Care Home: Continuum Care and Education Group

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What the care home does well Staff had been able to build up a good rapport in getting to know the person living at the home. They were knowledgeable in how the person expressed what they wanted and had been able to interpret the person`s needs, likes and dislikes. This had been recorded in the support plan so that all staff had guidance about the person`s likes and dislikes. Records showed that before anyone is appointed to work at Rydal Avenue a series of checks are carried out. These checks help to make sure the people living there are safe and that staff are suitable to support them. The lounge and dining room were open plan in design and had been developed and built to achieve a bright and modern style of decor suitable for younger adults` taste. Each area had been decorated and furnished to a good standard with good quality furniture seen throughout the home. The home offers ordinary living to enable people to be supported with their independence and developing their daily living skills. All of the staff working at the home had a care qualification. This ensures staff have the skills and knowledge necessary to support the person living at the home. This was an example of good practice and exceeded the basic standards to have at least 50 per cent of the staff working in the home holding a care qualification. This home is very new and had been open for less than 6 months at the time of our visit. During our visit we found that the home was offering a good standard of support and had shown they were meeting and sometimes already exceeding the standards necessary for a registered care home to meet. The company that runs the home had developed very detailed staff handbooks which contained a lot of information necessary to help staff understand their role and gave them guidance about the company`s policies and procedures. The manager and staff had developed information about the home and the complaints procedure by using pictures to provide versions that would be easier for people living at the home to understand. They were also developing a DVD to help give other ways to give people information about the home. The manager had been carrying out regular checks including regularly reviewing people`s support plans, medications, checks on maintenance and management of health and safety within the home, regular reviews and audits of any concerns and complaints. These detailed records and practices showed good management of the home which help to assure people that they have a home that is well managed, with consistently good standards being achieved. We chatted generally to staff and we met one person living at the home. Their comments generally were very positive about the home. Everyone said they were aware of the action they needed to take if anyone raises concerns regarding the home or they had a concern they wanted to raise. What has improved since the last inspection? This was the first inspection of the home. What the care home could do better: We made a number of recommendations as a result of our findings at this first inspection of the home. The statement of purpose would benefit from continued review and should include any changes and updates such as the details of a holiday fund. This helps to make sure people have the right information accessible to them if they needed it in any way. Support plans would benefit from having a lot more information to explain clearly all elements about the management of a person`s finances to help make sure that this was clear and accurate. The manager should contact the local primary care trust to see what support they offer to young people living in the community to help them stay healthy and safe. Key inspection report Care homes for adults (18-65 years) Name: Address: Continuum Care and Education Group 28 Rydal Avenue Warrington Cheshire WA4 6AU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Diane Sharrock     Date: 2 0 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Continuum Care and Education Group 28 Rydal Avenue Warrington Cheshire WA4 6AU 01706644471 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): info@continuumgroup.org.uk Continuum Care & Education Group Name of registered manager (if applicable) Ms Debra Hadfield Type of registration: Number of places registered: care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The registered provider may provide the following categories of service only- Code PC, to service users of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories:- Learning Disability - LD, Mental Disorder - MD. The maximum number of service users who can be accommodated is:-2. Date of last inspection Brief description of the care home Continuum care and education care home is based at Rydal Avenue. It is a four bedroomed semi detached house located in a residential area of Warrington close to the town centre. The home has a small front garden and a larger secluded back garden and off road parking at the front. The home is registered to accomodate a maximum of 2 young adults. The company have designed the facility to accomodate younger adults Care Homes for Adults (18-65 years) Page 4 of 29 2 2 Over 65 0 0 Brief description of the care home from the ages of 18-25 years. The aim of the service is to assist young adults in their transitioning from high levels of support towards a more independant style of living environment in which to develop their skills and achieve their full potential. The homes registered manager is Debra Hadfield. The homes service user guide, statement of purpose and most recent inspection report can be supplied and made accessible via the registered manager and staff at the home. 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: The quality rating for this service is two stars. This means the person who was living at the home at the time of our visit was experiencing good quality outcomes. We gathered information for this inspection in a number of different ways. We carried out an unannounced visit to the home on 20 May 2010. This included reading records, meeting people and looking around the building. We spent time looking at the support people receive while living at Rydal Avenue. This included looking at the support they get with their daily lives, care plans, medication, money, activities and the environment. We met one person living at the home, one staff member, the area manager and home manager during our visit. We also reviewed any information we had recently received about Rydal Avenue. The manager completed a self assessment form called an annual quality assurance assessment (AQAA) which we sent to her before our visit. We used some of this information in this form and the other information we had to help plan our inspection Care Homes for Adults (18-65 years) Page 6 of 29 and write this report. The manager advised they had returned a number of completed surveys back to the commission but unfortunately we had still not received them up to writing this report. This meant we were unable to include any comments and opinions that people had made in their surveys in this report. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? Care Homes for Adults (18-65 years) Page 8 of 29 This was the first inspection of the home. 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 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. People are given enough information and support to help them make decisions about choosing were they live and how they want to live at Rydal Avenue. Evidence: We looked at the information that tells people how Rydal Avenue is managed and who it is for. These are called the service user guide and the statement of purpose. The manager had already developed the service user guide with the use of pictures to help give easy read style documents for some people to use and understand. The managers also explained they are in the process of developing them further to provide DVDs with the information transferred onto the DVDs for people to look at as an alternative to reading about the home. Over the few months before our visit, the home had undergone refurbishment to offer good standards of living and to offer people more choice about the home they chose to live in. The staff explained how they support people to be included in the development of their home. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: There were plans to meet with people who could move into the home and the manager explained about assessing the compatibility of people living together before they move into the home. Staff explained that they carry out meetings to check the needs and wishes of any new person who will move into the home. This helped them identify if they can support people with their needs. It also helped them to prepare for any new person going to live at the home to help them settle in and be comfortable in their new home. 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. Peoples needs are identified and included in their support plan so keeping everyone informed about the support they can expect to receive. Evidence: We looked at support plans during our visit and we met one person living at the home and one member of staff on duty. The plans were detailed with information to help staff support people in the right way and in the way they chose to be supported. The plans provided individualised information on a persons likes and dislikes. The plans were very individualised and specific to what the person wanted to do each day, showing, for example, a very detailed timetable for the persons daily routines. Staff had also developed parts of the plans into easy read formats, using pictures to make the information clear to read and understand. Staff were very knowledgeable about the needs of the people they helped support and had built up a good rapport to know them very well. It was evident during our visit that the staff had built up good relationships with the person living at Rydal Avenue. They were able to interpret the persons needs and requests so they received the care and support they wanted. Staff Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: helped support people in choosing what they wanted to do, including going out shopping and going out locally. They seemed to get on very well with the staff and were happy living in at the home. During our visit all of the regular staff were on leave but the staff member covering knew the persons needs and worked at another service within the company. The manager told us that they always offer continuity of staff who know peoples needs and they never bring in staff who are unfamiliar with people they support. The manager had developed risk assessments and updated them with actions to be taken to reduce any identified risks to help keep people safe including smoking, going out and doing day to day things. The manager advised that they have regular house meetings and include and invite anyone living at the home. This gives people the choice to be included and kept up to date about any developments for their home. The manager told us that they had sent a number of surveys back to the commission with a sample of comments from people at the home. Unfortunately up to writing this report we had not received the copies so were unable to include their comments and opinions about the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff support people living at Rydal Avenue to enable them to make choices about their lifestyle and activities. Evidence: The staff supported the person living at the home with 1 to 1 support and they also had a key worker system. This helped to ensure the person had a large amount of one to one time with staff to be able to plan what they want to do each day, giving them lots of choices to make their own decisions. Staff had also developed a detailed activity and independence plan for the person, which included a variety of support for activities such as shopping, trips out, television, going to college. Staff had provided support in developing these independent plans and prompters with use of pictures and posters. This helped keep the person living at the home up to date with what they are doing each day. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: There was a good atmosphere at the home and people told us they get on really well with the staff. The key worker recorded a diary each week of how they supported the person living at Rydal Avenue. This helped to make sure that people were fully included and kept up to date with what was going on at the home. It also offered enough information for them to be able to decide what they wanted to happen each day in their own home and enabled them to suggest changes and comments that could be reviewed and acted upon. We watched staff supporting people in the afternoon getting ready to go out. They provided assistance and encouragement in a respectful way. The home has the capacity to accommodate two people. Each person would have their own private bedroom they can keep locked and private. Staff explained how they would support people in making their rooms more personalised and more suitable to their tastes. The home has been refurbished and decorated to achieve a bright and modern style of decor suitable for younger adults taste. Each area had been decorated and furnished to a high standard with very good quality furniture seen throughout. We saw that there was a lot of good practice to make sure that the persons individual needs and wishes were being respected. For example, staff supported the person living at the home to do their own shopping each week and helped to plan and prepare the meals they wanted to eat. The living standard offered within the building showed a great commitment from the company and staff to help achieve the best ways to support people to choose how they wanted to live in their own home. The services statement of purpose did not have any information about support given to people to go on holiday. However the manager advised that the company fund each person to go on holiday each year for a week. The statement of purpose would benefit from being updated to include this information. Details about the costs and the entitlement to holiday funds should be clearer and included in each persons plans so they have specific details to enable them to make informed choices about holidays. 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. Staff involve specialist support whenever needed to make sure that people they support stay healthy and well. Evidence: The support plans that we looked at were regularly reviewed and showed that staff had up to date guidance to follow to make sure that the persons needs were being met. The plans provided clear information and guidance to staff on how to support the person safely and they contained details on how the person wanted to be supported. There were good examples of support plans in place covering emotional and psychological support. Care records showed that staff support people with various health care checks such as appointments with the doctor and specialists, which helped to show how people are supported to stay healthy. The manager advised they do not currently have any input from the local primary care trust for review and support for health care needs. The manager agreed to contact the local pct to see what support they offer to young people living in the community to help them stay healthy and safe. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: We chatted generally to people at the home including the staff member on duty. Comments they made were very positive about living and working at the home. The person living there was happy with the staff, felt that they could talk to the staff if they needed anything and they were happy living at the home. We looked at the management of medications at the home and found them to be well managed. The staff had kept accurate medication records and the manager and area manager carry out regular audits on in house records and procedures including the management of any medications. The systems in place for dealing with medication, along with staff training, help to reduce the risk of mistakes occurring that could impact on peoples health. 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. Good systems are in place within the home to make sure that peoples concerns are acted upon and that they are safeguarded from harm. Evidence: The managers described various training that they offer as a company including safeguarding and abuse awareness. This training is considered mandatory for all staff to enable them to be fully up to date in safeguarding procedures and have the necessary information and skills to always safeguard the people they support. We met the person living at the home who confirmed that they knew who to speak to if they were not happy with things about the home. Information about how to raise a concern or complaint was made available within the service user guide and statement of purpose. The staff had also developed an easy read version of the complaints procedure. This information using pictures helped to help explain what to do if anyone had any comments or concerns. The manager had regular staff meetings where anyone can attend including people living at the home. This is good practice as it helps to increase the opportunities for anyone living at the home to have a better understanding of the ways in which they can raise concerns and suggestions. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: We looked at the homes complaints records and noted they had received just one complaint leading up to the time of our visit. The records showed the company had dealt with the concern in accordance with their guidelines and procedures. The company also carried out regular audits at the home, including a review of any complaint records. This helps to make sure that complaints and concerns are managed well at the home. We looked at the records kept to show how finances are managed on behalf of the person living at the home. People are individually supported in managing their own finances, which is an example of good practice in continuing and developing a persons independence. The support records included a basic plan to show how the person could be supported in managing their finances. We discussed with the manager how these records could be developed to explain all aspects of how the person is supported with their finances to make it clearer and easier to read and understand. They can then be supported to sign their financial support plan to say they agree with how they are supported with their finances. The area manager for the company visits the home monthly and completes a detailed report of the checks done during the visit on various things including the ongoing management of peoples finances to ensure they are accurate and well maintained. 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. Rydal Avenue has been well developed and maintained so that it provides a safe, modern and comfortable environment for people to live in. Evidence: The company that runs the home had looked at developing their support to younger adults from 18 to 25 years. This has resulted in opening Rydal Avenue, as their first home for younger adults. It is a domestic style house situated in a local residential area of Warrington. The house can accommodate 2 younger adults and has rooms for 2 staff to help with support. The house had been refurbished and decorated to offer a good modern standard of living furnished to younger adults styles and tastes. The home offers ordinary living to enable people to be supported with their independence and developing their living skills. We saw the bedrooms, which were personalised, and maintained to a good standard with good quality furnishings and matching bedroom furniture, linen and curtains. This provided a modern and bright home for people to live in. We looked at a sample of maintenance certificates and environmental risk assessments. The manager had detailed records that showed how they managed the building and equipment, making sure that it is always safe with any necessary actions Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: taken to reduce any risks. These records and practices showed good management of the environment which helped to assure people they have a comfortable and safe home to live and work in. They also have regular health and safety assessments via the companys own health and safety officer which helps achieve a high standard of managing health and safety within the home. 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 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 Rydal Avenue receive support from staff who they like and who have had the training to help them to provide good quality, consistent and person centred support. Evidence: We looked at the files of three members of staff to see how they had been recruited. The records showed that before anyone was appointed to work at Rydal Avenue a series of checks were carried out. These included obtaining written references and checking with the Criminal Records Bureau (CRB). These checks help to ensure that staff are suitable and safe to work with the people living at the home. We met one support staff, the area manager and the manager during our visit. They explained that the home had opened only recently before our visit and already had a stable team of regular staff to support the person living at the home. We also looked at a sample of staff training records which showed what training had been provided by the company including safeguarding, first aid, food hygiene, use of hazardous substances, nutrition, sexual health and risk management. We met one staff member who was happy with the training they had received in developing their skills to meet the needs of the person living at the home. The three staff files we checked showed that all the staff had achieved a national vocational qualification (NVQ) in care. The Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: manager had made sure that 100 per cent of the staff working at the home had a care qualification. This was an example of good practice and exceeded the basic standards to offer at least 50 per cent of the staff with a care qualification. This ensured staff have the skills and knowledge necessary to support the person living at the home. The company that runs the home had developed very detailed staff handbooks which contained a lot of information necessary to help staff understand their role and gave them a lot of guidance about the companys policies and procedures. They had also developed reflective diaries which enabled the staff to make records about their work and records about what they had learnt. We looked at a sample of the notes of recent staff meetings. They showed that staff were included in the developments of the home and were encouraged to make their own comments and suggestions about Rydal Avenue. The manager explained that they also offered the choice to the person living at the home to be involved in the meetings about their home. This is good practice that helps staff teams to develop and work well together to provide a good standard of support for people living at the home. 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. Rydal Avenue was well managed to make sure that was being run in the best interests of the person who lived there. Evidence: The manager was experienced, had a background of working with young people and had helped to set up the home for younger adults from the ages 18-25. The manager ensured there were audits and checks in place to check the quality of the service provided. This included regularly reviewing peoples support plans, medications, checks on maintenance and management of health and safety within the home, regular reviews and audits of any concerns, complaints and compliments. These detailed records and practices showed good management of the home and would help to assure people that they had a home that was well managed, with consistently good standards being achieved. We looked at a sample of reports of the monthly visits to the home made by the area manager. These visits formed part of the quality assurance process and were a check on the standard of care and support provided. It is important that these checks are Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: done to check the standard of care and management in the service. They showed detailed monthly audits and reviews on the way the home was being run. We looked at a sample of records and certificates which showed that regular checks were carried out on the building and equipment. This included checking fire safety appliances and the electrical installation. These checks helped to make sure that the home was a safe place to live and work in. The manager organised regular meetings with the staff. These meetings ensure that everyone had a regular forum to discuss issues that may affect them. The company had a lot of evidence of investment in quality assurance and improving and developing the home and the company. They had already achieved certificates for quality assurance from an external organisation. The managers explained they were also in the process of applying for Investors in People and the company had also organised for external consultants to commission audits in the home in the near future. 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 and the service user guide should be accurate and up to date to give people the right information to help them make decisions about their home including details such as entitlements to a holiday fund. The manager should contact the local primary care trust to see what support they offer to young people living in the community to help them stay healthy and safe. Each persons financial care plan should be clear about what support and actions would be taken to support them in getting the best value for their money and to make the contribution to fees clearer and records easy to understand. Support plans would benefit from having a lot more information to explain clearly all parts of their financial management including any social services input, storage of their money, names of appointees, ongoing costs and management of records.They should include how they would be supported to claim any potential entitlement to benefits such as mobility allowance. 2 19 3 23 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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