Care Home: Chestnut Street, 59

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What the care home does well Prospective students are invited to view the home and meet the staff prior to making a choice to move there. Assessments of need are assesssed prior to admission to ensure the students` needs can be met. Care plans outline the care needs of the students to enable the staff to provide the care they need. Equality and Diversity is promoted through the home`s policies and procedures and all staff are trained in this area. Thus promoting positive outcomes for the students. Students are encouraged to make choices regarding their daily lives. Students have access to a range of activities of their choice. Students have access to an educational programme to promote their learning and provide an opportunity for future employment. Students are supported to take responsible risks to enable them to lead an independant life. Students are able to have their say on how the home is run and feel they are listened to. Students are supported by staff who are trained. Students feel their complaints are listened to. Students are protected from harm by safeguarding policies and procedures in place. The home is well run in the interest of the students. Students are encouraged to have regular contact with family and friends. What has improved since the last inspection? The requirement from the last visit has been met. Students are fully involved in the running of the home and are able to contribute through meetings and reviews of their care. What the care home could do better: The statement of purpose should be updated to reflect the current manager and team leader in post. This will provide prospective students and the students who live there with the information on the service provided. The statement of purpose should be inline with Standard 1 of the Care Standards Act 2000. It was advised that staff record in the students` `How I feel book` any actions taken to show how they have dealt with comments made by the students. All areas of the home are in need of redecoration to improve the standard of the home for the students. The garden shed is in need of repair for the students` safety. The tumble dryer should be provided with a vent to avoid condensation or be relocated. The team leader should have supervision at least six times a year to provide ongoing support and monitoring of her role. The manager is yet to be registered by the Commission. An application has been made. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chestnut Street, 59 59 Chestnut Street Southport Merseyside PR8 6QP     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: Elaine Stoddart     Date: 0 9 0 6 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: Chestnut Street, 59 59 Chestnut Street Southport Merseyside PR8 6QP 01704539505 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) : JLittle@ardencollege.ac.uk Speciality Care (REIT) Homes Ltd care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Service users to include up to 3 LD Date of last inspection Brief description of the care home 3 59 Chestnut Street is a registered care home offering support to three individuals with learning disabilities. The home provides term time accommodation for students who attend Arden College, a local educational resource that specialises in the provision of life skills to individuals with a learning disability with a view to promoting future independent living. Caroline Barden is the Manager of the service who is yet to be registered by the Commission. Arden College is a subsidiary of Speciality Care (Rest Homes) Limited. The home is located in a residential area of Southport, close to local amenities and transport links. The home is a semi-detached property that has not been specifically adapted for the purpose of the service. The home consists of a ground floor, which contains a kitchen, dining room and a lounge to the front. All bedrooms are located on the upper floors with two rooms on the first floor and a further one on the second floor. A bathroom is available with toilet as well as a staff sleep-in room/office on the top floor. The home is not suitable as accommodation for students with a physical disability at present. Students are able to access all parts of the home. As a result, no adaptations are required at present. The cost for the service is Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home 42,303.00 pounds per 38 week placement. 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: An unannounced visit to the home was carried out by one inspector over one day. Three students were present at the time of the visit. The term student is used in this report as this is what the people who are accomodated wish to be known as. During the time spent at the home different areas were looked at and a number of care, staff and health and safety records were checked to see what care the students living there received. Discussion took place with three students, two staff, team leader and the manager. During the inspection two students were case tracked (their files were examined and they were asked for their views on the home). All the key standards and other standards were assessed. Reference to them is made in this report. Care Homes for Adults (18-65 years) Page 6 of 29 To find out more about the care provided survey forms called Have your say about.... were distributed to staff and students prior to the visit. Comments received from surveys and interviews which took place are included within this report. An AQAA (annual quality assurance assessment) was completed by the team leader. The AQAA comprises of two self questionnaires that look at the outcomes for the students. The self assessment provides information as to how the manager and staff are meeting the current needs of the students and adata set that gives basic facts and figures about the home including staf numbers and training. The last key inspection took place on 12th June 2007. What the care home does well: What has improved since the last inspection? What they could do better: The statement of purpose should be updated to reflect the current manager and team leader in post. This will provide prospective students and the students who live there with the information on the service provided. The statement of purpose should be in Care Homes for Adults (18-65 years) Page 8 of 29 line with Standard 1 of the Care Standards Act 2000. It was advised that staff record in the students How I feel book any actions taken to show how they have dealt with comments made by the students. All areas of the home are in need of redecoration to improve the standard of the home for the students. The garden shed is in need of repair for the students safety. The tumble dryer should be provided with a vent to avoid condensation or be relocated. The team leader should have supervision at least six times a year to provide ongoing support and monitoring of her role. The manager is yet to be registered by the Commission. An application has been made. 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. Students have their needs assessed before admission to the home to ensure that identified needs can be met. Evidence: Three students were accommodated at the time of the visit. Discussion took place with two students to obtain their views on the care provided. Both students gave positive feedback regarding their admission to the home and confirmed they had been provided with the opportunity to visit prior to admission. The students were observed to be settled in their surroundings and interacted well with the staff on duty. The statement and purpose was found to be out of date as a new manager Caroline Barden has been appointed since the last visit. Caroline Barden is yet to be approved as the registered manager by the Commission. The statement of purpose should be updated to provide prospective students and the students who live there with the correct information on the service provided. Assessments of need were viewed for two students. These contained information on all aspects of their care needs including Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: personal and health care. This ensures the staff are able to provide the care and support required to meet the needs of the students. 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. Students are supported to to maximise their independence by taking responsible risks and making decisions about their lives. Evidence: Information from the care needs assessment is then used to develop a plan of care. Two care files were viewed and identified all the areas of care and support needed. The staff confirmed that this information enabled them to provide the care and support to the students in the way that they prefer. Care files recorded all areas of care needed. These included personal care, support with finances, medication needs, educational needs, interests, hobbies and any specialist needs. With staff support each student completes a Pen portrait and an All about me booklet. This provides information on the individual students communication needs, how to support them and what they like and dont like. Thus ensuring individual care needs are met in the way they prefer. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Targets are set daily for the students to encourage independence. These targets identify what they do well and things that will upset them. This information enables the staff to be aware of how best to provide the care. Students are supported to make decisions and this is obtained through student meetings, students representatives on the student council, reviews and weekly tutorials. Students spoken with commented that they are involved in making decisions. Comments include: I am on the students council. I represent other students and take their comments to the council to make a change. They listen to me and things do change. Risk assessments showed that responsible risks are taken by the students to encourage independent lifestyles. Each student has a key worker (a key worker is a designated care worker who works closely with the student). The key worker spends time with the student to discuss their feelings and monitors their progress. Targets are set to enable students to progress daily and staff monitor their progress closely. Weekly tutorials take place with the students, tutors and staff to ensure their education programme is agreed by all involved. Reviews take place every six months with all involved in their care and support. The students each have a communication passport which shows how best they communicate and sessions with the speech and language therapist are available at the college. Students were observed to make decisions at the visit. They all decided to attend the gym with staff for the evening. Students manage own finances where possible and have their own bank accounts. This was confirmed during discussion with the students and viewing of records. Those unable to manage own monies are dealt with by staff who record all transactions made. Regular financial audits are completed to ensure the students are protected. Students compete a How I feel book which records if they are upset or have had a bad day. One student commented that he always completes it and then staff discuss any issues with him. It was advised that staff record any actions taken to show how they have dealt with this. Risk assessments showed that all areas of risk, such as transport and managing finances had been assessed. Thus ensuring safe systems are in place to protect the students. Care Homes for Adults (18-65 years) Page 14 of 29 Care Homes for Adults (18-65 years) Page 15 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The students are involved in making choices and are encouraged to lead independent lifestyles. Evidence: Two care plans viewed showed that all areas of care needs had been assessed and fully outlined the support to be given by staff to enable them to provide the correct care. The AQAA reported that a wide range of activities are provided and the students are encouraged to interact with other housemates. They are supported by a 24 hour education plans. Family contacts are encouraged and visitors are made welcome. Care plans show the students likes and dislikes and their activity programme is planned around these areas. Students are encouraged to have work placements and obtain Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: educational qualifications. Students are encouraged to follow their religious beliefs and take part in celebrations such as Christmas, Easter and Halloween. Students are involved in the running of the home and are able to choose menus and activities they enjoy. Care plans showed that individual needs and choices are recorded and students spoken with confirmed they are able to make decisions during tuturials, student meetings, council meetings and reviews. A student spoken with commented:I am on the student council and they listen to me. I help with the shopping. The food is good and we always get a roast dinner on Sunday. I am never hungry. The students have their lunch at the college canteen during their days in education. Since the last inspection the food budget for the students has been increased. Although free food is no longer provided to staff. The students are encouraged to take part in daily routines and have certain daily living tasks to do such as making tea, washing up and tidying rooms, A daily duty rota was displayed so that the students know whose tasks it is for the day and this helps to develop independent living skills. The students spoken with said they are able to take part in a range of activities of their choice. The activities include gym, bowling, pub visits and swimming. Their educational studies include horticulture and catering. Students commented: The staff are great If I am not happy I just tell them. Students have regular contact with families. Some stay with parents at weekends and during half term hoidays. Students all spoke positively regarding their input into the running of the home and felt that they are listened to by the staff. Menus are decided by the students at the student meetings and they help with the shopping. Thus providing positive outcomes and assist in independent living for when the students move on. Care Homes for Adults (18-65 years) Page 17 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. Medication systems are safe to protect the people they care for. Evidence: The AQAA reported all students are registered with GP. Care plans showed that all personal and health care needs have been identified and the information is clear to enable staff to provide the care and support for the students in the way that they choose. Students are supported to attend health care professionals and records are kept of all appointments. Staff were observed to treat the students with dignity and respect. The students rooms were locked while they attend college and staff only enter when the students return home after seeking their consent. The students are quite independent in their personal care and are encouraged to do this to promote their independence. Support is given by staff when needed. Students are encouraged to do daily tasks and this was observed at the visit as they helped with the tea and washing up. Students are able to choose what they wish to wear. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: The AQAA reported that all staff who administer medication are trained to ensure the students are safe. Staff records viewed and staff spoken with confirmed this. Policies and procedures are in place to ensure staff have the guidance to administer medication safely. The medication is securely stored. All medication administered is recorded. The manager confirmed that regular audits are completed on medication practices to ensure medication is administered safely to the students. The team manager is responsible for four units and calls weekly at each unit to conduct audits and review care files. Each student has a health care book. This shows all the medical information about the students and helps them to communicate how they feel, if they have a pain, or wish to see a GP. This information is aided by pictures to enable them to communicate and provide a positive outcome on their health care needs. Care Homes for Adults (18-65 years) Page 19 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. Students are able to make a complaint if they wish and know they will be listened to. Evidence: The AQAA reported that policies and procedures are in place for abuse and complaints to ensure students are protected. All staff are trained in abuse and this was confirmed by staff spoken with and records seen. Discussion with staff confirmed they are aware of the actions to take should they suspect any abuse. No complaints or safeguarding referrals have been made since the last visit and this was confirmed with the team manager and the information reported in the AQAA. Students have access to the complaints procedure and discussion with the students confirmed this. Students commented:If I am not happy I will tell them. All students have regular contact with families and are able to voice their views during meetings, reviews and tutorials. 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. Students live in a comfortable, safe and clean environment. Evidence: The AQAA reported the home is a semi detached house situated in a relaxed residential area close to the town of Southport and its amenities. The house has three student bedrooms on two levels. A shared kitchen, bathroom, dining/computer room and a lounge is available for communal use. The AQAA reported that the home needs continued refurbishment and re decoration to make it a more comfortable place for the students to live. A full tour of the home took place to view the premises. Caroline Barden, Manager, also toured the home and confirmed the home was to undergo redecoration during the summer holidays this year. An original plan to undertake inhouse redecoration was placed on hold, subsequent to which approval has now been granted to a larger redecorating project to be undertaken by contractractors, concurrent with a full refurbishment of the kitchen. This will improve the standard of living for the students. All areas of the home are in need of redecoration. Radiator covers are in place throughout for safety of the students. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The tumble dryer is located under stairs cupboard and there is no air vent in place and has resulted in wallpaper peeling off. This was reported during a visit by provider within the report made and requires attention. Since the last visit new garden furniture has been purchased. The garden needs attention to provide a pleasant place for the students to use in the summer. The rear shed is in need of repair to make it safe for the students. Students help with daily tasks, such as tidying their rooms and washing. Water temperatures are recorded daily to ensure the water is at a safe temperature for students. Policies and procedures are in place for infection control. All the students have own rooms, which are comfortable, have their own possessions and equipment such as TV and music systems. All are in need of decorating. All students have their own keys to their rooms. These are kept locked until students return from college. The students have a small safe in their rooms for valuables. Students spoken with said they were happy with their rooms. Recommendations are made within this report for improvements to be made to provide a better place for the students to live. 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. Students are protected by robust recruitment procedures. Staff are trained to carry out their roles safely. Evidence: The AQAA reported all staff are recruited correctly to ensure the protection of the students. Staff files viewed confirmed that procedures are in place to ensure staff are recruited correctly. This includes obtaining two written references and an up to date Criminal Record Bureau check (CRB). Staff training files showed that all mandatory training, such as first aid and moving and handling is up to date. This ensures staff are trained to carry out their roles safely. Other courses also include equality and diversity, report writing, medication, prevention and epilepsy. The training programme is ongoing and takes place during students term breaks. This keeps staff up to date and aware of their job roles and responsibilities. There is a staff group of four who provide care and support. One staff member is on duty per shift. The team manager is available should they require assistance. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Records showed that one staff member has completed National Vocational Qualifications in at least Level 2. (NVQ). One has almost completed and another staff member is doing the course. The team leader completed NVQ 2 and 3. This ensures the staff have the skills to carry out their roles to meet the needs of the students. Staff spoken with are aware of their roles and confirmed they have supervision regularly with their team leader to monitor their progress. Regular staff meetings take place to support the staff. Staff interacted well with students and comments from staff include: We work as a team and all help each other. Rosa is a very good team leader and is always there if we need her. The manager Caroline Barden calls regularly to the home to offer the team leader support. Team leader meetings take place weekly with the manager to keep them up to date with progress. Comments from staff include:Caroline is always there if I need to contact her. The team leader should have access to regular supervision with her manager to provide ongoing support. The last supervision was recorded to take place in November 2008. Caroline Barden agreed to action this at the time of the visit. The team leader confirmed that she does not cover any shifts and her responsibility is to manage and monitor the four units under the supervision of her manager. The team leader has seven years experience in the care of people with learning disability. 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. The students benefit from a well managed service. Evidence: The manager Caroline Barden has completed an application to the Commission to become registered. Caroline Barden is responsible for all student care homes. The team leader Rosa Fuentes manages the day to day operation of four home units under the supervision of Caroline. The AQAA reported that the company completes financial audits and monthly provider visits to monitor the progress of the home. These visits check the systems in place, view the home and talk to students and staff to obtain their views. The last report showed that improvements should be made to the home and these were noted at this visit and recommendations made in this report. Quality assurance takes place in the form of questionnaires to students and their families to obtain their views. Students feed back through meetings, tutorials and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: reviews. The students spoken with confirmed their views are listened to. Weekly team leaders meetings are held to offer support and enable team leaders to have their say on how things are working. Fire alarms and emergency lighting tests are recorded to ensure the students live in a safe place. Staff have an ongoing training programme to ensure they have the skills to provide the care. All incidents and accidents are reported and records were seen to evidence this. The AQAA reported that certificates for services, such as gas are up to date to provide a safe place for the students to live. Policies and procedures are in place and available to staff to view. These are updated annually by the service and ensure staff are aware of their responsibilities and safe ways of working. There was a pleasant atmosphere in the home and students were seen to interact well with the staff on duty. 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 1 The statement of purpose should be updated to reflect the current manager and team leader in post. This will provide prospective students and the students who live there with the information on the service provided. The statement of purpose should be in line with Standard 1 of the Care Standards Act 2000. It was advised that staff record in the students How I feel book any actions taken to show how they have dealt with comments made by the students. The team leader should have supervision at least six times a year to provide ongoing support and monitoring of her role. The manager is yet to be registered by the Commission. An application has been made to the Commission. 2 7 3 36 4 37 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. Care Homes for Adults (18-65 years) Page 29 of 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!