Care Home: Poplar Lodge

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What the care home does well The home ensures that full assessment is carried out before anyone is offered a place in the home. And as part of the pre - admission process any prospective resident always has the opportunity to visit the home. The staff ensure that people who live in the home are fully involved with their written plans of care and this ensures that they receive the correct support. Staff also offer support to the residents in maintaining their social networks and keeping in touch with families and friends. The home maintains good staffing levels and this enables staff to spend 1 - 1 time with the residents. The manager ensures that staff receive training that is appropriate to their work and also carries out formal staff supervisions and meetings. This ensures that staff receive the necessary support to do their work. What has improved since the last inspection? This is the first inspection of the service since being registered in June 2009. What the care home could do better: Overall a good start has been made with the service. And the manager has herself identified a number of improvements and developments that they wish to make over the next 12 months. During this visit we spoke with the manager about some areas that we noted require some additional work to be carried out. In order to improve upon the laundry facilities steps should be taken to providing suitable means of drying clothes once they have been washed. Maintenance issues that relate to painting or where paintwork requires touching up should be addressed as part of the ongoing maintenance plan. The cooker hob should be professionally cleaned or replaced due to the heavy staining and steps should be taken to ensure that oven door fully closes. Though the manager confirmed that the owner visits the home on a weekly basis. Steps should be taken by the owner to prepare at least one report on a monthly basis that comments on the conduct of the home. These reports should be made available in the home should anyone then wish to see them. Where staff are administering service users medicines then written consent should be obtained and a record kept in their individual file. Key inspection report Care homes for adults (18-65 years) Name: Address: Poplar Lodge The Poplars Wards End Tow Law Bishop Auckland Co Durham DL134JS     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: Clifford Renwick     Date: 1 7 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 30 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 30 Information about the care home Name of care home: Address: Poplar Lodge The Poplars Wards End Tow Law Bishop Auckland Co Durham DL134JS Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Ruth Wilcox Type of registration: Number of places registered: care home 9 Poplar Lodge 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:9 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 needs on admission to the home are within the following categories: Learning Disability Code LD, maximum number of places: 9 Date of last inspection Brief description of the care home Poplar Lodge is a privately owned care home located on the outskirts of Tow Law in the west of County Durham. Poplar Lodge provides short - term and long stay care for up to 9 younger adults with a learning disability. Poplar Lodge is a large stone built detached house, set in its own grounds. It has ground and first floor single bedroom accommodation for service users. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 9 Brief description of the care home The home is not designed for use throughout by service users with an additional physical disability, but does have 1 ground floor bedroom and other facilities accessible to service users with a physical disability. Up to date information about the fees should be sought from the home. Care Homes for Adults (18-65 years) Page 5 of 30 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 stars. This means that the people who use this service experience Good quality outcomes. This is the first inspection of the service since being registered in June this year. Before the Visit. We looked at. Information we have received since our last visit. How the service has dealt with any complaints or concerns. Any changes to how the service is run. Care Homes for Adults (18-65 years) Page 6 of 30 The providers view of how well they care for people from information they provided in the annual quality assurance document (AQQA) that they sent to us. The Visit. An unannounced visit was made on the 17th November 2009. During the visits we. Met with the three people who live in the home. Spoke with the staff who were on duty. Held discussion with the manager who was present during our visits. Had lunch with the residents. Observed staff working practices. Looked at information about the people who are receiving support and how well their needs are met. Looked at other records which must be kept in relation to health and safety and staffing. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it was accessible, well maintained, safe and free of any hazards. We also gathered information from looking at, care records to assess how staff supports people with their assessed needs. We also focused upon looking at the records for the 3 people who are currently receiving a service we refer to this as case tracking. And this involves looking at all of the records for a named individual. We told the manager what we had found. The people who live in this home prefer to be known as residents therefore this term of reference is used throughout the report. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: Overall a good start has been made with the service. And the manager has herself identified a number of improvements and developments that they wish to make over the next 12 months. During this visit we spoke with the manager about some areas that we noted require some additional work to be carried out. In order to improve upon the laundry facilities steps should be taken to providing suitable means of drying clothes once they have been washed. Maintenance issues that relate to painting or where paintwork requires touching up should be addressed as part of the ongoing maintenance plan. The cooker hob should be professionally cleaned or replaced due to the heavy staining and steps should be taken to ensure that oven door fully closes. Though the manager confirmed that the owner visits the home on a weekly basis. Steps should be taken by the owner to prepare at least one report on a monthly basis that comments on the conduct of the home. These reports should be made available in the home should anyone then wish to see them. Where staff are administering service users medicines then written consent should be obtained and a record kept in their individual file. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 30 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. For any individual wanting to move into the home a full assessment is carried out to ensure that their needs can be met. Evidence: In discussion with the manager it was confirmed that no one is offered a service without a full and comprehensive assessment being carried out. The assessment covers all areas and also involves a full risk profile being obtained in order to ensure that the staff have all of the information they need. From this they would then decide if a persons assessed needs can be met in the home and if so the person would be offered a place. Prior to moving into the home any prospective service user has the opportunity to visit the home and meet with the people who live and work there. They also have the option of overnight visits in order to help them make an informed decision about whether they wish to move in. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The manager confirmed that the service user is fully involved during the assessment process and other people who have been involved will also be asked for their input. Such as family, friends, advocates and other professionals who have worked with the service user, Once the person has decided to move into the home they are allocated a link worker who then supports them to compile a Lifestyle plan. And this information assists staff in getting to know the service user better. When all of this information has been compiled staff will implement a full plan of care that sets out in detail how the service user is to be supported by staff. At the time of our visit there were three gentlemen living in the home. And in discussion with them they were able to confirm that they had been involved in the pre admission assessment process. They also confirmed that they had had the opportunity to visit the home and meet people before deciding to move in. Each person said that they were pleased they had chosen this home and went on to say it was a good place to live. They also spoke about a person who was moving into the home in a weeks time and said that they should settle ok. Care Homes for Adults (18-65 years) Page 12 of 30 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. An individual plan is in place for each service user and this sets out how assessed needs are to be met. Evidence: As part of this visit we looked at the care files for all three people and this included looking at all assessment and risk assessments as well as the lifestyle plan. The amount of information that was held in the care files varied depending upon how long the person had resided in the home.For example for one person the information held was basic and included an assessment, risk assessment and also a range of information relating to health. For the other two people the information was detailed particularly for one person who had previously lived in another home owned by the company and had transferred to this home. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Records were available to show when someone had visited the home prior to moving in and also how they had spent their time when visiting. There was a good and comprehensive background assessment for two of the people and also a comprehensive lifestyle and goal plan. That set out how people wished to be supported and also how they had made choices about their lifestyle and what they hoped to achieve. The plans are personal centred one file contains photographs of a person engaged in situations with family, friends and work to make it personalised. The lifestyle plan for one person also included information about relationships and how staff would offer support as well as having the involvement and support of a psychologist. Information was also available about how one person had been involved in painting their room as part of the planned move into the home. Risk assessments were in place and as a result of some identified risks there have been agreed restrictions and limitations placed on 3 people. Particularly in relation to access to alcohol and going out unsupervised. Discussion with the manager confirmed that these documents are kept under review and would be changed when necessary. These form part of the lifestyle plan and people are fully aware and have agreed to these restrictions. The lifestyle plan and other records that are used to support these confirmed that service users are able to make choices about how they are involved in the home. And also how staff are to support them. In discussion with the three people who currently live in the home they confirmed that they were very satisfied with the home and in comparing it with other places that people had lived two of them confirmed that it was better here. They spoke positively about the staff and went on to say that they liked them and that they were very supportive in helping them to access local community facilities. Care Homes for Adults (18-65 years) Page 14 of 30 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. Staff supports people to follow their chosen lifestyles ensuring that they have the opportunity for personal development. Evidence: Staff work with the residents and assist them in taking part in a range of activities that interest them. One person takes an active interest in gardening work and informed us that he helps out in the house and carries out tasks in the garden. This person also works at an equestrian centre once per week. In discussion with this person they confirmed that they enjoy this work and look forward to visiting the stables. All of the people who live in the home are involved in the household tasks and also take responsibility for looking after their own rooms. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: The manager in consultation with the residents has worked out a weekly planner that highlights what tasks people are responsible for. Good use is made of the local community and surrounding areas and the residents are supported by staff to go out shopping, go for meals and take part in activities. And these outings take place on a 1-1 basis so that staff have sufficient time to spend with the person. Staff are in the process of looking at how one person can access a local gym as they are keen on weightlifting. And in terms of assisting a person with their literacy skills the staff are also looking at accessing an appropriate literacy course that this person can attend. In discussion with staff it was confirmed that a variety of transport methods are used to access community facilities. And this varied from using staff transport, local taxis and also the local bus. One person currently has a bus pass and staff stated that they are looking at other people obtaining a bus pass too. Some activities also take place in the house and one person receives a visit from an aromatherapist who carries out head massages and reflexology as part of a programme to assist a person with relaxation techniques. There is also a building in the grounds (formerly used by the previous owners as a day centre) that is equipped with games. And the residents make use of this building whenever they want. There are no restrictions on family contact and this maintained in a variety of ways that range from personal visits to keeping in touch by telephone. In discussion with the staff and the residents it was confirmed that a variety of meals are provided in the house. And menus showed what meals were available on a daily basis. It was confirmed by staff that during the week they prepare the main meal which is taken in the evening. And the residents are involved in preparing the lunch either with staff support or by themselves. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: The residents help themselves with breakfasts and any snacks and drinks in between meals. The residents confirmed that they are involved in shopping for the food for the house and also they have plenty of opportunities to become involved in the meal preparations. They went on to say that they have a good variety of meals to choose from and that there is always sufficient to eat. Care Homes for Adults (18-65 years) Page 17 of 30 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. Staff are good at caring for people and making sure service users receive the right health care. Evidence: The people who live in the home are receiving support in the way that they prefer and require and this is confirmed in their lifestyle and goal plan. These documents look at all aspects of daily support needs and what support is needed to maintain physical and mental health. Where any special support is required with any aspect of daily living an individual goal plan is written up and the resident is involved with this. In discussion with the people who live in the home they confirmed that there are no restrictions on when they go to bed and when they arise. Good records are in place to confirm that people receive support with their health needs. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Due to the location of the home each resident has to register with G.P. in the area once they move into the home. They are able to access all service provided by the NHS and this includes the dentist and also a chiropodist. One person is involved with a weight management programme and is encouraged to follow a healthy eating programme. A goal plan is in place for this and the records and also the photographs show that this person has reduced their weight considerably. Discussion with the manager confirmed that a health outcomes document is completed every two months with each resident and an update is given on all aspects of their health. This ensures that each persons health is monitored and if there are any changes a referral can be made to the relevant health professional. At the time of our visit none of the residents were responsible for administering their own prescribed medicines. This was carried out by staff some of whom have completed training in the safe handling of medicines. A monitored dosage system is in place to record what medicines are administered and when and these are kept in accordance with the guidance. Though none of the residents self administers their medicines they each have a lockable facility in their bedroom in order to promote privacy and in some respects offer residents a degree of control over the process. A record is in place that also confirms that for any homely remedies that may be used the G.P. has signed to confirm that these are appropriate for the person. Discussion was held with the manager about the need for the residents to sign their agreement to staff administering their medicines. The manager confirmed that improvements that have been identified to take place over the next 12 months include training all new staff in the safe handling of medicines. And arranging for regular medicine audits to be carried out by the pharmacist. Care Homes for Adults (18-65 years) Page 19 of 30 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. A clear accessible complaints procedure gives service suers and their relatives confidence that they will be listened to and taken seriously. And staff has a good understanding of local adult protection procedures, which helps to ensure the protection of service users from abuse. Evidence: Every person who moves into the home is given a copy of the service user guide which contains instructions on how to make a complaint, and who a complaint can be made to. The information is detailed and is also explained to each person when they move into the home. The complaints procedure is written in a user friendly format and is easy to understand. In discussion with the three people who live in the home they said that they had no complaints. They went on to say that if they did they would raise them with the staff, knowing that any complaint would be dealt with to their satisfaction. The home have polices and procedures that deal with safeguarding adults and staff have received in house training on safeguarding adults. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: The manager is in the process of obtaining a copy of the Local Authorities procedures on safeguarding adults. And training from the Local Authority has also been sourced for staff and this will take place in January 2010. Care Homes for Adults (18-65 years) Page 21 of 30 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. The home is clean and has a good range of facilities however some minor updating is required in order to promote a positive image for service users. Evidence: During this visit we looked at all communal areas and all bedrooms that were occupied. There is a small storage office on the ground floor and a larger office on the first floor . Prior to people moving into the house a programme of decoration was carried out however in some areas the standard of the paintwork is not good and some remedial work is required to address this. This was discussed with the manager who was advised of what actions to take. The oven door in the kitchen does not close fully and could have an impact on its effectiveness when cooking. And the hob is in need of professional cleaning or replacing due to heavy staining. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: The oven and hob were original fixtures in the home and were not replaced when the home opened. Each resident has their own bedroom and in discussion with them they confirmed that they had the opportunity to choose their own room when moving in. And as previously stated in this report one resident had been involved in painting their own room. Each person has brought with them a range of personal effects into the home and though furniture is supplied each person has an option to bring their own furniture into the home if they wish. Bedrooms have been personalised by each person and the residents have their own televisions, music systems and DVD players. Each person has a key to their room. There are two lounges on the ground floor both of which have a television fitted and the rear lounge also has access to freeview channels. The rear lounge also has a table and chairs and can be utilised as dining room. At the time of our visit there were noticeable defects or safety hazards. One ground floor toilet was out of use and staff had reported this and were waiting for the plumber to call out. There is a separate laundry facility for washing clothes but at present there are no drying facilities such as a tumble drier and this was discussed with the manager. The home benefits form having a spacious garden at the rear and also another building (annexe) that can be used by the residents for playing games. In discussion with the residents they said that they had been talking with staff about obtaining some chickens and possibly some ducks for the garden. And they were looking forward to this. Care Homes for Adults (18-65 years) Page 23 of 30 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. Staff receive sufficient training to support them in their work, to ensure service users receives good quality care. And furthermore robust recruitment procedures are in place to prevent unsuitable people being employed. Evidence: Each person who works in the home have specifically recruited for this service. In discussion with the manager it was confirmed that at any time there are always two members of staff on duty. The manager who works during the day is supernumerary to the staff team. The manager confirmed that three staff have undergone NVQ Level 3 training, two staff have just completed NVQ Level 3 training and everybody else has enrolled on this training. All staff have received training in food safety, health and safety, first aid and moving and handling. There is a good skills mix among the staff team many of who have experience in residential care and others who have experience in other areas of work. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Robust procedures are in place for the recruitment of staff and all staffing files confirmed that all of the necessary checks had been carried out when employing staff in the home. In addition to the care staff the home also employ their own person who is available 16 hours per week or longer when required. And this ensures that any day to day maintenance issues can be addressed quickly. This person also involves one of the service users in some aspects of this work particularly in the garden area and offers instruction and guidance whilst carrying out tasks. In discussion with staff who were present during our visit it was confirmed that they like working in the home. Morale was high and it was good to see that they play an active part in the day to day running of the home. The manager confirmed that they are carrying out formal supervisions with all staff and at present these are carried out on a monthly basis. And staff meetings are held monthly and all staff are encouraged to contribute their views and ideas as to how the service can be developed. Care Homes for Adults (18-65 years) Page 25 of 30 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. Service users benefit from a well run home and this ensures that the health, safety and welfare of service users is promoted and protected. Evidence: The manager has been registered on three previous occasions with the commission prior to working in this service. And has a good range of experience in managing a residential care home for adults with a learning disability The manager is in possession of the NVQ Level 4 certificate in care and also holds the registered managers award. In addition to this the manager is up to date with all mandatory and statutory training requirements and is in position of appropriate certification. In discussion with the manager it was confirmed that the owners visit the home on a Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: weekly basis and offer support. Though at present there are no records being held of the owners monthly visits to confirm what they have done when they visit the home. This was discussed with the manager as it is a requirement that at least once monthly the owners prepare a report on their visit to the home and make these available in the home. From the moment the home opened the manager stated that a range of quality assurance systems have started to be implemented as part of the development of the service. One of these has been the in house resident surveys which are set out in an easy read format. And will be used to seek peoples views and assist in driving the service forward. The manager also stated that the staff meetings will be used to look at the general running of the home and how improvements can continue to be made. A range of policies and procedures are in place that deals with health and safety and this includes fire safety. Evidence is available to confirm that the staff receive training that is appropriate to their work. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 2 3 4 5 20 24 24 29 37 Service users consent to medication being given by staff should be obtained and recorded in the individual plan. Action should be taken to address those matters that relate to the oven and cooking hob as identified in this report. Steps should be taken to address those areas where the paintwork requires touching up. Appropriate clothes drying facilities should be provided in the home. The registered provider should ensure that a monthly report is kept of their visit to the home. And these reports should be available in the home. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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