Care Home: Blackburn with Darwen Short Term Breaks

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The manager and staff of the home have worked well together to develop a new service that has been designed to meet the needs of the guests it provides short term care for. The staff team have been safely recruited to protect the guests as far as possible.They have received all of the expected training and training specific to the needs of the people who stay at the home. Staff have received regular supervision from the manager giving them guidance and opportunities to make decisions about further professional development. The guests benefit from having a well settled staff team of whom over 60% have achieved a national qualification in care. The staff said that they feel well supported and benefit from good working relationships within the staff team and with the manager. The home provides a clean, safe and comfortable environment for the people who stay there and the staff who work there. The staff team make great efforts to provide person centred care for the guests. Care is taken that all prospective guests are fully assessed before they are admitted to the home. Once the home is clear it can provide the necessary health and personal support that the guest needs, a care plan is developed which outlines those needs and gives staff clear guidance as to how those needs should be met. Preferred routines and individual likes and dislikes are included within the care plans to ensure that a stay in the home is as comfortable as possible. The individual cultural needs of guests are taken into consideration including dietary needs and staffing is adjusted to meet those needs. The home has good links with health and social care professionalswho can provide additional help and guidance when necessary. All of the staff spoken to had a good understanding of the needs of their guests. There was good interaction between the staff and the guests of the home. Routines within the home were relaxed with guests being able to decide what they would like to do each day. Some of the activities that could be arranged included shopping, having a meal out, bowling and visits to the cinema. Those guests who wished to could continue to attend a day service during their stay at the home. What has improved since the last inspection? As this was the first inspection since the home was registered it is not possible to make a judgement about any improvements. What the care home could do better: No requirements were made as a result of this inspection. It was judged that the home was well run and that the registered manager was aware of areas where improvements could be made for the benefit of the guests staying at the home for periods of short term care. One recommendation was made in respect ofthe homes` management of medication that will provide additional safeguards for guests staying there. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Blackburn with Darwen Short Term Breaks 124 St Aidans Avenue Blackburn Lancashire BB2 4EY The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Turley Date: 1 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. 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 Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Blackburn with Darwen Short Term Breaks 124 St Aidans Avenue Blackburn Lancashire BB2 4EY 01254588909 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Blackburn with Darwen Social Services Name of registered manager (if applicable) Jeremy Paul Wood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 6 0 care home 6 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of people who can be accommodated is: 6 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Blackburn with Darwen Short Term Breaks Service is based in a purpose built home that has well equipped single bedrooms which are all en-suite. All rooms are spacious and have the benefit of a TV and DVD player. The communal areas are large and open plan and the kitchen is designed so that guests are able to become involved in cooking activities should they wish to. There is an enclosed garden for the benefit of guests in the better weather. There are good parking facilities at the home. The home is situated close to the town centre and there is easy access to local shops and facilities either by local transport or the minibus that the home as access to. Fees stand at £9.94 per night with additional costs for any activities Care Homes for Adults (18-65 years) Page 5 of 30 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 30 How we did our inspection: This is what the inspector did when they were at the care home Blackburn with Darwen Short Term Breaks Service is a new service formed from a merger of two previously existing Short Term Breaks Services, 25, Bunkers Hill in Blackburn and 14, Pole Lane in Darwen. Bunkers Hill last inspected was on 5/9/07 when it was rated as an excellent/three star service. Pole Lane was last inspected on 12/9/07, when it too was rated as an excellent/three star service. This is the first key inspection of the new service Blackburn with Darwen Short Term Breaks This was an unannounced inspection to the home, in that the manager and staff were not aware that it was to take place. The site visit was part of a key inspection of the home. A key inspection takes place over a period of time and involves gathering and analysing written information as well as visiting the home. Every year the registered persons of a home are asked to provide us (Commission for Social Care Inspection CSCI) with written information about the quality of the service they provide. We use this information, in part, to focus our inspection activity. This document is called the Annual Quality Assurance Assessment (AQAA). Page 7 of 30 Care Homes for Adults (18-65 years) Surveys were sent out and were received back from the support staff who work at the home and the people who use the home for short term care. During the site visit staff records and guests care records were viewed alongside other records that the home maintained and the policies and procedures of the home. The manager and those staff on duty at the time of the site visit were spoken to. The staff were observed providing support to the guests at the home and from these observations we were able to determine if the guests at the home were happy with the support they received. The staff responses and our observations are reflected in the body of this report. A tour of the home was made, viewing the communal areas, bedrooms, bathrooms and the exterior of the home. Everyone was friendly and co-operative during the visit. What the care home does well The manager and staff of the home have worked well together to develop a new service that has been designed to meet the needs of the guests it provides short term care for. The staff team have been safely recruited to protect the guests as far as possible. Care Homes for Adults (18-65 years) Page 8 of 30 They have received all of the expected training and training specific to the needs of the people who stay at the home. Staff have received regular supervision from the manager giving them guidance and opportunities to make decisions about further professional development. The guests benefit from having a well settled staff team of whom over 60 have achieved a national qualification in care. The staff said that they feel well supported and benefit from good working relationships within the staff team and with the manager. The home provides a clean, safe and comfortable environment for the people who stay there and the staff who work there. The staff team make great efforts to provide person centred care for the guests. Care is taken that all prospective guests are fully assessed before they are admitted to the home. Once the home is clear it can provide the necessary health and personal support that the guest needs, a care plan is developed which outlines those needs and gives staff clear guidance as to how those needs should be met. Preferred routines and individual likes and dislikes are included within the care plans to ensure that a stay in the home is as comfortable as possible. The individual cultural needs of guests are taken into consideration including dietary needs and staffing is adjusted to meet those needs. The home has good links with health and social care professionals Care Homes for Adults (18-65 years) Page 9 of 30 who can provide additional help and guidance when necessary. All of the staff spoken to had a good understanding of the needs of their guests. There was good interaction between the staff and the guests of the home. Routines within the home were relaxed with guests being able to decide what they would like to do each day. Some of the activities that could be arranged included shopping, having a meal out, bowling and visits to the cinema. Those guests who wished to could continue to attend a day service during their stay at the home. What has got better from the last inspection What the care home could do better No requirements were made as a result of this inspection. It was judged that the home was well run and that the registered manager was aware of areas where improvements could be made for the benefit of the guests staying at the home for periods of short term care. One recommendation was made in respect of Care Homes for Adults (18-65 years) Page 10 of 30 the homes management of medication that will provide additional safeguards for guests staying there. 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 Val Turley 33 Greycoat Street London SW1P 2QF 02079792000 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 30 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 12 of 30 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 . Guests needs are thoroughly assessed prior to their admission so that support staff can plan their care and support effectively. Evidence: The home has a thorough approach to working with people to determine if the home is an appropriate place for them to stay. It has a Service User Guide that contains information about the home. It is presented in a picture format and in a number of different languages so that it can be understood by more people. This is given to anyone who may be interested in staying at the home for a period of short term care. Any prospective guest is encouraged to visit the home before they come to stay and they are given information about the home and the assessment procedure that is undertaken before a placement can be agreed. A full assessment is undertaken by a care manager and this is followed by further assessment work being undertaken by the home. This includes the resident and/or their family being asked to provide a personal profile that outlines a prospective guests likes and dislikes and information about how they can best be supported. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Wherever possible guests are able to choose the room they would like to stay in during their time at the home. Once all the relevant information has been collected, the home develops with the resident and their family a care plan that outlines how care and support will be provided during the persons stay at the home. During our visit to the home we looked in detail at the procedures the home had followed before the admission of two guests to the home. Their approach was thorough and resulted in detailed care plans that gave staff clear guidance about the care and support the guests needed. A survey returned by a guest who had stayed at the home stated that they had received enough information about the home before they had gone to stay there. The manager had written in the homes annual quality assurance assessment that they hoped in the future to look more at compatibility when booking guests into the home. This may include offering themed weekends for people with similar interests. Care Homes for Adults (18-65 years) Page 14 of 30 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 . The home works with individual guests, supporting them to be as independent as possible and taking into account any strategies devised to keep them safe. Evidence: The home develops good person centred care plans for each of the guests who stay with them. This includes each guests preferred routines. The home updates these plans on a monthly basis and also before someone is booked in to stay at the home. This helps to ensure that the home have the most up to date information about each persons support and care needs. Guests are also consulted after each stay at the home so that the support staff can amend care plans if necessary and make the care and support they provide more person centred. The care plans give the staff at the home clear guidance as to how their guests prefer to be supported. Those staff spoken to on the day of the site visit were very aware of the care plans and had a good understanding of the support and cultural needs of each of their guests. During the course of the visit to the home, staff were heard to speak to to the guests staying at the home, giving them opportunities to make choices and decisions about Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: what they would like to do whilst staying there. The manager stated that the home had started to up date policies and procedures to incorporate details of the Mental Capacity Act and this would give them more structured opportunities to work with individual guests to support them to make decisions and choices. The home undertakes a range of risk assessment for each of the guests who stays with them. This enables the staff at the home to support guests to be as independent as possible. Care Homes for Adults (18-65 years) Page 16 of 30 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 guests are encouraged and supported to make choices and decisions about how they spend their time whilst staying at the home. Evidence: During their stay at the home guests are supported to become involved in a range of activities. They can continue to attend the local day centre if they wish or can participate in activities of their choice. Activities are usually based within the home or locally with the home making use of local transport, a community transport service and a minibus that the home has access to. The range of activities includes shopping, meals out, bowling and cinema trips. These activities enable the guests staying at the home to meet with non disabled people. The staff at the home are very aware of the racial and cultural diversity of the guests who stay there and make every attempt to meet their individual needs. Specific dietary needs are recognised to be very important and the home is able to provide Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: meals which are suitable for its guests. The staff have access to specialist advice regarding cultural needs and this enables them to support all their guests appropriately. If guests are booked into the home for an extended period then staff at the home take extra care to ensure that nutritional needs are met and take steps to address any concerns that may arise. The staff team had received training in how to support guests who are fed by a percutaneous endoscopy gastronomy feeding tube (PEG) and received training and support from health professionals in this task. The home has well established links with the families of their guests and they are welcome to visit the home at any reasonable time. As most of the guests stay at the home for only a short period of time, the staff work within these limits supporting them to keep in touch with friends and relatives. During the site visit the staff were observed to speak to the people staying at the home sensitively giving them opportunities to make choices and decisions. Staff knocked before they entered a bedroom belonging to any of the guests. Care Homes for Adults (18-65 years) Page 18 of 30 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 guests staying at the home are fully assessed and met. Evidence: During the site visit we looked at the care plans and all associated documents for two of the guests staying there. We found that the health and personal care support needs of each guest at the home are fully assessed before the planned stay. The home ensures that the gender of the staff on duty matches the needs of the guests. There was clear information within the care plans as to the care and support each guest needed and the routines that they preferred. Where it was seen to be useful a health care plan was developed for the guest and where necessary specific guidance, such as epilepsy care and guidance was included within the care plans. A relative wrote in a returned survey that staff always listen and act on what they say. The medication at the home was well managed with the support staff having a good knowledge of the medication needs of each guest. One recommendation was made to help staff improve the medication procedures to help maintain the health and well being of the guests staying the home. The staff had all received training in the administration of medication. Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Although the home only offers short term care to its guests, it was clear from discussions with staff and from documentation that the home is prepared to manage any specific health needs of their guests. The home has good links with local health and social care professionals. On the day of the visit a health professional was visiting to provide guidance and advice about the care of one of the guests. The home is well equipped with hoists having been installed in bedrooms and bathroms. This enables the staff team to work with guests safely and also helps ensure that their physical care needs can be fully met. Care Homes for Adults (18-65 years) Page 20 of 30 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 . The home has good systems in place to protect the guests who stay at the home. Evidence: The home had a good complaints policy in place. This was included, written in an accessible format, in the Service Users Guide and was also available as a separate document. Information received from guests, relatives and staff as part of the inspection process indicated that everyone knew how to make a complaint or raise a concern about the home if they needed to. A DVD had been produced which gave guests information on making a complaint. Any concerns or complaints raised about the home were responded to quickly and the record of complaints was looked at every month to see if there were any patterns to the issues raised which could be resolved. A relative who returned a survey said she was clear about how to make a make a complaint or raise a concern if she needed to. The home also kept a record of any compliments they received about the service. These provided the staff with information about the areas they performed well in. All of the staff team had received training in the Safeguarding of Vulnerable Adults and discussion with them indicated that they were aware of the action they should take if they thought any of the guests staying at the home was being ill treated in any way. Policies and procedures in relation to safeguarding issues were clear and detailed, giving staff clear guidance as to the action they should take if they had any concerns. Guests were also provided with similar information in the Service Users Guide. This was presented in a format that would be more easily understood by people staying at Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: the home. The staff team had also received training in managing any challenging behaviour and how to work with the guests safely in challenging situations. Care Homes for Adults (18-65 years) Page 22 of 30 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 . The home provides a clean and comfortable and safe environment for both the people staying at the home and the staff who work there. Evidence: The home is a recent purpose built six bedroom bungalow. All the bedrooms are ensuite and are fully equipped to meet the needs of the guests who stay there. One of the bedrooms is in a self contained part of the home and has its own entrance. This allows greater flexibility in the use of the home. The home is comfortably furnished and the kitchen area is designed so that wheelchair users are able to get involved in cooking activities. The staff team are continually assessing the building to ensure that they have all of the equipment and resources they need to provide person centred care. The laundry area was well equipped and clean and staff said that it was adequate for the needs of the home. On the day of the site visit the home was clean and comfortable. Staff showed an awareness of the need to work actively to prevent any outbreak of infection by wearing protective clothing when attending to the personal care needs of the guests staying at the home. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: One of the people who uses the service wrote in a survey that they loved the new place at Mill Hill. Care Homes for Adults (18-65 years) Page 24 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home has a well trained staff team who receive good support enabling them to meet the needs of the people staying there. Evidence: The staff team at the home were well experienced with over 60 of them having achieved a nationally recognised qualification in care. Additional training was also provided to ensure that staff have the skills to attend to the needs of each of the guests who stayed at the home. This training included dementia care, epilepsy awareness and percutaneous endoscopy gastronomy training (PEG feeding). Staff were recruited safely with all of the necessary checks and references being undertaken to protect the guests who stay at the home as far as possible. Staff were also well supported in that they received formal supervision every two months and also had an annual appraisal of their work. The staff spoken to on the day of the site visit said that they were very happy working at the home and that they had good working relationships with both their colleagues and the manager. The home has a dedicated team of bank staff which means that the guests staying at the home receive care from a consistent group of staff who are aware of their needs. Care Homes for Adults (18-65 years) Page 25 of 30 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 . The home is well managed with the interests of its guests being central to the way the home is run. Evidence: The registered manager of the home has over 20 years of experience working with people who have a learning disability. He has kept his training up to date to help ensure that he has the skills and knowledge to run the home efficiently and in the best interests of the guests who stay there. He had a clear idea of how the home should be run and also recognised areas that the home could improve. Record keeping in the home was good and the staff team were fully aware of the need to share all relevant information. The home undertakes a number of checks on a regular basis to ensure that the home is being run safely and that equipment and systems are serviced as and when they need to be. Water temperature and alarm checks are undertaken weekly and the records for these were seen on the day of the site visit. The home had a range of health and safety policies in place and the staff had all signed these to say that they had read them. The staff team had received fire training and had been made aware of Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: the procedures to follow in the event of a fire, the home also had an individual plan in place for each guest in terms of evacuation from the home in the case of a fire. The staff team had also received other mandatory health and safety training including food hygiene and moving and handling. There were opportunities for guests and their families to share information and ideas about the running of the home. The staff had regular contact with the manager through individual meetings and team meetings when again there were opportunities to discuss the day to day management of the home and look at where this could be improved. The manager was seen to have a good working relationship with the staff and they stated that they felt well supported by him. Guests monies were well managed with good records of any individual expenditure being kept and a full breakdown of this being sent on to relatives following a stay at the home. Policies and procedures were updated as required to help ensure that the staff team had up to date knowledge on the safe running of the home. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 20 Any hand written entries on the medication administration record (MAR) sheets should be countersigned by a second member of staff to help avoid any medication errors. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!