Care Home: Chase House

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What the care home does well People living at Chase House are supported by a committed and motivated team of staff who have a clear understanding of their needs. Staff are provided with good training opportunities to equip them with the skills and knowledge to meet the individual needs of the people they support. People are providing with busy lifestyles and are supported to develop their daily living skills as evidenced in the files seen for the two people we case tracked. We spoke with four staff and they all considered the service is managed well and in the best interests of the people living at the home. People`s health needs are well met because the staff monitor their health and work closely with health and social care professionals in their best interests. People are provided with a comfortable and homely place to live, which is safe and secure and promotes their well being and meets their individual needs. Staff have supported people to personalise their bedrooms to reflect their individuality. What has improved since the last inspection? The last key inspection of this service was undertaken on the 13th March 2008. The manager has done the things that we recommended, which has improved some outcomes for people using the service. The findings of this inspection evidence that the service is now performing well and outcomes for people living at Chase House are much improved. The team have worked very hard to make information more accessible to people using the service. This involves using signs, symbols and pictures to develop newsletters, a guide about the home, the complaints procedure, menu, activity and communication board. The manager has gained the qualifications required of her position and has attended a number of training events, which has further developed her knowledge and skills to provide people with a good quality service. People living at Chase House receive a service from a happy and motivated staff team. All of the staff we spoke with were complimentary about the service and their work. Comments include: "Staff morale is fantastic, it`s a good friendly team and service users are far more relaxed and behaviours have decreased significantly" "I love it here, I don`t mind getting up for work in the morning" "The staff team are excellent and exceptional, they`re willing to train and are interested in the job, morale is very good". What the care home could do better: No requirements have been made as a result of this inspection. We have made two recommendations: That visits and reports required under Regulation 26 are undertaken at the required frequency to assess how the service is currently performing, evaluate outcomes for people using the service and aid future planning. That people have access to working wash hand basins in their own bedrooms unless an individual risk assessment determines otherwise. We hope that the service can sustain its performance and continue to provide positive outcomes for the individuals who live at Chase House. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chase House 95 Chase Road Brownhills Walsall West Midlands WS8 6JE     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: Becky Harrison     Date: 1 0 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 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: Chase House 95 Chase Road Brownhills Walsall West Midlands WS8 6JE 01543379872 01543300399 admin.cch@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Angela Lane,Mr Peter David French care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 4 Chase House is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care for a maximum of four adults with autism. The home is part of a group of small residential services located in Walsall. The Mission Statement is To provide a caring and peaceful home environment where adults with autism and allied conditions can feel happy and secure, and where they have access to continued specialist support, help and education throughout their life. The property is set back from the main road on the outskirts of Brownhills and opened in 1998. All bedrooms are single, each service user having been involved in choosing the decor and furniture. The garden area is small, with a patio and lawned area. Shared space includes a lounge/diner, domestic style kitchen and a conservatory. There is a drive to the front of the property with limited parking. People who use the service and their representatives are able to gain information about this service from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on our website at www.csci.org.uk The fees Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home charged were not available in the Service User Guide as required however fees are assessed depending on the individual needs of each person therefore the reader may wish to obtain this information direct from the service provider. 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: 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 were at Chase House for six hours, we did not tell people that we were coming. A range of evidence was used to make judgements about this service to include observing people who use the service, discussions with four staff and the manager. We looked at some parts of the home, reviewed the homes quality assurance processes and sampled a number of records to include complaints and protection, staff training, recruitment and health and safety records. Given the needs of the people living at the home, individuals were not able to actively contribute to the inspection process or share their own experiences of living at Chase House. However we had an opportunity to observe people being supported by the staff on duty and staff also helped people to complete surveys for us in preparation for our inspection. Before we did our inspection Care Homes for Adults (18-65 years) Page 6 of 29 we asked the manager to complete an Annual Quality Assurance Assessment (AQAA) document for us. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale, which the manager did. Two people who live at the home were case tracked this involves establishing individuals experience of using this service, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We looked at the outcomes for people living at the home and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. What the care home does well: What has improved since the last inspection? The last key inspection of this service was undertaken on the 13th March 2008. The manager has done the things that we recommended, which has improved some outcomes for people using the service. The findings of this inspection evidence that the service is now performing well and outcomes for people living at Chase House are much improved. The team have worked very hard to make information more accessible to people using the service. This involves using signs, symbols and pictures to develop newsletters, a guide about the home, the complaints procedure, menu, activity and communication board. The manager has gained the qualifications required of her position and has attended a number of training events, which has further developed her knowledge and skills to provide people with a good quality service. People living at Chase House receive a service from a happy and motivated staff team. All of the staff we spoke with were complimentary about the service and their work. Comments include: Staff morale is fantastic, its a good friendly team and service users are far more relaxed and behaviours have decreased significantly I love it here, I dont mind getting up for work in the morning The staff team are excellent and exceptional, theyre willing to train and are interested in the job, morale is very good. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 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 10 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. Information is readily available to help people looking for a residential service make an informed choice about whether the home is appropriate to their needs. The service has an admissions procedure in place and individuals are only admitted following an assessment of their needs to ensure the service is appropriate for them. Evidence: Information about the service is readily available in the Statement of Purpose and Service User Guide. Both documents provide people with information to help them understand the service that Chase House provides. There have been no new admissions to the home since our last visit, however the home has appropriate procedures in place and have previously demonstrated that they obtain the necessary information to ensure they are able to meet the needs of prospective residents prior to admission. Care Homes for Adults (18-65 years) Page 11 of 29 Care Homes for Adults (18-65 years) Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have a detailed support plan, which informs staff about their individual needs and how they prefer these to be met, providing an individualised service. Individuals are provided with opportunities to make decisions as much as possible. This is because the staff promote their rights, choices and empower them. People are supported to take risks to enable them to develop their independence. This is because the staff have appropriate information on which to base decisions. Evidence: People living at Chase House can be confident that their needs are met because they have detailed support plans in place, which informs staff about their assessed needs, and how they wish to be supported. Although people are unable to contribute to the development of their support plan, they are encouraged and partake in attending their Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: reviews to discuss their needs and their progress. Any behaviours that may challenge the service are managed positively and staff have clear guidelines to work with. It was reported that behaviours have significantly reduced but continue to be closely monitored in the best interests of individuals. Support plans seen detailed peoples individual likes and dislikes, which is essential given the complex needs of people living at the home. Both the manager and the four staff spoken with demonstrated a good understanding of peoples preferred communication styles, which are also reflected in the support plans seen. Staff have worked hard to make information accessible to people using the service in order to maximise their communication skills and reach their full potential. Although people currently do not receive the service of an independent advocate, they have active family involvement and designated key workers are provided to act in their best interests. Risks are managed positively, which enables people to lead the life they want based on an assessment of risk. For example on the files of the two people we case tracked risk assessments were available for activities in the community in addition to household tasks. The manager stated We would never stop anyone from doing what they want, but we make sure everything is assessed to ensure their safety. Care Homes for Adults (18-65 years) Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Chase House maintain contact with people close to them and are provided with good opportunities for personal development, so that they can lead their life in a chosen way. People are provided with a choice of meals in accordance with their own preferences, cultural and dietary needs. Evidence: We sampled all of the records held on behalf of the two people we case tracked. These evidence that people are provided with a variety of opportunities to develop their social and independent living skills. Staff spoken with considered people lead active lifestyles and are encouraged and enabled to partake in daily living tasks in addition to accessing the community on a daily basis. One person stated We like to help and Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: encourage people to be as independent as possible. During our visit people were supported to go shopping and attend a music therapy session held at the day service. Discussions held indicate staffing is flexible to support individual or group activities. People living at Chase House are supported to maintain relationships that are important to them for example family are invited to attend meetings held and regular contact is maintained. People have also developed positive relations with neighbours and have the opportunity to meet up with friends through the day service and leisure club they attend. The manager reported that soon people will be supported to email friends and relatives following the installation of broadband. Peoples preferences in relation to choices, routines, likes and dislikes are documented so staff are aware of these. Discussions indicate routines are flexible and observations made evidence that people have access to all areas of the home and can choose when to spend time on their own or in the company of others. A new tool has recently been developed and implemented to track individual improvements and achievements. It also helps identify any deficit areas so that staff can work with the individual to improve these based on setting short term achievable aims. For example the aim for one person we case tracked was for the person to sign yes rather than please when being asked specific questions. Staff observe and record the outcome. The tool is proving positive and provides opportunities to maximise peoples potential. The manager stated The tool is brilliant for discussion in reviews, it helps identify areas that need working on and helps us to provide an individualised service. The manager has attended training in the Mental Capacity Act and Deprivation of Liberty safeguards and reported that it has greatly improved her knowledge on what is considered restrictions or in the best interests of people who use the service. People living at Chase House are provided with a choice of food which is balanced and caters for their cultural needs. For example one person is supported to purchase and cook halal meat. The home has a four week menu in place which has been developed in a format that makes it easier for people to understand. People are supported to help prepare and cook meals and have a dedicated cookery slot where they make something they like. For example the people we case tracked had cooked rice pudding and another chocolate shortbread. Staff record the level of support the individual requires for example if they abstained from the activity, required verbal or physical prompts or if they achieved the task unsupported. During our visit people were offered a choice of refreshments and at mid morning were offered a choice of fruit or biscuits. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs, which are closely monitored and regularly reviewed. The management of medication has improved providing greater protection to people who require help with their medication, supporting their continued good health. Evidence: People living at Chase House can feel confident that their health and personal care needs are well met. This is because staff have access to detailed information about the individuals they support. We looked at the care records held on behalf of two people and these stated how staff are to support individuals with their personal and healthcare needs to ensure their needs are monitored and met. Peoples cultural needs are also recorded on their support plan and actioned. For example one person we case tracked bathes in running water only due to their cultural beliefs and staff adhere to this. The healthcare needs of individuals are clearly documented in their support plans and people attend annual health checks. Arrangements are in place for one person who Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: refuses to access healthcare appointments in the community. People who are prescribed medication are supported by staff who receive training to ensure they are competent to administer medication. Medication reviews are regularly held to ensure individuals are on the correct medication and dosage required to maintain their health. A new policy and procedure for the receipt, storage and administration of medication has been implemented and staff spoken with were satisfied with procedures in place. There have been no medication errors since the service was last inspected and a community pharmacist has recently undertaken a medication audit and no shortfalls were identified as a result of this visit. 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. If people have concerns with their care, they or people close to them, know how to complain. Their concern would be looked into and action taken to put things right. Staff receive training so that they have an understanding in adult protection to ensure people they support are protected from abuse, ensuring their well being. Evidence: People living at Chase House have access to a complaints procedure, which has been developed in an easy read version, so that its easier for people to understand. Individuals are unable to communicate verbally, however staff use a number of different ways of communicating with people to ensure they are happy, as observed during our visit. We have not received any concerns or complaints about the service since our last inspection and no complaints have been received by the home. The Annual Quality Assurance Assessment states The ethos of Chase House is to encourage service users or their families to voice their concerns or complaints and offer suggestions for improvements to the service we provide. Staff have access to local policy and procedures in relation to adult protection and have received training in safeguarding. This ensures they know how to recognise signs of abuse and report this so that the people living at the home can be safe. No referrals have been made under safeguarding adult procedures since the last inspection Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: however the manager has an understanding of how to respond to any allegation of abuse or neglect. We looked at how the home supports the two people we case tracked to manage their money and we are satisfied with how this is done. All staff spoken with considered procedures are robust and safeguard people from potential financial abuse. The manager has attended training in the Mental Capacity Act and Deprivation of Liberty Safeguards and therefore understands how this legislation affects people living at the home and the need to assess capacity if there is any doubt individuals may not have the capacity to make a decision. The majority of staff have not received training in physical intervention, as identified in the Annual Quality Assurance Assessment as an area for improvement. It was stated that it is not the homes policy to use physical intervention and staff therefore use deescalation techniques as required. This needs to be clearly stated in the restraint policy to ensure staff work to clear guidelines. 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. People living at Chase House are provided with a homely, clean and comfortable place to live where they feel safe and secure. Evidence: People were unable to share their experiences of living at Chase House, however observations made indicate they appear happy and comfortable in their environment. We had a look around some parts of the home and all areas were very clean, well maintained and decorated to a good standard. People are provided with a range of spaces to share with others to include a large lounge/dining area, kitchen and conservatory. People have been supported to personalise their own space with choosing their colour schemes and soft furnishings, pictures, photographs, ornaments and their own electrical equipment such as televisions and music systems. The rooms of the people we case tracked were furnished appropriate to their needs. The home was clean, warm and comfortable and free from offensive odours. Staff have received training in infection control procedures and substances hazardous to health are securely stored. Soiled laundry has to be taken through the laundry however clear policies and procedures are in place to prevent the spread of infection. Care Homes for Adults (18-65 years) Page 21 of 29 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. Staff work positively with the people they support and receive good training opportunities to equip them with the skills and knowledge to meet the individual needs of the people living at the home. People have confidence in the staff at the home because the necessary checks have been done to make sure that they are suitable to care for them. Evidence: People living at Chase House have confidence in the staff team because they are treated well. We observed staff working well with the people they support and discussions with four staff evidence they have a clear understanding of the individual needs of people. Of the seven support staff employed five have obtained a care qualification known as NVQ at level 2 and above and one person is currently working towards the Award. Staff spoke very positively about their experience of working at Chase House and their comments include: Staff morale is fantastic, its a good friendly team and service users are far more relaxed and behaviours have decreased significantly Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: I love it here, I dont mind getting up for work in the morning Im settled here and I really enjoy my work Staff morale is really good and we all work well as a team The current staffing ratio is two members of staff to support the four people using the service in addition to the manager. Discussions held with staff indicate that staffing is flexible around the needs of the people who use the service and additional staffing is made available to cover trips out, 1:1 time and health appointments etc. We looked at the files of the two staff employed since our last inspection to make sure that checks are undertaken so staff are suitable to work with vulnerable adults. The files were well presented and evidenced that all of the required checks had been undertaken for example a Criminal Records Bureau check and two written references. We spoke with the new staff who were on duty and they both considered that recruitment procedures are robust and safeguard the people using the service. People living at Chase House are supported by a well-trained staff team. Staff spoken with reported they are provided with good training opportunities to include service specific training such as autism awareness, epilepsy and makaton. Training records also evidence that staff receive training in safe working practices to ensure that they and the people they support are kept safe. New staff receive induction training and the manager reported that she sourced training for staff to commence the learning disability qualification (LDQ). The manager stated The staff team are excellent and exceptional, theyre willing to train and are interested in the job, morale is very good. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in Chase House because it is managed in the best interests of the people living and working there. Evidence: People living at Chase House benefit from a manager who is experienced, qualified and demonstrates a good understanding of their needs. The manager has numerous years experience in working in the care sector and has attended many training courses relevant to her role. staff were complimentary about how the home is managed and reported the manager as being supportive, open and approachable. The Annual Quality Assurance Assessment completed by the manager states Since becoming the registered manager in April 2007 my confidence, knowledge, ability and capability has greatly improved. Given the complex needs of people accommodated at Chase House it is difficult to gain direct feedback from them however they appeared happy and relaxed in staff company. The manager has distributed satisfaction surveys to relatives and visiting Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: professionals. This helps assess how the service is currently performing, evaluates outcomes for people and aids future planning. The feedback gained from the few completed surveys returned to date indicate people are satisfied with the service with no one identifying areas for improvement. Monthly visits required by Regulation 26 are undertaken but not at the required frequency, which the provider needs to address. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI reflects both the strengths and areas for improvement. We looked at a variety of health and safety records and the checks that staff do to prevent people from being placed at risk of harm. We found that checks are undertaken at the required frequency and equipment serviced to ensure that it is safe and protects people. Staff told us that they receive training in safe working practices for example food hygiene, fire, infection control, health and safety which helps to keep people safe. The manager stated there are no outstanding requirements made by the fire officer following their visit to the home in 2007. The environmental health department visited the service in August 2008 and awarded the home with the Public Protection Clean Food Premises Award 2008 three excellent standard found. The manager stated in the Annual Quality Assurance Assessment that the health and safety of her residents and staff is of paramount importance. 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 39 Visits and reports required under Regulation 26 should be undertaken at the required frequency to assess how the service is currently performing, evaluate outcomes for people and aid future planning. Individual risk assessments should be undertaken regarding peoples ability to safely use the wash hand basins in their own bedrooms to ensure they are not restricted. 2 42 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. 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. 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