Care Home: Oxberry Avenue, 25

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well All of the residents are up to date with their person centred planning reviews, records looked at were relevant and up to date. The residents files were up to date and in specific order that made it easy to access relevant information. We spent time with five residents who were all positive about their home, the expert by experience communicated with one of the residents who signed to say she is happy living at Oxberry Avenue. The environment is comfortable and homely for all of the residents, we had a full tour of the home and also looked at all residents bedrooms all of which had their personal photographs, pictures and each bedroom was comfortable. We looked at the weekly menu and discussed with the acting manager and a member of staff. The menus are set on a two weekly basis at the residents meeting on a Friday. We saw a lot of fresh fruit and vegetables at the home. What has improved since the last inspection? We looked at the safe storage of food and all food was seen to be stored appropriately with the relevant labels to show the use by date and when the food had been opened. We were told by the acting manager that all relatives had been given a copy of the organisations complaint procedure. Surveys returned to the CQC stated that residents and their families were aware of how to make a complaint. The complaint procedure was on the notice board in the dining room. We spent time discussing supervision with the acting manager who told us that all staff receive structured supervision every two months. We looked at supervision records that show staff are now receiving structured supervision. Surveys received from staff sent to the CQC stated that they feel supported and do receive regular supervision from the manager. We looked at all of the health and safety records at the home and they were all well recorded and up to date. The fire extinguishers had been checked September 2009. What the care home could do better: We looked at the original PCP information that links into the PCP reviews. The photographs and other material was old and needed to be updated to reflect where the resident was now in life. We were told by the acting manager that they had a lot of information for each resident that would be used with them to update their PCP plan. We spent time looking at the training programme for all staff working at the home including bank staff that work at Oxberry Avenue on a regular basis. Some staff have not attended mandatory refresher training, specifically first aid and food hygiene. We were told by the acting manager that all staff have been booked on the relevant training. We checked the water temperature in residents bedrooms as there has been problems in the past with hot water temperatures. Two of the residents hot water supply was running cooler than required, we requested that the hot water thermostats be checked. We were told by the acting manager that she would report this straight away to maintenance. Key inspection report Care homes for adults (18-65 years) Name: Address: Oxberry Avenue, 25 Oxberry Avenue 25 Oxberry Avenue Fulham London SW6 5SP     The quality rating for this care home is:   two star good 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: Jackie Derbyshire     Date: 2 1 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 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 28 Information about the care home Name of care home: Address: Oxberry Avenue, 25 Oxberry Avenue 25 Oxberry Avenue Fulham London SW6 5SP 02077362427 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: info@yarrowhousing.org.uk Yarrow Housing care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Oxberry Avenue is a registered care home providing accommodation and personal care for 5 people with a learning disability. The Threshold Housing Association owns the property and the care is provided by Yarrow Housing Limited, a voluntary organisation. The home opened in 1987 and is situated in a quiet residential street in Fulham, close to shops and public transport. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 28 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Throughout this report the word we will be used as meaning the Care Quality Commission CQC. This unannounced inspection took place on Wednesday 21st October 2009, we spent 5.00 hours visiting the home. We were assisted by an expert by experience who is a person because of their shared experience of using services, visits with an inspector to help them get a picture of what it is like to live there. We spent time talking to all of the five residents. The residents living at Oxberry Avenue are none verbal and communicate in different ways. We spent time talking to the acting manager and a member of staff. We checked the care records of two residents and all medication and finance records were looked at. We had a full tour of the home and looked at all of the residents bedrooms. Oxberry Avenue was in a good state of repair and residents told us they are happy with the decor in the home. We received four Care Homes for Adults (18-65 years) Page 5 of 28 residents surveys that had been completed with the assistance of a family member. We also received eight staff surveys, comments from the surveys will be included throughout this report. 4 requirements set in May 2008 have all been fully met, 2 new requirements have been set from this inspection. We will make reference to the AQAA Annual Quality Assurance Assessment throughout this report. The weekly fee for the home is £1107. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: We looked at the original PCP information that links into the PCP reviews. The photographs and other material was old and needed to be updated to reflect where the resident was now in life. We were told by the acting manager that they had a lot of information for each resident that would be used with them to update their PCP plan. We spent time looking at the training programme for all staff working at the home including bank staff that work at Oxberry Avenue on a regular basis. Some staff have not attended mandatory refresher training, specifically first aid and food hygiene. We were told by the acting manager that all staff have been booked on the relevant training. We checked the water temperature in residents bedrooms as there has been problems in the past with hot water temperatures. Two of the residents hot water supply was Care Homes for Adults (18-65 years) Page 7 of 28 running cooler than required, we requested that the hot water thermostats be checked. We were told by the acting manager that she would report this straight away to maintenance. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 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. Standards 1, 2 and 5. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a statement of purpose that is specific to the individual home and the resident group they care for. Evidence: Comments from residents relatives. The home supports my daughter very well. The home caters for my daughters needs, I am pleased and happy that my daughter will continue living there. One resident used sign language to the expert by experience to say they are happy living at the home. We looked at the statement of purpose and service user guide, the documents have Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: been updated and include all information on the aims and objectives and philosophy of care provide at Oxberry Avenue. We looked at records in two residents files that show that their needs are assessed and reviewed regularly. All of the people living at the home have been there for a long time. We discussed the changing needs of the residents as one resident has a broken ankle. We were told by the acting manager that this occurred because of an epileptic episode and we were given all risk assessment records and the new care plan to support the individual whilst her ankle is in plaster. We looked at two residents agreements, the records were up to date and are reviewed annually. Both records were signed and dated by the residents relatives as well as the residents as the residents are not able to understand what they have agreed to. We were told that one resident does not have any family and that an advocate from MIND was visiting on the home on the 22nd October to look at supporting the resident. We discussed capacity assessments with the acting manager who told us that she would liaise with the head office and complete the record for each person living at Oxberry Avenue. All of the residents have lived at the home for a long time and all original contracts are kept at the Yarrow head office. Care Homes for Adults (18-65 years) Page 11 of 28 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. Standards 6, 7 and 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service will know and record the preferred communication style of the individual, and will use proven methods that enable the person to lead a full life that promotes independence and choice. Staff understand the importance of all residents being supported to take control of their own lives. Evidence: We looked at two residents files, both included person centred plans with lots of reviewed records. The PCP plans are informative and relevant to each individuals needs. The PCP plans looked at were the original PCP plans with old photographs and information that do not reflect the aims and aspirations of the residents as stated in the reviewed PCP plans. We were told by the acting manager that they have a lot of recent photographs and information for all five residents and that the staff would work with each resident in putting the PCP plan up to date. The PCP plans do reflect the individuals health and social care needs and how the staff are meeting each persons Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: needs.The PCP were in pictorial formats and also on DVD, showing how the individuals are involved in their person centred plans. staff were seen to promote the residents independence assisting them when requested and not telling the residents what to do. We looked at the risk assessments for two residents, all of the risk areas identified in the care plan had an action plan in place to inform staff of the risk and how to eliminate or minimise the risk. the risk assessments did work in conjunction with the care plans. Care Homes for Adults (18-65 years) Page 13 of 28 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. St 12,13,15,16,17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are involved in meaningful daytime activities of their own choice and according to their relevant interests, diverse needs and capabilities. Evidence: Comments from relatives and staff. All of the residents do a lot of activities The staff promote support for residents to take part in activities in the community. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: One of the residents used sign language to communicate to the expert by experience that they liked the food. We looked at the person centred plans of two residents the records contained a lot of information about each residents likes and dislikes, hobbies and leisure interests. We also looked at the daily records for all five residents that had information about what activities they had done daily that included going to the local community centre called the Gate, attending dancing at a disco, art classes, eating out and massage classes. We discussed religious beliefs with the acting manager and were told that one of the residents attends a Sunday service in the community. We discussed a comment made in a survey with the acting manager returned to the CQC stating that residents should be offered more activities in the home. we were told that all residents are encouraged to participate in activities in the home but rarely want to. We looked at the activity programmes for all five residents that show they all do attend activities in the local community.There are two activity plans for the residents one that is term time when classes and centres are open the other when centres and classes are closed. The expert by experience spent time looking at the activity plans and discussing the activity programme with staff. On the day of this inspection all of the residents were going out to different community activities including art and a disco being held at the Gate called Funky Night. We looked at the contact information for all of the residents. One resident goes home every weekend, three other residents have family visit them at the home. In discussion with the acting manager we were told that residents are always encouraged to continue relationships with their family and friends. We were told by the acting manager that the big shopping is done weekly and staff and residents will shop more regularly for perishable items. We saw a lot of fresh food at the home. We were told by staff that residents enjoy the food. One of the residents is on a specilaised diet we looked at information that was written in the residents file and also a record was kept in the kitchen area for staff to refer to. The menu was seen to be varied and nutritious, residents and staff choose the menus at their two weekly house meeting. Care Homes for Adults (18-65 years) Page 15 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 18, 19 and 20. People using the 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 receive personal and health care support using person centred approach with support provided based upon the rights and dignity, equality, fairness, autonomy and respect. Personal health care needs including specialist health; nursing requirements are clearly recorded in each person centred plan. Evidence: Comments from residents relatives. The staff are very good at looking after my daughter. We looked at two residents files, both included information on what level of support they require. On the day of this site visit staff were seen to be encouraging the residents. Personal and health care support is provided in a person centred way. All five residents require full support from staff in all areas of personal care and health care. The information was clear in each PCP plan looked at. We saw information on how the home had liaised with other professionals including speech and language Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: therapists, psychologists, psychiatrists and social workers. The health care plans had all of the information in date showing the last annual health check, dental check,hearing check and other health checks. We were told by the acting manager that all residents are up to date with health checks. One resident whose mobility has deteriorated because of a broken ankle did require more staff in put, we were told by the acting manager that the resident is now able to mobilise quite well with the cast. We saw a lot of up to date information on the resident informing how staff were supporting her. The information in the residents support plans is informative and up to date. All of the residents living at Oxberry Avenue are registered with a local GP. We looked at the medication records for all residents. We looked at the storage of medication that is in the kitchen/dining room. We looked at all medication MAR sheets that were recorded appropriately by all staff. We looked at the staff training records and all staff has attended medication training. Care Homes for Adults (18-65 years) Page 17 of 28 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. Standards 22 and 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaints procedure that is clearly written and easy to understand. It is available in different formats to help anyone staying at or involved with the service to complain or make suggestions for improvement. Evidence: Comments from residents relatives. I will speak to staff if I am not happy about the care given to my daughter. I will speak to the manager if I have a complaint. We looked at the complaints file that had no complaints logged. We were told by the acting manager that all staff is aware of what to do if a complaint or issue was raised. The complaints procedure was on the residents notice board in the kitchen/dinning room. The complaints procedure is available in different formats including pictorial. We spent time discussing the safeguarding policy and procedure with the acting manager. We asked the acting manager if there had been any safeguarding incidents at the home. We were told that the acting manager had initiated a safeguarding investigation because of the care one of the residents had received when they were Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: admitted into a local hospital. We were told that the CQC will be kept up dated and that the acting manager was waiting for the social services to initiate a meeting. The acting manager has put in place the organisations safeguarding policy and procedure and the local authority procedure for staff to follow if an incident occurs. We looked at the training records of all staff and all staff except a new member of staff has attended safeguarding training, we were told by the acting manager that the member of staff is booked to do the training as part of the induction programme. Care Homes for Adults (18-65 years) Page 19 of 28 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. Standards 24, 25, 28 and 29. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of home is reflected in the statement of purpose, it is comfortable and homely. Residents are encouraged to personalize their own bedrooms. All of the homes fixtures and fittings meet the needs of individuals and can be changed if their needs change. The home is not accessible for people with a physical disability as there is no lift to access upper level floors. Evidence: Comments from residents relatives and staff. The home is always clean and tidy. The manager makes sure the home looks nice. The home meets the needs of all of our service users we make sure it is clean and tidy. We had a full tour of the home and all areas were seen. We looked at all of the Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: communal areas that were comfortable and well decorated. Oxberry Avenue is comfortable and homely for all of the residents. we spent time looking at all of the residents bedrooms, all of which had their personal photographs, pictures and each bedroom was comfortable. The expert by experience spent time looking at the residents bedrooms and told us that they were nice. The home was clean, tidy warm and bright on the day of this site visit.The expert by experience spent time having a tour of the home with a member of staff, one resident signed to say she was happy with her bedroom. The front door of the home has a security number lock on it that requires a numbered password in putting before the door can be opened. We spent time discussing this with the acting manager as this could be deemed as depriving people of their liberty. We were told that one of the residents will answer the front door to anyone and has also gone out of the door. We were shown a risk assessment for the resident. We discussed that all residents should have a capacity assessment and also a risk assessment should be completed for all residents relating to the coded door lock. The acting manager told us that the coded number is written by the side of the door and any new staff are shown the number. The home was clean and tidy on the day of this unannounced site visit. Care Homes for Adults (18-65 years) Page 21 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 32, 33, 34, 35 and 36. People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Not all staff are up to date with the organisations training programme. Evidence: Comments from residents relatives and staff. The staff support my daughter very well. There is a good support for staff with a well motivated team. We have a good team that promote choice and independence. We looked at the staff rota for October 2009, there was adequate staffing on each shift to meet the care needs of the five residents. We spent time discussing staffing with the acting manager and were told that there is a deputy manager vacancy in Oxberry avenue as well as two residential care workers vacancies. we were told that the vacancies are covered by two bank staff that have worked at the home for a long time and staff working more hours if requested. We looked at the CRB information on Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: all staff and bank staff currently working at Oxberry Avenue, all disclosures were up to date. We looked at the training records of all staff that show that not all staff is up to date with training, specifically first aid and food hygiene refresher training. There is one member of staff currently going through the induction programme, we saw the training plan for this member of staff that shows they will attend all relevant training. We spent time at the organisations head office in December 2008 looking at staff recruitment records, all of the relevant checks were seen to be in place. All staff recruitment records are kept by the human resources team in safe storage at the head office. The acting manager has NVQ level 2 and 3 and a Diploma in Health and Social Care. We spent time discussing the continuous training of all staff with the acting manager who told us that she is putting a lot of effort into making sure all staff is bought up to date with training. There are currently three members of staff with an NVQ and two staff undertaking a higher level NVQ. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Standards 37, 39 and 42. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The acting manager has a clear understanding of the key principles and focus of the service, based on the organisational values and priorities. Evidence: We spent time throughout this site visit discussing all areas of running the home, the acting manager is very positive about the care provided by the staff team and discussed the person centred approach that all staff follow making sure all five residents independence is promoted. All staff spoken with were very positive about the acting manager, residents were all seen to be very positive about the support given to them by all staff. We spent time discussing the organisations quality assurance procedure with the acting manager. We looked at questionnaires that Had been completed by residents, advocates and other professionals that work with the residents. We saw a lot of positive comments about the care provided at Oxberry Avenue. The organisation Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: produces an annual survey of all of the homes including Oxberry Avenue. We discussed Regulation 26 visits by the registered provider, we were told by the acting manager that the home is visited monthly by senior management and a record of the visit is sent to the acting manager. We were given information in the AQAA returned that shows that all health and safety checks are completed on a regular basis. We looked at records for checks for the fire alarm system, tests and evacuation records, safe food storage, water temperatures and gas and electric maintenance, all were seen to be well recorded and up to date. All staff training records were looked at and all staff has completed first aid training, however there are staff that are required to attend refresher first aid training as their certificates have run out. The hot water temperatures in two of the residents bedrooms was below 30 degrees and the thermostats need resetting. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 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 6 15 The original PCP file to be up 26/01/2010 dated with recent photographs and information of the residents. To show how the residents life is now and how they are meeting their aims and aspirations. 2 42 23 The hot water temperature was set to low in residents bedrooms. For the hot water temperature to be set at the correct temperature for residents to have hot water in their bedrooms. 02/11/2009 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 27 of 28 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 28 of 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!