Care Home: Kingston House

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What the care home does well The owners and registered manager of Kingston House encourages and supports staff training and development ensuring that people who live at the home receive the best possible service. The home provides the staff with comprehensive information on new and prospective new admission. The person living in the home is able to enjoy a stimulating lifestyle with a variety of options to choose from. The person living in the home needed help and was supported by staff in a relaxed and helpful way. The staff ensures that the care provided is flexible, consistent and is able to meet the changing needs of the one person living in the home. With specialist equipment provided to ensure the home meets the needs of this person. What has improved since the last inspection? This is a new registration with the Care Quality Commission and the first inspection completed after registration. What the care home could do better: The home must record the actual dose administered when a medicine is prescribed with a variable dose. The home must record all medicines in accordance with current regulations. Key inspection report Care homes for adults (18-65 years) Name: Address: Kingston House Kingston House Miners Way Liskeard Cornwall PL14 3ET     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: 0 8 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 29 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 29 Information about the care home Name of care home: Address: Kingston House Kingston House Miners Way Liskeard Cornwall PL14 3ET 01579346993 01579346993 westlakecare@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr N Troke & Mr N Troke Name of registered manager (if applicable) Miss Vicky Parker Type of registration: Number of places registered: care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is 2. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Physical disability (Code PD) Date of last inspection Brief description of the care home Kingston House is a care home providing personal care and accommodation for two people, aged 18 - 65, with a physical disability. The home is owned by Westlake Care who also has another home in Plymouth. The home was opened in June 2009 and is a two-storey detached house, located in the residential area of Liskard. It is close to Liskard town centre and all local amenities including public transport. Both the homes bedrooms are single and on the 1st floor with access via a wheelchair chair lift. They each contain wash hand basins and have an en suite shower and toilet designed to meet the needs of people with a physical Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 2 Brief description of the care home disability. On the ground floor there is a through lounge/dining room, and a kitchen. At the front of the home there is a large parking area and a rear garden all which is accessible to people living in the home. The current fee levels are 4116 pounds per week but may vary based on individual need. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was Kingston Houses first inspection since the completion of registration with the Care Quality commission. The unannounced inspection took place over 2 days and started on the 30th November 2009 and was completed on the 8th December 2009. The Registered Manager Miss Vicky Parker was available on the second day. We made a tour of the building and spoke to one person living in the home and the care staff on duty. Documentation relating to the care planning process and the management of the home were examined. Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. 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 29 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 29 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: Though this home is a new service the one person living in the home had already taken up occupancy with support provided by an agency until completion of this companys registration. No pre-admission form was available on the day of the inspection. The Registered Manager confirmed in writing after the inspection, that the home did complete a full pre-admission process and transition work for this person. The home is in the process of carrying out a new admission procedure for a prospective new admission. This prospective new admission does not live locally but have family within the Liskard Care Homes for Adults (18-65 years) Page 9 of 29 Evidence: area. Evidence was held in a file set up by the home that records the trail visits all ready undertaken as well as other transition work already completed by the home. This includes a full personal care and support plan in place and pre admission assessment competed by the home with evidence of changes and updates after each trial visit by this possible new admission. Staff continues to record, update and ask questions on all areas of care this person may require and also recorded was information received from the family on the new admission. 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 pre-admission form held on their file was examined and was comprehensive in the details held. Information was also held to show several meeting had been arranged to include all people involved in this person care to ensure the home suitability of their needs. This information was supported by the previous placements care plan and the placing authority provided additional information. Recorded into this person file were the dates and times of trial visits to the home and included visiting the home for meals and overnight stays. The homes AQAA returned to the Commission said, All prospective service users undergo a pre-admission assessment which looks at their existing care needs and how these need to be supported. This allows us to determine whether our service can adequately provide for each individual. Care Homes for Adults (18-65 years) Page 10 of 29 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 as much as possible. Evidence: The file for the only person currently living in the home was examined and it was found to have an individual care plan in place and the details held on these files are needed by staff to meet individual needs. This care plan shows a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage this individuals complex care needs. This care plan provides staff with the information on how to care for this person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans held relating to this person ensure that all aspects of health, personal and social needs will be met. One staff member interviewed when asked about the amount of information received Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: before the new person moved in stated, We received a fantastic amount of information. The home is currently developing a PCP, (Person Centered Plan) for this person and also putting the contents onto a power point presentation to enable this person to access it via a personal computer which will be adapted to meet their needs. The Speech and Language Therapist are currently working with this individual to develop this computer software which the home hope in time will also enable this person to control the TV and radio themselves. The homes file and care plan were supported by the placing authority care plan and the previous placements plans with each showing that they had been reviewed regularly and updated when needed. This individual is invited to attend review meetings and participate as much as possible. On arrival at the home observations showed staff assisting this person about the decisions on what they plan to do on that day. This included trips out that day and the choice for lunchtime meal. The manager stated that people will be given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. The homes AQAA states that, Service users are actively encouraged to take part in decision making processes within the home. The manager confirmed that this person and future admission will be involved in discussions about trips out of the home and to make decisions about everyday issues including planning meals. The one person living in the home has their money managed by there family with regular amount given to the home for personal use. The records held for the money held showed income, expenditure with receipts held. With staff signature required at all times. The money held was check and found to be over the sum recorded as held, the manager agreed to look at the records held. The care plan examined held risk assessments to cover all aspects of risk and these risk assessments included independent living skills and health care risk assessments with assistance on assisting this person who has particular health care needs. This information is important to minimise risk. Care Homes for Adults (18-65 years) Page 12 of 29 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 Kingston 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: The one person living in the home was unable to communicate verbally and the staff were in attendance to support this person. However this person was able to make themselves understood to staff if they were happy or unhappy about something. This person also has their own transport to enable them to access the community. The staff confirmed that this person does not attend a college or day service but the staff arrange the activities programme held in the care plan. This included attendance at a hydro therapy session twice a week and visits to the local shops, pubs and Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: restaurants. The staff were observed discussing with this person the plans for the day and the hydro therapy session booked for that afternoon. As previously mentioned the home is hoping to be able to support this person in having a personal computer using a head switch as a means of communication and this would enable this person to make more choice on every part of their life. The manager and staff confirmed that the home arranges different activities within the home and in the community to ensure this person has a wide range of activities. Social activities arranged include trips to the local cafe and shopping trips. The file examined confirmed recorded information and a detailed list of activities undertaken including a trip to the Eden Project. Due to the complex health care needs of this individual weekly holiday are not currently arranged, however the manager is planning that next year the home may arrange a few days away. The homes AQAA records under what they do well, I believe that we could improve inclusion of the service user in the planning and preparation of meals, as whilst this happens sometimes it is not consistent enough. Evidence was recorded in the files examined of input from relatives and friends. The manager confirmed that regular visits from family members and this person has visited family at home. Information held on files is used to promote the respect, privacy and dignity of people living in the home and the home and the staff were observed knocking on this person bedroom door. No one was spoken to about the food available. The manager and staff confirmed that the home has a menu however the menu is flexible as only one person lives in the home and they are encouraged to participate in the preparations, shopping and cooking of all meals. The meal served at lunchtime included sausages, rice and fresh vegetable with chocolate cake and custard served for dessert. One person was observed having their lunch time meal with staff offering support and choice at all times. Specialist diets are catered for and this person has information recorded on how this is Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: managed by the home and the involvement of the Dietitian and SALT. (Speech and Language Therapist). Care Homes for Adults (18-65 years) Page 15 of 29 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. Information is recorded into individual files for staff to promote individuals independence and provide good personal support promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of the person who lives in the home. The homes practices relating to medication administration do not fully protect people. Evidence: The file examined showed that personal support and the health care needs are well documented and recorded into this individuals care plan and these are easily accessible for staff at all time. This person requires assistance with health care needs have clear guidelines recorded and held in their file to assist staff on how best to support this person. A clear and comprehensive health action plan in held on this person individual file and the local Health Team assisted in updating and providing guidelines on this person complex care needs. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: On the second day of the inspection the person living in the home was having a Health Care review and in attendance with this person was the Speech and Language Therapist, Occupational Therapist and Dietitian. 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 this individuals file and this ensures that staff are aware of this persons needs and will promote consistency in care. Other professionals involved in the home include the local GP, Physiotherapist and District Nurses. This person living at the home also requires specialist input and evidence was recorded that the District Nurse and Dietitians teams had assist in providing an assessment and input to the home to ensure this persons changing needs are met. The homes AQAA states on what they would have improved over the last 12 months, We have redesigned our MAR sheets to include stock levels to make auditing and monitoring easier. The deputy manager talked through the medication procedure for the home. The home uses the blister pack system for administration and staff confirmed that they had attended medication training including an Advance Medication training course with the local pharmacist. However on examination on the first day of the inspection the Controlled Drugs Record book was missing. Therefore the recording of this medication had not followed correct guidelines. We found that one person had their medicines prescribed with a variable dose. The records made only recorded that some medicine had been given, but not the actual dose given. When spoken to the deputy manager administering the medicine was able to tell us what dose had actually been administered. The manager agreed to make arrangements to record the actual dose administered in future and provide guidelines on how this dose would be decided. The manager confirmed in writing after the inspection that the home had obtained a Controlled Drug register to record all Controlled Drugs held within the home. Care Homes for Adults (18-65 years) Page 17 of 29 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 Kingston 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 however this is not currently displayed and the manager agreed to display this in the main entrance hall. The complaints procedure is available in the homes Statement of Purpose and Service Users Guide. This information included how to contact the CQC and the process of how a complaint is dealt with including timescales. Neither the home nor the Commission had received any complaints. The manager confirmed that all staff has completed the POVA (Protection of Vulnerable Adult) training with the local authority. Staff files showed certificates held to confirm that staff had attended this training. The staff members spoken with were able to confirm they had completed this training and from discussion with these staff members they were aware of the process. The manager confirmed that there are plans for all staff to undertake the Mental Capacity Act and Deprivation of Liberty training in the New Year. This will ensure staff are aware on how to assist people with concerns and complaints. The homes AQAA states, The complaints procedure is distributed to family Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: representatives as part of the Statement of Purpose and Service User Guide. Care Homes for Adults (18-65 years) Page 19 of 29 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. Kingston House is suitable for its stated purpose and a tour of the premises showed the home to be a clean and suitably adapted environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home. 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 the person currently living at the home. This home is for 2 people and is spacious and comfortable. The bedroom is accessible via a wheelchair chair lift. The bedroom seen during this visit showed that this person room contained personal items including furniture, ornaments and pictures that reflect their personality and interests. This bedroom is also fitted with suitable equipment to meet this persons needs and includes a standard bath and overhead hoist. The home has a large lounge and dining area as well as a kitchen and is designed for access for people with a disability. There were some minor repairs being carried out by the Registered Provider and observation showed these were near completion. The care Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: staff carried out all domestic tasks and encouraged the person living in the home to participate as much as possible. A washing machine and tumble dryer were located in a cupboard under the stairs to ensure that soiled laundry was not carried through any areas where food was cooked, prepared or eaten. The process for the removal of clinical waste was discussed and was satisfactory dealt with and the manager confirmed that the home provided disposable aprons and gloves for peoples protection. The manager confirmed that staff has completed an infection control course and the premises were clean, hygienic and free from offensive odours The homes AQAA says, Kingston House is fully adapted for dependent individuals with a physical disability and this includes a ramp to the front door, ceiling tracking hoists in every bedroom and en-suite, specialist beds and an incline platform stair lift to access the first floor. Care Homes for Adults (18-65 years) Page 21 of 29 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 living at the home are supported by 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 on duty were observed on arrival at the inspection responding sensitively and respectfully to the person wanting their attention and were able to use their knowledge of this individual to encourage choice and independence were possible. One staff member interviewed stated that the staff team were, very good and supportive. These staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the person living in the home and showed that the staff and the person living in the home being relaxed and with a friendly atmosphere. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: On duty on both days of the inspection was two care staff with either a manager or deputy manager available. On the second day of the inspection a new member of staff was shadowing experienced staff. One staff member confirmed that the Induction completed was excellent. 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. The manager confirmed that the person living in the home assisted with the interview process with staff support. 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 some training had been completed and included NVQs, Mental Capacity Act and Safeguarding training. Other training planned including 1st Aid, Infection Control and medication. The staff are also booked to complete the Mental Capacity Act and Best Interest training in January 2010. This will assist staff with helping people make decisions were possible or were to seek further advice when needed. The homes AQAA records under what they could do better states, we need to improve our percentage of staff competing NVQ training and this is currently being looked at by the companys management team. Care Homes for Adults (18-65 years) Page 23 of 29 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 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 homes manager, who is registered with the Commission, is Miss Vicky Parker. The manager holds the NVQ 4 in Care and the Registered Managers award and has many years experience of working in the care profession. Miss Parker has recently completed training in Equality and Diversity, Deprivation of Liberty Act and the Mental Capacity Act training thereby demonstrating that she keeps herself up to date with current good practice in social care. The staff spoken with agreed that the manager was approachable and supportive. The home has sent Quality of Life questionnaire to family members and the manager Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: confirmed that the questionnaire returned were all positive. One comment recorded on a questionnaire examined stated, My relative seems very happy and content with there new life. The homes AQAA states, I carry out quality assurance work in the form of a bi-annual Quality of Life Questionnaire that is sent to service users family members for them to complete on their childs behalf. 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 and electrical equipment ensuring all have been 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 all staff have attended a fire safety training course. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 Arrangements must be 26/02/2010 made to record the actual dose administered when a medicine is prescribed with a variable dose. This is to make sure that medicines are available to administer when required and will act in the way intended by the manufacturer. 2 20 13 Arrangements must be 26/02/2010 made to record all controlled drugs in accordance with current regulations. This will ensure that the homes records of controlled medicines held have the correct amount documented as required. Care Homes for Adults (18-65 years) Page 27 of 29 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 28 of 29 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). 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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