Care Home: Morven House

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What the care home does well Morvan House offers a homely environment where its service users are given good opportunities to lead interesting and fulfilling lives . They are encouraged to make choices and to exercise their Independence as far as it safely possible for them to so do. We found that the home had a happy relaxed atmosphere and it was seen that the staff and service users interacted well together. Care was observed to be being given in a kind and patient manner and it was evident that the staff knew the service users well and that this assisted them with the anticipation of their needs. What has improved since the last inspection? The requirements made at the last inspection have been met or are in process of being met. The care plans and risk assessments have all been reviewed and work on compiling new person centered care plans is well under way. Additional training has been given to all staff this to meet their specific training needs and this training programme is on going. The home and garden have benefited from various works of refurbishment redecoration and the provision of new equipment. A full refurbishment of the first floor` Garden Unit` and further works of internal redecoration are being planned in conjunction with the service users. Since the last inspection a new manager deputy manager and housekeeper have been appointed. This strengthening of the staff team and management team has contributed very positively to the improved staff morale that was noticed during this visit. What the care home could do better: The new management team must ensure that the home continues to meet all the key standards in a consistent manner this to ensure that the service users can live safely in the home and that they receive a good level of service at all times. Key inspection report Care homes for adults (18-65 years) Name: Address: Morven House The Causeway Potters Bar Hertfordshire EN6 5HA     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jan Sheppard     Date: 1 5 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 27 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 27 Information about the care home Name of care home: Address: Morven House The Causeway Potters Bar Hertfordshire EN6 5HA 01707662755 01707663634 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.CareTech-uk.com Caretech Community Services Ltd care home 12 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 Morven House is part of Care Tech Community Services. The building is owned by the National Trust and leased to Care Tech. It is located within several acres of parkland and gardens, which are accessible to residents. It is within walking distance of Potters Bar shops and town centre and is convenient for public transport links. Morven House provides residential services to 12 young adults with learning disabilities. The house has been divided into two units, one eight bedded unit for residents requiring higher staff input and a four-bedded unit for more independent residents. All bedrooms are for single occupancy and each unit has access to its own communal areas. The layout of the building makes it unsuitable to residents with reduced mobility. There is a service folder, which includes a copy of the latest Commission for Social Care Inspection report, the complaints procedure and other information concerning the service, readily available in the home. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 12 2 5 0 8 2 0 0 9 Brief description of the care home Fees vary according to the unit concerned, ranging on average from just over £1000 per week to £1500 per week. Personal toiletries, newspapers, dentistry and chiropody services where these are not free are all charged at additional cost, as are some day care services. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection of this service was carried out on 25th August 2009. This inspection took place over eight hours on a weekday. This was a key inspection that focused on the key standards of the Care Standards Act 2000 relating to adults. This report is written using accumulated evidence gathered prior to the inspection and also takes account of statutory notifications sent periodically the the CQC ( Care Quality Commission) by the home.During this visit we made a tour of the building ,had discussions with the staff on duty and with the home manager and deputy manager.We met and spoke with several of the service users . Spot checks were made on a number of the homes records and care plans. Care Homes for Adults (18-65 years) Page 6 of 27 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 7 of 27 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 8 of 27 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 using this service experience good quality outcomes in this area. We have made this judgment using a range of evidence including a visit to this service. People who use this service have an assessment of their care and social needs and are able to visit and test drive the service before having to make any decision about admission. The home has a Service Users Guide and a Statement of Purpose and prospective residents have all the appropriate information to enable them to make an informed choice. Evidence: Good quality outcomes were achieved for these standards at the last inspection. There have been no new admissions to the home since the last inspection. The new Manager has reviewed the Service Users Guide and Statement of Purpose to ensure that the information given in them is current and correct and is presented in a format which enables people living in the home or considering moving into the home to easily understand. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: The homes basic pre-admission process is thorough and includes the information needed to make a realistic assessment as to whether a persons needs can be met by the home and provides staff with the details they need to help them provide care in a way they want as individuals. The manager explained that any future initial assessment will include information concerning the applicants mental capacity. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence including a visit to this service. The people living in Morvan House can be assured that they will be involved in the planning of their care and that they will be encouraged to make their own decisions about their daily activities and lifestyle. More work is needed on reviewing and bringing all the care plans fully up to date. Evidence: Since the last inspection all the care plans have been reviewed by the new management team and all are gradually being rearranged into a new format which is more person centered and divided into sections including My Support Plan and My Health Plan and Risk Assessment. Service users are being involved in these changes and some sections of these new plans were seen to be presented in a user friendly picture format.Risk assessments for each service user have been reviewed and these were seen to be properly recorded on the reviewed care plans. All the care staff are Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: undertaking training concerning the setting up of these new care plans to ensure that they can compile them and maintain the necessary day to day records proficiently.During our visit staff told us that they were finding this training very helpful. All the revised care plans seen during this inspection were found to be well kept with appropriate detail and to be arranged in a format which is easily accessible.Good progress has been made with these since the last inspection ;the home must now concentrate on getting all the care plans up to an equally good standard. During our visit we saw that staff were supporting the people living in the home in a kindly personal way using communication techniques in line with their individual capacity and giving them every opportunity to express their choices and wishes. An easy rapport was seen to exist between the staff and the service users and at the time of our visit the home was found to have a happy and relaxed atmosphere. All the service users have their own daily activity plan and social diary drawn up with their involvement and taking into account their individual interests and cultural or religious needs. Staff were observed to be constantly encouraging service users to make their own choices and wishes known. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience good quality outcomes in this area. We have made this judgment using a range of evidence including a visit to this service. People living in Morvan House can be certain that they will be offered varied opportunities to participate in a range of activities to meet their individual choices and needs and that they will be appropriately supported to use local community facilities and to maintain communication with their families and friends. They can be assured that they will be able to exercise their rights as individuals in deciding the daily routines of the home as they affect them including meals and leisure activities within the home. Evidence: The good quality outcomes achieved at the last inspection were found to have been maintained at this latest inspection. During this visit we saw that some service users Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: left to attend a day centre or college class activity whilst others who remained in the home were involved with their individual housekeeping and laundry or were being assisted to go out shopping or to take lunch in the nearby community. All the service users spoken with told us that they were very happy with their activities, spoke of the holiday plans that they were discussing whilst others explained what activities within the home and garden had been arranged during the recent snow when access to the home was very limited. Menu planning continues to be undertaken on a weekly basis and since the last inspection separate preferences for service users on the ground floor and in the first floor Garden Suite are now being accommodated.Where needed pictorial menu cards are used to assist service users in making their choices.During this visit it was seen that service users who were able to safely do so were being encouraged to prepare drinks and small snacks for themselves. Care Homes for Adults (18-65 years) Page 14 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living in Morvan House can be assured that they will receive personal and health care support in a way that takes full account of their individual needs preferences and rights and that they will have good access to the full range of community and associated specialist health care services as and when needed so as to maintain their physical and mental well being. The home has sound policies and procedures for dealing with medication and with one exception these were found to be being correctly followed thereby ensuring that the service users were not put at risk. Evidence: We checked the medication storage arrangements and the administration records and found these to be well kept. Since the last inspection the new deputy manager has taken over responsibility for medication procedures in the home; she has completed additional training to do this;The medication records seen provide staff with very good Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: information about individual medication, what it is for, and what side effects it might cause. The home has two medication cupboards and these were found to be kept tidely and it was seen that daily records are kept of the temperature of each cabinet. Non blistered medication is stored in seperate compartments for each service user and opening dates were seen to be recorded on packeted medication and detailed records kept of the amounts of medication received into and going out of the home so that an audit trail can be followed. The MAR (medication administration records)seen provide staff with very good information about the medication prescribed for each person what it is for and what side effects it might cause. The administration records were found to be accurately kept with no signature missing and it was seen that good explanations were being kept about day to day alterations that had occured. Where a service user is able to do so they are encouraged to assist staff with the applications of creams and an improved way of recording this was discussed with the manager during this inspection. On the day of this inspection the home did not have a CD cabinet for storage of Controlled Medication or a separate CD register for recording any controlled drug being administered. Since this inspection visit and the writing of this report a CD cabinet has been purchased and is to be fitted immediately this to ensure that controlled medication when prescribed can be safely kept in the home. Staff told us that they have had medication training to give them the skills they need to help people living in the home with their medication safely. The manager showed us a planned programme of refresher medication training that will be undertaken by all staff over the next few weeks. The new care plan documentation that we saw included a lot of details about appointments with doctors and with other specialist health services.The manager told us that since taking up her post that it has been one of her first priorities to establish close working relationships with all associated health professionals this to ensure that the health and well being of the service users is promoted promptly. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. People who use this service can be confident that they will be listened to and that complaints will be taken seriously. The home now has adequate policies and procedures for the management of risk and for the protection of the service users from abuse. All staff now have a better awareness of the need for a consistent approach when following the homes stated risk procedures and new management monitoring procedures are in place to ensure that the service users safety is maintained at all times. Evidence: People living in Morvan House have access to a comprehensive complaints policy and procedure which is available in picture format to ensure that they have a good understanding of it. No complaints have been received since the last inspection. Staff speak regularly with the service users in their one to one talk time meetings and ask them if they have any concerns or complaints that they wish to raise. Staff consider that these regular discussions are a good way to pick up any early signs of disagreements or issues that otherwise might become bigger problems. One service user spoken with during our visit told us with confidence that they knew who to speak with if they had any concerns or problems. I am quite happy here they said with a broad smile. The Manager told us that since taking up the post she had specifically Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: asked relatives for their comments about any concerns they had and for their suggestions for further improvement to the services their relatives were receiving. There have been no adult protection issues in the home since the last inspection. Staff training in this subject is up to date and further refresher training is planned . The manager said that whilst she felt that staff did have a good awareness of their roles and responsibilities in protecting the vulnerable service users at Morvan House she also constantly reminded them of the need to remain vigilant concerning potential risks and the importance of their surveillance being thorough and consistent this to ensure the service users safety at all times. The Manager was able to evidence to us that spot checks were being made by her and the deputy Manager to ensure that risk surveillance is being consistently carried out and is being properly recorded and the necessity for this pattern being continued is now better recognized by all the staff. A new secure key storage cupboard and locking arrangements have been established in the home. The Manager and some senior staff have attended training concerning the Mental Capacity Act and further training about this is being arranged for all the staff. Care Homes for Adults (18-65 years) Page 18 of 27 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 using this service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Morvan House provides a spacious and attractive environment for the people who live there. The home is kept clean and tidy and repair and maintenance works are ongoing these to ensure the safety of the service users. Evidence: Morvan House is an early Georgian listed property owned by the National Trust and leased to Care Tech Community Services; it is surrounded by several acres of parklands and gardens.The unique character of this environment and the constraints of the building provide a particular challenge for those responsible for its maintenance and adaptation of the facilities to safely meet the needs of the service users. The building provides single bedrooms and spacious communal accommodation over two floors. The manager explained that she plans to separate this into two units each with their own separate front door to be known as Morvan House on the ground floor and the Garden Unit on the first floor. It is planned that the kitchen dining and lounge areas of the Garden Unit will be completely refurbished and the corridors and many of the bedrooms redecorated. The service users told us of their involvement with these plans and in choosing colours fabrics and new furnishings. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: On the day of this unannounced inspection the home was found to be clean tidy and to have no malodours. A part time housekeeper is now in post and she discussed with us her work programme. Support staff commented how this domestic assistance had enabled them to spend more quality time with the service users not just helping them to clean and also how the overall cleanliness of the home was noticeable improved. The manager showed us the cleaning and maintenance routine programmes that she had set up and evidenced how management surveillance of these was carried out. Since the last inspection a considerable programme of repairs works and new furnishings have been commenced these to ensure an attractive and safe environment for the service users who have all been involved with their planning. New leather sofas have been ordered for the lounges and a steam cleaner purchased.The piano has been moved to a more accessible location which has enabled the service user to play it more often. The fish tank belonging to one service user is ,with their agreement, to be relocated into a lounge so that all the service users in that unit can enjoy watching it. The garden furnishings had been tidied and plans to raise funds to enable these to be upgraded and works to be carried out to the greenhouses to bring them back into service are being considered.It was noticeable during this inspection visit that all areas of the home had a warm homely atmosphere where it appeared the service users felt comfortable and had facilities of their choice. The home has appropriately sized kitchen and laundry facilities to meet the needs of the current service users. An appropriate awareness of infection control measures and food hygiene measures was evidenced during our visit. Care Homes for Adults (18-65 years) Page 20 of 27 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 using this service experience good quality outcomes in this area.We have made this judgment using a range of evidence including a visit to this service. People who use this service are cared for by experienced and trained staff who are themselves well supported and have sufficient skills to support the people who use the service. The recruitment policies and practices were seen to provide, with one exception, adequate safeguards to protect the service users. Evidence: Since the last inspection there have been no changes to the core group of support staff but a new housekeeper has been appointed and a new Manager and deputy Manager have come into post. The remaining vacant senior support post has been advertised and an interview date already set. This strengthening of the staff group and especially of the senior team has enabled a new staff supervision programme to be commenced and annual appraisal reviews for all staff are also planned. It is fortunate that both the new manager and deputy manager had previously worked with several of the existing service users thereby offering them continuity of care service. Also since the last inspection an exceptional training programme has been put in place Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: by the company whereby staff are being given individual training to meet their specific needs.We saw that such one to one training was being carried out on the day of this unannounced inspection. Staff spoken with told us that they felt well supported and that they appreciated the additional training.One member of staff told us there is still a lot to do but it feels much better working here now.Another said All we want to do is to care for the service users so that they can have a really good quality of life. The recruitment records evidenced that the required checks were being carried out with the exception that for one new person who has a current valid CRB certificate, a new check had not been made as they were changing roles within the service. An application has now been made for that check but at the time of writing this report a reply had not yet been received. Care Homes for Adults (18-65 years) Page 22 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence including a visit to this service. People who use this service can now be confident that the new senior management team will promote the welfare of both the residents and staff and ensure the effective operation of the service. Evidence: Since the last inspection a new manager and a new deputy manager have come into post. Both are experienced and professionally qualified to work with this client group. The manager who is currently a registered manager with the Commission for another Care Tech Home has applied to have this registration changed for Morvan House. She holds the Registered Managers Award and NVQ at level 4. She has several years experience of management of a residential setting . The deputy manager who had previously worked at a day centre where many of the Morvan House residents attend and had also previously worked at Morvan House holds the NVQ qualification at level 3. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: It is fortunate that both these new managers had previous knowledge of many of the service users thereby giving them a good continuity of care. Although they had only been in post for a few weeks we noted their open and approachable management style and saw evidence of improved team working. A new development and improvement prgramme has been set up by the manager to address the known shortfalls and we could evidence that this was beginning to be implemented and that management checks of it were being regularly made. We looked at the records relating to Fire alarm and evacuation testing, the records concerning the monitoring of water temperatures, the procedures for dealing with the service users kept finances and the risk assessments for the environment and found these all to be well recorded to be up to date and to be subject to management scrutiny. The records relating to the company management visits under Regulation 26 were seen and the manager told us that she felt that the home was being well supported by the company. The service has a Quality Assurance programme and regularly sends out questionnaires to the service users staff and relatives as well as to other professional stakeholders in the service. The manager explained that she had met with many of the service users relatives and would be continuing to do so regularly and that she had found them to be helpful and supportive of her ideas as to how the service at Morvan House could be improved. It was encouraging to find that the new management team despite being newly in post was working so positively and that they had such a keen awareness of the need for the improvement measures to be carried out consistently so that the promotion of the health safety and welfare of the service users can be maintained at all times. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 34 34 all new staff must have a current CRB check pertinent to their new role this to ensure that the people living in the home are fully safeguarded. 27/02/2010 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 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!