Care Home: Chamberlain Way, 17

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well Chamberlain Way offers short stay accommodation on a respite care basis only. The home once again, demonstrated good care practices in meeting the needs of the people who come to stay. The deputy manager and staff team work well to ensure that people feel at home when they stay away from their regular carers. The staff group are very committed and work well together to provide a high quality service, which ensures that those using the service enjoy their stay and have all their needs met. Plans of care are accurate, well created and reflect each person`s individual needs and preferences in a person centred way. The home provides a range of stimulating activities and supports people to be part of the local community and people are provided with good social and recreational care and support. There are numerous planned social events for people to take part in when they stay. Families are also involved in all aspects of each individual`s care and are encouraged to voice their opinions in order that the service continues to be one of quality. Another feature of the home is that people can join in a `service user forum` where they can give their views and suggestions and contribute towards the running of the home. What has improved since the last inspection? At our last inspection, there were no areas that we required for the home to improve upon. The AQAA gave good information about how the service has developed and made changes as a result of listening to the people who use it. There have been an increased range of activities including theatre trips to West End productions and short holidays for people to go away with their friends. The AQAA also said, "We have supported carers to go on shared holidays by careful booking arrangements, ensuring certain service users are booked together so parent/carers can go on holiday together." Some of the bedrooms have been redecorated and new furniture purchased. What the care home could do better: We have made two requirements following this inspection. Training records for agency staff must be kept in the home to show that they have the knowledge and skills to meet the needs of people using the service. The home`s policies and procedures need to be reviewed and include any revised legislation. Staff need up to date policy guidance to underpin good practice and ensure that the rights and best interests of people using the service are more fully safeguarded. We have made some good practice recommendations for the provider to consider as follows. We suggest that the home considers developing person centred plans for all individuals who regularly use the service. We think that staff should be recruited specifically to work in this respite service. This is so that people using the service benefit from further consistency and a staff team who are employed and trained for this type of care work. Staff should ensure that they sign care records more clearly for clarity and legal purposes. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chamberlain Way, 17 17 Chamberlain Way Surbiton Surrey KT6 6JH     The quality rating for this care home is:   two star good 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: Claire Taylor     Date: 2 3 0 2 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 28 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 28 Information about the care home Name of care home: Address: Chamberlain Way, 17 17 Chamberlain Way Surbiton Surrey KT6 6JH 02083998254 02083997653 jane.wells@rbk.kingston.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Borough Of Kingston Upon Thames care home 2 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: A qualified, competent and experienced person, other than the Registered Manager, shall be employed to oversee the day-to-day operations of the home. Night time support should be adjusted to reflect assessed needs. Minimum staffing at night must be one sleep in member of staff. Unless waking staff is required as part of a service users` assessed need. Staffing must be provided to meet the assessed needs of all service users. The levels of staffing will vary according to assessed needs and occupancy levels with a minimum of one member of staff on duty at all times. The organisation must ensure that the above minimum staffing levels remain under review and that at all times suitably qualified, competent and experienced persons are working in the home in such numbers as are appropriate for the health and welfare of service users. The Registered Manager is also registered to manage Woodbury, care home for 15 adults with a learning disability. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 2 Date of last inspection Brief description of the care home 17 Chamberlain Way is owned and managed by the Royal Borough of Kingston and provides respite care for up to two people with learning disabilities. The period of stay offered can range from an overnight stay to a number of months, dependant upon the persons needs. The home is part of the Woodbury Community Housing Project, a group of houses linked through management and service provision. Two of the homes within the project are also registered with the Commission for Social Care Inspection. The home is located next door to one of these, namely Woodbury and retains strong links with the service. The Registered Manager oversees operations in all units, and is based mostly at Woodbury. As a condition of the registration of Chamberlain Way, a senior member of staff has been employed to manage the day-to-day operations of the home. There is a large garden to the front and rear of the home. Accommodation in single bedrooms with a communal lounge, dining area and kitchen. Fees were given as £9.18 for an overnight stay at the time of this inspection. A copy of the Service User Guide and Statement of Purpose can be obtained on request from the home. There been no changes in the ownership, management or the services registration details in the last 12 months. The last key inspection of this service was carried out on the 22nd February 2007. Care Homes for Adults (18-65 years) Page 5 of 28 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: two star good 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: We completed this inspection on 19th February 2009. We spent a day at the home and the registered manager and deputy assisted us with the inspection. Before making our visit we reviewed all the information we have about the service and looked at information that the manager was asked to send to us on an Annual Quality Assurance Assessment (AQAA). This is a written self-assessment that the registered person must complete every year. It is used to tell us how well the home is meeting the National Minimum Standards, what has been done to improve the service since the last inspection and what still needs to be done. The AQAA was returned when we asked for it and provided us with good information about what the service does well and where it plans to improve. Some details from the AQAA are included in this report. We also wrote to people before we visited to ask what they think about the service. On this occasion, two people who use the service completed a have your say comment card with support from their relative.Towards the end of the visit, we met with three people Care Homes for Adults (18-65 years) Page 6 of 28 and one staff on their return from daily activities. Various records were looked at in relation to care planning, staffing and the way the service is run. We also looked around the building. We would like to thank all those who took part in this inspection process. 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 Care Homes for Adults (18-65 years) Page 8 of 28 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 10 of 28 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. Good information is available about the home to help people make a choice about whether to use the service. Good arrangements are in place for assessing peoples needs so that staff are aware of how to support them. Evidence: We looked at an updated Statement of Purpose and Service User Guide. They both contained lots of useful information and were written in a way that is meaningful and specific to the individual service. The home has used photographs, pictures and simple language to help people understand what rights they have at the home and what they can expect while staying there. When asked if they were given enough information about whether to use the service, a relative wrote, we were given lots of info and a visit to chat further. The local authority has clear policies and procedures in place regarding admission; they also ensure that any new person would be central to the process when they come to use the service. We looked at records for four people who use the service. Care managers had provided full needs assessments and staff had also completed one in the home following admission. Assessments focused on achieving positive outcomes Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: for people and covered all aspects of a persons life, including individual strengths, hobbies, social needs, dietary preferences, health and personal care needs. The needs assessments had been updated each year meaning that staff have accurate information to support peoples needs. There were also good records to show that each person had received appropriate support to familiarise themselves with the home. People had been offered introductory visits including staying for meals and joining in with activities. For how the home has improved the AQAA stated, We have increased the number of service users using the service. We have supported people in crisis. We have listened to feedback from families and service users. We are facilitating holidays by demand. Some planned improvements said, Develop DVD involving service users to describe the service in addition to updating the Service User Guide. Care Homes for Adults (18-65 years) Page 12 of 28 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. Peoples needs and goals are met as the home has a plan of care that the person, or someone close to them, has been involved in making. Individuals are consulted and given opportunities to influence how the home is run. 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. Evidence: We looked at a selection of care plans for five people, each of whom were either familiar to the service or who had just started using it. Known as My support plan, each one showed that full information had been gathered to identify the persons needs, likes and dislikes and how the staff should best support them to achieve their personal goals. Plans told us about peoples religious and cultural beliefs, their preferred leisure activities, relationships and ways of communicating. Each plan detailed how each persons identified health, personal and social care needs would be met, and for example, how staff should support an individual with their personal care, or respond to behaviour that may challenge the services they require. Written in a Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: person centred way, there was full consideration given to peoples preferences and what individuals can do for themselves and where support is needed. Care records included clear information about any specific preferences in relation to peoples ethnicity and culture. One example being dietary requirements associated with a persons religion. Plans showed evidence of regular internal review as well as annual reviews by the local authority. The deputy manager was able to describe how the home uses and helps develop care plans, and was clearly knowledgeable about each persons needs. Efforts have been made to ensure plans are presented in an easy-read format that is accessible to people. Things that were important to the person, raised at reviews, had been followed up by the home. For example one person wanted to go away on a short break with their partner and this was arranged by the home. We also saw detailed daily records that gave a sense of a persons experience of their day. Entries showed that people are supported to do the things they like to do in their spare time and to continue their relationships with family and friends. As good practice, staff should ensure that they sign care records more clearly however for clarity and legal purposes. Plans included comprehensive risk assessments that matched the needs of each person and had been regularly reviewed. A risk assessment also tells the staff how to make sure that each person is kept safe from anything that might harm them. Plans show what action should be taken to lessen risk, whilst encouraging independence for people. Examples included use of the kitchen, safety in the community, mobility, eating and drinking and using finances. Some records for one person who has been using the service for many years were not as person centred as they could be. We therefore suggest that the home considers developing an appropriate plan with the person. In addition, the home could look at implementing person centred plans for other individuals who regularly use the service. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Relationships with family and friends are well supported and daily routines ensure that peoples dignity and rights are respected in their daily life. People have healthy, wellpresented meals and snacks, at a time and place to suit them. Evidence: Care records showed that people can do the things they want to do and try out new activities. When people come to stay, they are also encouraged to fulfill their usual routines, as they would normally do with their main carer. Routines in the home are very flexible to meet peoples individual needs. People using the service attend day centres, college classes and community activities organised by the home either independently or with staff support as necessary. A feature of the home is that people can join in a service user forum where they can give their views and suggestions and contribute towards the running of the home. A planned list of events and activities is also sent to individuals and their families so that they can choose what they would like Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: to do when they come to stay. One relative wrote, our daughter has an opportunity to discuss what she would like to do at her visits. We saw good information about a range of activities on offer such as theatre and restaurant trips, cinema, parks and themed weekend holidays. The deputy discussed future plans to set up a bowling team for those people who were interested. During our visit two people came to the house for an evening social group known as past-times.This is a regular event held in the home for people to get together, have a meal and join in with house activities. As well as the neighbouring homes own transport; people regularly use public transport services including buses and trains. People have been on day trips to London, Brighton and several theatre trips to see a West End show. There is also a regular social club run by Woodbury where people can meet up with friends and join in events. As this service provides respite care, menus are planned each day with people when they are staying at the unit. Pictures and photographs are used to help people make choices. Alternatives are provided as well as accurate records kept of individual preferences. On return from their day activities, we saw staff ask each person what they would like to eat that evening. People were also supported to prepare themselves a cup of tea and a snack. Records showed that each person is supported to develop their independent living skills and personal development. Parent/ carer meetings are also held every two months to discuss any relevant issues about the home and the organisation. Care Homes for Adults (18-65 years) Page 16 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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. Evidence: Records showed that staff promote peoples health and wellbeing and ensure that any healthcare needs are supported. Each person had their own health action plan that outlined the support they may need for health check-ups and health screening. One individual had a detailed support plan concerning the management of their epilepsy. This ensures that staff know what action to take to meet their needs. We saw that medication was stored securely, records were accurate and balances of medication corresponded with the supply held. Facilities are provided for the safe keeping of medication in each bedroom. People who come to stay are supported to take their own medication if they choose and are able to do so. We saw that each person had a written profile to specify what medication is required together with any homely remedies, authorised by their GP. The staff receive regular medication training through the local authority training department. Records showed that their training was up to date. Care Homes for Adults (18-65 years) Page 17 of 28 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. If people have concerns with their care, they or those close to them, know how to complain. Their concern is looked into and action taken to put things right. Arrangements for protection from abuse are well managed and help ensure that people living in the home are safe. Evidence: The homes complaints procedure was available in an easy read version. The procedure explained how complaints would be investigated and how long it would take to do this. Two people using the service ticked on their survey that they knew who to speak to if they were unhappy and how to complain. The AQAA stated that the home has received no complaints within the last 12 months and no complaints have been reported to us. We saw policies and procedures for safeguarding adults that give clear, specific guidance to staff working at the service. The home is owned by the local authority who had updated their guidelines on safeguarding in November 2008. The procedure was clear and helps staff know when incidents need external input and who to refer the incident to. Records confirmed that staff are properly inducted on abuse awareness and had completed training on safeguarding. The manager confirmed that there have been no safeguarding adults referrals or investigations at the home since the last inspection. Care Homes for Adults (18-65 years) Page 18 of 28 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. People using this service are provided with a safe, clean and comfortable living environment that meets their needs and lifestyles. Evidence: We had a look around the home which was clean, comfortably furnished and decorated to a very good standard. There is a varied choice of indoor entertainment for people to use including widescreen TV, DVD player and various board games /art and craft activities. In response to requests from some individuals who use the service, the deputy advised that the home was soon to buy a computer games Wii console. We saw that the bedrooms were attractively decorated, clean and well maintained. Furniture and fittings were of good quality and domestic in nature. People are supported to make the room their own when they come to stay. We saw that the person staying in the home had brought in some personal possessions that were meaningful to them. Improvements on the AQAA in the last 12 months stated that bedrooms have been redecorated and furniture has been purchased. Staff use a repairs/ maintenance report form to highlight any areas within the premises that need attention. All maintenance work is undertaken by the owning local authority and the deputy advised that any issues were always dealt with promptly. The premises were clean, tidy and free from any obvious hazards, ensuring that people stay in a homely and comfortable environment. Two people using the service ticked that the home was Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: always fresh and clean. The deputy summarised on the AQAA We are aware that the service needs to be able to accommodate service users who have additional physical disabilities. The Royal Borough of Kingston is currently reviewing the service and identifying the future projected needs. Care Homes for Adults (18-65 years) Page 20 of 28 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. Overall people are supported by a stable staff team who have a range of skills and experience to meet their needs. Evidence: The deputy manager is responsible for the day-to-day running of the service, supported by regular bank staff who are employed within other homes run by the local authority. At the time of our visit, the home was using an increased number of agency staff due to vacancies. We looked at some of the rotas. These confirmed that staffing levels are organised flexibly and according to the level of occupancy and peoples individual needs. For example, a waking night staff is provided when one person comes to stay as they had specific support needs. Staffing is generally provided from 7am until 10am, then again from 3pm until 10pm during weekdays, and throughout the waking day at weekends. Rotas showed that there is always a minimum of one staff member when people are at the home and that regular agency or bank staff were being used. We were informed that the agency staff have worked at the home for some time and were therefore familiar with the people using the service and the homes daily routines. Although the home uses a consistent core group of staff, we think it would be better if staff were recruited specifically to work in the respite service. This is so that people using the service benefit from further consistency and a staff team who are employed and trained for this type of care work. In addition the Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: manager should keep a record of all training that agency staff have undertaken. This will confirm that they have the necessary knowledge and skills and also identify any further training needs or updates required. We saw a detailed information file for staff that included a range of procedures, an expected code of conduct and completed competency questionnaires for staff who work on call. We also saw that the agency staff had received a thorough induction to the home. The manager had also accessed the Common Induction Standards published by the Skills for Care Organisation. This is designed to help ensure that all new staff entering into the care industry undergo a minimum level of initial training. Interactions we saw showed that people staying at the home were comfortable with the staff member on duty. The two people who returned surveys ticked that staff always treat them well and that staff always listen and act on what they say. For how home has improved, the AQAA said, Continued to develop the Induction Programme. Set up new staff files. Continued to qualify NVQ Level III candidates. The manager explained that staff records are kept at the main office in Woodbury as some staff work jointly across the two homes under a staff bank system. Recruitment procedures were detailed and practices thorough to ensure that staff are vetted correctly before they begin work. This means that people using the service are protected from unsuitable workers. We looked at records for one staff which contained all the required legal checks and documentation. The local authority has a rolling programme of training to ensure that staff update their skills and knowledge. We saw a training plan for the staff team which identified what courses they had completed and when they were due to update. The service recognises the importance of diversity issues and the implications of the Mental Capacity Act. Staff had also attended recent training on such topics. As the home had been using regular agency staff, records must be kept in the home to show that they have the correct skills and expertise to meet the needs of people using the service. Care Homes for Adults (18-65 years) Page 22 of 28 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. The management arrangements are meeting the needs of the service, and people benefit from an experienced and stable manager. People are often consulted about quality of the services provided and have influence over the way the home is run. Record keeping is well managed to ensure that peoples rights and best interests are safeguarded. The environment is safe for people and staff because health and safety practices are carried out. Evidence: The registered manager is very experienced and has worked in a caring establishment within the local authority for many years. She has achieved the required qualifications and continues to update any training as necessary. The manager is mainly based at the neighbouring residential home, Woodbury. Chamberlain Way operates in conjunction with Woodbury and the manager is supported by an experienced and long standing deputy, which ensures the smooth running of both homes in order that the needs of people using the service are met. She too is an experienced senior member of staff who has completed lots of relevant training including the NVQ Level 3 qualification in care. The deputy is also a trained NVQ assessor which means she is Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: able to assess candidates studying for their NVQ level 3 qualification. The AQAA confirmed that two staff have completed such training. The quality of the service being provided is assessed in a number of ways. People using the service and those that are close to them are offered a questionnaire once a year, there is a forum group known as service user parliament and regular meetings held to enable relatives and others to have a say on how the service operates. We sampled some of the surveys offered to people and their relatives or carers. Responses were highly complimentary and the deputy then held a meeting to discuss any findings and how the home would act upon peoples suggestions or comments. Examples included requests for more indoor games, to arrange a disco and more holidays. We saw that the home was meeting these requests which means that people using this service have good influence over the way it operates and that their views are recognised in future planning. Monthly visits had been carried out by the owning local authority to monitor the conduct of the home. Reports were detailed and showed that any findings from their audits are acted upon. We saw that some of the homes policies and procedures had not been reviewed since 2001. These should now be reviewed and up dated accordingly to reflect changes in both the homes practices and any revised legislation. Staff need up to date policy guidance to underpin good practice and ensure that the rights and best interests of people are more fully safeguarded. There is policy guidance for staff to follow regarding a range of health and safety activities but as mentioned earlier, some are now in need of review. The completed AQAA stated that all relevant safety checks were up-to-date. We looked at some of the servicing and maintenance records for the home. The electrical safety certificate for the building was not available. The manager took prompt action to address this and provided us with a copy following our visit. Fire alarms and equipment had been serviced and practice evacuation drills held regularly. Checks on hot water temperatures were being carried out regularly to ensure that they are maintained at a safe limit. Detailed risk assessments were in place concerning the premises and safe working practices. These aim to safeguard the welfare of all people living and working in the home. We saw that accurate reports are kept for any accidents and incidents and that any actions taken were clearly recorded. Care Homes for Adults (18-65 years) Page 24 of 28 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 25 of 28 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 1 35 18 Training records for all 30/04/2009 agency staff need to be kept in the home. This will show that they have the knowledge and skills to meet peoples specific needs. 2 41 12 Policies and procedures must be updated and reviewed to reflect any current legislation. So that up to date guidance is available for staff to follow and further safeguard the best rights and interests of people using the service. 31/05/2009 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 6 That person centred plans are developed with people who regularly use the service. Care Homes for Adults (18-65 years) Page 26 of 28 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 2 34 That staff are recruited specifically to work in the respite service. This is so that people using the service benefit from further consistency and a staff team who are employed and trained for this type of care work. Staff should ensure that they sign care records more clearly for clarity and legal purposes. 3 41 Care Homes for Adults (18-65 years) Page 27 of 28 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. 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 28 of 28 - 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!