Care Home: Camberwell New Road, 212a

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What the care home does well The manager is committed to developing the service and staff skills to ensure the resident`s reach their full potential as well as motivating the staff team. The service promotes and is developing independence for residents who have learning disabilities and offers good individualised specialist care for residents who have high support needs. The manager and care staff have a good understanding of the needs of the residents through their experience in the service and the training they have. Residents views are listened to and they are encouraged to participate in the running of the home and are consulted on issues that are relevant to them through service user and key worker meetings. What has improved since the last inspection? Staff training program has been developed and staff are being encouraged to take responsibility for their own learning and development program. Training records are more comprehensive and kept up to date. Residents take a more active part in the recruitment and selection process for staff at all levels. What the care home could do better: The signatures on the medication chart could be reviewed and up dated and audit the medication file to remove any out dated information. . Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Camberwell New Road, 212a Camberwell New Road, 212a Camberwell London SE5 0RR     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: Lynne Field     Date: 2 3 0 4 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. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Camberwell New Road, 212a Camberwell New Road, 212a Camberwell London SE5 0RR 02075821963 02075821963 ahassan@southsidepartnership.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Southside Partnership Name of registered manager (if applicable) Miss Adama Hassan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5. The registered person may provide the following category/ies 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 Date of last inspection Brief description of the care home 212a Camberwell New Road is a home for 5 adults with learning disabilities run by Southside Partnership, a large voluntary organisation. It is accessed from outside via a flight of steps into a large communal hall which is shared with the housing association tenants who occupy flats on the first and second floors. The home comprises the ground and basement floors of a large four-storey house, Care Homes for Adults (18-65 years) Page 4 of 29 care home 5 Over 65 0 5 Brief description of the care home which is a listed building owned by Hyde Housing Association. There is a small hallway, which leads into the large lounge/diner; the kitchen is off this room. On the other side of the hallway is another lounge. Off this lounge is a residents bedroom, which has an en-suite. Partitioning off part of the original lounge created this. There is a separate toilet on this floor. A flight of stairs leads to the basement floor of the home, where there are four single bedrooms, a bathroom with toilet, a small office and a shower room. This floor leads out to the large back gardenwhere the front part is used by the home. The stairs inside and outside of the home make this home unsuitable for residents with mobility problems or dependent upon wheelchairs. The current fees payable for the resident is in the range of #1649-66 per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced inspection was carried out in April 2009. The manager facilitated the inspection. The inspection included a tour of the home and examination of records on care plans, medication records, the complaints book as well as records relating to staffing issues such as staff recruitment, training and supervision. We also checked relevant policies and procedures as well as building maintenance records and health and safety records. The manager sent further documentation to us after the inspection relating to staff training and records. We met all five residents and four staff. We spoke to three staff in private and one was a new member of staff. The residents and staff were very positive about the management of the home, the organisation and their work. Members of staff told us Care Homes for Adults (18-65 years) Page 6 of 29 about their experience of recruitment and working for the service. During the visit we were able to observe how staff interacted with residents and how residents responded to staff. The manager returned a standard form, the Annual Quality Assurance Assessment (AQAA), to CSCI. This was taken into consideration and used as part of the inspection process. The manager and staff are very committed to meeting the needs of the residents and assisting the residents to live as full a life as possible while developing their social and daily living skills. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking 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 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents needs and aspirations are assessed, so that a service tailored to their needs could be provided. Evidence: We were able to check the latest statement of purpose and a residents guide, which includes the complaints procedure in the residents guide. The statement of purpose and residents guide has been updated to reflect the changes in the management of the service. As all the present residents have lived at the home for a number of years, there have been no recent admissions to the home. Should a vacancy arise, the registered manager said the home would follow the homes admissions procedure and the prospective resident would be invited to visit the home with family members or friends to help them decide if the home could meet their needs. This would include a complete assessment based on personal history, care management assessment and a full needs assessment would be completed to ensure the home could meet the prospective Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: residents needs before a place in the home was offered. We saw evidence on present residents files that this was the procedure that was followed at the time they were admitted into the home. This included assessments from the residents care manager as well as the homes own assessments. The registered manager said prospective residents, their family and care manager would be invited to visit the home to look around and meet the present residents and staff. If that went well they would continue by following the organisations the admissions procedure. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are involved in planning their care with their key worker, the registered manager, appropriate professionals and family members. Potential risks are identified and residents are supported to take risks within a risk management framework. Evidence: We checked three residents files. The organisation has changed how it looks at care plans and is using the 6 Keys to Citizenship throughout its homes to make sure the care plans really capture all the elements in the residents life. All the care plans we saw continue to give a thorough description of residents individual behaviours, reactions and preferences and how the residents like to be treated. Each resident has a person centred plan and are written in an easy to read format. We saw copies of the residents monthly evaluation forums, which review the person centred plan, actions and checks what care plan goals have been met. Risk assessments are Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: reviewed and up dated at this time. These are evaluated by the key worker and with the resident. Staff showed us individual risk assessments, which had been carried out, monitored and reviewed by the staff with residents every six months or when the need arises. Details of any changes to the risks are recorded in the residents care plans, with details of how to manage the risk. Staff and residents said they went to reviews with the registered manager and they always asked other professionals and family members who are involved in the care of the resident to attend. The registered manager said she would remind key workers to to do this during their supervision sessions if it has not been done by the specified time but said most key workers did not need to be reminded. All residents continue to have six monthly reviews or earlier if the need arises. The annual review is conducted by the residents care manager and includes the residents family members, key worker and any relevant professional involved in the residents development. One residents family are very involved with aspects of their care because of the ongoing developing health needs. The home is very open with the family and there are regular best interest meetings held with all concerned because of the residents deteriorating health. Copies of all relevant documentation was on file. The home has discussed the ethics of someone sitting down with the resident about their illness was discussed at length at the time of the prognosis. The issue of the residents emotional well being continues to be paramount and the home support them to remain positive about their future life. Because the resident has lived in the home for a number of years, they want to stay where staff and residents know them till the end. The home has continues to monitor and reassess their needs and act appropriately when the needs change. The palliative care team are involved in their care. We were told they are very good and are on call should they be needed. As the resident has become more anxious about going out of the home so the home has organised for services, such as the dentist and optician to come in to them. As mobility has become more of an issue, they have had occupational assessments carried out and mobility aids have been put in place. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents engage in appropriate, enjoyable and fulfilling activities and mix with the general community. Residents are actively encouraged to keep in touch with friends and family and develop appropriate friendships. Residents rights and responsibilities are respected. Evidence: We met all five residents during the course of the inspection as they came and went to a variety of activities through out the day. We saw residents have a choice of activities and this is recorded in their files but it is flexible. Staff said they are in the process of reviewing the activities with the residents to broaden the activities and develop any Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: potential skills they have or will needs. As part of the residents daily living development plan, each resident is encouraged to take part in the running of the home and has household chores that they do on a regular basis. The emphasis and culture of the home is changing to fit in with how people in care are supported and this is being reflected in residents care plans and staff attitudes. More emphasis is being put on self help and developing daily living skills when possible rather than having things done to them or for them as it was in the past culture of the home. These are discussed and agreed at the residents meeting, with residents stating what they want to do. The registered manager said residents have a number of structured activities and they are encouraged to do these with the support of their key worker. Staff said they go through the activities with the resident to make sure they understood where they were going. Decisions about what activities residents are going to take part in are made in a variety of settings. Some decisions were made at residents meetings while others were made at reviews and others at individually key worker meetings, which are held every month with the resident. A member of staff told us how through talking to the residents they have discovered they enjoy going to football matches and have arranged for them to go regularly to see their favorite team. The manager will put extra staff on duty to cover outings such as this. Each resident has a cultural needs assessment and spiritual needs assessment on file. Because the residents have lived at the home for so long staff are aware of everyones spiritual and they review these with the residents and if need be find different avenues to address them. Two residents attend a local church regularly, which they enjoy and are very much part of the church community. The registered manager and staff said residents continue to have regular contact with their relatives and in the case of one resident are very supportive. The home always includes relatives in any arranged activities such as BBQs as well as reviews by sending out invitations in the form of a letter. The registered manager said relatives continue to act as advocates in decisions relating to social and health care needs of their relatives placed there while others were not able to do this. Meals are discussed in residents meetings. All residents are encouraged to eat healthy meals but one resident in particular has had mobility problems because of their weigh. To help them they have introduced them to Lambeth Healthy Eating group. They are going weekly and staff say as they have lost some weight, their mobility has improved. There is a good range of food on the menu. The type of food is chosen from past experience of food the residents like and which had a good range of food with healthy options, such as low fat food and fresh fruit. The staff said that all the residents are encouraged to eat a healthy diet. We saw residents making drinks for themselves and staff encouraging and motivating residents to do more for themselves where possible. Care Homes for Adults (18-65 years) Page 15 of 29 Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive personal support, in the way they prefer and their physical and emotional needs are met. Residents are protected by the homes policies and procedures for dealing with medicines. Medication administration was found to be properly documented and is handled safely. Evidence: Care files contain information for staff about residents who need personal support with their preferred personal care routines. There is a key worker system is in operation, with each resident having two members of staff from within the team to co-ordinate their support and care planning. The three residents support plans we saw contained information about how each resident like to be supported in all aspects of their daily lives. Each resident has health action plan. All residents have health action plans and we saw these are reviewed every six months and evaluated or sooner if the need arises. There is a record of health appointments attended. Residents are supported by Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: staff to attend an appropriate range of healthcare appointments in line with their individual healthcare needs. After the appointment the outcome and any treatment needed is recorded in the residents health care file. One resident returned from an appointment during the inspection and we saw the staff recording information about the outcome of appointment in the residents file. Due to the deterioration of the residents health, the home have involved a number of professionals to assess, monitor and provide specialist care. The palliative care team and a number of mobility aids are in place to help the resident and in the aim of keeping the resident at the home for as long as possible and help and enable staff to meet their needs adequately and safely. There is a corporate policy on administration of medications. The home has reorganized how it stores medication and residents files. These are now has a large lockable cupboard in the lounge. The residents medication is stored securely in a locked medication cabinet within this cupboard in the lounge. The home uses the Boots medication system and we checked the residents medication with a member of staff and all were found to be correct. The manager said there are certain medications that need two staff to sign for. Staff induction includes medication training and medication administration records. The training includes information about the medications in use. Staff said they have further training while working in the home as well as an annual medication refresher training to keep them up to date with any new medicines or procedures. Any allergies the residents may have are highlighted and recorded on their medication charts. Homely remedies are signed as being able to be given by the GP and there is a letter on one residents medication chart, saying they can have a specific homely remedy. The registered manager said they audit the medication weekly and this was recorded on the residents medication chart. The local pharmacist comes into the home every six months to check the medication and attends a team meeting to give the staff refresher training in medication. This indicated there were no issues that needed to be addressed by the home. All medication dispensed is double checked before being given to the resident. All residents have had a funeral plan in place for sometime. This was done as sensitively as possible with residents and their families by asking what would they want if they were not here. One resident said they would like music and another said they wanted to be taken by bus because they liked buses. Another said they wanted flowers. These are still in place. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are safeguards in place to protect the resident from abuse, neglect and selfharm. Evidence: There is a complaints policy and this is kept in a folder that is accessible to residents and their relatives. This is also in visual and easy to read form for all to understand. We were shown the complaints book. There is a complaint procedure in place, which is also in visual and easy to read form for all to understand. There was one complaint recorded. The registered manager said they followed the homes complaints policy and dealt with it immediately. It was refereed to the appropriate professionals and investigated. We were told about the complait and kept informed of the out come. We were able to see the relevant documentation on file in the home. The registered manager said they treat all complaints with the same seriousness. The residents who all responded to the CQC survey said they would make any complaint they had to the staff or the manager. The home has a copy of the Adult Protection and Whistle Blowing policy that conforms to Local Authority requirements. The Adult Protection and Whistle Blowing policy is written in an easy read with pictures. We were able to check the residents money and petty cash accounts as part of the Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: inspection when one member of staff was recording what had been spent by the resident that morning. The staff told us there is a new petty cash system in place and how residents get their money. These were in order. The staff explained a receipt must be obtained for all purchases and the amount spent recorded in the residents accounts book. The member of staff supporting the resident when the money is spent is the one who signs this and this is counter signed by another member of staff who checks this. The money is audited monthly by the manager and there is a financial audit by the organisation annually. Staff said personal money and valuables are checked twice daily as part of the handover system. There have been a number of best interest meeting held that have included the resident, their family, staff of the home, care manager and other relevant professionals. There were copies of the issues were discussed and the outcomes on the residents files. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is bright and comfortable. The accommodation for both individual and shared use is furnished appropriately and maintained. Residents rooms are comfortable and are decorated to reflect their personalities. There are adaptations in place to assist residents with mobility needs. The standard of hygiene was very good with no unpleasant odours. Evidence: The home occupies the basement and ground floor of a large four-storey house. The home is not suitable for people with mobility restrictions as there are stairs outside up to the front door and inside to the basement facilities. As the building is listed, this cannot be altered. We observed staff assist the resident with high mobility needs being assisted into the home in a wheelchair. This was being done with an aid recommended by the occupational therapist and although it takes time to do this it means the resident is able to access the house safely and staff do not need to use manual handling to lift the resident at any point in the procedure. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The communal rooms are all on the ground floor which consist of a kitchen, dinning room with a sitting area and a separate lounge. Off this lounge is the bedroom of the resident with mobility needs. This bedroom has ensuite facilities. The basement floor has a bathroom with toilet and a separate shower room. Residents have a choice of bath or shower, with both having suitable disability facilities but are not easily accessible from the living area if you have a disability. Four of the bedrooms are in the basement area with the staff office and the laundry facilities. The ground floor bedroom has en-suite facilities, and this is the bedroom the resident who has health and mobility needs now has because of their deteriorating health and mobility needs. The occupational therapist has assessed the resident, the building and their mobility and has made recommendations as well as advising the home what and how adaptations can help the resident, both in accessing the home and moving about within the home safely. There is also a toilet with wash hand basin on the ground floor close to the communal rooms for use by all residents. Bedrooms are personalized and reflect the taste and interests of the resident and has a wash hand basin. We spoke to three residents who said they are happy with their bedrooms and they said they chose how their bedrooms were decorated. The hallways, bathroom, shower room and the communal rooms have all been redecorated in the last two years, making the home bright and cheerful. We were told the residents are choose the home is decorated and furnished. They have recently chosen the colour they wanted the lounge to be painted and were very pleased with the result. Residents are also encouraged to decide how they want their bedrooms to be decorated and choose the type of paintings, posters, furniture, bedding, curtains or blinds they wish to have. One resident was able to show us their bedrooms and we saw two others and all were very different and individual to that resident and their needs. There is a very large garden to the rear of the home, which is accessed by steps from the basement area, and shared with the other housing association tenants. The premises were found to be clean, hygienic and free from offensive odours throughout and the home has thorough policies and procedures in place to control infection. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Training needs of all staff is formally identified and planned during supervision and at their annual appraisal. Appropriately trained staff meets the residents individual needs. The recruitment procedures followed are safe, thorough and comply with legal requirements. Evidence: The organisation that runs the home has a very structured recruitment procedure and training program that applies to all the homes within their organisation. The inspection was facilitated by the manager of the home. They are very experienced and have worked for the organisation for a number of years. We met four staff during the inspection and were able to speak to three individually in private. Staff told us they had regular supervision every month and had their annual appraisal. This is recorded in the staff files we saw. All the staff have obtained at least NVQ 3 or are working towards this award. The manager said the organisation has a training manager who has devised a training program. This is sent around to all the homes in the organisation. Staff have a learning and development portfolio and are encouraged to Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: take responsibility for their development. The staff we spoke to said the training was good. We saw a copy of the learning and development calendar. This is colour coordinated to indicate what type of training it is. For example, where its mandatory, management, race, equality, corporate induction or other training. The manager is also sent reminder when staff are due to have training. The number of courses the organisation has is impressive. The staff at the home have attended a wide range of training to help them with their work supporting the residents. Residents are encouraged to take part in the recruitment of new staff if they are able to do so. They are given training to help them do this. The manager said they had recruited three new staff. The managers are involved with the recruitment of staff for the home and organisation. We were told they use a competency based interview when recruiting support workers and managers. Staff are only appointed after CRBs are in place and two references have been received from their previous employer. New staff are given a job description, a contract and must have medical checks. All staff are given a copy of the staff handbook. The organisation holds an induction day for all staff that join the organisation. This gives all new staff a general induction into the organisations policies and procedures. This gives them an over view of the organisation including their vision and values. There is an induction checklist for support staff that the managers must follow to ensure all staff have the same induction standard. New staff undergo a six month probationary period and take part in a twelve week LDQ induction training, as well as having core and mandatory training. The registered manager would assist a new member of staff develop an individual development program to make sure their induction and development training was relevant to the needs of the residents. We saw copies of individual staff learning and development plans. This listed personal competency objectives, such as SOVA and organisations competency objectives, such as Southside induction program. Even when staff transfer within the organisation, references are still taken up. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team is lead by a capable, experienced manager who runs the home well and puts the resident first. Working practices and associated records ensure that the health and safety of residents is promoted Evidence: The present manager has been at the home since February 2008 and has worked for the organisation for ten years. She applied to become the registered manager and had her registered managers interview in March 2009. She has an NVQ Level 4 and RMA Award and has taken the NVQ assessors award. As part of her professional development she has taken the course Train the Trainer so she is able to provide internal training for staff and a number of management courses such as a leadership course, performance management and managing staff. We saw records of staff and residents meeting that are held regularly. All the records Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: we saw were clear and well kept. There was a clear audit trail of how the residents best interests were being met as well as by having best interest meetings involving all the relevant professionals. The organisation has a quality assurance monitoring system in place, which systematically gathers feedback from the residents and other professionals and enable their views to continually influence service development. The organisation has been inspecting the home under Regulation 26 of the Care Regulations 2001 and keeps copies in the home which we saw. The residents that completed the CQC survey all said they were happy with the home and could speak to the manager or staff if they did not feel happy about anything. One said they could speak to their key worker. All said they are happy living in the home both in the survey and when we spoke to them during the inspection. We saw records of the homes health and safety and equipment checks and audit. The records viewed indicated the homes health and safety services and equipment have been checked, serviced and maintained at the appropriate intervals. There are written policies and arrangements for maintaining safe working practices in place, including appropriate risk assessments. The organisation updates these on a regular basis. We checked the fire records and precautions. There was a copy of the fire certificate, floor plan and risk assessment on file. There are records of the break alarms are being tested weekly and fire-fighting equipment has been checked regularly. The organisation conducts an annual health and safety report. This is undertaken by an independent body to make sure that the house is safe for the residents to live in. All the records checked were clear and well kept. There was a clear audit trail of how the residents best interests were being met by having best interest meetings involving all the relevant professionals. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 Audit medication folder and remove all out of date information. Up date the record of staff signatures and initials. Care Homes for Adults (18-65 years) Page 28 of 29 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. 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