Care Home: Kanner Project (Wixenford)

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What the care home does well The home continues to decorate the home and upgrade the environment as needed. This ensures that the physical environment of the home meets individual needs and is fully accessible for all. Modus Care Ltd encourages staff training and development ensuring that people who live at the home receive the best possible service.The home encourages people to have outside interests including employment, voluntary work and a variety of leisure activities available inside the home and in the community. The home supports people to be independent and involved in all areas of daily living including housekeeping tasks and planning meals.People living in the home are able to enjoy a stimulating lifestyle with a variety of options to choose from.Staff support people in a relaxed and helpful way.The staff ensure that the care provided is flexible, consistent and is able to meet the changing needs of individuals.With specialist input from outside professionals when needed.A professional survey returned to the home said, “Has an opportunity to socialise with other young adults and others in the home”. What has improved since the last inspection? The home has benefited from decorating several bedrooms.The home has new carpets in the hallway.A new kitchen has been fitted. What the care home could do better: No Requirements or Recommendations have been made in this report. Key inspection report Care homes for adults (18-65 years) Name: Address: Kanner Project (Wixenford) Wixenford House Colesdown Hill Plymouth Devon PL9 8AA 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: Kim Fowler Date: 2 6 1 1 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 33 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 33 Information about the care home Name of care home: Address: Kanner Project (Wixenford) Wixenford House Colesdown Hill Plymouth Devon PL9 8AA 01752482670 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : www.moduscare.com Modus Care (Plymouth) Ltd care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is 5 The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability- Code LD Date of last inspection 2 7 1 1 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Kanner House is owned by Modus Care Ltd which also own a number of care homes in the Plymouth area. The property is a large detached house that is set in its own grounds near the town of Plymstock. Five people with learning disabilities and whose behaviour may challenge the service live at the home. Some people living in the home have their own vehicle and the home also has a vehicle. There is a large lounge and large dining room on the ground floor. Each person has their own bedroom with ensuite. No-one has to share a bedroom. Four of the bedrooms have there own lounge room. Care Homes for Adults (18-65 years) Page 5 of 33 The home also has a good size garden and has its own swimming pool. Fees levels are between £324 and £868 although these may vary depending on people’s individual needs. Care Homes for Adults (18-65 years) Page 6 of 33 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 Care Homes for Adults (18-65 years) Page 7 of 33 How we did our inspection: This is what the inspector did when they were at the care home The inspection was carried out by one inspector who visited the home without telling anyone she was coming. She was there from 10:00am to 2:30pm on Thursday 26th November 2009. Throughout this report the term “we” will be used as the report is written on behalf of the Care Quality Commission. We spoke to or observed the people living in the home. We talked to the staff on duty and the manager. Care Homes for Adults (18-65 years) Page 8 of 33 We looked all around the home. We looked at the care records of 3 of the people who live in the home. We looked at other records that told us how the home is run. This included staff records and health and safety records. Before the inspection an Annual Quality Assurance assessment (AQAA) was completed by the manager. Care Homes for Adults (18-65 years) Page 9 of 33 What the care home does well The home continues to decorate the home and upgrade the environment as needed. This ensures that the physical environment of the home meets individual needs and is fully accessible for all. Modus Care Ltd encourages staff training and development ensuring that people who live at the home receive the best possible service. The home encourages people to have outside interests including employment, voluntary work and a variety of leisure activities available inside the home and in the community. The home supports people to be independent and involved in all areas of daily living including housekeeping tasks and planning meals. Care Homes for Adults (18-65 years) Page 10 of 33 People living in the home are able to enjoy a stimulating lifestyle with a variety of options to choose from. Staff support people in a relaxed and helpful way. The staff ensure that the care provided is flexible, consistent and is able to meet the changing needs of individuals. With specialist input from outside professionals when needed. Care Homes for Adults (18-65 years) Page 11 of 33 A professional survey returned to the home said, “Has an opportunity to socialise with other young adults and others in the home”. What has got better from the last inspection The home has benefited from decorating several bedrooms. The home has new carpets in the hallway. A new kitchen has been fitted. Care Homes for Adults (18-65 years) Page 12 of 33 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kim Fowler CQC South West Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel: 03000 616161 Fax: 03000616171 E Mail: enquiries.southwest@cqc.org.uk Care Quality Commissions website Care Homes for Adults (18-65 years) Page 13 of 33 at www.cqc.org.uk If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 14 of 33 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 15 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: The home has had one recent new admission to the home. This person’s pre-admission assessment was not available for examination as it is currently being held at head office. However from discussion with the manager about the process undertaken it provided clear information that Modus Care Ltd and the home pre-admission process and was sufficient to ensure this person was able to make an informed choice on the home. The manager and staff confirmed that the new admission had visited the home. This had been carried out over several days and with the staff visiting the new admission at there previous placement and this was particularly important due to the complex behavioural needs of this new admission and other people already living in the home. The staff confirmed that they had received plenty of information on this admission and Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: had received medical records, care plans and behaviour guidelines before trial visits had started. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. The homes AQAA returned to the Commission said, A full assessment will be completed to ensure that each individual needs and aspiration will be met appropriately at The Kanner Project. Care Homes for Adults (18-65 years) Page 17 of 33 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to make daily decisions about their own lives to maintain their independence. Evidence: The files for three people living at the home were examined. All three files examined held individual care plans in place and the details held on these files are needed by staff to meet individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. Each individual plan provides staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. The homes files and care plans were supported by the placing authority care plan and each showed that they had been reviewed regularly and updated when needed. Individuals are invited to attend review meetings and participate as much as possible. Each file also holds information on an individuals capacity with an assessment supporting this information. Observations throughout the inspection were staff assisting people to Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: make decisions about everyday issues. This included any trips out that day and the choice for lunchtime meal. One person had chosen new shoes for them self from a catalog provided. The manager stated that each person is given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. The homes AAA states under our evidence to show that we do well wrote, Extensive detailed care plans behavioural plans with evidence that they amended and updated regularly. Several of the people in the home were spoken with or observed with staff and all appeared relaxed and happy. Staff on duty that were spoken with were fully aware of the needs of the people living in the home and these were described in detail in each persons support plan ensuring that the support provided by staff is done so in a consistent manner. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and this information is important to minimise risk. The home uses a picture system to support each person with their communication and choice of activities and tasks for the day. The system encourages people to use pictures as well as words to indicate their preferences and choices and staff are able to use these pictures to support each person to plan their day. The home is divided up in self contained unit and each unit has a swipe card entry to enable people to come and go as they please. Any restrictions on choice or freedom had been agreed with the person and other people involved in the persons care the restrictions in place were made to protect the persons health and safety and recognised their responsibility towards others. The staff were observed knocking on bedroom doors before entering and interacting with people in a respectful manner. The people currently living in this home can display behaviour that challenges and all care plans examined provided detailed guidance for the staff in managing this behaviour safely. Should a physical intervention be necessary to reduce the risk of injury to the person this was fully recorded. Risk assessments with regard to daily living activities were well documented and provided staff with a rationale for any particular actions identified. None of the five people living in the home were able to manage their own finances independently. The money was checked and found to be correct with income, expenditure and outcome with receipts held. The manager confirmed that 3 peoples money is held and managed by relatives. Care Homes for Adults (18-65 years) Page 19 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in Kanner House can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: Due to the needs of people living in the home it was not possible to ask them about the activities they undertook. However a discussion was held with the staff and observation throughout the day showed a wide range of activities and tasks planned and undertaken. An activities co-ordinator is employed by the home to assist in finding and planning suitable activities for everyone and plans to expand the range of activities on offer. This will involve the person and the staff member as much as possible. One person did attend a college course but has chosen through personal choice not to attend at this time. Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: A designated team of people work with each individual to ensure continuity in their individual care and minimise any behaviour issues. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home and the grounds are assessable for all where needed. Several activities and tasks being planned and observed included, shopping, swimming and one person going food shopping for themselves. Most people opt for day trip than a week away, however many of the people living in the home visit family members at home and one person has been to Butlins and a theme park this year. Everyone has their own transport for their exclusive use and a charge was made for certain journeys to cover the cost of fuel and servicing. The home has a 4 weekly menu and employs a cook 4 days a week with the staff and people living in the home themselves preparing and cooking the meals as much as possible. Each person has a fluid and food chart to ensure a varied and nutritional diet and people are able to access the kitchen with staff support. The company has plans to refurbish the home and included in this refurbishment will be several kitchenette areas for individuals to access to gain independence. The meal served at lunch time considered of home made soup with spaghetti bolognaise or fresh gammon and fresh vegetable and showed that meals are freshly prepared and home cooked. Further observation during this meal served provided evidence that everyone has staff support and specialist equipment if required and this promotes independence at meal times. The duty cook confirmed that the company provide plenty of fresh ingredients and extra items can be purchased when needed. The homes AQAA records under what they do well, All Service Users are encouraged to participate in activities according to their individual interests. Each Service User has an individual weekly timetable of activities that they will pursue in that week. Care Homes for Adults (18-65 years) Page 21 of 33 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. Staff were observed promoting individuals independence and providing good personal support promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of all who live in the home. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff and all rooms are single. People who require assistance with moving has a moving and handling plan and risk assessment to assist staff on how each person prefers to be supported. Each person has a health action plan in the individual file and holds comprehensive information on dental, cardiology and GP input including a regular health check carried out by the GP. As well as input from the Epilepsy Nurse and Challenging Behaviour team. Modus Care Ltd employ their own Consultant psychiatrist to assist with the wellbeing of people living in this home. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: The homes AQAA states on what they plan to improve over the next 12 months, Continue to have regular medication reviews with Consultant Psychiatrist. The medication system was checked during this inspection and found to be well recorded and documented. Staff designated to administer medication have received medication training and one staff member confirmed that they had received medication training. Information was recorded into individuals care plans of support from GP, dentist and optician. Any incidents of inappropriate behaviour as a result of a persons anxiety were documented and monitored by the Registered Manager and the home has input from the Challenging Behaviour team when needed. Care Homes for Adults (18-65 years) Page 23 of 33 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 people living at Kanner House can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The home has a complaints procedure in place and is clearly displayed in the home and is also available in the homes Statement of Purpose and Service Users Guide in sign format for people living in the home. The information included how to contact the Commission and the process of how a complaint is dealt with including timescales. Neither the home nor the Commission have received any complaints. The home received a safeguarding alert that did not affect the well being of people living in the home and has been passed to POVA (Protection of Vulnerable Adults) to assess. The manager stated that many of the staff has completed the Safeguarding training with the local authority and other staff members are booked on future course. Several files examined held information on the Mental Capacity Act and Deprivation of Liberty assessment and these were support by a Best Interest meeting held for some individuals. In attendance at these meeting were the IMCA (Independent Mental Capacity Advocate) to assist and support people in all parts of their lives. Care Homes for Adults (18-65 years) Page 24 of 33 Evidence: The homes AQAA states, We have the input from an advocate for one of the service users who has no family representative. Care Homes for Adults (18-65 years) Page 25 of 33 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. Kanner House continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Evidence: A full tour of the premises showed that the home is suitable for its stated purpose. The home is well kept, safe and accessible for all the people currently living at the home. Each person has their own bedroom, bathroom and four people have a private lounge. There is further large lounge room, a dining room and a kitchen on the ground floor. The dining room provides ample space for various activities, such as painting and craft work within the home. The garden was enclosed and provided two separate seating areas. A large indoor heated swimming pool is in the rear garden, however this was out of action on the day of the inspection. Several members of staff are trained as lifeguards and the registered manager confirmed that lifeguards must always be on duty should anybody wish to use the pool. Individual bedrooms showed that some peoples rooms contained personal items including furniture and pictures that reflect their personality and interests. Other rooms held a minimum amount of personalised items due to individuals challenging behaviour. Care Homes for Adults (18-65 years) Page 26 of 33 Evidence: However staff have tried to make each room as homely as possible including putting wooden shutters, as curtains, on the outside of windows to protect this persons privacy. Each main door to individual unit has a swipe card entry to make it more accessible for individuals living in the home. One person has had there sink taps removed for there own safety and this is recorded into their care plan and the manager now plans to install sensory controlled taps to promote this persons independence. The recent improvements to update the home have included one persons room being redecorated and included a new bathroom and wet room. Other areas of improvements included a new main kitchen, new carpets in the hallway and a new sofa in the main lounge area. Some individuals bedrooms have been upgraded and included new furniture and blinds, these blinds are secured behind perplex windows for the safety and comfort of this person. The manager showed the inspector the further plans of the upgrading and redesigning the whole home. This will allow a larger self contained living space for one individual with a separate main entrance. The process for the removal of clinical waste was discussed and was satisfactory dealt with and one staff member confirmed they had completed infection control training. Other staff confirmed that the home provided disposable aprons and gloves for their protection. And the manager confirmed that most staff have completed an infection control course and the premises were clean, hygienic and free from offensive odours and the laundry facilities were separate. The homes AQAA says, We have vast plan to improve the environment at Kanner the main aim is to reduce the level of supervision on the service users in turn reducing the level of supervision to ensure they are supported in the least restrictive manor possible. Care Homes for Adults (18-65 years) Page 27 of 33 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff members were observed throughout the inspection responding sensitively and respectfully to each person living in the home and thus were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and some of the activities observed showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. No one living in the home was able to confirm that there was sufficient staff on duty to support them, however all the staff members spoken with confirmed that they felt that there were enough staff to support the people currently living in the home. On the day of the inspection there were 5 people living in the home with 9 care staff available and a manager around to assist when needed. There was also a cook on duty preparing the days meals. Care Homes for Adults (18-65 years) Page 28 of 33 Evidence: Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that induction, adult protection, first aid, health and safety, fire safety, medication, food hygiene, National Vocational Qualifications (NVQs) and courses related specifically to working with people with learning disabilities is regularly undertaken. These include courses on epilepsy and Person Centered Planning. Some staff have also completed the Deprivation of Liberty and Mental Capacity Act course with other arranged at a later date. The homes AQAA records that in the next 12 months they will, Continue to encourage staff to gain qualifications. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said of the staff team, Good staff team and supportive. The homes AQAA under our evidence to show that we do it well records, Meeting minutes, supervision record, staff files, induction manuals, house rota, duty manager and paging rota, and focus group minutes. Care Homes for Adults (18-65 years) Page 29 of 33 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of this home is very good and ensures that records are effectively maintained. And the staff team are well trained to meet the needs of people living at the home. Evidence: The Registered Manager, Leanne McDonnell, continues to manage the home and has done for a number of years. The manager has completed a level 4 National Vocational Qualification (NVQ) in Care, NVQ 4 in Management and has completed the Registered Managers Award, thereby demonstrating that she keeps herself up to date with current good practice in social care. The manager also holds the NVQ Assessors award to assist staff in completing their NVQ training and is also a Key Trainer in Manual handling. Discussions with the staff on duty confirmed that the manager is approachable and is highly thought of by all spoken with. The home held completed quality assurance surveys sent by the home. All show positive comments included comments and included from a Care Homes for Adults (18-65 years) Page 30 of 33 Evidence: relative, They do a good job with my relative and a professional survey recorded, Service users needs are considered and they are treated as individuals. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies and many staff were attending a fire safety training course during the inspection. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. The AQAA states, Regular quality assurance checks are made to ensure that all relevant parties are happy with the service we are providing, the questionnaires are given to the Service Users in a format that is appropriate for them to have an understanding. Care Homes for Adults (18-65 years) Page 31 of 33 Are there any outstanding requirements from the last inspection? Yes  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 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 Description 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 Description 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 Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) 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. Care Homes for Adults (18-65 years) Page 33 of 33 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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