Care Home: Chard Manor

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well There is a calm and relaxed atmosphere within the home with service users appearing content and comfortable within their environment. The registered manager has many years experience of working with people who have a learning difficulty and displays good leadership skills. The home has a clear sense of direction and staff are enthusiastic about their jobs. Everyone asked said that there was good communication and good teamworking. Some health and social care staff commented positively on the communication in the home. Another wrote that the home had a "competent staff team with excellent morale." Prospective service users are fully assessed and have ample opportunities to spend time in the home before deciding to move in on a permanent basis. All service users have access to health and social care professionals according to their individual needs. Clear records are kept of all appointments. There are a wide variety of leisure activities for service users to take part in. There are two vehicles which enables service users to have trips out and to access local facilities. All service users are given the opportunity to have holidays away from the home with staff support. The home assists people to keep in touch with friends and family. What has improved since the last inspection? The home has begun to replace care plans with individual support plans. These are much more comprehensive than the old style care plans and enable the views of many individuals, important to the service user, to have input into the plan. This gives a much more holistic picture of peoples wishes and goals. The home has up dated some policies and procedures in line with recommendations from the last inspection. The statement of purpose and service user guide has been up dated in line with any changes in the home. The home has also purchased a food picture book to assist people to make choices about the food that they eat. What the care home could do better: The home should further develop the use of pictures and symbols to ensure that people have opportunities to make choices about all areas of their life. The days menu should be clearly displayed in an accessible format in a prominent position in the home. Many areas of the home would benefit from redecoration and there should be a plan in place for ongoing decoration to ensure that all areas are maintained to a high standard. Heavy furniture needs to be secured to ensure that it does not topple forward and cause injury. In instances where cupboards and drawers need to be looked this should be done in a way that is unobtrusive to maintain the dignity of the service user. Currently only 4 of the 24 staff have a National Vocation Qualification in care which is well below the recommended 50%. Some staff and relatives also thought that staff would benefit from ongoing training in areas specific to the needs of service users. Currently the home has a condition on their registration to enable them to accommodate up to two named people between the age of 16 & 18. There are currently no service users in this age group living at the home and new staff are not checked against the Protection Of Children Act register nor do they receive training in child protection. Therefore the home needs to either apply to remove this category from their registration or ensure that all staff have the appropriate checks and training. CARE HOME ADULTS 18-65 Chard Manor Tatworth Road Chard Somerset TA20 2DP Lead Inspector Jane Poole Unannounced Inspection 4th December 2007 09:45 Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chard Manor Address Tatworth Road Chard Somerset TA20 2DP 01460 261016 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Voyage Ltd Mr Gary Bush Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two places are permitted for named individuals aged between 16 and 17 years 18/01/07 Date of last inspection Brief Description of the Service: Chard Manor is an attractive listed building. It provides personal and supportive care for up to ten people with a learning disability age 18-65. The home also has a condition to accommodate up to two named people between the age of 16-18 years. The home is not far from the town centre, off the Axminster Road, close to the Church. It is accessed by a private drive, shared by other properties nearby. It is surrounded by gardens that are partitioned to provide two separate enclosed, safe areas and other, more open garden facilities. There are ten single rooms, all with en-suite baths. Some rooms have also been fitted with shower facilities. There are two spacious living rooms, a large sunroom and a dining room next to the kitchen. The home also has en-suite facilities for staff on sleep-in duties. The current scale of charges is £1,289 to £1,985. per week Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The inspection visit lasted 5.5 hours, during this time the inspector was able to meet with staff and service users, observe care practices, tour the building and view records. Prior to the inspection the manager completed an Annual Quality Assurance Audit. This was a comprehensive document that set out the homes achievements and their plans for the future. 9 staff, 8 relatives/carers and 4 health and social care professionals completed questionnaires prior to the inspection and one relative was spoken to. Some of their comments have been incorporated into this report. The registered manager was at the home throughout the day. The inspector was given unrestricted access to all areas of the home and all records requested were made available. What the service does well: There is a calm and relaxed atmosphere within the home with service users appearing content and comfortable within their environment. The registered manager has many years experience of working with people who have a learning difficulty and displays good leadership skills. The home has a clear sense of direction and staff are enthusiastic about their jobs. Everyone asked said that there was good communication and good teamworking. Some health and social care staff commented positively on the communication in the home. Another wrote that the home had a “competent staff team with excellent morale.” Prospective service users are fully assessed and have ample opportunities to spend time in the home before deciding to move in on a permanent basis. All service users have access to health and social care professionals according to their individual needs. Clear records are kept of all appointments. There are a wide variety of leisure activities for service users to take part in. There are two vehicles which enables service users to have trips out and to access local facilities. All service users are given the opportunity to have holidays away from the home with staff support. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 6 The home assists people to keep in touch with friends and family. What has improved since the last inspection? What they could do better: The home should further develop the use of pictures and symbols to ensure that people have opportunities to make choices about all areas of their life. The days menu should be clearly displayed in an accessible format in a prominent position in the home. Many areas of the home would benefit from redecoration and there should be a plan in place for ongoing decoration to ensure that all areas are maintained to a high standard. Heavy furniture needs to be secured to ensure that it does not topple forward and cause injury. In instances where cupboards and drawers need to be looked this should be done in a way that is unobtrusive to maintain the dignity of the service user. Currently only 4 of the 24 staff have a National Vocation Qualification in care which is well below the recommended 50 . Some staff and relatives also thought that staff would benefit from ongoing training in areas specific to the needs of service users. Currently the home has a condition on their registration to enable them to accommodate up to two named people between the age of 16 & 18. There are currently no service users in this age group living at the home and new staff are not checked against the Protection Of Children Act register nor do they receive training in child protection. Therefore the home needs to either apply to remove this category from their registration or ensure that all staff have the appropriate checks and training. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessment of prospective service users is excellent ensuring that the home meets the needs and expectations of people. There are ample opportunities for people to spend time in the home to assist them to decide if it is the right place for them. EVIDENCE: Since the last inspection the statement of purpose and service user guide has been updated to reflect all changes in the home. Copies of these documents have been given to service users who are able to understand them and placed in personal files. Relatives/carers who completed questionnaires prior to the inspection stated that they received adequate information about the home. One new person has moved into the home and a full assessment was undertaken over an extended period of time. Staff from the home visited the prospective service user in the school that they were attending and had opportunities to meet with significant people. The prospective service user was able to visit the home and have several overnight stays before making a decision to move in on a permanent basis. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 10 One health and social care professional who completed a questionnaire prior to the inspection stated that the assessment process was excellent and very person centred. They stated that the home worked very hard to make the transition for the service user a very positive experience. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs and abilities are reflected in their care plans and these are being expanded to give more comprehensive information. The home needs to expand the way that they offer choices to people who have limited verbal communication. EVIDENCE: The home is changing the care plans to a much more comprehensive individual support plan. One of these had been completed at the time of the inspection and was viewed by the inspector. It contained extremely comprehensive information about the service users abilities, likes, dislikes and needs. The manager explained that the new style support plans seek information from the service user and their significant contacts to ensure that they give a holistic picture of the person and enable them to identify, and work towards, realistic Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 12 goals. Risk assessments are incorporated into the support plan and these are now measurable enabling them to be adapted as perceived risks decrease or increase. One other care plan was viewed, although much more basic, it contained personal information about the service user and their needs and gave evidence of review and up dates. 9 staff completed questionnaires prior to the inspection, all answered ALWAYS to the question “Are you given up to date information about the needs of the people you support?” All 8 relatives/carers answered ALWAYS to the question “ Does the home give the support/care that you expect and agreed?” The home encourages people to make decisions about their day to day lives. To assist service users to make choices about the food they eat there is a picture book that can be used by people who have little verbal communication. Service users are able to personalise their bedrooms and one person showed the inspector their room that they had chosen the colour of and helped to paint. The manager stated that the home are looking at expanding the use of pictures and symbols to further assist service users to communicate their wishes and preferences. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a wide range of social activities for service users to take part in. The home assists people to keep in touch with family and friends. EVIDENCE: Staff spoken to during the inspection stated that service users are assisted to take part in household chores to learn and develop independent living skills. People assist with cleaning, cooking and shopping. No one at the home currently has employment outside the home but several people attend college in Yeovil to take part in courses in cooking, drama, horticulture and independent living skills. There is a wide range of leisure activities for people to take part in. Each week an activity sheet is drawn up and placed on the notice board. On the day of the inspection several people went swimming in the morning, some went Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 14 shopping and some went to college. Other activities available include tennis, sailing, trampolining, walks, massage and beauty treatments. One person belongs to a local carnival club and told the inspector how much they enjoyed making and appearing on the carnival float. There were photos in the home of service users enjoying trips out, parties and other social events. Everyone has the opportunity to go on a holiday away from the home with staff support. Many people also go away to stay with family and the home assists with transport for some visits. Visitors are always welcome at the home and are encouraged to drop in rather than make an appointment. Relatives/carers who completed questionnaires stated that the home assisted service users to keep in touch with them. Daily routines in the home are flexible in line with the needs and wishes of service users. Staff were seen to interact with service users in a very friendly manner and service users appeared comfortable with the staff who were assisting them. All bedroom doors have electronic keypads, which some service users are able to use without assistance. One person has had a different lock fitted on their door at their request. The manager should ensure that all service users are happy to have these locking devices and that it is clearly documented in their care plan. There is a large pleasant dining room, which comfortably accommodates all service users. The main meal of the day is at lunchtime and there is a menu on display in the kitchen. The home stated that they are hoping to develop this with the assistance of the pictorial food choices book. This will ensure that everyone is aware of what the days menu is and is able to make choices. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to health and social care professionals according to their individual needs. The procedures and practices in respect of medication promote safe practice and protect service users. EVIDENCE: All service users have en suites where personal care can be carried out in private. Care plans give details of the level of support that each person requires with personal care. The home employs mostly female staff but there are some male staff enabling people to have some choice in the gender of the person who assists them with intimate tasks. All service users are registered with a local GP practice. One health and social care professional stated that the home identifies the need for specialist treatment and acts quickly to ensure that people receive the care that they require. Another person wrote “ my advice is taken and implemented.” Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 16 All medical appointments are recorded in individual files these show that people access GPs, district nurses, speech and language therapists, psychiatrists, opticians, dentists and chiropodists. All service users are regularly weighed and records kept. Staff who administer medication have received training from the dispensing chemist. The inspector viewed the storage facilities for medication and the Medication Administration Records (MARs.) Medication cupboards were clean and well organised. All medication is checked and signed for when it enters the home and MARs were correctly signed when administered or refused, giving a clear audit trail. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are measures in place to minimise the risks of abuse to service users. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. All relatives/carers who completed questionnaires stated that they knew how to make a complaint. All staff answered YES to the question “Do you know what to do if a service user or advocate has concerns about the home?” No complaints have been made to the home or the Commission for Social Care Inspection since the last inspection. Staff spoken to during the inspection were aware of the ability to take serious concerns outside the home. Some staff stated that although many of the service users would be unable to verbally communicate if they were unhappy staff would be able to pick up on behaviour and mood changes that may be indicative of a problem. All staff receive training in the protection of vulnerable adults when they begin work in the home. It is recommended that staff now receive training in the implications of the Mental Capacity Act to ensure that they are aware of how to assist people to make decisions where needed. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 18 The company acts as a corporate appointee for some service users and the home looks after monies for many people. Clear records are maintained which are checked daily. The inspector sampled some personal finances and found that monies held correlated with records kept. New staff are checked against the Protection Of Vulnerable Adults (POVA) register and undergo an enhanced Criminal Records Bureau (CRB) check before they begin work at the home. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28 & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All service users have single en-suite rooms that they are able to spend time in if they choose to. There is a choice of communal areas. Many areas of the home are in need of redecoration. EVIDENCE: Chard Manor is an attractive listed building with gardens to front and rear. The private rear garden is enclosed and has picnic tables/ benches. The home has ten single bedrooms, four of which are on the ground floor. All rooms have ensuite facilities. Communal areas includes two lounges, dining room, a conservatory and kitchen. All areas are fitted with a fire detection system which is regularly tested. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 20 Service users are enabled to use a sectioned area of kitchen in order to encourage independence skills. Service users are able to make their own breakfast at a time of their own choosing, which promotes dignity. The inspector was shown a selection of service users rooms. All had been personalised in line with the needs and wishes of service users. Because the home is an old building many of the floors are not level and therefore they need to ensure that heavy furniture is secured to avoid it toppling over and possibly causing injury to service users. In one room seen the drawers in a chest of drawers had been secured with a large lockable plank, which was not attractive and did not promote a homely environment. Many of the communal areas are in need of redecoration and this has been requested, some months ago, but work has not been carried out. There is a laundry at the home which is appropriate to the needs of the service users. The staff in the home are responsible for all cleaning as well as their caring responsibilities. Staff spoken to were aware of good infection control procedures. All areas of the home were adequately clean on the day of the inspection. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff on duty to meet the needs of service users. Staff are committed and enthusiastic about their roles. EVIDENCE: The home employs 24 staff, 4 have a National Vocational Qualification(NVQ) in care at level 2 or above and a further 4 are working towards the award. The home highlighted further NVQ training as something they could do better in their completed Annual Quality Assurance Assessment (AQAA) The inspector saw evidence that a thorough induction programme is in place. Two thirds of staff who completed questionnaires answered VERY WELL to the question “Did the induction cover everything you needed to know?” Other people answered MOSTLY. There are regular up dates in health and safety training such as infection control, food hygiene, first aid and fire safety and this is clearly recorded. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 22 There is little evidence that staff are receiving ongoing training in areas specific to the needs of the service user group. Two members of staff spoken to felt that they would benefit from more service user focussed training. However all staff who completed questionnaires answered YES to the question “Are you given training that is relevant to your job?” Relatives/carers felt that staff always or usually had the right skills and experience to look after people properly. One relative commented that staff would benefit from further training in areas specific to the people living at the home to assist service users to maximise their potential. Staff spoken to on the day of the inspection felt that there were always adequate numbers of staff on duty. They appeared enthusiastic about their roles and said that there was good communication and teamwork in the home. Health and social care professionals who completed questionnaires made positive comments about the staff in the home such as “Competent staff team with excellent morale” and “Staff provide good, supportive care and communicate well.” There are regular staff meetings which people said was an opportunity to share information and also to make suggestions and share views. All staff receive formal recorded supervision with either the manager or a senior member of staff. One new member of staff has been appointed since the last inspection. Recruitment files are kept at the company’s head office and therefore the inspector was unable to fully evidence that a robust recruitment procedure is in place. The manager is supplied with an information sheet which gives details of when the new member of staffs’ references and Criminal Records Bureau (CRB) checks were received by head office. The sheet seen by the inspector showed that all were in place prior to the staff member beginning work in the home. The manager does not see references supplied. The home has a condition of registration that they can accommodate service users between the ages of 16 and 18. There is no one currently living at the home in this age category and new staff are not checked against the Protection Of Children Act (POCA) register nor do they receive training in child protection. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is competent, experienced and gives a clear sense of direction to the home. There are systems in place to ensure the health and safety of people living at the home and the staff who support them. EVIDENCE: The registered manager of the home is Gary Bush, he has many years experience of working with people who have a learning difficulty and has recently completed the Registered Managers Award (NVQ level 4.) Prior to the inspection Gary completed a comprehensive Annual Quality Assurance Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 24 Assessment (AQAA) this set out the achievements of the home and their plans for the future. The AQAA and discussions with the manager gave evidence that he has a clear vision for the home and is aware where improvements would benefit the service users. One relative commented that the manager is always pleased to listen to comments about the home. There is an open relaxed atmosphere in the home with all staff stating that they are comfortable to approach the manager with concerns or ideas. There are regular staff and service user meetings in the home and the company has a regional quality assurance manager who carries out regular audits. There are checklists in place to ensure that equipment in the home is regularly tested and serviced. The inspector saw that health and safety checklists are completed weekly. All staff have received training in fire safety and there are fire drills at the home. There are plans in place if the home needs to be evacuated for any reason. Certificates of insurance and registration are displayed in the office. There is no maintenance person at the home but the company employs a team of maintenance people who work in all homes. The inspector viewed the maintenance book and noted that some requests were not actioned for a considerable length of time. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 4 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 2 27 x 28 2 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 x x 3 x Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 26 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 (1)(5) Requirement The registered person must; either apply to have the conditions of registration relating to people between the ages of 16 & 18 removed Or Ensure that all staff have been checked against the Protection Of Children Act register and have received appropriate training in child protection. Timescale for action 01/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA7 YA26 YA42 Good Practice Recommendations The home should further develop the use of pictures and symbols to assist service users to make decisions and share their opinions. The registered person should ensure that heavy furniture is secured to minimise the risks of injury to service users. Where furniture needs to be locked this should be done in a way that promotes the dignity of the service user. DS0000060801.V354813.R01.S.doc Version 5.2 Page 27 Chard Manor 3 4 5 6 YA24 YA28 YA32 YA35 YA42 The registered person should ensure that all areas are maintained to a high decorative standard. 50 of staff should have a National Vocational Qualification in care at level 2 or above. There should be ongoing training for staff in areas relating to the specific needs of the service users. All maintenance requests should be actioned within a reasonable time, which is agreed with the manager. Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Chard Manor DS0000060801.V354813.R01.S.doc Version 5.2 Page 29 - 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!