Care Home: Mapleholme

Similar services:

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

What the care home does well Good information is given to people thinking of using the service. This makes sure that they can make a decision about whether the respite service is right for them. The health care needs of people using the service are well met and their medication is managed appropriately. Staff showed good knowledge and understanding of the needs of the people using the service. During our visit they were observed being polite, respectful and helpful to the people using the service. The service continues to employ longstanding members of staff who offer great stability to the service. Members of the staff team appeared to know the people who use the service well and have formed good relationships. The people using the service said "I love coming here." "The staff are great." "I look forward to coming." A number of surveys showed that the people using the service and their carers think the staff are helpful and friendly, that they are given choices whilst using the service and that they are treated well. Staff spoken with said that they enjoy working at the service and feel that a good service is provided. Some comments were "I love working here." I think Mapleholme provides a safe and secure environment for the people who use the service." Regular checks are made on the safety of the building and equipment to make sure the home is a safe place to live. There are lots of aids and adaptations around the service which help support people with their personal care and their mobility. Everyone staying at Mapleholme has their own bedroom. What has improved since the last inspection? Since the last inspection of the service Mr Oswald has been registered with the Care Quality Commission as the manager for the service. Consultation is taking place with the people who use the service about what they would like to do during their stay. A mini bus has been purchased which will help to provide further opportunities for trips out. Care plans show that sufficient detail is provided and financial records are clear and show how a persons money is managed. Some staff have been provided with training to update their knowledge. What the care home could do better: All staff must have up to date training to make sure they are updated in their practice and able to safely and appropriately support the the people using the service. Updated training must include load management, safeguarding, food hygiene, medicine administration and learning disability. All staff are to be be provided with at least 5 days paid training per year. Records of complaints must show how a complaint was looked into and what the outcome was. This is needed to show that the people using the service are being looked after properly and that their views are being listened to. The service must have provisions and procedures to follow regarding emergency respite so that people placed in an emergency receive appropriate support to move to more suitable long term placements. A weekly plan of activites should be recorded once the people using the service have decided what they would like to do. This will help with planning to ensure that there are enough staff and transport for activities to take place. The service must have a maintenance and renewal programme to make sure that a good standard of decoration and furnishings are always provided. A review of the facilities should look at how the environment can be developed to provide facilities for younger adults which are more homely and personalised. Policies and procedures need to be reviewed on a frequent basis to ensure that they are up to date with current good practice. The report made following the visit by the representative of the organisation needs to be made available at the home so that it is clear that a regular check on the quality of the service is taking place. Key inspection report Care homes for adults (18-65 years) Name: Address: Mapleholme Beckwith Street Birkenhead Wirral Cheshire CH41 3JP     The quality rating for this care home is:   one star adequate 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: Beate Field     Date: 2 3 1 1 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 30 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 30 Information about the care home Name of care home: Address: Mapleholme Beckwith Street Birkenhead Wirral Cheshire CH41 3JP 01516661250 01516661298 boboswald@wirral.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Metropolitan Borough of Wirral Name of registered manager (if applicable) Mr Robert Oswald Type of registration: Number of places registered: care home 23 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: 23 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: 23 Date of last inspection Brief description of the care home Mapleholme is one of several services managed by the Metropolitan Borough of Wirral. Mapleholme provides respite care to young adults with learning disabilities who are in the age range of 18 to 65. All accomodation is provided in single bedrooms. The accomodation is provided over 2 Care Homes for Adults (18-65 years) Page 4 of 30 0 4 1 2 2 0 0 8 23 Over 65 0 Brief description of the care home floors and is wheelchair accessible with a number of adaptations throughout the building. The service is situated in the Birkenhead area of the Wirral. It is close to the town centre and easily accessible by public transport. The Metropolitan Borough of Wirral also operates a day service for adults at the same building. This is staffed separately however the manager is responsible for both services. The manager is Mr Bob Oswald. The current weekly fees are from 73.35 pounds to 360.64 pounds. Care Homes for Adults (18-65 years) Page 5 of 30 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: one star adequate 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: The quality rating for this service is 1 star. This means that people that use the service receive an adequate outcome. This unannounced visit took place on the 23rd November 2009 over a period of 6 hours. This was carried out with the help of the manager and the staff on duty. We gathered information for this inspection in a number of ways. Case tracking was used as part of the visit to the service. This involves looking at the support and care a person gets from the staff including their care plans, medication, money and their living conditions, we also spent time meeting both staff and the people using the service. Inspections involve measuring a number of standards considered as important by the Care Quality Commission. Care Homes for Adults (18-65 years) Page 6 of 30 Records that we looked at, staff and service user comments and observations made during our visit have also been used as evidence for this report. The manager completed a questionaire we sent before our visit. The information from this was used by us to plan this visit and in writing this report. The document was completed and was returned to the Commission before this visit took place. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: All staff must have up to date training to make sure they are updated in their practice and able to safely and appropriately support the the people using the service. Updated training must include load management, safeguarding, food hygiene, medicine administration and learning disability. All staff are to be be provided with at least 5 days paid training per year. Care Homes for Adults (18-65 years) Page 8 of 30 Records of complaints must show how a complaint was looked into and what the outcome was. This is needed to show that the people using the service are being looked after properly and that their views are being listened to. The service must have provisions and procedures to follow regarding emergency respite so that people placed in an emergency receive appropriate support to move to more suitable long term placements. A weekly plan of activites should be recorded once the people using the service have decided what they would like to do. This will help with planning to ensure that there are enough staff and transport for activities to take place. The service must have a maintenance and renewal programme to make sure that a good standard of decoration and furnishings are always provided. A review of the facilities should look at how the environment can be developed to provide facilities for younger adults which are more homely and personalised. Policies and procedures need to be reviewed on a frequent basis to ensure that they are up to date with current good practice. The report made following the visit by the representative of the organisation needs to be made available at the home so that it is clear that a regular check on the quality of the service is taking place. 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 30 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 30 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. People thinking of using the service for respite are given clear information about what is offered so that they can make a choice about whether it is right for them. Evidence: Clear information is given to any new person who is thinking of using Mapleholme. A trial visit can also be made so the person can meet the staff and find out more about the respite service that is offered. This makes sure that Mapleholme is the right place for the person to stay at and that their needs can be met. The manager has developed a service user guide and a statement of purpose which are available to people thinking of using the service. The guide includes good levels of information on the purpose of the service and the facilities on offer and includes visual pictures which may help some people understand the information given and its also offered in an audio format. The guide lets people know that the service offers respite to younger adults and it also offers emergency respite. People who returned surveys and their carers said that they were given enough Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: information about the service at Mapleholme before deciding to use it. We looked at pre admission information for a selection of people using the service. This helped the staff to identify if the service can meet a persons needs. The details also include updated information from families and the care manager. Mapleholme has a statement of purpose, a document which details the service the home provides. This states the home provides a respite service. Emergency admissions are also accepted. This has and can result in some people staying at the service for longer than a two week break. This is not always in the best interests of the person being placed as their long term needs are not always being met. Mapleholme should provide a respite service as indicated in the homes statement of purpose to ensure that peoples long term needs are fully met. Care Homes for Adults (18-65 years) Page 12 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planning and procedures around people placed in an emergency does not fully support the needs of all the people using the service. Evidence: Individual care plans were available for each of the people who use the service. We looked at four of them. The care plans have been reviewed and developed following the previous inspection visit and show regular reviews are carried out by staff each time a person comes to stay at Mapleholme. In general, the plans gave information to show how the personal care and support needs of the people using the service would be met. However one care plan that was discussed with the manager could be clearer and more detailed in order to give staff sufficient information about how to meet this persons personal care needs. Care plans seen had information around how to manage any difficult behaviours and had information as to the communication needs of the people using the service. As already indicated the service has admitted people on an emergency basis. Three Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: emergency admissions have been accepted in the last 12 months. Two people have been living at the home for several months. Although the care plans generally showed how their needs are to be met on a day to day basis, a respite service is not an appropriate setting to meet long term care needs. Although it is understood that more appropriate placements have been found there was very little recorded evidence of the action taken to plan for future needs or to show consultation has taken place. Procedures to follow regarding emergency respite need to be put in place so that people receive appropriate support to move to more suitable long term placements. We chatted to some of the people using the service during our visit. All comments made were positive. Some comments included, I love coming here. The staff are great. I look forward to coming. A number of surveys showed that the people using the service and their carers think the staff are helpful and friendly, that they are given choices whilst using the service and that they are treated well. In discussions with staff they were able to explain the way in which people staying at Mapleholme make decisions and how they are able to decide for themselves, for example staff support people to choose what they would like to do while at the service. Staff were knowledgeable about the people using the service and knew how to meet their needs. Staff were observed to be respectful and seemed to have a good rapport with the people using the service. Some of the services policies and procedures have been developed to make them more user friendly for some people who may like the use of pictures to describe a policy. eg the complaints procedure has been developed to include pictures to describe its procedures. Some policies and procedures have not been reviewed for over 5 years. It is recommended that these be reviewed to ensure that they follow current good practice guidelines. Care Homes for Adults (18-65 years) Page 14 of 30 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. Consultation takes place with the people who use the service and this helps to plan their stay and the future of the service. Evidence: The manager explained that alot of people who book in to stay at Mapleholme would be supported to continue with their visits to day centres. At the time of the visit one person was at the service meeting with relatives and everyone else was at a day centre. A meeting takes place with service users at the start of their stay to plan for activities and trips out during their visit which are mainly in the evenings or weekends. Records showed that activities take place in the local community. Records show walks, trips to the cinema and local pubs. Staff reported that the people who use the service have enough to do during their stay. Staff said that it will be easier to go on trips out now Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: the home has its own mini-bus. Most people who use the service said the same although one or two who returned surveys said there should be more activities. The records of activities need to be clearer so there is better information about what activities people do whilst staying at the home. A record of what people decide they want to do during their visit should be made into an activities programme to asisst in the planning of these activities. Records of meals served in the service showed that a variety of meals are served in order to offer people as much choice as possible. People who use the service are asked what type of meals they like and this informs the planning of the menus. The dining rooms were basic in design and bare in decor although clean and tidy. Some staff notices were seen displayed in the kitchen areas which did not help to make a homely environment. Throughout the service there are various day areas with plenty of day space for everyone to use. The service users and their relatives are consulted with about the running of the service. Discussions with service users showed that they are kept informed about future planning of the respite service. Care Homes for Adults (18-65 years) Page 16 of 30 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. People coming to stay at Mapleholme are supported with their healthcare. Evidence: We looked at the care plans for four people. The care plans identify health care needs and medications required. The records seen and observations during our visit showed that people are supported in accessing any health care services they may need during their stay. Our observations showed that staff are respectful towards the people who use the service and that they promote their dignity. We talked to staff and they were aware of the support people needed whilst using the service and they had a good knowledge base of each person. We met some people using the service during our visit and they made positive comments about the support they get from the staff. Surveys returned by people who use the service showed that they feel the staff treat them well. A survey returned by a health care professional shows that the health care needs of the people who use the service are always met, and are appropriately monitored. They said Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: People using the service are valued and treated with respect. We looked at the management of medications and found that they were appropriately managed, providing a safe system of supporting people with the administration and storage of their medications. Care Homes for Adults (18-65 years) Page 18 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff training around safeguarding and the management of complaints provides adequate protection to the people using the service. Evidence: Information about how to raise a concern or complaint is made available to the people staying at Mapleholme. This ensures that the people using the service know how to make their views known if they are not happy with the service they receive. We looked at the records of any complaints made and we could not find any information to show how one complaint had been looked into and whether any action had been taken. Although the manager was able to tell us verbally how this complaint had been managed this information needs to be clearly recorded so we can be sure that the people using the service are well looked after. The service helps to manage small amounts of money for some of the people who stay at Mapleholme. We looked at the records of this and found that they were accurately maintained. We discussed how the financial procedures were carried out and how they were maintained to help safeguard the financial affairs of each person. Some of the staff we talked to described various training that they had attended including, complaints and safeguarding and abuse awareness. The training records show that since the last inspection of the home a number have received training Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: around this, however a number of staff are still in need of this training. Care Homes for Adults (18-65 years) Page 20 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Mapleholme is clean and tidy and provides a safe and adequate environment for people to live in. Evidence: The service is divided into three units which are accessible to each other. Each unit has its own lounge and kitchen area which provides basic facilities. All bedrooms are single and are various sizes with some being larger than others. Communal bathroom facilities are available. Generally the home is decorated to an adequate standard. As mentioned at the previous inspection there are areas of wear and tear and some furnishings are worn and some areas like corridors, kitchens, toilets and bathrooms are basic and bare in decor. The manager advised that there continues to be no planned maintenance and renewal programme for the upkeep of the home. This has resulted in an environment which is basic in facility and does not always look homely or offer a younger persons design or comfort in some areas. We found that the service had alot of equipment and adaptations such as adapted taps, assisted bathing facilities and electric beds that would help with the care and support a person needed. Records showed that lifting equipment is checked regularly Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: to ensure that it is in good working order. On the day of the visit Christmas decorations were in the process of being put up. The people using the service were helping to do this and they made comments about how nice the decorations looked. The home was clean and tidy on the day of the visit. Surveys returned by people using the service showed that they think the home is kept clean. There are sufficient domestic staff who work enough hours to ensure that good standards are kept in this area. Care Homes for Adults (18-65 years) Page 22 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have not all been provided with the training needed to appropriately support the people using the service. Evidence: Records showed that before anyone is appointed to work at Mapleholme a series of checks are carried out. These include obtaining written references and checking with the criminal records bureau (CRB). These checks help to make sure the people staying there are safe and that staff are suitable to support the people using the service. Many staff have worked at the service a long time. It is beneficial for the people using the service to have such a stable staff team. Observation of staff and discussions with them indicate that the staff know the needs of the people using the service well and know their likes and dislikes and the support they need. Staff spoken with said that they enjoy working at the service and feel that a good service is provided. Some comments were I love working here. I think Mapleholme provides a safe and secure environment for the people who use the service. Parents can feel confident leaving their children in our care. Mapleholme is a good place to work. I feel proud of myself for what I do. Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: People spoken with during our visit and surveys showed that they like the staff and find them helpful and friendly. We spoke with staff and looked at staff training records which showed what training had been provided. Some staff were up to date. However some staff had not received mandatory training and updates. Staff need updated training to help keep them up to date in their practices and help to appropriately support the people using the service. Some training records showed that although some staff have had training in safeguarding, medications, food hygiene, load management and learning disabilities in 2009 a significant number still need this training. Care Homes for Adults (18-65 years) Page 24 of 30 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 people who use this service benefit from a well managed respite service. Evidence: The manager has the qualifications and experience to manage the home and he has been registered with the Care Quality Commission since our last visit to the service. Consultation takes place with the people who use the service and their carers. There has recently been consultation around the future of the service as there are plans to make the service better suited to meeting the needs of the people who use it. The views of the service users and their carers will be presented to the local council together with Wirral Social Services plans for developing Mapleholme. Meetings take place with staff. Staff spoken with said they think there is good communication at the home and they are kept informed about important issues. There is a clear management structure at the service and clear lines of accountabilty. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: The manager reported that the service is visited on a regular basis by a representative of the organisation. These visits form part of the quality assurance process and form an opinion on the standard of care and support provided. A record of all the visits made was not available. Records and certificates show that regular checks are carried out on the building and equipment. This includes checking the fire alarm and emergency lighting, electrical appliances, electrical wiring and gas supply. These checks help to make sure that the environment is well managed and is a safe place to live and work in. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes R 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 1 32 18 Staff must have support in 18/02/2009 being updated with mandatory training including safeguarding, medication, food hygiene, load management, learning disabilities. This will make sure that staff have the necessary information and skills to appropriately support people during their stay at Mapleholme. Care Homes for Adults (18-65 years) Page 27 of 30 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 22 22 Records of complaints must show the action that was taken to investigate the complaint and the outcome. This information is needed to ensure that the well-being of the people using the service is fully safeguarded. 23/12/2009 2 32 18 Staff must have support in 23/05/2010 being updated with mandatory training including safeguarding, medication, food hygiene, load management, learning disabilities. This will make sure that staff have the necessary information and skills to appropriately support people during their stay at Mapleholme. Care Homes for Adults (18-65 years) Page 28 of 30 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 1 Mapleholme should provide a respite service in accordance with the Statement of Purpose for the home. This would ensure that people are receiving an appropriate service. 2 6 Policies and procedures are to be kept under regular review to ensure that they continue to meet current good practice guidelines. To make sure the service has provisions and procedures to follow regarding emergency respite so that people placed in an emergency receive appropriate support to move to more suitable long term placements. A weekly plan of activites should be recorded once the people using the service have decided what they would like to do. This will help with planning to ensure that there are enough staff and transport for activities to take place. All staff must have updated training on safeguarding so they are fully aware of policies and procedures to make sure people are protected. The service must have a maintenance and renewal programme and include guests and staff in the planning and development of Mapleholme. A review of the facilities should look at how the environment can be developed to provide facilities for younger adults which are more homely and personalised. To remove any notices from areas that guests access and live in. All staff are to be provided with at least 5 days paid training per year to make sure that they are up to date with current good practice to support the people using the service. A copy of the monthly visit report by the representative of the organisation is to be held at the home so that it is clear that a regular review of the quality of the service is taking place. 3 6 4 14 5 23 6 24 7 32 8 39 Care Homes for Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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!