Care Home: Denis Taylor House

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What the care home does well The Home provides an individualised service, which focuses on person centred care to ensure that people living at the Home are able to choose how they wish to spend their day in a safe environment. All staff are trained in a wide range of relevant skills and are able to attend specialist training relating to current peoples` needs. There is a stable staff group who enjoy their work, some travelling long distances, and know people living at the Home well. Medication is well managed with good records and reviews of peoples` medication involving the multidisciplinary team. Staff receive regular training in this field and are knowledgeable about individual medication, side effects and homely remedy administration being encouraged to keep up to date with medication use. The Home provides a wide range of opportunities and activities. People can choose to do activities as they wish. The Home regularly reviews the suitability and enjoyment of each activity relating to individual residents and allows for safe and proportionate risk taking. People are enabled to be involved in the community and attend a range of community activities with family and friends very much involved in their relatives` lives. People also have roles within the Home and enjoy contributing to the day-to-day running such as cleaning, cooking, and residents` meetings which ensure that their voices are heard, recorded and comments acted upon. Meals are well managed encouraging choice and flexibility with a nutritious and varied diet. What has improved since the last inspection? This is the first inspection as the Home is a newly registered service. What the care home could do better: There are no requirements made following this inspection, which is very commendable. The Home should ensure that there are clear records kept of the decision making process including the multidisciplinary team, which may infringe upon peoples` privacy and dignity such as monitoring devices. CARE HOME ADULTS 18-65 Denis Taylor House 22 Salutary Mount, Fore Street Heavitree Exeter Devon EX1 2QE Lead Inspector Rachel Doyle Key Unannounced Inspection 22nd April 2008 10:00 Denis Taylor House DS0000071075.V358435.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 Denis Taylor House DS0000071075.V358435.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. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Denis Taylor House Address 22 Salutary Mount, Fore Street Heavitree Exeter Devon EX1 2QE 01392 686482 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) Guinness Care and Support Ltd Rachel Mary Hardy Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Denis Taylor House DS0000071075.V358435.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 only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 14. New Service Date of last inspection Brief Description of the Service: Devon Community Housing Society have been the registered provider in respect of this and numerous other care services in Devon until 30th September 2007. On October 1st 2007 DCHS amalgamated with Guinness Care and Support. This amalgamation created a new provider and therefore this is a new service. People living in other Homes have moved together into Dennis Taylor House, which is a 14 bedded modern home close to Heavitree High Street in Exeter. The Home is on three floors and provides a lot of space for people to access including a large airy conservatory and dining area and a lovely garden with a small lawn. Access to the property is level and easily located with parking spaces to the rear. The Home have their own transport. The average cost of care is £650 per week at the time of inspection. Additional costs, not covered in the fees, include private chiropody, holidays, some public transport contributions, personal clothing, hairdressing and personal items such as toiletries and magazines. Inspection reports will be available in the Home for people to read. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 5 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. This unannounced inspection took place on Monday 21st April 2008 from 10.001500. At the time of this inspection there were 9 people living at the Home and 5 vacancies. The Home have recently moved premises from a smaller care environment and some people have joined Dennis Taylor from other Homes. On arrival there was a lovely atmosphere at the Home with staff chatting to people relaxing in the conservatory and people pottering about doing household chores or watching television. Staff introduced us to all the people living at the Home and there was a sense of inclusion in the day-to-day goings on. The manager was not on duty during the inspection but all staff were very helpful and keen to show what they do at the Home. We case-tracked three people living at the Home at random, which means that we look at relevant records, speak to people and observe care to gain an insight into peoples’ experience of living at the Home. We also toured the building, looked at staff training and recruitment files, spoke to 5 staff and spent time with all the people living at the Home including lunch. Before the inspection we sent the Home an Annual Quality Assurance Assessment, which was filled in by the manager in good detail. This gives us additional information about what the Home feels they do well, improvements and plans for the future and helps inform the inspection process. Surveys were also sent to staff, people at the Home and relatives so that we can use their views as part of the inspection. Seven people living at the Home responded, some with assistance (2 were unable to answer the questions), 4 health professionals and care managers and 6 staff. What the service does well: The Home provides an individualised service, which focuses on person centred care to ensure that people living at the Home are able to choose how they wish to spend their day in a safe environment. All staff are trained in a wide range of relevant skills and are able to attend specialist training relating to current peoples’ needs. There is a stable staff group who enjoy their work, some travelling long distances, and know people living at the Home well. Medication is well managed with good records and reviews of peoples’ medication involving the multidisciplinary team. Staff receive regular training in this field and are knowledgeable about individual medication, side effects Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 6 and homely remedy administration being encouraged to keep up to date with medication use. The Home provides a wide range of opportunities and activities. People can choose to do activities as they wish. The Home regularly reviews the suitability and enjoyment of each activity relating to individual residents and allows for safe and proportionate risk taking. People are enabled to be involved in the community and attend a range of community activities with family and friends very much involved in their relatives’ lives. People also have roles within the Home and enjoy contributing to the day-to-day running such as cleaning, cooking, and residents’ meetings which ensure that their voices are heard, recorded and comments acted upon. Meals are well managed encouraging choice and flexibility with a nutritious and varied diet. 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. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 7 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 Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 8 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 excellent. This judgement has been made using available evidence including a visit to this service. The Home’s assessment process ensures that the needs of people who may move into the Home are thoroughly assessed prior to admission so that the Home are sure that they can meet them. EVIDENCE: We looked at the care files of three people living at the Home. Pre-admission assessments are comprehensive and information is used from various sources to build up a clear care plan for each individual over time. The deputy manager also said that if they are given information that someone doesn’t like something they give them the opportunity to change their minds are openminded. The Statement of Purpose details the process for new admissions: ‘People interested in living at the Home are encouraged to visit, talk to people and staff and to get a feel for the atmosphere and level of service. If they like what they see, they can then spend part of the day at the Home, taking part in activities and having a meal prior to spending a night with us.’ This had happened for a new admission and staff also said that it was important that Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 9 existing people at the Home were also happy and their needs are looked at when there is a potential new admission. This is to ensure that meeting peoples’ needs is not compromised and that everyone is happy so people living at the Home already are involved in the admission process. The deputy manager spoke of how they had they had spent some time at the Home of one admission talking to them and their relatives to gain useful information about how the person liked to live and how to meet their needs. As people had all recently moved into the new premises a lot of effort had been made by staff to make the house as homely and welcoming as possible before the move and staff spoke proudly of how they had all worked hard, some on their days off. People living at the Home all seemed happy and relaxed with one person giving a big thumbs up when asked if they liked the Home, another said that it was much better than the last one. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 10 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, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans reflect peoples’ needs, interests and aspirations; ensuring that staff have the information they need to meet peoples’ needs with a strong commitment to encouraging and safely developing their independence and choice. EVIDENCE: Three care plans were looked at in detail. These gave excellent information to enable staff to fully meet peoples’ individual needs in a person centred way. Staff were knowledgeable about peoples’ needs. A care plan summary gives easy to understand information and is used by staff when delivering care. Key issues were clearly recorded such as ‘staff need to be aware of any conflict with other people to be ready to step in’. Actions needed were clear and followed by staff during the inspection. Sensitive issues were dealt with in a caring way such as personal boundaries. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 11 Needs are reviewed monthly with management plans to monitor progress. Each plan has individual preferences and routines detailed including peoples’ rights to spend time alone if they wish. Staff were seen to chat to people living at the Home to find out what they wanted to do, for example where they wanted to sit. Plans include personal objectives and are reviewed 8 weekly with peoples’ key workers, the manager and people living at the Home. People living at the Home are encouraged to be involved in their lives and to make their own choices. Staff use various methods of communication with those people with limited verbal communication and understanding and there is multidisciplinary input, such as objects of reference, photographs, signing and body language. One person is going to signing sessions outside the Home with staff to ensure that they can practice. All care plans included clear risk assessments to ensure that people are safe, covering all areas of daily living. Decisions in general are made with multidisciplinary and relative input with the person living at the Home. Decisions are discussed within staff meetings to which people living at the Home also attend. Sometimes people even like to attend in house training. One method of monitoring could be seen as infringing on peoples’ privacy and dignity and should be clearly discussed with people at the Home and/or their advocate and the use of the device monitored. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Links with the local community, peers and people’s families are good, supporting and enhancing people’s social opportunities. Meals are well managed offering choice, flexibility and a nutritious and varied diet served in an appropriate way to meet individual needs. EVIDENCE: The Home offers a wide range of activities to suit individual needs. None of the people living at the Home are able to work but people said that they enjoyed doing chores around the Home and they liked to be kept busy. Relationships between peers are well monitored to ensure people’s well-being. Care plans include activity preferences and staff are always on the look out for events that people might enjoy such as the signing social sessions. People are able to go out to buy new clothes and choose what they want to buy with support from staff. One person enjoyed showing us their new pet rabbit and other people Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 13 living at the Home obviously liked having the rabbit around. People have a daily diary and this records things such as the Memory Clinic advice, which encourages people to do things every day. People are able to access various activities and people’s art work was displayed on the walls around the Home. Photographs also show people enjoying events with staff. The conservatory has large tables, which are used for activities. There are plenty of craft materials and people are able to choose what they want to do. Staff spent a lot of the morning helping one person choose books and then spent time discussing the contents with them. Staff also spent time chatting to people on a one to one basis and finding out how they were. The Home has a small training kitchen where people can practice household skills and some people who are able help with Home chores. Activities include swimming, shopping, coffee out, art, external peer groups, pampering sessions and DVDs. The Home also plans to create a sensory room and look at other ways of encouraging peer group interaction. Survey responses from people who live at the Home were generally positive such as ‘I am happy’, ‘it’s a home’, ‘I like cooking’. One person misses going swimming and another would like to go out in the van more’. We spoke to one health professional visiting the Home during the inspection. They had nothing to say but praise for the Home and said that they do not visit any other homes as a rule but choose to return to Dennis Taylor House as it is such a nice place. Visitors are able to come to the Home at any time or when people wish to see them. Staff often take people to the local amenities and one staff member described how they take one person out regularly shopping for their favourite books. Two relatives indicated that they were very happy with the service and obviously had a good rapport with staff being able to have tea with their relative. Calls with people living at the Home and their relatives are logged to enable the Home to support these relationships. Meals are discussed with people at the Home and are flexible and very individual. People can help with cooking and preparation if they are assessed as able and this is encouraged. There is a four weekly menu, which provides a wide range of nutritious meals. On the day of the inspection there was good quality sausage and mash, fresh leek, broccoli and cabbage. There was homemade cake for tea. Staff take their meals with the people at the Home and there was a jovial atmosphere. People who needed assistance with their meal were helped sensitively and any preferences and needs were accommodated such as fluid thickener or an alternative meal. One person chose to eat later when they felt like it or they can choose to eat in their rooms. Staff were very attentive passing condiments and chatting to people. People confirmed that they can have a cup of tea or snack when they liked and those who have less verbal skills were included by staff. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. The physical and emotional health needs of residents are well met and regularly reviewed by the Home involving the multidisciplinary team as necessary. Medication arrangements are well managed ensuring that residents are safe. EVIDENCE: People are encouraged to maintain their independence and staff value and respect these wishes. One health professional had commented in a care plan that ‘the staff team is a consistent one with a good caring ethos’. Staff said that they advocate a holistic approach to care. Care plans showed that health and personal care needs are well met with regular input by relevant health professionals. Records include a medical diary detailing visits to the optician, GP and chiropodist. Progress is recorded with one to ones and events which may be useful for the psychiatrist to know in follow-ups. For example seizure patterns are kept. There are also detailed behaviour records recording triggers Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 15 and likes and dislikes. One care plan was particularly good in recording diabetic care, nutritional input and foot care in an easy to read way. People are able to choose how they want to dress and look and one person was particularly being supported to express their personality. The Home have four male carers, which means that same sex personal care is possible. Medications are well managed. The Home are working with local General Practitioners to reduce peoples’ unnecessary medication for their benefit. The Home use a blister pack medication system for most medication. All 4 staff who administer medication have done relevant training with a local pharmacy. There is a clear Homely Remedy policy, it was advised that this should be dated and reviewed for new admissions. The Home has no Controlled drugs and storage is secure, tidy and disposals are returned promptly. None of the people living at the Home are able to self-administer but anyone moving to the Home would be assessed individually. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. 22, 23 This judgement has been made using available evidence including a visit to this service. The Home has good systems in place, which ensure that people are protected and that their views are listened to and acted upon. Policies and procedures ensure that residents are safe and well protected from harm or abuse. EVIDENCE: There is a clear complaints policy and procedure. Concerns are recorded and actions taken appropriately. Some concerns need to be recorded as finished off and dated. Two people spoken to said that they can talk to any of the staff. The Home are working with the speech therapist to make the complaints policy and Statement of Purpose more easily readable for some people at the Home. People living at the Home are able to spend one to one time with staff on a regular basis and this would also be an opportunity to speak about any concerns. Most people at the Home have relatives as advocates and if not the Home have named care managers who would be able to speak for someone. All staff have undergone Protection of Vulnerable Adults training. Staff were aware of what the Adult Protection reporting process was and this information is clearly displayed in the office. Care plans also showed an awareness of vulnerable adult protection. One care plan was excellent in detailing possible misunderstandings between staff and one person and the plan was sensitively devised to protect that person and staff. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 17 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, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, hygienic and safe environment that promotes independence. EVIDENCE: The Home is three storey, a basement with a kitchen equipped to a high standard, a purpose built laundry room, training kitchen, office and storage areas. The first floor has a large lounge, conservatory and dining room. There is a separate television room near a small snack kitchen where one person was enjoying being busy helping to wash up. All areas are very well decorated to be homely, bright and personalised for the people living in the Home. Each bedroom is individually decorated as that person wishes and staff spoke about how they had been out shopping with each person to help them choose their décor. The Home is able to cater for people who are less able and there is a hoist and plenty of room for manoeuvre. The second floor has 7 bedrooms, all en-suite Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 18 and the top floor has 4 bedrooms and a lounge area. Assisted bathrooms are on the ground and second floor. The garden is well landscaped and with a small lawn area where staff said they would have barbecues in the summer. The rabbit hutch is outside the conservatory where people can see it. All areas are well maintained by the Provider and staff say that they have no trouble getting things seen to. All areas of the Home are clean and hygienic. Staff were seen to wear gloves and aprons as necessary. There is a clear infection control policy and staff attend training in this topic. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 19 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 excellent. This judgement has been made using available evidence including a visit to this service. People living at the Home are supported by dedicated, competent and experienced staff. Good recruitment practices ensure that people are safe. EVIDENCE: Staff are supported by the manager to develop good relationships with people at the Home and to understand that they can make a real difference to someone’s life and to take a pride in the relationships they make and the work they do. There were 5 staff on duty during the inspection and all were clearly happy in their jobs. Since the move from the previous premises some staff have driven some considerable way to continue working at the Home rather than seek alternative employment. Staff spoke of various times when they have got together as a team to attend events of do jobs at the Home sometimes on their days off. There was a clear sense of a staff team. One staff member said that they were encouraged to be themselves with people at the Home. Each staff member came to say goodbye to people living at the Home after their shifts and there was a good rapport between staff and people living Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 20 there. One staff member said that ‘we say this is our home from home, it’s a good team’. Another said ‘I love it here’. All staff were knowledgeable about peoples’ needs and were seen to ‘bend over backwards’ to accommodate someone saying ‘it’s not a problem’. There is a clear corporate training programme including a comprehensive induction plan for new staff. Mandatory training is all up to date and the deputy manager has also put in for staff to do some specialist training such as Gentle Teaching and Challenging Behaviour. The deputy manager checks during the regular staff supervision sessions what training is needed and supervision also includes how staff are finding their job, feedback on competency and sickness. All new staff undergo a six-month probationary period. One staff member said that they had gained a lot from Gentle Teaching training and that it had re-enforced what they do here’. Bank staff also do supervision with the Home’s manager to include them as part of the team. The deputy manager said ‘that it is important that staff know what they are doing’. Four staff recruitment files were looked at and all contained the correct information to ensure safe recruitment practices. One interview record also showed that two people who live at the Home had been included in the interview process for a new staff member. There is a clear audit trail showing the process of recruitment with clear checklist before people start work. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 21 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is managed safely, effectively and efficiently with the focus on people’s individual wellbeing. EVIDENCE: Staff at the Home spoke highly of the manager and deputy manager. They all felt well supported and photographs of events displayed around the Home show a happy staff team. The deputy manager said that ‘staff do a lot here because they want to and enjoy it, even on their days off!’ One staff member was coming in on a Sunday so that they could accompany someone to a signing session. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 22 Staff were going to the new Providers’ showcase the following day and felt that they would be well supported on a corporate level. The Provider aims to appoint Learning Disability ‘Champions’ and focus on customer service. There is a comprehensive Quality Assurance system including an annual action plan based on the outcomes of the annual quality assurance questionnaires. These are sent to health professionals and relatives as well as people living at the Home. Questionnaires had been returned and the manager was about to collate them. The manager is experienced in the field of Learning Disability and achieved the Registered Managers’ Award and National Vocational Qualification NVQ 4 IN 2003. They said that they advocate an open management policy and this is reiterated in the Home’s Statement of Purpose and by staff. One health professional commented that ‘the manager is always very pro-active about seeking advice and ensuring that staff act on this’. A care manager agreed saying that the Home communicates fully with people and contact care management if they have any concerns. A GP also felt that the Home was a caring and supportive environment, praising the Home for the quality of their care and support to the people living there. There are clear corporate policies including Manual Handling and Health and Safety and all fire safety documents and training are up to date. The Home has been made safe using window restrictors and radiator guards as necessary. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 23 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 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA7 Good Practice Recommendations It is recommended that any decision made that may infringe on people’s privacy and dignity is clearly recorded and discussed with people at the Home and/or their advocates, such as listening devices. Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Region 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 Denis Taylor House DS0000071075.V358435.R01.S.doc Version 5.2 Page 26 - 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. 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