Care Home: Searchlight Workshops - Francis House

Similar services:

• Thorndene
• Sutton Lodge Nursing Home
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court

What the care home does well The home has a relaxed, homely and welcoming environment. Residents were complimentary about the staff working at the home and felt that their personal care needs were being met. Residents felt that their privacy and dignity is respected. Visitors are welcomed at the home and residents may receive visitors in private. Residents were complimentary about the provision of food at the home. Residents are provided with a number of regular activities. Residents are encouraged and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of life in the home, including menu planning and activities. There is a detailed complaints procedure and forums in place in place for residents and their representatives to raise any concerns should they wish to. What has improved since the last inspection? No Requirements or Recommendations were made following the last inspection. The AQAA details that over the last twelve months a new page has been put into the initial assessment to detail daily care needs such as what time the resident would like to have a shower or a bath. A new computer system has been introduced to develop care plans and risk assessments. What the care home could do better: Robust recruitment procedures should be followed and new members of staff should not commence working in the home until two written references have been received to protect residents. Information to be recorded on care plans on the new computer system should continue to be developed as the system becomes fully operational. Key inspection report Care homes for adults (18-65 years) Name: Address: Searchlight Workshops - Francis House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ     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: Judy Gossedge     Date: 1 9 0 1 2 0 1 0 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 28 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Searchlight Workshops - Francis House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ 01273514007 01273611289 powell@search-light.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Searchlight Workshops care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users to 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: Physical disability (PD) Learning disability (LD) Date of last inspection Brief description of the care home Francis House is one of three homes within the Searchlight Workshops organisation located at the one site. The home is situated on the top of a hill on the outskirts of Newhaven and local amenities and access to bus routes at the bottom of the hill. The home has access to three mini buses. There is also a workshop on the site available to residents and others within the community. A variety of crafts and activities are offered at the workshop. A social club is run on site and this opens a couple of evenings a week. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 6 6 Brief description of the care home All bedrooms are for single occupancy and are located over two floors. None of the rooms are provided with en-suite facilities. There is no passenger shaft lift or stair lift available at the home. Residents must be able to mobilise stairs independently to access the first floor. There is a wheel in shower on the ground floor and an unassisted bath and shower located on the first floor. There are three communal toilets for residents to use and a lounge room/dining room and a kitchen located on each floor. Fees at the time of the inspection range between £500.00 and £1,000 per week. There are additional charges for; hairdressing, chiropody, newspapers/magazines/personal toiletries, social transport and holidays/outings (according to individual needs). A Statement of Purpose and a Service Users Guide is available to reference. Care Homes for Adults (18-65 years) Page 5 of 28 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001 uses the term service users to describe those living in care home settings. For the purpose of this report, those living at Francis House will be referred to as residents The last key inspection of the service was undertaken on 8 February 2007. An annual service review was completed on 7 February 2008 and on 6 February 2009. This does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review. This unannounced key inspection took place between 11.0 am and 4.10 pm, over five hours on 19 January 2010. Prior to the inspection an Annual Quality Assurance Assessment (AQAA) was sent to the home, which has been completed and returned. This was detailed and information from the AQAA is quoted in this report. Care Homes for Adults (18-65 years) Page 6 of 28 The communal areas and a sample of residents bedrooms were viewed during the inspection. A sample of care records, medication records, staff recruitment and training records and health and safety records were viewed and are detailed in the report. Five people were resident and two residents were spoken with individually in their bedroom and two as part of the inspection process. All of the residents were sent surveys and all came back completed. The care that three of the residents received was reviewed. The opportunity was also taken to observe the interaction between staff and residents in the communal areas. Information was sought on the day from the senior support worker on duty, the Responsible Individual, and training co-ordinator and the health and safety officer. Five support workers surveys were sent out and two completed surveys were returned. Care Homes for Adults (18-65 years) Page 7 of 28 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 28 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 28 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. Potential new residents are individually assessed prior to an admission to ensure that their care needs can be met in the home. Evidence: The AQAA details that a comprehensive assessment of potential new residents has been put in place, and a visit and or a stay at Francis House will always be offered and the opportunity provided to meet the other residents. An initial assessment is carried out by the Manager and either the Responsible Individual, or a Manager from one of the other Searchlight homes. The prospective resident is provided with information on the home in the form of a Statement of Purpose, Service User Guide and terms of residence and also a leaflet with details and photos of the home. A care plan is requested from the prospective residents social worker in order for the Manager to have an insight of the needs of the resident being assessed. The assessment documentation for last two residents was not available to view during the inspection. This was discussed with the Responsible Individual who stated that an assessment is completed and it will be ensured that these are available to view. Care Homes for Adults (18-65 years) Page 10 of 28 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. Work should continue to ensure all residents are protected by a detailed individual plan of care being in place. Where all their personal, social and health care needs are identified to inform staff of the care which needs to be provided. Residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living Evidence: The AQAA detailed that a new computer system has been put in place to enable the further development of the care plans, risk assessments and medical needs and for improved monitoring and review. Residents residing at Francis House are generally self-caring and require minimal support with personal care. Four residents individual care plans were viewed are formulated with the key worker and Manager, and evidenced the involvement of the resident or family member, as appropriate. All the care plans contained information about the individual support to be provided for each resident to enable them to achieve maximum independence and develop their skills. Some of the information is still on written documentation as the computer system Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: becomes up and running and information is recorded on the system. This was discussed with the Responsible Individual who stated that the information to recorded continues to be developed as the system becomes fully operational. Supporting risk assessments were also seen to be in place, which with the care plans had been reviewed. The two residents spoken with confirmed they had been party to the drawing up of their care plan. The senior care worker spoken with stated they received up-to-date information about the residents care needs and demonstrated an awareness of the care needs and support required to assist each of the residents. The two care workers surveys stated always given up-to-date information about the residents. Francis House operates a key worker system, which is being developed and staff were observed working closely and sensitively with residents to meet their identified personal care and support needs. Staff feedback confirmed that regular meetings provide an opportunity to review the residents care needs, and for any significant changes are addressed. The AQAA details that residents are provided with their own bank accounts and the key workers support residents in managing their finances. The Responsible Individual stated that the support and checks in place are being reviewed and strengthened further to protect the residents and support workers. Records were not viewed on this occasion. The four care plans viewed, the two residents spoken with and feedback from the residents surveys confirmed residents has flexibility in their daily routines and respect for their personal freedom and lifestyles. During the inspection residents were observed to move around the communal space freely, choosing which rooms to be in and what level of company they wanted to enjoy. Residents were able to choose when to spend time on their own, and can do so in their own bedrooms. Residents, staff and records viewed evidenced that residents are consulted with regarding many aspects of their day to day living, including menu planning and choosing both individual and collective social, recreational and leisure activities. Care Homes for Adults (18-65 years) Page 12 of 28 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. Residents are encouraged and supported to pursue their educational, vocational and social interests. Residents are enabled and supported to maintain contact with family and friends as they wish and links with the community. Residents are involved in planning, preparing and cooking healthy meals for each other. Evidence: The organisation has a day centre on site, which offers a range of activities and is open Monday to Friday. People that live outside of the home may also use these facilities. The AQAA detailed that a wide range of activities and outings are facilitated in order to encourage personal choice and independence. Searchlight has three mini buses which are used to enable residents to attend activities and some of the residents spoke of accessing local facilities. There are regular visits to the shops, pubs, sports centres, concerts, music and theatre venues. The organisation also has a social club on site, which one of the residents confirmed they attended and the other stated Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: that they chose not to. Two residents surveys stated activities were always provided and two usually, and one did not answer the question. Neither of the residents spoken with stated they attended the day centre. Some residents are employed to work at reception at Searchlight Workshops and one resident from Francis House was working on the reception on the day of the inspection. Residents are encouraged to continue their activities they are engaged in prior to entering the home, and to participate within the local community. Feedback from the surveys completed was varied and when asked, what the home could do better, one commented received was, more to do. When asked, what the home does well, one comment received was, free time, stuff to do, activities. Residents are supported to meet their individual spiritual needs. One resident is currently being supported to attend the local church. Residents spoken with confirmed that they choose their own daily routines. This was evident during the day of the inspection with residents moving freely within and out of the home environment. Staff were observed to have a good professional rapport with residents. Staff were observed to knock on residents bedroom doors prior to entering. The two support workers surveys stated when asked, what the home does well, tailors needs to individual, relaxed homely atmosphere, all residents and staff are equally valued, greater independence is encouraged, reaching ones full potential is encouraged amongst the residents and staff alike. The AQAA details that contact with family and friends is encouraged and visitors are welcomed at the home. Documentation viewed and feedback received from the two residents spoken with evidenced they had been supported to maintain contact and relationships with their families and friends, and they confirmed that they are able to meet their relative or friend in private. Residents reviews include the opportunity for residents relatives or representatives to attend if the resident wishes. The AQAA details that residents are supported with menu planning. Residents choose what to cook for all the residents in the evening each taking it in turns, and for breakfast and lunch the residents select for themselves what they would like to eat from food they have brought at the local supermarket. Two of the residents were due to go shopping for the residents on the day of the inspection. The main meal is eaten in the evening as is the choice of the current residents. Both of the residents spoken with spoke of the meals that they have cooked when it is their turn. At weekends the support workers cook or residents choose a take away. The AQAA stated that all support workers hold a basic food hygiene certificate. The senior support worker spoken with stated they have a basic food hygiene certificate. A sample of records Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: were viewed of individual residents food consumption to ensure an adequate diet is provided. Fresh fruit is available in the home. Special diets can be catered for. On the day residents were observed eating their lunch in the lounge. Feedback from the residents spoken with was that the food was good. Care Homes for Adults (18-65 years) Page 15 of 28 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. Residents receive personal support in the way they prefer and are supported and encouraged to remain as independent as possible. There are policies procedures in place for dealing with medications to protect residents. Evidence: Residents at Francis House are supported to manage their own personal care where required. The care plans have a summary regarding the individuals preferred daily routine. Residents spoken to confirmed that they choose when to get up and when to go to bed. Risk assessments are in place to ensure the safety of residents. Care plans viewed evidenced that following consultation with residents, specific guidelines have been developed for all staff, ensuring that support is provided in a structured and consistent manner and in a way that the resident prefers. Relationships between staff and residents and the care given were observed to be very good, and residents were treated with respect at all times. The two residents spoken with confirmed that they received the required support, that their privacy and dignity is considered and that the staff treated them with respect. The AQAA details that residents are registered with local General Practitioners (GP) Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: and are supported to access to health care professionals, including district nurses, chiropodists,podiatrists and physiotherapists, as required. The four care plans viewed and staff and residents feedback evidenced this. Residents are encouraged and supported to take control of and manage their own healthcare. Residents are supported to attend the GP clinic within the community. Visits from medical and health care practitioners take place in private. Two of the residents were being supported during the morning of the inspection to attend a Well Man Clinic, a health check undertaken specifically for men. The AQAA details the home has a policy for the handling of medication which includes receiving, recording, storage, handling, administration and disposal of medicine. That residents are supported to self medicate under the risk assessment framework. There are safety boxes supplied in residents bedrooms for the storage of any medication being self-administered. Four of the residents self medicated at the time of the inspection and risk assessments were in place. Medication is stored in lockable facilities in the home and a sample of the recording of medication administered was viewed. A Requirement has been made for the necessary changes to be implemented to meet the current requirements for the storage of control drugs. Information and advice is sought from a pharmacist who visits the home. The records were not available to view on this occasion. The senior support worker on duty confirmed they had received medication training and stated they were in the process of receiving further competency based medication training. The staff documentation viewed detailed that two of the support workers had undertaken medication training and for the third they do not administer medication. Care Homes for Adults (18-65 years) Page 17 of 28 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. Systems are in place to enable residents or their representatives to raise any concerns about the care being provided and that residents are protected from abuse. Evidence: The AQAA details that a complaints policy is in place, and a complaints book to record any complaints raised, which is regularly checked by senior management and by the organisations trustees on their monthly visits. No complaints in relation to the care provided at Francis House have been received during the last year. A monthly residents council has been formed with two residents from each of the Searchlight homes attending, so that any concerns or complaints can be addressed for the residents, by the residents representing them. Regular key worker meetings offer a further forum for residents to express any concerns they may have. The CQC have not been informed of any concerns in relation to Francis House. The residents surveys stated that they were aware of who to speak to if they had any concerns and four of the five residents stated they were aware of the complaints procedure. During the inspection residents were confident to approach the Inspector and give feedback regarding their experiences at the home. The two support worker surveys and senior support worker spoken with stated they knew what to do with any concerns they received. The AQAA details there are written policies covering adult protection and whistle blowing. That the increasing of staff awareness and knowledge in safeguarding Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: vulnerable adults is an area which has improved over the last twelve months. A training program has been introduced, and it is acknowledged that access to training for new staff as soon as possible is an area for further development. The staff training records viewed recorded that staff had undertaken this training. The senior support worker spoken with confirmed they had received training and guidance. Care Homes for Adults (18-65 years) Page 19 of 28 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. Residents live in a clean and homely environment and are provided with suitable indoor and outdoor communal facilities. Some facilities at the home require updating but are currently meeting the needs of the residents residing at the home. Evidence: The AQAA details that there is ongoing improvement of the facilities in the home and that residents are now involved in any decision about the environment. Plans for the next twelve months are to devise a rolling maintenance plan for redecoration, repair and renewal. A new patio area is due to be built, which will give the residents more space and a smoking area for residents who wish to smoke. The two kitchens are in need improvement and it is planned to install a dishwasher and new oven in the downstairs kitchen and a washing machine in the first floor kitchen, so each kitchen will then have a washing machine and a dryer and all residents will all have access to the facilities in the home. The premises is purpose built and on two floors. Decor and furnishings in the home is variable in standard and domestic in style. Residents accommodation consists of six single bedrooms situated on both floors in the home. Residents must be able to mobilise independently to access the first floor, as there is no passenger shaft lift or stair lift available. A sample of the bedrooms were viewed all of which had been Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: personalised and displayed residents individual styles and interests. Residents spoken to confirmed that they were happy with their individual room. There are three toilets, two showers (one with a wheelchair shower chair) and a bathroom. On the ground floor the flooring of the toilet and bathroom was badly stained. This was discussed with the Responsible Individual who stated that this would be addressed. So a Requirement has not been made on this occasion. The AQAA details that temperature regulators are fitted to all hot water outlets accessible to the residents. Staff stated that regular checks of the hot water supply at these outlets had not been maintained to ensure hot water is delivered close to the recommended safe temperature of 43 degrees centigrade. This was discussed with the Responsible Individual who stated that this would be addressed. So a Requirement has not been made on this occasion.The two residents spoken with confirmed there is adequate heating and hot water provided in the home. There are cooking facilities and communal areas provided on each floor for the residents to use. There is a fully equipped kitchen with access for residents on each floor, allowing independent cooking and the ground floor kitchen has lowered work surfaces for wheelchair users and both are well utilised. The AQAA details that there is an action plan to deliver best practice in prevention and control of infection. Residents clean in the home and one resident was busy cleaning during the morning of the inspection. The home was clean and free from offensive odours at the time of the inspection. The two residents spoken with confirmed the home was kept fresh and clean. The four residents surveys stated the home was always fresh and clean and one usually. Staff confirmed the routine fire checks of the building which had been completed. The sample of records viewed recorded the checks had been completed. Care Homes for Adults (18-65 years) Page 21 of 28 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. Residents would benefit from a regular review of the staffing of Francis House to ensure their care needs continue to be met. Robust recruitment procedures should be maintained to protect residents and training is provided to staff to enable them to perform their roles effectively. Evidence: The home was calm and relaxed on the day of the inspection. A copy of the staff rota was viewed. The AQAA details that staffing is flexible to enable to accommodate any activities that the residents wish to do. Agency staff can be used in the home, but those who have worked in the home before are requested. One senior care worker was on duty during the day. When the member of staff accompanied two of the residents out in to the community, two residents were left in the home with support available from support workers in another Searchlight care home. Risk assessments were in place. These should continue to be developed and subject to regular review. A sleeping in member of staff was due on duty that night and can be called on to offer support staff in the other two Searchlight Homes when required. All staffing arrangements in the home should be kept under review to ensure that support workers are only called on in exceptional circumstances and do not routinely provide support between homes, so the needs of the residents in Francis House and the other Searchlight homes continue to be met. Four of the residents surveys stated that the Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff always listen to what they say and one usually, and all stated the staff treated them well. The AQAA details that a detailed recruitment policy is in place, and over the last twelve months the recruitment process has been improved to enable residents to be involved in the recruitment process. Following a successful interview new support workers will be offered the position subject to two satisfactory references being received and a Criminal Records Bureau (CRB) and Protection Of Vulnerable Adults(POVA)/Independent Safeguarding Authority (ISA) disclosure. The documentation for two new members of staff was viewed, who have been recruited since the last inspection. This evidenced the completion of an application form, a detailed health questionnaire and receipt for one of the support workers two written references and for the second support worker only one written reference, and a CRB/POVA/ISA First check. It was not possible to fully evidence when references are received in the home. This was discussed with the training co-ordinator who agreed to ensure the current recording is further developed to detail this. New staff also complete a probationary period. The AQAA details that seventy-five percent of the staff hold NVQ Level 2 in Care The AQAA details that induction procedures are in place which new support workers recruited to the home will be taken through, and meets the requirements of Skills for Care. Induction records were not available to view during the inspection. Care Homes for Adults (18-65 years) Page 23 of 28 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 Manager has strived to create an atmosphere within the home, which is open, relaxed, homely and caring. Quality assurance systems in the home enable ongoing feedback about the care provided in the home, but the outcome should be collated and available to view. Systems are in place to ensure a safe environment for staff and residents. Evidence: There is not a registered Manager for Francis House. A new Manager commenced employment at the home in August 2009. The CQC have not informed of the changes in management arrangements for the home, or of previous management changes. This was discussed with the Responsible Individual who stated the CQC will be notified of any future changes. An application for a new Registered Manager for the home will be forwarded to the CQC in the near future. The Responsible Individual stated that representatives from the organisation had attended training on the Mental Capacity Act and the Deprivation of Liberty and no applications had been made under the Deprivation of Liberty. The AQAA details that a Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: quality assurance system is in place to enable feedback to be sought through surveys, which are to sent residents, relatives and representatives and other professionals who attend the home. The Responsible Individual stated that the annual surveys to be sent out had been delayed, but would be sent shortly. Regular meetings held in the home and within the organisation. The staff and residents spoken with confirmed that residents meetings regularly occur, but the records of the more recent meetings were not available to view on the day. Feedback from the quality assurance process needs to be collated, published and available to interested parties. The AQAA detailed that policies and procedures are in place and a group of representatives from the organisation meet monthly to review the organisations policies and procedures. The AQAA detailed monitoring visits by a representative of the organisation are made to meet the requirements of Regulation 26. Copies of these visits should be available to view in the home. This was discussed with the Responsible Individual who agreed to address this. The support workers individual training records were viewed and evidenced they had received training and or refresher training or were due to receive training in moving and handling, basic food hygiene, fire training which had included attendance of a fire drill and first aid training. The senior support worker confirmed they had attended all the required training and support workers were in the process of receiving their annual appraisal when training needs would be discussed and identified. A fire risk assessment is in place, and environmental risk assessments. A system is in place to ensure a regular daily detailed check of the environment. This did not include regular checks in relation to fire procedures. The health and safety officer stated that further guidance and support would be sought the following week from the East Sussex Fire and Rescue Service as to the checks that should be put in place. So a Requirement was not made on this occasion. The organisation also has regular health and safety meetings with representatives from each of the Searchlight homes attending. The Records were viewed of fire training provided in the home and the sample of the training records viewed recorded support workers had attended this training. The senior support worker spoken with stated they had attended this training. The AQAA detailed that the maintenance of equipment and services has been carried out. A sample of accident records were viewed and were detailed. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 20 13 That suitable storage and recording is in place for control drugs to meet the new requirements. To protect residents and support workers. 30/04/2010 2 33 19 That a thorough recruitment 31/03/2010 and selection process is in place and staff does not commence work in the home before a satisfactory POVA First /CRB check and two written references has been received. To protect residents 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 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!