Care Home: Maycroft

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well Each person has a care plan so that staff know how to support them to meet their needs. Staff help the people living there to keep in touch with their family and friends. People who live there do the activities they enjoy doing and that help them to develop skills and meet their needs.The people living there are offered a healthy diet and staff get advice from health professionals to make sure that the people living there are well. Staff look after the money of the people who live there well. They keep records that show that staff check the money often, they write down what each person buys and get a receipt. Each person living there has a private bedroom. These include their personal things and the room is decorated in the way they like. Staff know the people who live there well and spend time talking to them. Each person has a `social dictionaries` that have been produced to help staff know how the person communicates and how staff can help the individual to communicate their needs and wants. Staff records said that the right checks had been done before staff started working there to make sure that `suitable` people are employed to work with the people living there. Staff make sure they often do the fire and health and safety checks to make sure that the people who live there, staff and visitors are safe. Staff have training so that they know more about how to meet the needs of the people who live there. There is a quality assurance system that asks what the people living there think about the home so that their views make a difference to the service provided. What has improved since the last inspection? People`s care plans have been updated to ensure they get the right support from staff. The number of cancelled activities has reduced so that people who live at the home are not disappointed when a planned activity does not take place. Staff follow the guidelines from the Speech and Language Therapist and do not give food to people that could cause a high risk of choking. The bath has been repaired so that people can have a choice of having a bath or a shower. More rooms have been redecorated and new furniture purchased so that the home is more comfortable and homely for the people who live there. Staff have had more training so they know how to meet all the needs of the people living there. Some areas of health and safety have got better so that people who live at the home, staff and visitors are not put at risk of injury. CARE HOME ADULTS 18-65 Maycroft 791 Alcester Road South Kings Heath Birmingham West Midlands B14 5HG Lead Inspector Kerry Coulter Unannounced Inspection 5th August 2008 09:25 Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maycroft Address 791 Alcester Road South Kings Heath Birmingham West Midlands B14 5HG 0121474 5394 0121 474 5394 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) suehullin@tracscare.co.uk Tracscare Group Ltd Elaine Powell Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Residents must be aged under 65 years That one named service user over 65 may be accommodated in the home for reasons of old age. That details regarding how the specific care and social needs, of the named person over 65 will be met, must be included in the service users plan. Future admissions and the Statement of Purpose are amended to reflect the age of service users accommodated. 23/08/08 Date of last inspection Brief Description of the Service: Maycroft is a dormer style bungalow, located on the main Alcester Road in South Birmingham. The service users accommodation is all located on the ground floor, and comprises of seven single bedrooms, and a communal lounge, dining room, kitchen, assisted bathroom, shower room, and two wcs. A staff office and sleep in room is provided on the first floor. The home has gardens at the front and rear of the premises. Maycroft is well located for local amenities, and transport links. The home has a vehicle to facilitate access into the community. Maycroft accommodates both males and females, who have a learning disability and may also have a physical disability. The service user guide records that the fees to live at the home are ‘dependent on a detailed assessment of client need, fee levels vary from £1,600 to £2,300’. Previous inspection reports are available in the home’s office for visitors who wish to read them. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was carried out over one day; the home did not know we were going to visit. This was the homes key inspection for the inspection year 2008 to 2009. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and an Annual Quality Assurance Assessment (AQAA) completed by the manager. Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. Some of the people who live at the home were not able to tell us their views because of their communication needs. Time was spent observing care practices, interaction and support from staff. The deputy manager and the staff on duty were spoken to. A tour of the premises took place. A sample of care, staff and health and safety records were looked at. Surveys were received from eight staff and two health professionals their comments are included in this report. What the service does well: Each person has a care plan so that staff know how to support them to meet their needs. Staff help the people living there to keep in touch with their family and friends. People who live there do the activities they enjoy doing and that help them to develop skills and meet their needs. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 6 The people living there are offered a healthy diet and staff get advice from health professionals to make sure that the people living there are well. Staff look after the money of the people who live there well. They keep records that show that staff check the money often, they write down what each person buys and get a receipt. Each person living there has a private bedroom. These include their personal things and the room is decorated in the way they like. Staff know the people who live there well and spend time talking to them. Each person has a ‘social dictionaries’ that have been produced to help staff know how the person communicates and how staff can help the individual to communicate their needs and wants. Staff records said that the right checks had been done before staff started working there to make sure that ‘suitable’ people are employed to work with the people living there. Staff make sure they often do the fire and health and safety checks to make sure that the people who live there, staff and visitors are safe. Staff have training so that they know more about how to meet the needs of the people who live there. There is a quality assurance system that asks what the people living there think about the home so that their views make a difference to the service provided. What has improved since the last inspection? People’s care plans have been updated to ensure they get the right support from staff. The number of cancelled activities has reduced so that people who live at the home are not disappointed when a planned activity does not take place. Staff follow the guidelines from the Speech and Language Therapist and do not give food to people that could cause a high risk of choking. The bath has been repaired so that people can have a choice of having a bath or a shower. More rooms have been redecorated and new furniture purchased so that the home is more comfortable and homely for the people who live there. Staff have had more training so they know how to meet all the needs of the people living there. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 7 Some areas of health and safety have got better so that people who live at the home, staff and visitors are not put at risk of injury. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed prior to moving into the home so they can be confident their needs can be met by the home. EVIDENCE: Records sampled included a service user guide that had been recently reviewed. It included relevant information so prospective service users would have the information they need to make a choice as to whether or not they want to live there. This was produced using some pictures making it easier to understand. The guide said that an audio version was available on request. One person had moved into the home since the last inspection. Prior to them moving in a detailed assessment of their needs had been completed. This covered areas such as health and personal care, communication, meals, activities, mobility and behaviour. Records showed that they had the opportunity to visit the home and stay for a meal to see if they liked the home. A report was available of their visit to the home. This showed that it had been identified that they would need a special ceiling track hoist installed in their bedroom. This has been done so that the home has the right equipment to meet their needs. After the person moved into the home a review meeting was held to make sure their needs were being met at the home. Minutes of the meeting showed they had settled well into the home. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need so they know how to support people to meet their needs and keep them safe so ensuring their well being. The people living there are supported to make choices and decisions about their day-today lives. EVIDENCE: The care provided to three people was tracked; this included looking at their care records. Each person had an individual care plan that stated how staff are to support the individual with their daily routine, sleeping, diet and nutrition, exercise, their communication needs, the things they like and dislike including activities and leisure interests, the things they need help with and the things they can do on their own. Care plans were generally detailed and had been regularly reviewed and updated to reflect changing needs. Care plans crossreferenced to other documents where appropriate such as behaviour management strategies so that it was clear to staff how to support the person in all areas of their life. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 11 Each person has individual ‘social dictionaries’ that have been produced to help staff know how the person communicates and how staff can help the individual to communicate their needs and wants. People are consulted about their care and included in their review meetings. Meetings with all the people living there take place regularly. Minutes of these indicated that they usually talked about activities, holidays and their bedrooms. Records showed that activities that people had requested had been organised. The minutes of the meeting are on display in the home in a written format, it would be better if these could be in a format that is easier for people to understand. Staff were observed offering choices to people such as at mealtimes. One person said they were able to make choices and gave an example of choosing when to go to bed. They said ‘ I choose what time I go to bed, its flexible’. Records sampled included individual risk assessments. These detailed the support the person needed to be as independent as possible whilst minimising the risks to their safety and well being. Risk assessments had been regularly reviewed and updated where needed so that people were supported appropriately. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the people living there experience a meaningful lifestyle. People are offered a varied and nutritious diet so ensuring their health and well being. EVIDENCE: People who live at the home are consulted about what activities they would like to do at house meetings and as part of their care reviews. Each person has his or her own individual activity planner for the week ahead. Records and discussions with staff and one person who live at the home show that a wide range of activities are on offer. This includes day trips, the library, lunch out, swimming, snoozelum, the pub, walks, shopping, Wii, college courses and the cinema. Recently some more adventurous activities have been tried at an outdoor pursuits centre to include abseiling and wheelchair skiing. People have also been on a charity walk with staff. Since the last inspection new sensory equipment has been purchased for the home. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 13 One person who has recently moved into the home attends a day centre five days a week. Staff said he had been gong there for over twenty years and they felt it important that he continued going so that he had some continuity in his life. At the last inspection it was commented on that sometimes activities are getting cancelled and this can leave people disappointed. Discussion with staff indicates that this does not happen so often as people’s activity timetables are now more realistic. The annual quality assurance assessment completed by the manager said ‘The appointment of an activities coordinator has been very successful in ensuring activities are taking place as planned’. One person spoken with said ‘Sunday is my chill out day, other days I am always busy, I do not get bored’. There was evidence in care notes and when talking with people that family contact is maintained. This can be in person, by letter and phone. Records sampled and observations showed that people are supported to be as independent as possible and take part in household tasks. This helps to develop their skills and improve their self-esteem. Food records sampled show that people do not always eat the same meal and get a choice of what to eat. One person who lives at the home said ‘the food is okay’. Records showed that the people living there are offered a healthy and varied diet that included at least the recommended portions of fruit and vegetables each day to be healthy. The Dietician had made recommendations for some people to ensure they are within a healthy weight range so that they are well. Staff were observed supporting people who needed assistance with their evening meal. This was not rushed and staff spent time talking to the person. People who live at the home get the opportunity to go food shopping with staff support. One person went food shopping with staff during the inspection visit. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal care and health needs of the people who live there are generally met so ensuring their well being. EVIDENCE: Attention had been given to individual’s personal care. All the people living there were well dressed in individual styles that were reflective of their age, their cultural background, the weather and the activities they were doing. Care plans stated how people are to be supported with their personal care so that they get the support they need. Records sampled included an individual health action plan. This is a personal plan about what support the individual needs to meet their health needs and what healthcare services they need to access. These had been produced using photos and pictures making it easier for people to understand. Where appropriate health professionals are involved in the care of individuals. The outcome of any health appointments are recorded and records showed that staff follow the advice given to ensure individual’s health and well being. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 15 Records sampled showed that each person is registered with a local GP, who they are supported to visit if they are unwell. For some people records showed that they had regular dental check ups, eye tests and foot care from the chiropodist if needed. However for some people their records had not been completed so it was difficult to track when they last saw the dentist. Where people have health conditions such as epilepsy, diabetes or dysphagia (swallowing difficulties) there is information in their care plan so that staff have information on how to keep them healthy. Surveys were received from two health professionals, these were both positive about the home. One professional said ‘very caring staff who show genuine care and concern for their clients’. The medication cabinet was locked so that people could not take out medication that may harm them. Only staff who have received medication give out the medication. Since the last inspection we have been told about one medication error. The home has taken action to include further training for the staff involved to reduce the risk of future errors. Some people are prescribed as required (PRN) medication. Protocols were in place for people who are prescribed PRN medication that stated when, why and how much of the medication should be given to the person to ensure it is used appropriately. Some of the protocols had been completed over twelve months ago so it would be beneficial if these were reviewed to make sure the information was still current. Generally the medication administration records (MARs) had been satisfactorily completed by staff. A couple of gaps were evident on MARs sampled but the manager is taking action to ensure this is improved as it on the agenda for discussion at the next staff meeting. At the last inspection we found that copies of prescriptions are retained so that staff can check the correct medication has been received from the chemist. Staff spoken with said that this was still the practice but could not find the folder that contained copies of recent prescriptions. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of the people living there are listened to and acted on. Arrangements ensure that the people living there are safeguarded from abuse and harm so ensuring their well being. EVIDENCE: A complaints procedure is available along with a complaints leaflet. This information is also available in an audiotape format for people who are unable to read. One person who lives at the home said they had no complaints about the home and were happy there. The home has received one complaint directly, this was from a member of staff and was about an employment issue and not about the care provided. Since the last inspection there has been a safeguarding issue. The home notified social services and us about the issue. Following investigation by the provider two members of staff were dismissed. We have received one complaint about the home, this related to the safeguarding issues in the home and was passed to the provider to investigate. The annual quality assurance assessment completed by the manager records that ‘complaints are analysed on a monthly basis and then collated yearly to establish any patterns for future prevention’. Staff training records showed that staff have received training in the Protection of Vulnerable Adults (POVA) so they know how to identify different types of abuse and what to do if abuse is happening so they can protect the people living there. Two staff spoken with were aware of what to do to keep people Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 17 safe if they had suspicions of abuse happening. Some people at the home sometimes display challenging behaviour. Records sampled included individual behaviour management strategies. These show staff how to work with the person in a positive way that can reduce the likelihood of the person displaying these behaviours, what are the common triggers for the behaviours and how they can be managed so that the person, the other people living there and staff are safe. Where physical intervention has been used detailed records are kept and show it has been used to keep people safe. Discussion with staff and observation of records show that incidents of challenging behaviour are reducing. One staff said that this was because staff are more aware of people’s needs and triggers to behaviour. A money handling assessment is completed for each person to see what support they need from staff. Staff checks monies daily. The finance records of one of the people living there were checked. They had been supported to spend their money on personal items and on the things they chose to buy. Receipts were kept of all purchases. Each person had an inventory of their belongings so it is clear what belongs to them and if anything should go missing it can be tracked easier and hopefully found. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe and comfortable home that meets their individual needs. EVIDENCE: All parts of the home were seen to be clean and well maintained. Maintenance records show that repairs are usually carried out within reasonable timescales. Since the last inspection the lounge has been redecorated, new flooring fitted and new settees purchased. This makes the room look more modern and is a pleasant room to spend time in. The dining room has also been redecorated and new tables and chairs purchased. One person at the home has the potential behaviour of running out onto the busy main road. To reduce the risk of this happening the home has gates fitted to the front of the driveway. There have been some problems with the use of the gates so as a temporary measure a wooden gate has been fitted to the front of the home’s front door. Whist this is effective in reducing risks to the person it unfortunately does not give a homely appearance. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 19 Each person has their own bedroom. Rooms seen were well decorated and furnished to the individuals’ tastes and interests. One person has had new flooring fitted since the last inspection making their room look much nicer. One person spoken with said they were happy with their bedroom and thought it was very homely. The home has a shower room and a bathroom. At the last key inspection the bath was not in working order, this has now been repaired. The home has been adapted to meet people’s mobility needs. Baths and showers are accessible to people, doorways have been widened where possible and there is ramped access into the garden. For one person who has recently moved into the home a ceiling hoist has been installed, as a mobile hoist would have taken up too much space in their bedroom. Satisfactory infection control procedures are in place. The laundry is sited away from the kitchen and dining room. Hand washing facilities are available with liquid soap and hand dryers. The Environmental Health Officer awarded the home four ‘H’s in February 2007, this means that hygiene standards were very good. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for staffing, their support and development ensure that the people living there are well supported by staff that know them well. EVIDENCE: Support to people who live at the home is given in a warm and friendly manner, and staff were polite, considerate and patient. Staff spoken with had a good understanding of the needs of people in their care. Approximately 50 of staff have achieved an NVQ in care so they have the skills and knowledge to meet the needs of the people living there. Staff rota’s were sampled and these show that usually there are at least five staff on duty during the day. Staff surveys and discussions with staff show that there are usually enough staff on duty to meet peoples needs. However since a new person has been admitted to the home there is more pressure on staffing as a member of staff has to take them to the day centre in the morning and collect him in the afternoon. Discussion with the deputy indicates that extra funding has been applied for to help meet this increased staffing pressure. Additionally, to help ensure there are more staff hours to meet Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 21 people’s needs the home is advertising for a cook. Currently care staff at the home are doing the cooking. Four records of the staff working there were looked at. These included the required recruitment records including evidence that a Criminal Records Bureau (CRB) check had been applied for to ensure that ‘suitable’ people are employed to work with the people living there. The annual quality assurance assessment completed by the manager stated ‘Our training plan is reviewed and set yearly following individual staff audits’. Staff training records were sampled. These showed that staff generally receive regular training. Some of this is done in house by watching videos and completing workbooks. When new staff start in the home they receive an induction and are also allocated a ‘buddy’ to work with them. Staff surveys received indicate they are satisfied with the training they receive. Staff have received training that includes studio III (physical intervention), food hygiene, fire, first aid, manual handling, medication, infection control and the protection of vulnerable adults. Since the key inspection staff have received training specific to people’s individual needs that includes diabetes and dysphagia. Some people who live at the home have epilepsy, but training records did not show that staff had training in this. Some staff said they had training in the past. One staff said they had not received training in this but were able to describe how they would safely support people if they had a seizure. It is recommended that it is established and recorded what training people have had in this area and where staff have not received training it is provided. Records and discussion with staff show that staff receive regular supervision and staff meetings are usually held monthly so that staff are kept up-to-date with the running of the home and organisation and the changing needs of the people who live there. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements ensure that the people living there benefit from a well run home and their health, safety and welfare is promoted and protected. EVIDENCE: The home has a registered manager. The manager has completed the Registered Managers Award and is now completing an NVQ 4 in care. At the time of this visit the manager was on annual leave but the deputy manager was available for most of the inspection. Since the last inspection outcomes for people at the home have improved and people have benefited from a well run home. One member of staff who has worked at the home for a number of years said ‘I have seen the home improve, things are getting better all the time’. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 23 The area manager visits the home monthly and writes a report of their visit. These were detailed and included meeting with the staff and people living there and their involvement in the home. Other systems are in place to make sure the home is being well managed this includes feedback reports completed monthly by the manager to regional directors and regular audits. To ensure views of people living at the home are sought Tracs has a ‘client focus day’ annually for people across homes in the region where they are consulted. Questionnaires are also available for people to complete. An agreed action from questionnaires completed in 2007 is to redesign the form so that Tracs get a greater response from people who have limited understanding / communication. The West Midlands Fire Service said in April 2007 that fire precautions in the home were satisfactory. Fire records showed that staff regularly test the fire equipment to make sure it is working. Staff had received regular training in fire safety. Regular fire drills are held so that staff and the people living there would know what to do if there was a fire. An engineer had tested the fire system to make sure it was in good working order. Certificates were available to show that equipment such as the hoists are regularly serviced to make sure they are safe for people to use. At the last inspection it was identified that the home did not have an up to date certificate available for the electrical hard wiring of the home. This has now been obtained and shows the electrics are safe. Staff test the water temperatures weekly to make sure they are not too hot or cold. The bath hot water was tested the day before the inspection and was recorded as just above the required safe temperature. The record did not show if any action had been taken to reduce the temperature however we checked the hot water by hand and found it was at a comfortable temperature. The home could improve its record keeping to show what action had been taken to keep people safe. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X X 3 X Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard YA19 YA20 YA20 YA35 YA42 Good Practice Recommendations The recording of when people have attended dental appointments needs to be improved to make sure they get the healthcare they need to stay healthy. Protocols for ‘as required’ medication should be reviewed to ensure the information is still up to date and people get the medication they need safely. Copies of prescriptions need to be readily available to staff in the home so that they can check people are getting the right medication. Staff should have training in epilepsy to make sure they know what to do to keep people safe if they have a seizure. Where monitoring of hot water temperatures identify temperatures are too hot the record of checks should record the action taken to make sure the water is at a safe temperature. Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Maycroft DS0000016730.V369889.R01.S.doc Version 5.2 Page 27 - 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!