Care Home: Smithies Moor

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well Supporting people to maintain their individuality and chosen way of life is central to the home`s ethos and approach and everyone`s differences are valued. When asked what the home does well one person said their relative`s welfare always comes first with the staff and said that the staff always discuss their relative`s needs with them. One family member said `We have no problems with the care.... Couldn`t be better.` One family member said that the home meets their relative`s `...cultural and religious needs adequately and support with maintaining family contact.` Another relative said that the home provides a `...caring and dignified life` adding that where possible they give choices even when this is not easy. There is good and friendly interaction between the people who live at the home and the staff. When we visited there seemed to be enough staff on duty to make sure they have time to spend with people in conversation, as well as offering any support people need to take part in individual and group activities. One member of staff commented that the staff all work together as a team. Before moving in, people`s needs are thoroughly assessed to make sure that the home is able to meet their needs, and people have plenty of opportunities to make sure they want to live at the home. People`s health and well-being is observed and monitored, and any concerns are followed up. Everyone said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities and trips out. One staff member said that the home `...cares for the person`s individual needs and requirements and treats them as individuals.` Another staff member said that `Staff take a lot of care to ensure good relations with clients.` One member of staff said `I think as a staff team we always try to listen carefully to our clients and try to support them to the best of our abilities.` There are regular discussion meetings and people are involved in making the decisions about their home and how it is run. One staff member said that each person is encouraged to take part in decision making, as much as they wish. The home`s recruitment procedures are thorough and involve people who use the service, making sure that staff are safe and suitable to work with the people who live at the home. All the staff said they enjoy working at the home and felt they were well supported by their manager. They said the training is good and helps them to do their job well.The staff all said they have plenty of training, including specialist training, to help them support the people who live at the home. One staff member said that `Staff are adequately trained to meet the individual needs of clients.` The staff that handle medication have received suitable training and the medicines are administered safely and accurately. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and everyone said that the home is always kept fresh and clean. What has improved since the last inspection? The Service Users` Guide and the home`s Statement of Purpose have been updated, in order to provide the most recent information for people who use the service. Training in palliative care has been introduced for all staff. Before a new staff member is appointed the shortlisted candidates are introduced to the people who live at Smithies Moor, giving everyone the opportunity to say what they think. Regular house meetings are held, in order to discuss what people would like to see happening in their home and how they want it to be run. What the care home could do better: The plans are not well organised and are not in a format that most people can access. They need to be more individualised and show how people are involved in planning and agreeing the level of care and support they need, how this is to be provided and how people are to be supported to achieve their goals. There was little evidence of involvement in the life of the local community; this may be an area that can be developed if there is scope. One relative said they felt that the home `...could encourage service users to participate more in their local communities...` The manager is planning to make sure that people have a wider choice of trips out and holidays in the future. Developing this would improve the variety and interest for people in their daily lives. Key inspection report Care homes for adults (18-65 years) Name: Address: Smithies Moor 46 Smithies Moor Lane Birstall Batley West Yorkshire WF17 9AN     The quality rating for this care home is:   three star excellent 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: Liz Cuddington     Date: 1 9 0 3 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 29 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 29 Information about the care home Name of care home: Address: Smithies Moor 46 Smithies Moor Lane Birstall Batley West Yorkshire WF17 9AN 01924474453 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.st-annes.org.uk St Anne`s Community Services Name of registered manager (if applicable) Mrs Jillian Mary Northen Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Can accommodate one named service user with learning disabilities aged over 65 years. Date of last inspection Brief description of the care home 46 Smithies Moor Lane is a care home registered to provide nursing care and accommodation for six adults with learning disabilities. The home is operated by St Annes Community Services. The property is a large detached bungalow which stands in its own grounds, overlooking countryside. There is a parking area at the front of the home and attractive gardens to the rear. The home is located in a residential area on the outskirts of Birstall. Local shops, a post office and other community facilities can be found within 1 mile of the home. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 6 Brief description of the care home The service provider ensures that information about the service is available to prospective and current users of the service by way of the homes Statement of Purpose, the Service Users Guide and through CQC inspection reports. Care Homes for Adults (18-65 years) Page 5 of 29 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 the people who use this service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Peoples fees are paid by the health care services that commission them. The purpose of this inspection was to assess the quality of the care and support received by the people who live at Smithies Moor. The visit was carried out over one day by one inspector. Care Homes for Adults (18-65 years) Page 6 of 29 The methods used to gather information included conversations with the people living at the home and the staff, as well as looking at care plans and examining other records. We received surveys from the relatives of five people who live at the home and eleven members of staff, as well as the homes self-assessment questionnaire. These gave us a lot of useful information about the home and helped us plan the visit. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: Supporting people to maintain their individuality and chosen way of life is central to the homes ethos and approach and everyones differences are valued. When asked what the home does well one person said their relatives welfare always comes first with the staff and said that the staff always discuss their relatives needs with them. One family member said We have no problems with the care.... Couldnt be better. One family member said that the home meets their relatives ...cultural and religious needs adequately and support with maintaining family contact. Another relative said that the home provides a ...caring and dignified life adding that where possible they give choices even when this is not easy. There is good and friendly interaction between the people who live at the home and the staff. When we visited there seemed to be enough staff on duty to make sure they have time to spend with people in conversation, as well as offering any support people need to take part in individual and group activities. One member of staff commented that the staff all work together as a team. Before moving in, peoples needs are thoroughly assessed to make sure that the home is able to meet their needs, and people have plenty of opportunities to make sure they want to live at the home. Peoples health and well-being is observed and monitored, and any concerns are followed up. Everyone said that staff listen to them, and act on what they say and people said they like the meals and enjoy the activities and trips out. One staff member said that the home ...cares for the persons individual needs and requirements and treats them as individuals. Another staff member said that Staff take a lot of care to ensure good relations with clients. One member of staff said I think as a staff team we always try to listen carefully to our clients and try to support them to the best of our abilities. There are regular discussion meetings and people are involved in making the decisions about their home and how it is run. One staff member said that each person is encouraged to take part in decision making, as much as they wish. The homes recruitment procedures are thorough and involve people who use the service, making sure that staff are safe and suitable to work with the people who live at the home. All the staff said they enjoy working at the home and felt they were well supported by their manager. They said the training is good and helps them to do their job well. Care Homes for Adults (18-65 years) Page 8 of 29 The staff all said they have plenty of training, including specialist training, to help them support the people who live at the home. One staff member said that Staff are adequately trained to meet the individual needs of clients. The staff that handle medication have received suitable training and the medicines are administered safely and accurately. The complaints and adult protection systems work well and people said they know and understand what to do if they have a concern. The home is clean and everyone said that the home is always kept fresh and clean. 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 9 of 29 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 29 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. There is a thorough pre-admission assessment and introduction procedure, to make sure the home can meet peoples individual needs. Evidence: When someone is considering living permanently at the home they are given information to help them make a decision, including a Service Users Guide which is available in an illustrated, easy read format and as an audio version. The initial assessment of the persons needs is carried out by a senior member of the homes staff. People are also invited to visit as often as they like, stay for a meal and have one or more short stays at the home if they wish. Peoples families are also welcome to visit and take part in the decision making, if the person wishes. This gives the person the opportunity to make an informed decision and helps the home decide if they are able to meet the persons needs. There is also a settling in period, to make sure that everyone is happy that the persons needs can be met at Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: the home. This procedure, along with other professional assessments, helps the staff to start developing a suitable plan of care and support. Care Homes for Adults (18-65 years) Page 12 of 29 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. Peoples right to maintain their individuality is central to the way the home is run. The plans need to be clearer and more individualised and show that people are involved in planning and agreeing the level of care and support they need and how this is to be provided. Evidence: We looked at two individual care and support plans. They showed that people are involved in developing and reviewing their plans and they reflect the individuals preferences and needs. However, the information in the plans was entirely word based, with little or no pictorial information to illustrate them. Part of one persons plan was in a large format, but again it was all words, which is not necessarily the best way to make the plans accessible to the individual. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Currently each persons plan is in one or two large binders and they are somewhat disorganised. For example, the final wishes section of one persons plan was filed in the middle of the activities section. It would make the plans clearer and more accessible if they were divided into two parts, keeping one file for the health and personal care, risk assessments and final wishes. Then a separate Life Book could be developed for each person, including perhaps a personal history, photographs of people and events that are important to them, illustrations of their short and long term goals and ambitions for the future. This would be something that the person can take ownership of and be a celebration of their life and achievements. A summary of the persons care and support needs and how these are to be met may be a useful addition, as this can act as an easily accessible reminder for the staff. Although the plans are person centred, each plan should be developed in the way that best suits the individual. For example, some people may prefer to develop their plans as an illustrated book or on a computer. If the person wishes other people also contribute to the care plan, to make sure a full picture of the individual is obtained. These people could include the persons relatives, the homes staff, their social worker and someone from any other services he or she is involved with. The plans should always be kept up to date and contain sufficient detail to guide staff and help them understand each person. People said that the service supports them to live the way they choose and agreed that the service meets their different needs. Where any activity involves a potential risk, an assessment is made and plans are agreed to minimise the risk, while still supporting peoples right to independence and choice. All the evidence we saw indicated that the homes staff support people to maintain their independence and improve the quality of their lives. Our observations, and conversations with the staff, confirmed that the staff know and understand the needs of each person who lives at the home. The staff do all they can to promote peoples right to autonomy and everyone is treated as an individual. From talking to the people who live at the home and the staff, and reading the notes, Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: it was clear that everyones personal choices are respected and supported. People are supported to meet their own cultural, social and spiritual needs and we saw evidence to show that the staff respect the wishes of the person and their family. The daily records comment briefly on how each persons day has been. All the written information is securely stored and confidential information about people is only shared with those who need to know. Care Homes for Adults (18-65 years) Page 15 of 29 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 are supported to follow the activities they choose, to make sure their needs and expectations are being met. People are offered a good choice of meals, and other foods, to make sure their dietary needs and preferences are met. Evidence: The support plans include information about each persons choice of recreational and leisure pursuits and their goals. The activities people follow depend upon what they want to do. All the staff are involved in supporting people to follow the acivities they have chosen. The manager and staff make sure peoples views are central to any decisions that are made and make sure that everyones views are heard. People said that they are supported to lead their lives in the way they choose, and Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: there are usually enough staff available to give them any support they need. The staff are aware of peoples preferences and the home is run in the best interests of the people who live there. If they choose, people help with jobs around the house such as shopping and cooking. During the day people attend day centres, lunch clubs and coffee mornings. People also go trampolining, to a hydrotherapy pool and out for meals. Recently St Patricks day was celebrated in the home, with Irish food and music. Everyone said they enjoyed the event. There was little evidence of involvement in the life of the local community; this may be an area that can be developed if there is scope. A more varied programme of days out and holidays could be developed, which would give greater variety to peoples lives. The manager said this is an area they are planning to improve. The staff we spoke with had a good understanding of peoples needs and how each person likes to be supported. They understood the ethos of the home and the importance of respecting peoples right to self-determination and their right to be left in peace if they wish. People said that the staff respect their privacy when they wish to be alone. Individual choices about spiritual and cultural matters are reflected in the plans. The staff all know and understand each persons needs and preferences and how to support people to maintain their dignity and self respect. At mealtimes there are always alternatives available if people do not want the choices on the menu. People said that they enjoy the meals and the portions are generous. The people who live at Smithies Moor choose the menus. People are offered hot and cold drinks and snacks throughout the day. The mealtimes are very pleasant and sociable occasions and where someone needs some support at mealtimes, this is offered discreetly, following the persons own pace. Care Homes for Adults (18-65 years) Page 17 of 29 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. Peoples personal and healthcare needs are met. People are protected by the homes medication systems. Evidence: Peoples health and wellbeing is observed and monitored, and any concerns are followed up with relevant health or social care staff, and the family where appropriate, and their advice is followed. The plans are evaluated regularly, to make sure they reflect peoples healthcare needs. The plans contain details about the individuals physical, psychological and emotional health. The plans, and conversations with staff, confirmed that peoples cultural and individual preferences are understood by everyone and are central to the care and support they are offered. The plans show the way people prefer their care and support to be provided. This makes sure that staff know exactly how each person likes their support to be provided and understand the routines they like to follow. The people we spoke with said that Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: the home and the staff meet peoples needs. Everyone said the staff provide the care people need, in accordance with their wishes. Peoples healthcare needs are reviewed regularly and recorded in detail. There was evidence that specialist healthcare professionals are involved in providing the support people need to maintain and improve their health and well-being. Risk assessments are in place, where a potential risk to an individual has been identified, and there is information about how such risks are to be managed. The daily records give a picture of the support each person has needed that day. The staff that administer medication have received suitable training. This helps to make sure that medicines are administered safely and that staff understand this area of their work. The medicines appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine as prescribed. The medicines are all stored securely. Observations during the inspection confirmed that the staff always respect peoples privacy and dignity. Where possible, the support plans also include details about the persons final wishes, to make sure they have the support they choose at this time. Care Homes for Adults (18-65 years) Page 19 of 29 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 know how to raise a concern or make a complaint. Staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people are safe. Evidence: The staff training records showed that all the staff have taken adult protection training. Conversations with the staff showed that they understand their responsibilities towards people with regard to protecting them from any risk of abuse or poor practice. Staff are made aware of the homes whistle blowing policies and procedures, to be used if they suspect abuse or see examples of poor practice. They are expected to have read and understood the policies and procedures concerning adult protection. The staff said they understood about whistle blowing, handling complaints and safeguarding and had taken training in these areas of their work. The complaints procedure is illustrated, to assist people to understand it. The evidence we saw confirmed that improvements are made as a result of complaints investigations and comments people make in the quality assurance questionnaires. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: There is an independent advocacy service to support people to express their views; this is especially important if there is no family or friend who can do this. Care Homes for Adults (18-65 years) Page 21 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, clean and comfortable environment for people to live in. Evidence: Some people showed us their rooms, which were all comfortable and attractive and reflected their taste and interests. The shared areas of the house are all light, spacious and comfortably furnished. The gardens are safe and are suitable for everyone to use. The home has an ongoing refurbishment programme and this year they plan to improve the gardens with planting in the raised beds, which some people may enjoy working on. There is an attractive seating area at the back of the house, with access to the fields where people enjoy going for walks. The house is clean and fresh throughout. Protective gloves and aprons are available for staff to use when necessary, as part of the homes infection control measures. Care Homes for Adults (18-65 years) Page 22 of 29 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. Sufficient well trained staff are employed to meet peoples needs. People are protected by the recruitment procedures, which make sure that staff are suitable to work with people who live at the home. Evidence: The staff rotas confirmed our observations that there are enough staff on duty to meet the care, social and leisure needs of the people who live at the home. As well as an interview, all new staff complete an application form and provide two written references, as well as completing satisfactory Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks before they start work. Before a new staff member is appointed the shortlisted candidates are introduced to the people who live at Smithies Moor. This gives everyone the opportunity to say what they think. People who use other St Annes services are part of the interview panel. All new staff take the mandatory health and safety training and they all follow accredited induction training. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Four of the six support staff have achieved the NVQ qualification at level 2 or 3 and two were about to start the course. Other training is available to make sure staff skills and knowledge is kept up to date. During the past twelve months staff have had refresher training in all the mandatory courses, as well as taking training to help them understand the implications of the Mental Capacity Act 2005 and the deprivaiton of liberties protocols. Staff have also recently had their moving and handling and infection control skills and knowledge updated and everyone is booked on an emergency aid course this Spring. They are also working towards achieving the gold standards award for palliative care. The staff all said they have plenty of training and said they are kept up to date with peoples care and support needs. Care Homes for Adults (18-65 years) Page 24 of 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed, in the best interests of the people who live there. Evidence: The manager has the necessary experience and qualifications to manage the home effectively and in the best interests of the people who live there. To maintain confidentiality, peoples personal information is stored securely when it is not being used. Where the home helps people to manage their personal finances, accurate records are kept of all transactions. Regular audits are carried out to make sure the records and amounts are accurate. The policies and procedures are kept up to date to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner and staff have basic health and safety training. Fire drills are held, to make sure everyone knows what to Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: do in an emergency. All these measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home asks people, their relatives and professional visitors to complete quality assurance questionnaires, in order to find out what people think about the care and support the home offers. Peoples responses were very positive and their comments showed that they are very satisfied with the service. Regular house meetings are held, in order to discuss what people would like to see happening in their home and how they want it to be run. The records, and the staff, confirmed that all the staff are having regular one to one supervision meetings with their line manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. The staff said they felt supported by the manager and enjoy working at the home. One staff member said they have a manager ...who is good to talk to if (there are) any problems and added that there are regular staff meetings. A senior manager from the organisation visits the home regularly and compiles a report each month on their findings. The homes manager lets us know about any significant incidents that affect the well-being of people who live at the home. At present there are no people living at the home who are subject to a deprivation of their liberty authorisation, under the Mental Capacity Act 2005. We received the homes annual quality assurance self assessment. It contained detailed information about the services, the support that is provided, the improvements they have made and their plans for the coming twelve months. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 1 6 The care and support plans need to reflect the individual, be clearer and better organised. This is to make them more accessible to the person and to fully reflect their individuality. To give greater variety to peoples lives the home should develop more involvement in the life of the local community and a greater variety of trips out and holidays. 2 13 Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - 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!