Care Home: Overcliff

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well Residents are given good information about Overcliff to help them make their minds up. Then they are helped to move in gradually if that is what they want. Then they are involved in drawing up their own care plans. Residents are consulted about many things in the home, including meals and outings, and who their keyworker will be. People are encouraged to think about their goals and what they would like to achieve. The staff are good at helping residents to feel more confident, so that they can be more independent when this is safe. Staff are very well qualified with National Vocational Qualifications as well as other training specially to help their residents. There is an open environment at Overcliff, where residents and staff comfortably discuss issues together. Residents` meetings are held every month, when peoples` ideas and choices are recorded. Record keeping was very good, and checks were made regularly to see that everything is working properly. One relative said, `I have every confidence in the Manager and staff`, and a staff member said, `our residents are happy and our paperwork is always perfect and it is a happy home.` What has improved since the last inspection? Two residents have undertaken a programme with support from staff and `links to work`, and one has started in paid employment which they were pleased to tell us about. Improved lighting has been provided, inside the house and externally. The hall and stairs have been recarpeted, which brightens up the house. Staff training has continued, with all staff undergoing First Aid, medication and epilepsy training. Staff shifts were altered to ensure that a driver was available at all times, to provide residents with transport to their chosen activities. The home owners had started to make their monthly visits and provide support to the Manager. What the care home could do better: Overcliff is seen to be well run, involving residents where possible. However, the Directors of the company had moved staff between different services, without consultation with residents. This had resulted in a newly recruited member of staff being at Overcliff without the proper checks having been made, so residents were potentially at risk of harm. Further, they had not been consulted, and were missing their regular carer who had been deployed elsewhere. The staff were seen to be committed and skilled. However, there are only two every evening and weekend, which restricts choice of activities for those residents who need support. A bigger staff group would allow more flexibility. The house still needed some maintenance work and refurbishment. CARE HOME ADULTS 18-65 Overcliff 329 Babbacombe Road Torquay Devon TQ1 3TB Lead Inspector Stella Lindsay Key Inspection (unannounced) 21st February 2008 11:15 Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Overcliff Address 329 Babbacombe Road Torquay Devon TQ1 3TB 01803 292276 01803 200796 Allison@overcliff.wanadoo.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rotel Ltd Mr Paul Whitehead Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2006 Brief Description of the Service: Overcliff is a large house set on a hillside on the Babbacombe road in Torquay. Care is provided for up to twelve residents with Learning Disabilities. Access at the front of the Home is up several flights of steps with some railings to a sun terrace. Access at the back of the Home is through a car parking area and garden, down steps through a patio area. There is a self-contained flat below the home, which is counted as one of the bedrooms. The ground floor of the main house has a dining room, kitchen and lounge with three single bedrooms with wash hand basins, an office, and two sleeping-in rooms for staff, a bathroom and shower room with toilet. Stairs lead to the first floor that comprises of six further single bedrooms with wash hand basins, a double bedroom, a laundry, two bathrooms and a separate toilet. The weekly fee at Overcliff ranges from £350 - £600. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection was unannounced and took place over two days in February 2008. It involved a tour of the premises, and examination of care records, staff files, health and safety records and the medication system. We met with the Registered Manager of the home, seven residents, two staff on duty, and received comments from other staff, relatives and professional visitors to the home. Before the inspection the Registered Manager had provided us with information about how the home is run. What the service does well: What has improved since the last inspection? Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 6 Two residents have undertaken a programme with support from staff and ‘links to work’, and one has started in paid employment which they were pleased to tell us about. Improved lighting has been provided, inside the house and externally. The hall and stairs have been recarpeted, which brightens up the house. Staff training has continued, with all staff undergoing First Aid, medication and epilepsy training. Staff shifts were altered to ensure that a driver was available at all times, to provide residents with transport to their chosen activities. The home owners had started to make their monthly visits and provide support to the Manager. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are given enough information to choose whether to live at Overcliff, and their needs are assessed thoroughly before they move in. They are helped to move into the home however suits them best. EVIDENCE: The information about Overcliff that is given to residents (the Service User Guide) and to other people (the Statement of Purpose) is up-to-date and written in easy to read language. The Residents’ Handbook is left out in the lounge for people to look at. The Manager and staff have been sensitive to the individual needs of people moving in to Overcliff. One person had come to stay for one night per week for a while, then two nights per week, and gradually built up and had decided their own date for finally moving in. The Health Care professional supporting another person who had moved in recently said that their need for support combined with personal freedom had been well managed, and they had settled well over several months. Records were kept to show that health professionals had assessed peoples’ needs before the decision was made about them moving to Overcliff, to help make sure it was the right place. Information had also been given by staff who knew them before in a home or Community Resource Centre, to help staff Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 9 at Overcliff know what they liked or needed, to help them get ready for the new person. The company had provided contracts for the residents, to be clear about what the service provided, and how the arrangement could be ended. This was seen on file, signed by a resident who had lived at Overcliff for a long time. The Manager said that the new residents’ contracts were still at the company’s head office. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are helped to plan their lives, with individual care plans reflecting resident’s goals and aspirations. EVIDENCE: We examined three residents’ care plans. They had been written after observation of and discussion with each resident, and were signed by the resident. They included the person’s personal requirements with regard to contact with their friends and family, personal care including ‘looking good’, dressing and laundry, food and cooking. Any involvement in day services were discussed, as well as spare time activities. Medication, and managing money were detailed, with consent recorded where management was passed to the home.’ My aims and goals for the future’ had been written, and were reviewed by the Manager every month. They were seen to be practical and realistic aims, such as ‘to be a better cook’. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 11 Residents knew who their keyworker was. The staff are given time to spend on ‘keyworker chats’, which are recorded and acted upon. A visiting professional had been most impressed that the team had helped their client’s confidence to improve so much that they had become able to use public transport alone, and that this was a remarkable achievement. The Financial Assessment and Benefit (FAB) team were being involved to assess and advise with regards to the financial arrangements of a recently admitted person, and they were having support from their keyworker. Another resident had a monthly budget plan, to help them manage their own money. Risk assessments were written with advice for staff on how to minimise risk. One person who was in danger of putting themselves in danger had a record kept every morning of their clothing, in case they went missing. Another person had risk assessments drawn up with regard to travelling because of their medical condition. One person wanted to go to a regular social event in the evenings, and there was no staff available to accompany them. Risk assessment was carried out, judging them to be safe to travel alone, using public transport. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home has a strong commitment to supporting residents to find and achieve the activities of their choice. For those who need support with activities, choice is limited by availability of staff. EVIDENCE: When we arrived at the start of this inspection, there were three residents at home. One works in the early hours and had already finished for the day. Another is retired, and prefers to spend most of the day at home. The third was upset by the absence of their favourite Support Worker, and did not feel well enough to go to their usual day activity. Another resident had been supported to start a paid job recently, and was pleased to tell us about it (when they came in for tea). Another had a meeting with Opportunity Plus during the course of this inspection and was hoping to be able to work with animals, and pleased with the help they were getting. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 13 Other residents had all been out at Community Resource Centres, or Rotel’s Day Opportunity centre, Focus 2000. It was not possible to promote activities for all on an individual basis, because of the staffing level at Overcliff. Transport is provided where necessary to the day opportunities that are available. The Manager said that he intends to encourage more residents to get involved with ‘links to work’, thus improving their independence and self-image. There was information on a notice board in the hall about activities that were planned, or available in the neighbourhood. Four residents were able to go out independently, to go shopping or to social events of their choice. The others who need support to go out do not always have a free choice. One resident has a ‘choice’ day every week, when they can choose what to do with their keyworker. At the monthly meeting residents make suggestions of where to go on the monthly trips out, and come to a consensus. Recent choices had been to go bowling, to Cockington, and to the National Marine Aquarium at Plymouth. On Sundays there are a group of five or six residents who are supported to go to a pub, and take turns to choose which to go to. Residents decide menus during their meetings, and they are also involved in some shopping, preparation and clearing away. Every Saturday a different resident chooses a special meal, and residents often eat out, go to the pub or have take away food. Cooking lessons were being offered every Wednesday. Staff were meeting special nutritional needs in imaginative ways, and looking forward to further training in this area. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care support and medication practices provided enable residents to develop independence. EVIDENCE: Records are kept of all health related meetings and appointments, and inform the residents risk assessment and care plan. The staff showed that they were dealing with a range of health related issues sensitively and confidentially. All residents are registered with local GP’s and receive regular health checks including dentist, hearing and sight examinations. A resident who had just moved in had been able to keep their own GP. There are medication policies and procedures to guide the staff in safe administration of medication. The audit procedure has been found to be effective. All staff have been retrained recently in the safe administration, and the system had been audited by the pharmacist on 30/01/08. Residents came individually to the office to receive their medication which is given and signed for at the time, to reduce any risk of mistakes. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff listen to residents’ concerns and act on them, and residents are protected from abuse. EVIDENCE: The procedure for making a complaint was displayed on the wall near the entrance, also produced with symbols to help people understand. A record of complaints and compliments was kept, and we saw that a full response had been given to a concerned relative earlier in the year. Relatives returning surveys said they knew how to make a complaint, and always found the staff and manager responsive. Staff interviewed were aware of adult protection procedures, the complaints procedure and the whistle blowing procedure. Residents have varied opportunities to make their views known, including one-to-one time with their keyworker, as well as regular residents’ meetings. The home’s policy on the Protection of Vulnerable Adults was clearly written, with good guidance on how to act in the event of an allegation being made. Staff had received training, and the Manager was seeking training for the staff on the Mental Capacity Act. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overcliff provides the residents with a roomy and comfortable home. EVIDENCE: Overcliff is a large detached house in central Torquay. The garden is steeply sloping. There is a seating area at the front. Several maintenance issues were identified during the visit. The rear of the house was the part most mentioned by residents. The parking area was muddy, and residents did not like getting their shoes dirty, or treading mud into the vehicles and the house. The dustbins are frequently disturbed at night, and rubbish had been spread around the back yard. Ways of improving these should be discussed with people in the home, and implemented. The dining room is attractive, with a turret window overlooking the entrance and the Babbacombe Road. The lounge had comfortable furniture. The light fittings did not match, which gave an odd appearance. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 17 The hall and stair carpet had recently been renewed, and people were very pleased with the improvement it made to the appearance of the whole house. Bedroom windows had restrictors above ground floor, but the window on the landing was seen to open wide, which should be assessed for potential risk to residents, and restricted if necessary. Bedrooms were seen to be individual, and residents had locks and keys to their door to suit their capabilities. All had a safe in their room, for the safe keeping of any valuables. Two people shared by choice, all others had a room of their own. One resident occupied a flat on the lower ground floor. Their shower room was badly in need of refurbishment. Their arrangement with a put-you-up bed behind a curtain was not to their taste. One resident had lino on their bedroom floor, which was not appropriate, and should be replaced with carpet. The Manager had submitted monthly reports to Rotel directors, bringing their attention to maintenance requirements of the property. People in the home considered that they had been getting good response recently. There were plans to refurbish the kitchen, currently being priced. The laundry was in good order, though very warm. There were two domestic washing machines. Residents are involved in doing their own laundry, if they wish, and this is recorded in their care plan. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although staff were competent, enthusiastic and dedicated, there were not always enough staff to enable residents engage safely in their preferred activities. The recruitment procedure had not been adhered to, placing residents at potential risk of harm, and disrupting their arrangements. EVIDENCE: Staff were seen to communicate well with the residents, had positive attitudes to them and promoted their self-esteem. Of the four regular Support Workers, two had achieved NVQ3 in care, and one was working towards it. The fourth had enrolled to work to NVQ2 and was due to start during this inspection. This shows the high level of knowledge and competence in the team. Overcliff had just become fully occupied, with 12 long-term residents. There were four residents who were able to come and go independently, and eight needing support for activities. This meant it was no longer sufficient to have only two staff during every evening and weekend. There was a small staff group of four Support Workers, working together in pairs. One pair came on duty at 9am on Friday morning and stayed till 9am on Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 19 the following Monday while the other pair had their days off. This arrangement may have benefits for residents in the continuity of care, and ability to plan activities for the weekend knowing the person will be there to carry out plans. However, it is a long time for staff to be on duty. They take turns to have time off in their rooms during the day, and are on sleeping-in duty by night. Staff told us that they do not become unduly tired while on duty. Some people found it was a long time to be away from home. During office hours the Manager is also on duty, and residents are often out at work or other regular activities, and this level of staffing was seen to be sufficient. During the evenings and weekends it is not enough to provide support to residents engaging in activities of their choice within and outside the home. The appointment of another staff member to would enable more flexibility in the provision of activities, could take a turn in sleeping-in to allow a colleague home, and could provide cover in case of absence of one of the other shift workers. The Registered manager had not recruited staff, as the addition made to his team was already a Rotel employee. The home has a good written policy and procedure on recruitment. Residents have been involved informally during the recruitment of staff, and had the opportunity to meet and talk with them, and give their views to staff. The Manager was keen to develop this, and to invite candidates to a question and answer session at a time when residents would be at home. In spite of this knowledge of good practice, the Directors had compromised the safety and wellbeing of the residents. Having appointed a Support Worker for another service within the company, they placed them at Overcliff for their induction training, removing one of the regular carers to that other service in the meantime. This was bad practice on three counts. One, that the Criminal Record Bureau check had not been cleared, so residents were potentially put at risk of harm, as the other worker on duty was unable to supervise while asleep by night. Two, the residents would not be able to have support to go out, as the new worker could neither take people out alone nor stay behind with the others, and the residents were missing out on their regular carer. Three, a new carer had been introduced into their home without their having been consulted or involved in any way. An Immediate Requirement was made that staff may not work without supervision (including overnight) until all checks have been found to be satisfactory. Other arrangements were put in place before the new worker’s next shift. Epilepsy training was provided to ensure that staff could meet the needs of a new resident. Staff had received training in the Protection of Vulnerable Adults. The Manager was seeking suitable training with respect to the Mental Capacity Act. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 20 Staff had requested training in how to support someone who has a history of self-harming. They also were keen to be trained in counselling, and two were looking forward to a forthcoming course in diet and nutrition. Although staff do not move residents bodily, they should have moving and handling training for when moving objects, to promote good back care. Staff’s training needs and achievements are checked and discussed every month as part of the individual supervision sessions, with records kept in the Quality file. Staff confirmed that the Manager meets with each of them monthly to discuss any issues. One said, ‘I feel since being at Overcliff I have learnt so much from my colleagues and my Manager about what it means to be a good carer.’ Performance is assessed and recognised at annual appraisals, with records kept on personnel files. The Manager said that he was planning to record staff training achievements and requirements on a chart for easy reference. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run service, with active consultation in many aspects of life in the home. Safety and quality audits are carried out thoroughly, to maintain high standards. EVIDENCE: The Registered Manager is Mr Paul Whitehead. He had received his certificates for Nation Vocational Qualification level 4 in care, and the Registered Managers’ Award. He had also attended training including supervisory skills and other courses to maintain his skills and expertise. Staff and residents spoke highly of the registered manager. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 22 Monthly visits had been made to Overcliff by one of the Directors, who had provided support and supervision to the Manager. However, staff expressed the view in surveys returned to us, that the Directors do not often visit, and are slow to respond to requests. The Providers should forward a copy of the report of their monthly visit to the home to the Commission for Social Care Inspection, to keep the Inspector informed about developments in the home. Overcliff is owned by Rotel Ltd, who own two other care homes in the area, a day care facility and a Supported Living scheme. Mrs Iona Fusco is registered as Responsible Individual for the company. One of the other Directors had been making the monthly visits in accordance with regulation 26 to oversee the running of the home, and was also appointee to some residents to manage their finances. It was reported by people at Overcliff that poor communication between different parts of the service sometimes caused difficulties. During this inspection it was seen that a misunderstanding occurred which meant that staff had gone to a training meeting that turned out to have been cancelled, and meanwhile this had lead to the minibus being unavailable for residents’ transport, while there was no petty cash available for taxis. The opinion given in the home was that a well-timed phone call could often avoid timeconsuming mix-ups. However, given the enthusiasm and skills of Mr Whitehead and his team, it is evident that the home is run in the best interests of the residents, and they are supported to lead their lives as they choose, with reasonable safety maintained. Residents’ Meetings had been held every month, with records kept, which showed that all residents had opportunities to express views and ideas. Monthly staff meetings had also been held in the home, showing that staff were kept up to date with new procedures, and with any new issues relating to residents. A Quality file was kept, with views regularly gathered from residents and their relatives and representatives, outside agencies and staff, and suggestions acted upon and recorded. It would be good practice to produce an annual development plan, based on views given, and reflecting aims and outcomes for residents. The Manager had records of audits consistently maintained to show his careful oversight of systems in the home. These included weekly checks of the residents’ private cash, and of the medication; monthly checks of their receipts and of care plans, and annual risk assessments. The office at Overcliff should be equipped with a fax machine to enable the home to send and receive information efficiently. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 23 We examined the fire safety records. Six monthly professional fire training had been provided. Fire drills had been carried out at least monthly, including all residents. The fire precaution system had been professionally serviced on 19/07/07, and an engineer had checked the Dorgards on 29/01/08. All staff were qualified first aiders. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 2 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 2 Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement The registered person shall not employ a person to work at the care home unless…he has obtained in respect of that person the information and documents specified in paragraphs 1 – 9 of Schedule 2, which include an enhanced criminal record certificate and two written references. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA24 YA33 Good Practice Recommendations The maintenance issues identified in this report should be acted on swiftly. More staff should be employed, to give flexibility in hours worked, and to enable more individual activities for residents who need support. The Directors should keep to their own policy and DS0000018406.V359707.R01.S.doc Version 5.2 Page 26 3. Overcliff YA34 procedure for recruitment of staff, to enable residents to have some choice in who provides care in their own home, and to protect them from potential harm. 4. 5. 6. 7. YA35 YA35 YA39 YA43 Moving and handling training should be provided, to promote good back care. All staff handling food should have Food hygiene certificates. The Quality Assurance system should result in an annual development plan and feedback to participants. The registered provider should ensure staff concerns about consultation and more Director involvement and support are investigated and action taken. A fax machine should be provided to enable the home to communicate more efficiently. The Registered Provider should send a copy of the report of their monthly visit to the CSCI. Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Overcliff DS0000018406.V359707.R01.S.doc Version 5.2 Page 28 - 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!