Care Home: Meadow View 1

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What the care home does well The home has a good way of checking that people will be helped properly if they decide to move there. The person in charge finds out all about them first, then asks them to come and meet everyone at the home and see if they like it. The home also provides information about the home that is interesting to look at, or can be watched on television. This means people can know all about the home and choose whether to move there or not. People living there have interesting lives. They do lots of different things, some with just one person helping them, and some with lots of other people. This means they often go out and enjoy new things. They are asked what they would like to do and staff try to arrange it so that people can do what they want and when they want. One person said `I like living here. I like it when we go out`. Another said `I like going to church on Sunday`. Care staff and the manager talk to people about what its like to live there, and listen to what people say. What people say matters to the staff and staff make changes, which shows that they listen to what people tell them. People working at the home have good training so that they can help people in the best way. This means that people living there have support from people who know what they are doing. What has improved since the last inspection? After the last inspection visit the report said that no changes were necessary. The manager and staff though have made small changes because people living there have asked for them. What the care home could do better: When people start working at the home before a satisfactory police check is available to look at, the manager could keep a record to show that the new person has not been out with people from the home without another carer being with them. This would help to confirm the manager`s commitment to keep people safe. The manager could satisfy herself that all staff working at the home are very clear about the need to immediately report any incident that causes them concern, in order to protect people from harm. CARE HOME ADULTS 18-65 Meadow View 1 The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ Lead Inspector Jean Dobbin Key Unannounced Inspection 13th August 2008 12:20 Meadow View 1 DS0000019693.V370067.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 Meadow View 1 DS0000019693.V370067.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. Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View 1 Address The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ 01262 400985 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) www.mencap.org.uk Royal Mencap Society Mrs Nancy Eileen Turner Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may also have a physical disability (PD) The category for LD(E) only applies to the named service user. Date of last inspection 22nd November 2006 Brief Description of the Service: 1 Meadow View is a purpose built semi detached bungalow owned and maintained by New Dimensions Housing Association. The care input is organised and managed by the Royal Mencap Society. The home offers long term accommodation for adults with a learning disability and associated health and behavioural problems including some behaviour that challenges the service. The staff provide personal care, help, advice and guidance with daily living skills and activities, a catering service, a laundry service and domestic and cleaning services. Activities are offered both on and off site. An adapted motor vehicle is provided for service users. The home is situated in a residential area of the town and public transport to the town passes nearby. There is an easily accessible garden and on street parking is available. A Statement of Purpose, Service User Guide and the latest inspection report by the Commission for Social Care Inspection are made available for people and their families to read. The weekly fees for living at Meadow View 1 on 13th August 2008 are from £810 to £1210 depending on assessed needs. People living there pay additionally for hairdressing, chiropody, personal items, like clothes, toiletries and meals out, and taxi fares. Meadow View 1 DS0000019693.V370067.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 star. This means the people who use this service experience good quality outcomes. This is what was used to write this report. • • • Information about the home kept by the Commission for Social Care Inspection. Information asked for, before the inspection. This is called an Annual Quality Assurance Assessment (AQAA) Information from surveys, which were sent to people who live at Meadow View 1, to staff and to other professional people who visit the home. 3 were sent to people at the home, and 3 were returned. 8 were sent to healthcare and to social care professionals and 2 were completed and returned. 6 were sent to staff at the home and 4 were returned A visit to the home by one inspector, which lasted about 4 hours. This visit included talking to people who live there, and to staff and the manager about their work and training they had completed. It also included checking some of the records, policies and procedures that the home has to keep. • Information about what was found during the inspection was given to the registered manager at the end of the visit. What the service does well: The home has a good way of checking that people will be helped properly if they decide to move there. The person in charge finds out all about them first, then asks them to come and meet everyone at the home and see if they like it. The home also provides information about the home that is interesting to look at, or can be watched on television. This means people can know all about the home and choose whether to move there or not. People living there have interesting lives. They do lots of different things, some with just one person helping them, and some with lots of other people. This means they often go out and enjoy new things. They are asked what Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 6 they would like to do and staff try to arrange it so that people can do what they want and when they want. One person said ’I like living here. I like it when we go out’. Another said ‘I like going to church on Sunday’. Care staff and the manager talk to people about what its like to live there, and listen to what people say. What people say matters to the staff and staff make changes, which shows that they listen to what people tell them. People working at the home have good training so that they can help people in the best way. This means that people living there have support from people who know what they are doing. What has improved since the last inspection? 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. Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 7 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 Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 8 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): 2 People who use this service experience excellent quality outcomes in this area. People are assessed properly before they choose to move to Meadow View 1, so they can be assured that their needs can be met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: There have been no admissions to the home in the last year. The manager explained that she would always visit the person, wherever they may be to talk with them and their family to check whether the home could meet their needs if they chose to move there. She also obtains a detailed written assessment by the person’s care manager. This meeting is followed by a number of visits to the home, which increase in time from a short visit to a weekend there. This helps the individual and people already living there to meet each other, and staff to increase their knowledge and understanding about the person. If the person moves there then a review meeting is held within three months to check that everyone is satisfied that the move has been a success. The home provides a Statement of Purpose, which is information about the home, the staff and the facilities provided. It is either in an easy read format, with lots of drawings, symbols and photographs, in large print, or as a DVD Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 9 version. This means people can look independently at information about the home as often as they wish. The Resident’s Charter and the home’s aims and objectives are also given to people and their families, if they express an interest in moving there. Meadow View 1 DS0000019693.V370067.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 People who use this service experience good quality outcomes in this area. People are supported to stay in charge of their own lives as far as possible and they are consulted in how the home runs. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Three people’s care records were looked at. These were very individualised, clearly describing the help and support people needed to stay as independent as possible. They included pictures and symbols, to make them interesting to look at and were written in a way that invited people living there to say what mattered to them. They provide information about people’s skills and abilities as well as life experiences and information about them, and what matters to them. For example one described in detail how someone could be helped to look after his Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 11 or her own hygiene needs, emphasising the need to respect the person’s privacy at this time. These records are reviewed regularly with the individual, their family and with healthcare professionals if appropriate, to show that they are still accurate. One person said that they knew they had papers about them. Each person has a key worker, who is a member of staff, who develops a closer relationship with the individual, so that they can work together to identify goals and work out how they can be achieved. One record described what would make a ‘perfect’ birthday and who they would want to attend. This helps staff to plan the event according to what the person wants, not how they think they would want it. They describe people’s daily routines and what is important to them. They describe, for example, how people are encouraged to choose what to wear each day, and how one person has a chart with staff photographs in their room, which is changed each evening so that they know which staff will be working the following day. People are supported in making choices about what they do with their time. Staff were observed listening to what people had to say, and acknowledging their views. They were consulted at every point about what was happening in the home that day. People lead interesting lives, and participate in a range of interests, hobbies and events according to what they want to do. One person enjoys attending church each Sunday and another likes to go and buy their chocolate each week. The staff are committed in supporting people to stay in control and achieve these things that are important to them. ‘Risk’ is managed in a positive way, with staff supporting people to take reasonable risk wherever possible. For example there was detailed support in one care plan describing the help staff would provide to enable them to make a hot drink, safely. Meadow View 1 DS0000019693.V370067.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 People who use this service experience excellent quality outcomes in this area. People are supported to live interesting and fulfilling lives We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People living at Meadow View 1 have the opportunity to participate in a range of activities within the local community. Whist none of the people there have any paid employment, one person carries out work of a voluntary nature, under supervision, each week. The care records identify people’s interests and aspirations. East Yorkshire Council provides an Outreach service in Bridlington, which supports people from the home in achieving individual goals and maintaining interests. This is provided on a one to one basis and activities include, for example, shopping, coffee and lunch stops, and visits to the library. These events enable people to be in the community, improving their life skills and having time away from people with whom they live. People also have a holiday each year and one Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 13 person showed a photograph of them when they were away. One person said in their survey. ‘’I like living here. I like it when we go out’. The home is situated on the outskirts of the town. People use the bus service with support, and the organisation’s minibus to attend events away from the home. One person attends weekly hydrotherapy at a neighbouring town and two people attend church. One person said in their survey that ‘I like going to church on Sunday’. People’s families are welcomed any time. One person had large posters in their room of their family members. Care records also contained photographs of people that mattered to the people living there, so that they could be included in conversations and discussion. One person had a mobile phone, which staff supported them to use. Another person kept their room locked at all times. Staff at the four Meadow View bungalows organise a social club for people living in all the homes. They hold regular ‘events’ like bingo, drives out in the country, barbeques, trips round the bay on a pleasure boat, birthday parties and walks, of varying lengths, to encourage people to take regular exercise as part of healthy living. The meals are devised according to people’s likes and dislikes and there is a four-week menu, which the manager says is very flexible. Staff are alert to people’s behaviours and are able to work out which meals are successful, and which less so. One carer has attended a course to be a ‘food champion’ and they are able to pass on this extra knowledge to other members of staff. The care plans record people’s preferences with regard to crockery and cutlery and staff were observed supporting that choice, providing one person with a straw and placing their cup near the edge of the table so that they could manage independently. Staff monitor people’s weights regularly and provide meals that follow healthy eating principles to help people maintain a normal weight. People spoken with said that they liked the food provided. Meadow View 1 DS0000019693.V370067.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 People who use this service experience good quality outcomes in this area. People receive appropriate personal and healthcare support and the written records show that this is done in a flexible way, with the advice and support from external professionals We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Male and female staff are employed at Meadow View 1 and one man said one reason for moving there was because he wanted to have a male key worker to support him. The care records looked at describe in detail the support people prefer and require. This includes meeting their physical and emotional needs. The records are written in such a way that the individual is telling people how to support them and have been written with the help of the person, their family, and outside professionals. Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 15 For example one describes the support they need to have a bath, making sure their dignity and privacy is always respected and describing how staff can promote their independence. Such as ‘I always choose my clothes the night before’. Another discusses communication difficulties, saying ‘it can sometimes be hard to understand what I am saying. I don’t mind if you ask me to repeat myself’. These ‘pen pictures’ help to make sure that people are cared for in a consistent way that recognises their individuality. One person needs a hoist for transferring, and they have a bath each morning, then go back on their bed, where staff provide massage, and encourage exercise to joints that have stiffened overnight. This daily ‘work’ on their joints helps them to be more independent and pain free when they then get up and dressed, providing them with a better day-to-day life. People are supported to buy their own clothes and toiletries. One person attends the hairdressers in town, with support from staff, whilst a hairdresser and manicurist also visit the home. There are good links with healthcare professionals, such as specialist nurses, physiotherapist, occupational therapist and psychologist. The home keeps good records of these visits. One healthcare professional wrote in their survey. ‘I would not hesitate to recommend Meadow View 1 as suitable accommodation for people with learning disabilities. They have a good person centred approach. People’s right to privacy is respected’. Specialist equipment is in place in the home and staff have attended extra training so they are competent in using it. The medication processes in the home are satisfactory, with medication charts looked at completed properly. The home uses a blister pack system and staff have attended training so that they are competent in administering them. No one at the home is able to look after their own drugs. Meadow View 1 DS0000019693.V370067.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 People who use this service experience good quality outcomes in this area. People can be confident that their concerns will be taken seriously and staff know about ‘abuse’ and the importance of keeping people safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: A complaints poster is displayed in the entrance area. This is in an easy read format, with symbols and drawings. This information is also provided within the information given to people thinking of moving to Meadow View 1. There have been no complaints since the last inspection. Most of the staff have worked at the home for a number of years, so know the people living there very well. They are alert to how people respond and would recognise if something was bothering someone by the change in their behaviours. Regular ‘client meetings’ are held where people are asked if they are unhappy about anything. One person said ‘ I like it here’ and the surveys completed by people at the home all said they knew how to complain if they were unhappy. People’s families, and professionals visiting the home are encouraged to comment if they have any concerns and surveys about the home are sent to these people each year, as well as the people who live there.. All staff attend safeguarding adults training and recognise the importance of keeping people safe. One carer spoken with though said she would not necessarily immediately report, (for example), another carer shouting at a Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 17 person living there, but would want to ‘find out the facts’ first. The manager needs to be confident that staff will report any incidents to her immediately, so that she can take appropriate action, and this was discussed with her. People living there have their own bank accounts. The home keeps robust records to show that people’s monies are being protected. One person chooses to keep a small amount of money and the staff support him or her in managing that responsibility. Meadow View 1 DS0000019693.V370067.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 and 30 People who use this service experience good quality outcomes in this area. People live in a well maintained, comfortable home, which has been adapted to make it more suitable for the people living there. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: Meadow View 1 is a semidetached bungalow in a small cul-de-sac with three other similar properties, which are each used by MENCAP to provide accommodation for four people with a learning disability. The home has level access for people in wheelchairs, and small gardens, including a patio, with outside seating. The bungalow has a large lounge and dining room, which are nicely furnished and a large kitchen, with a security door, so that people assessed as at risk of harm, from the kitchen equipment, can be protected. There are two spacious toilets and the bathroom has a special bath, suitable for people with Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 19 disabilities. Meadow View 1 also has a very well-equipped sensory room, which it shares with the next door property. People have their own rooms, with a wash hand basin. Those looked at were all very different and had been furnished and decorated according to their individual tastes. One person chose to keep their room locked. Another person living there requires a hoist for moving from bed to chair. The organisation has fitted special equipment to the ceiling in both their bedroom and the bathroom, to make this manoeuvre easier and safer for both the individual and staff. This person also has an electronic aid fitted in their bedroom to enable them to turn on and off electrical equipment, as well as calling for help, independently. All the rooms are accessible by people in wheelchairs and the home was clean, comfortable and well maintained. One carer spoken with confirmed that protective clothing was made available to minimise the risk of spread of infection within the home. Meadow View 1 DS0000019693.V370067.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, 34 and 35 People who use this service experience good quality outcomes in this area. A well-motivated, competent and well-trained staff team are working positively with people to improve their whole quality of life. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home has sufficient staff, both male and female, to meet the needs of the people living there. The rota is arranged flexibly, according to people’s social lives, so that staff are always available to support individuals in their chosen activity. There are always two staff working during the day. At night a door between the two adjoining properties is opened, enabling one waking and one sleeping carer to support the people living in both homes. Several staff members have worked at the home for a number of years. They are loyal to the home and provide good support for each other and the manager. Almost all staff have a minimum Level 2 National Vocational Qualification in Care, with a number having or working towards Level 3. This means people are supported by staff who have a good understanding of their role. Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 21 Staff attend regular mandatory training to make sure their skills and knowledge are up to date. They also receive specific training related to meeting individual care needs and staff spoken with confirmed this. One survey from a carer commented ‘Mencap provide training and this is regularly updated so that staff receive the latest training’. The manager works closely with all staff so is able to monitor people’s work informally as well as providing the opportunity for people to discuss issues or concerns. Supervision meetings, which are recorded, are also held and a staff member confirmed this. People are recruited through the regional MENCAP office and the recruitment files kept at the home were not very organised, so it was initially quite difficult to be sure that all the checks had been completed properly before the person started working there. The manager said people could contribute to the recruitment process, but this was not often possible as it would depend on their level of disability and understanding. One person had started work before their police check was returned, although a PoVAfirst check had been completed to make sure the person wasn’t barred from working in a care setting. The manager explained that the new employee would not work unsupervised, before the police check was returned. She said this also wouldn’t happen as people would have to get to know the new person, as well as them know the people, before they could work unsupervised. It would be good practice for the manager to keep records to show that that they did not go out with people into the community on their own, whilst the police check was still outstanding. New staff start a detailed induction process so that people receive the same information about the way the home operates and the policies and procedures it follows. Meadow View 1 DS0000019693.V370067.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 People who use this service experience good quality outcomes in this area. The home is run in the best interests of the people living there We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The registered manager has been in post for a number of years and showed in conversation that she knew all about the people living there. The written information about the home, provided before the visit, also confirmed her knowledge and understanding about the values of the home and her role within it. Staff spoken to, said that the manager was very approachable and they had confidence in her abilities. She works as part of the team to promote ‘best practice’ and encourages comments and opinions from staff and the Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 23 people living there, as a way of always looking to improve the way the home runs. The home carries out regular checks as a way of monitoring that the service is running well. These include regular ‘client meetings’ with people living there, as well as regular review meetings with people and their families. Surveys are sent out each year to people who have an interest in how the home operates. The results from these surveys inform about any changes that may be necessary, to improve the way it runs. A senior manager employed by MENCAP visits the home regularly, without telling them they are coming so that they can check how the home is running. All these systems help to demonstrate that the home is running well and people can have the opportunity of saying what matters to them. Several health and safety certificates were looked at, which showed that safety checks had been completed appropriately. Fire systems, including fire safety training were robust. Individual fire risk assessments had been completed for the people living there, and were kept in an accessible place. This is so that staff from the other Meadow View homes, who would come to assist in the event of a fire, could easily find out what help individuals need. Staff attend regular training each year so that they can support people safely. Hot water temperature checks are carried out routinely to make sure people aren’t at risk of scalding from water that is too hot. Meadow View 1 DS0000019693.V370067.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 X 2 4 3 X 4 X 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 X X 3 X Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 Refer to Standard YA23 Good Practice Recommendations The manager should satisfy herself that all staff know how important it is to immediately report any incident that may suggest a person is being harmed. This will contribute to people being kept safe The manager could consider keeping a record to show that a new member of staff, who has been deployed before police checks are complete, is never left unsupervised with one of the people living at the home. 2 YA34 Meadow View 1 DS0000019693.V370067.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Meadow View 1 DS0000019693.V370067.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. 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