Care Home: Laurelston

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The information about the home is very clear and well presented, and people receive thorough assessment of their individual needs before they move into the home. The staff have the information necessary to make a decision about whether the individual`s needs can be met by the home. The home has an established staff team who were keen for high standards to be maintained. Residents` plans of care and individual case notes were well written and reflected each person`s needs. This means that everybody had the information they needed to make sure that people`s needs were being met. Meals were varied and reflected peoples individual preferences. They offered choice and variety. All the people living at the home had the opportunity to choose a meal each week and were given support in cooking this for the whole group. The people who live at the home commented "I like the meals very much" and "We all take turns in preparing meals". Each person undertakes their preferred activities each day. The home provide a wide range of activities and staff support the people who live in the home to do whatever they want to do each day. This helps the people living at the home to lead fulfilled and active lives. A good standard of hygiene was seen throughout the home and the standard of decor and furnishings throughout the home was good. People`s bedrooms are individualised and thought has been given to making sure there is enough light and fresh air to ensure people`s comfort. This helped to make sure that the home is a comfortable and pleasant place for people to live. People who live at Laurelston and Copperbeech commented, "The staff support me nicely. They take me out where I want to go and if I feel poorly they take care of me. All is well", "The manager manages very well. The staff take good care of the residents. We do lots of activities and have fun. The staff support us well. I am happy living at Laurelston", "The staff always treat me well. I usually make decisions about what I do each day", "I get on well with most of the guys. Good family atmosphere", "Good staff team and plenty to do. Family feel to the home" and "Good staff and plenty of activities". Staff commented, " Think the home makes the residents feel part of a family. They make their own decisions about everyday living", "Good staff team in place. Regular training, good standards of care. Family feel to the home. I am happy working at this home and for HFT. I really enjoy my job", "We have long term staff who are committed to service users and to making sure people`s goals are achieved as much as possible", "A good interactive set of staff. Generally good attitude towards individual care plans of residents. A good home to live in is the motto" and "There are usually enough staff on duty to support service users". What has improved since the last inspection? The statement of purpose and service users guide had been updated and improved and now provided good information for people who are interested in the home. All people who live in the home now receive annual health care reviews so that they remain healthy and well. The manager has obtained NVQ level 4 Registered Managers Award to further develop her skills and knowledge and help her to manage the home. Also the surveys are now used in line with previous policy recommendations. What the care home could do better: We consider that Laurelston and Copperbeech provide excellent outcomes for the people who live there so rather than state what they could do better, we would expect the home to continue to review the service it provides to ensure that the high standard of support provided at the time of this inspection is maintained and where possible improved upon. Areas where people who live in the home and the staff thought improvements could be made included "more barbeques", "get out more please" and "get repairs done quicker". Other comments included "It would be nice if the staff were told what a good job they were doing occasionally" and "Be less negative towards staff members and more positive when staff are giving good standards of care especially when the care changes around a service user". Key inspection report Care homes for adults (18-65 years) Name: Address: Laurelston And Copperbeech Silverne Drive Whitby South Wirral Cheshire CH65 6TA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Maureen Brown     Date: 1 4 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 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 28 Information about the care home Name of care home: Address: Laurelston And Copperbeech Silverne Drive Whitby South Wirral Cheshire CH65 6TA 01513553637 01513557686 sue.phillips@hft.org.uk www.hft.org.uk HF Trust Ltd care home 8 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) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home Laurelston and Copperbeech are a house and a bungalow within the same grounds providing personal care and accommodation to eight residents with a learning disability. It is owned by Home Farm Trust Limited and is located in Whitby, which is close to Ellesmere Port and shops, pubs and other local amenities. Laurelston is a twostorey building providing accommodation for six residents and Copperbeech is a single storey building, which accommodates two, more independent residents. All the bedrooms are single and two have en-suite facilities. Access between the ground and first floor in Laurelston is via the stairs. The area to the front of the home is used for car parking and the garden to the side Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 Brief description of the care home and rear of the home is well maintained and accessible to residents. The fees at Laurelston and Copperbeech are between 555.00 pounds and 891.00 pounds. Optional extras include personal items, chiropody, some activities and hairdressing. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out an unannounced visit to the home on 14 September 2009 and the visit lasted seven and a half hours. It was done by one inspector. The report will say we when referring to what was done and found at the visit, as it is written on behalf of the Care Quality Commission. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to the people living at the home and staff members to find out their views about Laurelston and Copperbeech. Other information received about the home was also reviewed. During our visit we looked at various records and the premises. We looked at the care records of three people who live at the home, to see how their needs were being met. We also looked at three staff files to ensure that thorough recruitment processes had Care Homes for Adults (18-65 years) Page 6 of 28 taken place and that people who live in the home were safeguarded from harm and supported safely. We also spoke with some of the people who live at Laurelston and Copperbeech, the registered manager and staff members who were on duty during this visit. They all gave their views about the home. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? The statement of purpose and service users guide had been updated and improved and now provided good information for people who are interested in the home. All people Care Homes for Adults (18-65 years) Page 8 of 28 who live in the home now receive annual health care reviews so that they remain healthy and well. The manager has obtained NVQ level 4 Registered Managers Award to further develop her skills and knowledge and help her to manage the home. Also the surveys are now used in line with previous policy recommendations. 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 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive good information about the home for them to make an informed decision about moving in and their needs are assessed before they move in so they know that these can be met by the home. Evidence: A copy of the information that tells people who the service is for, the statement of purpose and service users guide, was seen in each persons care file and this had been updated in August 2009. This is produced in plain English and large print. The service also produces a picture version of useful information about what a person can expect when they live at the home. Also included was a copy of the latest inspection report. Information in these documents included an introduction to the service, mission statement, objectives, care practice and details of the registered manager Sue Phillips and the representative of the organisation that runs the home who is responsible for it, Karen Graham. There was a document available for staff to use with people before they move into the home, to check on what their needs are. The document covers all health, personal and Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: social care needs and includes some personal details as well. A copy of the needs assessment that social services carry out with the person is also kept in each persons file to provide further information about their needs and show they can be met at the home. Care Homes for Adults (18-65 years) Page 12 of 28 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. Good care plan records have been developed that make sure staff can meet peoples assessed and changing needs and their personal choices and dignity are respected at all times. Evidence: We looked at the care plans of three people who live at the home to check on the care they were receiving. These showed the support that was needed and how this was going to be provided by the staff team. The care plans were well presented and divided into the following areas: personal support, health action plan, finances, important information, risk assessments, diary notes, health records, goals, person centred planning and other information. Also included were daily activity sheets that show what each person is doing each day and if they have any health care appointments or other needs. The care plans included a thoughts and feelings document in picture format, which is a good way of helping a person decide how they feel in different situations and what they feel about the staff who support them. Each person had a personal support plan which showed how they like to be supported, Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: preferred times for getting up and what they like to do. This also included information about their support needs throughout the day, communication needs and daily activities. The home uses a computerised system called Support, Planning, Assessment and Recording System (SPARS), which is quite new to the home and staff have been getting used to working on this. The person centred plans had many pictures included and the goals each individual had. It also showed when the goals had been achieved. People who live at Laurelston and Copperbeech are helped to make their own decisions about their daily lives. Individual choices are recorded in the care records so that staff know what peoples preferences are and how they would like the support to be provided. People who live at the home are supported in managing their own finances and appropriate records are kept regarding this to show it is completed correctly. Staff encouraged people who live in the home to do whatever they wanted to do. Risks are assessed and assessments are produced to make sure that people are safe in what they do. A wide range of assessments are available and these were up to date with reviews held to make sure they are still appropriate. Assessments were in place for slips, trips and falls, using taxis, going to the shops alone, camping, staying home alone, walking to college and self medication. Care Homes for Adults (18-65 years) Page 14 of 28 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. People who live at Laurelston and Copperbeech were able to take part in a range of activities so they can stay active and staff help people to stay in touch with their family and friends. Evidence: Activities are provided for people who live in the home and these included arts and crafts, bowling, computer skills, gardening, sound beam sessions, walking group, drama, dance, horse riding, drumming, ACE club and household chores. Some of the people who live in the home have jobs in the local area, at the local WRVS, local farm and local shops. Some people also go to college and current courses include health and wellbeing and volunteer skills. People who live in the home are offered choices in various ways, such as in the time Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: they get up or go to bed, what they wear or by deciding what they do each day. Also on deciding whether or not they join in activities and also by how they wish to be addressed. This gives people control over their own lives and help them to stay as independent as possible. A menu plan is completed every Sunday evening when the people who live in the home gather together to discuss what they are going to have over the following week. From this, a list of food is produced and then two or three shopping trips take place over the week with different people who live in the home, supported by staff members. Each person will choose an evening meal and will be supported in cooking that for the rest of the group. People who live at Laurelston and Copperbeech help themselves to lunch from a variety of foods available in the fridge, freezer and cupboards. During this visit we saw people helping themselves to their lunches - most made sandwiches and a drink for themselves and they were supported and prompted by the staff on duty. The interaction between the people who live in the home and the staff was very good; they were friendly and supported to the people living at the home. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs so they receive personal care in the way they prefer and in a way that shows respect for their privacy and dignity. Evidence: The medicines for the people who live at the home are supplied in a monitored dosage system as this helps to make sure that medicines are given correctly at the right time and as prescribed. Medication is stored securely in a locked medicines cupboard. Medication administration record sheets were completed when medication was given. We looked at a sample of the records and these were completed correctly to show that no errors had been made in giving out the medicines. All staff had received training in medication awareness and are observed over three occasions before they give the medication out alone, so they know who to give medication to and are able to do this safely without making mistakes. Visits from health care professionals were recorded and we saw from the records that visits to the GP, optician, dentist and chiropodist were attended by the people who live in the home. It was confirmed that health care professionals would also visit people at Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: the home if required to make sure that they remain well. The health action plan shows all the persons health care needs and how these will be met. The on line action diary shows all the appointments each person attends and the outcomes from these. This can be printed off into a report to show what is provided over a period of time, for example monthly or annually and it was suggested that a hard copy be kept for ease of access to this information. From discussions with the people who live at the home it was clear that personal support is carried out as each person prefers, so that choice and respect are maintained. Care Homes for Adults (18-65 years) Page 18 of 28 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 homes procedures for complaints and safeguarding adults are effective so that the concerns of people who live at the home are listened to and they are protected from abuse and harm. Evidence: We looked at some of the staff files and saw that they had completed training on safeguarding adults. The manager confirmed this and showed that she was aware of the policy, procedure and guidance on safeguarding. Other policies were available regarding the protection of vulnerable adults and included whistle blowing, behaviour that challenges, adult protection and prevention of abuse, protecting adults with learning disabilities from abuse, aggression towards staff and physical intervention. The manager had not made any safeguarding referrals during the last year. The complaint procedure was good and contained details of how to contact the commission. They had also produced an easy read picture version of the complaints form which was split into sections: about yourself, how are you feeling, what has made you feel like this, what will be done, are you happy with this and are things better. A copy of this was seen in each care file we looked at. It is a good easy to use form for the people living at the home. People living at Laurelston and Copperbeech said they would speak to a staff member or the manager if they had any problems. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained so that the people who live at Laurelston and Copperbeech live in clean, comfortable and safe surroundings. Evidence: We had a look around the home during our visit and saw all the shared (communal) areas and some bedrooms. All the bedrooms are single and the standard of decor is good. The people who live at the home had made their rooms more homely by using pictures, furniture, photographs, and by having TVs, DVDs and other equipment that they either brought with them or have purchased since moving into the home. The home was clean and had no unpleasant odours. Since the last visit to the home a new conservatory had been built and it had a pool table in there. People who live at the home said The pool table is great and It is a lovely room, that gets used a lot. Also a new sleep-in room with en-suite facilities had been built and the staff said The facilities are much improved and It is much better now for the sleep in staff. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedures are thorough and staff had completed a wide range of training so people who live in the home are protected from poor practices. Evidence: The staff rota showed the staff on duty over the week. The staffing levels appeared to be sufficient to meet peoples needs. People who live in the home confirmed there were usually enough staff around to help them and during the visit we saw that staff were attentive to peoples needs. People who live in the home also said The staff are good and friendly and It is a lovely place to live. We checked three staff files to see how they had been recruited. All the necessary pre-employment checks had been carried out and these included Criminal Record Bureau checks, health checks, identity checks, references and application forms. The staff files are kept at the head office a few miles away from the home. The manager has access to them when required. The training staff had competed included a full induction course, moving and handling, fire awareness, medication, abuse awareness, downs syndrome, health and safety and computer training. Other courses included Mental Capacity Act awareness, communication, personal relationships and sexuality, risk assessments, dementia, Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: epilepsy, food hygiene, first aid, self harm and person centred planning awareness. Excellent progress has been made with National Vocational Qualification (NVQ) training level 2 in care. Six out of seven staff have achieved this award and one person is currently undertaking this training. One person is currently undertaking NVQ level 3 in care. This means that a very high percentage of staff have a nationally recognised qualification in care to help them provide good quality support for people who live in the home. Day to day supervision of staff was good and annual appraisals were held during June and July 2009 with records kept. Formal supervision sessions are held on a regular basis usually every 4 - 6 weeks. Records are kept of these sessions. This enables the staff to have the chance to discuss their work so they can continue to provide good quality care to the people who live at Laurelston and Copperbeech. Also direct observations of work are conducted each year on every staff member, to check there work practice and ensure they are working to the guidance. policies and procedures of the home. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Laurelston and Copperbeech are well run and a high level of consultation with people meant that people living in the home could contribute to its development. Evidence: The manager has worked for Home Farm Trust (HFT) for six years in a managerial capacity and has a extensive experience of working with people with learning disabilities. She obtained the NVQ level 4 Registered Managers Award in 2007 and the previous recommendation regarding this is now met. There is an established quality assurance process used within the home. This includes meetings for people who live and work at the home, monthly visits by a senior representative of HFT, monthly checks by the manager, satisfaction surveys for people who live in the home, their families and staff, HFT user involvement conference, and speak out groups. Tenant meetings are usually held every eight weeks and records are kept of these meetings. The most recent meeting before our visit was held in July 2009. Staff Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: meetings are also held on a regular basis, usually every two to three months, with records kept. The the most recent before our visit was in September 2009. The HFT user involvement conference is held annually and people from the home are invited to attend this. People who had attended the conference said that it was very good. Speak out groups are held twice a year and any of the people who live in the home can attend these meetings. Records are kept of the issues discussed. Monthly visits are made to the home by a representative of the organisation that runs the home to check how it is running. All the records of these visits were up to date and no issues had been raised about the home recently. The manager completes a monthly check of the home and this includes service user issues, staff issues, the environment, training and other related issues. Records are kept of these checks. Questionnaires to people who live in the home, families and staff had been completed in February 2009. The results then go centrally and a report is prepared. This then is passed to the senior management team. The manager said that she had not seen the report and confirmed that it had not been available for the people who live in the home or staff members to view. A recommendation was made that it be available for people to look at. We saw that safe working practices were in place within the home. There were up to date safety checks on the homes gas installation, electrical hard wiring and portable appliance tests. The accident book was kept up to date and records were kept in separate files for each person. The fire safety equipment test log book was up to date and completed appropriately. A range of policies were available with regard to health and safety and these included dealing with hazardous chemicals, fire safety, food safety and moving and handling. A wide range of policies and procedures were in place within the home. The smoking policy stated that there was no smoking within the building for staff but they have a dedicated area outside. Service users would be able to smoke in the home with other peoples consent. The professional guidelines on gifts to staff states that small gifts may be accepted from people who live in the home with the knowledge and agreement of the manager. If a relative or service user wants to give a general gift then this would go into the staff fund. Within the death and dying policy HFT or staff can be beneficiaries from people who live in the home if the executer expressly authorises it. However, it does go on to say that staff should not encourage any Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: individual to leave them gifts in a will. Care Homes for Adults (18-65 years) Page 25 of 28 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 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 39 An analysis of the satisfaction surveys about the home should be produced and shared with the manager, people who live in the home, their relatives and the staff team so that people are aware of what the people who live in the home think about it. Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!