Care Home: Queensberry Road

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well Queensbury Road is a comfortable and friendly home. Visitors are always made welcome.Bedrooms were clean and contained personal items.People who use the service are involved with decisions made about them, the home and in developing their support plans.People using the service are supported to be as independent as possible.Support workers will assist people in meeting their personal and healthcare needs.Your privacy will be was respected.People using the service feel safe.Support workers are competent and have good support.The service is well managed.Records are well maintained and kept secure.Information is available in easy read documents. What has improved since the last inspection? Statement of Purpose, Service User Guide, and other information for people using the service is now in accessible formats.Person centred plans have been developed but there is ongoing work to improve these. What the care home could do better: A review must be undertaken on how controlled drugs can be safely stored. To ensure that they and meet the new regulations that came into force in 2007. People using the service currently take part in an annual survey distributed by Mencap, which asks them to comment on the care and service they receive.There is no formal process, which tells people that use the service outcome, and any possible changes Mencap may wish to introduce. Mencap should consider producing information to service users in an appropriate format so that those that taking part know that their views have been considered. The quality assurance process could be increased to include the views of relatives/friends and those who support people using the service such as health and social care professionals. The survey results could be incorporated in an accessible report that includes a plan of any changes to improve the service. Key inspection report Care homes for adults (18-65 years) Name: Address: Queensberry Road 22 Queensberry Road Kettering Northants NN15 7HL 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: Judith Roan Date: 0 7 0 5 2 0 0 9 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. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 36 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 36 Information about the care home Name of care home: Address: Queensberry Road 22 Queensberry Road Kettering Northants NN15 7HL 01536415201 F/P01536415201 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: No one falling within category LD may be admitted into 22 Queensberry Road when there are 5 persons of category LD already accommodated within this home The maximum number of persons to be accommodated at 22 Queensberry Road is 5 Date of last inspection 0 8 0 5 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home 22 Queensbury Road is a care home providing personal care and accommodation for up to 5 persons with a Learning Disability. The five single bedrooms are without en-suite facilities, two bedrooms being located on the ground floor, with the remaining three bedrooms being located on the first floor. In addition the ground floor provides a large open plan lounge, dining and kitchen area, a utility room and walk-in shower, whilst the first floor provides a bathroom and office. The first floor being accessible via a stairwell. Care Homes for Adults (18-65 years) Page 5 of 36 The front door has a level access provided by a ramp, whilst the rear garden has a patio area, large area laid to lawn and benefits from mature plants and shrubs. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. Care Homes for Adults (18-65 years) Page 6 of 36 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 Care Homes for Adults (18-65 years) Page 7 of 36 How we did our inspection: This is what the inspector did when they were at the care home We randomly selected two people who use the service and tracked the care they receive through review of their records, discussion with them, the support staff and observation of care practices. We also received information from support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CQC. The inspection was unannounced and lasted 6 Hours. Since the last inspection in May 2007, an Annual Service Review has been completed, this did not change our view of the service. Care Homes for Adults (18-65 years) Page 8 of 36 People using the service said that: Staff treated them well That I do the things I like That I would speak to a support worker if I was unhappy Support workers always listen to me Relatives said that: Regular contact from the staff at the home Always meets the need of their relative My relative is very happy living at the home Consistent in keeping the day to day routines Staff said that: Verbal communication is good. Support and training is always offered. Being short staff does influence what can be done in relation to activities with people who use the service. Care Homes for Adults (18-65 years) Page 9 of 36 Health care professional said that:The health care professional said the service meets the needs of people well and that they always respect individuals privacy and dignity That people using the service were enabled to choose and fulfil what they would like to do during the day and support people to play a role within the community. They also said that they would like to see improvements in communication between staff. Fees payable are dependent upon an assessment undertaken by the service and Care Management, which will determine the level of contribution payable by the service user. There are additional costs payable for activities and purchasing of personal items. Prospective users of the service are advised to contact the office to obtain up-to-date charges. What the care home does well Queensbury Road is a comfortable and friendly home. Visitors are always made welcome. Care Homes for Adults (18-65 years) Page 10 of 36 Bedrooms were clean and contained personal items. People who use the service are involved with decisions made about them, the home and in developing their support plans. People using the service are supported to be as independent as possible. Support workers will assist people in meeting their personal and healthcare needs. Care Homes for Adults (18-65 years) Page 11 of 36 Your privacy will be was respected. People using the service feel safe. Support workers are competent and have good support. The service is well managed. Care Homes for Adults (18-65 years) Page 12 of 36 Records are well maintained and kept secure. Information is available in easy read documents. What has got better from the last inspection Statement of Purpose, Service User Guide, and other information for people using the service is now in accessible formats. Care Homes for Adults (18-65 years) Page 13 of 36 Person centred plans have been developed but there is ongoing work to improve these. What the care home could do better A review must be undertaken on how controlled drugs can be safely stored. To ensure that they and meet the new regulations that came into force in 2007. People using the service currently take part in an annual survey distributed by Mencap, which asks them to comment on the care and service they receive. Care Homes for Adults (18-65 years) Page 14 of 36 There is no formal process, which tells people that use the service outcome, and any possible changes Mencap may wish to introduce. Mencap should consider producing information to service users in an appropriate format so that those that taking part know that their views have been considered. The quality assurance process could be increased to include the views of relatives/friends and those who support people using the service such as health and social care professionals. The survey results could be incorporated in an accessible report that includes a plan of any changes to improve the service. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 15 of 36 If you want to speak to the inspector please contact Judith Roan CPC1 Capital Park Fulbourn Cambridge Cambridgeshire CB21 5XE 01223771300 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 set out 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 16 of 36 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 17 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are fully assessed to ensure that the service can meet their needs. Evidence: There has been one new admission to the service since the last inspection. The Manager confirms within the AQAA that prior to any one moving into the home that We have policies and processes that guide staff in ensuring that people receive good and reliable information before they move and are supported in making a successful transition. We have a robust assessment process that involves gathering information from the person we are supporting, people who are important to them and any other professionals involved in their support In talking with a people living at the home they confirmed that had received information and been supported to visit the home prior to moving in. The surveys also confirmed that they had been asked about the home before they moved in. A clear admission criteria and procedure offers potential potential users of the service the opportunity to visit the home, meet the other Service Users and staff prior to admission. All information during these visits is recorded and held on file for reference. Visit include Care Homes for Adults (18-65 years) Page 18 of 36 Evidence: overnight stays. All potential users of the service have an Extended Community Care Assessment from Social Services prior to admission. This is archived in Service Users file and was evident at the inspection All people living at the service have their needs reassessed as part of the ongoing review process. Additional needs are highlighted and appropriate action is taken to provide the support. Information about the service is provided in an easy read format. There is a clear statement of purpose & service user guide that people using the services have access to. Files contained all the relevant documentation and contracts about the support individuals receive. Care Homes for Adults (18-65 years) Page 19 of 36 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. Support plans are person centred and demonstrate involvement of people using the service. Evidence: There are positive outcomes for people who live at Queensbury Road. Support plans are in place for people who use the service and are reviewed on a regular basis to ensure that support workers are updated with changes. The manager confirmed within the AQAA that When a referral has been accepted a Detailed Support Plan is produced, along with necessary personal care risk assessments to ensure an individuals needs and wishes are met by any member of staff undertaking support. . The support plans seen were comprehensive. In discussion with the new manager they confirmed their intention to develop the plans further. All support plans and risk assessments are reviewed regularly at Keyworker Meetings and Annual Reviews. These are documented. Meetings are held on a regular basis to assist people with personal choices. People using the service are supported to attend house meetings to ensure that they are included within the decision making process for future activities and events. These regular meetings promote Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: continuous development. It was observed that there is good communication between support workers with confidentiality being maintained. Files are stored securely within the office. In observation of practice and discussion with support workers it was evident they are very knowledgeable about the needs of the people they support. Support workers spoken with confirmed that they had undertaken induction training that included a period of working alongside an experienced worker until they had demonstrated that they were competent and confident in meeting peoples needs. Feedback from families confirmed that they were pleased with how their family members were bring supported and that good progress was being made. Files also contained risks assessments for a range of activities that provide details for support workers and ensure that the appropriate level of support is available to ensure safety and to develop independence within activities that is related to an individuals ability. People using the service are encouraged to be as independent as possible with appropriate support. In this way people using the service are included within activities and not excluded because of any support required. A key worker system is in operation which is valuable to people using the service as its builds a strong relationship with the person. Care Homes for Adults (18-65 years) Page 21 of 36 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. A wide range of personal, educational and social options are available and promote individual development. Evidence: Individuals have a weekly activities programme that is updated to take account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Since moving into the service all of the individuals had become fully involved in activities within and outside of the home. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint responsibility for their environment and their belongings. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. Experiences are good and varied. It was noted that several people have day care opportunities and are supported to experience community facilities. The AQAA confirms that people using the service have support to develop life skills and increase and maintain independence. They have the opportunity to take part in leisure activities Care Homes for Adults (18-65 years) Page 22 of 36 Evidence: within the local and wider communities. Are being involved in the completion of their detailed support plans. They choose group trips that they wish to go on as well as 1 to 1 leisure activities, these are documented in weekly support records Daily routines are chosen by individuals, like going to bed when they choose. People using the service are involved with the shopping at a local supermarket with fresh purchases like fruit and vegetables. The menu is chosen at the weekly house meeting. The meetings have minutes and individuals can place items on the agenda. If someone does not like the chosen meal they are offered a different choice. Meals are served in the family style dining room. The meal was freshly cooked on the day of the inspection and healthy. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. Support workers have a good understanding of the needs for people who use the service and use the meal times to develop communication skills with each other. Meals were seen to be an important social event at the home. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is good. Families commented on how good the communication has been with them and that the manager and the team of support workers kept them informed and involved. All families said that there is a comfortable atmosphere always made to feel welcome at the home and we are invited to join in activities The manager comments in within the AQAA state that Mencaps Family Charter has been distributed to all the people who use our service, and their families. The charter is an agreement that says what families and Mencap staff can expect from each other. It is intended to help families and Mencap staff to work better together in the best interest of the service users. Care Homes for Adults (18-65 years) Page 23 of 36 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are positively supported to access local or specialist healthcare services, with medication being safely administered. Evidence: People using the service are supported to have regular health checks and there is evidence on files that healthcare appointments are made. The AQAA confirms that there are Detailed support plans that reflect the personal and healthcare needs of the individual. They have regular medication reviews with GPs and consultants. Future development plans are to Involve people using the service and medical professionals in updating Health action plans. Support plans document individual health care needs, as well as cultural, emotional and sexual needs. Personal support is provided in a discreet manner, with people using the service preferences being a top priority. In observation support staff demonstrated a caring and sensitive manner in the way they communicated with people at the home. Individual medication records were found to be in good order and only trained staff administer medication. A pharmacist reviews the medication system in place on an annual basis. Mencap arranges for ongoing training for medication administration and knowledge. Regular in house competence checks are carried out to maintain standards. The staff files provided evidence to confirm this. Care Homes for Adults (18-65 years) Page 24 of 36 Evidence: Observation of care practice indicates that safety is maintained. Medical profiles for people who use the service are clear to ensure that support workers have up to date information about medical conditions and prescribed medication. All incidents are recorded on file to show how the manager and support workers have reviewed practice to minimise future risks. Care Homes for Adults (18-65 years) Page 25 of 36 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. Practices within the service fully protect people who use the service and ensure that they are listened to. Evidence: The Registered Manager stated in the AQAA that no complaints have been received at the service since the last inspection. CQC has also not received any complaints about the service. A clear and easy accessible complaints procedure is in place for people using the service. However the comments within surveys from people who use the service did not confirm that all people knew how to complain. It is recommended that this issue is taken up and discussed within meetings. The service has dealt with two safeguarding issues since the last key inspection; both have been fully investigated with no further action being taken. Support workers undertake safeguarding training as part of their induction/ foundation training. We checked out their understanding during the inspection, which was good. Families are aware of the complaints procedures and know how to raise concerns they have with the manager. Recruitment procedures ensure that support workers working at the service are security checked with files supporting that enhanced Criminal Record Bureau disclosures have been undertaken. Care Homes for Adults (18-65 years) Page 26 of 36 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 provides a warm family setting with individual space that is well maintained clean and hygienic. Evidence: Queensbury Road provides a clean, hygienic, safe and well-maintained environment. The premises have been converted to improve the privacy of one room on the ground floor. The atmosphere is calm and relaxing. A garden situated at the rear of the building offers good outdoor space where people can sit a relax in good weather. Bathrooms, bedrooms and communal areas are well maintained and decorated. Bedrooms viewed were personalised, containing personal possessions, photographs, ornaments, and reflected each individuals personality. People spoken with during the inspection stated they are very happy with their bedrooms. The home provides an environment that reflects normal family life. There are adequate rooms to enable everyone to have their own personal space. All people using the service have single rooms with good access to family style bathrooms across all floors. Specialist equipment is available to the meet the needs of people with their mobility. Like grab rails and a shower room. Communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. People using the service are supported in maintaining their rooms to a high standard of cleanliness and safety. It was evident during the inspection that daily Care Homes for Adults (18-65 years) Page 27 of 36 Evidence: living tasks are completed with people using the service and that no activity is undertaken without their involvement. There is a family size kitchen that leads off the lounge. People who use the service can sit comfortably and be part of meal preparations. The dining area can accommodate all of the people living at the home where meals are eaten as a family. The manager states within the AQAA that Our policies and processes ensure that staff undertake all required tasks and duties to promote and achieve safe working practices and support people in being aware of the need for safety within the home records do support that health and safety checks are carried out. Care Homes for Adults (18-65 years) Page 28 of 36 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 skills and recruitment practices fully ensure that the needs of people who use the service are protected. Evidence: The support worker team have a sound knowledge base about the needs of people that use the service. Through observation during the inspection the team showed that they had a range of skills to support individuals and were proactive in developing everyday living skills. In reviewing the files of support workers it was noted that all contained evidence that recruitment check had been undertaken. The files contained application forms, two references, identity checks and an enhanced criminal record bureau disclosure. The manager confirms in the AQAA that the service has a dedicated and committed staff team who are trained to meet the individual needs of the service users. We have a training plan for the service to highlight these needs with an adequate training budget. All new staff complete induction and foundation training. Staff are developed through supervisions and personal development meetings. We have regular staff meetings monthly and have introduced Continuous Professional Development files that are discussed at supervision. These were evident on reviewing the files at the inspection. Care Homes for Adults (18-65 years) Page 29 of 36 Evidence: Surveys confirmed that there is usually enough staff on duty to meet the needs of people living at the home. Levels of support are increased for outside activities and holidays.They also said that they received good support and had good access to training. Files confirmed that support workers have completed induction and other core training. Four staff out of a team on five have achieved National Vocational Training at level two in care or above. All new support workers complete the Learning Disability Qualification Induction and In House Induction within the probationary period. All Mandatory training is maintained on a regular basis. Care Homes for Adults (18-65 years) Page 30 of 36 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. The service is managed in the best interests of people who live at the home. Evidence: The new manager was available during the inspection and was knowledgeable about the running of the home.The manager effectively manages the home in the best interests of people who use the service and the support workers. There was good feedback from people who use the service and support staff about the role of the manager. There are several internal meetings within the service that focus on person centred care and enable people to voice their views and choices. All meeting have clear and comprehensive records. The manager reviews the service through the continuous improvement plan with their manager on a monthly basis. A comprehensive quality assurance system is in place that includes feedback from people who use the service, families and regular monitoring by the provider. The information could be used to develop an accessible report for people using the service. Questionnaires for people who use the service are available in picture and written format. Care Homes for Adults (18-65 years) Page 31 of 36 Evidence: All Health and Safety documentation is filed with evidence that all checks are completed at the required weekly, monthly or annual periods. The registration and insurance certificate are displayed. Mencap has robust financial checks of personal monies that require records of receipts, running balances and two signatures. Monies are checked daily to ensure they are correct. Health and Safety Policies and Procedures are in place and support workers are aware of these. Induction training ensures staffs knowledge and understanding of these. Care Homes for Adults (18-65 years) Page 32 of 36 Are there any outstanding requirements from the last inspection? Yes  No  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 33 of 36 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 Description 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 Description Timescale for action 1 20 13 A review must be undertaken 31/08/2009 on how controlled drugs can be safely stored. To ensure that they and meet the new regulations that came into force in 2007. 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 22 That there are regular discussions with people that use the service to ensure that they are fully aware of how to raise a concern or complaint. People using the service currently take part in an annual survey distributed by Mencap, which asks them to comment on the care and service they receive. There is no formal process, which tells people that use the service outcome, and any possible changes Mencap may wish to introduce. Mencap should consider producing information to service users in an appropriate format so that those that 2 39 Care Homes for Adults (18-65 years) Page 34 of 36 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 taking part know that their views have been considered. 3 39 The quality assurance process could be increased to include the views of relatives/friends and those who support people using the service such as health and social care professionals. The survey results could be incorporated in an accessible report that includes a plan of any changes to improve the service. Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: Telephone: 03000 616161 or 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 36 of 36 - 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!