Care Home: Newhaven

What the care home does well The home provides people who are considering moving into the home with up to date information about the home in a format that they understand. Comprehensive assessments are completed prior to people being offered a place at the home. Each person has a care plan that is written with them that is comprehensive and holistic. Care plans and records provide guidance for staff to make sure that peoples health and social care needs are met and that they receive their medicines safely. People who live here are supported to make their own decisions and lead the lifestyle they choose. People are who are able to are supported to be independent and can participate in the running of the home. The food provided is varied and the meals are chosen by the people who live here. People are able to participate in activities of their own choice, continue in education and are supported to find work. People are supported to have an annual holiday. The home is clean and hygienic and people are encouraged to help to choose colour schemes, furniture and fittings when rooms are redecorated. Feed back on the surveys received from the people who live here, 2 of the care managers and the staff was positive. In the section "What does the home do well?" Comments include "Support me to do my shopping list and weekly food shopping. Help me to do my cooking everyday. "Cook, clean and socialise.""Choice of food and drink. takeaways." "Very good manager and staff, one to one interaction is excellent, always approachable, homely caring atmosphere." and "The client I have placed at Newhaven - since living at Newhaven they have remained settled and happy and the relationships they have built far exceed what they have achieved in previous placements." The homes policies and procedures protect people from harm. Staff recruitment procedures are robust. Each new staff member completes an induction to the home and an assessed induction to care. Staff training is comprehensive and on going. Over 50% of the staff employed have obtained a National Vocational Qualification (NVQ) at level 2 or above in care. The manager holds the relevant qualifications and has experience in managing in the care setting. The home continually seeks the views of the people who live here and monitors its own performance. Peoples health safety and welfare is protected and promoted. The manager and staff know the people who live here well and are approachable. What has improved since the last inspection? The home now has a Registered Manager. The service has supplemented Care Planning with Lifestyle planning. The home now employs 5 staff who have obtained a National Vocation Qualification (NVQ) in Care. Redecoration and refurbishment of some rooms has taken place. The home now has a vehicle which is used to support people when it is not practical to use public transport. What the care home could do better: This home continues to monitor its own performance and work towards improving the outcomes for the people who live here. Key inspection report Care homes for adults (18-65 years) Name: Address: Newhaven 27 Highfield Road Bognor Regis West Sussex PO22 8BQ     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 Green     Date: 1 0 0 7 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 30 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 30 Information about the care home Name of care home: Address: Newhaven 27 Highfield Road Bognor Regis West Sussex PO22 8BQ 01243864674 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): alliedcaremh@aol.com Allied Care (Mental Health) Ltd Name of registered manager (if applicable) Ms Padmini Ali-Ayube Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 7. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Newhaven is registered to accommodate seven service users between the ages of eighteen and sixty-five years in the category of mental disorder. Newhaven is situated in a residential road in Bognor Regis. The building has three storeys; the second floor is used as office space. Service users are accommodated in five single rooms and one double room on the ground and first floors. There is a passenger lift between the ground and first floor, however this is not operational and is kept locked. There is a Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 7 Brief description of the care home communal lounge and dining room area leading to a garden at the back of the building. There are two bathrooms and one separate toilet on the first floor. The current fees charged range from £533.00 to £1582.00 per week and are based on individual assessments of need. Fees include £520 per year towards the cost of a holiday. Care Homes for Adults (18-65 years) Page 5 of 30 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: An Unannounced visit was made to this home on the 10th July 2009 Before the visit to the home we looked at all the information we have received from the home. This information included an Annual Quality Assurance Assessment (AQAA) which is a document completed by the home. This document gives the home the opportunity to say what it does well and provide evidence of that. It also gives them the opportunity to say what they feel they could do better and what their future plans are, how it dealt with any complaints and concerns, any changes to how the home is run, the providers view of how well they care for people, the views of the people who live there, their relatives, staff and other professionals who visit the service. The visit to the home took place from 12 oclock midday to 5pm. During the visit we met with Ms Padmini Ali-Ayube the registered manager, the staff and the people who live there in the communal areas of the home. We looked at information about the Care Homes for Adults (18-65 years) Page 6 of 30 people who live in the home and how well their needs are met. We looked at other records that must be kept and checked that staff had the skills, knowledge and training to meet the needs of the people they support and care for. We also checked what improvements had been made since the last visit and before we left we told the manager of the home what we had found. We sent questionnaires to each of the people who live in the home, 2 to care managers and 10 to the staff of the home. there are 6 people currently living at the home and 5 people returned a completed questionnaire, 2 care managers returned completed forms to us as did 7 members of staff. The information detailed on these questionnaires are used in this report. The Registered Provider is Allied Care (Mental Health) Ltd and the Responsible Individual is Mr Aslam Dahya. The outcomes for people living here are good and excellent and the overall quality rating for this home is a three star excellent service. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? The home now has a Registered Manager. The service has supplemented Care Planning with Lifestyle planning. The home now employs 5 staff who have obtained a National Vocation Qualification (NVQ) in Care. Care Homes for Adults (18-65 years) Page 8 of 30 Redecoration and refurbishment of some rooms has taken place. The home now has a vehicle which is used to support people when it is not practical to use public transport. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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. That people considering moving into the home are provided with the information they need to decide whether the home is right for them. Preadmission assessments are holistic and detailed. Each person has a residency agreement. Evidence: We looked at the preadmission assessments that the home had completed for four of the people who live there and the information the home had gathered prior to the individuals being offered a place at the home. These assessments covered all the individuals social and care needs and took place with the individual at their place of residence. Information had also been sought from health professionals and social workers. Individuals then visited the home to assess the home for themselves and to spend time with the other people who live there. Evidence of this process was seen in care plans. Of the 7 completed questionnaires that were returned to us by the people who live here 6 people said that they had received enough information to help them decide if the home was the right place for them and one person could not remember. The 2 Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: care managers who completed questionnaires said that the homes assessment arrangements always ensure that accurate information is gathered and that the right service is planned for people. The manager told us that the Statement of Purpose and Service User Guides are available in different formats upon request including on DVD. Care Homes for Adults (18-65 years) Page 12 of 30 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and social care needs are detailed in their care plan. People are supported to make their own decisions and participate in the running of the home. Evidence: Each person who lives at the home has a care plan that is agreed with them. The care plans are generated from the homes own assessments and the assessments completed by other health and social care professionals. Care plans cover all aspects of the individuals social and health care support needs and are agreed with the person. Any restrictions on choice and freedom are specified and agreed with the individual and this is discussed prior to admission to the home. The manager told us that care plans are routinely reviewed every 3 months but are updated when needed. They also told us that the individual and their key worker are included in the review process and records confirm this. Annual reviews take place with the person and their care manager and other professionals as needed and requested by the person. Each person who lives in the home manages their own finances though some do have Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: a little support from staff and this is documented. People are encouraged to make decisions for themselves and this is documented in care records. One person told us that they had chosen the colours for their room and the furniture. They also told us that they had participated in choosing colours for other rooms in the house. One person spoke with the manager whilst we were there about going shopping later and said they were going to do the homes provision shopping with a member of staff. People receive their own post and each person has their own pigeon hole where their letters are left for them to open. People are encouraged to be independent and risk assessments are in place to minimise both the risk and the restrictions placed on the person. For example people are encouraged to access the community, some people can do this completely independently, whilst others need staff support. People are given the training and support they need to become more independent and this is reflected in their care plans. The home is supporting one person to improve their independent living skills such as laundry, food preparation and menu planning. This is reflected in the care records. This person also goes to church on their own and chooses to walk rather than take a lift in the homes vehicle. This person has a clear vision of what they want for their future and this is reflected in the care records. Staff are supporting this person to achieve their goal. The home has a written procedure to follow for if a person is absent without explanation. An examination of records showed that this is followed. Care Homes for Adults (18-65 years) Page 14 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live the life they choose. Evidence: The homes completed AQAA states that Newhaven now has an activities cocoordinator and in liaison with Service Users activities have been developed further also further educational opportunities have been accessed. A service vehicle is available for day to day use. People who live here are supported to continue their education, find jobs and take part in activities that interest them and this is agreed and specified in their care plan. One person is employed locally and another attends a local college. One person told us about their hobby and that they attend classes locally. They also told us that staff support them with their interests and that they practice Thia chi with some of the staff when they are on duty. Another person told us that they were going to Portsmouth at Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: the weekend and that they would be staying at their friends house. The manager told us that one of the people that lives here helps out a local charity and does sponsored walks to help raise funds for them. This person also volunteers for the charity helping to take people on holiday. People were seen to be coming and going from the home throughout our visit. People let the staff know they are out by signing in and out of the house on a board. One person who prefers not to use the board uses a book instead. Each person has a daily log which is completed by staff to record how they have spent their time. They also have a timetable in place which specifies their preferred activities and any college courses and clubs that they attend. One person was away on holiday when we visited the home. The manager told us that each person has the opportunity to go on holiday with support if needed. The home contributes £520 towards the cost of an annual holiday. One person was supported to go to Scotland last year by staff. Advocacy services are made available and details are on the notice board. On the day we visited one person was going out for an Indian meal later that evening and staff told us that people often opt to have a takeaway in the evening. Staff told us that people have a choice of what takeaway they have and do not all have to have the same type. The manager told us that people are asked what they would like on the menu each week and then a menu is compiled from the choices made. They told us that there is always an alternative and if people decide they do not want what is on the menu they can choose the alternative meal or to make a meal from the food in the store cupboards and fridge. Records are kept of the menus and the food actually eaten and these confirm that choice is offered. People can eat a time they choose. Feed back on the surveys received from the people who live here was positive. In the section What does the home do well? Comments include Support me to do my shopping list and weekly food shopping. Help me to do my cooking everyday. Cook, clean and socialise. and Choice of food and drink, takeaways. One person has their own fridge and food and some other people have shelves in the main fridge where they store their own food. One person likes to do the shopping list each week which they compile on their own computer. People who are able to go to the local shops, do their own shopping whilst others are supported by staff. Each person who lives here has their own mobile phone plus the use of the house Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: phone. People are encouraged to clean their own rooms and to do their own laundry. Their is a notice board in the hall way detailing planned events, nights out, information about events in the local ares, suggestions for future day trips, and the minutes from the last residents meeting. There is also a copy of a weekly newsletter which is compiled by one of the people who live here. Care Homes for Adults (18-65 years) Page 17 of 30 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 who use the service receive personal and health care support in a person centered way and all needs are clearly recorded in a care and support plan. People receive their medication safely. Evidence: All residents have a plan of care which is drawn up following a full assessment. Four peoples care plans were looked at and these contained comprehensive information on the individuals health, mental health, personal, and social care needs. Needs are individually identified, aims and objectives are set and actions are implemented. Changing needs are recorded. Each plan had a personal profile in place which is written with the person. Care plans are reviewed every 3 months and more often if needed. Daily records are kept. Risk assessments are in place in relation to all areas of peoples lives including going out into the community, aggressive outbursts, nutrition, medication and moving and handling. Weight is recorded and action is taken as indicated. Triggers that may escalate challenging behavior are identified as are actions to be taken. People access health services when needed and referrals are made by the home if a Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: need is identified. All health professional visits such as those from the general practitioner (GP) or community Psychiatric Nurse (CPN) are recorded. Care is carried out in a person centered way and staff are asked to sign that they they have read the care plan and therefore are aware of the persons needs and preferences including when changes are made. Under What does the service do well? one of the Care managers who completed surveys told us, The client I have placed at Newhaven has chronic long term mental health needs and previous placements have broken down. Since living at Newhaven they have remained settled and happy and the relationships they have built far exceed what they have achieved in previous placements. The manager told us that only senior staff that have been trained and assessed as competent to do so, administer medication. They also told us that all medicines are administered and signed for on the Medicine administration charts (MAR) by two staff and that these charts are checked at each handover to make sure that all medicines have been administered and signed for as they should be. We looked at the MAR sheets which confirmed this. We looked at the records relating to the ordering, receipt and returning of medication and they were all completed accurately. The manager told us that the MAR sheets are taken to GP appointments and if amendments are needed to the prescribed medication they are signed by the GP. Each persons GP has signed to say what homely remedies they can take, in what dose, how often and how long for. There are specific guidelines in place for each person who takes as and when or PRN medication which have been drawn up with the prescribing GP and or other health care professionals. There is a controlled drug cupboard but the home does not have any controlled drugs at this time. Each persons medication is reviewed at the homes request every 3 to 6 months or more often if needed. There are policies and procedures in place for the management of medicines and all staff sign to say they have read these. The home completes internal audits of medicines and their associated records and in addition to this pharmacy audits are also competed upon request from the home. Care Homes for Adults (18-65 years) Page 19 of 30 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. Complaints are listened to and people are protected from abuse. Evidence: There is a complaints procedure in place and it is included in the Statement of Purpose. Complaints are recorded and acted on. There is a copy of the complaints procedure on the notice board in the home. One complaint has been made since the last inspection, the home followed their own procedure and took appropriate action to resolve the issue. People who use the service stated they would be able to tell their key worker or the registered manager if they had a problem and that it would be fixed. The opinions of people who use the service are actively sought. Staff have attended safeguarding adults training and were observed treating people with respect. Monies for people who use the service are held separately, securely and are receipted and recorded. Care Homes for Adults (18-65 years) Page 20 of 30 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 safe and comfortable surroundings. Evidence: On the day we visited the home we met with people in some of the communal areas of the home and can comfirm that it was was neat, clean and free from offensive odours. There is a comfortable sitting room domestic in decor and furnishings. The people who live here choose the colour schemes for rooms as they are redecorated and are choosing the settees for the lounge. People who use the service are free to come and go as they wish within a risk assessed framework and are offered a key to their room if they wish. The laundry is sited away from areas of food preparation and has facilities suitable to this client group. There is not a lift therefore a person assessed as not being able to manage the stairs would not be admitted to the home. The statement of purpose is clear on the facilities. The homes completed AQAA states that General decor of the home has been much improved including monthly carpet cleaning. Staff have been delegated specific areas of responsibilities. One of the people who lives here showed us their room which has been redecorated to the colour of their choice and they also told us they had helped Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: choose the colour for the shower room and lounge which have also been redecorated. Care Homes for Adults (18-65 years) Page 22 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are robust recruitment procedures in place and peoples needs are met by a competent and well trained staff team. Evidence: On the day we visited the home the manager and staff were seen to communicating with the people who live there in a relaxed and informal manner. They were able to explain in detail peoples needs to us and appeared to know the people who live here well. People were seen approaching staff throughout the day and came to the office to speak with the manager about a range of issues on several occasions. Seven completed surveys were returned to us from staff all of whom said that the ways they share information with other carers and the manager about the people they support, always works well. They also said that they always or usually feel they have enough support, experience and knowledge to meet the different needs of the people who live at the home. Under What does the service do well? the 2 care managers who completed surveys were both positive one of them told us, Very good manager and staff, one to one interaction is excellent, always approachable, homely caring atmosphere. The homes completed AQAA states Training matrix covers all mandatory training as well as some Care Homes for Adults (18-65 years) Page 23 of 30 Evidence: specialised training tailored to the needs of some of the service users who reside within the home. Introduction of appraisals ensures that staff receive necessary support. The introduction of appraisals ensures that staff receive necessary support There is a training program in place which was seen and which staff confirmed on the surveys as helping them to understand and meet the individual needs of people, keeps them up to date with new ways of working and gives them enough knowledge about health care and medication. The training courses planned to be provided over the next few months include, Mental health, Bi polar disorder, acquired brain injury, sexuality, diabetes, drug and alcohol awareness, stress management, risk assessments, fire marshal, positive communication, mental capacity deprivation of liberty and understanding epilepsy. These courses are provided by an external training organisations and are arranged by the manager and area manager. Training is sought so that staff are able to meet the needs of the people who live there. Mandatory training is also provided by external trainers and this is competency assessed. Each new member of staff completes and induction prior to working as part of the staff team. For the first two weeks all staff including experienced senior staff must spend their time reading policies procedures and the care plans. Following this they can then work alongside and experienced member of staff who supervises them for a period of approximately 3 months before they can work on their own. All staff complete a documented induction that covers the common induction standards and this is checked by the manager and internally audited by the area manager. These were seen and were comprehensive. New members of staff are also allocated a mentor. Of the 9 permanent staff employed 5 have obtained an NVQ in care at Level 2 or above whilst only 2 had obtained this qualification at the last inspection, and a further 2 are working to wards achieving this award. All 9 members of staff have completed an induction. There were records of staff meetings, supervision, training and appraisals available for inspection and these were up to date and complete. Three staff files were inspected and they contained all the documentation required and showed that criminal records Bureau clearance and a check against the POVA list were made prior to employment. Staff are given Job Descriptions and information about their own and others roles and responsibilities. All staff are given a Staff Handbook and a copy of GSCC Code of Practice. Recruitment policies and procedures are in place to support this process. New CRBs are applied for every 3 years for staff. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Two staff were spoken to both confirmed that there was good training and support. They spoke confidently of the care and support offered to individuals and the ethos of the home which promotes recovery and independence. Staff were observed interacting with people in a respectful and meaningful manner. All people were asked for permission before rooms were entered. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well and in the best interest of the people who live here. Peoples health safety and well fare is protected and promoted. Evidence: Since the last inspection the home has employed a manager who has become registered. The registered manager has a National Vocational Qualification (NVQ) Registered Managers Award Level 4 and has relevant experience in running a care home including a diverse knowledge of mental health. The Manager is currently working to wards gaining an Open university Degree. The Deputy Manager has achieved an NVQ at Level 4 in and a BETC diploma in health and social care. The home has monthly internal audits which are completed by the area manager. The last one to be completed was on the 18th June and recent audits have looked at finances, staff induction and medication. We looked at the reports and actions relating to monthly unannounced visits made to the home and can confirm that they are comprehensive and relevant. The visit made on the 27th May 2009 looked at complaints, accidents and incident reports, notifications, near misses, all aspects of Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: staffing including the rota, training and staff files, the service user guide, the statement of Purpose, funding contracts, medication records, care plans, risk assessments, health and safety, maintenance records, COSHH cupboard, service users money, petty cash the person who completed the audit also spoke with people who live here. There were some shortfalls identified such as 2 people had not signed to say they had read the updates in a care plan and actions were specified along with dates for completion. The home seeks the views of the people who live there on a regular basis. Meetings are held for the residents and minutes are taken. People have one to one sessions with their key workers, have regular reviews, the manager has an open door policy so that people can approach them directly at any time, surveys are completed and the results made available to the people who live here. Peoples progress to achieving their long term goals specified in their care plans and life plans is recorded. The home AQAA states that the following equipment has been serviced within the last 12 months Portable electrical equipment, Fire detection and alarm, Fire fighting equipment, Emergency lighting, Heating system and Gas appliances. It also states that the homes policies and procedures were all reviewed in August 2008. All the records seen were up to date and accurate. People have access to their records and decided as a group to work with staff to produce life plans this is recorded in a minuted resident meeting. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 29 of 30 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 30 of 30 - 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!