Care Home: Priory Close (3)

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Each resident has an Essential Lifestyle Plan, which are person centred so that they have more choice and control over their own lives. Residents health and personal care needs are well recorded, supported and monitored to ensure they stay well. Staff treat residents with respect and their privacy and dignity is maintained all the time. Procedures in place at the home make sure that residents are protected from abuse or neglect and people are confident about complaining if they need to. Staff have been properly recruited to make sure they are right for the job and they receive a good amount of training, which is relevant to their role. The manager and staff are committed and have a real good understanding about the needs of the residents. What has improved since the last inspection? The statement of purpose has been updated and now includes up to date information for people that already live at the home and those who are thinking about living there. Care plans have been regularly reviewed and updated so that staff have up to date information about how to meet the needs of the residents. Records have been kept, detailing certain behaviours so that staff have the information they need to provide residents with the right support. A major review for one resident whose needs had changed significantly has taken place. All the relevant people including health and social care professionals were involved and there has been a positive outcome for all those concerned. An Independent advocate has been arranged for those residents who need one. Written guidance has been made available for all medication, which residents need prescribing when required (PRN) so staff now have the information they need. The garden is better maintained making it more attractive for residents. There are plans to further improve the garden. Parts of the home have been decorated and new furniture has been bought making it more comfortable for the residents that live there. Staff are now receiving one to one supervision at least six times a year to ensure they are given the right level of support.Priory Close (3)DS0000025316.V377252.R01.S.docVersion 5.2 What the care home could do better: Records must be kept to show that residents are being offered the right opportunities to access community facilities and take part in activities which they enjoy. Key inspection report CARE HOME ADULTS 18-65 Priory Close (3) 3 Priory Close Aigburth Liverpool Merseyside L17 7EG Lead Inspector Janet Marshall Unannounced Inspection 13 November 2009 09:00 th Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 1 This report is a review of the 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. 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 home adults 18-65 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. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 2 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 Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Priory Close (3) Address 3 Priory Close Aigburth Liverpool Merseyside L17 7EG 0151 727 1886 F/P 0151 727 1886 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.c-i-c.co.uk. Community Integrated Care Alan Morris Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief Description of the Service: 3 Priory Close is registered to provide care for three adults with a learning disability. It is a detached bungalow with three single bedrooms, a large lounge, a kitchen and an office. There are laundry facilities in the garage and the back garden has a patio and grassed area. The property is accessible to wheelchair users and bathing aids are provided. Priory Close is a quiet cul-desac on part of the former Garden Festival site near to Otterspool promenade in south Liverpool. Local shops and amenities can be found a mile or so from the home and a bus route to Liverpool city centre is nearby. The registered owners are Community Integrated Care (CIC), a large social care charity and the building itself is owned by a housing association. The home’s fees are in the region of £368 per week. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care Homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before the site visit takes place. The AQAA was filled in by the manager and returned to us on time, it provided us with information we asked for about the service and was used to support some of the judgments we have made. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing and is called the site visit. All three residents were at home when the site visit started. The manager and support staff that were on duty all helped with the inspection. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Residents that live at the home could not comment about their experiences so two of them were case tracked. This is a process we use to find out whether the people that live at the home are receiving good quality care that meets their individual needs. It is done by talking to people, on this occasion with the manager and staff, and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there. No surveys were returned at the time of writing the report. What the service does well: Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 6 Each resident has an Essential Lifestyle Plan, which are person centred so that they have more choice and control over their own lives. Residents health and personal care needs are well recorded, supported and monitored to ensure they stay well. Staff treat residents with respect and their privacy and dignity is maintained all the time. Procedures in place at the home make sure that residents are protected from abuse or neglect and people are confident about complaining if they need to. Staff have been properly recruited to make sure they are right for the job and they receive a good amount of training, which is relevant to their role. The manager and staff are committed and have a real good understanding about the needs of the residents. What has improved since the last inspection? The statement of purpose has been updated and now includes up to date information for people that already live at the home and those who are thinking about living there. Care plans have been regularly reviewed and updated so that staff have up to date information about how to meet the needs of the residents. Records have been kept, detailing certain behaviours so that staff have the information they need to provide residents with the right support. A major review for one resident whose needs had changed significantly has taken place. All the relevant people including health and social care professionals were involved and there has been a positive outcome for all those concerned. An Independent advocate has been arranged for those residents who need one. Written guidance has been made available for all medication, which residents need prescribing when required (PRN) so staff now have the information they need. The garden is better maintained making it more attractive for residents. There are plans to further improve the garden. Parts of the home have been decorated and new furniture has been bought making it more comfortable for the residents that live there. Staff are now receiving one to one supervision at least six times a year to ensure they are given the right level of support. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 7 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. 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. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available about the home and procedures are in place to ensure that people choose a home that is right for them. EVIDENCE: No new residents have been admitted to the home since the last inspection of the service, which took place in August 2008. One resident whose needs can longer be met at the home will be moving out very soon. Records, which were looked at showed that procedures followed prior to their move have been in the best interests of the resident. The manager and staff have been very supportive in helping the resident to find a more suitable place to live. The AQAA told us about the procedures that would be followed for assessing and admitting a new resident to the home. The manager said he would be fully involved in this process and he explained clearly how it would be done. Before a decision is made about a person moving in to the home a full care needs and risk assessment would be carried out covering things such as the persons health, social, financial and psychological needs. The prospective resident, their family/representative and other professionals such as social Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 10 workers and nurses would be involved in the assessment. Information is taken from the assessment to decide if the persons needs can be met at the home. Once it is decided that the persons needs can be met they would be offered visits and overnight stays to help them decide if they want to live there. It was recommended as part of the last inspection report to update the homes statement of purpose because it included information, which was out of date. The Statement of Purpose, which was looked at showed that this has been done and the document is now up to date providing detailed information for people already living at the home and those who are thinking about living there. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have all the information to help them meet residents needs and to support them to live safe and independent lives. EVIDENCE: Each of the residents that live at the home had an Essential Lifestyle Plan and risk assessments. An Essential Lifestyle plan is a type of care plan that is written in a person centred way. A person centred care plan gives people more choice and control over their own lives because it sets out exactly what the person what and how they want it to be done. Care plans covered areas of need such as health and personal care, mobility, communication, culture and religion. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 12 The plans also included information, which is important to the resident such as family and friends, their likes and dislikes and their future goals and aspirations. Care plans for two residents were looked at in detail as part of the case tracking process. There was information in them to show that they have recently been reviewed and updated with the involvement of the resident and other important people in their lives, such as their key worker, family/representative and social workers. A requirement was given as part of the last inspection report to ensure that care plans are kept under review in particular for one resident who was being affected by challenging behaviour. Records, which were looked at during the site visit showed that this has been done with positive outcomes for all those concerned. Because of certain limitations residents were unable to comment about their care plans. Staff spoken with commented, “Care plans are important because they tell us about the resident and how to support them in the best way”. “I read residents care plans each time I am on duty”. “Care plans are updated at least once a month or when something changes”. Residents that live at the home have limited verbal communication skills but they are able to communicate in a number of other different ways. The way that they are able and prefer to communicate was recorded in their care plans. Staff were seen encouraging residents to make choices and decisions, they did this by talking to the residents who responded using facial expressions, sounds and gestures. Staff appeared to have no difficulties understanding what the residents were communicating. It was recommended as part of the last inspection report to make arrangements for independent advocates for those residents that need them. We were told in the AQAA that advocates are now involved and the manager confirmed that residents that need them now have one. Information about advocates was seen in residents care files. Risk assessments were part of each persons care file. They provided staff with up to date information about how they need to support residents, so that they can take part in tasks and activities, which are likely to pose a risk to them. Records seen showed that risk assessments are reviewed and updated on a regular basis. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are not given being fully supported to live their chosen lifestyles putting them at risk of being isolated. EVIDENCE: Care plans, which were looked at included information about the residents hobbies and interests. The manager explained that one resident has completed a college course and is hoping to take up photography, which is a hobby of theirs. The AQAA told us that residents are given opportunities to take part in the things they enjoy doing both at home and in the community. However when daily records for two residents dating back 4 weeks were read it showed that they have not been out of the house on many occasions. This was discussed with the manager and the staff that were on duty at the time of the site visit. The manager and both members of staff recalled a number of occasions when Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 14 residents had been out, shopping, for leisurely walks and to visit other attractions. They said that the information must not have been recorded in their daily diaries. Residents must be offered appropriate opportunities to access activities in the community details of which must be recorded in their daily diaries, to show that their social needs are being met. Daily records showed that residents are encouraged to maintain contact with family and friends and personal relationships are respected and appropriately supported by staff at the home. All of the residents need the full support of staff to prepare their meals and they need help at meal times. Information about the support they need and any special dietary requirements was well recorded in their care plans. Menus, which where viewed at the home showed a variety of healthy meals. A member of staff said menus can be changed if a resident chooses. The member of staff showed a good awareness of the importance of nutritious and balanced diets. Care plans included information about residents likes and dislikes with regard to food. A good stock of food was seen at the home. There were also sufficient crockery, cutlery pots and pans, a fridge, freezer and microwave, which were all of a domestic style. The AQAA told us that residents are involved in shopping for food. During the site visit a member of staff said residents are always involved in the main weekly shop for food as well as shopping daily for essentials such as fresh bread and milk. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to stay well and they are provided with personal care is in a way that ensures their privacy and dignity. EVIDENCE: Each of the residents had a healthcare action plan detailing the type and level of support they need with personal care and their preferred routines were also detailed. Health action plans, covered residents healthcare, needs and the support that they need to stay well. Records within this section showed that they are offered minimum annual health checks including visits to primary healthcare services such as dentist, opticians and doctors. Residents are also supported when necessary to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care appointments. If needed visits to the home by healthcare professionals are arranged and recorded. Communication profiles show how residents communicate if they are in pain or unwell and the action staff should take in response. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 16 During the inspection visit staff were observed assisting residents in a polite way. Through discussion staff showed that they understood the importance of ensuring residents privacy and dignity a staff member said, I always knock on doors before entering bathrooms and bedrooms. “I tell residents what I am going to do before I do it”. “I make sure the room is warm and there are no obstructions in the room”. During this inspection visit all medication and medication administration records (MAR) were examined. Medication and records were stored in a locked cabinet. Discussion with staff and examination of records showed that they have completed medication awareness training. A policy for the safe handling and administration of medication was available at the home. The manager showed a good awareness of the polices and procedures. A recommendation was given as part of the last inspection report for staff to be provided with written guidance detailing any medication, which is to be taken by residents ‘as required’ this is known in medical terms as PRN. The recommendation was made because written information was available for some medicines, which residents require when needed (PRN) and it should be available for all such medicines. Records seen during this inspection visit showed that written information has been made available to staff about all medication which has been prescribed to be administered to residents when required (PRN). Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and are confident that all complaints would be dealt with in the right way and residents are protected by the homes protection procedures. EVIDENCE: The AQAA told us that no complaints have been made directly to the home since the last inspection and the commission have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. A pictorial complaints procedure was also on display at the home for residents who have difficulties reading words. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. Staff spoken with described well how the would deal with a complaint and they knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, “Yes I know about the homes complaints procedure and I would definitely complain if I needed to. Other staff spoken with also knew about the homes complaints procedure and were confident that any complaint they made would be dealt with in the right way. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 18 Detailed in the AQAA and available at the home were a number of policies and procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Liverpool Local Authority procedures. Staff training records, which were looked at and discussion with staff showed they have received up to date POVA training. One member of staff spoken with said that they would immediately report any incidents of abuse something which they have done in the past. Records held by us and discussion with the manager showed that a safeguarding referral, which was made before the last inspection has been fully investigated and is now complete, the members of staff involved have since been dismissed. The AQAA told us that strict processes were in place at the home for managing residents money. Records, which were looked at during the inspection visit showed that residents money is kept securely and all transactions are properly recorded, those that were checked were in good order. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable and safe for the residents that live there. EVIDENCE: The home is a detached bungalow in a quiet residential area of Aigburth, Liverpool. There is off road parking directly outside the home. It is near to local shops, pubs and health centres and public transport links are close by. At the back of the home is an enclosed garden with a greenhouse and flagged areas. A recommendation was given as part of the last inspection report for the garden to be better maintained. This was because the lawn was overgrown and there were few plants making the garden look dull and uninviting for the residents who like to sit out in the warmer weather. The lawn has been mowed regularly since the last inspection and the AQAA told us that there are plans to improve the garden further in the next year. This was also confirmed by the manager during this inspection visit. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 20 The AQAA told us about the improvements, which have been made to the inside of the home since the last inspection visit. They include the replacement of furniture in the lounge and the redecoration of all rooms in the home. A tour of the home showed that the improvements have been carried out to a good standard. On the day of the visit all parts of the home were clean and tidy and there were no hazards found. The AQAA told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. Staff training records, which were looked at showed that staff have been provided with training in the above subjects. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Two staff and the manager were on duty at the time of this inspection visit and all of them were spoken with. They showed a good understanding of their roles and responsibilities and they had a real good understanding of the needs of the residents. Both staff confirmed that they were given a copy of their job description when they started work at the home. One member of staff commented, “I love my job, I look forward to coming into work”. A requirement was given as part of the last inspection report to ensure that the right amount of staff are employed at the home for the health, safety and welfare of the residents and so that they receive the right levels of support to live their chosen lifestyles. This was because the needs of one resident had changed and were having a negative effect on other residents and also two staff were absent from work. At the time the absent staff could not be replaced on a permanent basis because of an ongoing investigation, however Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 22 they have since left. The manager said one new member of staff has been taken on and he is hoping to recruit another, but in the meantime he and other permanent staff at the home are covering the vacant shifts as overtime. Staff spoken with also confirmed this, a member of staff said, “I don’t mind doing overtime until new staff are taken on and I feel I can cope with the extra hours”. The AQAA told us that strict recruitment procedures are followed for taking on new staff at the home and they are provided with induction training during the first few months of starting work. Induction training records for a new member of staff were seen and the member of staff who was on duty, said they had completed an induction programme. Training records for a number of other staff were looked at they showed that they have completed basic training and specialist training to help them understand and manage certain conditions, which residents have. During discussion a member of staff said they had completed basic training such as first aid, health and safety, POVA, medication awareness and manual handling. The member of staff said, “I feel well trained and think the company provide us with a good amount of training. The AQAA told us that more than half of the staff group have got or are working towards a National Vocational Qualification (NVQ) in Care Level 2 or above. It was recommended as part of the last inspection report that staff receive more regular recorded supervision from the manager. This was because at the time of the last inspection staff were receiving only two supervisions sessions in a twelve month period and they should receive at least 6 during that time. The manager confirmed that he is now supervising staff on a 1-1 basis every 4 weeks. A member of staff said, “Yes I have supervisions with the manager once a month”. Written records of staff supervisions were available at the home. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager runs the home well ensuring the best interests of the residents and staff. EVIDENCE: Alan Morris is the registered manager of the home. Records looked at and discussion with him during the site visit showed that he has the right skills, knowledge and experience to manage the home. The manager has an NVQ level 3 in Care and a number of other qualifications relevant to his job as manager. They include management foundation, risk assessment, safeguarding and staff supervision, he said is soon to start an NVQ Level 4 and the Registered Managers Award. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 24 Staff spoken with were complimentary of the manager and the way he runs the home. They made the following comments to support this, Alan is a good manager, He is supportive and approachable . “Alan is easy to talk to and he listens and deals with any issues we have in the right way”. “Alan is very good with the residents”. The manager has a number of systems in place to make sure the home is run properly and in the best interests of the residents. He carries out regular quality checks on things such as, residents care plans, health and safety records and residents finances. A representative of the organisation also visits the home each month to check that the home is running in the best interests of the residents. They write a report following the visit and a copy of it is kept at the home. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that the required checks have been carried out on the gas and electricity systems and equipment used at the home to make sure they are safe and in good working order. Discussions with staff during the inspection visit and information provided in the AQAA showed that staff have received training in subjects of health and safety such as fire awareness, lifting and handling and first aid. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 3 12 3 13 2 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Version 5.2 Page 26 Priory Close (3) DS0000025316.V377252.R01.S.doc No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA13 Regulation 16 Requirement Residents must be offered appropriate opportunities to access activities in the community details of, which must be recorded in their daily diaries, to show that their social needs are being met. Timescale for action 15/12/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 27 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Priory Close (3) DS0000025316.V377252.R01.S.doc Version 5.2 Page 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!