Care Home: Florence House

What the care home does well The good assessment process ensured people who used the service were suitably placed. People who used the service had their health checked by specialists to keep their treatment up to date. People case tracked said, "I have my own money. I like to help in the house and do my chores" and "I am going to work tomorrow. I like to do gardening". The carefully thought out risk assessments allowed people who used the service to live an independent life where possible. People involved in the case tracking process said, "I went to my sisters last week. I can go when I want. She visits me here. She comes to the meetings with people. I ring her up to talk to her" and "my daughter comes to visit me every week". Visiting was unrestricted to encourage social interaction with family and friends. Both people involved in the case tracking process said staff were good. The good staff attitude helped protect peoples rights. Two people case tracked said, " I like the food and go shopping sometimes. I can choose what I want to eat" and "The food is not so bad". The food served at the home was satisfactory for people who used the service. People who used the service said, "I have been twice to Blackpool and am going again. I have my own money. We are going to gateway tonight" and "I am going on holiday to Blackpool - I am looking forward to going. I have my own television and DVD. I like to go out. I go for a drink of beer". People who used the service were offered worthwhile activities. Medication administration was safe for people who used the service. People were able to voice their concerns and felt able to talk to staff. The safeguarding system combined with staff training helped protect people from harm. The well decorated and furnished home provided a homely setting for people who used the service. There was a well trained staff team to care for people who used the service. People who used the service were encouraged to attend work based or educational establishments to lead a fulfilling life. Staff said, "I think I am well supported. I have worked in a few care settings and think this is the best so far. We listened to and our ideas can be heard. I get supervision. There is a senior on duty and we are supervised regularly formally and informally. Ithink it is brilliant here. I have never had as much training in my life. We have a good staff team. Like taking the residents out. It is new to me but I have taken to it very well. The residents get on with me. There are a lot of activities and we go out quite a lot. Just had a holiday to Blackpool and we had a good time" and "I love it here. I like the feeling I have helped someone. Its the small things like singing. We have a good team here and support each other. We get support from management and we can talk to them. You can go to the manager and you know he will use an idea it if it is good. I am happy here. I am going on holiday with a resident soon". Staff felt well trained and that management were supportive. What has improved since the last inspection? The statement of purpose had been updated to inform people who used the service of the services and facilities offered at the care home. Medication policies and procedures reflected the system used to inform staff and keep people who used the service safe. The views of people who used the service and interested parties had been gained to allow management to react to the changing needs of people connected to the care home. The manager responded well to any contact from official bodies to maintain good relationships. What the care home could do better: The plans of care should be updated on a more regular basis to ensure staff are aware of the up to date needs of people who use the service. Paperwork contained within the plans of care should be archived or removed if unnecessary to make the files easier to read. There must be a suitably qualified person who is registered with the Care Quality Commission to meet current legislation. The fire alarm system must be tested weekly to ensure it is working correctly. The quality assurance system should be provided as a summary to inform interested parties of the results and any action taken to improve the service. When published the service user guide should be issued to new and current people who used the service so they are aware of what they can expect from Florence House staff. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Florence House Florence Street Blackburn Lancs BB1 5JP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Graham Oldham     Date: 1 7 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Florence House Florence Street Blackburn Lancs BB1 5JP 0125459969 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Alliance In Care Limited Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 7 7 residents with a learning disability LD and 1 elderly resident with a learning disability LD(E) can be accommodated at the home. The service must at all times, employ a suitably qualified manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Florence house is a detached building with accommodation for residents on the first floor. The home is owned by Alliance in care and is family run By Mr and Mrs Gibb. Florence House has eight single bedrooms for residents with a learning disability. The communal facilities consist of a lounge, dining room, quiet room, arts room and activities room. There is a kitchen, laundry shower room and bathroom. Staff have sleep in facilities. The home has accessible gardens and a car park. Local facilities are within walking distance. The home is situated on the outskirts of Blackburn close to local bus routes. Care Homes for Adults (18-65 years) Page 4 of 30 Brief description of the care home A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The average fee for Florence House is around £600per week but are calculated on an individual basis. Not included within the fees are hairdressing, toiletries, activities and newspapers or magazines. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A key unannounced inspection, which included a visit to the home, was conducted at this care home on the 17th June 2009. Two residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care and other documentation. Two staff were questioned about the residents case tracked to ensure they were familiar with the care required for each individual. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. Care Homes for Adults (18-65 years) Page 6 of 30 A tour of the building was conducted. Prior to the visit the Registered Person had submitted information in a pre-inspection questionnaire. This gave information that was used in the planning of the inspection. Wherever possible the views of residents were obtained about their life at the home and their comments are included in the report. Four staff members returned questionnaires to the Care Quality Commission. Two thought they were always given up to date information on the needs of the people they cared for and two usually. All four thought recruitment checks were robust. All four thought the induction process was good. All four thought they were given training which was relevant to their role, helped them understand the individual need of people and kept them up to date with new ways of working. Two thought they met regularly with the manager, one often and one sometimes. Al four said they knew how to raise concerns. Three thought communication between staff was always good and one usually. One thought there were always enough staff to meet peoples needs and one usually. All four thought they always had the right support and knowledge to meet the diverse needs of people who used the service. Comments taken from what the service did well included: We are regularly provided with training for all staff. We maintain a high level of care. Use a picture board to support communication issues. Support individuals independence. The home provides a lot of activities for the service users. Florence house provide enough staff so that most activities can be completed. The recent new management team have worked well and there has been a direct benefit of their leadership going to the service users. I believe the home provides a pleasant and comfortable atmosphere at all times. Two commented on how the home could be better. We could have better activities and perhaps an activities co-ordinator. Make sure service users have enough money for activities and a better budget for food. When complaints are made to management more should be done about it. What the care home does well: The good assessment process ensured people who used the service were suitably placed. People who used the service had their health checked by specialists to keep their treatment up to date. People case tracked said, I have my own money. I like to help in the house and do my chores and I am going to work tomorrow. I like to do gardening. The carefully thought out risk assessments allowed people who used the service to live an independent life where possible. People involved in the case tracking process said, I went to my sisters last week. I can go when I want. She visits me here. She comes to the meetings with people. I ring her up to talk to her and my daughter comes to visit me every week. Visiting was unrestricted to encourage social interaction with family and friends. Both people involved in the case tracking process said staff were good. The good staff attitude helped protect peoples rights. Two people case tracked said, I like the food and go shopping sometimes. I can choose what I want to eat and The food is not so bad. The food served at the home was satisfactory for people who used the service. People who used the service said, I have been twice to Blackpool and am going again. I have my own money. We are going to gateway tonight and I am going on holiday to Blackpool - I am looking forward to going. I have my own television and DVD. I like to go out. I go for a drink of beer. People who used the service were offered worthwhile activities. Medication administration was safe for people who used the service. People were able to voice their concerns and felt able to talk to staff. The safeguarding system combined with staff training helped protect people from harm. The well decorated and furnished home provided a homely setting for people who used the service. There was a well trained staff team to care for people who used the service. People who used the service were encouraged to attend work based or educational establishments to lead a fulfilling life. Staff said, I think I am well supported. I have worked in a few care settings and think this is the best so far. We listened to and our ideas can be heard. I get supervision. There is a senior on duty and we are supervised regularly formally and informally. I Care Homes for Adults (18-65 years) Page 8 of 30 think it is brilliant here. I have never had as much training in my life. We have a good staff team. Like taking the residents out. It is new to me but I have taken to it very well. The residents get on with me. There are a lot of activities and we go out quite a lot. Just had a holiday to Blackpool and we had a good time and I love it here. I like the feeling I have helped someone. Its the small things like singing. We have a good team here and support each other. We get support from management and we can talk to them. You can go to the manager and you know he will use an idea it if it is good. I am happy here. I am going on holiday with a resident soon. Staff felt well trained and that management were supportive. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Adults (18-65 years) Page 9 of 30 7535. Care Homes for Adults (18-65 years) Page 10 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 30 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. The statement of purpose and service user guide needed a little amendment to be up to date and informative to explain to people what care and services are offered at this home. The good assessment process ensured peoples needs could be met at the care home. Evidence: The statement of purpose had been amended to reflect the services and facilities offered at Florence house. The person in charge said the service user guide was at the printers being produced in a more simplified format for people who used the service. This will better inform people what they can expect at this care home. People who used the service and who were involved in the case tracking process had been living at the home for some time. The assessment documentation was good but Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: did not necessarily relate to the care people who used the service had at this present time. The local authority or hospital trust had sent assessment documentation which further supported the evidence that people were suitably placed. Care Homes for Adults (18-65 years) Page 13 of 30 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. Plans of care had been developed to inform staff and interested parties of the care needs of people who used the service. People who used the service were able to make decisions about the way they lived their lives. Risk assessments enabled people to live a safe yet fulfilling life. Evidence: Plans of care had been developed with the aid of people who used the service to ensure their wishes were taken into account. The plans of care were examined during the case tracking process and they were found to contain good details for staff to understand the needs of people who used the service. Plans had not been reviewed on a monthly basis although there was another document that key workers filled in to show they did review care. This must be transferred to the plans to keep them current. The plans were bulky and some items not necessary to maintain good care had not been archived. This would make plans easier to read. In general the plans of care informed relevant parties of the care needs for each person who used the service. Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: Plans of care examined during the case tracking process showed that people who used the service had their views taken into account and could make decisions to follow their own lifestyle. An advocate held monthly meetings with people who used the service to gain an independent view of life at the care home. People who used the service were assisted to manage their finances to retain some independent living. Plans of care examined during the case tracking process showed a lot of thought had gone into the risk assessments for people who used the service. Risk had been identified and any possible way to minimise harm was recorded but this did not stop people from pursuing their work and leisure activities. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who used the service were able to participate in age, peer and culturally appropriate activities to lead a fulfilling life. People who used the service had access to and were a part of the local community. Visiting was encouraged to ensure people who used the service had an active social life. Leisure activities provided people who used the service with fun and interest. Staff provided care in a manner that protected people rights. The food served at the home was good and met the nutritional needs of people who used the service. Evidence: People who used the service attended various education and work activities. The person in charge said some people attended a gardening based workplace. One person had just completed a college course. One person was going to attend a food hygiene Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: course. People were encouraged to attend work or study according to their abilities. On the day of the inspection two people were attending a therapy session and one person went out to the local shops. Some people had been on holiday to a holiday camp and two more residents were due to go. Support was provided for people outside of normal hours to go to venues for entertainment. Staff supported people who used the service to have access to activities outside the home. Both people involved in the case tracking process visited their families on a regular basis. Staff encouraged visitors to come to the home. There was a quiet lounge for privacy if people who used the service did not want to use their bedrooms. Trips were made to places of interest where people could meet and make friends with who they wished. People who used the service said they attended pubs, clubs and went on holidays. There was a good variety of equipment to provide stimulating leisure activities. People said they liked to go shopping with staff to buy their personal items but could go independently if they wished. The care home provided suitable activities for people who used the service. The preferred name of people who used the service was recorded. On the day of the inspection one person showed the inspector their bedroom and this was locked for her privacy. All doors had a lock fitted and staff needed to knock on the door to gain access. During the day staff could be heard talking or were observed interacting with people in a friendly yet professional manner to ensure people were comfortable with personal care. People who used the service helped prepare the menu and went shopping for supplies. People were offered choice at each mealtime. The meal each person took was recorded. Environmental health checks were undertaken to minimise food related problems. One person who used the service was observed helping out in the kitchen. People case tracked said food was good. People who used the service helped prepare the menu and meals to be sure the food served met their tastes. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who used the service received personal support in their preferred way. People who used the service attended specialists to ensure their treament was up to date. Medication administration was safe for people who used the service. Evidence: All bedroom are single and personal care is given in private to retain peoples dignity. Plans of care exammined during the case tracking process showed the personal care needs of people who used the service had been taken account of. People who used the service had their cultural needs (where appropriate) recorded to give staff guidance. Most people needed only guidance to perform their daily tasks and chose their own appearance. People were able to recieve support in a manner suitable to their needs. Plans of care examined during the case tracking process showed people had access to health care specialists such as social workers, district nurses, opticians, dentists, mental health nurses, doctors and hospital specialists. Two people attended a speech therapy session on the day of the inspection. This means staff are up to date with the needs of those living at this care home. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: The medication charts were examined and contained no errors or omissions. The person in charge said the local pharmacy was available for advice and staff were able to read a midication publication to supplement gaps in their knowledge. All staff had undertaken accrdited medication courses to minimise errors. Medication was ordered, administered and stored safely. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accessible and informative complaints procedure offered people who used the service a chance to voice any concerns. The policies, procedures and staff training at the care service helped keep people safe from possible abuse. Evidence: The complaints procedure had been produced in a simplified form for people who used the service. This procedure was available to read on the notice board. There had not been any complaints made the the Care Quality Commission since the last key inspection. The complaints procedure provided timescales and relevant contacts should a person who used the service wish to complain. There were policies and procedures for the protection of adults for staff to take advice from. All staff had undertaken safeguarding training to help protect vulnerable adults. Two staff spoken to were aware of safeguarding issues, the complaints procedure and the whistle blowing policy to raise any issues. Staff had undertaken training in how to deal with violence calmly for the safety of people who used the service. There was a copy of the Blackburn with Darwen protection of adults procedures for staff to follow a local initiative. Care Homes for Adults (18-65 years) Page 20 of 30 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. The home was warm, clean and well decorated to provide a homely atmosphere for people who used the service. The laundry and infection control system helped protect the health and welfare of staff and people who used the service. Evidence: A tour of the building was undertaken on the day of the inspection. All communal areas and two bedrooms were visited. There had not been any changes made to the home since the last inspection. The home continued to meet the requirements of the Care Quality Commission. The home was warm clean and tidy. The home was well decorated. There is easy access to the local amenities and a bus route. The premises blends in with the community. The building is level and there is easy access to all areas and the garden. People who use the service have access to all areas of the home although some areas like the laundry and kitchen access is supervised for their protection. The furnishings and fittings were of a good quality and in good repair. There was a planned maintenance system. Qualified people come into the home to undertake maintenance work. Staff and people who muse the service keep the decor in good Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: order. The home was well maintained and attractive. The rooms visited contained good levels of modern furniture which was chosen by the people who use the the service to keep some individuality. All bedrooms had a window which opened and enough equipment to be comfortable such as furniture, televisions, DVDs and music systems. Rooms had been personalised to each persons tastes. There was a shower and bathroom. Both had been upgraded since the last inspection to provide better facilities for people who used the service. All bedrooms have their own toilets for peoples privacy. Radiators are guarded and the temperature at water outlets was kept around 43 degrees to protect people from being scalded. The laundry was sited well away from food preparation areas and had sufficient equipment to provide a good service. Some residents did their own or were helped to do their own laundry to help maintain their life skills There were policies for the control of infection and some staff had also been trained in infection control to keep people safe. Hand washing facilities were provided in areas waste was handled and the room can easily be cleaned to help control the spread of infection. Care Homes for Adults (18-65 years) Page 22 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who used the service were looked after by a well trained staff team. The robust recruitment procedures protected people who used the service from possible harm. The induction and training of staff was good and enabled staff to care for the needs of people who used the service. Evidence: Staff were observed to be friendly and professional during the inspection. Over 80 of staff had achieved NVQ qualification or better. Staff questioned had undertaken all mandatory health and safety training and were appreciative of the training on offer. The number of staff on duty and the off duty demonstrated there were sufficient very well trained staff available to meet the needs of people who used the service. Two staff files were examined during the inspection. Staff files contained two references, CRB check, job descriptions, terms and conditions of service, an equal opportunities statement and record of interview, an application form and other relevant documentation to ensure the correct caliber of staff were employed at this care service. Staff files contained all the certification of training staff had undertaken. This was Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: verified by the two staff questioned. Staff said they were offered training in all important areas to help them be more proficient. Care Homes for Adults (18-65 years) Page 24 of 30 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. A suitably qualified and experience manager needed to be employed to meet the requirements of the Care Quality Commission. There was a good quality assurance system to gain and react to the views of those who used the service. The good health and safety system helped protect the health and welfare of staff and people who used the service. Evidence: The person in charge said the operations manager was advertising for a person to become manager of the home although nobody was currently being lined up for the post. There was no manager registered with the Care Quality Commission to meet current requirements. There were recorded meetings held on a regular basis with staff and people who used the service. It was extremely pleasing to see that the meeting with people who used the service was chaired by an advocate. The person in charge said the advocate also dropped in for one to one sessions with people who used the service. There was a Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: business plan. The views of people who used the service, their families and professionals were being undertaken to react to their needs. There was a health and safety policy for staff to follow safe practice. The gas and electrical system and equipment had been professionally maintained. The fire alarm system had been serviced. Staff had undertaken health and safety, fire awareness, moving and handling, food hygiene, medication and infection control training to help maintain a safe environment. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes R 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 1 1 6(a) The registered manager 30/06/2007 must ensure the service user guide and statement of purpose are kept under review. The registered manager 31/07/2007 must ensure medication policies and procedures are reviewed to ensure the arrangements for the administration of medication meet current guidelines. The registered manager 31/07/2007 must ensure there is a system for reviewing and improving the quality of care and making a copy available to residents or their representatives. 2 20 13(2) 3 39 24 Care Homes for Adults (18-65 years) Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 6 15 The registered person must ensure the plans of care are reviewed and updated on a regular basis. Plans of care must show any updates for staff to be able to ensure the needs of residents are met. 31/07/2009 2 37 8 The registered person must employ a suitably qualified and experienced person to manage the care home. It is a requirement that a person is employed at this establishment who is sufficiently experienced and qualified to manage the home. 31/08/2009 3 42 17 The registered person must 26/06/2009 ensure the fire alarm system is checked on a weekly basis using a different point. To help protect the health and welfare of staff and people who use the service Care Homes for Adults (18-65 years) Page 28 of 30 it is imperative the fire alarm system is checked regularly. 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 The registered person should ensure the names of staff who have left the service should be removed from the statement of purpose. The registered person should ensure the new service user guide is issued to new and current people who use the service. The registered person should designate a member of staff to remove unwanted paperwork and excessive daily notes to ensure plans of care are streamlined and easier for staff to use. The registered person should ensure the quality assurance questionnaires are produced as a summary for interested parties to show the views of people who use the service are taken into account. 2 1 3 6 4 39 Care Homes for Adults (18-65 years) Page 29 of 30 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. 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