Care Home: Roseleigh

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What the care home does well People who are considering moving into the home are provided with helpful information about what life is like there. They can be confident their needs will be fully assessed to ensure the home will be suitable for them. People can be confident their needs are fully understood and support is provided in line with their individual preferences, wishes and expectations. People are encouraged to be involved in decisions about how the home is run. They are supported and encouraged to take appropriate risks to promote their independence. People can be confident their confidentiality is respected. People who live in the home lead fulfilling lives and are supported to take part in a wide range of activities. They are supported to maintain links with family and friends. Mealtimes are relaxed and flexible, people are supported to prepare and plan their own food from a range of healthy and nutritions options. People who live in the home who require assistance with their personal care are supported in a sensitive and dignified manner. They can be confident their health is promoted. They are protected through the safe handling and administration of medication. People are listened to and protected from abuse. They benefit from the safe, homely and pleasant environment. People are protected from infection through safe hygiene systems. People who live in the home are supported by a team of staff who are committed to providing a good service to the people they support. People are protected through robust recruitment policies and procedures. People can be confident staff are trained and supervised and the the home is managed in their best interests. Effective quality assurance systems ensure people receive a good service which takes account of their views. The health and safety of people who live and work in the home is promoted. What has improved since the last inspection? Communication with relatives and representatives has improved. There is a clear complaints procedure. Full employment histories are obtained for staff before appointment. There is a fire safety risk assessment in place. What the care home could do better: All staff, particularly night staff must be trained in safe working practices to ensure staff and residents are protected from harm. Key inspection report Care homes for adults (18-65 years) Name: Address: Roseleigh Roseleigh 39 Ringley Avenue Horley Surrey RH6 7EZ     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: Ruth Burnham     Date: 2 5 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Roseleigh Roseleigh 39 Ringley Avenue Horley Surrey RH6 7EZ 01883731547 01883744721 Roseleighhouse@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Cavendish Care care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability - LD Date of last inspection Brief description of the care home Roseleigh is a care home providing accommodation and personal care for up to six adults of mixed gender who have learning disabilities. The property is located in a quiet residential road and within walking distance of Horley town centre which has a good range of shops and other public amenities. Roseleigh is a large Victorian period-detached property with a good-sized enclosed garden to the rear and car parking space at the front. Accommodation is on three floors accessible by stairs. Communal areas are on the ground floor, comprising of a large lounge, fitted kitchen, dining room and WC. The six bedrooms are on the ground Care Homes for Adults (18-65 years) Page 4 of 27 6 Over 65 0 Brief description of the care home and first floor. All are spacious and five bedrooms have en-suite toilets with showers and one has an en suite bathroom. Other facilities include further WCs, a communal bath/shower room, office and meeting room. All area of the home are decorated and furnished to a high standard. The home is owned and managed by Cavendish Care that is a partner company of Gresham Care. These organisations successfully operate a group of similar care homes locally and a small domiciliary care service. Fees at the time of this inspection range from 1614.00 pounds to 2826 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced site visit, which forms part of the homes key inspection was undertaken on 25 August 2009. We were in the home for six hours. from 08:30 to 14:30. We asked the owner to complete and return the Annual Quality Assurance Audit (AQAA)before our visit. This was returned to us and contained all the information we asked for. Evidence for some of the information provided was looked at during our visit. There are 6 people currently living in the home. We interviewed two people who live there and observed and spoke to the other residents during the day. One resident was away on holiday. We also spoke to 2 members of staff, the person in charge and the service manager. We looked at most areas of the premises. We examined a number of records including staff employment records, Daily records, incident records, risk Care Homes for Adults (18-65 years) Page 6 of 27 assessments, medication records and care plans. Before the visit we sent six surveys to people who live in the home; six to their advocates; six to members of staff; five to health professionals and five to care managers. Only 4 surveys were returned: Two from people who live in the home and 2 from members of staff. Responses were positive. The last inspection took place on 30 August 2007. We found the majority of requirements made following that inspection have been met. One requirement has not been met. We repeated this requirement following this inspection. There is no registered manager for the service, feedback was given to the person in charge, who is currently applying to register as manager. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? 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. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into the home are provided with helpful information about what life is like there. They can be confident their needs will be fully assessed to ensure the home will be suitable for them. Evidence: People who are considering moving into the home are provided with helpful information in the homes service user guide and statement of purpose. people who live in the home are encouraged to keep these in their rooms. This information is provided in widget form to enable the understanding of those with communication difficulties. Some discussion took place about the appropriateness of widget for people with a learning disability and the person in charge agreed to research more appropriate formats. People who are considering moving to this home can be confident their needs will be fully assessed to ensure the home can meet all their needs. They can be confident the transition into the home will be well planned in consultation with them. Assessment Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: records were seen in individual files. These showed there had been a planned transition for people who have moved in in the last year. There is a clear admission policy with comprehensive assessments procedures. These include assessment of risk, a detailed needs assessment and an assessment of compatibility with existing residents. Pre-admission assessments are carried out by qualified staff. The process is inclusive, involving the prospective resident, relatives, relevant professionals and other agencies. The admission policy includes an emergency admission procedure. All staff have read and signed this and are aware of where it is kept for reference purposes. Before anyone moves into the home they are visited at there previous place of residence. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident their needs are fully understood and support is provided in line with their individual preferences, wishes and expectations. People who live in the home are encouraged to be involved in decisions about how the home is run. They are supported and encouraged to take appropriate risks to promote their independence. People can be confident their confidentiality is respected. Evidence: Excellent care planning and recording systems ensure that people can be confident their needs are fully understood and support is provided in line with their individual preferences, wishes and expectations. Four care plans were examined in depth along with the communication book. Care plans are person centred and based on the original assessment. People who live in the home are involved as far as possible in setting up their plans of care. These are constantly updated and a full review is held 6 monthly. Care plans seen were excellent, they contain full social histories, interests and lifestyle choices, and a wealth of information about how each person would like to be supported with every aspect of their lives. They contain clear guidance for staff Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: about how to provide care and support in line with peoples preferences, wishes and expectations in a way that promotes their privacy, dignity and independence. Care plans are updated regularly to reflect any changes. Key workers read through the care plans with their resident and discuss and explain any changes to enable people to retain as much control over their own lives as is practicably possible. Some discussion took place with the person in charge about the use of the communication book. The person in charge agreed to ensure staff fully understand the purpose of this book and are clear that all personal information should only be recorded on individual files. People who live in the home are encouraged to be involved in decisions about how the home is run. Resident meetings are held regularly to discuss upcoming events and day to day life in the home. Meetings are held each month or more often if people request it. The organisation has a communication officer, who visits the home and helps devise communication aids for the residents. People are supported and encouraged to take appropriate risks to promote their independence. There are clear risk management processes, individual risk assessments are recorded on all aspects of day to day life. They are updated regularly to promote lifestyle choices and to enable people to take appropriate risks to live fulfilled lives. All risk assessments, care plans and incident forms are read and signed by all staff. Some discussion took place about how to improve risk management in relation to challenging behaviours. Each person has a designated key worker. Key workers write review notes with the involvement of the person concerned. They attend the annual review and help the person they support to complete a My Review Thoughts booklet. People can be confident their personal information will be kept private. All personal information is stored securely in the locked office. Staff seen during the day were proactive in promoting privacy and respecting confidentiality. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home lead fulfilling lives and are supported to take part in a wide range of activities. They are supported to maintain links with family and friends. Mealtimes are relaxed and flexible, people are supported to prepare and plan their own food from a range of healthy and nutritions options. Evidence: People who live in the home are supported to live independent and fulfilled lives to the level of their individual abilities. People were observed preparing their own breakfast with varying levels of staff support during our visit. Staff clearly know the residents well and are committed to promoting their individual lifestyle choices and maximising their independence. All interaction between staff and residents was seen to be warm and respectful, empowering individuals to take as much control over their own lives as they are able. One resident was planning his day with staff, making his own decisions about where to go and being supported to use public transport for his journey. Staff Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: fitted in with his wishes, providing guidance where necessary. Both residents who we spoke with during our visit were very happy living in the home, they liked all the staff and confirmed they are able to make their own decisions about how they live their daily lives and what they want to do. One person particularly enjoys train journeys, staff support him with this. People are supported to take part in a wide range of activities. Timetables are developed with them to cater for individual needs and preference. Staff are proactive in finding affordable activities. All residents have a choice about leisure activities. Small group activities are arranged so each person has sufficient staff support and the activity is more personalised to individual needs. People have opportunity to access community based activities including karaoke. pub quizzes, discos at pubs, meals out, pottery groups, gym and fitness classes. Two residents told us they had enjoyed going out for a meal and going bowling the day before our visit to celebrate a friends birthday. There are two company vehicles and people are also encouraged to use public transport where appropriate, to enable them to work toward greater independence. Care plans are developed in consultation with each person, their families, advocate and staff to meet all aspects of the persons personal and social needs. Some people have work placements at a local farm and others attend colleges. The company has organised a holiday project for residents who choose to have educational day trips during the college break. Where appropriate, residents have received training in manual handling, fire safety and food hygiene. People are supported to maintain close links with families and friends; visits from friends and family are encouraged. People are encouraged to invite their friends to the house. One resident holds keys to his room to promote independence and privacy. All residents are encouraged to join in with the day to day running of the home and help to maintain a clean and tidy environment. There is a varied menu which people help to plan through the use of a photographic folder. They are encouraged to eat a varied, nutritious and well balanced diet. One person is supported to attend weight watchers and is supported to prepare meals in line with the programme. Dietary advice is obtained from the dietitian. People are encouraged to help prepare and cook meals, they are able to choose where they wish to eat and who with. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home who require assistance with their personal care are supported in a sensitive and dignified manner. People can be confident their health is promoted. They are protected through the safe handling and administration of medication. Evidence: People who live in the home who require assistance with their personal care are supported in a sensitive and dignified manner. They choose who they wish to support them to promote their privacy and dignity. People who we spoke to confirmed routines in the home such as meal times, times for getting up and going to bed are flexible. People can be confident their care plans provide clear guidance for staff about their individual health needs. Each person has a health action plan which is regularly updated. Those seen were detailed and up to date. All health needs are assessed and recorded. People are supported to access the local GP and records are kept of all visits including visits to and from specialist health care professionals such as the diabetic nurse, psychiatrist, epilepsy nurse, dentists and opticians. Referrals for specialist treatment are made promptly. Each person is supported to attend well person clinics. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: The home maintains good lines of communication with other agencies such as the multi disciplinary team, behavioural support team, and speech and language team. The company also has a behavioural specialist for people who require this support. People are protected through the safe handling of medication. There are clear medication policies and procedures. Staff receive in house training for administering medication, they also have to complete an accredited training course from Lloyds pharmacy. The company has an internal medication officer who audits medication and medication records every month. Medication is administered mainly through a monitored dosage system. Some discussion took place about further improvements to administration procedures where short courses of medication are prescribed. There have been no medication errors in the last year. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are listened to and protected from abuse Evidence: People who live in the home are supported to resolve any complaints they may express. Each person is provided with a complaints procedure which is explained to them. it is written in plain English and widgit. The provider and general manager visit regularly and clients always have the opportunity to discuss any issues they have at these visits. There is an open door policy, the person in charge is always available for residents to speak with and residents clearly know the management team well and enjoy a good relationship with them. people told us during our visit that they know who to speak to if they are unhappy. There have been no complaints recorded in the last year. People can be confident they will be protected from abuse. The home has good links with police and social service safeguarding team. All staff are familiar with the safeguarding procedure. All staff attended safeguarding training in January 2009. The home is proactive in referring issues wherever necessary. Some discussion took place on clarifying criteria for referrals. One recent referral by the home has now been closed. All staff are checked through the Criminal Records Bureau before they start work Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from the safe, homely and pleasant environment. People are protected from infection through safe hygiene systems. Evidence: People who live in the home benefit from the safe, homely and pleasant environment. The home is ideally situated with easy access to the town centre and local superstore. The premises are suitable, accessible, safe and well maintained. The home is well furnished and decorated. Each person is supported to choose the decor and furnishings in their own rooms. people who live in the home are involved in the choice of decoration throughout the house. All of the bedrooms are en-suite and in addition the house has a communal bathroom. All bedrooms are single occupancy and each has a lockable door, one person is able to hold his own key. People are encouraged to bring their own personal belongings to make their environment more individual. There is an ongoing maintenance program and all areas seen during our visit were clean. People who live in the home enjoy the well maintained spacious garden where Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: residents are encouraged and supported to take part in games and activities. Residents have enjoyed being involved with the creation of a small vegetable plot. People are protected from infection through safe hygiene systems. The laundry is well equipped with 2 washing machines and a tumble dryer. The home has a contract for or the disposal of clinical waste. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are supported by a team of staff who are committed to providing a good service to the people they support. People are protected through robust recruitment policies and procedures. People can be confident staff are trained and supervised although not all staff have received mandatory training in safe working practices. Evidence: People who live in the home are supported by a team of staff who are committed to providing a good service to the people they care for. There are always sufficient staff on duty, Supported by the deputy manager and person in charge. People are protected through robust recruitment policies and procedures. Four staff files were examined, these were up to date, well maintained and stored securely. They contain all the necessary documents including application forms, two references, proof of identity, and evidence of checks with the Criminal Records Bureau. People can be confident staff are trained to understand and meet their needs. All new staff have two weeks induction training. There is a staff training and development programme within the home. All staff receive training in the specialist needs of residents. Staff are encouraged and supported to obtain National Vocational Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Qualifications. More than 50 have at least NVQ level 2. There is some risk to people who live in the home where not all staff have received training in health and safety,fire safety, basic food hygiene and first aid. infection control and moving and handling, This was of particular concern in the case of night staff. People who live in the home can be confident staff are well supervised. All staff have regular one to one supervision sessions and receive a copy of the General Social Council code of practice. Staff meetings take place monthly in the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident the home is managed in their best interests. Effective quality assurance systems ensure people receive a good service which takes account of their views. The health and safety of people who live and work in the home is promoted. Evidence: People can be confident the management team are committed to running the home in their best interests. There is no registered manager for the home, the person in charge has applied to register with the Commission. People who were spoken to during our visit have confidence in the management and find them approachable. There is a clear management structure with good lines of communication and accountability. The provider and general manager visit at least once a week to offer advice and support. There are effective quality assurance systems in place to ensure people who live in the home continue to receive a good service. Their views are taken into account. Annual quality assurance and questionnaires are sent to all parents, professionals, neighbours and other outside agencies. The person in charge told us the feedback from the last survey was very positive. The two people who responded to our Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: survey were also very positive about the service. A representative of the provider visits the home each month to carry out an inspection. Reports are made following these visits and any actions are agreed with the person in charge. The home has a quality development programme, we discussed the slippage in meeting the requirement following our last report in relation to staff training in safe working practices. The person in charge agreed to ensure all staff, including night staff are provided with this training as soon as possible. All policies and procedures have been reviewed and updated to reflect current legislation. The health and safety of people who live in the home is promoted through good health and safety policies and regular audits. Regular safety tests are carried on all equipment and installations. There is a fire safety risk assessment in place. Fire procedures are written and pictorial formats. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes R 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 1 35 18 (1)(a) All staff including bank staff 30/10/2007 must receive all statutory training. The previous timescale for all staff to receive basic food hygiene training has not been met. Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 35 18 Arrangements must be 30/09/2009 made for All staff, particularly night staff to be trained in safe working practices. To ensure staff and residents are protected from harm. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!