Care Home: Pippin House

Similar services:

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

What the care home does well Pippin House provides a supportive and caring environment for the people living there. People were seen to be relaxed in the company of the staff, and communicating freely. The home is commended for its commitment in supporting people to live fulfilling lives and for providing an excellent level of support and training for the staff team. People have the opportunity to participate in a range of activities for leisure and recreational purposes as well as to develop their independence with daily living skills. People access the local college for educational courses such as numeracy and literacy, as well as hobbies such as pottery, dancing and cooking. Meals are varied and nutritious. Consideration is given to people`s preferences as well as maintaining a healthy body weight. People are involved in the menu planning, shopping and meal preparation. Pippin House is a comfortable large family home. Each person has their own bedroom, toilet and shower. The lounge and dining rooms are spacious and attractively decorated and the garden is large enough for a greenhouse, vegetable plots and seating areas. The home benefits from a stable management and staff team: there is a very low turnover of staff. Staff are well motivated and well trained, and skilled at communicating with the people. RNID provides good support with regard to constantly looking to improve the quality of the service and to ensure compliance with the National Minimum Standards. What has improved since the last inspection? Staff training continues to be a priority in the home with staff having been provided with a number of training days in health and safety issues as well as issues directly relating to the well-being of the people living in the home. The organisation continues to invest financially in the refurbishment of the home and this year has seen the kitchen and laundry room refurbished, two bedrooms decorated and the hallway and stair carpets replaced. Two recommendations were made at the previous inspection, firstly to monitor the hot water temperature to ensure the control vales were maintaining a safe temperature and secondly to consider restricting the openings of the windows above ground level to reduce the risk of accidents. Staff confirmed both of these issues been addressed. What the care home could do better: The Manager and staff team strive to provide a safe and happy home for people. No requirements have been made as a result of this inspection. Pippin House and the RNID continue to be commended for their performance. There have been no requirements to make improvements to the home in any inspection over the past six years, and any recommendations have been acted upon promptly. Key inspection report Care homes for adults (18-65 years) Name: Address: Pippin House 8 Keyberry Park Newton Abbot Devon TQ12 1BZ     The quality rating for this care home is:   three star excellent 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: Jane Gurnell     Date: 1 9 1 2 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: Pippin House 8 Keyberry Park Newton Abbot Devon TQ12 1BZ 01626354521 01626360260 rick.godfrey@rnid.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: RNID Care Services South West and London care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia sensory impairment Additional conditions: Date of last inspection Brief description of the care home Pippin House is a specialist home operated by The Royal National Institute for Deaf People and registered to accommodate people between the ages of 18 and 65. All of the people living in the home are profoundly deaf, but are in residential care due to a range of learning disabilities (including autistic spectrum disorder) and/or mental health problems. The focus of the work undertaken at Pippin House is to enable people to achieve their maximum potential, and great emphasis is placed on communicating with them. The home is a detached house in a quiet residential area less than a mile from the town centre. It has a large, secluded garden and a car parking area. Each person has a single bedroom with his/her own toilet and shower facilities. On the ground floor there is a communal lounge, dining room, conservatory, kitchen, laundry and office. Care Homes for Adults (18-65 years) Page 4 of 27 8 8 8 Over 65 0 0 0 Brief description of the care home There is no lift and the building is not suitable to accommodate anyone with significantly impaired mobility. There are no bedrooms on the ground floor. Currently the weekly fees range from £998 to £1400 dependent upon each persons needs. Information about Pippin House can be obtained directly from the home. Care Homes for Adults (18-65 years) Page 5 of 27 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: Pippin House was previously inspected on 11th January 2007 when the home was judged as providing excellent outcomes for the people living there. This inspection was unannounced and took place on Saturday 19th December 2009. It involved a tour of the premises, and examination of care records, staff recruitment and training files, health and safety records and the medication system. The staff team assisted us by interpreting for us with two people who live in the home and a further two were seen spending time in the lounge and helping out around the home. Prior to the inspection, the Manager had provided us with detailed information about the home in the Annual Quality Assurance Assessment (AQQA) which is a document provided by the Commission to allow the home to tell us what it does well and what plans there are for future developments. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The Manager and staff team strive to provide a safe and happy home for people. No requirements have been made as a result of this inspection. Pippin House and the RNID continue to be commended for their performance. There have been no requirements to make improvements to the home in any inspection over the past six years, and any recommendations have been acted upon promptly. Care Homes for Adults (18-65 years) Page 7 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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. Good clear information is thoughtfully presented, and thorough assessment is undertaken to ensure Pippin House is a suitable home for prospective residents. Evidence: There has not been an admission since 2003. The RNID has a policy and procedure to make sure that proper assessment is carried out before offering accommodation. It requires that offers of residency are to be based on successful introductory visits, a completed care needs assessment, and the homes expressed confidence that it can meet all of the care objectives identified. No emergency admissions would be contemplated. Compatibility with the people currently living at the home is of prime importance when considering applications. The RNID has a Statement of Rights and Responsibilities in registered care, to clarify for people considering moving to the home and their representatives the terms of their residence, as well as what they can expect with regards to having their care needs reviewed, and their views about the running of the home considered. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care and development needs are discussed with them regularly, and progress is promoted within a risk management framework. Evidence: Those people spoken with said they were happy at the home and explained they were able to take part in many activities in and out of the home. People appeared relaxed and happy moving about the home and conversing with the staff. Each resident had a full and detailed care plan. The care plan is structured to consider areas of need, and the goal and action to be taken in regard to each of these, who is responsible, and if there is any timescale for accomplishment. The areas covered include communication, diet and health, activities, education and work, holidays, peoples agreed responsibility for household tasks, contact with their family, any help needed with personal hygiene and appearance, work towards independence, and whether there is any danger of self-harming. A core meeting is Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: held every three months with each person where goals are reviewed, along with progress achieved, and any concerns or health issues. Methods of Approach guidelines have been developed by staff for each person to specify behaviours that cause concern and the responses that are agreed by the team to assure effective work and consistency of approach. Written guidance for staff in all of the areas identified above were very detailed and gave staff clear instructions about how to communicate with each person and how to offer support in a consistent and safe manner. Risk assessments had been reviewed regularly and it was evident people were encouraged to participate in a range of activities, both in and out of the home, according to their own interests and preferences. Each person had a timetable detailing their planned activities as well as free time when they could choose what they wished to, such as a trip to a local place of interest or personal shopping. Planned activities included arts and crafts, woodwork, going to the gym, snoozelum relaxation, a community walking group, using the homes trampoline for fun and exercise, swimming and aquafit, shopping and domestic tasks. Many of these activities had been planned to promote peoples independence and staff support was gradually being withdrawn when people demonstrated they were able to manage safely. For example, one person was able to go to the local shops without a member of staff thus promoting her self esteem and contact in the community without being seen as someone who needs staff support. Additional funding had been obtained so that one person could be supported to continue swimming for their club in galas across the county and further funding was being sought to support this person to attend the 2012 Olympic Games. Staffing was flexibly arranged to allow people to enjoy individual activities rather than going out in a group. For example, on the day of the inspection, one staff member had altered his shift times to accompany a person to the Pantomime. People are helped to manage their money, in order that they may have enough for their daily spending requirements, and also helped to save, if the person has a goal in mind and these arrangements were detailed in each care plan. Records of money received by each person as well as expenditure and money paid into their bank account were maintained and a sample of balances held in the homes safe was checked against the records and found to be correct. The Manager acts as appointee for six residents and each had their own bank account. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pippin House staff place a great emphasis on personal development opportunities and as such arrange work placements, access college courses, and promote hobbies and leisure activities for people. Evidence: People were seen involved in general domestic tasks around the home such as doing their own laundry and their involvement in these household tasks had been agreed with them and included in their care plan. People are involved in preparing snacks and drinks for themselves, and one person regularly enjoys baking. In the AQAA, the Manager states, at Pippin House our aim is for service users to develop and reach their full potential, whatever that level is, and to this aim we have developed links with a variety of educational, sheltered employment and day service providers. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: As noted above, people enjoy a variety of leisure and social activities as well as activities planned to promote their own daily living skills. People are involved in college courses in Independent Living skills as well as evening classes such as pottery, dancing and cooking. Relationships between family and friends are encouraged and transport is arranged if necessary as some families live many miles from the home. People are supported to attend community facilities such as discos, theatre, bowling club and the local pubs, cafes and restaurants. Two people attend the local church once a month for a signed service. Pippin House has a minibus and a car, and people are encouraged to walk or use public transport, where risk assessment shows this to be safe. A chart in the office acts as an aide memoir for staff showing all regular weekly activities, to ensure that nothing is forgotten, and staff, transport, medication, cash etc are all in place. Spontaneous outings are also frequently provided. A trip to the Pantomime was planned for the evening of the inspection, and there were photographs around the home of trips out to Dartmoor, supermarkets, and the beach. Holidays are planned each year and reflect peoples preferences whether to take a holiday independently from the other people in the home or, for one person, not to take a holiday but to stay at home, enjoying the freedom and quiet when others are away. This years holidays included a trip to Disneyland Paris. People contribute to the menu planning and meal preparation. The main meal of the day is in the evening as some people attend college during the day. The menu for the week is displayed on the notice board in the kitchen and pictorial alternatives are displayed to help people chose what they would like to eat. Care plans included information about peoples dietary preferences and whether there were any health issues such as poor nutritional intake or obesity to consider. 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. Peoples health is monitored carefully, and external professional help is requested when necessary. There is a safe medication system. Evidence: People do not generally need assistance with personal care, but such reminders as are necessary are detailed in the care plan. For example, one person had difficulty with cleaning her teeth and staff were seen to remind her to do this. There was evidence in care plans of medical advice, routine tests, and medication reviews being obtained as required. Each person is registered with a general practitioner and health appointments are recorded. Care plans included a weight chart to ensure peoples weight remained healthy. Specific guidance for staff was included in the care plans such as advise on leading partially sighted people to reduce the risk of trips and falls. It was advised to lead with the left arm to leave ones right hand free for signing, and to use a shoulder bag for the same reason. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: The homes procedure for administering medication was clearly written, and available for staff. A Senior Support Worker was responsible for overseeing the proper running of the system. Staff confirmed they had all received training in dealing with medication and certificates were seen in the staff files. None of the people living at the home were able to self-administer their medication. An allocated worker administers medications, and the records are checked by the Senior at the end of each shift, as a self-monitoring system. Those records checked as part of this inspection were found to be clearly written and accurate. Medication was stored safely in a locked room and cupboard. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident any concerns they may have will be taken seriously and dealt with promptly. Staff awareness of peoples needs and their effective communication promotes peoples well-being. Evidence: The complaints procedure is displayed in the hallway, produced with pictures and symbols to help people to understand. People can rely on the vigilance and good skills in observation of the staff and management to assure their safety. People meet with their keyworker each week to discuss issues important to them which could range from what they would like to do at the weekend, what meals they would like, as well as more serious issues such as their relationship with others in the home. Four-weekly house meetings encourage people to talk about their plans for the forthcoming month and to discuss any issues they may have. The Manager keeps a record any complaints and the action taken to resolve the matter: two had been received since the previous inspection relating to disagreements between people in the home. The commission has not received any complaints about the home since the last inspection. Staff have been trained in the Management of Actual and Potential Aggression (MAPA,) to enable them to recognise potentially stressful situations when someone is becoming distressed. The home has introduced guidance called Methods of Approach Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: for each person to advise staff on triggers to disturbed behaviour, and effective ways of improving or ameliorating situations. Staff had received training in the Protection of Vulnerable Adults, and also in Child Protection, in line with RNIDs policy. Care Homes for Adults (18-65 years) Page 18 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pippin House is spacious, comfortable and clean, with the appearance of a family house. Evidence: The home is in an attractive residential area and is set back down a drive, which gives a secluded and safe feeling. It has a large garden (with greenhouse) and a sizeable car parking area. Ongoing maintenance and improvement continues with the refurbishment of the kitchen, laundry room and two bedrooms, and the replacement of the hallway and stair carpets taking place this year. The communal rooms are comfortable and quite spacious. The garden had been used for barbeques, and vegetables provided for the table. Four bedrooms were seen, all attractive and filled with things people need to pursue their interests, and all with computers. It was clear people were pleased with their rooms, and had chosen colour schemes and fittings. Each bedroom either had en suite toilet and shower facilities, or a shower room close to the bedroom for the persons private use. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The large windows gave excellent natural light. The house was clean and well maintained throughout. Care Homes for Adults (18-65 years) Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Competent, caring and well-motivated staff are employed in sufficient numbers to provide sensitive care and opportunities for the people living at Pippin House. The home benefits from a stable staff team with a very low turnover. Evidence: Staff levels were seen to be sufficient to care for the people living in the home, to give attention as required and enable them to take part in individual activities in the local community. On the day of the inspection, three staff were on duty to support the seven people living in the home and the duty rota indicated this was routine. Two care staff are available in the evening unless more were needed for planned activities. At night a staff member remains on sleeping-in duty, and another on-call in case of emergency, which had not been needed for a considerable period of time. The staff were well motivated, and all spoke of good teamwork and joint working to improve peoples lives. Two-weekly staff meetings allow staff to contribute to the running of the home and address any issues that may have arisen in their keyworker meetings with the people living in the home. All the staff are trained in Basic British Sign Language (BSL) at level 1 and over half the staff team are trained to level 2. Staff are encouraged to attain a National Vocational Qualification (NVQ) in Care and in the AQAA the Manager confirmed three Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: staff were qualified to level 4, four to level 3, and two to level 2, and two are currently in training. Three staff were qualified NVQ assessors. Training files provided evidence of the training undertaken in the past year and included medication, diabetes, sexual awareness, person centred planning, total communication, risk assessment, MAPA, the safeguarding of vulnerable adults, mental health awareness, autistic spectrum disorders, fire safety and food hygiene. Those staff spoken with at the time of the inspection said they were very well supported and thoroughly enjoyed working at Pippin House. They were proud of the excellent level of support they were able to provide to people and confirmed everyone worked well as a team that was expertly led by the Manager. The staff group is stable, with very few changes, which is vital for this client group on account of their communication needs. The recruitment and training files of three staff were examined and each was found to have the documents required to show that preemployment checks had been carried out to assure peoples safety. Care Homes for Adults (18-65 years) Page 22 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people who live there. The Manager and staff team strive to provide people with the support they need to live as full a life as possible and promote learning and development. Evidence: The Registered Manager of Pippin House, Mr Richard Godfrey, has NVQ 4 in Care and many years of experience in managing residential care for people with a learning disability and sensory impairment, having worked for the RNID since 1988. He leads the team vigorously, upholding peoples rights and supporting staff in their efforts to provide a good quality of life for people. Staff meetings are held fortnightly and staff said they feel able to raise issues freely. The homes performance with regard to all National Minimum Standards are considered in turn at staff meetings, and by the organisations Residential Services Manager in his monthly visits to the home. This ensures staff are familiar with the National Minimum Standards and this was demonstrated throughout the inspection. Communicating with people and helping them to express themselves is a central focus Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: of this service. In addition to everyday discussion, the home has produced questionnaires with photos, symbols, and very clear writing to give an opportunity for people to express views on their room, the food, staff, health care and activities at Pippin House. Monthly residents meetings are held, to make sure people do not miss out on news and information. The Manager is working on plans to develop the premises to provide greater scope for independent living for those who wish to progress in this way. The needs of people as they grow older and may have reduced mobility are also being considered by management. The fire precaution system had been tested weekly and serviced annually to ensure it remains on good working order and staff receive regular fire training and weekly fire drills to ensure they know what to do should a fire break out. Windows above ground level have been fitted with restrictors to prevent them from opening wide to reduce the risk of accidents. The temperature of hot water in baths and showers is controlled to reduce the risk of scalding and regular tests ensure the valves are working as they should. Care Homes for Adults (18-65 years) Page 24 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 25 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 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. 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!