior to moving into the home. The assessment includes the identified needs to be met and both the individual and their families are involved in this process. Other information is collated from other sources, such as the family, social care teams and professional bodies e.g. psychologist. The care files of three people living in the home were examined. Each contained a range Care Homes for Adults (18-65 years) Page 15 of 33 Evidence: of assessments carried out by a variety of professionals who Had been involved in the care of the service user in previous care settings. The staff team had more than enough information on the assessed needs of the individual and this enabled them to provide a tailored service to meet their needs and ensure their emotional wellbeing. Written information, discussion with people living in the home and staff members evidenced that people living in the home had been offered and had taken up the opportunity of visits and overnight stays prior to making a choice about living at the home. In addition to this there was evidence that the other people in the house had been consulted about the new person moving in and had agreed to it. Care Homes for Adults (18-65 years) Page 16 of 33 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are empowered to make decisions and are consulted on all aspects of their lives Evidence: Each person living in the home has their own individual care plan, which is detailed and comprehensive. The people are involved in writing a pen picture about themselves, which is included in the care plan. People spoken with confirmed that that they are encouraged to participate in the development and review of their own care plans. At the last visit a requirement was made for the care planning process to be reviewed and amended, to ensure its effectiveness. The manager and staff in the home have been involved in the review and update of the care planning process to ensure that there is a clear and robust audit of information available. This has been completed and developed into a comprehensive, in depth care plan system for each individual in the home, which provides all the necessary information for staff. A further requirement was also made in respect of identifying where any limitations on choice were made, that this would only be made with the persons best interests and in consultation with relevant parties. Care plans Care Homes for Adults (18-65 years) Page 17 of 33 Evidence: evidenced that this has been completed. Samples of care plans examined during the inspection process, were found to have been developed to cover all aspects of the individuals assessed needs and were constantly reviewed. They were also found to be up to date with current information. People living in the home are encouraged to be as independent as possible, which is supported through the care plan processes. Discussions with staff and individuals confirmed this, giving examples of personal achievements and goals that were being worked towards, for example one person obtaining a work placement opportunity. Risk assessments were in place for all areas that may present a risk to students. These contained clear information and instructions for staff to follow in order to minimise the risk. Areas covered included; personal safety, road safety, health problems, work placements and leisure activities. People spoken with were aware of their risk assessments and why they were in place. They are also actively encouraged to be involved in the development and review of these. There is a key worker system in place. People spoken with, said that they could choose who they wanted as their key worker and what their role involved. This included playing an active part in ensuring everyone was familiar with the content of their care plans and that any changes are made in consultation with the individual. A new daily notes system has been introduced covering 24 hours. The details included in this covers a summary of all medical, activities, goals, behaviour, emotional care activities for this period of time and identifies level of support offered for all care tasks. The daily notes demonstrate that individuals’ care plans are being implemented in accordance with their assessed needs and are fully involved in all aspects of their care. Care Homes for Adults (18-65 years) Page 18 of 33 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. Students have extensive opportunities for leisure activities, are supported to maintain relationships and have their nutritional needs well met. Evidence: The people living in the house are involved in weekly meetings in order to plan the weekly menus, activities any discuss any issues. Minutes of these were available and were signed off by all attendees. The weekly house meetings are also used to plan individual activities, discuss any issues within the house, choose their representative for the pointers group etc. Each individual also has an external advocate available and accessible to them. Many of these have regular visits with their representative. Decisions made are recorded in individuals care plans and the rationale leading up to this. Attention is paid to individuals specific dietary needs as well as personal likes and dislikes, whilst maintaining a healthy diet. People are encouraged to be involved in the shopping and preparation of the meals and a rota is set up for this. Individuals are encouraged to be involved in meal preparation in order to further develop their Care Homes for Adults (18-65 years) Page 19 of 33 Evidence: Independence skills, with the necessary support from staff. All of the people spoken with said that they had more than adequate opportunities to eat meals and foods of their own choosing, without compromising others preferences. Friends and family are regularly invited to events in the home, Christmas parties, barbeques and often arrange parties or other social gatherings to spend time with their friends. Relatives are said to be made welcome and regularly pop in. People also have the opportunity to meet up with friends socially in the evenings or at day services. A range of day services are available away from the service and include: Quayside where people can engage in computer and ceramic activities. People can also access an independent company Foresight who support people to obtain work placements. One person had recently obtained a placement and had completed their assessment for this. On the day of the visit two people were out at day services and the others had gone out to Skegness for the day. As well as the usual trips and activities, enrichment days are provided where an instructor comes to the home and provides a arrange of opportunities to the people living there, both on and off site. Examples of activities included; photography, gardening and trips out. People spoken with were very happy with the frequency and variety of activities and social events offered. At evenings and weekends people have the opportunity to visit the local pubs, discos and events arranged by the Pointers Group(a representative group who meet up socially and are involved in planning with the organisation). Additional support workers are available in the evening to promote these activities. This was a requirement made at the last visit, to ensure that people had adequate opportunities and support levels to access a range of fulfilling activities and leisure pursuits of their own choosing. It is now considered to have been met. Transport is available in the form of minibuses, people carriers and company cars to support people to access activities. Care Homes for Adults (18-65 years) Page 20 of 33 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. Peoples physical and emotional needs are well met, by the provision of a wide range of health care professionals and outside agencies. Evidence: Care plans examined demonstrated that people have access to a wide range of health professionals e.g psychologist, dietician and G.P. Other professionals are also made available through Linkage and included Psychiatrist, Psychologist, Physiotherapist and Speech and Language Therapist. People are enabled to access health professionals and attend out patient appointments either with the support from staff or from their relatives, depending on their personal preferences. Each person also has their own health action plan which would provide healthcare professionals with relevant information about the individuals’ healthcare and other needs they may need to be aware of. These had been regularly reviewed and contained current information. Similarly, outcomes and information from health appointments were detailed within individuals’ daily records and care plans. There is robust medication policies and procedures within the home, which include Care Homes for Adults (18-65 years) Page 21 of 33 Evidence: receipt, storage administration and disposal of medication. The medication system was examined and found medicines to be appropriately stored and records complete and well maintained. The people living in the home informed the inspector that they currently had their medicines administered by the staff. The GP regularly reviews individuals’ medication. The home manager checks the systems within the house on a regular basis and the local pharmacist regularly reviews the medication and medication systems. Care Homes for Adults (18-65 years) Page 22 of 33 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. People are consulted about all aspects of their lives and are safeguarded from harm. Evidence: There are clear, comprehensive policies and procedures in place, available in written, audio tape, DVD and symbols. Each individual has a copy of this (kept in their care plans) and they also have access to a complaints book in the house. The people spoken with confirmed this. They also explained that minor issues could also be raised at the weekly house meetings or at the Pointers group, where an independent advocate is available. There are also mechanisms in place for responding to these complaints. Completed surveys also demonstrated that students knew how to make a complaint. All of the people spoken with said that they felt safe in the house and able to go to someone if they wanted to raise a concern. Staff are trained in how to deal with complaints and to identify and act upon any protection issues. During training they are issued with a green card (advice leaflet on how to deal with the disclosure of abuse). Staff spoken with demonstrated a good understanding of what their role was in dealing with these issues and how they would implement procedures to deal with them. Surveys completed by staff further supported their understanding in these areas. The Manager has attended training on the Mental Capacity Act and this is being cascaded down to all of the staff working in the home. Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: There has been three complaints in the last twelve months, these were dealt with in accordance of procedures and to the complainants satisfaction. The risk of abuse to people is minimised through robust protection procedures being in place, including recruitment procedures. Linkage has a Protection of Vulnerable Adults procedure, which identifies a key person within the organisation for all referrals made. Care Homes for Adults (18-65 years) Page 24 of 33 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. People living in the home are provided with a well maintained home, that is comfortable, safe and homely. Specialist assessed needs are provided for with necessary equipment being made available within the home to meet identified needs. Evidence: Accommodation is provided in an eight bedded bungalow with its own private garden, situated in the grounds of The Linkage College campus. All the bedrooms are for single use and the majority have en suite shower facilities. There are additional bathroom and toilet facilities throughout the building, including a specialist Parker bath. Seating is available in two lounges a dining room and accessible, spacious well kept gardens. The house is spacious enabling people to spend time together or alone, depending on individual preferences. There is also a managers office and staff room provided. Since the last visit there has been considerable investment made into the improvement and refurbishment of the environment. There has been extensive redecoration throughout (which people said they were involved in choosing colours and themes of), new carpeting and flooring, a newly fitted kitchen, new beds and mattresses, new lounge Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: and dining furniture. This has provided the people living there with a homely, spacious and comfortable environment. People in the home had personalised their rooms with their personal belongings, pictures and posters. On the day of the visit the home was found to be very tidy, clean and odour free. Care Homes for Adults (18-65 years) Page 26 of 33 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported by a competent, skilled staff team, who are wellsupervised and available in sufficient numbers to meet individuals needs. Evidence: The staffing support levels in the house are determined by the assessed needs of each individual living there. The current staff team consists of the registered manager who is supernumerary, a deputy manager and ten staff. A part time cleaner is also employed by the home. Additional staff are provided for five hours each evening and 12 hours at weekends to support with social and leisure activities. Usually there are two full time staff, a part time staff and the manager on duty from 7.30 am until PM. Two waking staff and a part time staff are available from 7.PM until 8 am. A training and development plan is in place for the staff team, which identifies staff training needs, with each staff member having an individual training and development action plan, which is completed on an annual basis and regularly reviewed with the home manager. All staff are required to complete a mandatory training as well as specific training relating to their role and to support individuals identified needs. A wide range of training is Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: provided including a full induction on commencement of employment. Other training includes: Makaton foundation, health and safety level 2, MIDAS theory, epilepsy, HIV/AIDS, managing diabetes, non violent Crisis intervention, infection control, food hygiene level 2, risk assessment, cerebral palsy, independence for independence tutors, fragile x syndrome, principles of care and first aid appointed person. We were told staff training has continued to be developed to ensure the changing needs of people using the service can be appropriately met. The self assessment told us that that specialist communication training has been provided to them to ensure the needs and choices of people using the service can be better met. We were told some staff are completing a fitness course to enable physical health conditions of people can be effectively maintained and that more age related activities have been provided to ensure that individual wishes and choices can be further promoted. 90 of the staff team have an NVQ at level 2 or above. The remaining staff member is working towards this qualification. An NVQ level 4 is also held by the deputy manager. Staff files examined demonstrated that all staff are well supported through accessing regular training and with regular supervision, at least six times a year. Recruitment procedures are in place and adhered to ensure the correct calibre of staff are sourced to meet individual needs of the people in the home. The manager and representatives of the organisation oversees the recruitment procedure; an application form, two written references, a police check and a protection of vulnerable adults checks are undertaken prior to a person starting employment. People living in the home also have an opportunity to meet candidates when they come for interview. The risk of harm is minimised due to the stringent procedures in place. Two staff files seen, were found to be complete and up to date. Staff spoken with said that they felt well supported by their manager and that they could approach her at any time with any ideas or concerns, but more importantly that she would listen to them and was always willing to roll up her sleeves and help. All of the staff and people spoken to, said that they felt the staffing arrangements were good. People, living in the home said that staff were always there for them to help them with any problems and help them with things that they wanted to do. Care Homes for Adults (18-65 years) Page 28 of 33 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. People accessing this service are safeguarded and strong supportive management promotes their independence and choices. Evidence: The registered manager has achieved the Registered Managers Award and has completed an NVQ level 4 in Care. She has many years experience of working with adults with a learning disability, both as a deputy and registered manager. The manager continually strives to support the philosophy of the organisation, where person centred care is of paramount importance, and the needs of individuals are considered and reflected upon in detail. Staff spoken with described her as supportive and as a positive role model. A range of certificates were included in the Aqaa document and a sample of these were examined during the visit including; fire fighting equipment, fire alarm and electrical certificate all of which were found to be satisfactory. There is a corporate Health and Safety policy and procedures in place to ensure the Care Homes for Adults (18-65 years) Page 29 of 33 Evidence: safety of students, staff and visitors. All areas are risk assessed and copies of these are maintained within the home, covering all environmental and task related activities. Linkage have been awarded the three star British Safety Council Award. Similarly there is a corporate Quality Monitoring system (EFQM) which is coordinated by a College Quality Manager and who takes the lead on quality issues. This includes producing an annual plan which provides the framework for Quality Assurance activity; including surveys, audits and appraisals. an annual review document and regular newsletters are also produced as part of this. Quality assurance is further supported by monthly Regulation 26 visits by the responsible individual. A monthly analysis of accidents is produced by the manager. Staff receive regular supervision and have the opportunity to attend training and staff meetings. People living in the home are involved in weekly meetings, a Pointers group with external advocates and are involved in staff recruitment. Records of all students and staff meetings were seen. Care Homes for Adults (18-65 years) Page 30 of 33 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 31 of 33 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 32 of 33 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. 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