Care Home: Chestnut Street, 57

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What the care home does well Detailed assessments are carried out to make sure that the home will meet student`s needs. The assessments have been used to put together each persons, care plan. They provided a lot of good information about the students needs. For example, support needs, likes and dislikes, education needs, communication needs, social needs and medical needs. Students are supported to make choices and decisions and take responsible risks as part of an independent lifestyle. Each of the students had a care plan, which provides staff with important information about how best to support them. Support needs which were described in good detail for each person covered things such as health and personal care, education, therapy and counselling, contact with friends and family, independent living programmes, daily living skills and social and emotional support. Students had a good understanding of their care plans and are fully involved in putting them together. Students are encouraged and supported to live active and healthy lifestyles. Each of the students care plans included a lot of information about their education and training including progress and achievements.They each had a timetable and an individual learning plan, which tells people about the things that they are involved in at college and the support that they need. Students are provided with appropriate personal and healthcare support, which ensures their physical and emotional well-being. Each students care plan had information about the type and level of personal and healthcare support that they need. Policies and procedures ensure that students are protected from abuse harm or neglect. Students live in a home, which is comfortable safe and attractively decorated and furnished. All parts of the home were looked at. Most parts were decorated and furnished to a high standard. There was a warm and friendly atmosphere at the home. Student`s benefit from competent and qualified staff team and the home is well managed. A relatives survey showed the care home does everything well. What has improved since the last inspection? There were no requirements or recommendations given as part of the last inspection report. What the care home could do better: CARE HOME ADULTS 18-65 Chestnut Street, 57 57 Chestnut Street Southport Merseyside PR8 6QP Lead Inspector Mrs Janet Marshall Key Unannounced Inspection 12th November 2007 13:30 Chestnut Street, 57 DS0000005274.V355487.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 Chestnut Street, 57 DS0000005274.V355487.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. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chestnut Street, 57 Address 57 Chestnut Street Southport Merseyside PR8 6QP 01704 540993 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) Speciality Care (REIT) Homes Ltd Post Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 3 LD Date of last inspection 1st December 2006 Brief Description of the Service: 57 Chestnut St is a three -storey property, located near central Southport, on a quiet residential street. The home provides care & accommodation for up to 3 young adults with Learning Disabilities. All three residents must attend Arden College as this home is linked to college placement. The home is owned by Speciality Care Limited, which is a subsidiary company of Craegmoor Healthcare. Mr Paul Sadler is the newly appointed manager of the service. The house has 4 bedrooms, a lounge, a dining area and a bathroom. The home is close to the college, local shops/leisure facilities, sports facilities, entertainment and restaurants. Local transport is good and buses access Southport centre, Lancashire & Liverpool. Trains are available reasonably nearby. Parking is available on the street outside the home. The home provides a service for 32 weeks a year during term time. The homes fees for a 32-week period start at £36,000 per person. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the home this inspection year. It was a key inspection. The Commission considers 22 standards for Care Homes for Adults as Key Standards, which have to be inspected during a Key Inspection. The report has been put together using information gathered from a number of sources including information that the commission have received about the service since the last inspection and details provided in the Annual Quality Assurance Assessment (AQAA). The AQAA, which is in two parts, a selfassessment and dataset, has replaced the pre-inspection questionnaire. The document, which was sent out to, the service was completed and returned to the commission before the site visit took place. A number of surveys were sent out to people as part of the inspection a relatives survey was returned, comments from that have been used in the report. The inspection also involved an unannounced visit to the home (site visit). The site visit was unannounced and lasted for a total of 6 hours. Records that were examined, students comments and observations made during the visit have also been used as evidence for the report. A number of students were case tracked. This process involved talking to students and staff, looking at the environment and a selection of students records such as assessments, care plans and daily notes to get an idea about peoples experiences and to find out if they are receiving the care and support that they need and which they and people close to them have agreed to. What the service does well: Detailed assessments are carried out to make sure that the home will meet student’s needs. The assessments have been used to put together each persons, care plan. They provided a lot of good information about the students needs. For example, support needs, likes and dislikes, education needs, communication needs, social needs and medical needs. Students are supported to make choices and decisions and take responsible risks as part of an independent lifestyle. Each of the students had a care plan, which provides staff with important information about how best to support them. Support needs which were described in good detail for each person covered things such as health and personal care, education, therapy and counselling, contact with friends and family, independent living programmes, daily living skills and social and emotional support. Students had a good understanding of their care plans and are fully involved in putting them together. Students are encouraged and supported to live active and healthy lifestyles. Each of the students care plans included a lot of information about their education and training including progress and achievements. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 6 They each had a timetable and an individual learning plan, which tells people about the things that they are involved in at college and the support that they need. Students are provided with appropriate personal and healthcare support, which ensures their physical and emotional well-being. Each students care plan had information about the type and level of personal and healthcare support that they need. Policies and procedures ensure that students are protected from abuse harm or neglect. Students live in a home, which is comfortable safe and attractively decorated and furnished. All parts of the home were looked at. Most parts were decorated and furnished to a high standard. There was a warm and friendly atmosphere at the home. Student’s benefit from competent and qualified staff team and the home is well managed. A relatives survey showed the care home does everything well. What has improved since the last inspection? What they could do better: Temperature details for the oven were worn off the cooker making it difficult for students to gauge the temperature this proved to be a problem on the evening of the inspection visit when food in the oven was overcooked. The cooker should be repaired or replaced so that students can use it effectively. The vertical blinds in the kitchen were unable to shut because they were broken and people living in the house next door could see directly into the kitchen and dining rooms. The blinds should be repaired or replaced to fully ensure the privacy and dignity of the students. The window on the landing which overlooks students bedrooms and a bathroom should be fitted with a blind or net so that people who are passing outside can not see in. The décor and fittings in the kitchen were showing signs of wear and tear and should be repaired and/or replace to prevent further deterioration. A relatives survey included the following comments: “I think Arden is a lovely place, I couldn’t think of any way they could be “better”. “Can’t think of any improvements that they could make”. Chestnut Street, 57 DS0000005274.V355487.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. Chestnut Street, 57 DS0000005274.V355487.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 Chestnut Street, 57 DS0000005274.V355487.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Students needs are assessed before moving into the home to make sure that it is the right place for them to live. EVIDENCE: There are currently three female students living at the home. One of them has moved in since the last inspection. The new student explained that before moving to Chestnut Street she lived in another unit close by which is also linked to Arden College. The student said that she was involved in deciding to move to the home and was happy to do so because she has friends that live there. A survey completed by a students relative showed that they always get enough information about the home to help make decisions and the service always meets the different needs of people i.e. disability, gender, faith, age, ethnicity and sexual orientation. Details provided in the AQQA and discussion with the unit manager showed that students needs are assessment before a decision about them moving into the home is made. This helps people decide if it is the right place for the student to live. A relatives survey showed the home always meets the needs of their relative. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 10 Chestnut Street, 57 DS0000005274.V355487.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. Staff have all the information that they need to support students to live independent and safe lives. EVIDENCE: The AQAA and discussion with the unit manager showed that after assessment students are provided with a full independent care and education plan, which also includes assessment of risk. Care plans, which were viewed as part of the inspection visit clearly set out people’s lifestyle choices and their care and support needs along with clear instructions for staff about how best support them. Mobility, communication, education, personal and healthcare support were just some of the areas, which were covered in each persons care plans. Care plans showed that they have been reviewed and updated at regular intervals with the involvement of students and people close to them. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 12 Discussion with students and the unit manager showed that were possible students are fully involved in making choices and decisions about their lives and that their right to do this is respected by staff. Students need help to make some choices and decisions this is because it has been agreed by them and others that it is not safe to do it alone. Communication diaries, which include pictures, signs and symbols, were also available for students to use to help them make choices and decisions. Discussion with the unit manager, observations made during the visit and information provided in the AQAA showed that the staff team have built up a good awareness of each persons preferred methods of communication. Information about each persons preferred methods of communication and the help they need was recorded in their own plan of care. Students are responsible for particular household tasks. A cleaning rota, which was displayed in the dining, room showed tasks and the person responsible for carrying out that particular task. Pictures symbols and photographs were used to help people understand the information. One student with communication difficulties showed a clear understanding of all the information displayed around the home. Risk assessments were part of each persons care plan. A selection of risk assessments was viewed as part of the case tracking process. They showed that staff have the information that they need to support students to take responsible risks as part of an independent lifestyle. Risks assessments included information about the action, which staff need to take to minimise risks and hazards so that students can enjoy and take part in their preferred activity or choice. Risk assessments were also available for the environment and outdoor activities. Chestnut Street, 57 DS0000005274.V355487.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, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are given appropriate opportunities to live active and healthy lifestyles. EVIDENCE: Care plans provided information about the kind of things that students like to do both at home and in the community. Discussion with students and examination of a selection of daily records and activity plans showed that students are provided with opportunities to do the things that they prefer, students agreed that they are fully involved in deciding were to go and what to do. Comments made by students to support this included: “Yes we always choose what to do and where to go” “We are never told what to do or where to go, that is something we decide on our own or together as a group” “The staff always ask us what we want to do” Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 14 A relatives survey showed the service always support people to the life they choose. Two students have work placements, which they attend on various days of the week. They both confirmed that they enjoy ‘going to work’. On the other days of the week and at weekends all students are supported by staff to pursue their interests and hobbies as well as helping with general routines around the home. On the day of the visit students were seen, vacuuming, mopping floors and cleaning bathrooms. All students said that they are responsible for cleaning and tidying their own bedrooms. Each student had a key to their own rooms and a lockable facility, which they use to lock away their personal possessions. Students said that they receive visitors at home and they visit friends that live close by. Discussion with students showed that they are encouraged to maintain contact with family and friends and personal relationships are respected and appropriately supported. A relatives survey showed that the home always helps their relative to keep in touch with them. Students talked about friendships both inside and outside of the home. The unit manager showed a good understanding of these and was sensitive to the needs of the students in relation to supporting certain relationships. Students talked about recent parties, which have taken place at the home to celebrate their birthdays and other special events, there where photographs displayed around the home showing students, their friends and staff enjoying themselves at the parties. One student talked about the plans for her forthcoming birthday party, at the time of the visit she was preparing a shopping list for food, which she wanted to buy for her party. Students explained that they have a two course meal at lunch time Monday to Friday each day at college and every evening meal and all meals of a weekend are prepared and eaten at the home other than if they go out for a meal or buy in a take away. Menus which where viewed at the home showed a variety of healthy meals. Students said that menus could be changed if they request it. The unit manager showed a good awareness of the importance of nutritious and balanced diets. Records showed that staff have undertaken training in food hygiene. The home has a separate dining room next to the kitchen, students are encouraged to sit together at the dining table for main meals although there are occasions when meals and snacks are taken into the lounge. On the day of the visit all students and the unit manager sat together at the dining table for their evening meal. Food supplies were low at the time of the inspection students explained that this was because the weekly shop was due to take place that evening. There were sufficient crockery cutlery pots and pans, which were of good quality. There was a fridge, freezer washing machine and microwave which were all of a domestic style and in good condition. Temperature details for the oven have worn off the cooker making it difficult for students to gauge the Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 15 temperature this proved to be a problem on the evening of the inspection visit when food in the oven was overcooked. The cooker should be repaired or replaced so that students can use it effectively. Students said they are always involved in the main weekly shop for food as well as buying essentials in the week such as bread and milk. Comments made by students which supported this included: “Yes we always help which the shopping” “I help to shop for food each week” “We are going food shopping tonight” Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 16 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. Students personal and health care needs are appropriately supported to ensure their privacy dignity and ongoing good health. EVIDENCE: Students Care plans included detailed information about the type and level of personal and healthcare support they need. The persons preferred routines with regards to personal care were also available in very good detail. Care plans clearly set out the person’s healthcare, needs and procedures that are in place to address them. Records within this section showed that students are registered with a local GP ad they are offered minimum annual checks. Discussion with unit manager and students showed that that each persons health is regularly reviewed, monitored and dealt with appropriately. As well as visits to primary healthcare services such as dentist, opticians and doctors students are also supported to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care needs and requirements. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 17 During this inspection visit all medication and medication administration records (MAR) were examined. Medication and records were stored securly. The unit manager said that medication is only administered by staff that have completed medication awareness training. Records that were seen evidenced this. A policy for the safe handling and administration of medication was availble at the home. The unit manager showed a good awareness of the homes medication polices and procedures, Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 18 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. Students have a good awareness and understanding of the procedures, which are in place to ensure their protection. EVIDENCE: Records held by the Commission show that they have not received any concerns, allegations or complaints about the home since the last inspection. The AQAA showed that there have been no complaints at the home. The homes complaints procedure, which was on display in the dining room was available in written and picture format and showed all the information that people need if they wish to make a complaint. One student described the procedure and said they would make a complaint if they were unhappy about something at the home. Discussion with other students showed that they know who to talk to and are confident about telling somebody if they were uphappy. A relatives survey showed they know how to make a complaint about the care provided by the home and the service have always responded appropriately if they or their relative has raised concerns about their care. A copy of Sefton Local Authorities Protection of Vulnerable Adults procedure was avaialbe at the home. The unit manager confirmed that all staff have undertaken Protection of Vulnerable Adults training. Certificates of attendance confirmed this and records showed that future training for staff includes refreher courses in this subject. During discussion the unit manager showed a good awareness of Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 19 what to do if they suspected abuse was taking place or if an allegation of abuse was reported to them. Viewed at the home and detailed in the AQQA were a number of other policies and documents relating to the protection of students including whisle blowing and how to deal with bullying. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, safe and generally well maintained and students like living there. EVIDENCE: The home is a three story semi-detached house, located in a popular residential area of Southport, Merseyside. The ground floor consists of a shared lounge, kitchen and dining room and there are two bathrooms and four bedrooms spread over the other two floors. One bedroom is used as a combined office and staff bedroom. There are gardens to the front and back of the home. Off road parking is available on the road in front of the house. The home is in keeping with others in the area and is indistinguishable as a care home. The premises are fully accessible to the people that live there, it is not fitted with any aids and adaptations as all the student that currently live there are fully mobile. Public transport links are close by. Comments made by students about the home included: “I love living here” Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 21 “I like my room very much” “We always try to keep our home clean and tidy” “I like it because it is cosy and we live close to our friends and the shops” The AQAA showed that some minor improvements have been made to the home since the last inspection and that there are plans for further improvement over the next year. A tour of the home took place as part of the inspection visit. This showed that the inside of the home is generally well maintained, clean and comfortable. There was however some parts of the home, which are, need of attention: The vertical blinds in the kitchen were unable to shut because they were broken and people living in the house next door could see directly into the kitchen and dining rooms. The unit manager was advised to have the blinds repaired or replaced to ensure the privacy and dignity of the students. The window on the landing which overlooks students bedrooms and a bathroom was not covered the unit manager was advised to have it fitted with a blind or net so that people who are passing outside can not see in. The décor and fittings in the kitchen were showing signs of wear and tear and should be repaired and/or replaced to prevent further deterioration. Cleaning routines were in place, which included the involvement of students in daily cleaning of the home. Detailed in the AQAA were a number of policies and procedures for ensuring a clean and hygienic environment for all. Related policies and procedures, which were also seen at the home included, infection control, the use of protective clothing and disposal of waste. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 22 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are supported by an effective staff team. EVIDENCE: The AQAA showed that there are two full time and two part time staff that work at the home. Discussion with the unit manager and students showed that staff have developed good relationships with students. The unit manager was seen to get on well with all students throughout the inspection visit. Examination of a selection of staffing rotas and discussion with the unit manager showed that there is enough staff working at the home to support and enable students to take part in activities of their choice and to support their individual activity and educational programmes. Students said: “I think there is enough staff to help us” “I think the staff are very good, they always help us when we ask” A relatives survey showed care staff always have the right skills and experience to look after the students properly and the staff are all very good at their jobs. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 23 There was an equal opportunities policy and procedure available at the home. The AQAA showed that the service employs people of various age, gender and ethnicity. The AQAA showed that the service carry out strict checks before allowing people to start work at the home including CRB and reference checks. The AQAA showed that three quarters of the staff team have achieved or are working towards an NVQ in care Level 2 or above It also showed that training records are kept for all staff. Discussion with the unit manager showed that staff were inducted into their role and within six months of starting their employment and they have completed mandatory training in moving and handling, food hygiene, first aid and fire awareness. The unit manager reported that the training provided by the company is very good. Information provided in the AQAA and discussion with the unit manager showed that all staff receive regular “one to one” supervision and a written record is kept of things discussed and regular staff meetings are held and minutes of the meetings are kept. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 24 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, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to the benefit of the students. EVIDENCE: Since the last inspection the registered manager of the home Greta Morphet and the unit manager have both left. Miss Sherren Harvey is the newly appointed unit manager and Mr Paul Sadler is the newly appointed service manager who will be applying to be the registered manager of this and a number of other similar homes in the area, which are also linked to Arden College. As the service manager Mr Paul Sadler has overall responsibility for the running of the home. The unit manager is responsible for the day-to-day management of the home. Mr Sadler and Miss Harvey both have the required experience, skills and qualifications for the jobs that they perform. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 25 Details provided in the AQAA and discussion with the unit manager showed that in the near future Miss Harvey is hoping to commence an NVQ level 4 in care. It also showed that she is attending regular training to update her knowledge and understanding of her role. Miss Harvey who was on duty at the time of the inspection visit assisted throughout, she showed a good understanding of each of the students needs and was really enthusiastic and committed to ensuring high standards of care and continuous development of students education and life skills. Students made the following comments about the unit manager: “Sherren is great, I really like her” “I know I can talk to her” “She is very good” Details provided in the AQAA and examination of a selection of records showed that Miss Harvey has kept up to date and well maintained records required by regulation. Students/representatives are able to access their records in accordance with the home’s policy on access of information. Students records were kept in a secure place ensuring their confidentiality. On display at the home was a current Public Liability Insurance certificate. The health safety and welfare of students are well protected this was supported by a comprehensive and well presented set of policies and procedures some which were available in picture format so that students can easily access them. The homes policies and procedures are developed centrally and forwarded to the home. The AQAA showed that the home has available all the policies, procedures and codes of practice which are required by the law for this type of service. Reports, which were seen at the home, show that a representative for the service is carrying out regular visits to the home to check the quality of the service. Information provided in the AQAA and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Students confirmed that the fire alarm system and water temperatures are tested weekly. Details provided in the AQAA and discussion with the unit manager showed that staff have completed training in areas of health and safety such as fire safety and first aid. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 26 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 X 2 4 3 X 4 X 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action 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. 3. 4. Refer to Standard YA14 YA24 YA24 YA24 Good Practice Recommendations The cooker, which is used by students, should be repaired or replaced so that students can use it effectively. The décor and fittings in the kitchen, which were showing signs of wear and tear should be repaired and/or replaced to prevent further deterioration. The window on the landing which overlooks students bedrooms and a bathroom should be fitted with a blind or net so that people who are passing outside can not see in. The kitchen blind, which was broken, should be repaired or replaced to fully ensure students privacy. Chestnut Street, 57 DS0000005274.V355487.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Merseyside Area Office 2nd Floor South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. 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