Care Home: Percy Road, 97

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What the care home does well All of the residents are up to date with their person centered planning reviews, records looked at were relevant and up to date. There is a lot of relevant information in each residents file that informs staff of what their specific support needs are. The residents files were up to date and in specific order that made it easy to access relevant information. We spent time with the four residents who were all positive about their home, were told by all 4 residents that they are happy living at Percy Road. The staff were seen to work well with the residents supporting them and not telling the residents what to do. All of the have a activity programme that they are happy with. We were told by the residents that they like going out into the community to attend art classes, dance, shopping, eating out and other activity`s. One of the residents works at the head office as part of the maintenance team. Three of the residents went out to various activity`s on the day of this site visit. What has improved since the last inspection? The home now has up to date risk assessments in place that show they have been reviewed in November 2009. All residents risk assessment records have an action plan in place showing how they monitor a risk areas that residents are supported to stay safe. The medication procedure shows that there are two staff that sign and agree each shift what medication has been administered and the MAR sheet is completed appropriately with relevant information recorded for each resident. The kitchen is being replaced and all equipment is being replaced. Residents were extremely happy that there is a new kitchen being fitted and the kitchen is having a full redecoration. The training programme for all staff shows that all staff are completing mandatory training and there is a continuous training programme in place. The registered manager also includes bank staff that are used regularly making sure they are up to date with training for continuity to residents support. All of the safe systems at Percy Road are well maintained and records looked at show that all health and safety checks are completed on a regular basis to protect the people living at the home. What the care home could do better: We looked at the medication storage cabinet where all bottles of medicine are stored. All staff must make sure that when bottles of medicine are opened they write the date opened on the label to protect the residents taking the medicine. The communal areas of Percy Road including the 2 bathrooms are in need of decorating, we spent time having a tour of the home. The carpets in all communal areas are starting to look unkempt and need replacing in some areas. A residents bedroom is in need of some maintenance work to make it comfortable for the resident. Key inspection report Care homes for adults (18-65 years) Name: Address: Percy Road, 97 Percy Road 97 Percy Road Shepherds Bush London W12 9QH     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 5 1 1 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 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Percy Road, 97 Percy Road 97 Percy Road Shepherds Bush London W12 9QH 02087430044 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 4 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: 4 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: earning disability Code LD Date of last inspection Brief description of the care home 97 Percy Road is a registered care home that provides accommodation and personal care for people with a learning disability. There are four people living at Percy Road, 2 men and 2 women. Threshold Tennant Trust Housing Association owns the property. Yarrow Housing, a voluntary organisation, provides the care. The home is located in a residential area of Shepherds Bush, close to shops and public transport. There is a lounge, kitchen/dining room, four single bedrooms, bathroom / WC and shower room / WC, and a small garden at the back of the house. The weekly fee for Percy Road is £1172. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 4 1 2 0 2 2 0 0 9 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 25th November 2009, we spent 5.00 hours visiting the home. We spent time talking to all of the four residents. We spent time talking to the registered 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. Percy Road was having a new kitchen installed and residents told us they are happy with the new kitchen but would like the decor in the home redone. 8 requirements set in February 2009 have all been fully met, 5 new requirements have been set from this inspection. Care Homes for Adults (18-65 years) Page 5 of 27 What the care home does well: What has improved since the last inspection? What they could do better: We looked at the medication storage cabinet where all bottles of medicine are stored. All staff must make sure that when bottles of medicine are opened they write the date opened on the label to protect the residents taking the medicine. The communal areas of Percy Road including the 2 bathrooms are in need of Care Homes for Adults (18-65 years) Page 6 of 27 decorating, we spent time having a tour of the home. The carpets in all communal areas are starting to look unkempt and need replacing in some areas. A residents bedroom is in need of some maintenance work to make it comfortable for the resident. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using 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. I am happy living here at Percy Road. I like it here. We looked at the statement of purpose and service user guide, the statement of purpose is being up dated by the registered manager. Both documents did include all information on the aims and objectives and philosophy of Percy Road. All four residents have lived in Percy Road for a long period of time. We looked at Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: records in two residents files that show that their needs are assessed and reviewed regularly. We looked at a lot of informative information in both clients files that were in date order. The Person Centered Plans were looked at with the assessment records and risk assessment records that show all records are written in conjunction with the PCP records. 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. All original contracts are kept at the Yarrow head office. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service experience good quality outcomes in this area. We have made this judegment 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: Comment from a resident. I am going out to my art class and the staff take me. We looked at two residents files, both included Person Centered 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 we were told by the registered manager that the PCP are worked on continually with the residents and Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: staff. The information does reflect the aims and aspirations of the residents as stated in the reviewed PCP plans. We were told by the registered manager that all of the PCP reviews were up to date. The documents looked at were up to date. The PCP plans do reflect the individuals health and social care needs and how the staff are meeting each persons needs and show what support is given. The PCP were in pictorial formats and also on DVD, showing how the individuals are involved in their person centered 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 information and records taken at residents meetings, the information includes choice of menus, activitys, individual issues for instance records showed that two residents had been holiday to Hayes in September 2009. Records show that the residents are clearly participating in aspects of their daily living at Percy Road. We looked at the risk assessments for all four residents that had all been up dated in November 2009. all of the risk areas identified had an action plan in place to inform staff of the risk and how to eliminate or minimize the risk. The risk assessments did work in conjunction with the care plans looked at. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using 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 residents. I like going to my dance classes and discos. I am happy when I go out to the shops and to see my friends. We looked at the Person Centered Plans of two residents, the records contained a lot of information about each residents likes, dislikes, hobbies and leisure interests. We Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: also looked at the daily records for all four residents that had information about what activitys they had done daily that included going to the local community center called the Gate, attending dancing at a disco, art classes, eating out and shopping in the local community. We discussed religious beliefs with the registered manager and were told that none of the residents attends any religious service. We looked at the activity programmes for all four residents that show they all do attend activities in the local community. Three of the residents were going out to different community activitys including an art class being held at the Gate, shopping and eating lunch out. One of the residents programme is regularly changed to suit the resident as they do not always want to go out into the community. We were told by the registered manager that the resident is now getting involved in doing more activitys than they used to. We looked at the contact information for all of the residents. The residents all have family that visit Percy Road. We were told that one residents family have invited them to spend time with them over the holiday period. In discussion with the registered manager we were told that residents are always encouraged to continue relationships with their family and friends. All of the residents bedrooms are left unlocked, we were told by the registered manager that all residents have been offered a key to their room but all have decided that they do not want one. All four of the residents were seen to be making decisions for themselves on the day of this visit including going out into the community. We were told by the registered 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 really enjoy the food. One of the residents is on a specilaised diet we looked at information that was written in the residents file The menu was seen to be varied and nutritious, residents and staff choose the menus at their house meeting. The kitchen is at this present time being fully replaced and staff are using the utility room to prepare all food in the microwave convection oven. The registered manager told us that all of the residents have input into what they eat and are very specific about what they like and dislike. We saw food temperatures of what is prepared for residents by staff. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 healthcare support using person centered approach with support provided based upon the rights and dignity, equality, fairness, autonomy and respect. Personal healthcare needs including specialist health are clearly recorded in each person centered plan. Evidence: 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 all of the residents. Personal and healthcare support is provided in a person centered way. All four residents require some support from staff in areas of personal care and healthcare. 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 therapists, psychologists, psychiatrists and social workers. The healthcare 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 registered manager that all residents are up to date with health checks. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: All of the residents living at Percy Road 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 staff room, there is an issue that a bottle of medicine was open without the date opened recorded on the label. We looked at all medication MAR sheets that were recorded appropriately by all staff, there are always two staff signatures to show that the medication had been administered. We looked at the staff training records and all staff has attended medication training except a new member of staff who was on holiday with a resident when the training was provided. We were told by the registered manager and the member of staff that they will be attending medication imminently. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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: We looked at the complaints file that had no complaints logged. We were told by the registered 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 hallway. The complaints procedure is available in different formats including pictorial. We spent time talking to a new member of staff who was able to inform CQC what he would do if he received a complaint. We spent time discussing the safeguarding policy and procedure with the registered manager. We asked the registered manager if there had been any safeguarding incidents at the home, we were told that there have been none in the last 12 months. The registered 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 registered 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 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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. The standard of home is not reflected in the statement of purpose, it is in need of a planned renewal programme of decoration in all communal living areas. Residents are encouraged to personalise 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. I am happy with my bedroom. I am pleased the kitchen is being replaced, we are getting a new kitchen. I like living here at Percy Road. We had a full tour of the home and all areas were seen. We looked at all of the communal areas that were in need of decorating. We were told by the registered Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: manager that she has liaised with the organisation and the landlords. The carpets in communal areas need replacing as they are very stained and discolored in places. Percy Road staff and residents endeavor to keep the home homely, and we were told by all of the four residents they are happy living at the home. we spent time looking at all of the residents bedrooms, all of which had their personal photographs, pictures and each bedroom was comfortable except for one that had holes in the wall. The residents bedroom wall needs to be filled and decorated to make it comfortable for the resident. Both bathrooms are in need of decorating and the bath panel in the top bathroom needs to be replaced. The permeable flooring is very discolored in both bathrooms and is in need of a deep clean. The home is getting a new kitchen and the whole kitchen area is being decorated, work was taking place at the time of this site visit. All of the residents told us they were very excited about the new kitchen. The home was clean, tidy warm and bright on the day of this site visit. Care Homes for Adults (18-65 years) Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service experience adequate good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service.There is now enough staff available to meet the needs of all residents. Staff rotas take into account the needs and routines of the people using the service. Evidence: We looked at the staff rota for November 2009, there was adequate staffing on each shift to meet the care needs of the four residents. We spent time discussing staffing with the registered manager and were told that there is a deputy manager vacancy in Percy Road, an advert was advertised and the closing date for applicants was the 30th November 2009. We were told that the vacancy is covered by bank staff that have mainly worked at the home for a long time as continuity is required for the residents. We looked at the CRB information on all staff and bank staff currently working at Percy Road, all disclosures were up to date. We looked at the training records of all staff that show that all staff is up to date with 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. One member of staff has not completed first aid training, the registered manager contacted the training department on the day of this site visit and the member of staff is booked on a first Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: aid training course 3rd December 2009. 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 registered manager has registered to complete the Registered managers Award that begins December 2009. One member of staff is doing an NVQ level 2 and one member of staff has an NVQ level 3 qualification. One staff member is doing the LDAF and the new member of staff is still currently going through the induction programme. We spent time discussing the continuous training of all staff with the registered manager who told us that she is putting a lot of effort into making sure all staff is kept up to date with training. We spent time discussing the bank staff used at Percy Road, the registered manager told us that she checks all training and makes sure that any staff used are up to date and competent in their role. We spent time talking to a member of staff about training, support and supervision. We were told that he is happy with the training he has completed and finds it very valuable. The member of staff told us that he is supported very well by all of the staff and does receive regular supervision every 4-6 weeks. We looked at the supervision records of staff that show all staff are receiving regular structured supervision including the registered manager. Care Homes for Adults (18-65 years) Page 21 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 registered 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 registered manager is very positive about the care provided by the staff team and discussed the person centered approach that all staff follow making sure all five residents independence is promoted. The reg sistered manager is knowledgeable and experienced she has registered to complete the Registered Managers Award. Staff and residents spoken with were very positive about the registered 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 registered manager. We looked at questionnaires that Had been completed by residents, relatives and other professionals that work with the residents. We saw a lot Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: of positive comments about the care provided at Percy Road. The organisation produces an annual survey of all of the homes including Percy Road. We discussed Regulation 26 visits by the registered provider, we were told by the registered manager that the home is visited monthly by senior management and a record of the visit is sent to the registered manager. Throughout this site visit we looked at records that were all seen to be up to date and in date order. The records are mainly kept in lockable cabinets in the staff room or on the homes computer that requires a password for access. We looked at records for all health and safety aspects of the home showing safe practices 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 except one has completed first aid training who will be attending on the 3rd December 2009. The hot water temperatures was checked in all of the residents bedrooms and was set at a safe temperature. Care Homes for Adults (18-65 years) Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 The registered manager to make sure that all bottles of medication have the date opened recorded on the label. To make sure that the medication is in date and to protect the resident. 02/12/2009 2 24 23 The organisation to make 01/03/2010 sure that one of the residents bedroom Walls are repaired and decorated. To make the bedroom comfortable for the resident. 3 24 23 The organisation to replace all carpets in communal areas. To improve the environment for the people who live at the home. 01/03/2010 4 24 23 The organisation to decorate 01/03/2010 all communal areas of the home. Care Homes for Adults (18-65 years) Page 25 of 27 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 To improve the environment for the people living at the home. 5 27 23 The organisation to decorate 01/03/2010 both bathrooms and replace the bath side panel in the upstairs bathroom. To make the environment safe and comfortable for all residents. 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 24 The organisation to deep clean all flooring in the bathrooms as they are very discolored. To make the environment better for the people living there. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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