Care Home: Mayfield House

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well Supporting people to maintain their individuality and chosen way of life is central to the home`s ethos and approach. Everyone`s differences are valued and the people who live at Mayfield House and Cottages are helped and encouraged to understand and live with everyone else. When asked what the home does well one person who lives there just said `Everything.` One family member said their relative has lived at the home for a long time `...and has always had excellent care and attention.` There is good and friendly interaction between the people who live there and the staff. One member of staff said that `Mayfield House is a very friendly place to work...` and another also said it is a friendly place `...where the staff and the people who live here get on very well.` When we visited there were enough staff on duty to make sure they have time to spend with people in conversation, as well as offering any support people need to take part in individual and group activities. One member of staff commented that the staff all work together as a team towards `...meeting the needs of the people who reside at Mayfield House with conscientious dedication.` Before moving in, people`s needs are thoroughly assessed to make sure that the home is able to meet their needs, and people have plenty of opportunities to make sure they want to live at the home. People`s health and well-being is observed and monitored, and any concerns are followed up. One person said the home `Cares about me` and another said the staff `Look after me well.` Everyone said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities, days out and holidays. One staff member said that the home `Offers choices to residents, puts a lot of time and effort into them (and) is always there for them...` There are regular discussion meetings and people are involved in making the decisions about their home and how it is run. The home`s recruitment procedures are thorough and involve people who use the service, making sure that staff are safe and suitable to work with the people who live at the home. All the staff said they enjoy working at the home and felt they were well supported by their manager. They said the training is good and helps them to do their job well. One staff member said that `The management of Mayfield House is in very capable, professional hands...`The staff all said they have plenty of training, including some specialist training, to help them support the people who live at the home. The staff that handle medication have received suitable training and the medicines are administered safely and accurately. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and everyone said that the home is always kept fresh and clean. What has improved since the last inspection? The support plans have been improved since our last inspection and are now more person centred and better reflect people`s individuality, their preferences and needs. The large garden at the rear of the Cottages has now been completed. It is an attrative place for people to use, with a sensory garden, level paving, a sheltered seating area, swings, raised beds and a water feature. Since our last visit the office has been re-located away from the main entrance hall, making it quieter for staff to work in while still being accessible. As part of the home`s ongoing refurbishment programme the room where the office used to be has been converted into a combined sensory room and sitting room. One bedroom has had an en suite shower room fitted, and more are planned for other rooms. The organisation now has a health and safety officer who delivers all the fire safety and health and safety training. The home employs a person-centred planning co-ordinator and one member of staff is a moving and handling trainer. These staff make sure everyone is kept up to date with their core training. What the care home could do better: While excellent progress has been made with refurbishing the home, they need to continue with this to make sure the environment reaches the same high standard as the rest of the service. One person who lives at the home said they would like to `Have (the) lounge decorated` and another person said they want a new settee as the present one is not suitable for them. Key inspection report Care homes for adults (18-65 years) Name: Address: Mayfield House King Cross Road King Cross Halifax West Yorkshire HX1 3LN     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: Liz Cuddington     Date: 0 8 0 1 2 0 1 0 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 32 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 32 Information about the care home Name of care home: Address: Mayfield House King Cross Road King Cross Halifax West Yorkshire HX1 3LN 01422250254 01422381835 r.heywood@mayfield-trust.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mayfield Trust Name of registered manager (if applicable) Mrs Sharon Linda Porteus Type of registration: Number of places registered: care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Mayfield House consists of a large house and a separate building set behind the house and known as The Cottages, where the people who wish to live more independently have their homes. The two buildings are separated by a courtyard and car park. Behind The Cottages is a garden, patio and barbeque area. The main house has a stair lift to the upper floor. There is one manager with overall responsibility for both parts of the premises. The manager and staff support the people who live at Mayfield to live active, independent lives pursuing their own work and recreational interests and maintaining connections with family and friends. 20 Over 65 20 Care Homes for Adults (18-65 years) Page 4 of 32 Brief description of the care home Mayfield House is in the King Cross area of Halifax; there is a car park in front of the house and it is near a main bus route. Care Homes for Adults (18-65 years) Page 5 of 32 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: The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Peoples fees are paid by the social and health care services that commission them. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Mayfield House and Cottages. The visit was carried out over one day by one inspector. Care Homes for Adults (18-65 years) Page 6 of 32 The methods used to gather information included conversations with the people living at the home and the staff, as well as looking at care plans and examining other records. We received surveys from ten people who live at the home, one relative, nine members of staff and one health care professional as well as the homes selfassessment questionnaire. These gave us a lot of useful information about the home and helped us plan the visit. Care Homes for Adults (18-65 years) Page 7 of 32 What the care home does well: Supporting people to maintain their individuality and chosen way of life is central to the homes ethos and approach. Everyones differences are valued and the people who live at Mayfield House and Cottages are helped and encouraged to understand and live with everyone else. When asked what the home does well one person who lives there just said Everything. One family member said their relative has lived at the home for a long time ...and has always had excellent care and attention. There is good and friendly interaction between the people who live there and the staff. One member of staff said that Mayfield House is a very friendly place to work... and another also said it is a friendly place ...where the staff and the people who live here get on very well. When we visited there were enough staff on duty to make sure they have time to spend with people in conversation, as well as offering any support people need to take part in individual and group activities. One member of staff commented that the staff all work together as a team towards ...meeting the needs of the people who reside at Mayfield House with conscientious dedication. Before moving in, peoples needs are thoroughly assessed to make sure that the home is able to meet their needs, and people have plenty of opportunities to make sure they want to live at the home. Peoples health and well-being is observed and monitored, and any concerns are followed up. One person said the home Cares about me and another said the staff Look after me well. Everyone said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities, days out and holidays. One staff member said that the home Offers choices to residents, puts a lot of time and effort into them (and) is always there for them... There are regular discussion meetings and people are involved in making the decisions about their home and how it is run. The homes recruitment procedures are thorough and involve people who use the service, making sure that staff are safe and suitable to work with the people who live at the home. All the staff said they enjoy working at the home and felt they were well supported by their manager. They said the training is good and helps them to do their job well. One staff member said that The management of Mayfield House is in very capable, professional hands... Care Homes for Adults (18-65 years) Page 8 of 32 The staff all said they have plenty of training, including some specialist training, to help them support the people who live at the home. The staff that handle medication have received suitable training and the medicines are administered safely and accurately. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and everyone said that the home is always kept fresh and clean. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 32 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 32 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. There is a thorough pre-admission assessment and introduction procedure, to make sure the home can meet peoples individual needs. Evidence: When someone is considering living permanently at the home they are given information to help them make a decision, including an illustrated Service Users Guide. The initial assessment of the persons needs is carried out by a senior member of the homes staff. People are also invited to visit as often as they like, stay for a meal and have one or more short stays at the home if they wish. This gives the person the opportunity to make an informed decision and helps the home decide if they are able to meet the persons needs. There is also a settling in period, to make sure that everyone is happy that the persons needs can be met at the home. Care Homes for Adults (18-65 years) Page 11 of 32 Evidence: This procedure, along with other professional assessments, helps the staff to start developing a suitable plan of care and support. Care Homes for Adults (18-65 years) Page 12 of 32 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. Peoples right to maintain their individuality is central to the way the home is run. The plans are person-centred and people are involved in planning and agreeing the level of care and support they need and how this is to be provided. Evidence: We looked at three individual care and support plans. They showed that people are involved in developing and reviewing their plans. The plans have improved since our last inspection; they reflect the individuals preferences and needs and demonstrate the persons involvement in making all the decisions that affect them. There is a summary of the persons care and support needs and how these are to be met. This can act as an easily accessible reminder for the staff. The plans are completely person centred and each plan has been developed differently, to suit the individual. For example, some people like to work on the Care Homes for Adults (18-65 years) Page 13 of 32 Evidence: computer while others prefer to have their plans as an illustrated book. All the plans show what people like and dislike, the things they want to achieve and include a record of important events in peoples lives. The plans include the individuals goals; some are small and easily achievable while others are long term ambitions and so need a lot more planning. The more complex plans could involve the person in agreeing a savings plan and talking to other people to gain their agreement. If the person wishes other people also contribute to the care plan, to make sure a full picture of the individual is obtained. These people could include the persons relatives, the homes management, their social worker and someone from any other services he or she is involved with. Mayfield House has a planning co-ordinator who also supports people and staff in developing the plans. We saw evidence that showed that this is happening. One health care professional said that the home is ...exceptionally supportive in enabling clients to develop own support plans and involves clients in all aspects of care reviews. The plans are up to date and contain sufficient detail to guide staff and help them understand each person. Everyone is supported and encouraged to make their own choices about how they lead their lives. The support plans reflect this and show that people are supported to achieve their goals. One person said The staff take care of all my needs. People said that the service supports them to live the way they choose and agreed that the service meets their different needs. The plans and risk assessments are updated regularly. The plans include a section showing what is important to the individual. The people we spoke with said they feel the staff understand their needs and support them to live their own lives and maintain their individuality. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and choice. These assessments are reviewed regularly, along with the rest of the plan. All the evidence we saw indicated that the homes staff support people to maintain their independence and improve the quality of their lives. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: Our observations, and conversations with the staff, confirmed that the staff know and understand the needs of each person who lives at the home. The staff do all they can to promote peoples right to autonomy and everyone is treated as an individual. From talking to the people who live at the home and the staff, and reading the notes, it was clear that everyones personal choices are respected and supported. People seem to be supported to meet their own cultural, social and spiritual needs. The daily records comment briefly on how each persons day has been. All the written information is securely stored and confidential information about people is only shared with those who need to know. Care Homes for Adults (18-65 years) Page 15 of 32 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. Evidence: The support plans include information about each persons choice of recreational and leisure pursuits and their goals. The activities people follow depend upon what they want to do. All the staff are involved in supporting people to follow the acivities they have chosen. The manager and staff make sure peoples views are central to any decisions that are made and make sure that everyones views are heard. People said that they are supported to lead their lives in the way they choose, and Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: there are usually enough staff available to give them any support they need. The staff are aware of peoples preferences and the home is run in the best interests of the people who live there. Some people do paid or voluntary work and some attend day centres. If they choose, people help with jobs around the house such as working with the handyman and helping with general household tasks. Some people at Mayfield House and Cottages enjoy being involved in education. One person has recently been presented with an award from college recognising their excellent achievements during the year. One person runs a course teaching people to play snooker. Outreach workers support people to take part in a wide range of recreational activities; music, art, sewing and knitting are the most popular. The staff encourage people to be involved in events in their community. There is a walking group that a number of people enjoy and many people enjoy attending social events at the other houses within the organisation. Everyone who wanted to has been away on holiday during the last year. The holidays are carefully planned to make sure they suit each persons preferences. Some people went to Tenerife and other people went to the adapted, static caravan near Blackpool that the organisation owns. While we were there, one person was happily planning this years summer holiday. The staff we spoke with had a good understanding of peoples needs and how each person likes to be supported. They understood the ethos of the home and the importance of respecting peoples right to self-determination and their right to be left in peace if they wish. People said that the staff respect their privacy when they wish to be alone. Individual choices about spiritual and cultural matters are reflected in the plans. The staff all know and understand each persons needs and preferences and how to support people to maintain their dignity and self respect. At mealtimes there are always alternatives available if people do not want the choices on the menu. People said that they enjoy the meals and the portions are generous. People are offered hot and cold drinks and snacks throughout the day. Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: We were invited to eat with everyone and the mealtimes are very pleasant and sociable occasions. Where someone needs some support at mealtimes, this is offered discreetly, following the persons own pace. Care Homes for Adults (18-65 years) Page 18 of 32 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. Peoples personal and healthcare needs are met. People are protected by the homes medication systems. Evidence: Peoples health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, and the family where appropriate, and their advice is followed. The plans are evaluated monthly, to make sure they reflect peoples healthcare needs. The plans contain details about the individuals physical, psychological and emotional health. The plans, and conversations with staff, confirmed that peoples cultural and individual preferences are understood by everyone and are central to the care and support they are offered. Each plan is individual and reflects the persons choices for all aspects of their life. They show the way people prefer their care and support to be provided. This makes sure that staff know exactly how each person likes their support to be provided and Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: understand the routines they like to follow. The people we spoke with said that the home and the staff meet peoples needs. Everyone said the staff provide the care people need, in accordance with their wishes. Peoples healthcare needs are reviewed regularly and recorded in detail. There was evidence that specialist healthcare professionals are involved in providing the support people need to maintain and improve their health and well-being. Risk assessments are in place, where a potential risk to an individual has been identified, and there is information about how such risks are to be managed. The daily records give a picture of the support each person has needed that day. The plans have been improved to make them more person centred. It is possible for a new member of staff, for example, to read someones plan and have a vivid picture of that person and how they want to live their life. This helps the staff gain an understanding of what is important to the person and what they can do to support them achieve their goals. The home has started a healthy living initiative. Some sit-on scales have been bought and those people who want to take part have been weighed. There are always healthy eating options on the menu. Some people already attend a gym in Halifax. The home is planning to build its own gym in the grounds and it is hoped that people will be encouraged to use it regularly. There are exercise and dance classes held twice a week at the home and other forms of enjoyable exercise take place such as fun walks with a theme to them. As people get older they may develop dementia. People get all the support they need at Mayfield House and it was clear that the staff are skilled in supporting people whose care and support needs are changing. The staff that administer medication have received suitable training. This helps to make sure that medicines are administered safely and that staff understand this area of their work. The medicines appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. The medicines are all stored securely. Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: Observations during the inspection confirmed that the staff always respect peoples privacy and dignity. Where possible, the support plans also include details about the persons final wishes, to make sure they have the support they choose at this time. Care Homes for Adults (18-65 years) Page 21 of 32 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. People know how to raise a concern or make a complaint. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people are safe. Evidence: The staff training records showed that all the staff have taken adult protection training. Staff have also had training in handling confrontation and managing challenging behaviour. Conversations with the staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. They are expected to have read and understood the policies and procedures concerning adult protection. The staff said they understood about whistle blowing, handling complaints and safeguarding and had taken training in these areas of their work. The complaints procedure is illustrated, to assist people to understand it. The evidence we saw confirmed that improvements are made as a result of complaints Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: investigations and comments people make in the quality assurance questionnaires. There is an independent advocacy service to support people to express their views; this is especially important if there is no family or friend who can do this. Care Homes for Adults (18-65 years) Page 23 of 32 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 provides a safe, clean and comfortable environment. Evidence: Some people showed us their rooms or flats, which were all comfortable and attractive and reflected their taste and interests. The shared areas of the house are all light, spacious and comfortably furnished. The home has an ongoing refurbishment programme and this year one new en suite shower room has been fitted, with another planned in the very near future. One of the priorities is to instal a shaft lift, to replace the stair lift, which will make getting upstairs much more comfortable. One person said they would like More handles to hold on to help prevent falls. The office has been moved to another room on the ground floor and the former office has been made into a combined sensory room and small lounge. It is a lovely room which has been attractively decorated and people said they enjoy using it. As well as a new television, there is a Wii games machine that people enjoy and people said it is useful to have a second lounge where they can sit quietly or watch television with a few friends. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: The gardens are safe and well equipped and are suitable for everyone to use. Since our last visit the large garden at the rear of the cottages has been completed. It is now an attrative place for people to use, with a sensory garden, level paving, a sheltered seating area, swings, raised beds and a water feature. Even covered in snow it looked very attractive and is a great asset to the home. The house is clean and fresh throughout. Protective gloves and aprons are available for staff to use when necessary, as part of the homes infection control measures. Care Homes for Adults (18-65 years) Page 25 of 32 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. Sufficient well trained staff are employed to meet peoples needs. People are protected by the recruitment procedures, which make sure that staff are suitable to work with people who live at the home. Evidence: The staff rotas confirmed our observations that there are enough staff on duty to meet the care, social and leisure needs of the people who live at the home. There is a mix of male and female staff, to help make sure people can have a choice of who supports them. Some staff did feel that people would benefit if the home employed more staff to support them, particularly during periods of annual leave. One person who lives there said they would like staff to Spend more time with me when I need it. As well as an interview, all new staff complete an application form and provide two written references, as well as completing satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks before they start work. Someone from the organisation, who uses their services, is a member of the interview panel. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: Before a new staff member is appointed they are introduced to the people who live at Mayfield House and Cottages. This gives everyone the opportunity to say what they think. Where needed, people are supported to express their views by an independent advocate. All new staff, including the housekeeper and handyman, take the mandatory health and safety training and they all follow accredited induction training. From a total of nineteen support staff, thirteen have achieved the NVQ qualification at level 2 or 3 and four more were about to start the course. The other two staff will start the NVQ course when they have completed their induction training. Other training is available to make sure staff skills and knowledge is kept up to date. The organisation has a health and safety officer who delivers all the fire safety and health and safety training. The home employs a person-centred planning co-ordinator who makes sure staff are up to date with this area of their work. Senior staff from the organisation meet regularly to discuss training needs and plan the staff training programme. During the past twelve months all the staff have had refresher training in all the mandatory courses, as well as taking training in promoting equality and diversity. The home has a moving and handling trainer, who makes sure all the staff know how each person who needs support to move and transfer prefers to be assisted and how to do this safely. The staff all said they have plenty of training. They said they are kept up to date with peoples care and support needs and meetings are held every time one team of staff finishes and another team begins work. Care Homes for Adults (18-65 years) Page 27 of 32 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. The home is safe and very well managed, in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home effectively and in the best interests of the people who live there. One member of staff, who has worked at the home for many years, said I believe at present we have the best management team there has ever been. To maintain confidentiality, peoples personal information is stored securely when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. Regular audits are carried out to make sure the records and amounts are accurate. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner and staff have basic health and safety training. Fire drills are held, to make sure everyone knows what to do in an emergency. All these measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home asks people, their relatives and professional visitors to complete quality assurance questionnaires, in order to find out what people think about the care and support the home offers. Regular meetings are held, in order to discuss what people would like to see happening in their home and how they want it to be run. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. The staff said they felt supported by the management team and enjoyed working at the home. Following the environmental health officers most recent visit, the kitchen was awarded three stars out of a maximum of five stars for hygiene and good kitchen practice. The work that was recommended to improve the kitchen is underway; new stainless steel worktops are to be fitted as well as new flooring and new fridge freezers. Since our last visit the office has been re-located away from the main entrance hall, making it a quieter place for staff to work in while still being accessible. A senior manager from the organisation visits the home regularly and compiles a report each month on their findings. The homes manager lets us know about any significant incidents that affect the well-being of people who live at the home. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual quality assurance self assessment. It contained very detailed information about the services, the support that is provided, the improvements they have made and their plans for the coming twelve months. Care Homes for Adults (18-65 years) Page 29 of 32 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 30 of 32 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 Care Homes for Adults (18-65 years) Page 31 of 32 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 32 of 32 - 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!