Care Home: Ivers

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What the care home does well Each student spoken with, and those who responded by survey, said they liked living in the home and were happy with the service they receive. Students are involved as much as possible in determining how their care, health and support needs are met and encouraged to be as independent as possible. The service works hard to support and encourage students to improve their skills and to lead fulfilling lives.The relatives who responded by survey said the home does meet the needs of each individual and provides the care and support they expect. The health professionals who responded by survey said students` needs are well met, their privacy and dignity respected and they are supported to live the life they choose. A wide range of professional expertise continues to be actively used in order to support and maintain each student`s lifestyle, health and well being. The accommodation and grounds are spacious and very well maintained. This provides a safe and homely environment for students to live in. What has improved since the last inspection? I note that although we did not require or recommend any improvements during the last Key Inspection process, a number of improvements have been made. Ivers has updated its admissions policy and assessment documentation. This helps to improve the assessment process for all prospective students and provide a more person centred approach for each individual who moves into the home. The Risk Assessment documents have been reviewed to include the specific grading or level of risk. This further promotes the welfare and safety of both students and the staff team. Additional staff are currently working towards a National Vocational Qualification (known as an `NVQ`) and staff training records have been improved. This helps to ensure all staff are supported in their professional development and all training they attend can be easily monitored. What the care home could do better: The home should continue to review its progress in providing students with information in a format which is accessible to them. This helps to ensure each person is involved in all aspects of their care and support as well as life within the home. CARE HOME ADULTS 18-65 Ivers Hains Lane Marnhull Sturminster Newton Dorset DT10 1JU Lead Inspector David Smith Unannounced Key Inspection 7th November 2007 09:30 Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ivers Address Hains Lane Marnhull Sturminster Newton Dorset DT10 1JU 01258 820164 01258 820258 ivers.college@btinternet.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ivers House Limited Linda Anne Matthews Mr Peter Francis Cheesman Care Home 23 Category(ies) of Learning disability (23) registration, with number of places Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation, with both board and personal care, is provided in the Home at any one time (excluding the persons carrying on or employed at the Home and their relatives) shall not exceed: Twenty-three (23) within the Category of LD (Learning Disability) being Twenty (20) at Ivers, Hains Lane and Three (3) at `Felicity`, Lovells Mead. 20th November 2006 Date of last inspection Brief Description of the Service: Ivers is registered as a care home for adults with a learning disability and provides a learning environment offering vocational and life skills training. The service users, known as ‘students’, are mainly aged between 18 and 35. Ivers is situated on the outskirts of Marnhull, a large village which includes such facilities as shops, pubs, a post office, church and GP surgery. On the main site there are three buildings, the original main house and two bungalows all within the grounds. One bungalow known as ‘Trafalgar’ has ground floor accommodation and teaching rooms above and the newer bungalow called ‘Kenley’ has four large bed sitting rooms and a large communal kitchen and dining area. A small bungalow, known as ‘Felicity’, accommodates three students and is situated in the main part of the village, approximately half a mile away. The home admits young adults with a moderate learning disability who do not present severe challenging behaviour. Each year is divided into 4 terms, linked by short holiday periods when the majority of students return to their own family home. Ivers’ ethos is to promote and support all students who are able to be involved in communal work at Ivers or work in the local area. Products produced by the students are sold at local fund raising events. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home as part of a Key Inspection of this service. The review of evidence and pre-inspection planning involved reviewing the report of the last Key Inspection carried out in November 2006 and the service history, which details all contact with the home including notifications of significant events which they have reported to us. We (the CSCI) provided the home with their Annual Quality Assurance Assessment (known as an AQAA) and a range of survey forms for students, their relatives, carers, advocates and health professionals, prior to my visit. The AQAA was completed and returned together with ten surveys. I gathered additional information during my visit through informal discussions with a number of students, the Registered Manager and care, education and administration staff. Interaction and communication between staff and students was also observed during my visit, including being invited to ‘sit in’ on a music group, enjoy lunch with a number of students and staff members and visiting the three students who live at ‘Felicity’ in the main part of the village. Care plans and associated records were examined together with accident and incident reports, staffing records, Risk Assessments, complaints procedures and health and safety records. I was also provided with a tour of all communal areas of the main house, ‘Trafalgar’, ‘Kenley’ and ‘Felicity’ and several students showed me their own rooms. I was shown the grounds and livestock during the course of the day. The individuals who live at Ivers wish to be known as ‘students’. This has been respected and this term has replaced ‘service user’ throughout this report. What the service does well: Each student spoken with, and those who responded by survey, said they liked living in the home and were happy with the service they receive. Students are involved as much as possible in determining how their care, health and support needs are met and encouraged to be as independent as possible. The service works hard to support and encourage students to improve their skills and to lead fulfilling lives. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 6 The relatives who responded by survey said the home does meet the needs of each individual and provides the care and support they expect. The health professionals who responded by survey said students’ needs are well met, their privacy and dignity respected and they are supported to live the life they choose. A wide range of professional expertise continues to be actively used in order to support and maintain each student’s lifestyle, health and well being. The accommodation and grounds are spacious and very well maintained. This provides a safe and homely environment for students to live in. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There continues to be a thorough and tailored process of information sharing, assessment and visiting which enables the home, students and their families to make an informed decision about where to live. EVIDENCE: The home has both a comprehensive Statement of Purpose and Admissions Policy (which was updated in August 2007). These provide clear information regarding the range of services and support the home is able to offer. These documents also clearly describe the expectations placed upon students, especially their desire to develop lifeskills and gain greater independence. Each student who responded by survey said they were asked if they wished to move to the home and that they did receive enough information to decide if this was the right home for them to live in. One student moved into the home in July 2007 and I therefore examined all of the records the home has for this individual and tracking their care and Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 9 experiences through records, discussions and observation of care practices. This process is known as ‘Case Tracking’. Ivers carried out comprehensive assessments and obtained as much information as they could from previous placements and health professionals. An initial care plan was devised, together with an assessment of risks (known as an ‘Initial Risk Screen’), which formed the basis of care and support when this student first moved in. The home ensured detailed records were maintained during the first ‘term’ which were then used to develop the full care plan and person centred Risk Assessments in October 2007. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that the service provided to each individual takes into account their personal preferences, supported by both written information in care plans and risk assessments which are subject to ongoing review. Students are consulted on, and participate in, all aspects of life in the home. EVIDENCE: One care plan was examined in detail during my visit. This care plan was both sophisticated and detailed. It contained clear guidance on the areas of support this student requires, such as personal care, medical needs and communication and how this should be provided. The ‘Key Notes’ section contains a summary of the most important aspects of support, which staff appear to find very useful. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 11 The daily records complement this process by ensuring there is a constant process of evaluation and review of the support being provided, progress towards any agreed goals and the outcomes for the student focused upon. A very effective review process has been developed within the home. Annual review meetings are held with each student, a representative from their Funding Authority, family members and staff from the home. These are clearly recorded and the outcomes used to update individual care plans. In addition to these annual reviews, the home ensures that each care plan is reviewed internally each month and this is recorded on the ‘Monthly Review and Changes Required’ sheet. This is good practice. Each student is encouraged to review their own care plan at the end of each term and to develop their own person centred plan called ‘My Care Plan’. This is written in plain English and uses picture symbols to help the student understand its content. The one plan I examined explained this student had written they “can talk clearly and make myself understood” and “can tell staff when I need help”. They had also signed it. I observed interaction and communication between staff and students during the course of my visit. These show that staff are knowledgeable and confident in communicating with students and did provide choices but let each person make decisions. Those individuals who responded by survey said they did make decisions about what they would like to do each day and felt that they generally do the things they choose. One student said “I am very happy here. I make decisions and am involved in decision making”. Various forms of communication are used in the home to enable students to access information, express themselves and make choices. This use of ‘makaton’ signs, pictures, photographs, picture symbols and adapting information into the ‘Writing With Symbols’ format (which is generally known as ‘Widget’) is an approach known as ‘Total Communication’. The home continues to regularly review its progress in this area. Care and support is being provided within a risk assessment framework. Healthy risk taking continues to be encouraged and supported, as evidenced within the wide range of opportunities and activities students are able to enjoy. Each of the person centred risk assessments I examined are detailed and have been regularly reviewed. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each individual has opportunities and appropriate support to develop, access leisure and educational facilities both locally and in the wider community including holidays, day trips and visits to family and friends. Each person’s rights and responsibilities are recognised in their daily lives. A healthy and balanced diet for each individual is promoted. EVIDENCE: Students are supported to reach their full potential in relation to their personal development. A great deal of importance is placed on them being able to participate in all aspects of home life and being supported to enjoy a range of education, work and leisure activities, outings to places of interest, and to choose and attend holidays. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 13 Examples of work include gardening, cleaning vehicles, helping with the kitchen, helping with the animals, recycling or working in the workshops where various items such as t-shirts are made for sale at local outlets or events. I was invited to ‘sit in’ on part of a music session. Students appeared to enjoy the session and interacted and communicated with each other, as well as with the staff who were supporting them. The staff I spoke with said students have chosen to perform the ‘Sound Of Music’ this year, which follows on from other successful performances such as ‘The Tempest’, performed at Weymouth College as part of the ‘Sparkle Drama Project’ The records I examined showed that students regularly use community facilities. This includes going to the cinema, theatre, local pubs, shopping trips, horse riding, lunches and meals out. Each individual is supported to organise and attend a holiday, and in addition to these, Ivers has a special Activity week when students are given opportunities to choose different activities or venues to visit. One student showed me several photographs and souvenirs from their recent holiday to Disneyland Paris and another from their trip to Ireland. The students who live in the home have all demonstrated significant progress in their personal development. It is evident that the positive outcomes for each individual remain the focus of the care planning and support of the staff team. By remaining focused on these, the home demonstrates its commitment to a person centred approach. The students I spoke with and those who responded by survey said they were able to choose how to spend their day and generally were able to do the things they wished to do. They felt staff did listen to them and acted on what they said. The health professionals who responded by survey said the home does support people to live the life they choose, respects individual’s privacy and dignity and is good at meeting individual’s differing needs. Service users are supported to maintain close contact with their families and friends during each term. Relatives who responded by survey said the home does help their son or daughter keep in touch and they are kept up to date regarding important issues. One family said “we couldn’t wish for better care for our daughter” and another said “everything is done well, I cannot fault it, my daughter is very happy”. The quality of the meals provided remains exceptionally high. The menu is displayed in the dining room and there are always two choices of the main meal, plus a vegetarian option and a full range of homemade deserts. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 14 I joined a number of students and staff members for the second lunchtime sitting. Students take it in turns to work in the kitchen and to help serve the meals. The mealtime was very sociable and relaxed, with students and staff eating and talking together. The quality of the lunches and deserts were excellent. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are supported in their preferred manner and their personal and healthcare support needs are well met. They are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The home has strong links with local medical services, who have a good knowledge and understanding of individuals’ needs. Specialist health care professionals support the home when required and they continue to have good working relationships with psychology and psychiatry services. Contact with each professional is recorded and forms part of each persons care plan. The care documentation in place for each student provides clear guidance for staff on how they should support those living at the home with their personal and health care, although it remains clear that the aim is to help the students to be as independent as possible. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 16 It was evident that the Manager and staff I spoke with are sensitive to the healthcare and emotional needs of those living at the home and respect the wishes and preferences of each person. The health professionals who responded by survey said the home meets each person’s health care needs, seeks their advice and acts upon this to manage and improve individual’s health care. The home has clear policies and procedures relating to medication administration, which were last updated in January 2007 and staff who support individuals in this area are provided with relevant training. Ivers would like to encourage more students to be responsible for their own medication and planning and attending their own medical appointments. This is certainly in line with the ethos of this service and the progress towards these goals will be reviewed as part of the next inspection process. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are supported to communicate their views and they can be confident that they will be listened to and their views acted on if necessary. Clear policies and procedures are in place in order to protect individuals from the likelihood of abuse, neglect and self-harm. EVIDENCE: The home has a formal Complaints Policy, an Adult Protection Policy and a Whistle Blowing Policy, which staff can use in confidence to raise any issue or concern they have regarding the service. The information provided on the home’s AQAA confirmed that there has been one complaint within the last twelve months. I therefore examined this complaint, which consisted of a number of concerns rather than a formal complaint, and the records show that it had been taken seriously and responded to quickly, in accordance with the home’s policy. The students I spoke with and those who responded by survey said they knew who to speak to if they were unhappy, knew how to complain and confirmed that they felt safe living at the home. They felt that staff did listen to them and acted on what they said. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 18 The relatives who responded by survey said they knew who to speak to if they were unhappy with the service being provided and how to make a formal complaint. Both relatives and health professionals felt the home had ‘always’ responded appropriately if they had raised any concerns about the care provided by the home. The home has clear policies, guidelines and risk assessments in place for supporting service users who are distressed or presenting behaviours which may be perceived as challenging the service provided, although the home cannot provide a service for individuals with high levels of challenging behaviour. The staff members I spoke with did not raise any concerns about how students were being treated and were aware of their responsibilities to act to protect them. They felt that Ivers provides a homely and safe environment to live in. All staff are provided with training in relation to the Protection of Vulnerable Adults and are subject to ‘enhanced’ Criminal Record Bureau disclosures (known as CRBs) before they start work in the home. The home maintains clear records of all accidents and incidents and notifies us of any significant event which occurs. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ivers provides a homely, comfortable, clean and safe environment for students to live in. EVIDENCE: Ivers is situated on the outskirts of Marnhull, a large village which has such facilities as shops, pubs, a post office, church and GP surgery. On the main site there are three buildings; the original ‘main house’ and two bungalows all within the large grounds. One bungalow is known as ‘Trafalgar’ and this has ground floor accommodation for students, a computer room, kitchen and teaching rooms above. The newer bungalow is called ‘Kenley’ and this has four large bed sitting rooms and one large communal kitchen and dining area. A bungalow known as ‘Felicity’ which three students share, is situated in the main part of the village, approximately half a mile away from the main site. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 20 There are extensive, well kept grounds at the main site, which students freely use. The livestock is kept within these grounds and students are actively involved in their care. There are both front and rear gardens at ‘Felicity’, which are well tended. I did view all of the communal areas of the main house, ‘Trafalgar’, ‘Kenley’ and ‘Felicity’. I was also invited by a number of students to view their own rooms. All furnishings and fittings are of a good quality, with the newest bungalow ‘Kenley’ finished to a very high standard. Each home is tastefully decorated and there are many photographs of students displayed, which help to personalise the home and add to the ‘homely’ feel. The students remain actively involved in the maintenance of their home, with Ivers having recently implemented routine cleaning schedules and areas of responsibility. During my visit to ‘Felicity’ two students were cleaning and tidying their own rooms, which they said they did each week. The student’s own rooms were well furnished and the individuals told me they had chosen the furniture and colour schemes. The students who responded by survey said their home is kept ‘fresh and clean’. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person that lives in the home is supported by a cohesive and effective staff team that is committed to providing a good service. The home’s recruitment policy promotes both students’ rights and their safety and the clarity of staff roles and responsibilities along with staff training, appraisal and supervision helps to provide a consistent approach to the support of staff and students. EVIDENCE: There is a core of well-established staff with varying skills and abilities who meet the needs of each individual living at Ivers. Many of these staff have been employed for a number of years and therefore know each of the students very well. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 22 The roles of staff are clear with the home employing a Head of Education, Tutors, Team Leaders, Shift Leaders, Support Staff as well as the cook, maintenance person and administration support. Each student has a named Keyworker and Personal Tutor. I observed staff interacting and communicating with students and discussions with staff showed they had a good knowledge of individuals, how to communicate with them and offer appropriate support. The staff I spoke with said they enjoyed working in the home, are well supported in their role and felt that they provide consistent support for students. The students I spoke with said they liked the staff team and were well supported by them. Those who responded by survey said they are treated well by staff that listen to them and act on what they say. Relatives who responded by survey said the felt the staff did have the right skills and experience to look after people properly. One relative said “the staff are excellent and very dedicated” and another said the staff “make my son feel happy where he lives as he does find it hard being away from his family”. Health professionals who responded by survey said the staff team do have the right skills and experience to support students. I examined two staff personnel files during my visit. These contained a photograph of each staff member, copies of their Application Form, at least two satisfactory references, documents confirming identity and eligibility to work in the UK, contracts of employment and a record of their induction to working in the home. (The details of Enhanced Disclosures from the Criminal Records Bureau are discussed earlier within this report). Staff are also provided with a handbook and the General Social Care Councils’ Code of Practice. Staff are provided with a variety of training opportunities, some using ‘Red Crier’ training materials, which can be delivered in-house and others by external training providers. The records I examined showed that staff have had training in First Aid, Manual Handling, Adult Protection, Food Hygiene, Health and Safety, Medication Administration and awareness of the Mental Capacity Act. Staff are encouraged to work towards a National Vocational Qualification (known as an ‘NVQ’). Six staff members completed NVQ Level 2 last year and there are currently two staff working towards their Level 2 Award and one staff member working towards Level 3. Each member of staff is provided with regular formal supervision with their line Manager together with an annual appraisal. Clear records of each of these meetings are kept which both parties sign. Staff spoken with said they continue to find supervision helpful and supportive. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and students benefit from the ethos and management approach of the home. Students’ views remain central in the review and development of the service and their rights and best interests are safeguarded. The health, safety and welfare of students is promoted and protected. EVIDENCE: The Registered Manager, Mrs.Matthews, was available throughout my visit and organised my visit to meet the students who live at ‘Felicity’, which helped the inspection process. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 24 The management approach remains open and positive, with a clear sense of direction and leadership. Through discussion with the Registered Manager, staff members and students it is evident there continues to be an inclusive atmosphere within the home. The students remain the focus of the service and many of them have made significant progress whilst living at Ivers. The involvement of students in the planning of their care and support, setting of goals, reviews and the day-to-day running of the home remains high. The students hold regular meetings where, with some staff support, they chair each meeting, set the agenda, take the minutes and agree on the outcomes. It is clear from the records I examined that each student is listened to and the outcomes of each meeting are followed up. Ivers has comprehensive policies and procedures, which are designed to ensure it provides a safe place for students to live, complies with the law and remains aware of good practice guidelines. Full details of each policy were provided by the Manager as part of the AQAA she completed for us as part of this Key Inspection process. Since our last inspection, the home has continued to review, develop and improve procedures and systems, such as the admissions policy and staff training records. The quality of record keeping in the home is of a high standard, with all records required during my visit easy to access and stored securely. There are recording systems in place to support Health and Safety within the home, which are being used consistently. Ivers conducts regular health and safety audits, which lead to an action plan where any works or improvements required are identified. They also have a contract with an external health and safety consultancy, which have evidently benefited the home. I also examined the home’s Fire Log which shows the fire alarm system is tested each week, emergency lighting is checked monthly, regular fire evacuation drills are conducted and the Fire Risk Assessment was last reviewed in January 2007. The home contracted an external consultant to complete a fire safety audit In January 2007 and the Fire Officer last visited in September 2007. There are a number of general Risk Assessments in place to ensure the welfare of students and staff. These are well written and subject to regular review. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations The home should continue to review its progress in providing information in accessible formats to each student. Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ivers DS0000026825.V345960.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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