Care Home: Cornerways

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What the care home does well The home ensure that needs of people admitted to the home can be met, by carrying out a pre-admission assessment of the person`s needs. Full information about the home is contained within the new brochure/Service User Guide. Prospective residents or thier relatives are given copies of these documents and are thus fully informed about the services the home offers. Residents are treated with respect and dignity. Visitors are made welcome at the home with no restriction on visiting. Residents spititual needs are assessed and action taken to meet any identified need. The home provides a good standard of food and caters to peoples likes and dislikes. Residents nutritional needs are monitored and supported. The home has a well-publicised compaints procedure and residents informed that they knew both how to complain and that they had confidence in complaints being investigated thoroughly. The home provides a safe and clean environment and the home is decorated and furnished to a high standard. The home provides staffing levels that meet the needs of the residents. We found that there was good morale amongst the staff and good relationships between staff and residents. We found that the home was well managed and run in the interests of the residents What has improved since the last inspection? The home has developed a new care planning format that the staff found more informative and easy to use. Care plans were in place, available to the staff and were reviewed monthly or when needs change. There was evidence that residents or their relatives had been involved in development of care plans. Detailed risk assessments had been carried out and recorded to minimise risk of harm to residents. There is also better monitoring of residents nutritional needs and better liaison with district nurses who support the home. The home has taken steps to meet requirements made at the pharmacy inspection of the home and medicines are now administered safely. The home now provides both more and varied activities to meet residents leisure and recreational needs. There is now better recording of actions taken concerning complaints and safeguarding issues. We found that the home had complied with a requirement of the previous inspection, ensuring that new staff do not start working at the home until a clear check had been obtained against the register of people deemed unsuitable to work with vulnerable adults. Training provided to staff in order that they are competent to provide good and safe care has improved, with staff receiving core training. What the care home could do better: Staff who carry out the pre-admission assessment of needs should sign this document and date when the assessment took place. Residents should also be informed in writing after the assessment as to whether their needs can be met at the home. Systems should be strengthened to ensure that in the event of any medication recording errors be made, these are identified quickly and followed up. It was agreed that residents would be informed of the new contact details of the Commission. We recommended that some changes be made to the home`s staff application form, to request information in line with the Regulations. Where a person has worked in care position with vulnerable adults or children, a reference must be obtained from this place of employment. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Cornerways 20 Braidley Road Bournemouth Dorset BH2 6JX     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: Martin Bayne     Date: 1 5 0 4 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: Cornerways 20 Braidley Road Bournemouth Dorset BH2 6JX 01202552536 01202299945 info@streetscene.org.uk www.streetscene.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Streetscene Addiction Recovery care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: Date of last inspection Brief description of the care home Cornerways is a twenty-bedded residential service run by Streetscene, a Registered Charity whose main purpose is to help people suffering from the disease of addiction. The home was registered in November 2006 but prior to this was operating under a different registration in other registered premises. The home is located in a quiet residential area that is close to the centre of Bournemouth and its amenities. It is set in large grounds of ? of an acre with some parking available to the side and front of the building. The home has four double bedrooms and twelve single rooms and new residents may be asked to share a room when they first move into the home. Each room has its own sink and requisite furniture. There are three communal bathrooms each with a toilet. There are also two separate toilets and three shower rooms. Other communal rooms available for use to residents include a large lounge conservatory Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 20 20 Brief description of the care home area and dining room, kitchen and laundry room. The home is staffed twenty-four hours a day. Both first stage and second stage treatment of about three months duration for each stage of treatment are offered at the home. The treatment programme uses an eclectic evidence based treatment model with staff trained in addiction counselling. The rules and expectations of residents at the home are detailed within the Service User Guide. Streetscene offers an aftercare service for those residents who complete the programme. The fees for the home are #555 each week with a charity discount of #25 for 2007. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We, the Commission, carried out a key inspection of the home between 9:30 a.m. to 3 p.m. The aim of the inspection was to follow up on the ten requirements and one recommendation made at the last key inspection of the home in October 2007, and to evaluate the home against the key National Minimum Standards for older persons. The inspection was carried out by two inspectors. Throughout the report the term we is used, to show that the report is the view of the Care Quality Commission. In July 2008 we were notified by the Registered Provider of the absence of the Registered Manager and the management arrangements that were being put in place. We were assisted throughout the inspection by the Registered Provider, Mr Gunpath and senior members of the staff team at the home. We tracked the personal files for four residents admitted to the home since the last key inspection and were able to view the records kept on their behalf. These provided evidence of the care provided and Care Homes for Adults (18-65 years) Page 6 of 29 record keeping as required under the Care Homes Regulations 2001. At the time of the inspection there were 32 residents accommodated. We spoke with 10 of the residents about their experience of living at the home, one relative, a district nurse who was visiting the home that day and with four members of staff. Additional information that helped us form the judgements within this report was also obtained from the Annual Quality Assurance Assessment (AQAA) completed by the home. What the care home does well: What has improved since the last inspection? The home has developed a new care planning format that the staff found more informative and easy to use. Care plans were in place, available to the staff and were reviewed monthly or when needs change. There was evidence that residents or their relatives had been involved in development of care plans. Detailed risk assessments had been carried out and recorded to minimise risk of harm to residents. There is also better monitoring of residents nutritional needs and better liaison with district nurses who support the home. The home has taken steps to meet requirements made at the pharmacy inspection of the home and medicines are now administered safely. The home now provides both more and varied activities to meet residents leisure and recreational needs. There is now better recording of actions taken concerning complaints and safeguarding issues. We found that the home had complied with a requirement of the previous inspection, Care Homes for Adults (18-65 years) Page 8 of 29 ensuring that new staff do not start working at the home until a clear check had been obtained against the register of people deemed unsuitable to work with vulnerable adults. Training provided to staff in order that they are competent to provide good and safe care has improved, with staff receiving core training. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents of the home benefit from having their needs assessed before being offered a place at the home, that takes account of their individual aspirations. Evidence: On the day of inspection the home was fully occupied with 20 people attending the home for treatment. All these residents had been referred and funded through care management arrangements from outside of the Bournemouth area. There was no one self funding their treatment at the time of the inspection. The home has block funding arrangements with some local authorities whilst others spot purchase for individual placements. We looked at the personal care files for three residents we tracked through the inspection. We found that a pre-admission assessment of their needs had been carried out by senior members of staff at the home prior to the person being offered treatment. In the case of one person a telephone assessment had been carried out, as it was not possible for them to visit the home, owing to their being in prison at the time of their referral. The other two residents had visited the home following their Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: referral, at which time an assessment of their needs was carried out. Any person referred to the home is sent a copy of the Service User Guide for Cornerways. This document provides comprehensive information about the home, as well as detailing the rules and responsibilities expected of residents who attend the home for treatment. By these means people are well informed about the services and treatment package that is provided at Cornerways and the home ensures that the needs of people admitted can be met before they are offered a placement. 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. Residents benefit from being involved in the development of a treatment plan and making decisions about thier lives within the context of the house rules, Expectations of the Community. Evidence: Once a person has been admitted to the home a care plan is written up with the person concerned using information from the assessment and from supporting information, such as the care management assessment carried out by the local authority. Additional assessment information is also gained by the person admitted completing questionnaires, such as a dependency questionaire and a relationship questionnaire. Detailed risk assessments are completed that form part of the care plan and ensure the risk of harm to residents is minimised. We found care plans on file for the three residents we tracked through the inspection. We saw that these were being regularly reviewed with the resident concerned. Care plans were signed and dated by the resident and the member of staff completing the care plan forms. Care plans identified target issues, goals that the person wished to achieve, the method of Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: achieving the goals, a start date and completion date. The care plans therefore clearly set out peoples aims that they wish to achieve whilst in treatment. We saw that there was a photograph of the person concerned at the front of the care plan so that they can be easily identified by new members of staff. The personal care files also contained records of one-to-one meetings with councillors and a record of progress through the group work. In order to provide a safe environment for residents attending treatment, the home has a set of rules and expectations,Expectations of the Community. We saw that on the day of admission, newly admitted residents signed a declaration to abide by these rules. The home provides a structured, staged programme whereby more freedom and responsibility is taken on by residents as they progress through their treatment. During the first stage of treatment, residents are supported to settle into the home and to work on their recovery through groups and individual counselling. During this stage they are not allowed out of the home on their own. During the second stage of treatment, residents are given more responsibility to test out things they have learnt in the first stages of treatment. We spoke with residents about the treatment programme and generally there was favourable feedback, although some residents had some suggestions on how the program could be improved. In the first stage of treatment residents are asked to share their life history in a group run by their peers. Some residents thought that this group should be led by a member of staff, to provide a safer environment in which to disclose very personal information. Other residents felt that some of the small groups could be more challenging with more direction from staff members. All residents we spoke with were aware of the Expectations of the Community and said that they had been well informed. We discussed the feedback from residents with the senior member of staff who agreed that these issues would be raised within the community group with residents. The community group is the weekly meeting where residents have the opportunity to discuss issues about the running of the home and where plan are made for the week ahead. Should a person breach house rules and a decision made that they cannot continue their treatment within the home, a discharge plan is made where possible with that person, to ensure that they are engaged with services when leaving 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. Residents benefit from opportunities for personal development. Residents would welcome the provisions of more activities as is planned by the home. Evidence: Underpinning the treatment programme is an ethos of unconditional, positive regard towards residents and personal development in terms of residents physical, emotional and spiritual needs. We saw within the personal care plans we looked at, examples of residents setting their own goals and objectives for their personal development, that supports the homes ethos as described above. Residents of the home are able to attend a local college that provides an outreach course designed for people in the early stages of recovery from addiction. This course sets assignments to build self-esteem with components in IT skills, budgeting and identifying areas such as numeracy, literacy and other life skills. The home also has Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: links with volunteer schemes and residents are expected to get involved with one of the schemes. These include working at the Brownsea Island Nature Reserve, Dorset Reclaim and local charity shops. Residents are also encouraged to attend groups in the community such as narcotics, cocaine or alcoholics anonymous. The home also has links with a local gym that residents can attend. We were told that the home was planning to arrange more outings and excursions for residents, such as camping, fishing and trips to the New Forest. Two Land Rovers have recently been purchased so that the home can provide transport for outings. The aim is for residents to develop and nurture new interests that they can develop on leaving treatment. We were told that arrangements had been made for some residents to attend kick boxing classes. Some of the residents we spoke with told us that there was not much to do during their free periods and that more outings would be welcomed by the residents. Part of the Expectations of the Community is that residents contribute to group work and be respectful of other people in treatment. Forming special or sexual relationships with other people in treatment is also counter to the Expectations of the Community, as this could detract residents from their treatment goals. We spoke with residents about the standard of food provided in the home. There was a wide range of views. Two residents told us that their needs were being catered for with halal meat being provided. Some people told us that the food was of a good standard whilst others thought that the menu was not varied enough with only a two week menu cycle. Others stated that they would much prefer fresh vegetables rather than the frozen vegetables provided. We were told that fresh fruit is provided and the drinks were freely available at any time. We discussed this feedback with the senior member of staff who agreed that the issue of menus and food provided would be discussed at the community group. The aim of the home concerning food is twofold; to provide a healthy diet, as many people have neglected dietary needs on account of their addiction, whilst giving residents the opportunity to develop cooking skills. Residents therefore take it in turns to do the cooking. 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. Residents benefit from being involved in the development of their treament programme, whilst having their health needs met. Evidence: One resident we spoke with gave an example of how their programme had been adpated to meet their personal goals. All of the residents told us that the staff were very approachable and respectful. We saw that when a person is admitted to the home, health needs form part of the assessment process. Each resident is registered with a GP surgury with whom the home contracts. The GP has a special interest in addiction and therefore health needs of residents are well met at the home. We saw within the personal files we looked at, that other health needs were being met, such as registering with dental practitioners and arrangements made for eye tests. As part of the treatment process, residents are also educated concerning blood born viruses and referrals made to support groups if appropriate. The policy of the home is for all medication, apart from things such as creams and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: inhalers to be administered by the staff. Risk assessments are carried out and recorded where residents take responsibility for creams and inhalers. Medications are stored in the staff office and administered by staff who have received training in safe medication administration. A record is maintained of a sample of staff signatures for staff who administer medication. We looked at the medication administration records for all of the residents. At the time of the inspection photographs of residents were being attached to their medication administration records, so that they can be identified by new members of staff; this is good practice. We saw that the recommendations made at the last key inspection had been adopted with a second member of staff signing and checking medication records where entries had been made by hand, and also the recording of any known allergies on peoples medication records. We found that the medication administration records had been completed correctly with no gaps in the recording. We saw that where a variable dose of medication had been prescribed the records indicated the dose given, which is good practice. We looked in the medication cabinets and saw the medicines were being stored correctly with the exception of controlled drugs. The home is required to purchase a new controlled drugs cabinet that meets the new regulatory requirements. We saw that where controlled drugs had been prescribed, these were being recorded correctly in the homes controlled drugs register. 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. Residents benefit from a well-publicised complaints procedure and through the staff being trained in adult protection. Evidence: Since the last key inspection in April 2007 there have been no complaints raised with the management of the home and none have been brought to the attention of the Commission. The home has a register for recording any complaints and action taken to address these. We saw that any small concerns raised with residents are recorded in the community book and dealt with before they reach the stage of a formal complaint. All of the staff have been trained in adult protection and the home has policies and procedures that link to local No Secrets safeguarding arrangements. The complaints procedure is detailed within the Service User Guide, a copy of which is available to all residents. They are therefore made aware of how to complain. All staff have received training in adult protection and the home has copies of all relavant policies and procedures. Care Homes for Adults (18-65 years) Page 19 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. Residents benefit from a comfortable, clean, well maintained and suitable environment in which to undergo treatment; however improvements could be made by providing a private area for residents to receive visitors. Evidence: As part of the inspection we carried out a tour of the premises. The home provides a good environment in which to undergo treatment being situated in a quiet residential area with a pleasant, private garden area. We found the home to be clean, with residents taking responsibilty for cleaning the house. Furniture and fittings were in good repair and the home is comfortably furnished and in good decorative order. We saw some residents room and it was evident that they could personalise their space. Where residents share rooms, screens for privacy are provided. The Responsible Individual has recently liaised with the Commission about plans for re-siting the office. This would involve moving the offices to the ground floor and converting the former offices to bedrooms on the top floor of the home. This change has been sanctioned, providing fire safety arrangements, planning and spatial requirements detailed within the standards are met. One of the residents we spoke with told us that there was no private area in which to Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: receive visitors. We discussed this with the senior staff and we recommend that as part of the room changes detailed above, consideration should be given to improving facilities for residents to receive visitors in private. Care Homes for Adults (18-65 years) Page 21 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. The home is suitably staffed and good training opprotunities are offered to staff working at the home, so that they are competent to meet expectations of their role. Improvements could be made concerning staff recruitment. Evidence: The home provides the same levels of staffing as found at the last key inspection, being staffed by two cousellors/project workers during the daytime with the manager on the premises during the week. During the night time period there is one worker supported by an on-call counsellor and deputy manager. As mentioned earlier in the report, residents spoken with felt that some of the treatment groups could be improved by the presence of staff to facilitate and oversee the group. All new members of staff receive induction training and we saw the induction checklists for new staff, which were comprehensive. Staff are expected to complete core training including fire safety training, first aid, basic food hygiene, health and safety and moving and handling. They can then go on to undertake more specialist training that includes NVQ level 3 training. We saw that some staff had undertaken training such as courses in working with families, neurolinguistic programming and motivational interviewing. All staff who administer medication receive training through the pharmacist who supplies medication to the home. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: We looked at the recruitment files for two members of staff who had started working at the home since the last key inspection in April 2007. We found that all of the required recruitent checks as detailed within Schedule 2 of the Care Homes Regulations 2001 had been complied with, save evidence on the persons file of proof of identity and a health declaration. A requirement was made concerning these missing records. We also recomend that the staff application form be changed to seek information consistent with the required records of Schedule 2. An example being, the homes application form requests that applicants provide information about their previous last three employers; however Schedule 2 of the Care Homes Regulations states that applicants must provide a full employment history together with an explanation as to gaps within their employment history and reasons why they left positions when working with vulnerable adults or children. During the inspection we spoke with two members of staff. They told us that there was high morale within the staff team and that Streetscene was a good employer, providing good levels of training and staff support. Care Homes for Adults (18-65 years) Page 23 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 home is well managed and run in the interests of the residents. Evidence: On the day of the inspection the homes Registered Manager was providing management support to one of the sister homes of the organisation, as the Registered Mangager of that home has ceased employment. We found Cornerways to be be well managed and run in the interests of the residents and their treatment. The Registered Manager of Cornerways has completed NVQ level 4 in care home management. We found that the Commission had been informed of all incidents that require reporting under Regulation 37 as required by the Regulations. Visits by a representative of the management had been taking place at the home as required. Weekly Community Meetings take place each week with residents, at which they can raise issues about their treatment and the way that the home is managed. Minutes of these meetings are recorded. As part of the homes qualtiy auditing, residents complete satisfaction questionaires that provide ongoing feedback about the treatment Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: programme. We looked at the fire log book for the home and found that tests and inspections of the fire safety system were taking place to the required timescales as required. The returned AQAA informed that test and inspections of other equipment in the home were also been undertken as required. We saw that accidents were being recorded and action taken appropriately. Care Homes for Adults (18-65 years) Page 25 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 26 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 1 20 13 You are required to purchase 25/05/2009 a new controlled drugs cabinet that meets the new regulatory requirements. In order that medications are stored safey communsurate with legal requirements. 2 34 19 We require that for each 18/05/2009 member of staff there is proof of their identity inculding a recent photograph and a statement by the person as to their mental and physical health. To ensure that residents are protected by suitable staff being appointed. Care Homes for Adults (18-65 years) Page 27 of 29 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 24 We recommend that as part of the planned room changes, consideration should be made to improving facilities for residents to receive visitors in private. We recommend that the staff application form is amended to seek information in line with the Care Homes Regulations 2001. 2 34 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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