Care Home: Daniel Close, 16

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well There are good systems in place at 116 Daniel Close to support people who are thinking about moving in.They are given information about the support they can expect and how the home runs. Staff work with them to get information about the support they need and the things they like to do.This helps everyone to decide if the home is the right place for the person to live, and to plan how to meet their needs and choices.The people living at 16 Daniel Close are able to spend their time alone or in company as they prefer.They have a number of activities and hobbies, which they can enjoy whilst at home.There are two staff working in the house at timesThis gives people plenty of opportunities to go out or stay at home and have one to one support from staff as they prefer.Up to date care plans are in place for both of the people living at 16 Daniel Close. These are written with the person.They provide clear information on the support the persons needs and likes as well as the things they can do independently.This helps to make sure people get support with the things they like as well as the things they need.The house is an ordinary house in familyarea. It is clean and well looked after. Everyone living there has their own bedroom. They also have lots of shared spaces. There are:-Two lounges. A private back garden. An upstairs bathroom with bath and shower. A Downstairs toilet.Outside people have a private back garden they can sit in.Staff know the people living there well. They have training to help them support people with their individual needs and choices.The home is well managed, with a manager who is organised and knows how to support the people who live there.Systems are in place for checking quality of the support that people get.These help to quickly note and deal with any issues that may arise as well as plan future improvements to the service they provide. What has improved since the last inspection? Since our last inspection at 16 Daniel Close staff have had regular training in fire awareness and prevention. This helps to ensure they can keep everyone safe in the event of a fire happening.Some of the information given to the peopleliving at 16 Daniel Close is now being provided in easier to understand ways. Such as the use of pictures and easy to understand language. This helps people to understand as much as possible about their rights and the support they are getting. What the care home could do better: Some of the information given to people in an easier to understand format should be looked at again.This will help as many people as possible to understand it. For example the use of lots of words on one page may be difficult for some people to follow.The home should get a small supply of water-soluble bags to use in the washing machine. These bags can be used if an outbreak of infection happened, to help lessen the risk of it spreading.An up to date copy of the local authority protection of vulnerable adult`s policy should be available in the home.This will ensure staff have access to the latest advice to follow, should they need it. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Daniel Close, 16 16 Daniel Close Bootle Liverpool Merseyside L20 4UT three star excellent service The quality rating for this care home is: 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: Lorraine Farrar Date: 0 3 0 7 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. They reflect the things that people have said are important to them: 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. 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. Internet address www.cqc.org.uk Information about the care home Name of care home: Address: Daniel Close, 16 16 Daniel Close Bootle Liverpool Merseyside L20 4UT 01519337791 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Expect Limited care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home 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 - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection 1 1 0 5 2 0 0 7 A bit about the care home 16 Daniel Close is registered to support up to three adults who have a learning disability, or who need support with their mental health. Expect LTD run the home, they are a local organisation who provide different services for people who have a learning disability or who need support with their mental health. The property is a semi-detached house located in a residential area of Bootle. It is similar in style to other family properties nearby and is well located for getting to local shops, facilities and public transport. The people living there have their own bedroom and share two lounges. There is one member of staff in the home 24 hours a day, at night this member of staff sleeps in. An extra member of staff often works for several hours a day, giving the people living there the opportunity to get out and about if they wish. 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: three star excellent 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 Poor Adequate Good Excellent How we did our inspection: This is what the inspector did when they were at 16 Daniel Close. Before we visited we sent surveys to the people who live there and to their relatives and the staff who support them. Both of the people living there and their relatives replied, as did three members of staff. We also sent a pre-inspection questionnaire to the manager. This gave her the chance to tell us The areas the home are doing well in. Any improvements they have made. Plans they have for future improvement. The form also asks about the support the home provides, health and safety, records and staffing. All of this information helped us to plan site visit and in writing this report. We carried out an unannounced site visit to the home on 3rd July 2009, which took place over four hours. During our visit we met both of the people living there and two members of staff, including the manager. We spent time: - Reading records. Looking at the environment. Looking at the support provided to the people living there. It currently costs three hundred and fifty one pounds each week to live at 16 Daniel Close. What the care home does well There are good systems in place at 116 Daniel Close to support people who are thinking about moving in. They are given information about the support they can expect and how the home runs. Staff work with them to get information about the support they need and the things they like to do. This helps everyone to decide if the home is the right place for the person to live, and to plan how to meet their needs and choices. The people living at 16 Daniel Close are able to spend their time alone or in company as they prefer. They have a number of activities and hobbies, which they can enjoy whilst at home. There are two staff working in the house at times This gives people plenty of opportunities to go out or stay at home and have one to one support from staff as they prefer. Up to date care plans are in place for both of the people living at 16 Daniel Close. These are written with the person. They provide clear information on the support the persons needs and likes as well as the things they can do independently. This helps to make sure people get support with the things they like as well as the things they need. The house is an ordinary house in family area. It is clean and well looked after. Everyone living there has their own bedroom. They also have lots of shared spaces. There are:- Two lounges. A private back garden. An upstairs bathroom with bath and shower. A Downstairs toilet. Outside people have a private back garden they can sit in. Staff know the people living there well. They have training to help them support people with their individual needs and choices. The home is well managed, with a manager who is organised and knows how to support the people who live there. Systems are in place for checking quality of the support that people get. These help to quickly note and deal with any issues that may arise as well as plan future improvements to the service they provide. What has got better from the last inspection Since our last inspection at 16 Daniel Close staff have had regular training in fire awareness and prevention. This helps to ensure they can keep everyone safe in the event of a fire happening. Some of the information given to the people living at 16 Daniel Close is now being provided in easier to understand ways. Such as the use of pictures and easy to understand language. This helps people to understand as much as possible about their rights and the support they are getting. What the care home could do better Some of the information given to people in an easier to understand format should be looked at again. This will help as many people as possible to understand it. For example the use of lots of words on one page may be difficult for some people to follow. The home should get a small supply of water-soluble bags to use in the washing machine. These bags can be used if an outbreak of infection happened, to help lessen the risk of it spreading. An up to date copy of the local authority protection of vulnerable adults policy should be available in the home. This will ensure staff have access to the latest advice to follow, should they need it. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Lorraine Farrar Northwest Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA Phone 03000616161 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 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and health care 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 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 . Sufficient information is provided to and obtained about people considering moving into 16 Daniel Close. This helps everyone to decide if it is the right place for the person to live. Evidence: The people living at 16 Daniel Close and their relatives told us that before they moved in, they were given sufficient information about the home and how it operates, to help them make their decision. Nobody new has moved into 16 Daniel Close recently. However the organisation has clear procedures in place to support people who are considering moving in. This includes providing them with information about the home and about the organisation. Staff would meet with the person and those who support them to carry out a full assessment of their needs. The person is invited to visit the home several times and to stay overnight if they wish. We looked at information that both of the people living at the home have, and that is available for anyone considering moving in. The information pack includes details about the home, staffing, the organisation and how to raise a complaint. It also tells people about the support they can expect, their rights and responsibilities. A copy of the last inspection report and annual review of the service is also made available to them. A lot of the information available for people is now provided in an easier to understand format, including the use of pictures. However whilst suitable for some people it may prove hard for others to understand. For example the use of a lot of words on one Evidence: page may make it more difficult for some to people to follow. This information would benefit from being reviewed by different people who use the service to obtain their point of view. The information provided to and obtained about people, helps everyone to decide if 16 Daniel Close is the right pace for the person to live. It also helps staff to plan with the person how to meet their needs and choices. 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 . The different needs and choices of the people living at 16 Daniel Close are clearly identified and staff work with people to meet them. Evidence: Clear care plans are in place for both of the people living at 16 Daniel Close. These give information and guidelines on the things the person likes and does not like, their health and personal care, the things they can do independently and the things they need staff to support them with. Plans are written with the person and their family and are updated monthly, with a full review taking place every six months. Care plans are written with the use of pictures, to help people understand them more easily. They are signed by the person to show that they have read or had their plan explained to them. One of the people living there confirmed that staff sit with her and discuss the things they write in her plan and daily records. This helps to ensure that people are as involved as possible in planning the support they receive. Care plans contain up to date risk assessments for different areas of risk in the persons life, such as mobility, relationships and their health. The assessments then give guidance to follow to minimise the risks to the person in their everyday lives. Daily records are well written with lots of details about the person, how they have spent their day, the choices they have made and the support they have received. These provide clear information about the support staff are providing and are a good way to ensure people are getting the support they need in a way they prefer. The amount of detail in the care plans and daily notes along with the regular reviews helps to ensure that people get the support they need and choose. It also helps to ensure Evidence: that any changes to their support needs or chosen lifestyle are quickly noted and acted upon and that staff are fully informed about how to support the person. The people living at 16 Daniel Close told us in their comment cards that they make their own decisions about how to spend their time and that they can do the things they want to do. During our visit we observed that people chose where in the house to spend their time and engaged in different activities as the preferred. Information about the decisions people have made are recorded in their care plan. For example where someone does not want a particular medical test carried out their decision is clearly recorded. Information about advocacy services that can help people speak up for themselves is readily available in the home and staff work with people and their family to establish their decisions and in writing their care plan. This all helps to ensure peoples make as many decisions for themselves as possible and that these are respected. Staff told us in their comment cards that the training they receive helps them to understand peoples different needs and lifestyles. Training records show that some staff have had recent training in equality and diversity with further training planned for other staff. The manager explained that they have offered to accompany people to religious services and support one persons decision to watch a religious programme weekly. This all helps to ensure that staff have the knowledge to support people with different cultures, sexuality, race and disabilities. Information about how people like to manage and spend their money is recorded in their care plan. People have their own bank accounts and are supported to have their benefits money paid into this account. This again provides them with the opportunity to have more control over their lives and increase their independent living skills. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at 16 Daniel Close are supported to live a lifestyle of their choice. Evidence: Relatives of the people living at 16 Daniel Close told us that the home responds well to peoples different needs and helps them to live a lifestyle of their choice. One relative explained, the carers work very hard to help ( our relative) live a full social life to her potential. The manager identified in the self assessment form that the home could encourage the people living there to be more involved in household tasks. We observed during our visits and in reading records that staff are providing this encouragement. During our visit one person was involved in baking whilst another was out shopping for household goods. Records showed that people are supported and encourage to prepare meals, lay the table and look after plant pots. This encouragement provides people with the opportunity to be as involved as possible in the everyday running of their home as well as to learn and maintain everyday living skills. Care plans contain clear information about the different ways that people choose to spend their time and daily records confirmed that they are supported to do these things. During the time we visited we observed one person choosing to spend time reading, chatting with staff, watching TV and baking. The other person was out shopping, walking and for lunch. The staffing levels at 16 Daniel Close provide opportunities for people to have one to one support from staff so that they can get out Evidence: and about as well as doing the activities at home that they enjoy. The house has two lounges so people can spend their time in different ways, watching the TV or listening to the music they prefer. There are a number of in-house activities available that suit peoples different choices. This includes, music, jigsaws, books and art and crafts. Relatives told us that staff support the people living at 16 Daniel Close to stay in touch with them and this was confirmed in reading daily records. If they choose to, people can also spend a lot of time in their local community using local shops, cafes and public transport. Records showed that staff support people to get to know their neighbours and during our visit a neighbour dropped by to visit. This all helps people to become part of their local community and get to know people outside of their family and staff, if they wish to do so. Routines in the house are flexible, with people able to get up and go to bed as they choose. We observed people asking for and getting a drink when they preferred and staff spending their time chatting and interacting with people as well as proving the basic support they need. Records of menus showed that people are offered a variety of meals and one of the ladies living there confirmed that she is consulted about mealtimes. Food is bought at local shops and supermarkets and the people living at 16 Daniel Close go shopping to choose this, with staff support. Again this helps to ensure people have as much control over their everyday lives as possible and supports them to become part of their local community. Personal and health care 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at 16 Daniel Close receive the support they need, to maintain their health and appearance in a way they prefer. Evidence: Care plans contain clear guidance about the support people need and choose with their personal care, their mental health and general health. They also give guidance on the things people can do independently and the things they need more support with. In discussions with staff they displayed a clear knowledge of the support people need and how to provide this in the way the person prefers. This all helps to ensure that people receive the support they need whilst enabling them to become and remain as independent as possible. One of the people living there told us that they can go to bed and get up when they wish and that they get support from staff with the things they need. In meeting the people living at 16 Daniel Close it was clear that they had received the support they needed, with their personal care and appearance. Records showed that people are supported to make and keep health appointments such as the Dentist, Optician, GP and Psychiatrist. people to have tests taken and to obtain the results. Where someone does not wish to have a particular test carried out, their decision is clearly recorded. This is good practice as it enables people to remain as in control of their own lives as possible and to have their decisions respected. Information was available at 16 Daniel Close about how to support people to remain healthy during a heatwave. Records showed that staff were following this guidance by supporting peoples to have extra drinks and gaining their agreement to leave windows open. In addition one of the people living there was out shopping with staff to buy electric fans for bedrooms. This all helps to ensure that people are supported to remain as healthy as possible and that any changes to their health can be quickly noted and acted upon. Evidence: Staff have received training in dealing with medication, with further training planned for this year. Clear records are maintained in the home of medication received and given to people. In addition regular audits of the medication are carried out so that any issues can be quickly identified and dealt with. Where someone is prescribed medication to take as required clear guidance and protocols are in place for staff to follow. We checked a sample of medication within the home and found that it was stored correctly, records were well maintained and stocks tallied. This all helps to ensure that peoples medication is managed safely and any issues can be quickly noted and dealt with. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living at 16 Daniel Close are confident that any concerns or complaints they have will be listened to and acted upon. This helps them to feel safe whilst living there. Evidence: The people living at 16 Daniel Close and their relatives told us in their comment cards that they know know to raise any concerns or complaints that they may have about the home. One relative also told us that the home have responded appropriately to any concerns that they have raised in the past. During our site visit one of the people living there explained to us that if they were unhappy about something they would talk to staff who would help them. No concerns or complaints have been raised about 16 Daniel Close since out last big inspection. However the organisation have polices and procedures in place for dealing with any that may arise. Information about how to raise a concern or a complaint is made available to the people living there and their visitors, via the information packs and a leaflet in the lounge. This is provided in an easy to understand format. The copy of the local authority adult protection procedures available in the home was out of date. This may mean that staff do not have access to the latest guidance, should they need it. However staff told us in their comment cards that they know what actions to take if anyone raises concerns with them about the home. This was confirmed during our site visit. In discussions with a member of staff they were clear about the actions they could take and whom to contact, if concerns were raised about the home or by the people living there. Care plans contain information about how to support people to manage their behavior, in discussions with staff and by observing their practice, it was evident that they have the skills and knowledge to safely support people in this area of their lives. The systems in place at 16 Daniel Close for supporting people to manage their money are clear and well recorded. This helps to ensure that peoples money is managed Evidence: safely and can be easily audited. The open approach to dealing with complaints and concerns helps the people living at 16 Daniel Close to feel safe and that they are listened to. 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 . 16 Daniel Close provides a pleasant, safe and comfortable home for people to live in. Evidence: 16 Daniel Close is a semi-detached house in a residential area of Bootle. Both inside and outside it has the appearance of a family home and is nicely decorated and well maintained. The people living there told us in their comment cards, that their home is always fresh and clean and we observed this, during our visit. Both of the people living at 16 Daniel Close have their own bedrooms. One of the people living there confirmed that they had chosen their own decor and we observed both bedrooms to be decorated and furnished to suit peoples individual choices and lifestyles. Bedrooms are not en-suite but do contain sinks. Upstairs a bathroom contains a bath with overhead shower, sink and toilet. A second toilet and sink are available on the ground floor. Although providing domestic furniture and fittings throughout, there are some aids and adaptations provided to support people with their mobility and personal care. These include banister rails on both sides of the stairs and an extra long bath mat to enable people to use the bath safely. The house has two downstairs lounges. The back lounge has a settee and chair and is large enough to comfortably hold a dining table and chairs, as well as TV set and bookcases. A front lounge provides a settee, music and TV. This enables both of the people living there to have privacy if they wish and to spend their leisure time engaged in activities of their choosing. The kitchen is fitted with domestic appliances including a washer and dryer. A cleaning schedule is in place and is regularly completed to ensure hygiene standards are maintained. Staff we spoke with had a good understanding of infection control and Evidence: how to prevent an outbreak of infection occurring. Disposable gloves and aprons are available in the home. However they do not have a supply of water-soluble bags, to help deal with any outbreak of infection that may occur. The house has parking for one car on the drive, with limited parking available on the street outside. The front garden is nicely maintained with flower baskets and pots adding to the overall homely atmosphere of the home. The back garden is enclosed, providing privacy and new garden furniture had been bought recently, that meets the needs and choices of the people living here. 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 people living at 16 Daniel Close are supported by an experienced staff team in whom they have confidence. Evidence: The people living at 16 Daniel Close told us in their comment cards that staff listen and act on what they say. This was confirmed during our site visit when one of the people living there told us that staff help them with the things they need, and described then as good to me. Relatives told us that staff have the skills and experience to look after the people living at 16 Daniel Close. During our site visit we observed that staff have built good relationships with the people living there. They displayed a good knowledge of peoples support needs and their choices, their chosen lifestyles and how to support them to manage their behavior. We observed that staff spent a lot of time with people, engaging them in activities, responding positively to requests for support and took time to explain things to people in a way they could easily understand. There are four permanent members of staff working at 16 Daniel Close, including the manager. Most staff hold a national qualification in care (NVQ), with other staff working towards obtaining this. Staff told us in their comment cards that they get the training they need to support people. This was confirmed during our site visit, when a member of staff informed us, they get plenty of training. We saw training booked for all staff throughout 2009 in a variety of areas including, equality and diversity, medication and health and safety. Recent training had taken place for staff in areas such as fire, protection of vulnerable adults and electrical awarness. The training staff have had, and that is planned helps to ensure they are up to date with current good practice in how to support people safely and well. The manager explained that the organisation intend to offer training on the new Evidence: Deprivation of Liberty laws, however staff have not had training in the Mental Capacity Act. This training would help to ensure staff are fully aware of new legislation and are following it to ensure peoples rights are protected. Regular meetings are held with staff and the people who live at 16 Daniel Close. These cover different subjects including, supporting the people living there, health and safety and the quality of the service provided. These regular meetings help to ensure everyone is aware of what is happening in the home and can contribute their point of view. Staff told us in their comment cards that there are always enough staff working in the home to support the people living there. The staff rota records that there is one member of staff in the home twenty-four hours a day. During the night this member of staff sleeps in. Most days there is a second member of staff working for several hours. This provides opportunities for the people living there to have one-to-one support from staff to do the things they enjoy. For example during our visit one person was out for a walk, went shopping and for lunch. The other person spent time at home reading and baking. No new staff have started work at 16 Daniel Close for several years. However the manager told us in the self-assessment form that clear recruitment polices and procedures are in place. These include the person attending a second interview during which the people living in the home have the opportunity to meet them and give their point of view. We looked at staff files and these confirmed that before anyone starts work in the home a series of checks are carried out. These include obtaining a Criminal Records Bureau check (CRB) and two written references. The thorough recruitment checks and processes help to ensure that staff are suitable to work with people who may be vulnerable. 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 . 16 Daniel Close is well managed for the benefit of the people who live there. Evidence: Mrs Eleanor Dowling is the registered Manager at 16 Daniel Close. She is experienced in managing a care service for adults who have a learning disability. Mrs Dowling advised that she has completed working towards a national registered managers award, but has been waiting for the outcome of this for some time. Discussions with Mrs Dowling and records in the home evidenced that she attends regular training to keep herself up to date with current good practice in supporting people and managing a care service. We observed during our visit that Mrs. Dowling has a good knowledge of the people she supports, is organised in her work and motivated to continue to provide a good service for the people living at 16 Daniel Close. Staff we spoke with, told us that they get support and advice from their manager whenever needed. There are several systems in place at the home for checking and further improving the quality of the service they provide. Regular in house audits and reviews are carried out in areas such as health and safety, money, medication and care plans. In addition the organisation have a number of quality assurance systems in place. These include regular health and safety visits to the home, a yearly audit of the service and monthly visits from a senior manager. Following these visits a report is provided to the home listing areas of good practice and any areas for improvement along with an action plan to be followed. We looked at the results of the last health and safety audits, notes on this from the manager, evidenced that the home are working towards meeting the actions set following this audit. Evidence: Each year the organisation send out a number of surveys to the people who use their services, staff and relatives. The results of the 2008 survey are clearly published along with areas people feel they are doing well in and where they could improve. The document is written in an easy to understand manner and provides quotes from people who responded. This helps the people who live at 16 Daniel Close to understand as much as possible about the outcome of the survey. In house meetings and a service user forum held quarterly by the organisation, also provide a formal way for the people living at the home to have a real say in the service they receive and make suggestions for future improvements. These different methods of checking the service provided help to make sure that everyones views are taken into account and that any issues can be quickly identified and acted upon. Records and certificates showed that regular checks are carried out on the environment and equipment in the home. This includes regular checking of the fire system, water, fridge and food temperatures and gas and electrical supplies. These checks help to ensure that 16 Daniel Close is a safe place for people to live work and visit. Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description 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 Polices and procedures made available in easy to understand formats should be reviewed with some of the people who use the service. This will help to ensure they are as easy to understand as possible for everyone. An up to date copy of the local authority adult protection procedures should be obtained and kept in the home. This will ensure staff have access to the latest guidance, if needed. Training should be arranged for staff in Deprivation of Liberty and the Mental Capacity Act. This will help to ensure staff up to date with current legislation and how it may affect the people living in the home. 2 22 3 35 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. - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!