Care Home: Cornerways Residential Home Limited

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What the care home does well What has improved since the last inspection? As this was the first inspection since re-registering as a new home there were no previous requirements or recommendations which needed to be met. What the care home could do better: The registered manager and one family representative said they think Cornerways needs more staff. Staff said they do get tired working long shifts. As they also have to clean the home their time with people using the service is inevitably reduced. Staff could not think of any way the home could be improved and people using the service did not mention anything negative. We found that the handling of medicines in the home needs to be reviewed and improved, so that the possibility of mistakes, or mishandling, are lessoned. Information, requested by the Commission, must be provided by the due date. CARE HOME ADULTS 18-65 Cornerways Residential Home Limited Down Road Tavistock Devon PL19 9AD Lead Inspector Anita Sutcliffe Unannounced Inspection 2nd April 2008 15:00 Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornerways Residential Home Limited Address Down Road Tavistock Devon PL19 9AD 01822 618724 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.cornerwaysresidentialhome.co.uk Cornerways Residential Home Ltd Mr Sergio Alejandro Suchowlanski Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) 2. Physical disability (Code PD) The maximum number of service users who can be accommodated is 3. Date of last inspection New service Brief Description of the Service: Cornerways is a large, detached, extended bungalow in Tavistock. It is registered to provide accommodation and personal care for three people aged 18yrs to 65 yrs with a physical disability and who may also have a learning disability. Health care is provided through community services. Although Cornerways is not new as a care home, following a change in provider, it is classed as a new service. The home consists of a large kitchen/diner, lounge, and one bedroom with ensuite shower facilities, and two further bedrooms, which share an en-suite shower room and toilet. There is a spiral staircase to the first floor. On this floor there is an office and bedroom. The ground floor of the house has level access, and is adapted to the needs of people with physical disabilities. Outside there is a large garage with a utility room/ laundry. Attached to the house is an unused indoor swimming pool and Jacuzzi awaiting change of use. The home has disabled access throughout the ground floor and garden. The service is designed for people who have a physical disability and who need a high level of care. The home places special emphasis on developing the communication skills and the empowerment of people to enable them to take advantage of lifes opportunities and experiences. The home is staffed 24 hours per day, at present with sleeping night staff. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 5 The manager reports that the cost of the servce is worked out by dividing the cost of overheads by the number of people who use the service plus an hourly care rate for that person based on their individual needs. This will depend on the care ratio required to provide them with the best care. Currently the cost of night care is divided equally between the number of people as they have similar night care needs. Individual use of resources, transport and telephone, is charged direct to the person usually on a monthly basis based on amount of use (if they do not use these facilities they are not charged). Information about the home is available on request. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. Information about the home has been collected towards this inspection since it was newly re-registered in October 2007. The registered provider sent us current information about the home, although it was not received prior to the visits. Surveys were sent to people who use the service, their families and staff. We also spoke with two care professionals who have knowledge of the home. This key inspection included two unannounced visits. As part of those visits to we looked at all communal areas, and two of the three bedrooms. We met the three people who use the service and observed staff going about their work. We looked at the care and support that people received, speaking with them and looking at their care records. We spoke with the registered manager and some staff. We also looked at some other records. People who use the service may be described within this report as residents, clients or service users. What the service does well: The home operates an admissions procedure, which ensures that only people whose needs can be met and who are compatible with others at the home are admitted. From initial assessment needs are well planned, with the person using the service taking the lead on what they need and prefer. This plan is then available to inform staff how they should deliver the service. People are extremely well supported in communicating their needs and aspirations both regarding day to day home life and in leisure time activities. They have technical aids that assist their communication and where relevant, pictorial aids. They are encouraged to be as independent as possible. Risk is understood and properly managed. They are treated with respect and all interactions are mindful that this was the person’s home and their rights to choice and independence are the priority. Family of people at the home said: • “I think that Cornerways is a perfect example of how a care home should be run. It is ‘resident led’ so the residents can plan their own day to day activities and not have to conform to a set pattern that suits the carers”, • “The whole facility and its team is clearly focused on the well being and benefit of the residents. Well done Sergio and your staff for whom nothing appears to be too much trouble” • “Personal care is good”. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 7 Staff think that what they do best is: “Promote independence individual to each resident”. The home environment is well placed within the town so that amenities are accessible and people are involved in community events; disability is not allowed to be an excuse to not have fun. Staff say that training is very good and they are encouraged to take any training that is relevant to their work and interests. The home is properly maintained and health and safely are properly managed. The registered manager is enthusiastic about the work, has a good understanding of people’s rights as citizens, continually looks for ways to improve the service and leads and supports staff well. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment is thorough and ensures all needs are known and can be met. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 10 EVIDENCE: Cornerways, although re registered October 2007 due to change of ownership, has existed as a care home previous to the change. The people who use the service have therefore been resident for some years. There have been no new admissions since 2006. The last admission made positive choice to come to the home having seen one other and having previously visited for a short stay. Cornerways has an admissions procedure, which involves the registered manager visiting prospective residents prior to their admission. This is done to assess the person’s needs and see whether those needs can be met by the home. Assessment notes from the pre admission visit are kept on the person’s file and the planning of care indicates that needs are properly assessed and understood. The registered manager says: “All prospective service users spend time visiting Cornerways prior to any probational stay (usually 3 months) and must be compatible with other residents. Assesment continues throughout the probation visit with input from health care professionals amongst other relevant stakeholders as to the suitabiliity of the placement. These specialists continue to be consulted as part of the continuing care of service users”. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuality and choice are fully promoted and supported at Cornerways. People who live there take the lead in all decisions about them. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 12 EVIDENCE: Plans are required to be clear so that staff can look after people in the correct way, and as they wish, once their needs have been assessed. We looked at two of the three people’s plans. They were extremely detailed and covered all aspects of a person’s wellbeing: physical, health, emotion and social need. Staff could be in no doubt how they should support and care for each person. One staff member spoke about how the plans provide the information they need. Two of the people who use the service told us that they were in control of their lives and consulted at every stage. Each is the author of their care plan. One is currently having the wording amended to better reflect what they want it to say. The assessment and management of risk is integral to staff duty of care and therefore care planning. For example, the use of equipment, which helps promote independence, must be used in a specific way to ensure safety and comfort. The care plans describe this is great detail, including photographs for clarity. No hazard is considered too much of a risk if the person using the service wishes to try it and with planning it can be achieved safely. Examples include rock climbing, swimming and canoeing. Observation showed that the home runs in accordance with the aspirations and needs of those who live there. Staff were seen to be in constant discussion with people about what they were doing. Comments from staff and family about individual needs and choices include: • “We promote independence individual to each resident” • “I think that Cornerways is a perfect example of how a care home should be run. It is ‘resident led’ so the residents can plan their own day to day activities and not have to conform to a set pattern that suits the carers”. • “There are three residents at the home and the residents are actively encouraged to make their own lifestyle decisions – activities and trips are decided by the service users and facilitated by the staff rather than the other way around. An excellent environment!” The home’s emphasis upon the importance of communication means that those with poor speech have technical assistance in communicating. We also saw that staff are adept and interpreting body language and take the time to do so. The home now provides full time key workers for each person at the home. The manager feels this is an improvement and family of one person said the key worker with whom they have contact is very good. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuality is fully supported and interests encouraged so that people who use the service have the opportunity for a fulfilled life. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 14 EVIDENCE: People who use the service benefit from the home’s ethos, which promotes independence and allows them to choose a full and active lifestyle, incorporating community involvement. We saw photographs of people at the home enjoying karaoke, swimming, races, dance, canoeing, rock climbing, laughing and having fun. We read about cooking, gardening, discussion groups, shopping, church attendance, use of computer and web cam. We were told about visits to a drop in centre, restaurants, pub, historic places, Dartmoor National Park, seaside towns and the city. We saw staff helping people use their communication equipment to make their needs known. Some family say that the care home helps their relative to keep in touch, adding: “Yes by phone, e mail and visits” and “They do encourage people to keep in regular touch by telephone but also by the use of a web cam link which is provided for use by the residents”. Another family who responded to survey thought the home could do more to promote contact adding: “I make most of the input”. The manager spends a lot of time sourcing information about activities and events which people might be interested in. He also promotes opportunities for people’s personal development. Towards further improvement the home intends to: • Find more employment and voluntary oportunities for service users using key workers to help with this. • To continue to promote self esteem and inclusion through employment and leisure. • Promote particpation in the local community through organised activities; membership of local groups and churches;participation in the carnival and use of local amenities. • Provide more holidays • Continue to promote positve roles for the service users within the community of Tavistock Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care needs are fully met in line with individual preference and need. The handling of medicines needs revue to further ensure safe practice. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 16 EVIDENCE: The emphasis at Cornerways is both on promoting independence and upon ensuring the rights of people to both privacy and dignity. To this end people elect their own local doctor. People have access to all aspects of health care which are necessary for them. They also organise alternative therapies if they wish, for example reflexology. Technical aids, varying from sophisticated communication systems, to technical aids to facilitate independent eating, through to systems to enable more comfortable sleep or correct and comfortable posture in wheelchairs all of which enhanced comfort, or independence or both. We were told by a care professional that the manager asks for advice to ensure that equipment is the most suitable and is used as it should. Around the home there are various pictures and pictorial diagrams to enable people with restricted verbal communication to gesture or point (with eyes) to what they want the staff to assist them with. This could be toileting, making a cup of tea or any other domestic activity. This ensures that they have control over how their care is delivered and when. The home has plans to ensure the planning of health care will remain appropriate to each person. This will include, for examples, how aging will affect each of them, health screening and exercise class at a local community centre. Medication is supplied in monitored dosage format from Boots. This is colour arranged which helps people know they are receiving the correct medicine. As staff assists people with taking their medicines they also explain what each tablet is. Where a person is able to be more fully involved, and if they want to look after their medicines, this is supported. Care plans describe what level of help each person is to be given. Currently medicines are stored in kitchen style cabinet. We were told this is soon to be replaced with a specialist medicine cupboard. Staff receive training in how to handle medicines safely and we saw in supervision notes that the manager checks how competently staff do this. However, we found a medicine that had not been signed as given when it had. This could lead to mistakes. Also, medicines have not been checked into the home, so a full audit is not possible; the manager started this immediately. Staff are trying to decide how best to ensure security of the medicine keys, difficult because of the level of activity (coming and going of staff) at the home. Currently they have a list of who is in charge of the keys, but then they are keeping them in a drawer. This leaves them open to mishandling. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are protected by staff who have a good knowledge about what constitutes abuse and what action they should take to safeguard people. Any concern or complaint would be listened to and acted upon in people’s best interest. EVIDENCE: People who use the service said they know who to speak with if they have concerns and how to make a complaint. One spoken with said they felt safe in the home and trusted staff. They are also protected through good family and ‘out-of-house’ contacts and the accessibility of the home’s manager. Staff were able to describe what they should do if they had concerns for people’s welfare. They knew about whistle blowing (how to alert any concerns which might be abuse) and they said they have received training in the protection of vulnerable adult from abuse. Staff are provided with all policies and procedures and they are also kept openly available to staff should they need to refer to them to alert a concern. The home has had no complaints and we have received no complaints about the home. The home has a ‘Residents’ Charter’ which is prominently displayed. This refers to the right of a resident to ‘be able to freely comment on, or complain about any aspect of the service provided.’ Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a comfortable, clean and safe home where adaptations and equipment help promote independence. EVIDENCE: Cornerways is a detached bungalow situated in a pleasant residential area of Tavistock. It stands in its own grounds and is indistinguishable from other residential properties in the area. It is within easy access of the town’s amenities. We visited two bedrooms, the lounge, kitchen/dining room and laundry. People have their own bedroom which is a private space only entered with their permission. One has it’s own en suite ‘wet room’ whilst the remaining two bedrooms share one en suite wet room. All parts of the home contain adaptations and equipment to promote people’s independence. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 19 People are encouraged to bring with them any personal items they want. This enables them to personalise both their rooms and other areas of the bungalow and thereby enhance their ownership of their home. The home appeared to be comfortably furnished and was very domestic in style. Mostly it was in an adequate state of repair, but some redecoration is felt necessary by the family of one person at the home. To the side of the home, but accessible by a connecting door, is an unused swimming pool. People at the home are deciding how best to use this large additional space. (See Standard 39). All live on the ground floor from where all areas can be accessed. The home is surrounded by a garden, which contains an ornamental pond, lawn and plants. It appears well tended, but family say it used to be better than it is now. It is accessible by a ramp from the front door around which are freshly planted containers. Some people at the home enjoy the activity of gardening and this was scheduled in as an activity during the inspection visits. The home was fresh and adequately clean. Staff are able to use protective clothing and maintain hand hygiene to prevent the possibility of cross infection. The laundry is well equipped to a standard suitable for the needs of people at the home, and has readily cleanable surfaces, which also reduce the possibility of cross infection. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a staff which is adequately recruited, well trained, supervised and in sufficient numbers to meet their needs. EVIDENCE: Staff and people who use the service were asked if they thought the staffing levels were adequate to meet the needs of people who use the service and the general consensus was that they usually were. On our two visits we found two staff to one and two staff to three. However, although staff fully understand why long periods at the home are necessary to prevent breaks in activities, they said they get ‘a bit worn out’ and don’t feel they can always give their best toward the end of a long day. One family of a person at the home felt staff should not be taken from the task of care to clean the home. The manager says they are currently trying to recruit a cleaner so that this does not happen. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 21 Both staff and people using the service confirmed that additional staff are arranged if the activities planned, or any other need, warrant this. Staff say agency staff are never used because people benefit most from the staff who know them best. Staff gave the training provided ten out of ten adding: “Sergio will always go and find a course if we want to learn something”. All staff are encouraged to undertake National Vocational Qualification (NVQ) in care, most having achieved level two and some level three. Most family of people who use the service say staff have the skills and knowledge to meet the needs of people and the one person who uses the service who was asked agreed. Staff receive all necessary health and safety training, such as food hygiene, the use of moving and handling equipment and fire safety. They also receive training specific to the needs of people at the home, such as Mental Capacity Act 2007 (helping people to make decisions), epilepsy and continence. Three staff who responded to survey said they were only employed following the necessary checks to ensure they were safe to work with vulnerable adults. We discussed the recruitment of staff at the home and looked at the records of the last person employed. We found that safe recruitment is understood and checks completed before new people employed. We discussed how this might be further improved. We were also told that people who use the service, and existing staff, meet potential staff and then discuss their suitability before deciding whether to offer employment. Asked through survey if they have the right support, experience and knowledge to meet the different needs of people who use the service one staff said always and two said usually. We saw records of staff one to one meetings/supervision and were told how the manager observes staff working, for example, giving medicines, so that he knows if further training is necessary. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are the home’s single focus. Health, safety and the well being of people are the priority. EVIDENCE: The manager, Mr Sergio Alejandro Suchowlanski, has achieved the National Vocational Qualification (NVQ) 4 qualification in care. He has not yet started the Registered Manager’s Award, which will provide him with more information about good management and evidence of his current knowledge and competence. In addition to his qualifications the registered manager has had substantial experience of working with people with physical disabilities. We found him to have an excellent understanding of the value of people regardless of disability. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 23 Mr. Suchowlanski communicates a very clear sense of direction and leadership, and also leads by example. People who use the service are its priority. Family of people in the home said: “The whole facility and its team is clearly focused on the well being and benefit of the residents. Well done Sergio and your staff for whom nothing appears to be too much trouble”. Staff said about the manager: “I would like to say that the manager has encouraged and supported me to widen my knowledge by placing me on courses and supporting me while doing my N.V.Q. 2 and N.V.Q 3 which I hope will be beneficial to Cornerways also”. Mr. Suchowlanski said that they review the quality of the service with a yearly survey to everybody who has contact with the home, therefore those with professional association as well as the people themselves and their representatives/family. The last responses received showed that people wanted a say in how the unused swimming pool building would be used. Towards achieving a quality service there is also staff supervision and meetings and weekly meetings where people who use the service decide the weeks activities. Mr. Suchowlanski said that people’s goals keep changing and the home needs to ensure it continues to know what those goals are so they can be supported to reach them. The home sent us their annual quality assurance assessment (AQAA) but it was not provided by the due date as it must to comply with the regulation. However, when received it was clear, detailed and gave us all the information we asked for. It supported the other evidence that the standard of quality at the home is under continual review by Mr. Suchowlanski. Improvements for the home, identified by Mr Suchowlanski are: • To undertake his registered managers award • Overall increased communication between staff • Convey a clear sense of direction and leasership through staff meetings and increased communication • Undertake a service user survey We saw no health and safety concerns whilst at the home and saw that equipment was properly serviced and maintained. Staff are properly trained in all areas of health and safety and risk at the home is fully understood and properly managed. Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 3 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 4 3 X X 3 X Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA20 Regulation 13(2) Requirement All medicines must be checked into the home when they arrive. They must be stored securely and their administration must be recorded. This will ensure that people are protected from mistakes and mishandling. Information, required to be provided to the Commission, must be so by the due date. Timescale for action 30/04/08 2. YA39 24(2) 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cornerways Residential Home Limited DS0000070796.V361797.R01.S.doc Version 5.2 Page 27 - 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. 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