Care Home: Eagle Cottages

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What the care home does well This home is managed in a way that encourages the people who live there to take responsibility for their own lives. To do this well staff are trained how to give the right sort of support to service users and they do this in a way that is respectful. This means that people who use the service are treated well and in a way that staff or anyone else would like to be treated themselves. The Company that run this home treat their staff very well and staff show that they are pleased about this. Prior to new staff working on their own they are given lots of support. They are asked to work with a member of staff who has worked at the home for a long time and who are good at their job. This helps the new member of staff to learn what to do and how to do it well. This means that people who live at the cottages receive a good and safe service. One new member of staff said "I love working here, the mentoring scheme is wonderful, I received a really good induction into what is a new role for me." The people who live here are supported and encouraged by staff to keep the cottages very clean and tidy. The way the two cottages are decorated make the inside of the buildings look very attractive and the quality and style of the furniture gives service users a comfortable place to live. Service users are encouraged to lead staff in the way they prefer to be supported with things they cannot do on their own. Staff follow instructions in the care plan how to do this. The care plans are very good and are written in a way that service users understand. Service users lives are busy and well organised. Staff help service users to choose what they want to do and where they want to go. They take part in many different activities. The manager who runs the home is well experienced and has good support from her senior staff and care team. Staff and service users said that everyone gets on very well together at Eagles Cottages. What has improved since the last inspection? The home now carries out safer practices regarding the opening of windows. The hinges on the windows have been tightened so that the space created when open is limited so that service users are safeguarded from possible accidents occurring and from the possibility of intruders getting in. The damages caused to the property, found at the previous inspection, have now been repaired and redecorated. This means that these areas are now safe and attractive for service users to live in. The conservatory, which is shared by both cottages, has been decorated and new furniture has been provided. This means that service users from both cottages have a comfortable and attractive place to meet. The service is now fully staffed which means that agency or bank staff are not used and staff are not put under pressure, having to work too many hours. This means that the care that service users receive is more consistent and is delivered by people who they know and who understand their needs. Better recruitment practices are now followed which means that the right sort of person is employed and service users are protected from possible harm. The home asks people who apply to work at the home for information about themselves and about the previous jobs that they have worked in. In addition to this the opinions of the people they have previously worked for are sought. What the care home could do better: Minor adjustments to the Statement of Purpose and Service User Guide could make the recent changes to the registration of the service clearer. The description of the individual cottages should remain, but a clear statement could describe them as one service. The plans that are in place to develop an Activity Picture Book should go ahead. This will help service users to make decisions about what sort of activities they want to take part in. It is also a good way of introducing new ideas to service users and a way to expand their experiences. So that the safety of service users and staff is promoted, the practice of keeping doors open with wooden chocks or any other equipment must stop. If a fire door needs to be kept open then this must be done with an appropriate device that is fitted to the door and connected to the fire alarm system, so that if the fire alarm sounds the door is released automatically. Staff must also practice fire drills and receive fire instruction every three months as recommended by the Fire Service, so that they are well practiced in the homes procedures, in the event of fire breaking out. CARE HOME ADULTS 18-65 Eagle Cottages Monkton Lane Monkton Village Jarrow Tyne And Wear NE32 5NN Lead Inspector Mrs Elsie Allnutt Unannounced Inspection 9th January 2007 10:00 Eagle Cottages DS0000068423.V327392.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 Eagle Cottages DS0000068423.V327392.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. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eagle Cottages Address Monkton Lane Monkton Village Jarrow Tyne And Wear NE32 5NN 0191 483 9439 0191 483 9438 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) Saint John of God Care Services Miss Karen Duffy Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Eagles Cottages has recently registered as one service. It comprises two semidetached buildings standing side by side on a small plot of land set back from the main road in Monkton Village South Shields and close to local services and amenities. Until recently the two cottages were registered as two separate services but managed by one manager. The same management structure remains. Eagles Cottages provide residential care and support to six adults with learning disabilities, three service users live in each cottage. It is one of three care services for people with learning disabilities run by the charity, St John of God’s Care Services, located within South Tyneside. It opened as part of a resettlement plan, in collaboration with the Local Authority Social Services Department. Each cottage consists of three single bedrooms, decorated and personalised to the service users own choice, with bathing and toilet facilities that are in close proximity to the bedrooms. On the ground floor of each cottage there is a large lounge, dining area/ domestic style kitchen, all of which are attractively decorated and furnished, providing a homely and welcoming atmosphere. Staff support service users to lead a life style that is as independent as possible and aim to provide a quality holistic service based on the service users needs. The service has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home range between £262.65 and £274.26 per week. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This planned unannounced inspection took 7 hours over one day in January 2007. The views of six service users and six members of staff were sought. As some service users have communication needs their satisfaction of the service was interpreted not only through speech but the observations of body language, interaction with staff, discussions with staff and the examination of records. This process demonstrated that all were satisfied with the service and the care and support given by staff. Questionnaires were sent out to the relatives of the service users prior to the inspection and a representative of each service user took the time to complete and return them. All were complimentary about the service delivered at Eagles Cottages. Some of the comments include; “The staff continue to provide excellent care.” “ is very well looked after and is always dressed well and lovely and clean.” is well looked after, calls it home now.” “I feel that The quality of the living conditions was assessed and the service users’ care files and a sample of the homes records were examined. What the service does well: This home is managed in a way that encourages the people who live there to take responsibility for their own lives. To do this well staff are trained how to give the right sort of support to service users and they do this in a way that is respectful. This means that people who use the service are treated well and in a way that staff or anyone else would like to be treated themselves. The Company that run this home treat their staff very well and staff show that they are pleased about this. Prior to new staff working on their own they are given lots of support. They are asked to work with a member of staff who has worked at the home for a long time and who are good at their job. This helps the new member of staff to learn what to do and how to do it well. This means that people who live at the cottages receive a good and safe service. One new member of staff said “I love working here, the mentoring scheme is wonderful, I received a really good induction into what is a new role for me.” The people who live here are supported and encouraged by staff to keep the cottages very clean and tidy. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 6 The way the two cottages are decorated make the inside of the buildings look very attractive and the quality and style of the furniture gives service users a comfortable place to live. Service users are encouraged to lead staff in the way they prefer to be supported with things they cannot do on their own. Staff follow instructions in the care plan how to do this. The care plans are very good and are written in a way that service users understand. Service users lives are busy and well organised. Staff help service users to choose what they want to do and where they want to go. They take part in many different activities. The manager who runs the home is well experienced and has good support from her senior staff and care team. Staff and service users said that everyone gets on very well together at Eagles Cottages. What has improved since the last inspection? The home now carries out safer practices regarding the opening of windows. The hinges on the windows have been tightened so that the space created when open is limited so that service users are safeguarded from possible accidents occurring and from the possibility of intruders getting in. The damages caused to the property, found at the previous inspection, have now been repaired and redecorated. This means that these areas are now safe and attractive for service users to live in. The conservatory, which is shared by both cottages, has been decorated and new furniture has been provided. This means that service users from both cottages have a comfortable and attractive place to meet. The service is now fully staffed which means that agency or bank staff are not used and staff are not put under pressure, having to work too many hours. This means that the care that service users receive is more consistent and is delivered by people who they know and who understand their needs. Better recruitment practices are now followed which means that the right sort of person is employed and service users are protected from possible harm. The home asks people who apply to work at the home for information about themselves and about the previous jobs that they have worked in. In addition to this the opinions of the people they have previously worked for are sought. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 7 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. Eagle Cottages DS0000068423.V327392.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 Eagle Cottages DS0000068423.V327392.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): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of information is available which enables service users to make a fully informed choice about where they would like to live. The good multidisciplinary preadmission assessments that are in place demonstrate service users’ needs and aspirations and assist the home to make an informed judgement as to whether they can meet these. EVIDENCE: The service has developed a comprehensive Statement of Purpose and Service User Guide that clearly demonstrate the aims and objectives of the service. Both documents have been updated to include recent changes made in the Company. A sample of care files was examined. All include preadmission assessments from the referring agencies of the individual service users and an assessment carried out by the home. The information received for one service user Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 10 includes pre admission assessments from a multi disciplinary team, including the care manager, a psychiatrist, a physiotherapist and a speech therapist. The information received also includes a person centred plan. All of the information received enabled the home to make a judgement that they could meet the service user’s needs, as well as providing a base line from which the home developed the current care plan. Any risk identified in the pre admission assessment is addressed in individual service user’s care plans. This was evident for one person in relation to their challenging behaviours. Discussions with staff and reading records confirmed that a health professional developed guidelines for staff to follow in relation to this. These were evident in the care plan. Eagle Cottages DS0000068423.V327392.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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to make decisions, which at times may include taking risks and to direct their care in the way that they prefer. EVIDENCE: Each service user has a care plan that is person centred and referred to as an Individual Living Plan. The care plan is developed in a way that service users can understand. This is achieved by using photographs and words that service users can relate to. This enables service users to understand and have control over what it is said and written about them. One service user was proud to demonstrate their understanding and control over their care plan by getting it from the shelf, opening it and explaining to the inspector the different areas of their life Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 12 recorded in it. The pictures were of particular help and prompt to the service user. The person centred care plans are detailed and informative, clearly stating the goal and the support needed for it to be achieved. Staff explained their understanding of consistency of care and how this is important to achieve good outcomes for service users. This was also demonstrated in the care plans in the way service users’ needs are addressed and recorded. Guidelines, that staff stated they follow, are in place in relation to individual service user’s needs and the way in which they prefer to be supported. This ensures that all staff have the same approach in relation to individual needs and has shown to have positive outcomes for service users. A member of staff confirmed that one service user in particular has benefited from this approach in relation to their personal hygiene care plan. This is also demonstrated in another care plan where the service user occasionally displays challenging behaviour. Professional guidelines are in place for staff to follow and the potential difficult situations are quickly diffused. One member of staff who confirmed that they and other staff had attended training in relation to challenging behaviour, commented that staff are now more confident to deal with this sort of situation, knowing that they are responding in a safe, effective way. A risk assessment with risk management guidelines supports the care plan and minimises any risk that may be evident in relation to the behaviours. Eagle Cottages DS0000068423.V327392.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a variety of leisure and community based activities, and as a result live a valued lifestyle. The service supports service users’ rights and successfully supports them in maintaining relationships with family and friends. The food is of good quality and sufficient to meet the dietary needs of service users. EVIDENCE: The home encourages service users to take control over their own lives and to develop lifestyles that are valued and based on individual preferences. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 14 All of the service users living at this home either attend college or community based resources, being involved in a number of different activities based on their individual preferences. The home works closely with these agencies and follows up service users’ interests by organising other activities outside of these programmes. One service user explained how they go to college and with the support of staff described that they enjoy doing flower arranging and cooking. Another service user was observed getting ready to go out to do some grocery shopping for lunch. A member of staff was observed gently reminding them of what they might need to do before going out. Although most service users were observed going out of the home to take part in different activities, one service user had chosen to have a lie in and joined others in the home later in the morning. One service user returned later in the day after enjoying a swimming session with some friends. All service users spoke about their different activities with enthusiasm and interest. The atmosphere in the home was relaxed but organised. Service users moved around the home confidently and freely showing ownership of their surroundings. Service users answered the telephone when it rang, collected the post and confidently interacted with the visiting window cleaner. Staff sensitively interacted with service users. A weekly activity sheet shows the different activities service users take part in, however staff confirmed that these are flexible and can be adjusted according to the service users’ needs or requests on the day. A member of staff discussed plans to develop an Activity Picture Book that can be used to assist service users to make choices about what activity they would like to take part in. Staff hope that this will assist service users to gain an insight to and an understanding of activities that they have not experienced but feel they might enjoy. Service users cleared up after lunch and put personal laundry away. Entertainment equipment in individual bedrooms enables service users to listen to music and watch TV in the privacy of their own room if they choose. A light lunch was taken at the dining table with a group of service users and staff during which time discussions took place. This was a pleasant experience where nutritious food that service users had chosen prior to the meal, was served. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 15 Nutrition is monitored and healthy eating is promoted. Staff have recently developed an attractive menu book. This includes colourful pictures of different kinds of food and is used to encourage and enable service users to choose what food they prefer and as a result, service users have a part in developing the different daily menus. Service users spoke openly about family members and records and photographs confirmed that the home encourages contact with family and friends. Family birthday and other special dates are recorded in the care files and staff stated that service users are supported with correspondence. All of the relatives that completed the questionnaires prior to the inspection stated that they are kept well informed of important matters that affect their relatives Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 16 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. Service users personal and healthcare needs are met in a flexible but consistent manner, reflecting how they wish to live. Medication arrangements are appropriate to the needs of service users and are managed in a safe manner, ensuring that the welfare of service users is safeguarded. EVIDENCE: Service users are supported to register and attend healthcare practices in the local community. Visits to the GP, dentist’s opticians and other health professionals are recorded in individual care files with the outcome of the visit. The home has recently developed a health care booklet that records personal information, about individual service users, that might be needed if they are admitted to hospital; the aim being, that enough information is available to hospital staff in relation to their needs and preferences. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 17 Following a previous experience, the home realised that improved communication between themselves and the hospital, could also improve the quality of care received by a service user when in hospital. The booklet is professionally produced and includes information that is service user lead and supported with pictures. Service users’ physical and emotional needs are clearly recorded in individual care plans and positive efforts are made to address service users’ changing needs. Relevant information in the care plan of one service user who is now responding more positively to the guidance of staff in relation to their personal hygiene, is recorded clearly and in enough detail to demonstrate that a consistent approach has lead to better outcomes. The observation of the positive interaction between staff and the service user confirmed this. The home has robust policies and procedures, in relation to the administration of medication. Medication is stored securely in a locked safe and it is administered following safe procedures. Staff were observed checking medication and records prior to administering the medication to individual service users. The records were completed appropriately. Staff have attended training relating to the safe practices in the administration of medication. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 18 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. Appropriate arrangements are in place which protect service users from abuse and seriously addresses complaints and concerns about the service. EVIDENCE: Staff confirmed that they have received awareness training regarding abuse and adult protection, as well as training in relation to handling verbal and aggressive behaviour. Staff were able to appropriately describe what action to take in a situation where they witnessed abuse or an allegation of abuse was reported to them. A senior member of staff confirmed that staff have received training in relation to the local authority’s POVA (Protection of Vulnerable Adults) procedures, a copy of which is available within the home. . Entries in the Complaints Book confirmed that complaints and concerns are taken seriously, recorded and satisfactorily addressed. There have been no complaints recorded since the last inspection. The complaints procedures are in picture format and all service users and their relatives were aware of whom to speak to if they were unhappy about something. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 19 There are satisfactory procedures used in the home that protect the service users from financial abuse. Each service user has an individual current account and a locked tin in their bedroom to keep their money in. There is a balance sheet in each tin and every transaction is recorded. Two signatures are required for each transaction and the ‘tins’ are audited every week by management. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. The home is homely, comfortable, and clean and provides service users with adequate private and communal space in which to live. EVIDENCE: All areas of both cottages were clean and tidy reflecting effective cleaning routines. The privacy and autonomy of service users in this home is respected and promoted. Service users were observed moving around the buildings independently and confidently. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 21 Staff confirmed that they assist service users to take some responsibility for carrying out domestic chores. Service users were observed clearing their food and drinks crockery away from the table and one person was observed being prompted to carry out a laundry task. One service user proudly showed their room pointing out how they keep it tidy and well organised. The service user also proudly showed the bathroom that had recently been decorated and took pride in explaining how they had assisted the decorator with the work carried out. The buildings are now well maintained with regular attention from the handyperson and an ongoing maintenance programme. The previously damaged walls and door surround, found at the previous inspection, are now repaired and the décor upgraded as required. Several areas of the home have been redecorated and refurbished, taking care that the colours and furnishings throughout the home coordinate. Furniture, carpets and small furnishings throughout the home provide comfortable and homely facilities for service users. New bench tops, flooring and redecoration in the kitchens provide hygienic and attractive areas. . Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 22 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): 33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: There was an adequate number of staff on duty to effectively address the needs of the service users in each cottage. Although the two cottages are now registered as one service, both are appropriately staffed to meet the service users’ needs. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 23 However the staffing arrangements for nighttime cover have changed. The proposed changes were discussed and agreed with CSCI prior to these being put into practice. There is now one member of staff on duty from 10pm to 8am who covers both cottages. An intercom is linked to the sleep in room that is situated in one of the cottages and a dividing door between the joined buildings is opened during these hours to provide easy access to both cottages. Staff confirmed that this is working well. It was suggested that a risk assessment is developed, in relation to the use of an intercom system and the risk this may pose to the privacy of service users. The person in charge of the home accepted this. There is a well-documented and appropriate training programme in the home that includes each member of staff. A training matrix identifies individual training needs and when mandatory training needs to be reviewed. Staff confirmed that they receive appropriate training to carry out their roles. One member of staff commented, “The training opportunities are second to none.” This means that service users are constantly supported by well trained staff. Every new member of staff participates in an induction course and has to achieve elements within set timescales. The programme is comprehensive and shows how to support service users in an appropriate way. So that all staff understand issues surrounding learning disabilities all staff also carries out the LDAF (Learning Disabilities Award Framework) training award. The company provide new members of staff with a filofax type folder that includes information about the home and explains training requirements and opportunities. Staff are employed via robust recruitment procedures. A sample of staff files demonstrated that the necessary documents were in place, for example an application form, 2 written references and a satisfactory CRB check. This ensures that the staff who apply to work at the home are suitable to work with vulnerable people. Two of the files examined included those of staff that had recently been employed. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 24 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 manager, who is well supported by her senior staff and care staff teams, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. EVIDENCE: The manager of this service is now fully qualified as a registered manager. She achieved the Registered Manager’s Award prior to the last inspection and the service manager confirmed that she has recently successfully completed NVQ4 in Care. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 25 At the time of this inspection the registered manager was not available. A senior member of staff took charge. This was competently carried out, offering a good reflection on the competencies of the senior staff team and of the general management style of the home. Both service users and staff confirmed that they felt valued by the manager and the Company and felt that their opinions mattered. This has created an atmosphere of openness and respect, that reflects on the quality of care received by, and the quality of life experienced by service users. This service has a quality assurance system in place that monitors and records all aspects of the service delivered. The senior member of staff confirmed that a copy of the Quality Review Report would be forwarded to the Commission for Social Care Inspection (CSCI). There were two health and safety issues brought to the attention of the person in charge. 1. A wooden chock held open the kitchen door in one of the cottages. It was advised that this is removed and if needed the door must be held open with an electronic device that is activated by the fire alarm system. 2. Fire records confirmed that fire drills are not always carried out at appropriate intervals. Where staff work night shift they must practice and receive fire instruction every 3 months. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 26 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 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 X 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 3 3 3 X 4 X 3 X X 2 X Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 27 no 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 YA24 Regulation 23(4)(a) Requirement Timescale for action 28/02/07 YA42 2 YA42 23(4)(c )(d)(e) The registered manager must ensure that if fire doors are to be kept opened, then this must be achieved by a mechanism fitted to the door and connected to the fire alarm system, so that when the alarm is activated the door is mechanically released. The registered manager must 28/02/07 ensure that all staff that work night shift must practice fire drills and receive fire instruction every three months. 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 YA1 Good Practice Recommendations Consideration should be given to including a statement in the Statement of Purpose and Service User Guide to explain that Eagles Cottages are now registered as one service. This may prevent any misunderstanding. The plans that are in place to develop an Activity Picture Book, with the aim of encouraging and assisting service DS0000068423.V327392.R01.S.doc Version 5.2 Page 28 2 YA14 Eagle Cottages 3 YA16 users to make informed decisions in relation to the range of activities experienced, is encouraged. It is strongly recommended that a risk assessment is developed, in relation to the use of an intercom system at night and the risk this may pose to the privacy of service users. Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Eagle Cottages DS0000068423.V327392.R01.S.doc Version 5.2 Page 30 - 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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