Care Home: Grove Road (45)

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What the care home does well The expert by experience said, `Residents I talked to said they were happy in the home and would not want to change anything`. When asked if there were any negatives about the home, the expert by experience stated `none`. There is an ethos within the home that all aspects of daily living should be accessible to people who use the service. Many of the forms and policies are in a format that is easier for people to understand, either written in plain English or in Makaton symbols. Residents meeting minutes and complaints forms are just some of the examples where information has been translated. The home is continually monitoring its practice and there are established quality assurance systems in place. The home itself is pleasant, clean and well furnished it is maintained internally to a high standard. It was positive to note the degree of personalisation in people`s bedrooms, and the individual touches throughout the home of framed photographs of people who use the service at particular events. People who use the service enjoy a range of activities, which are based on their needs and wishes, some attend day centres, volunteer at various projects or enjoy leisure activities. What has improved since the last inspection? Many of the requirements and recommendations of the previous inspection have been acted upon. It is positive to note that there has been a major recruitment of permanent staff to the home. This has resulted in continuity of care for people who use the service as the use of agency and bank staff has reduced dramatically. What the care home could do better: There are systems in place to monitor the weight of people who use the service, and in general this is completed. We did find however that there were significant gaps in the monitoring of weight which need to be addressed. This is particular important as a way of monitoring peoples well being. Key inspection report Care homes for adults (18-65 years) Name: Address: Grove Road (45) 45 Grove Road Sutton Surrey SM1 2AW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Rin Saimbi     Date: 0 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 31 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 31 Information about the care home Name of care home: Address: Grove Road (45) 45 Grove Road Sutton Surrey SM1 2AW 02086422899 02086422899 grove@regard.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Regard Partnership Ltd care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: A variation has been granted to allow one specified service user who is in both the learning disability and dementia service user categories to be accommodated. Date of last inspection Brief description of the care home Grove Road is a care home that is for up to nine younger adults who have learning difficulties. The home is a large semi-detached Victorian house, which is within walking distance of Sutton town centre. There are plenty of shops, pubs and post office near by. There are good bus and rail routes into London and other shopping areas. From the outside, the home looks like any other house in the road and people would not know it was a care home. The home itself has nine single bedrooms which all have their own sink, wardrobe and bed. The people who use the service have their own keys to their bedrooms, and people are able to come and go as they please. On the ground floor there is a large lounge/diner, and a separate dining room, kitchen and a laundry room in the basement. There is a small garden at the back of the building, and the front is paved for car parking. The home is owned and managed by Regard Partnership Limited. The current charges for the year range from £4,100 to £6,000 per month, dependent upon need. Placing authorities are advised to contact the home Care Homes for Adults (18-65 years) Page 4 of 31 Over 65 0 9 Brief description of the care home directly for details for the actual costing. Care Homes for Adults (18-65 years) Page 5 of 31 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: This home is running extremely well with excellent outcomes for people who use the service. We have not been able to give it the rating that it should be accredited with at this inspection, as the manager Mr. P. Bennett is not yet registered with the Commission. The delay in the registration is as a result of the Commission, and we can therefore only apologise for this error. This was an unannounced inspection that started at 10.30 am and took approximately seven hours to complete. During the inspection, we talked to people who use the service, the staff and manager; we had a tour of the building, spoke to one of the relatives of the people who use the service and looked through the documentation relating to the running of the home. We also considered information that we had received throughout the year. Care Homes for Adults (18-65 years) Page 6 of 31 We also used an expert by experience, and their personal assistance. An expert is someone who has direct experience of a particular area; in this case it was someone with learning difficulties. The expert provided us with a report, sections of which will appear in the Commissions report. Within the last year the home has had to initiate vulnerable adults procedures, this was done in a timely fashion, and the matter has now reached a satisfactory conclusion. As people who use the service get older, there are the associated difficulties which are arising. One person within the home has a diagnosis of dementia and there are referrals ongoing regarding others. The home is mindful of the consequences of their residents ageing and is taking appropriate action. We would like to thank the people who use the service, the expert by experience and their personal assistance for their time and cooperation during the inspection process. Care Homes for Adults (18-65 years) Page 7 of 31 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 on page 4. Care Homes for Adults (18-65 years) Page 8 of 31 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 9 of 31 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 10 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is gathered prior to any new person coming into the home. Only if everyone was happy for the placement to continue, that it would do so. In this way, people feel that they are making positive choices about where they live, rather than just being slotted into vacancies. Evidence: The process of a person being admitted to the home is that information is gathered and a personal profile is completed. This personal profile has information about all aspects of the persons life; all of this information is written in a format that is suitable for people with learning difficulties and has photographs. The plan includes my life now and important people in my life. A new person was admitted into the home in May 2008, it was only when staff considered that they might fit in to the home, and that they could meet all their personal needs, that introductory visits were started. At first the person came for a Care Homes for Adults (18-65 years) Page 11 of 31 Evidence: brief visit and did some activities with the rest of the people who use the service. Once the person had moved into the home and lived there for six weeks a final review meeting was held confirming the placement. Documentation viewed showed that the contract is in a pictorial format and written in easy to read language. It included details of which room was to be occupied, what the fees covered and the process for moving in. The people who use the service, their advocate and a representative of the home then sign the contract. The introductory process is well thought out and considered, the contracts are in a suitable format for the people who use the service. We also viewed the service users guide which was updated in July 2009 which, is also in photographs and written in plain English. The home continues to provide excellent information prior to people coming into the home and has a well thought out introductory process, the home therefore been awarded excellent for this outcome group. Care Homes for Adults (18-65 years) Page 12 of 31 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. People who use the service are involved in making major life decisions as well as every day choices thereby allowing them an opportunity to feel in control of their lives. People who use the service are encouraged to be involved in all activities of daily life, even if this might be thought risky for them. In general it appears that they are supported in the choices that they make so that they have the opportunities offered to others in the community. Evidence: We looked at all the information relating to two people who use the service this is known as case-tracking. We saw that each set of paperwork had an original assessment which covered aspects of personal and social support, and health care needs. These care assessments had been reviewed internally on an annual basis by the home. The home has been less Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: successful in completing statutory reviews with Social Services, although there was evidence that the home had attempted to contact them to arrange the reviews. The care plan known as a support plan was divided into ten separate issues; for one person each issue was identified, the goal and intervention. The areas covered, for example, were the person having a balanced diet and skills needed for independent living. Each member of staff had signed each support plan as an indication that they had read and understood it. For one person within the home the plan identified the personal care that they required in the evening, this had been translated into a pictorial formal and easy language so that they could understand it themselves. The home is in the process of introducing Person Centered Planning (PCP) for everyone who uses the service. There are two people who currently have PCPs, with everyone elses being underway. We were able to see one of the completed PCPs which was a very current document and had recently been reviewed. The introduction of PCPs has been a long process, it is now at the stage that staff need to attend refreshers courses, this has been arranged by the manager. Each person who uses the service has a weekly activity schedule, these have completed in a pictorial format so that they are accessible. People who use the service all have a key worker who they meet in a formal way once a month. These meetings are recorded by the key worker; we were able to look at some of the minutes of the meetings. In general it appears that they are occurring monthly, but for one person within the home they had not had a session with their key worker since March. The manager was aware of this as an issue and it was already being addressed. People who use the service are encouraged to be as independent as possible and that this sometimes means taking risks. There were numerous risk assessments in place for people within the community, within the environment of the home or specific to individuals such as ironing. The risk assessments were very comprehensive and there was evidence that they were reviewed annually. People who use the service meet all prospective candidates for jobs. They also have a choice as to whether they to attend staff meetings or not. In reality we were informed that people do attend, but rarely contribute. Care Homes for Adults (18-65 years) Page 14 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to live fulfilling lives both within the home and in the community, dependent upon their needs, interests and wishes. This opportunity to be a part of the community should enable people to feel that they have a fulfilling and meaningful life. Evidence: Staff are aware that the building is the home of the people who live there and as such they rarely close doors even for meetings, if they do need to close a door it is with permission; staff were observed asking permission or knocking before entering someones bedroom. Activities are determined by the person using the service, although there is a weekly schedule, it is flexible. The range of activities that people participate in includes horse riding, archery, swimming and receiving aromatherapy. Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: Some people attend college and are involved in activities there. Two people who use the service volunteer at a local furniture project. People who use the service are given the opportunity to fulfill their spiritual needs, and all do in fact attend church. Two attend the local Catholic Church, the others the Church of England. The expert by experience said, Residents can get out and about in the community with staff support. The shopping centre is a walking distance from the home. There is good public transport system and the home also has a van which is used for shopping and taking residents to the many leisure activities like swimming, day trips, bowling and the cinema. On the day of the inspection, two people went to the local supermarket and three had gone to a gardening club; the home was also hosting some training. This meant that the home felt busy with the comings and goings of people. The majority of people who use the service have had their summer holiday, two going on an activity holiday, three abroad and one to Butlins. There are plans that the remaining three will be going to Centre Parks in September. The level of consultation with people who use the service and the number of different arrangements that are made would indicate that this home is achieving higher in the area of leisure and has been scored accordingly. People who use the service decide upon meals on Sundays during the residents meetings. The home has a library of pictorial images of food that is available; however, the manager stated that many of pictorial images of food packets have little meaning, so instead photographs of actual food were being taken. The homes continued attempts to give people with little verbal communication, choices, is to be commended. With regard to communication, the manager told us that they will be using a project known as Us and a Bus, this organisation works intensively with people who have difficulties in communication. Meals are all freshly prepared, and on Fridays there is a choice of take-away food, which is invariably fish and chips. An alternative is always available if people do not Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: want what is on offer. People who use the service were observed moving freely around the kitchen and helping themselves to drinks and fruit. People who use the service all have keys to their bedrooms and to the front door. In reality however, there is only one person who uses her key to lock her bedroom door when she leaves the building. Care Homes for Adults (18-65 years) Page 17 of 31 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 use the service are supported wherever possible to manage their own health care needs. They also generally have access to NHS facilities thereby ensuring that people who use the service have good quality physical care. Evidence: In regard to people who use the service and their health needs being met, we looked at two files in detail. They contained a health care checklist which showed what professionals needed to be involved and how often they should be seen. Each appointment was then documented and the outcome noted. Medication is stored in a locked metal cupboard, which is secured to the wall this cupboard is within a locked storeroom. No one within the home is able to self medicate instead staff have been trained to give medication. Medication arrives in the home delivered by Boots the Chemist, it arrives in blister packs. The home completes its own internal audit of medication on a weekly basis. The Medication Administration Records were checked and showed no omissions or errors; medication is administered by two members of staff on most occasions. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: Staff were asked questions about providing personal care and how they would be able to ensure privacy and dignity. Staff that were asked were able to give a satisfactory response to questions. From observations it was noted that staff knocked on doors entering or asked permission they were constantly giving choices to people such as do you want the radio on, or what would you like to drink. People who use the service should have their weight monitored on a monthly basis. It was noted however that this is not always occurring; with one person their weight was taken monthly and then there was a three month gap. A requirement was made at the previous inspection regarding the monitoring of weight and although this has improved there are still shortfalls. This requirement therefore remains. It was noted that on all health files of people who use the service there was a letter from relatives about their wishes in case of illness or death of the person. Care Homes for Adults (18-65 years) Page 19 of 31 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 home has a complaints policy which is available in a format suitable for people who use the service, in this way people should feel that their views are taken seriously. There are systems in place to ensure that people who use the service are kept safe. Evidence: The home has a complaints policy, which says what should happen if someone is not happy about something or someone at the home. The complaints policy is available in two different formats and there is also a speaking up form. All these formats are to ensure that people who use the service understand what to do if they have a problem. The expert by experience said, Residents are aware of a complaints procedure and told me that if they were not happy about anything in the home they would inform their key-worker or the manager. The home has a complaints log; the last entry was in April 2008 and appears to have been dealt with satisfactorily. The home has its own internal policies and procedures regarding vulnerable adults in addition they have a copy of Suttons policy and Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: procedures. The home has had to make one referral regarding vulnerable adults over the last year, the referral was made in a timely manner. Staff are given annual training regarding vulnerable adults and certificates were available during the inspection. Some staff were given a scenario regarding vulnerable adults they were able to give a suitable response as to the actions that they would take. Staff were also aware of the whistle blowing policy. Care Homes for Adults (18-65 years) Page 21 of 31 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 is pleasant, well furnished and is maintained to a high standard. Each of the people who use the service has their own bedroom, which is personalised showing what they are interested in. Evidence: The accommodation at Grove Road is over four floors of a semi-detached Victorian house. On the ground floor there are four bedrooms, a large lounge/diner, separate dining room and small kitchen the first floor has three bedrooms, a small office and staff sleeping in room; there are a further two bedrooms on the second floor and a laundry in the basement. All the bedrooms are single and with a wash hand basin in them. The bedrooms all feel homely; people who use the service have chosen how to decorate their rooms what furniture they want and chosen their own pictures and photographs. The expert by experience said, One resident who took me to see her bedroom said she chose the colours for her bedroom and staff support her and help her clean out her fish tank and her hamster cage. Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: The home is kept in good decorative order internally. It was clean and hygienic. Staff and people who use the service are responsible for cleaning the home. The home allows for privacy and dignity all the bathrooms and toilets are lockable from the inside. People who use the service all have their own keys to their bedrooms, although in reality only one person locks their bedroom when they go out. Everyone has a lockable space in their bedroom. The expert by experience said, The home has a spacious, clean and airy lounge/dining room. There is a good size garden where residents are supported to grow vegetables and flowers and have gazebo and garden furniture if they wanted to just relax in the garden. Externally the home would benefit from refurbishment, as paint on the woodwork is peeling and in some areas the woodwork has deteriorated. A recommendation is therefore been made that the external fabric of the building is reviewed. Care Homes for Adults (18-65 years) Page 23 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team within the home have a range of experience and expertise. They are well supported in terms of training, which in turn enables them to help people who use the service live fulfilling lives. In general, staff are supported through their line managers with supervision taking place on a regular basis this will impact on the quality and caliber of care given to people who use the service. Evidence: Grove Road is fully staffed albeit a vacancy for a senior support worker, the manager is in the process of recruiting for this post. Any shortfalls in the staffing rota are covered by two bank staff that are known to people who use the service. The home should be commended for the major improvements that it has made in this area since the previous inspection, when there were substantial number of hours covered by agency staff and a total of ten bank staff. The staff team are mixed in terms of gender, age, ethnic background and experience. There are two male members of bank staff and the manager, the lack of male staff Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: members is unfortunate but not unusual in care homes. Documentation was checked regarding the recruitment of two employees within the home. There was a job description, application form and evidence of identity. References and Criminal Records Beaux (CRB) checks are held centrally, although there was evidence in the homes information that they had been completed. The home has extensive training opportunities available. There is an induction program for new staff and a range of e-learning courses that have to be completed. There are regular refreshers courses for all statutory training. We were informed that ten members of staff within the home have completed their National Vocational Qualification level 2 or 3, with only two members of staff yet to complete this training. The expert by experience said, Staff are happy in the home and the management supports them well in training for them to be able to support residents with their changing support needs. The duty rota was checked randomly over a series of weeks. There is an expectation that the home has three members of staff of duty in the morning and three in the afternoon, with a waking night member of staff and a sleep in. In general it appears that the home has sufficient staff on duty to meet the needs of the people who use the service. A previous requirement regarding this issue is therefore withdrawn. We looked at supervision records and found that staff are now receiving the required levels of supervision. This was confirmed by minutes of the meetings that were available and during discussions with staff themselves. Care Homes for Adults (18-65 years) Page 25 of 31 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. This home is run in the best interests of the people who use the service. There are a number of quality assurance measures in place to ensure that people who use the service feel that their views are listened to and are acted upon. Evidence: Mr P. Bennett is the manager of Grove Road, a position he took up in February 2008 prior to that time he had been in acting up position as the manager. Mr. Bennett is not yet registered with the Commission. A recommendation remains that the manager should become registered with the Commission. As Regard Partnership Limited runs the home, all the policies and procedures about the running of the home are written and agreed centrally. These policies and procedures are looked at and reviewed on an ongoing basis to make sure that they keep up to date with new legislation and research. At previous inspections a random selection of policies and procedures from Appendix 3 of the National Minimum Standards for Care Homes for Adults 18-65 seemed to indicate that all were available Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: and appropriate. With regard to quality assurance, the home completes very thorough Regulation 26 visits, copies of which are made available to the Commission. On the day of the Commissions inspection, the home was also having a regulation 26 visit. It is very positive to note that the Regard partnership have started employing people with learning difficulties to assist in conducting their regulation 26 visits, this practice should be commended. There are weekly residents meetings which is very much part of the homes routine. We were able to view the minutes of the meetings many of which had been completed in pictorial format. We checked information relating to health and safety and found that in general it was up to date. There were two exceptions to this, firstly that the certificate for Legionella testing could not be located, and secondly that the First Aid boxes contained items that were out of date Care Homes for Adults (18-65 years) Page 27 of 31 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 19 12(1)(a) People who use the service must have their weight monitored on a monthly basis to ensure health and well being 29/12/2007 Care Homes for Adults (18-65 years) Page 28 of 31 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 19 12 People who use the service must have their weight monitored on a monthly basis. This is to ensure health and well being 09/10/2009 2 42 12 Out of date items must be removed from the First Aid boxes This is to ensure the health and welfare of the people who use the service. 09/10/2009 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 2 3 24 37 42 The condition of the exterior of the building should be reviewed. The manager of the home should become registered with the Commission. Legionella testes should be completed on a regular basis and a copy of the certificate available of inspection Page 29 of 31 Care Homes for Adults (18-65 years) 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 purposes. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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