Care Home: Moor View Flat

What the care home does well Makes sure that people who wish to move into the home have their care and support needs properly assessed, are listened to and have a comprehensive person centred plan that promotes their independence. Encourages people to make their own choices and to take part in education, work and social activities and events. Works well with a wide range of healthcare and other professionals to make sure that the independence of people is promoted and that they are kept safe and well. Provides staff with training, supervision and support to help them do their job. Promotes contact with family and friends who are able to visit the home whenever they wish. Enable people to be confident about speaking up and about trying new things. The people who live at Moor View told us that they like the staff and where they live. Treat people with dignity and respect and value their opinions and choices. The staff team are dedicated to providing a person centred approach to life at Moor View, they are caring, sensitive and professional. What has improved since the last inspection? The people who have moved into Moor View have been able to make choices about how their home is furnished and equipped. A new shower has been installed in the bathroom so that people can choose how they carry out their personal care. What the care home could do better: No requirements were made as part of this inspection, we did however discuss some good practice recommendations with the manager and these are included in the body of the report. Key inspection report Care homes for adults (18-65 years) Name: Address: Moor View Flat Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH     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: Elaine Charlton     Date: 0 8 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 29 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 29 Information about the care home Name of care home: Address: Moor View Flat Moor View Flat Northern Counties Site Tankerville Terrace Jesmond Newcastle Upon Tyne NE2 3AH 01912381313 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Percy Hedley Foundation care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical Disability Code PD, maximum number of places: 3 Date of last inspection Brief description of the care home Moor View Flat is on the Percy Hedley Foundation/Northern Counties site at Jesmond. The Foundation is a registered charity caring for people with cerebral palsy and related physical disabilities. All the Foundations services share the same management and administrative team. The flat is at first floor level, has three large bedrooms, staff sleep-in room, adapted bathroom, separate toilet, lounge and large, fitted, domestic style kitchen. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 3 1 5 0 4 2 0 0 9 Brief description of the care home Wheelchair users can access the flat via a lift in the attached college accommodation. Nursing care is not provided but staff are trained to carry out some delegated nursing tasks. The home has a Residents Handbook that gives information about the support and care anyone wanting to move into the Foundations accommodation might need to make a decision about whether their needs can be met. Copies of the Commissions reports are available. Care Homes for Adults (18-65 years) Page 5 of 29 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 star, this means that the people who use this service experience excllent quality outcomes. An announced visit was made on the 8 October 2009. A total of four hours were spent in the service. The manager was present throughout the inspection. Before the visit we looked at Information we have received since the last visit on the 15 April 2009. How the service has dealt with any complaints and concerns since our last visit. The providers view of how well they care for people, and the views of people who use the service, their relatives, staff and other professionals who visit the service. We have also reviewed our practice when making requirements to improve national Care Homes for Adults (18-65 years) Page 6 of 29 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 the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. During the visit we Talked with people who use the service, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. We looked around the building/parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since our last visit. We told the manager what we found. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: 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 8 of 29 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 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to move into the home have their diverse care and support needs properly assessed so that everyone is sure they can be met. They are able to visit the home as often as they need and make the move at a pace that suits them. Evidence: The organisation has a service user guide and statement of purpose but these have not yet been produced in a format that people with communication difficulties can easily understand. Documents that have been produced in a person friendly format are of a very good quality. The manager is to work with staff and residents to make sure that all paperwork is people friendly. Policies and procedures are in place to support staff with the process of assessment and introductory visits. People are only admitted to the home following a thorough assessment of their care and support needs. Strong links are maintained with day services at Forest Hall. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: Two people have moved into the home since the last inspection. Comprehensive assessments had been carried out involving staff from the home, social workers, the prospective resident and their family. Copies of the homes assessment and that of a healthcare professional were available in the residents files. We saw good records of visits to the flat and outings with staff to choose furnishings, curtains and bedding before the residents moved in. Some visits and/or meetings were of a purely social nature so that people could get to know each other. As well as the assessment process, anyone wanting to move into the home has the opportunity to visit for a coffee or meal, stay overnight and socialise with anyone already living in the flat. Most people who are wanting to use this home know each other from the Foundations day services. The home does not provide intermediate care. Care Homes for Adults (18-65 years) Page 11 of 29 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. People who live in the home are very involved in planning their care, they make choices and decisions about what they want to do and when, and are helped to be independent in their personal care and daily life. Evidence: The approach to providing care and support for people living at Moor View is very person centred. Records show that not only the resident and staff, but their families and any appropriate others are involved in the assessment process. This promotes a very open and flexible approach to care planning. Some parts of the service user plans are in a very colourful and user friendly format and work is on-going to make sure that all documents can be easily understood by everyone. Care plans detail clear likes, dislikes, how the person wants to be treated, how they expect people to speak to them and how they dont want people to speak to them. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Risk assessments are in place to support activites that people may want to take part in such as making drinks, and also where it has been identified that they may need to take a little more care when they are out and about. People who live in the home sign their care plans to show that they have been involved in putting them together. Care plans are evaluated on a regular basis but need to be signed and dated by the person making the entry. Staff should be encouraged to continue with outcome focused recordings. Those we saw were reflective and sensitive but some just recorded no change to care plan. People use a local GP surgery where they have experienced good support. Dental and chiropody services based in the local community are also used. We spoke to both people living in the flat and they said they were really enjoying themselves and liked the staff. We sat in the kitchen for coffee and it was very evident that everyone knew each other well, took account of likes and dislikes, and had a flexible approach to mealtimes, whether they eat in or out. Relationships were warm, friendly, sensitive but professional. Care Homes for Adults (18-65 years) Page 13 of 29 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 who live in the home experience very flexible and vaired lifestyles that take account of their choices about education, work and social opportunities. They choose what they want to do and when, what the menus will include but are helped to make some healthy choices to promote a balanced diet. Evidence: During the week both residents are out all day. They use a range of transport systems to get to and from their day services, appointments and social events. One person told us about a bus driver who had not been very patient, and one that had not stopped for a member of staff who was on their way home. He was very clear that this was not acceptable and that the bus company needed to know about it. People living at Moor View make very clear choices about what they want to do during the day, at night and weekends. Both the current residents go to Able2 at Forest Hall Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: where they meet friends and can take part in lots of courses/art sessions and learn life skills. One person has a work placement at a local gym which they are really enjoying. They go out to discos, the local club, bowling alley, pub and have been to a concert at the Metro Radio Arena. Friends and family are very welcome and can visit when they want. Whilst we were there one person spoke to their Mum on the telephone. The home has a cordless telephone so that people can take their calls in private. The residents sat down together when they moved into the home and with the help of staff made a poster that is displayed in the kitchen letting visitors know how they want them to behave in their home, and what sorts of behaviour they dont like. Residents told us that they choose what they want to eat, that their approach to meals and whether they eat in or out is quite flexible and sometimes they have take-aways. The latter seem to be a favourite on a Friday night when people have had a busy week and just want to chill. People make their own choices about meals but staff do help them to understand about balancing what they eat so that their diet is nutritious and healthy. Routines in the flat are very flexible and are only limited by peoples needs to be at day services and appointments. The Foundation is holding a fund rasing fashion show and one resident is taking part in this. She told us that her outfit was going to be from a popular high street store that she likes to visit. She was very excited about this and showed us the poster that showed her with friends that would also be taking part. Care Homes for Adults (18-65 years) Page 15 of 29 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. People can say how they want their personal care to be provided and by whom. They are supported and helped to be independent with all areas of their care including medication and can see healthcare professionals as and when they need. Evidence: Care plans are very person centred and include information about how each person wants to be supported at different times of the day. Where people are independent in their personal care staff continue to promote this. Risk assessments and personal handling plans are part of the assessment and care planning process. Occupational therapists and physiotherapists are involved as appropriate and two members of the staff team and trained in risk assessment. The bathroom at Moor View is spacious and is fitted with an adapted bath, shower cubicle and appropriate hand rails should a resident need to use these. People are encouraged to see a range of healthcare professionals as and when they need. Both residents have registered with a local GP surgery where they can choose to Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: see a male or female doctor. Visits are made to dentists, chiropodists and opticians based in the community. Policies and procedures are in place that promote the safe handling of medication and people are encouraged to keep control of their own medication if they wish. Safe and secure facilities for the storage of medication are provided within a locked office in the flat. Staff have also had training in the safe handling of medication and have completed competency assessments, copies of which we saw in the home. The staff team has been recruited to work in the home and the process took account of their understanding of person centred care and promoting the independence of young adults. Care Homes for Adults (18-65 years) Page 17 of 29 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 who live in the home are protected from harm through polices, procedures and staff training. They are encouraged to speak out and know that they will be listened to. Evidence: The Foundation has policies and procedures in place that promote the acceptance, recording, investigation and reporting of concerns, complaints and allegations. People who use the service are encouraged to speak up and know they will be listened to. Both residents told us about things they had seen when they were out and about that they didnt like. They had seen a bus driver that was not very patient with someone and they were not happy about the behaviour of a person who uses day services. They openly spoke about these situations, said they had raised them and were confident that the manager would follow them up. When they moved into the home the residents sat down with staff and produced a poster that is displayed in their kitchen letting people know how they want them to behave in their home and towards them. The Foundation employs two advocates who are based at Forest Hall and an Employability Officer to help people explore new opportunities and to speak to Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: someone outside their home if they need. Staff have received training in the Protection of Vulnerable Adults (POVA), and the organisation has a whistle blowing policy that encourages people to speak out if they witness poor practice. All staff are required to have a Criminal Records Bureau (CRB) check carried out at an enhanced level before they are able to start work. They are also employed in accordance with the General Social Care Council (GSCC) Code of Conduct. Each person has a mini safe in their bedroom where they can keep valuables, they also have a key to their bedroom and can choose to keep it locked. During the inspection staff did not enter peoples bedrooms whilst they were out. The residents showed us their rooms when they returned from day services. Financial records are in place where staff record purchases a resident has made. People are asked to sign this with the member of staff making the entry. When a resident chooses not to sign the record it would be good practice for a second member of staff to confirm this. Care Homes for Adults (18-65 years) Page 19 of 29 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. People live in a homely environment that promotes their independence, opportunities to improve their skills and to spend time privately or with others as they choose. Everywhere is very clean, tidy and furnished in a way that the residents have chosen. Evidence: Moor View Flat is set in the grounds of the Northern Counties College in Jesmond. There are three large, single bedrooms, that people can decorate and furnish in a way they choose. Both people living at Moor View showed us their bedrooms, they were very different and individually reflected each persons choices and interests. Bedrooms do not have en-suite facilities but there is a wash hand basin in each room. Each person also has a key to the front door and private gate to their garden. The garden is private and there is also a sitting area and bar-b-que for people to enjoy. Additional lighting has been installed to the front and side of the building. The manager said she was going to check whether this needed to be increased to cover the pathway. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Radiators can be independently adjusted for each persons comfort. Door guards that close in the event of a fire are fitted to doors so that it is easy for people to move aroud especially if they need to use a wheelchair. Access through the front door is up a flight of stairs, but the flat can be reach through a college entrance where there is a passenger lift. Evacuation equipment is in place so that people who use wheelchairs or have limited mobility can get out of the flat using the staircase in the event of a fire. Everyone who lives and works in the home at the moment is fully mobile but is it advisable for staff to practice with the Evacu-chair. There is a large bathroom that is fitted with both an adapted bath and a shower cubicle so people can choose which they use. Handrails are also fitted for the safety of residents. The kitchen is roomy and domestic in style and people are able to use all the equipment if they wish. This includes a washing machine and dryer. Staff are trained in health and safety and infection control. Care Homes for Adults (18-65 years) Page 21 of 29 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. People who live in the home are protected by recruitment and selection procedures that are properly followed, staff training and supervision. They can also take part in interviews to select their own staff if they wish. Evidence: Policies and procedures for the recruitment and selection of staff are in place and record show that these are regularly and properly followed. The manager told us that people who live in the flat are to be offered training so that they can take part in staff interviews if they wish. There is a sleep-in member of staff on duty each night, two staff before people go out to day services or work, and two when they return home. At night staff finishing time vary, this depends on whether people want to go out. Basic staff files are kept securely in the office and are only accessible by the manager. The main staff personnel files are kept centrally by the Foundation. Each member of staff has a Workforce Development Plan identifying what training they have completed, has copies of their certificates of achievement and supervision Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: notes. Staff who work for the Foundation have regular access to training and supervision to help them do their job. The manager said she is working towards providing staff supervision on a monthly basis. Because of the small nature of the team and how closely they work there is a lot of regular informal support. All staff have completed their mandatory training and five out of six have achieved a National Vocational Qualification (NVQ) at level 3. This is an excellent achievement. Care has been taken to recruit people who have an understanding of a person centred approach to care planning and promoting indpenedence for young adults. This is a positive approach. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is run in their best interests and where they are listened to and what they have to say is acted upon. Residents and staff are protected through policies, procedures and training. Evidence: Moor View Flat is registered to accommodate three people. The acting manager is qualified and experienced to carry out her role and brings an open, person centred approach to running the home. The staff team have been recruited to promote a strong person centred approach to care and support. The people who live in the flat make decisions about how their home is run, what they want to happen and when. Family and visitors are very welcome and play an active part in care planning if the resident wishes. The Foundation has a strong history of complying with health and safety checks, of Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: keeping their servicing contracts and arrangements up to date. For Moor View flat, servicing and maintenance arrangements form part of the School and College contracts. Fire checks are carried out by the College Caretaker who also does the portable applicance testing. There is a fire alarm test every Monday morning and drills are regularly carried out. All health and safety processes are supported by clear policies and procedures that staff have easy access to. This includes infection control, control of substances hazardous to health (COSHH), fire safety, control of medication and clinical waste. We saw accident/incident records that had been properly completed. The manager also uses an additional accident/incident investigation sheet which is attached to the accident forms. This details how she has followed up the event, whether any additional risk assessments or care plans have had to be put in place, and what the outcome of the investigation was. This is an excellent form of follow up. All the records we saw were easily accessible, up to date, tidy, and promoted a person centred approach to care and support. Relationships between the manager, staff and residents were at all times seen to be warm, friendly, sensitive but professional. The comments of people who live in the home were listened to, they were re-assured about things they were saying, and were given choices at all times. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 Work should continue to make sure that all necessary documents are available in a person friendly format that can be easily understood by people who may have a problem with the written word. This will help people understand what they can expect from living at the home. Monthly evaluations should be dated and signed by the person making the entry and should be written in an outcome focused way. This will mean that everyone can see the benefit a person has gained from their care and support plan in the previous month. A system should be put in place so that when a resident choses not to sign their financial records this is countersigned by a second member of the staff team. This will help to protect by both people using the service and staff. Lighting to the pathway at the front of the house should be checked to make sure that it is sufficient. This will help to keep people who live and work in the home safe. Staff should regularly practice using the Evacu-chair so that they are confident in the event of an emergency. Page 27 of 29 2 6 3 23 4 24 5 29 Care Homes for Adults (18-65 years) 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 6 36 The frequency of staff supervision should increase to meet the National Minimum Standard of six sessions a year so that people get the right amount of support to do their job. Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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