Care Home: Ransdale House

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What the care home does well Ransdale House provides people with a with a warm, lively, friendly and comfortable environment. The home has a welcoming atmosphere and people that use the service are well looked after. Staff are well trained and communication is good. All staff have received British Sign Language training. It is evident following discussion with people that use the service, staff and indirect observation that staff know the people they are caring for extremely well and that there is a mutual respect between staff and people living at the home. People are supported to make decisions and choices about their lives and are encouraged to express their views. Each person using the service has their own individual person centered plan which identifies goals that they would like to achieve. Assessments and care plans contain excellent detail about the person, their abilities and what help is needed. Activities are varied and plentiful and there are regular planned holidays. People who use the service and are able are supported to go out independently. Some have season tickets for Middlesbrough Football Club and are assisted to attend. People enjoy regular visits to the Cinema, every two weeks films are shown with subtitles. Regular visits are also made to the swimming baths, local gym and bowling. People are supported to continue their education. There were a plentiful supply of certificates of achievements and courses undertaken in the files of people looked at during the visit. One person had attended courses in adult numeracy, skills for working life, employment skills, information technology and moving and handling. Food provided is good and people that use the service are involved in choosing menus, going food shopping and food preparation. Each month the home do a themed event/food night. This involves preparing food from another country and researching the culture. People who use the service are involved in planning their care and enabled to make day to day decisions about their life. People are supported and enabled to choose and purchase their own clothes and hairstyle which reflects their own personality. People that use the service spoke positively about life at Ransdale House. Comments made included, "I like it here. The staff are friendly. I can make my own choices. I like to be in the kitchen and help with the cooking", and "I am happy, the staff are good and give me the help I need. I like the other people who live her and everyone is good at respecting your privacy" and, "I am happy and like the staff. I have my own computer and like to make cakes with the staff" What has improved since the last inspection? The environment within the home has improved. The lounge has been decorated and new flooring has been provided. A new plasma wide screen television, sofa and chairs have been purchased. Person centered plans for people that use the service have been developed. A person centered plan is a process designed to assist and empower people with disabilities tomake plans for their future. Plans enable individuals to increase their self determination and improve Independence. People living at the home are being supported to access the community independently and live their life to the full. Activities, outings and holidays continue to be in plentiful supply to help to ensure that people are happy. What the care home could do better: People living at the home are happy with the environment and care that they receive. Tests of the fire alarm system would benefit from being carried out weekly instead of monthly to help to promote safety. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ransdale House 54 Caversham Road Easterside Middlesbrough TS4 3NU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Katherine Acheson     Date: 0 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.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: Ransdale House 54 Caversham Road Easterside Middlesbrough TS4 3NU 01642320785 01642325437 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): RNID Care Services Name of registered manager (if applicable) Mrs Judy Anne Sharples Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 sensory impairment Additional conditions: One named individual has a sensory impairment and a physical disability. Date of last inspection Brief description of the care home Ransdale House is run by the Royal National Institute for the Deaf and is registered to provide care to six younger adults who are deaf. The home is a detached, two storey building, domestic in style, which blends in with the properties in the surrounding area. The home is close to shops and local amenities and there is easy access to local transport into the centre of Middlesbrough. Accommodation is provided in six single bedrooms. Communal space consists of one main lounge with a dining area, plus a conservatory. There is an enclosed garden to the rear of the home, and a summerhouse. Those living at the home are able to personalise their rooms according to taste and preference. All bedrooms have a wash hand basin, sky television and the home is equipped with specialist communication systems. Care Homes for Adults (18-65 years) Page 4 of 30 care home 6 Over 65 0 6 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The Quality rating for this service is three stars. This means that people who use the service experience excellent quality outcomes. We have reviewed our practise when making requirements to improve national consistency. Some regulations from previous inspections reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. This announced key inspection was carried out on 9th January 2009 by a Regulation Inspector and a Regulation Manager. Care Homes for Adults (18-65 years) Page 6 of 30 The Manager completed and returned an Annual Quality Assurance Assessment, (AQAA). The AQAA is the services self assessment of how they think they are meeting national minimum standards. This information was received before the inspection and was used as part of the inspection process. The reason for the inspection was to see how good a job the home does in meeting the national minimum standards set by the Government for care homes. Numerous records were examined including care records of people living at the home, medication records, risk assessments, complaints and staff recruitment and training files. People living at the home and staff working there were also spoken to. A qualified sign language interpreter supported the Inspector whilst speaking to people living at the home. Before the inspection surveys for people that use the service and surveys for staff were sent out to the for the Manager to distribute accordingly. Surveys sent to people that use the service were asked to comment on care received. Surveys sent to staff were asked to comment on what it was like working for the agency and training. We received five surveys from people that use the service. We received four surveys from staff. Comments in surveys received can be read in the main body of the report. What the care home does well: What has improved since the last inspection? The environment within the home has improved. The lounge has been decorated and new flooring has been provided. A new plasma wide screen television, sofa and chairs have been purchased. Person centered plans for people that use the service have been developed. A person centered plan is a process designed to assist and empower people with disabilities to Care Homes for Adults (18-65 years) Page 8 of 30 make plans for their future. Plans enable individuals to increase their self determination and improve Independence. People living at the home are being supported to access the community independently and live their life to the full. Activities, outings and holidays continue to be in plentiful supply to help to ensure that people are happy. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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. Assessments of people who are to use the service are carried out before they move into the home to ensure all needs can be met. Evidence: The Manager said that people who are to use the service are assessed before coming into the home. They firstly receive an assessment from a Social Worker or other health care professional. The Manager then carries out a further assessment by visiting the person and their relatives to discuss all needs and to give everyone the opportunity to ask questions about life at Ransdale House. People are also encouraged to visit Ransdale House before they move in. The Manager said that this gives the person a chance to meet staff, other people living at the home and have a look round. People living at Ransdale House have done so for a number of years, however at the time of the inspection the Manager and staff at the home were supporting the long Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: term goal of one person that uses the service to live in the community. A survey received from a person that uses the service stated, I came for a visit had a look round. I met some staff, I looked at the room I was going to get and I liked it. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who us the service are involved in everyday decisions and choices about their lives. Plans of care reflect needs, aspirations and goals to ensure that people receive the care and support that they need. Evidence: The care files of three people that use the service were looked at during the visit. Files examined contain a history of the person including school days, family details and other important and useful information. Assessments and care plans examined contained excellent detail about the person including help needed, areas of risk and help needed to promote Independence in each activity of daily living. Care plans are developed with the person who uses the service and contain evidence of personal choice and preferences. Care plans are user friendly with many containing pictures to aid communication. Each person living at the home has been allocated key worker. Each person using the service has their own individual person centred plan which Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: identifies goals that they would like to achieve. The Manager said that one person living at the home had a goal that they would like to plan their own 40th birthday party from start to finish. The party had been a great success. Another person living at the home has a personal goal of being able to go to the hairdressers independently. Staff spoken to explained how they were supporting the person to do this by using the same hairdresser and taxi firm so that the person would feel comfortable and confident. New goals can be set at any time. It is evident following discussion with people that use the service and staff that the Manager and other staff working at the home know the people they are caring for extremely well. Indirect observation on the day of the inspection showed that Ransdale House was a friendly, homely and lively place to live. People who use the service are profoundly deaf, some of who also have learning disabilities and physical disabilities. Staff communicate with people living at the home extremely well. Some staff employed also have impaired hearing. All staff have received training in sign language which enables effective communication with people using the service. People who use the service are encouraged and supported to take responsible risks. An example of this being one person regularly goes out independently and uses public transport. The person has been taught by staff to communicate on their mobile phone using text messages . This person takes identification out with them, if they do not return home as arranged the home instigate the missing persons policy after two hours of agreed time for return. Care plans and risk assessments are reviewed and evaluated on a regular basis to ensure that they are effective. People living at the home who were spoken to during the visit and surveys received all spoke positively about life at Ransdale House. Comments made included, I am happy and the staff are good I have lived here for eighteen years, the staff are good and I like living here The staff are friendly and give me all the help I need 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are enabled to make choices about their life style and are supported to develop their life skills. Social, educational and recreational activities meet individuals expectations. Food provided is nutritious, varied and enjoyed by all this helps to ensure wellbeing. Evidence: Files of people that use the service that were looked at during the inspection contained a care plan about what they liked to do in their leisure time. Its is evident following examination of care plans/person centred plans and discussion with staff and people that use the service that people that use the service are encouraged to live life to the full and enabled to take responsible risks. Two people that use the service are supported to go out independently. Some have Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: season tickets for Middlesbrough Football Club and are assisted to attend. People enjoy regular visits to the Cinema, every two weeks films are shown with subtitles. Regular visits are also made to the swimming baths, local gym and bowling. One person said, I sometimes go to the cinema, pub or my friends house and they often come here for tea another said, I like to spend time on my computer. Christmas was a busy time with people going to see a Cinderella in Pantomime, a Christmas meal at Franky and Bennys and Christmas shopping at the Metro Centre and Dalton Park. Holidays are a regular occurrence, One person had enjoyed two breaks in Scotland, another had been on a canal boat, another to Wales whilst two others had been to Lanzarote. People were already planning holidays of their choice for 2009. One person said, My holiday last year was on a canal boat in Shropshire it was good another person commented on their Holiday in Wales and said, I went on holiday with my family to Wales last year. I had a good time and hope to go again this year. The home has a workshop in the rear garden. Two people who use the service regularly access the workshop which is a wooden, heated cabin with an electricity supply. The workshop is well equipped with tools and materials. People have made garden planters, jigsaws and bird tables. One person living at the home had enjoyed painting the fencing at the home and fires escape stairs. A herb garden has been developed in the garden area as well as growing strawberries on a yearly basis. The Manager said that people made jam out of the strawberries grown in 2008. One person said how they enjoyed regularly visiting the hairdressers and picked a new hair colour every time they went. This person said how they enjoyed taking a pride in their appearance by wearing makeup and regularly having their nails painted. This was evidenced on the day of the visit when the Manager of the service helped to choose the colour of the nail varnish and painted nails. Familys and friends are made to feel welcome. One person regularly has their friend for tea. A lengthy discussion took place with the Manager regarding equality and diversity. The Manager demonstrated through discussion an in depth knowledge. She informed how she does and would support relationships in the home. People that use the service are supported to continue their education. One person has enrolled on an art class whilst another has enrolled on a computer course. There were a plentiful supply of certificates of achievements and courses undertaken in the files of people looked at during the visit. One person had attended courses in adult numeracy, Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: skills for working life, employment skills, information technology and moving and handling. One person goes to TASC, Teesside Ability Support Centre three and a half days a week. TASC is a day centre. Whilst at the day centre this person enjoys helping out in the tuck shop and going swimming. People are also enabled to attend a drop in service on a Wednesday which is run by two Social workers for anyone with impaired hearing. People are able to have a coffee, socialise as well as discuss any concerns or problems they have with an advocate. People who use the service are actively encouraged in planning the menus. Every Sunday staff and people that use the service plan the meals for the week ahead. The menu for week commencing 5th January 2009 included chicken Parmesan, Braised steak and onions, liver and onions, fish and chips and roast chicken dinner. Both staff and people that use the service do a weekly shop enabling favourite food items to be bought. Daily menu sheets are also available in picture format. People enjoy a takeaway most Saturdays this is paid for by the home. Those people who are able are actively encouraged to be in the kitchen area preparing food and tidying the kitchen. During the visit one person was independently making two varietys of coleslaw which was to be served with jacket potatoes for lunch that day. Another person was helping to dry the pots. One person spoken to during the visit said, I like the food here and I like to cook, I also clean up and, I like to go to the supermarket and then put the food away. At lunchtime on the day of the inspection both staff and people that use the service were observed to enjoying the food provided whilst sat round a table, which created a homely feel to mealtime at Ransdale House. Each month the home do a themed event/food night. This involves preparing food from another country and researching the culture. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. Support provided is flexible, consistent, reliable and responsive to their changing needs. This helps to ensure wellbeing. Evidence: People who use the service are involved in planning their care and enabled to make day to day decisions about their life. One person spoken to said, I like to get up at about eight thirty have a shower and get dressed. I like to go to bed late it depends on what is on the telly another said, I get up about seven thirty and like to go to bed at about ten thirty. I choose what I want to do. Staff were observed to promote the Independence whilst respecting peoples preferences and dignity. One person said, I have a key worker who helps me a lot. People are supported and enabled to choose and purchase their own clothes and hairstyle which reflects their own personality. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: People are supported to visit the chiropodist, dentist and GP. Appropriate systems are in place for dealing with medication. The Manager said that no one at the home is able to self medicate she said that all staff working at the home have undertaken medication training and have their competency assessed on a three monthly basis. Medication was appropriately stored and recorded. 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. People who use the service are confident that their complaints would be listened to, taken seriously and acted upon. Staff working at the home receive adult protection training which will help to ensure the safety of people living at the home. Evidence: The home has a complaints procedure which is understood by people who use the service. The complaints procedure is also available in a pictorial format. People who use the service said that they would feel comfortable in raising any concern that they have with staff and that it would be acted upon. One person said that he was unhappy that the home had run out of his favourite type of crisps, but how staff had quickly gone out to get some more. People who use the service are freely encouraged and supported to communicate any likes and dislikes one person said, If I am not happy I will speak to my key worker or another staff. The AQAA details that there have been seven complaints in the last twelve months. The home has an adult protection policy which details action that staff should take if abuse is suspected. The Manager said that staff receive regular training updates in adult protection and signs and symptoms of abuse. People have access to advocacy services if required. Care Homes for Adults (18-65 years) Page 20 of 30 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 standard of the environment is good providing people that live there with an attractive, homely and comfortable place to live. Evidence: The home is a detached two storey building, domestic in style and in keeping with other properties in the area. Communal space consists of a main lounge a dining room and a conservatory. There are six bedrooms for people who use the service, one of which is on the ground floor. The lounge has just benefited from re-decoration and new flooring. There is a new large wide screen television and new sofa and chairs. People that use the service have access to lots of television Chanels as Sky television is available in the main lounge area and all bedrooms. Bedrooms are individually decorated according to choice. On the day of the inspection the home was clean and tidy. Appropriate laundry facilities were in place. Externally to the rear of the home there is an enclosed garden area which contains to work shop. Care Homes for Adults (18-65 years) Page 22 of 30 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. The homes recruitment procedure is good, which helps to ensure that people are protected. Mandatory training and other training relevent to the job staff do is provided ensuring that staff are knowledgeable and experienced to meet the needs of people using the service. Evidence: The Manager said that there are three care staff on duty during the day until 4:30pm. From 4:30pm until 6pm there are two care staff. At 6pm another care staff member comes on duty and it is their role to plan and provide activities and take people who use the service out. On night duty there is a member of care staff on sleeping night duty. This means that they do go to sleep but if they are needed by people who use the service they are contactable. In addition to Care staff on duty the Manager of the home works full time Monday to Friday. People spoken to during the visit said there was enough staff on duty to meet their needs. The Manager said that all care staff employed have achieved an NVQ level 2 in care. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Records were available to confirm that the Manager follows good recruitment procedures. Three files of staff working at the home were examined. Appropriate references were on file as was evidence of Criminal Record Bureau checks. People that use the service are involved in the interviewing of new staff. Records of questions that had been asked by people who use the service were available in staff files examined. Records were available to confirm that staff working at the home receive induction training. Staff files examined during the visit contained certificates to confirm that staff had recently attended training in Moving and handling, food hygiene, health and safety, fire and adult protection. The Manager said that the home employs both deaf and hearing staff and that this works very well. She said that deaf staff are able to understand and communicate with people who use the service exceptionally well. She said that deaf staff are able to support hearing staff with communication and sign language. Hearing staff support deaf staff with written English. All staff working at the home have received sign language training and as such are able to communicate effectively and understand people who use the service. Staff spoken to during the inspection and surveys received from staff made the following comments in respect of training, The training provided make me aware and positive in my role. It make me more developed as a support worker and, The RNID are always looking for various ways to provide training. This keeps you up to date with policies and procedures, legislation and risk assessing. The equal opportunities and diversity training along with sexuality and disabilities was a great learning curve. 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. The home is well run and managed in the best interest of people who use the service. The health safety and welfare of people that use the service is promoted. Evidence: The Manager has worked at Ransdale House for fourteen years the last three years as Manager. She is both experienced and qualified having achieved an NVQ level 4 in Management. The Manager has attended lots of training during the last twelve month to develop her skills and to keep herself up to date. Training attended has included, Safeguarding, Moving and handling, fire, finance, The Mental Capacity Act and further training in British Sign Language. The home is well run with a Manager who communicates and demonstrates a clear sense of leadership. There are regular house meetings to ensure that peoples needs are met and that they are happy. Regular quality assurance takes place. Picture surveys are given to people who use the service Surveys to ask about life in the home, holidays, food and many other important matters. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: It is evident following indirect observation that people living at the home are happy. Mutual respect was evident. Please and thank you are used by both staff and people living at the home. One person living at the home was communicating the Manager during the inspection. The Manager was supporting the person to make a decision. The person left the room and quickly came back in and signed thank you. A sample of health and safety records were examined and found to be in order. Records were available to confirm that the homes gas boiler, electrical installation and portable appliance testing had been serviced in the last twelve months. Water temperatures are taken and recorded to ensure that they are within safe limits. The Manager said that weekly tests of the fire alarm system are carried out. Each person who uses the service has an individual emergency evacuation plan which is to be used in the event of fire. The majority of staff working at the home have received training in emergency aid. 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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