Care Home: Gladstone Road, 29

What the care home does well Good procedures were in place for assessing and admitting a new resident to the home so that they can be sure it is the right place for them to live. Each of the residents had a set of care and support plans, which provided staff with all the information they need to support the person in the right way. Support plans used at the home have helped residents to learn and develop independent living skills. Residents health and personal care needs were well recorded, supported and monitored to ensure they stay well. Residents were being provided with opportunities to take part in the things they like to do both at home and in the local community and their independence was being encouraged and promoted. The home was clean and tidy and free from hazards making it a pleasant and safe place for residents to live. Strict processes were in place for employing staff to make sure they are right for the job. What has improved since the last inspection? Care plans and risk assessments have been reviewed and updated several times since the last inspection so that staff have all the information they need to meet residents needs. Daily records have been kept up to date so that staff have all the information they need to properly assess residents needs, progress and development. Improvements have been made to parts of the home making it safer and more comfortable for residents that live there. Staff morale has improved to the benefit of the residents. Fire records have been kept up to date and showed that the required safety checks on fire systems and equipment have been taking place at the right time. What the care home could do better: Arrangements must to be made for all staff to receive up to date training in mandatory subjects, such as first aid, protection of vulnerable adults, health and safety and medication awareness. This must to be done so that all staff have up to date knowledge and the skills to meet the needs of the residents and to ensure their own and residents health, safety and wellbeing. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Gladstone Road, 29 29 Gladstone Road Seaforth Liverpool Merseyside L21 1DG     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: Janet Marshall     Date: 2 3 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 28 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 28 Information about the care home Name of care home: Address: Gladstone Road, 29 29 Gladstone Road Seaforth Liverpool Merseyside L21 1DG 01519491972 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Autism Initiatives Name of registered manager (if applicable) Mr Peter Griffiths Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 29 Gladstone Road is a mid-terraced house in a residential area of Seaforth. Parking is outside the property in the street. The home is managed by Autism Initiatives. The home is registered as a care home to provide care and support for 3 adults who have a learning disability. There are currently three men living at the home. The staff group appears committed in providing a high level of support. Relationships with neighbours are reported being good and the service users continue to benefit from an active involvement in the community. The overall philosophy of care is to promote Care Homes for Adults (18-65 years) Page 4 of 28 care home 3 Over 65 0 3 Brief description of the care home independence and to maximise ordinary living for all the service users. It costs between 1073.31 - 1418.47 per week to live at the home. Care Homes for Adults (18-65 years) Page 5 of 28 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: The Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the information we have received since the last inspection. We sent out a form to the home called an Care Homes for Adults (18-65 years) Page 6 of 28 Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before the site visit takes place. The AQAA was filled in by the registered manager of the home and returned to us on time, it provided us with all the information we asked for about the home. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. The registered manager and support staff that were on duty helped with the inspection. Discussions took place with the staff and residents that live at the home. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Two residents were case tracked. This is a process we use to find out whether residents are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there, one residents survey and two staff surveys were returned at the time of writing the report, responses and comments included in them have been used in parts of this report. What the care home does well: 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 7535. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 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. People can be sure their care need requirements will be met at the home. Evidence: No new residents have been admitted at the home since the last inspection so standard 2 could not be fully assessed. The were a number of policies and procedures available at the home for assessing and admitting a new resident to the home. Information describing the processes was also available in the homes Service User Guide and Statement of purpose. The manager described clearly the homes policy and procedures for assessing and admitting a new resident to the home. Care files for two residents, which were looked at contained copies of assessments carried out before they moved into the home and there were records in place, which showed that residents care needs requirements are regularly reviewed to make sure that they can continue to be met at the home. Care Homes for Adults (18-65 years) Page 10 of 28 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. Staff have up to date information about how to meet residents needs. Evidence: Support plans are a type of care plan used at the home to help staff support and monitor residents assesseded care need requirements. During this inspection visit support plans for two residents were looked at in detail as part of the casetracking process. They covered care and support needs, such as health and personal care, communication, daily living skills, likes and dislikes, finances and activities. There was evidence to show that residents, their key workers, the home manager, residents family and other social and healthcare workers are involved in putting together and reviwewing residents care and support plans. A requirement was given as part of the last inspection report to ensure that all residents care and support plans are reguarly reviewed and updated. This was because at the last inspection there was no evidence that this was being done on a regular basis, which meant residents were at risk of not having their needs met . Care and Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: support plans, which were looked at during this inspection visit showed they have been reviewed and updated several times since the last inspection, which took place in Febuary of this year. It was also recommended as part of the last inspection report that daily records be completed at the right time this was because there was evidence that some of them were not being completed each day so staff did not have all the information they need to evaluate residents plans. Staff spoken with had a good understanding of care and support plans and explained how they use them, one member of staff said, They are important because they give us all the information we need about the best way to support residents and how about well they are doing. Some of the residents that live at the home have limited verbal communication although they are able to communicate in many other ways, such as by use of sounds, body language, gestures and facial expressions. Staff were observed communicating well with residents. They appeared to clearly understand their needs and responded to them positively. Residents preferred way of communicating was recorded in their care plans and there were pictures and symbols available around the home to help residents make choices about things such as what they eat, where to go and what to do. Risk assessments were part of each persons care plan. A requirement was given as part of the last inspection report to ensure hat risk assessments are reviewed and updated reguarly this was because as with care plans there was no evidence to show that this was being done. Risk Assessments, which were looked at during this inspection had been reviewed and updated since the last inspection. Those that were looked at provided staff with up to date information about the safest way to support residents so that they can take part in a task or activity. Care Homes for Adults (18-65 years) Page 12 of 28 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. Residents are supported to live active and healthy lifestyles. Evidence: The AQAA told us that residents are given opportunities to take part in activities of their choice. All the residents that live at the home need the help of staff to get out and about. Information about the help they need and details of their preferred interests and hobbies were recorded in their care plans. Each of the residents had an activity programme, which included things they do inside and outside the home. Case tracking showed that each persons programme has been put together based around their individual needs. Daily records, which were kept for each resident showed that they are regularly getting out and about doing the things they prefer and enjoy such as meals out at Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: local pubs, shopping and trips to the cinema. Two residents attend day care centres and college on different days during the week. Residents are offered an annual holiday, or short breaks throughout the year. Activities, which they do at home include listening to music, photography and relaxation. A member of staff said, Residents go out a lot . A residents survey told us that they can do what they want to do during the day, evening and at the weekend. The survey commented, Yes I feel I am given choices about what I do. Residents are encouraged and supported to keep in touch with their family and friends. Care plans included information about important relationships and how they need to be supported. A visitors book, which was available in the hallway showed that residents receive regular visitors to the home. Staff said, visitors can come and go whenever they want and they are always made to feel welcome. A resident told us in a survey that they keep in regular contact with their mum. All residents are encouraged and supported to take part in routines at the home. Their support plans included developing daily living tasks such as cleaning and cooking. One member of staff explained that a lot of progress has been made by residents in this area. During the inspection visit residents were seen preparing their own lunch and drinks with the help of staff. Some residents do not hold their own keys to the front door or to their bedrooms because of their limitations. Information about the use of keys and other choices and decisions made on behalf of residents by others and the reasons why, were recorded in their care plans. The AQAA told us that residents have balanced and healthy diets and that staff have received training in nutrition. Residents likes and dislikes with regards to food was recorded in their care plans as well as information about the help they need at meal times. Records showed that if they need to residents with special dietary needs are seen by specialists such as dietitians. Residents are encouraged to choose what they eat, staff assist them to do this by using a their preferred method of communication, one resident is assisted by use of pictures and photograhs. Residents are encouraged to sit and eat their meals together at the dining table in the kitchen diner although staff said they can if they prefer eat in their rooms or in the lounge. Food stores, which were checked were well stocked with a variety of fresh, frozen and tinned items. Staff said they assist residents to carry out the weekly food shop at local supermarkets. Support plans for eating and drinking are put in place for those residents that need them. Case tracking and discussions with staff showed that these have been particuarly helpful for one resident who was experiencing some difficulties with eating routines. Through the use of support plans staff have worked consistently with the resident to help improve their eating routines and habits. Care Homes for Adults (18-65 years) Page 14 of 28 Care Homes for Adults (18-65 years) Page 15 of 28 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. Residents are supported with personal care in a dignified way and their health is well monitored and supported to make sure they stay well. Evidence: Each of the residents had a health care action plan and a number of support plans, which provided staff with detailed information about the persons health and personal care needs and about how best to support them in a dignified way. Case tracking showed that residents personal and health care is well monitored and they are receiving all the support they need. During discussion staff said they encourage residents to carry out what ever personal care they can for themselves. During the inspection visit, staff were seen talking to residents in a polite and respectful way. Staff also talked about the some of the things they do to ensure residents privacy and dignity, which included shutting doors and curtains when helping residents with personal care, knocking on doors before entering bedrooms and bathrooms. One member of staff said, I encourage residents to do as much as they can for themselves. The AQAA told us that residents are supported to attend regular health care checks Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: with their doctor, chiropodist, dentist and opticians as well as attending hospital appointments when they need to. Medical records, which were seen also showed this, they were well kept and up to date. Staff said, they know when a resident is in pain or discomfort and were confident about what they would do if a resident suddenly became ill. The AQAA told us that residents are offered weekly health checks to make sure they are well, these include monitoring their weight and nail care. Medication and medication administration records (MAR) sheets for two residents were checked and found to be in good order. The AQAA told us that available at the home are up to date policies and procedures for the safe handling and administration of medication. Records and discussions with staff showed that they have in the past recieved medication training, although it has has been more than two years since some staff have attended the training. A member of said they feel confident about dealing with medication but would benefit from some up to date training. It is therefore strongly recommended that all staff are provided with up to date medication training so that they have up to date knowledge and the skills needed for dealing with medication. Care Homes for Adults (18-65 years) Page 17 of 28 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. Procedures at the home aim to ensure residents are protected from harm, abuse and neglect, although residents could be at risk because staff were not completely sure about all the processes they need to follow if they suspected or witnessed abuse of a resident. Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and the commission have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. A visitors book was available in the hallway which visitors are expected to sign when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. Staff spoken with described well how the would deal with a complaint and they knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, I would complain if I needed to. A resident told us in a survey that they would speak to someone at the home if they were not happy about something. They also told us that the carers always listen to what they say. Detailed in the AQAA and available at the home were a number of policies and Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Sefton Local Authority procedures. Staff training records, which were looked at and discussion with staff showed some of them have not received up to date POVA training. Staff spoken with all said that they would immediately report any incidents of abuse but were a little unsure about some of the other processes they need to follow. Staff must be provided with up to date POVA training so they know exactly what to do if they suspected or witnessed abuse of a resident. Care Homes for Adults (18-65 years) Page 19 of 28 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. Improvements made to the home has made it safer and more comfortable for the residents. Evidence: The home is a four bedroomed terraced house located in a residential area of Seaforth, Liverpool. The front of the home is flagged and there is off road parking available directly outside the property. There is a yard at the back of the home, which had decorative stoned and flagged areas and outdoor seating. It was recommended as part of the last inspection report to make improvements to parts of the home which were in a poor state that compromisied the comfort and dignity of the residents. A tour of the home took place on the day of this inspection visit. This showed that all the improvements, which were reccommended have been carried out to a good standard. A maintenance programme, which was available at the home showed there are plans in the near future to carry out further improvements at the home including the redecoration and refurbishment of one residents bedroom. On the day of the inspection visit all parts of the home were clean and tidy and there Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: were no hazards found. The AQAA told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are the right amount of staff to support the residents at the home but not all of them have up to date training in the required topics. Evidence: The AQAA told us that there are the right amount of staff employed at the home to support the needs of the residents that live there. Staffing rotas, which were looked at showed that there are at least two staff on duty during the day and evening when all the residents are home and one staff on duty each night. There was one member of stafff on duty at the time of the inspection visit whilst two residents were at home. Another member of staff who was on duty was supporting a resident in college. Staff spoken with showed good knowledge and understanding of the needs of the residents and clearly explained what their role and responsibilities were. Staff recruitment, selection and equal opportunities policies and procedures were available at the home. The AQAA told us that all the required checks are carried out on new staff before they are allowed to start work at the home. Two staff told us in surveys that their employer carried out all the rrequired checks before they were allowed to start work. Personnel files for two members of staff were looked at in detail. The files contained records, which showed that the staff were recruited in the right way. Induction records Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: were also available and showed that staff took part in induction training during the first few months of starting work at the home. A member of staff said, When I started work at the home I took part in induction training. Information we were given in the AQAA, discussion with staff and records looked at during the inspection showed that staff have completed mandatory training. Staff training records and certificates, which were looked at during the inspection visit showed that they have recently completed specialist training in subjects such as positive intervention, support planning and autism, but it has been three years or more since most staff attended manadatory training courses. The manager produced a training plan for future training but it did not include all the required mandatory subjects, which staff have to complete by law. A staff survey showed that they sometimes recieve training relevant to their jobs. Arrangements must be made for all staff to attend up to date mandatory training, such as medication awareness, health and safety, POVA and first aid, so that they have up to date knowledge and skills to do their jobs. The AQAA told us that most of the staff have got an National Vocational Qualification in Care level 2 or above. A member of staff spoken with said, Yes I have my NVQ level 2. Care Homes for Adults (18-65 years) Page 23 of 28 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. The home is being managed better to the benefit of the residents and staff. Evidence: Peter Griffiths is the registered manager of the home. The manager said he is working towards his NVQ Level 4 in Care and the Registered Managers award. He also said he attends other training to update his knowledge and skills relevant to his role as manager. Since the last inspection the manager has worked closley with his line manager to improve the overall running of the home. A recommendation was given as part of the last insepction report for quality monitoring reports to be made availabe at the home to show the required checks are taking place each month. The reports, which are required under regulation 26 of the Care Homes Regulations were available at this inspection and showed that the checks are taking place each month. The AQAA told us about other processes that take place at the home to ensure it is running in the best interests of the residents. They include giving out questionnaires to Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: residents and their families to find out what they think about the home and the way it is run. Records, which were seen also showed that regualr care plan reviews and weekly checks on medication and residents finances are also taking place . The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that all the required checks are carried out on the systems and equipment used at the home to make sure they are safe. Records for some were looked at, including gas, electricity and fire checks. The last inspection evidenced that checks on fire alarms and equipement were not being recorded at the right times. Records of fire checks which were looked at during this inspection were up to date. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Adults (18-65 years) Page 26 of 28 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 23 13 Arrangements must be made for all staff to recieve POVA training so that they know what to do if they suspected or witnessed an incident of abuse. 31/08/2009 2 35 18 Arrangements must be made for all staff to attend mandatory training so that they have all the knowledge and skills they need to meet the needs of the residents. 31/08/2009 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 20 Arrangements should be made to provide the necessary training to all staff that handle medication to ensure the health and safety of the residents. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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