Care Home: PIA - Barnfield

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What the care home does well People who are considering moving into the home benefit from having their care needs assessed so that they can be sure the home can meet their needs. People are treated respectfully. Each person has a plan of care and access to health care services so that their health and personal care needs are met. People are supported to go out into the local community. They visit shops, parks, theatres and other places they enjoy. The home is clean and comfortable. There are grab rails, hoists and other specialist equipment to assist people with disabilities to be supported safely. The home encourages and supports staff with training in order for them to develop their knowledge so that they have the required skills to meet the needs of the people in their care. Barnfield is well managed and run in the best interests of the people living there. Systems are in place for checking the home is running properly. A senior manager visits the home and writes a monthly report on their findings and any action that needs to be taken to improve any issues seen or raised. What has improved since the last inspection? Care plans are reviewed at least six monthly to ensure that all information recorded is still relevant to meeting the person`s needs. A new carpet has been fitted in the lounge and communal areas and bedrooms have been redecorated, making the home a pleasant place for people to live in. The quality assurance system has been improved by seeking the views of relatives and visiting professionals on how they feel the home is meeting the needs of people living there. What the care home could do better: No requirements were made as a result of this inspection. It is recommended that a summary of each person`s care plans is produced so that staff have an `at a glance` record of how the person likes to be cared for. The manager has identified some areas of improvement in the coming twelve months. For example, the staff team to receive specific training around nutrition and malnutrition and to continue to develop the community participation of the people living at the home. Key inspection report Care homes for adults (18-65 years) Name: Address: PIA - Barnfield Church Lane Gaydon Warwickshire CV35 0EY     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: Patricia Flanaghan     Date: 1 5 0 6 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: PIA - Barnfield Church Lane Gaydon Warwickshire CV35 0EY 01926640521 02476640146 dbadger@people-in-action.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: People in Action 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 (LD) 5 Date of last inspection Brief description of the care home The home is a large domestic bungalow in a small village setting, providing accommodation and care for five young adults who have severe learning disabilities and/or physical disabilities. South Warwickshire Primary Care Trust owns the property. People in Action manage the home. Two of the five bedrooms have en-suite facilities. The manager told us at this inspection visit that the current charge for the service is £1,367 per week. The people living at the home are required to pay for their personal toiletries, leisure activities, holidays, fuel, aromatherapy and drinks/meals out. 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 that people who use the service experience good quality outcomes. We carried out this inspection over one day on 15 June 2009, with the home being given no prior notice of the visit. The last key inspection visit to Barnfield was undertaken on 18 June 2007. The inspection included meeting everyone living at the home. Due to the communication needs of most people living there, it was not possible to get a clear impression of their views of the service. We case tracked the needs of two people that live at Barnfield. This involves looking at their care plans and records and speaking with staff to check how their needs are met. Care Homes for Adults (18-65 years) Page 5 of 28 Discussions took place with the manager and four staff who were on duty throughout the day. An annual quality assurance assessemnt (AQAA) was completed and returned to us by the manager before the inspection. We also received completed surveys from relatives of people living at the home and from a healthcare professional. Information from both these sources was also used when forming judgements on the quality of service provided at the home. 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: 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. Care Homes for Adults (18-65 years) Page 7 of 28 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. Peoples needs are assessed before they move to Barnfield to ensure the home can meet their needs. Evidence: No new people have moved to the home since our last inspection visit. It was therefore not possible to discuss the assessment and admission of a new resident and check their care records. The processes the home would follow were therefore discussed with the manager and information in their annual quality assurance assessment (AQAA) used to make this judgement. The AQAA tells us the admission process would include, a full assessment being undertaken involving the prospective service user, their family, social worker and any independent advocates. We discussed the process with manager who told us she would visit prospective residents to fully assess their care needs. She would obtain all information available from health and social care professionals. Visits to the home would then be arranged, Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: followed by overnight and trial stays and this process would be tailored in the best way to suit them. A review would be held after the trial period involving staff, the prospective resident and their representatives to decide if the placement is suitable and if they stay there. The files of two people previously admitted to the home show that peoples needs had been properly assessed as part of the admission process. They included a completed assessment of their needs before they moved in. After they had lived at the home for a short time further assessments were completed to ensure their needs could still be met there. Staff said, and records showed, that they had settled in well and their needs were being met. 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. Peoples needs are planned for and reviewed so that they can be supported in a safe and appropriate manner Evidence: All people have plans that give details of likes and dislikes, family contacts, medical issues, history, communication, personal details, hygiene and preferences. All care plans seen contained good levels of information to help staff to meet the persons needs properly. We also saw some essential information about an individuals communication needs. Plans are regularly reviewed to ensure peoples needs are appropriately monitored by the home. Staff also complete daily records that give brief overviews of the individuals wellbeing, times of rising and retiring, activities, appointments and meals taken. The two files sampled included risk assessments and management plans for any identified risks. For example, there were management plans in place for any challenging behaviours which detailed the types of behaviour, how they were to be Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: discouraged, what the triggers were and how staff were to respond the behaviours. All incidents of challenging behaviour were recorded by staff including the actions and consequences. The records clearly showed staff were following the management plan. There were risk assessments and management plans in place for such things as showering, moving around the home, bathing, swimming and receiving visitors. There were also risk assessments which indicated how many staff were needed for activities. The manager had actioned the recommendation made at the last inspection visit to ensure risk assessments are put in place for a person enabling them to pursue their chosen leisure activity in a safe manner. Systems are in place to help ensure that there is consistency in assessing, planning, implementing and evaluating the care when required. There was evidence that full care reviews were being held every six months. This meant there were in depth discussions with people living in the home about all areas of their lives at Barnfield, progress made towards their goals and what else they wanted to achieve. Their families and social workers were also present at reviews, where applicable. Some of the people living at the home have communication difficulties and rely on staff recognising signs, such as observing facial expressions, to understand their needs and wishes. Staff have a good awareness of individual needs and treat people in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. The AQAA tells us, Care plans are comprehensive and cover topics such as personal histories, likes and dislikes and detailed guidelines into how services users like to be supported with daily care routines. This is very necessary as the service users we support have no verbal communication and find it difficult to express their choices. 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. People take part in activities that meet their personal interests and are supported to live ordinary and meaningful lives. Staff treat them as individuals and respect their privacy. Evidence: It was stated in the AQQA that Service users are supported to take part in a wide range of activities that they enjoy and that are tailored to meet the individuals lifestyle. These activities help them to relax, develop their life skills and mix with the wider community. Their rights and individuality are also respected and where possible service users are supported to maintain links with their families. Activities include swimming, sensory sessions with a therapist, cookery, gardening, community coffee morning. Entries in peoples records showed that people go out often in the local community Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: and further afield. People go shopping, to parks, pubs, swimming, bowling and for drives in the country. The plan for a person whose care was being tracked included such things as swimming, outings and personal activities. Daily records showed these activities did take place and staff included comments as to how person had reacted to activities. We saw photo diaries for the people we were case tracking. These had photographs of activities the people had done, with recordings by staff about the activity that had taken place. The home has a vehicle which is used for supporting social and leisure activities in the community. When we arrived at the home, one person was out walking with a carer around the village, which was one of their favourite activities. Later that day all the people enjoyed a sensory foot and hand massage from a visiting therapist. The manager said this activity is undertaken monthly and is very much enjoyed by all the people. People are supported to meet their spiritual needs. If people want to, they are supported to attend church. People attend a local church service monthly and one of the people in the home distributes the parish magazine to the local community with the support of a carer. The manager confirmed that plans are being made for people to go on holiday. We were told that one person had been on holiday to Blackpool earlier this year and another had been to a holiday cottage in Cornwall. Holidays to Norfolk and Herefordshire are planned for other people. Another person goes on an annual holiday with their family. Holiday photographs and records were seen in peoples picture diaries to confirm this. Records sampled showed that people are supported to keep in contact with their family and friends. This is through visits and sending cards and presents for special occasions. We received a completed survey from a relative who commented, I am always made welcome when I visit. A 4 weekly choice menu is in place based on peoples known food preferences. The menus evidenced that a good variety of meals are available for people. A record is kept of peoples food intake so it is possible to monitor what they like and dislike. Comments by staff and staff training records confirm that nutrition training has been provided for staff. Records sampled showed that the dietician was involved with some people where there was concern about their weight and food intake. 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. Arrangements ensure that the personal care and health needs of the people living at the home are met, so ensuring their well being. Evidence: We looked at the care files for two people living in the home. Plans show the support each person needs with their personal care and their preferences of daily routines. They include how to promote their self care and personal hygiene. Keyworkers are involved in ensuring preferences are met and help people with shopping for their clothes and toiletries. We observed that people were well dressed in individual styles that were appropriate to their age, gender and the weather. Attention had been given to each persons personal care so they were comfortable. A relative commented in a survey, staff attempt to recognise individuality. There is information recorded about peoples health and any areas staff need to monitor such as their skin, healthy eating and weight. Records are kept of all routine, preventative and specialist health care checks and staff ensure that regular appointments are made. People are supported to attend medical appointments and that their medicines are reviewed regularly. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Some of the people living there have complex health needs and sometimes this is associated with their physical disabilities. Records showed that staff involve other health recessionals in the care of individuals. For example, we saw that one person had an Independent Mental Capacity Advocate to ensure that any investigations done, or treatment needed, was done in their best interests. A survey received from a healthcare professional stated that the home are generally proactive about peoples health care and always willing to involve other people, and Barnfield is one of the most supportive homes to work with and with a fairly experienced staff group, which shows. Care plans were very detailed and include good details of the persons personal care routines and patterns of daily living. We discussed with the manager that it might be beneficial to have a summary of peroples needs at the front of the care plan to enable staff to see at a glance the way people like their care to be delivered. Previous inspections confirmed that the home operates an appropriate medication policy and procedures. All staff had completed an appropriate training course for safe management of medication and the manager goes through the medication procedures in the home with them to ensure they are competent. Medication is stored in a locked cabinet in the managers office. An examination of records evidenced that medication kept in the home is being administered appropriately. 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. People who use the service can be confident that complaints are taken seriously and that their welfare is promoted and maintained. Evidence: There is an accessible complaints procedure in place at the home with pictures to help people understand the procedure. The AQAA returned to us by the manager stated there had been no complaints made about the home since our last inspection visit. We have not received any complaints or safeguarding referrals about the home. A survey returned to us by a relative before the inspection indicated that they knew how to raise concerns or make a complaint. Throughout the inspection it was evident that there were good relationships between the people living at Barnfield and the staff. Individuals were comfortable approaching and communicating with staff, which would give them confidence to raise any issues. Policies and procedures are provided by the home for staff in relation to adult protection and whistle blowing. Staff receive relevant training during their induction and also through National Vocational Qualifications (NVQ) which includes sessions on safeguarding vulnerable adults. The training matrix seen evidenced that all staff have had appropriate training. This helps to ensure that they know how to keep the people living there safe from abuse. The manager was aware of the local safeguarding procedures and how to make a referral, if necessary. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Peoples personal monies are kept securely at the home. Finance records sampled matched the money held for the person. Receipts are kept of all purchases and records showed that people had spent their money on personal items. A monthly monitoring record is completed by the manager to demonstrate that she checks peoples expenditure and an annual audit is carried out by a finance officer within the organisation. 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. People live in a homely, safe and comfortable home that meets their individual needs. Evidence: Information received in the AQAA tells us of some of the improvements the home have made to the environment since the last inspection visit. It was stated that there has been a new carpet fitted in the lounge and new furniture provided in peoples bedrooms. The home was decorated to a good standard and well maintained. Bedrooms seen were personalised and reflected the tastes and interests of the individual. Sensory lighting, mobiles, beanbags and cushions are provided so that peoples senses can be stimulated, but in an atmosphere that helps them to relax. This is important as due to their disabilities some people need to spend a lot of time sitting in their wheelchair to help their posture. The large gardens are well maintained, providing a pleasant area for people to relax in. During the inspection visit we saw people enjoyed pottering about the garden. Several aids and adaptations were available in the home to help people to be as independent as possible and help staff to move people safely. Baths are adapted so Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: people can get in and out of them safely. One person has an en suite shower room to meet their needs. The home was clean and free from offensive odours throughout, making it pleasant for people to live in. Care staff undertake cleaning and laundry duties as part of their role. Staff have training in infection control which ensures that the risks of cross infection are minimised. A relative commented in their survey, the home is always clean and tidy. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be confident thier needs will be met by suitable numbers of appropriately and competent staff. Evidence: The AQAA tells us that the service has a good recruitment policy in place and staff receive high quality and timely training to ensure they provide a high quality service. There are good and efficient staffing levels that reflect and react to the needs of the service. Staff spoken with during the visit demonstrated an understanding of their roles, responsibilities and the support needs of people living at the home. Our observations showed that positive relationships exist between people living at the home and the staff. We looked at the recruitment records for two staff members. The records demonstrated that staff are properly recruited and included evidence of Criminal Records Bureau checks and references. Files also contained an assessment of their training needs and a development plan for the coming year. The training matrix for the home indicated that staff have had a variety of training Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: including food hygiene, first aid, moving and handling and fire safety. The manager said that over 60 of staff have a national vocational qualification (NVQ) in care. This should mean that people benefit from having their needs met by appropriately experienced staff. We spoke with a newly recruited staff member who confirmed that they had received a thorough induction programme to help them understand their role and the needs of the people they support. Staff meeting minutes showed that regular meetings were held so that staff can keep updated with best practice and how to meet the needs of the people living there. A staff meeting was held on the day of our inspection visit. There is a handover between each shift. This ensures staff know how to meet the needs of the people living there. 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. People can have confidence in the service because it is well managed and run in the best interests of the people living there. The health, safety and welfare of the people living in the home are promoted and protected. Evidence: The manager is registered with us and has several years experience of managing homes for people with a learning disability. She has the registered managers award (RMA) and a national vocational qualification (NVQ) in care at level 4. These qualifications should assist her to carry out her role effectively. The manager demonstrated a very good knowledge of the people living in the home throughout the inspection. The manager undertakes regular quality assurance checks of various aspects of the homes practices, for example, medication audits, peoples finances and health and safety audits. A senior manager from People in Action visits monthly, as required, and does on audit of how the home is meeting standards and regulations. This includes seeking the views of the people who live there and ensuring their needs are met. The Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: manager told us that surveys had been sent to relatives inviting them to give their views on the home. She said the response was very poor and that surveys are returned to head office so they can identify and address with the home any concerns that are raised. The manager has not yet had an analysis of this years surveys from senior management . The health and safety of the people living in the home and the staff were very well managed. Staff receive training in safe working practices, all the required risk assessments and management plans were in place and the home was safe and well maintained. The AQAA states that the servicing of the equipment in the home is up to date. A sample of fire safety records were examined. These indicated that fire alarms and emergency lighting are being tested regularly and that fire safety equipment is being appropriately maintained. Maintenance certificates were in place to show that electrical equipment is periodically tested ensuring appliances remain safe to use. 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 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 18 Consideration should be given to developing a summary of peoples needs as identified in the various care plans. This will enable staff to see at a glance how individuals like their care to be delivered and support them in the way they prefer. 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!