Care Home: Park View

What the care home does well Park View provides a very comfortable, spacious and homely environment for up to three people. The home is very well maintained and conveniently located to local amenities. People have their own bedrooms which they can personalise. People are also able to choose the decor for their own rooms and communal areas. The home ensures that placements are only offered once they are sure that the home is able to meet peoples assessed needs and aspirations. People are fully assessed and offered a range of visits before a decision is made about the suitability of an admission. The home also takes into consideration the views of people currently living at the home. People are provided with a range of information about the home and services offered. Information is produced in an accessible format for people. People are fully involved in their care planning process. Care plans contained very detailed and clear information about the individuals assessed needs, abilities and preferences. The home`s arrangements for ensuring peoples health care needs are met are very good. Care plans contained very detailed information about peoples health care needs. People are supported to manage their own medicines in line with up to date risk assessments. The home`s procedures for the management and administration of medication are good and all staff have received appropriate training. The home support people to maintain and develop independent living skills. Staff support people to plan their daily routines and to access local shops and banks. People are supported to access local leisure facilities, colleges and day centres. Routines within the home are flexible to meet the needs and wishes of the people living there. People are supported to be fully involved in all aspects of life at the home. The home provides transport at no cost to the individual. The home supports people to access annual holidays of their choice and staff support is provided. People are supported to maintain links with family and friends in line with their wishes. The home promotes healthy eating for individuals and assists them in developing menus of their choice, shopping and cooking. Vegetables are also grown in the gardens. Procedures are in place to reduce the risk of harm or abuse to people using the service. A range of policies and procedures are in place for staff and the home have ensured that staff have received appropriate training. Robust procedures are followed for staff recruitment. People using the service are issued with a copy of the home`s complaints procedure and information on adult protection. This has been produced in an accessible format for people. The home ensure that people are supported by staff who have been appropriately trained. Staffing levels at the home are flexible to meet the assessed needs and social needs of the people living there. The home follows appropriate procedures which ensure the health and safety ofpersons at the home. What has improved since the last inspection? No requirements were raised at the last inspection. What the care home could do better: This was a positive inspection and no statutory requirements were raised. We identified two `good practise` recommendations relating to displaying the home`s complaints procedure and confirming entries made on peoples` medication administration records. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Park View 1 Westfield Road Burnham-on-sea Somerset TA8 2AW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: kathy McCluskey     Date: 3 0 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Park View 1 Westfield Road Burnham-on-sea Somerset TA8 2AW 01278789888 01278795961 christine.morgan@nas.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): National Autistic Society Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 3 Park View is a detached house situated in Burnham on Sea. It is registered with the Care Quality Commission to provide a service for up to three people aged between 18 and 65 years, with a learning disability. The home specialises in providing care for people with Autistic Spectrum Disorders. The registered provider is the National Autistic Society. The home does not currently have a registered manager. The home has three single bedrooms, two toilets, family bathroom, lounge, a conservatory, a large kitchen/dining room, utility area and gardens to the rear. The home is within walking distance of local amenities. The current scale of charges is between £1385 to £1400 per week. Fees are determined on the assessed needs of each individual so fees are not fixed. People are responsible for purchasing toiletries and personal items. People retain any DLA awarded to them. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection was conducted over one day by regulation inspector Kathy McCluskey. In the absence of a registered manager, the management of the home is currently being overseen by the registered manager of a nearby sister home. This person was available throughout this inspection and all records required were made available to us. The home completed its Annual Quality Assurance Assessment (AQAA) and submitted this to the Commission within agreed timescales. The AQAA is a self assessment which focuses on how well outcomes are being met for people using the service. Extracts from the AQAA have been incorporated within this report as appropriate. Care Homes for Adults (18-65 years) Page 6 of 29 At the time of this inspection two people were using the service and we were able to meet with one of them. We were also able to speak with the staff member on duty. We examined a range of records and toured the premises. We would like to thank all those involved for their time and cooperation with the inspection process. The term we used throughout the report refers to we the Commission. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the care home does well: Park View provides a very comfortable, spacious and homely environment for up to three people. The home is very well maintained and conveniently located to local amenities. People have their own bedrooms which they can personalise. People are also able to choose the decor for their own rooms and communal areas. The home ensures that placements are only offered once they are sure that the home is able to meet peoples assessed needs and aspirations. People are fully assessed and offered a range of visits before a decision is made about the suitability of an admission. The home also takes into consideration the views of people currently living at the home. People are provided with a range of information about the home and services offered. Information is produced in an accessible format for people. People are fully involved in their care planning process. Care plans contained very detailed and clear information about the individuals assessed needs, abilities and preferences. The homes arrangements for ensuring peoples health care needs are met are very good. Care plans contained very detailed information about peoples health care needs. People are supported to manage their own medicines in line with up to date risk assessments. The homes procedures for the management and administration of medication are good and all staff have received appropriate training. The home support people to maintain and develop independent living skills. Staff support people to plan their daily routines and to access local shops and banks. People are supported to access local leisure facilities, colleges and day centres. Routines within the home are flexible to meet the needs and wishes of the people living there. People are supported to be fully involved in all aspects of life at the home. The home provides transport at no cost to the individual. The home supports people to access annual holidays of their choice and staff support is provided. People are supported to maintain links with family and friends in line with their wishes. The home promotes healthy eating for individuals and assists them in developing menus of their choice, shopping and cooking. Vegetables are also grown in the gardens. Procedures are in place to reduce the risk of harm or abuse to people using the service. A range of policies and procedures are in place for staff and the home have ensured that staff have received appropriate training. Robust procedures are followed for staff recruitment. People using the service are issued with a copy of the homes complaints procedure and information on adult protection. This has been produced in an accessible format for people. The home ensure that people are supported by staff who have been appropriately trained. Staffing levels at the home are flexible to meet the assessed needs and social needs of the people living there. The home follows appropriate procedures which ensure the health and safety of Care Homes for Adults (18-65 years) Page 8 of 29 persons at the home. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out 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 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with clear information about the service which enables them to make an informed decision about moving to the home. The homes pre-admission procedures ensure that the assessed needs and aspirations of individuals are fully considered before a placement is offered. People are given the opportunity to test drive the home and the views of people currently using the service are taken into consideration. Evidence: The home have produced a Statement of Purpose and Service User Guide which provide information about the home and services offered. These documents are produced in an appropriate accessible format for people. We were informed that there have been no new admissions to the home in the last twelve months. The homes completed AQAA told us that this is due to the fact that Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: current service users remain happy and settled in their environment. We were told that the views of people living at the home are always sought and considered before a placement is offered to any prospective service user. The AQAA told us that there has been a vacancy at the home since April last year due to concerns over suitability and compatibility of prospective service users. The home follows detailed pre-admission assessment procedures for people who are looking for a placement at the home. A member of the management team will meet with the individual and completes a transitional assessment. This covers the assessed needs, abilities and aspirations of the individual. Visits to the home are then offered so that individuals can meet staff and the people currently living at the home. We were informed that the frequency and length of the visits are determined by each individual and these can include overnight stays and visits for meals. A placement is only offered where the home are confident that they can meet the individuals assessed needs and aspirations and that people currently living at the home and staff are satisfied that the placement would be appropriate. People are offered a placement on a six month trial period and we were informed that continuous assessments take place throughout this period. The home ensures that people are provided with a contract which is produced in a format appropriate to peoples needs. This ensures that people can understand the services offered and the terms and conditions of occupancy. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from, and are fully involved in a care planning process which promotes a person centred approach to care. The home supports people to be fully involved in all aspects of life at the home. People can be confident that information about them is handled appropriately. Evidence: We examined the care plans for both people currently using the service. Care plans contained evidence that people were fully involved in the care planning process. Care plans are kept in the individuals bedrooms. Care plans promoted a person centred approach to care. We were able to see evidence that people had been encouraged to express and document how they would like staff to assist them with their care and support needs. Clear information had been recorded regarding individuals health care needs and there was documented evidence that people had access to appropriate Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: health care professionals. Staff had recorded information about each persons contact with a heath care professional. We were also able to see evidence that care plans had been regularly reviewed with the involvement of appropriate health care professionals and the person using the service. People are supported to live an independent lifestyle and to be involved in all aspects of life at the home. A weekly planner is developed with each person which identifies their activities and chores for the week ahead. Staff support individuals to maintain and develop independent living skills such as shopping, cooking, cleaning and banking. We spoke with one person using the service and they were very positive about the support they received. We were informed that life at the home is very flexible and is determined by the needs and preferences of the people living there. The homes completed AQAA told us that people; are actively involved in all decision making within the house and of the running of the home. Their views are sought on an individual basis or at regular house meetings. The AQAA also stated; Individuals choices are actively sought and acted upon and that each person has an individual day service programme which reflects their areas of interest, skills and development needs. The home has policies and procedures in place for staff relating to confidentiality. During this inspection records were seen to be appropriately stored in accordance with the Data Protection Act 1998 and people have appropriate access to their records. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to maintain and develop an independent lifestyle and to participate in a range of leisure pursuits. The home ensure that people are supported to maintain links with family and friends in line with their wishes. People are supported to follow a healthy eating plan and to maintain a level of independence. Evidence: The home supports people to develop and maintain independent living skills. Care plans clearly set out the level of support individuals need in all areas. Care plans contained information about needs and preferences which had been written by the Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: people using the service. Records evidenced that people are supported to participate in a range of activities outside of the home. These included trips to leisure centres, pubs, cinemas and the theatre. Both people using the service also attend a local day service and one attends a local college. We were informed that people are also supported to access church services. The home has access to their own people carrier, estate car and mini bus and people are also supported to access public transport. Regular holidays are planned for each person using the service and the location is determined by the individual. We were informed that this year one person was supported on a trip to Austria and the other to Butlins. Each person funds the cost of the holiday for themselves and the staff member though the home pay for the staff hours and food for the individual and the staff member. The home ensure that people are supported to maintain contact with family and friends in accordance with their wishes. Information about family and friends is clearly recorded in the individuals plan of care. We were informed that people are able to socialise with their family and friends at the home. The home offers support and transport for people to visit their families three times a year. Relatives are invited to attend partnership days at the individuals day centre where they can look at what people have been doing. The home also arranges a party for all in the evening. The homes completed AQAA states; There are a varied activities and opportunities for service users to associate with their peers and they also have the opportunity for regular visits with their peers, families and friends and for them to visit the home. People have unrestricted access to the home and are able to enjoy the privacy of their own bedrooms as they wish. As previously mentioned in this report, routines at the home are flexible to meet the needs and preferences of the people living there. Healthy eating is promoted and staff support people to develop a weekly menu in line with their needs and choices. People are supported to shop for food and cook on an individual basis. Vegetables are also grown at the home and people can be involved in growing the vegetables if they wish. Care plans contained clear information about each persons dietary needs and preferences. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to meet their personal care needs in line with their needs and preferences. The homes procedures for ensuring peoples health care needs are met are very good. People are appropriately supported to maintain independence in the management and administration of their medication. Evidence: We were informed that people currently using the service require only staff to prompt them to meet their personal care needs. Care plans contained clear information about peoples needs, abilities and preferences. Information had also been documented by people using the service. Times for getting up and going to bed are determined by each individual and their daily routines. We spoke with one person using the service and they were able to confirm that their wishes and choices were respected by staff. The homes completed AQAA stated that; All service users have a detailed health Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: action plan which looks at all areas of their health and well being and how we can support them to maintain a good level of health. Care plans contained very detailed information about each persons health care needs. It was apparent that people have access to a wide range of health care professionals. Information was available in an accessible format for people which enabled them to understand how their health care needs would be met. A document named Hospital Traffic Light Assessment provided very clear information about the individuals assessed needs, abilities and preferences. This assessment is maintained in each persons file and would accompany an individual should they be admitted to hospital. This was noted to be very positive. The homes completed AQAA told us that; Medication procedures are robust and all staff have received relevant training to ensure that the correct policy procedure management is followed. We examined the homes procedures for the management and administration of peoples medication. We were informed that both persons using the service were currently supported to self medicate. Care plans contained very clear and up to date risk assessments and clear information had been recorded for each individual about their medication and what it was for. Peoples medication is securely stored in each persons bedroom. We were informed that keys are maintained by staff so that people can be appropriately supervised. The home have developed a medication administration record (MAR) for each person which lists all prescribed medicines. We have recommended that two staff sign to confirm that entries are as per the prescription as this will reduce the risk of errors. We found that appropriate records had been maintained for all medicines received into the home and returned to the pharmacy. All staff have received training in the management and administration of medication. This was also confirmed by the staff member spoken with during the inspection. The person currently responsible for overseeing the management of the home informed us that she had completed a bereavement counselling course and was very keen to ensure that people and their families receive the support and advice needed in the event of a death. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to the homes complaints procedures which have been produced in an accessible format for them. A copy of the complaints procedure should also be displayed within the home. Appropriate procedures are in place to reduce the risk of harm or abuse to the people using the service. Evidence: The homes completed AQAA told us that each person is issued with a complaints and protection folder which enables them to report any problems. This is produced in an accessible format for people using the service. We have recommended that the homes complaints procedure is also displayed in a prominent position within the home. We spoke with one person using the service and a member of staff and both confirmed that they would not hesitate in raising concerns if they had any. The home have not received any complaints in the last twelve months and no concerns have been raised directly with the Commission. Appropriate procedures are in place to reduce the risk of harm or abuse to the people using the service. The AQAA told us that robust procedures are in place and all staff have received training in the protection of vulnerable adults. This was also confirmed by the staff member spoken with. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Appropriate procedures are available relating to the protection of vulnerable adults and a POVA flow chart is clearly displayed for staff. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a very comfortable and well maintained environment which has been furnished and decorated to a good standard. The environment promotes a homely feel. People have their own bedrooms which they can personalise. People are also involved in choosing the decor for their rooms and communal areas. The standard of cleanliness is very good and appropriate procedures are in place to reduce the risk of the spread of infection. Evidence: Park View is a spacious and well maintained family type home which provides people with a very homely and comfortable environment. A maintenance person is employed and at the time of this inspection, all areas were noted to be well maintained. The home is very comfortably furnished and furnishings and fixtures were of a good standard. We were informed that people are fully involved in choosing the decor for their bedrooms and are also consulted about the decor in communal areas. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Bedrooms are for single occupancy and it was very apparent that people are encouraged to personalise their private space. The home has a very spacious lounge area and large kitchen and dining area. A bathroom/toilet are located on the first floor with an additional toilet on the ground floor. As the home only accepts people who are fully mobile, there are no aids or adaptations within the home. To ensure the safety and security of people living at the home, a videophone has been installed so that people can see and speak to people before opening the front door. Each person using the service is issued with their own keys. People have access to very spacious and pleasant garden areas. The standard of cleanliness at the home was noted to be very good. Appropriate hand washing facilities were also seen to be in place. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensure that staffing levels are appropriate to the needs and social preferences of people using the service. The homes staff recruitment procedures reduce the risk of harm or abuse to the people living there. The home ensure that staff are appropriately supported and supervised. Evidence: At the time of this inspection two people were currently using the service. We were informed that minimum staffing levels consisted of one carer during the day and one sleep in carer at night. We were informed that the home is in the process of recruiting a deputy manager who will be based at the home in addition to the care staff. No concerns were raised with us regarding current staffing levels or of lone working. Staff are provided with a lone working policy and on-call systems are in place. We were informed that staffing levels are flexible to meet the needs/preferences of the people living at the home. Additional staff are on duty to support people to access leisure pursuits. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The home follows robust procedures for the recruitment of staff. We examined staff recruitment files relating to two recently employed staff. Both contained all required information including enhanced criminal records checks (CRB) and protection of vulnerable adults checks (POVA). The home also obtains three references, one of which is from the most recent employer. We were informed that people using the service are supported to be involved in the selection of staff and that there are plans to further develop this. Newly appointed staff follow an appropriate induction programme and on commencement of employment, undertake a number of shadow shifts. The homes AQAA states; All staff are shadowed until fully competent and familiar with the service user group so that they are effective in supporting them. The homes AQAA confirmed that 67 of permanent care workers have achieved a minimum of an NVQ Level 2 in Care. This exceeds the recommended 50 of the National Minimum Standards. The home have procedures in place to ensure that staff are appropriately supported and supervised. Staff receive formal supervision at least six times a year. We examined staff supervision records and these contained evidence that staffs training needs and requests had been identified. Training opportunities were described as excellent by the staff spoken with. A staff training matrix is maintained to ensure that all staff receive up to date mandatory and specialised training. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to ensure that the home is effectively managed in the absence of a registered manager. The homes procedures ensure that the views of people using the service and their representatives are sought on a regular basis. The quality of the service provided is regularly monitored by a company representative. The home follows appropriate procedures to ensure the health and safety of persons at the home. Evidence: The home does not currently have a registered manager and the overall management of the home is being overseen by the registered manager of a sister home which is located just behind Park View. The home is currently in the process of recruiting a deputy manager who will be based at Parkview. The completed AQAA stated; The work of the management and staff team ensure that the interests, rights and needs of Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: service users is the overriding philosophy of the house and that their health and well being are actively promoted and protected The home has a quality assurance programme in place which seeks the views of people using the service and their relatives. Regular meetings are held for both staff and people using the service with minutes maintained. The home produces a newsletter on a regular basis which is sent to peoples relatives. The quality of the service provided is monitored through monthly unannounced visits by a company representative. In line with the Care Home Regulations, reports are completed which are maintained at the home. The home ensures that all significant events are appropriately reported to the Commission. The home has a range of up to date policies and procedures available to staff and all staff are issued with the GSCC code of professional practise. We conducted a tour of the premises and examined records to check the homes procedures for ensuring the health and safety of persons at the home. Fire safety records were found to be up to date and there was evidence that staff had received up to date training in fire safety. Regular fire evacuation drills are conducted for people living at the home and they are also supported to complete a fire safety questionnaire. Records indicated that servicing for portable electrical appliances and hard wiring were up to date. To ensure the safety of people using the service, upstairs windows are fitted with restricted openings. Thermostatic valves are fitted to hot water outlets and temperatures are checked monthly to ensure that they do not exceed HSE safe upper limits. Monthly checks are also maintained to reduce the risk of legionella. Procedures are in place to ensure that all staff receive appropriate and up to date mandatory training. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 20 To reduce the risk of errors, the home should ensure that all hand transcribed entries on medication administration records are confirmed by two staff signatures. The home should ensure that a copy of the complaints procedure is clearly displayed within the home. 2 22 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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