Care Home: Blackburn Drive, 13

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Blackburn Drive, 13 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF three star excellent service The quality rating for this care home is: 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: Lorraine Farrar Date: 2 8 0 8 2 0 0 9 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. 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 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. 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. Internet address www.cqc.org.uk Information about the care home Name of care home: Address: Blackburn Drive, 13 13 Blackburn Drive Halewood Liverpool Merseyside L25 0QF 0151-486-2054 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) : Community Integrated Care care home 2 Number of places (if applicable): Under 65 Over 65 2 0 learning disability Additional conditions: Service User to Include up to 2 LD Date of last inspection 1 0 0 6 2 0 0 8 A bit about the care home 13 Blackburn Drive is a detached bungalow in a family area of Halewood. There are local shops, public transport and facilities nearby. The people living there have their own bedroom. They share a, lounge, dining room, bathroom and kitchen Outside there is a small front garden with parking At the back there is a big private garden to sit in. The Bungalow is adapted to help people with their personal care and to get around more easily. This includes:accessible shower hoist ramps to the front and back gardens. 13 Blackburn Drive supports two for two adults who have learning and physical disabilities. Staff are available twentyfour hours a day to provide this support. The home is run by Community Integrated Care (CIC) They are a national company who support people across the country. The bungalow is owned by Regenda Maritime Housing Association. They are responsible for looking after the building. 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 How we did our inspection: This is what the inspector did when they were at 13 Blackburn Drive. Before we visited we sent surveys forms to the staff who work at 13 Blackburn Drive. Four members of staff sent them back to us. We also sent a question form to the manager. This gave her with the chance to tell us about:the areas the home are doing well in any improvements they have made and plans they have for future improvements. It also told us about:Staff Health and safety How they support people. We looked at any information we have been given about the home since our last big inspection. This all helped us to plan our visit and write this report. We visited the home on 28th August 2009. They did not know we were visiting. We met both of the people living at 13 Blackburn Drive. We also met two members of staff, including the manager. We spent time:Reading records looking at the bungalow Looking at the support given to the people living there. After our visit we spoke to a relative of one of the people who lives there. It costs from one thousand, six hundred and eighty seven pounds, forty three pence each week to live at 13 Blackburn Drive. What 13 Blackburn Drive does well. Before anyone moves into 13 Blackburn Drive they will get lots of support. They will be able to visit and stay overnight. Staff will meet with them to find Out the support they need and The things they like to do. They will get information that tells them about the home and how it works. This helps people to decide if 13 Blackburn Drive is the right place for them to live. Everyone has a care plan. These tell staff about things like:The support people need and how they like to be supported. How people like to spend their time. Their health and personal care needs. The things people do and don’t like. How people communicate how they are feeling. This all helps to make sure people get the support they need. It also helps to make sure people can do the things they want to do. Staff support people to stay in touch with their family. They also support people to go out and about doing the things they like. Some of the things people do are:Go to college Go shopping Go for a drive. The people living at 13 Blackburn Drive like the staff who support them. Staff know people well. They know the things people like and do not like and the support they need. Staff get training to help then support people. This all helps to make sure people get the support they need and choose. People know who to talk to if they are unhappy or have a complaint. Staff know how to deal with any complaints or concerns that people have. This helps people to feel safe whilst living there. What has got better from the last inspection The way CIC look after people’s money is now easier to understand. Records about people’s money are up to date and kept in the home now. This makes it easy to check that people’s money is being looked after safely and well. CIC make lots of checks on the home. These checks help to make sure that:Paperwork is up to date. Money and tablets are well looked after People are getting the support they need and choose. Staff have had training in new laws. This helps them to understand and support people to make decisions. It also helps to make sure any decision made are the best for that person. What 13 Blackburn Drive could do better Staff should support people to seen the Optician more regularly. This will help to make sure people get all the support they need to stay healthy. If you want to read the full report of our inspection please ask the person in charge of 13 Blackburn Drive. If you want to speak to the inspector please contact Lorraine Farrar Care Quality Commission Northwest Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA Phone 03000616161 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 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 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 . Sufficient information is obtained about and given to people considering moving into 13 Blackburn Drive. This helps everyone decide of it is the right place for the person to live. It also helps staff to plan how they will support the person successfully once they move in. Evidence: Nobody new has moved into 13 Blackburn Drive for many years, therefore it is not possible to practically assess the support that would be provided to them. However a clear procedure is in place from the organisation stating how they will support people considering moving in. The manager explained in the self assessment form that this would involve meeting with the person and those who support them. An assessment of their needs and choices would be carried out and they would be invited to visit the home and to stay overnight if they wished to. In addition if somebody does move in, the manager will act as their key worker for three months to help them settle in. An information brochure about 13 Blackburn Drive is available and would be given to people. This was being reviewed during our site visit to ensure it was up to date and accurate. The brochure provides people with information about the house including, staff, the support they can expect and how to raise any concerns or complaints they may have. The information obtained about people and given to people about the home helps everybody to decide if 13 Blackburn Drive is the right place for the person to live. It also helps staff to plan how to support the person successfully. Evidence: 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 . Staff at 13 Blackburn Drive work with the people living there to recognise their individual needs and choices and provide support to ensure they are met. Evidence: Individual care plans are in place for the people living at 13 Blackburn Drive. These contain clear information about the person, the things they do and do not like and the support they need with their health, personal care and lifestyle. Information is recorded about peoples preferred daily routines. This gives clear guidance about the support people need, the things they can do more independently and the way they like to be supported. For example one plan explained that the person likes their lights and music left on low when they go to bed. As the people living at 13 Blackburn Drive do not use verbal forms of communication this level of detail helps to ensure they get the support the need, in the way they prefer. Individual risk assessments are in place for the people living at 13 Blackburn Drive. These identify potential risks to the person, staff or visitors and give clear guidance about how the risk can be minimised, whist still enabling the person to engage in everyday activities. Staff told us in their comment cards that they get up to date information about the needs of the people they support. Care plans are reviewed regularly and updated to ensure that any changes to the persons needs or choices are quickly noted and can be acted upon. In discussions with staff and throughout the day, it was clear that they have a good awareness of peoples support needs and choices and follow the guidance in care plans and risk assessments. Evidence: Records showed that routines in the home are flexible, for example people can get up or go to bed when they are ready to. Staff have a good understanding of the nonverbal ways people communicate and were able to explain how they read these to understand the choices or preferences people are showing. This is backed up by information in care plans that details the different ways people communicate and how to understand the meaning. Good practice was noted in that checklists are in place the people living at 13 Blackburn Drive that look at whether they are being deprived of their liberty whilst living there. This is in keeping with new laws ensuring that care homes are not depriving people of their liberty unnecessarily. The checklists had been completed and evidenced that the people living at 13 Blackburn Drive are not being deprived of their right to freedom unnecessarily. As staff and the organisation support people to manage their money, they have used a decision making form to describe the benefits or otherwise of spending larger sums of money on the persons behalf. For example the people living at 13 Blackburn Drive share a mobility car. The decision making process is clearly recorded to show that this is the best decision for each individual. The manager was clear about how recent training in the Mental Capacity Act has helped her to understand the need to record decision making and how this can be used in future to benefit the people living at 13 Blackburn Drive. As the people living there may not be able to make bigger decisions such as financial decisions, for themselves, this process helps to ensure that decisions made by others on their behalf, are well thought out and benefit the person and their choices and needs. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at 13 Blackburn Drive receive individual support to live a lifestyle of their choice. Evidence: During our site visit the people living at 13 Blackburn Drive were engaged in different activities of their choice. One person was spending time quietly in the lounge whilst the second person was watching TV in their room, and playing a musical instrument. Discussions with staff and care plans showed that these are preferred activities for the people living there. Throughout the visit staff were seen and heard to engage with people. For example a member of staff carrying out household tasks in one persons bedroom was chatting away with them and engaging them as much as possible in everyday life. We observed that staff spent a lot of time during the day talking with people and keeping them informed. For example advising what is for tea and when it will be ready. This helps to ensure that people are as involved as possible in the everyday running of their home. We read daily notes for the people living at 13 Blackburn Drive for the past month. These showed that people get support to get out and about in their local community and engage in activities both at home and in the wider community, that they enjoy. One person had spent time going for walks, drives, eating out and short shopping trips whilst another had been out and about more and spent time chatting and socialising with staff as they prefer. Where a person does not wish to go out or is unable to do so Evidence: this is recorded in their notes along with the reason why. This is good practice as it provides a clear audit trail to ensure that people are getting the support they need and that any changes to their chosen lifestyle can be quickly noted. People are able to have visitors whenever they wish and staff provide support to them to stay in touch with their family. In discussions with staff they had a clear knowledge of the ways that people like to spend their leisure time and the support they need with this. For example one person has recently been supported to sign up for a college course with staff from the home supporting them during the day at college. The people living at 13 Blackburn Drive are supported to go on individual holidays each year with support from two members of staff. This individual support means that people can have a holiday that meets their needs and choices. In the past year one person has been on a holiday to Spain whilst another had a quieter holiday in Northumberland. The manager explained that in future they will use decision making documents when considering if people would enjoy and benefit from a more expensive holiday. This will help to ensure that decisions the person cannot make, are made in their best interests and that they have a variety of opportunities open to them that they may enjoy and benefit from. Food is bought at local shops and supermarkets with the people living at 13 Blackburn Drive accompanying staff. Menus showed that people get a varied diet that includes healthy options. We observed that there are sufficient stocks of food in the house for people and that again these are varied with lots of fresh fruit and vegetables. In discussions with staff they were able to explain the support both people need with their meals and the meals and drinks that they prefer. Throughout our visit we observed staff offering people drinks and support with their meals. This is backed up by clear guidance in their care plan for staff to follow. Routines at the home are flexible with staff able explain how people communicate whether they are ready to get up or go to bed. Detailed guidance in care plans helps to ensure the people are supported with their daily life in a way that is individual to them. For example staff were able to explain that one person likes to have their shower and get ready for the day with minimum fuss, whilst another person likes to take their time and be pampered. 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 personal care needs of the people living at 13 Blackburn Drive are recognised and staff provide a consistent level of support to ensure these are met in a way the person prefers. Evidence: A relative of one of the people living at 13 Blackburn Drive told us that they have no concerns about the care their relative receives and they feel they are very well looked after. We met both of the people living at the home during our site visit and it was evident that they had received sufficient support from staff with their appearance and personal care. Care plans give clear guidance to staff on how to support people with their personal care in a way that they prefer. As well as listing the support people require, the guidance is also detailed enough to provide information about the things people can do with minimal support. This helps to ensure that people are supported in a way that maintains their independence and gives them as much control over their lives as possible. Records in the home showed that routines are flexible with people supported to get up or go to bed when they choose. In discussions with a member of staff they was able to clearly explain the different ways people non-verbally communicate these things to staff. Staff also displayed a clear knowledge of peoples health care needs and the support they need. This is again backed up with clear records in care plans. Records showed that people are supported to attend regular health appointments such as the Dentist, Chiropodist and annual health care checks, as well as more specialist appointments Evidence: such as the consultant. These clear records help to provide a good audit trail of peoples health over the past few months and the advice given to support them to remain healthy. Records did show that people had not seen an Optician for several years. However the manager was aware of this and was able to explain the steps they were taking to get Optician appointments for both people. As the people living at 13 Blackburn Drive cannot verbally communicate how they feel or the support that they need, the combination of clear records and planning along with good staff knowledge helps to ensure they remain as healthy as possible. It also helps to ensure that people get the support they need in a way that they prefer. Before staff can deal with peoples medication they have to be assessed to ensure they are competent to do so. We saw examples of these assessment records and found that as well as observing that staff can correctly give out medication, they also check that they have the knowledge to understand medication and any issues that could arise. Staff also undertake formal training in medication awareness. In discussions with staff they displayed a good awareness of the medication people take, how to dispense it and the systems in use within the home. Medication is stored correctly in a locked cabinet and clear records are kept of the medication received into the home and given out. In addition a daily and weekly check of medication is undertaken. The clear systems in place within the home along with staff training and clear record keeping help to lessen the risk of mistakes occurring with peoples medication that may impact upon their health. 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 . Policies and systems are in place at 13 Blackburn Drive to ensure people are safe living there and that any issues that arise can be quickly noted and addressed. Evidence: No concerns, complaints or safeguarding adults issues have been raised about 13 Blackburn Drive since our last inspection. However there is a clear policy in place from the organisation advising staff on the process to follow if concerns are raised. In addition a copy of the local authority safeguarding adults procedures is available in the home for staff to refer to if needed. Staff told us in their comment cards that they know what to do if any complaints are raised with them. This was further evidenced in discussions with staff including the manager. They were able to explain the processes they would follow as well as the indicators that would alert them to a possible concern regarding the people living at 13 Blackburn Drive. The organisation provide regular training in safeguarding adults to ensure staff knowledge is up to date. Information about how to raise a concern or complaint is readily available to people via the brochure about the home and relatives have previously confirmed to us that they know how to raise any concerns they may have. This open approach to dealing with concerns or complaints, along with staff knowledge and training helps to ensure the people living at 13 Blackburn Drive are safe whilst living there and that any issues can be quickly noted and acted upon. Our last big inspection at the home raised some requirements about the way that the organisation support people to manage their money. At this inspection we found very clear records of how peoples money is managed for them, along with clear recording of decisions made when spending large amounts of money on peoples behalf. This is good practice as it provides a clear audit trail and ensures peoples money is managed safely and in their best interests. 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 . 13 Blackburn Drive is a family style home that provides people with a comfortable environment to live in, that is adapted to meet their individual needs and choices. Evidence: 13 Blackburn Drive is a three bedroom bungalow, based in a residential area of Halewood. It is well placed for getting to local amenities and has parking available on the front drive or on the road outside. Shared space within the bungalow consists of a lounge, separate dining room, kitchen, office, laundry and enclosed back garden. Both of the people living there have their own bedroom and share an adapted bathroom. All rooms are clean, comfortably furnished and decorated and have a homely atmosphere. Throughout the bungalow there is sufficient space for the people living there, staff and visitors to spend time either in privacy or in the company of others as they prefer. Outside there is a large, well maintained back garden with patio and seating. The garden and the bungalow are easy to access through the use of fitted ramps. Both of the people living there have their own bedrooms, which provide enough space for them to get about and have their personal possession around them. These are nicely decorated in accordance with the persons choices. There are a number of aids and adaptations available to support people with their mobility at home. These include ramps, grab rails and a hoist. In addition the bathroom has a large fully accessible shower and shower chairs available to support people with their personal care. Evidence: Suitable equipment and facilities are provided to enable staff to prevent or quickly deal with any outbreak of infection. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at 13 Blackburn Drive are supported by an experienced staff team who are knowledgeable about their needs and choices and can communicate effectively with them. Evidence: During our site visit to 13 Blackburn Drive we observed that staff spent a lot of time interacting with the people living there. From their reactions it was clear that people enjoyed the company of staff and felt comfortable with them. Discussions with staff and observing daily life in the home showed that staff have built good relationships with the people living there and have an in depth knowledge of how to support them successfully. Staff are able to explain how people communicate non-verbally, the support they need with their health and personal care and their different personalities and lifestyle choices. As the people living at 13 Blackburn Drive dont use verbal forms of communication staff observations and the knowledge they have, helps to ensure people get both the support they need and choose. Staff told us in their comment cards that there are always enough staff working at 13 Blackburn Drive to meet the needs of the people living there. During the day there are two staff working in the home with one member of staff at night. This means that people can have individual support during the day and can pursue different interests and hobbies. When they begin work with the organisation, new staff undertake an induction programme within their first three months. This covers both the practical and theory aspects of supporting people and includes health and safety, the protection of vulnerable adults, moving and handling people and how to communicate effectively. Records showed that the newest member of staff is currently being supported to Evidence: undertake this induction and that firm plans are in place for all staff to undertake the course to refresh their knowledge. In discussion with a member of staff they told us that they enjoy the training courses as they really learn from them. This was further evidence in comment cards that staff completed. They told us that they get regular training that helps keep them up to date, is relevant and helps them to support people. Staff training records showed that staff have undertaken several training courses within the past year, with others planned. Leaflets on varied aspects of care, such as the Mental Capacity Act and recent advice on flu are available in the office to inform staff. A member of staff confirmed that she was aware of these and explained that the manager regularly shares information with staff about changes to the law or good practice advice. In addition just under half of the staff team have achieved a national qualification in care (NVQ). The training and information given to staff and planned helps to ensure that they are as up to date as possible in how to support people safely and successfully. 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 . 13 Blackburn Drive is well managed for the benefit of the people who live there. Evidence: The manager at 13 Blackburn Drive has worked there for many years and is therefore experienced in managing a care service for adults who have a learning disability. She holds qualifications in both care and management and records show that she attends relevant training to update and improve her knowledge. In discussions with the manager it was evident that she uses the knowledge she gains from training to further improve the lives of the people living at 13 Blackburn Drive. For example she was enthusiastic about training she had attended in the recent Mental Capacity Act and was able to give practical examples of how this can be used to benefit the people she supports. There are a number of systems in place within 13 Blackburn Drive to check on the quality of the service they provide. These include regular reviewing of peoples care plans and regular checks on medication and money held for people within the home. In addition a senior manager from the organisation visits the home regularly to carry out an audit. We looked at an audit completed in July 2009 and found this to be a comprehensive document. It covers all areas of the support provided at the home including, the support provided to the people living there, staff training and health and safety. Once completed, a list of any actions to further improve the service is written, along with an action plan to meet these. We also looked at an audit of money management within the home that had been carried out recently by the organisation. The manager had taken action to address the good practices actions this audit suggested. Evidence: The manager advised that surveys have been sent to the relatives of the people living 13 Blackburn Drive to provide them with the opportunity to comment on the service and make any suggestions for future improvements that they may have. These various ways to check on the quality of the service provided and plan for any improvements identified, helps to ensure that 13 Blackburn Drive continues to provide a service to people that meets their needs and choices. Records and certificates showed that regular checks are carried out on the building and equipment. This includes checking water temperatures, electrical appliances, the gas supply and regular fire systems. These checks help to ensure that 13 Blackburn Drive is a safe place for people to live, work and visit. 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 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 1 19 Staff should support people to obtain Optician appointments. This will help to ensure that are having all of the health checks they need to remain as healthy as possible. Helpline: Telephone: 03000 616161 or Textphone : 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 © (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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