Care Home: Haydon Park Lodge

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What the care home does well People who use this service view Haydon Park Lodge as their home. Individuals told us; `I like living here`, `I like my home`, `I wouldn`t want to live anywhere else`, `I like the atmosphere here` and `It`s my home and I love it here`. The service is family run with staff who mainly have worked in the home for many years. This provides people who use the service consistency in their support and relationships with staff. The owner and manager are viewed with real affection by people who use the service. Families and friends are made to feel welcome and part of the home. Every effort is made to support people in maintaining family relationships. The rights of individuals to have close personal relationships is respected and supported. People who use the service told us they enjoy the food provided. A wide range of choices are available at every meal time and individual needs and wishes were seen to be met. Individuals described the food as; `excellent` and `really nice`. Staff have a good understanding of the needs and strengths of the individuals they support. People are encouraged and supported to continue with their particular interests as well as trying out new things. People who use the service take part in a wide range of activities within the home and in the local community. The service has developed good relationships with their neighbours. The health needs of people who use the service are met with individuals supported to attend regular health check ups. Staff are quick to recognise changes in the health and welfare of individuals and take appropriate action. The home is regularly maintained and improved to meet the changing needs and wishes of the people who live there. Individuals are consulted on day to day issues as well as long term plans. As part of the quality monitoring the service sends out a large amount of surveys, to people who use the service, families, `friends of the service` and other health and social care professionals. Responses from these surveys indicate very high levels of satisfaction with the service. What has improved since the last inspection? Since the last inspection of the service improvements have been made in seeking checks on staff before they start work in the home including enhanced Criminal Records Bureau checks. This assists in making sure that people who use the service are safe. More detail on the previous employment of staff has been sought and recorded. This again assists in safeguarding people. Annual surveys include other people connected to the service and other health and social care professionals. This assists the management in assessing the effectiveness of the service.Improvements to the environment have continued with a number of areas redecorated and refurbishment of the ground floor bathroom which provides a more accessible shower for individuals who use the service. What the care home could do better: Care plans could be more accessible and interesting for the people using the service. Individual goals could be more specific with timescales for staff in supporting people to achieve these. The goals of the service and the goals of individuals should be separately recorded. The information sought on the previous employment of staff should be more detailed. This information should include all employment, the dates of each employment. A satisfactory explanation of any gaps in employment should be provided and recorded on the staff file. Key inspection report Care homes for adults (18-65 years) Name: Address: Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ     The quality rating for this care home is:   three star excellent 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: Elizabeth OReilly     Date: 1 0 1 2 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 27 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 27 Information about the care home Name of care home: Address: Haydon Park Lodge 7 Haydon Park Road Wimbledon London SW19 8JQ 02085400172 02084040260 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Haydon Park Lodge Limited care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 13 The Registered Person may provide the following category 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 Date of last inspection Brief description of the care home Haydon Park Lodge is a registered care home offering accommodation and care for up to thirteen adults with learning disabilities. The home is situated in a residential area of Wimbledon. The leisure, shopping and public transport facilities of Wimbledon are close by as is a local train station. The property consists of two houses which have been joined together. The house is not identifiable as a care home. Fees for this service range from £750 to £1100 per week. 0 2 0 3 2 0 0 9 13 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 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: three star excellent 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 unannounced inspection was carried out by one Regulation Inspector. The inspector had the opportunity to speak with five people who use the service, the service manager, the service owner and two visitors. Nine people who use the service returned completed surveys. We looked at a sample of the records required to be kept in the home. Information received from all of the above sources along with our own observations have been used to reach the judgements made in this report. Care Homes for Adults (18-65 years) Page 5 of 27 What the care home does well: What has improved since the last inspection? Since the last inspection of the service improvements have been made in seeking checks on staff before they start work in the home including enhanced Criminal Records Bureau checks. This assists in making sure that people who use the service are safe. More detail on the previous employment of staff has been sought and recorded. This again assists in safeguarding people. Annual surveys include other people connected to the service and other health and social care professionals. This assists the management in assessing the effectiveness of the service. Care Homes for Adults (18-65 years) Page 6 of 27 Improvements to the environment have continued with a number of areas redecorated and refurbishment of the ground floor bathroom which provides a more accessible shower for individuals who use the service. 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. 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 7 of 27 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 8 of 27 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. People who use this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service are provided with information on what they can expect from the home. Care is taken through assessments and visits to the service to make sure that this is the right place for individuals and that they fit in with the group. Evidence: People who use this service told us that they love living here and that they would not like to move anywhere else. Everyone who completed a survey told us they were asked if they wanted to move into the home and that they received enough information about the service to help them decide if it was the right place for them. Individuals told us they were given a copy of the Service User Guide which sets out what they can expect when they move in. People we spoke to said that they had asked the manager to keep this document for safekeeping. The Service User Guide has been produced by the service and care has been taken to make the information as Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: accessible as possible for the individuals using the service. The management take great care in the admission process to make sure that this is the right place for the individual and also take into consideration how the person will fit in with the other people living in the home. Pre admission assessments are carried out by the placing authority and staff from the service. Individuals are expected to spend some time visiting the home and short stays are arranged according to the needs of the person. This introduction to the service can take place over a long period of time which makes sure that individuals have a good knowledge of the service and staff have a clear understanding of the needs and strengths of the person. Care Homes for Adults (18-65 years) Page 10 of 27 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 this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Each person using the service is provided with a plan of care which was seen to include information on personal strengths as well as needs along with individual likes and dislikes. The service continues to make progress on making care plans more person centred. However more could be done to make the plans more accessible and interesting to the individual. Evidence: People who use the service told us that they made their own decisions about their day to day lives and their plans for the future. We observed staff offering choices and listening to people who use the service about what they wanted. We looked at a sample of the care plans kept in the service. The service keeps a detailed care plan and a working or shorter plan which includes brief details and goals. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: We found good information is available on individual likes and dislikes. Information is also available to staff on how individuals might react when they are not happy which can assist staff in understanding different reactions. Care plans include some goals for individuals however it was not always clear if these were goals set by the individual or those the service wished to achieve. In one instance a goal of offering choice and support for the person to try out different activities had been set. More specific goals with clear timescales and areas of responsibility for staff could prove more useful in supporting people to achieving their goals. During this visit discussions took place with the registered manager about making care plans more easily accessible and interesting for the individual concerned. One person using the service had worked with an outside agency to produce their own getting to know me book which provided very good information in an easily accessible form which was written from the point of view of the person concerned. We saw that risk assessments were in place and reviewed. This assists in ensuring that people who use the service are supported to do the things they want in a safe and informed manner. People who use the service told us that they were asked their opinion on any changes in the service and make their own suggestions about improving things. Individuals told us that the manager and the owner and his family listened to them and acted on what they said. Care Homes for Adults (18-65 years) Page 12 of 27 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 this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service can take part in a wide range of activities within the service and in the local community. Individuals are supported to continue with their personal interests and are supported to try out new activities. Staff understand the importance of maintaining contact with family and friends. Evidence: People who use the service told us they do what they want at all times. Everyone who completed a survey told us they always make their own decisions about what they do each day. Individuals we spoke to take part in a wide range of activities within the service and in Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: the local community. They told us that staff supported them to take part in activities they were interested in and comments on surveys returned to us indicated that people were happy with their day to day activities. Comments included; I can go and do my own thing, I love going to work, I can watch my football on the big TV and I can spend time on my own. The service has developed activities within the service for those people who have now reduced provision at day centres. Trips out in the evening are a regular event and individuals told us they go to the cinema and to the theatre. People use local shops either independently or with staff support and regular shopping trips are taken to Wimbledon. A bar is available and open at weekends. Each person who uses the service is provided with two free drinks. When asked through surveys what the service does well one person told us they love the bar and when asked how the service could be improved said bar to be open every night. People we spoke to said they enjoyed having the bar open. People who use the service told us that they met with their family and friends regularly and could have visitors at any time. Visitors to the home are welcomed and supported to visit and keep in touch. One person told us, on Sundays I get a lift to see my mum and dad. The service has developed good relationships with people in the local community. Neighbours are invited to parties and people who use the service can take part if they wish in events at local churches. The service has supported one person to become a minister in their church. Everyone is offered the opportunity to attend religious centres and services of their choice. The service respects the rights of individuals in developing and maintaining close personal relationships. Individuals can and do take holidays with friends and or family. People told us they had enjoyed a group holiday in Bogna Regis this year. One person told us they had gone on holiday with their girlfriend and one person had taken a holiday in Spain. All of the people we spoke to told us they enjoyed the food provided. Individuals were seen to make their own drinks and snacks. Comments from surveys on what the service does well included; I like the meals and I like my food. Individuals told us there is always a choice at meal times and we observed people making their own choices about what they had to eat. People told us they were never hungry. Care Homes for Adults (18-65 years) Page 14 of 27 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 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 this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health care needs of individuals who use this service are met. People are supported where possible to manage their own health care. Staff are alert to any changes in individuals and make referrals to health care professionals when needed. Individuals are provided with support with their personal care according to their needs and wishes. Evidence: We found good information is available to staff on the needs and wishes of individuals in relation to their personal care. There is a low turnover of staff at this service which means that staff know the people they are supporting very well. They are quick to spot any changes in the health or general well being of individuals. The staff and management of the service make real efforts to ensure that people who use the service can stay there for life if they wish and where at all possible. In the past alterations have been made to the building to accommodate individuals. However Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: care is taken to make sure that individuals move to a more appropriate place if their needs cannot be met. The service has developed good relationships with health care professionals and referrals are made to ensure the support they provide continuities to meet individual needs. Individuals are supported to receive regular health care checks. One person told us that staff assist them when they go to the dentist as they find this very difficult. Nutritional assessments are carried out and health action plans are complied for each person. We looked at the records of medication. We found medication was well managed and the records seen were up to date and accurate. Medication is stored safely and staff have received training on this subject. Where appropriate people who use the service are supported to self medicate. Staff are provided with information on when and why as required medication should be given. This ensures that this type of medication is used appropriately. Care Homes for Adults (18-65 years) Page 16 of 27 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. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service expressed confidence in the manager and home owner to address any problems or complaints they may have. Staff training on safeguarding assists in ensuring that any allegation or suspicion of abuse is reported to the appropriate person. The checks carried out on staff before they start work in the service help to make sure that people who use the service are protected. Evidence: Everyone who completed a survey said they knew who to speak to if they were not happy and all said they knew how to make a complaint. A complaints log is kept in the service where all complaints are recorded along with actions taken and outcomes. The Care Quality Commission have received no complaints about this service since the last key inspection. Records show that all staff have completed training in safeguarding people. This assists in ensuring that staff understand their role and responsibilities in reporting any suspicion or allegation of abuse. Facilities are available for people who use the service to deposit small amounts of Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: money for safekeeping in the home. We looked at a sample of the records kept and found these to be up to date and accurate. Individuals have their own bank accounts and or outside agents to look after their financial affairs. We looked at a sample of staff files and found improvements have been made on the pre employment checks carried out which assists in making sure that people who use the service are protected from abuse. Care Homes for Adults (18-65 years) Page 18 of 27 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 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 this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service are provided with a comfortable and homely environment which meets their needs and wishes. Evidence: Everyone who completed a survey said that the service was always fresh and clean. People who use the service showed us their rooms and said they were very happy with their own space. We saw rooms were individualised with people adding their own things which reflected their personal interests. One person informed us that they had their own flat screen TV in their bedroom which they enjoyed watching. Comments in surveys we received included; I like my room and I love my room and showing it to people. The service provides a large amount of communal space. There are a number of areas where people can join in with others in activities or chat while still having space where people can sit quietly. People who use the service told us that plans were in place to include a cinema area in one large space so that film evenings could be held. The facilities in communal areas are regularly reviewed to ensure that they continue to Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: meet the needs and wishes of people using the service. The management of the service ensures that the environment is well maintained and kept in good order. At the time of this visit work was being carried out to up grade certain areas. Since the last inspection of the service the ground floor bathroom has been refurbished and now has a walk in shower area. Individuals are supported and encouraged to join in with domestic activities and keep the service clean and tidy. All areas of the home we saw were clean and fresh. People who use the service have access to a large garden with a number of seating areas. The garden area is very well maintained. At the time of this visit staff were working on putting up numerous Christmas lights and decorations. Care Homes for Adults (18-65 years) Page 20 of 27 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. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service are supported by a well informed staff group. There is a low turnover of staff which assists in providing consistency of support to individuals. Staff are provided with good opportunities for training which ensures they are kept up to date with current good practise. Further details on previous employment should be sought for any new staff to the service. Evidence: We found staff have developed good relationships with the people who use the service. Everyone who completed a survey said that staff treated them well and that staff listened to them and acted on what they said. Individuals we spoke to made positive comments about the staff. Staff were described as great, excellent and very nice. Staff are provided with good opportunities for training. Records showed that all staff have completed training on safeguarding people and food hygiene. Staff have also taken part in training on medication, challenging behaviour, communication, and the mental health act including the deprivation of liberty. This training assist in ensuring Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: that staff are kept up to date with current good practise and changes in legislation. We looked at a sample of staff files. We found that pre employment checks including Criminal Records Bureau checks were being carried out. An employment history is asked for from each member of staff as part of the application form. The management should make sure however that the employment history includes details of all employment, the dates of employment and reasons for leaving. Where there are gaps in employment a satisfactory explanation for the gaps needs to be given and recorded. This will assist in safeguarding people who use the service. This service has low levels of staff turnover which means that people who use the service are supported by people they are familiar with and who have a good knowledge of their needs and strengths. Care Homes for Adults (18-65 years) Page 22 of 27 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 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 this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use this service benefit from a well managed home. Relationships between people who use the service and the management are very good. The manager and owner of the service are viewed as approachable and individuals told us they enjoyed their company. Regular checks are made to ensure the health and safety of people who use the service, staff and visitors. Evidence: The manager has completed the appropriate training and has the experience to manage a service of this type. This is a family run business and several members of the family regularly work or are available in the home. People who use the service made positive comments about the manager and owner. Individuals expressed confidence in the management to support them and deal with any worries or concerns they may have. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: People who use the service told us they felt their views were taken into account by the management. Regular residents meetings are held where people can voice their opinions. We observed people who use the service having no difficulty approaching the manager and owner to voice their views. The service sends out regular surveys to people who use the service, families, friends of the home and other health and social care professionals. Over forty people returned surveys this year. We found high levels of satisfaction with the service expressed in these surveys with very positive comments made. The service was described as excellent or good in all responses. Staff meetings are held and recorded which assists in making sure that staff are working in line with the aims and objectives of the service and have an opportunity to voice their opinions. Staff carry out regular checks around the building to ensure the health and safety of people using the service. We looked at a sample of these records. Weekly checks are carried out on the fire alarm system and fire drills take place on a regular basis. A fire risk assessment has been completed. Checks have been carried out all portable electrical equipment in the home. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 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 6 34 Care plans could be made more easily accessible and interesting for the people using the service. Further details of previous employment should be sought from any staff new to the service. Satisfactory explanations for any gaps in employment should be recorded on the individual staff file. Care Homes for Adults (18-65 years) Page 26 of 27 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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