Care Home: South Road (38)

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well The environment has been improved and is very welcoming. A manager has been employed to provide the home with some stability. The care plans, provide good information on how to meet the residents needs. The residents are involved in the care that is provided and this ensures they have choice into how their care needs are met.Page 9 of 36Care Homes for Adults (18-65 years)There is good information about what service the home and the staff are able to provide.Bedrooms are decorated to meet individual choices.The staff spoken to have a clear understanding of their roles and receive training to keep their skills updated.There is lots of opportunity for the residents to access the local community. They have had a number of trips out including, a visit to the Edinburgh Tattoo. Further trips are planned for the coming year.Some residents attend the local college to learn life skills.The residents are involved in various groups in the community including `people First`Resident`s finance records are well kept. What has improved since the last inspection? Recording of information has improved including medication and menu`s.They have improved the information recorded in the care plans and annual reviews are now taking place.They have introduced a computer system where the residents are able to access their records; there is further work to be carried out over the coming year. Risk assessment are now reviewed and updated more regularlyStaff are regularly supervised to ensure their training needs are addressed and they are supported in their roles. What the care home could do better: The general standard of this environment requires updating. However the manager stated that improvement works are due to commence in June 2009, which will then provide a well maintained, comfortable and improved environment in which people can liveThe areas for re-development include refurbishing the bathrooms, a new wet room, a refurbished laundry room, redecoration of the communal areas and also several bedrooms.The home will also be having aBoilernew boiler fitted. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: South Road (38) 38 South Road Bishops Stortford Hertfordshire CM23 3JJ The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julia Bradshaw Date: 0 1 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 36 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: South Road (38) 38 South Road Bishops Stortford Hertfordshire CM23 3JJ 01279461131 01279466332 clive.kidd@hft.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Home Farm Trust Ltd care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: Date of last inspection A bit about the care home 38 South Road is a large house in a residential street on the outskirts of Bishops Stortford. It provides accommodation for ten Care Homes for Adults (18-65 years) Page 4 of 36 people with a mild to moderate Learning Disability The home is owned by the Home Farm Trust a voluntary organisation. All people have their own rooms, which reflect their individual personalities, They all make full use of all the local community has to offer. Emphasis is given to active, positive quality lifestyles at the limit of each service user’s ability and independence. An up to date copy of the Statement of Purpose, Service User Guide and a copy of the previous inspection report published by the Care Quality Commission are all available within the Care Homes for Adults (18-65 years) Page 5 of 36 home, upon request. The current fees for the residents, who are all sponsored by a local authority, range from £720 to £850 per week according to need. Care Homes for Adults (18-65 years) Page 6 of 36 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 36 How we did our inspection: This is what the inspector did when they were at the care home We looked at three peoples care plans and talked to them about the care they received. We looked at the information that we had been sent be the home including the AQAA (Annual Quality Assurance Assessment) The last key Inspection was carried out on the 2/05/08. We looked at the feedback received from questionnaires circulated to relatives, staff and people who use the service. Care Homes for Adults (18-65 years) Page 8 of 36 A tour of the building took place and we talked to residents and staff on duty The fee range for the service is between £650 - £750. What the care home does well The environment has been improved and is very welcoming. A manager has been employed to provide the home with some stability. The care plans, provide good information on how to meet the residents needs. The residents are involved in the care that is provided and this ensures they have choice into how their care needs are met. Page 9 of 36 Care Homes for Adults (18-65 years) There is good information about what service the home and the staff are able to provide. Bedrooms are decorated to meet individual choices. The staff spoken to have a clear understanding of their roles and receive training to keep their skills updated. There is lots of opportunity for the residents to access the local community. They have had a number of trips out including, a visit to the Edinburgh Tattoo. Further trips are planned for the coming year. Care Homes for Adults (18-65 years) Page 10 of 36 Some residents attend the local college to learn life skills. The residents are involved in various groups in the community including people First Resident’s finance records are well kept. What has got better from the last inspection Care Homes for Adults (18-65 years) Page 11 of 36 Recording of information has improved including medication and menus. They have improved the information recorded in the care plans and annual reviews are now taking place. They have introduced a computer system where the residents are able to access their records; there is further work to be carried out over the coming year. Risk assessment are now reviewed and updated more regularly Care Homes for Adults (18-65 years) Page 12 of 36 Staff are regularly supervised to ensure their training needs are addressed and they are supported in their roles. What the care home could do better The general standard of this environment requires updating. However the manager stated that improvement works are due to commence in June 2009, which will then provide a well maintained, comfortable and improved environment in which people can live Care Homes for Adults (18-65 years) Page 13 of 36 The areas for re-development include refurbishing the bathrooms, a new wet room, a refurbished laundry room, redecoration of the communal areas and also several bedrooms. The home will also be having a Boiler new boiler fitted. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 14 of 36 If you want to speak to the inspector please contact Julia Bradshaw CQC National Processing Centre Citygate Newcastle upon Tyne Telephone: 03000616161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 15 of 36 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 16 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Information about the service is kept up to date and provided for all prospective users of this service and everyone wishing to enter the home has a full assessment of need completed. This ensures that all parties can be sure the home can meet all individual needs. The terms and conditions of the home are agreed in writing so that people are clear about the roles and responsibilities. Evidence: The service has developed a statement of purpose, which sets out the aims and objectives of the service, and includes a guide, which provides information about the service and the specialist care the service offers. The guide details what the prospective and current individuals can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff and how to make a complaint. All new service users are given a copy of the guide and the services makes one available for all to view as they wish. Admissions are not made to the service until a full needs assessment has been undertaken. The AQAA states The assessment work is carried out only by individuals competent to do so. This is a Home Farm Trust social worker, service manager and Care Homes for Adults (18-65 years) Page 17 of 36 Evidence: registered manager. The two assessments seen were detailed and appropriate to the policy and procedure in place. The assessment explored areas of diversity including preferences, religious and cultural needs, involvement from family, partners and advocates, race, gender, age and disability. It was evident that the service strives to seek the information and assessment through care management arrangements, prior to admission. The service has the capacity to support people who use the service and respond to diverse needs that may have been identified during the assessment process. One person who uses the service user commented, The staff are really kind to me here and I get to go away on holiday every year. The assessment process is conducted annually to ensure that any changes in need are identified and associated support plans are then reviewed and or implemented. There are no privately funded placements. Each person had a statement of their individual terms and conditions and these are reviewed and adjustments made annually or as required. The AQAA states that If a person is interested in an existing vacancy they are given information about the service provided here at South Road. This includes information about the house, staff and how the key working system and support is provided. Individuals are encouraged to identify how they want to be supported. A comprehensive assessment is done to ensure that the service can meet the needs of the individual and that the person is appropriate for the service. Prospective service users are invited to the house to have a look at what is being offered. To meet the people who live in the house, manager and staff and discuss any concerns or queries. Interested people can visit for a meal on a number of occasions including overnight visits and weekend visit to get to know people prior to moving in. This helps everyone concerned to establish if Home Farm Trust is the right place for that individual. This process was evidenced on the day by speaking to one of the residents who was able to explain how they were supported when they moved into the home. They stated that staff helped me move my things in and I came in for tea to meet people. Care Homes for Adults (18-65 years) Page 18 of 36 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Care plans reflect a detailed and detailed record of peoples needs, which ensures that people using the service receive a service that meets their needs that is also reviewed regularly and safe from risk. Evidence: A total of three care plans were case tracked fully. It was established that people who use the service receive personal and health care support, which is suitable to meet their needs. Personal health care needs including specialist health and dietary requirements are recorded in each persons care plan. The care plan provides information and a guide for staff to know how to support the person. The care plan is generated from the pre admission assessment and includes guidelines, risk assessments for the management and control of a range of issues, including, where appropriate behavioural support guidelines. It was observed that the service reviews the needs assessment on an annual basis and this is linked with the care plans in place providing the required information in order for the staff to know how to best meet the needs of the individual. Care Homes for Adults (18-65 years) Page 19 of 36 Evidence: The manager and the staff team have worked hard since the last inspection was carried out to further improve and develop these care plans into a more effective working document and into a person centered plan. These care plans should all be completed in this new person centered plan format within the next few months. Home Farm Trust has also commenced the introduction of a new paperless system called SPARS which includes service users having access to their own documentation and with their own personal e-mail address. The AQAA states that Home Farm Trust have introduced a new recording system which was implemented in August 2008. The system is called SPARS which stands for Support, Planning, Assessment and Recording System. The SPARS system links up to the individual support requirements for a person inclusive of an annual re-assessment. The system is electronic to assist easier goal focused recording and monitoring of needs and views. Two people spoken to during this inspection confirmed that they knew about their care plan and that they had also been asked to sign it. It was observed that personal support is responsive and created to meet the individual choices, needs and preferences. Generally Staff were observed to respect the privacy and dignity of everyone living within South Road. People are supported and helped to maintain their independence and generally can take responsibility for their personal care needs. Risk assessment are in place for a number of issues where control measures may be required to be identified and implemented in order for the individual to take risks as required. Risk assessments held on the files case tracked included, fire safety, personal hygiene, transport, community access and a financial risk assessment. Other risk assessments are in pace as required. The AQAA states that Risk Assessments, policy and guidelines are in place to minimise identified hazards. Training is provided both in how to use the system and the social care aspects when supporting individuals to take risks. Our risk assessment process seeks to ensure all activities are in the persons best interest. Best practice states all assessments should individual and where this is not possible others involved in his or her life. Where activities need to be altered the least restrictive approach is used. Staff training in relation to the Deprivation of Liberty Safeguarding is planned as part of the mandatory programme for the whole staff team. During the inspection it was directly observed that confidential records were being stored appropriately. Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: Care Homes for Adults (18-65 years) Page 21 of 36 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are offered and receive a diverse range of social/leisure opportunities which meets their needs. Evidence: People living at 38 South Road are supported and encouraged to enjoy a full and stimulating lifestyle with a variety of options to choose from. Staff members reported, and daily records confirmed, that people attended cinemas, theatre, bowling alleys, shops, restaurants, colleges, various clubs, and many other activities. Individuals have opportunities to voice their wishes regarding social events at regular house meetings. The staff demonstrated awareness of the social needs of the people living at the home and encouraged and supported them to access a full range of activities both inside and outside the home. The senior support worker provided us with a copy of the detailed weekly activity planner, which demonstrated the diverse range of social and daytime opportunities offered to people living at South Road. The manager stated that the annual holidays for this year will take place in September. It is positive to note that Care Homes for Adults (18-65 years) Page 22 of 36 Evidence: the service is providing a diverse range of activities and daytime occupations ranging from paid employment, voluntary placements to working in a garden centre, attending college, being part of a local drama group and also having the opportunity to take part in the National Home Farm Trust advocacy conference to be held in June 2009. Family members said they are always encouraged to visit the home. They can visit with their relative in private in their own room or in the communal areas of the home with other residents agreement. The service considered individuals changing needs and choices when planning the routines of daily living and arranging activities. The views of the people living at the home, and their families are taken into account and are part of the Annual Quality Assurance process that invites the views of all interested parties in the service provided at South Road. Comments received include I like living here and the staff are really kind. The staff help us with going out to the shops and to the day centre. Household tasks are shared amongst the people living at the home with each person having their own areas of responsibility clearly detailed within their support plans. These routines are discussed regularly at residents meetings. The most recent meetings were held on 25/03/09, 29/04/09 and 27/05/09. These minutes are produced in a format that can be easily understood by everyone living at South Road. People are encouraged to make their own choices regarding what food they eat on a daily basis, and people spoken to on the day confirmed that this was the case. One person was also observed preparing their mid-day meal, with minimal staff assistance. Individuals were encouraged to make their own choices regarding what food they ate on a daily basis, and the people living there confirmed this on the day. The kitchen was clean and fresh. Records of meals eaten by individuals are completed. Care Homes for Adults (18-65 years) Page 23 of 36 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service have their health and personal care needs carried out effectively and respectfully, ensuring that their wishes and choices are promoted. Evidence: Peoples files included information of individuals health needs and how these were to be met were contained within the daily records, the assessment and the care plan. The delivery of personal care was individual and flexible according to changing needs and preferences. Personal care and support is provided in private and by a person of the same gender where necessary. Guidance and support is provided with personal hygiene tasks where required although where people are able to attend to their own personal hygiene needs they were encouraged to do so. External specialist health support services are accessed through the community learning disability services, based in Hertford. There are also individual health action plans in place. Medications were stored appropriately in locked cabinets within the main kitchen area. Medication administration records were viewed at this visit and were satisfactorily maintained. Bottles and boxes were observed to have the date of opening added and where a homely remedy had been administered there was a running record maintained. The service has reviewed the medication administration policy and Care Homes for Adults (18-65 years) Page 24 of 36 Evidence: procedures since the last inspection took place. The AQAA states Individuals have medication preference guides which explain how service users like to take their medication. Medicines are handled according to legislative requirements. The home has a thorough medication policy and training programme is in place to ensure the competency of staff. Staff support service users to attend appointments and respect confidentiality. During the inspection documents were seen of records where people had been supported to attend relevant specialist support services, including occupational health therapists and physiologists (based in Bishop Stortford) and a chiropodist visits the home when required. The service uses two main surgeries, based locally. A staff member commented that people who live here see it as their home and are very proactive in saying what they feel about things, including the staff. Care Homes for Adults (18-65 years) Page 25 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People living in this service can be assured that they will be protected from abuse and that they will be listened to if they raise any concerns or make a complaint about any aspect of their care. Evidence: The service has an open culture, which allows people to express their views and concerns through a variety of methods. Feedback gained from one of the people who uses the service confirmed that they are aware of what to do if they are unhappy and wish or wish to make a complaint. The individual stated, If I am unhappy I will talk to the staff, they will always sort it out. During discussions with people living within South Road it was clear that people have the ability and skills necessary to raise any issues or concerns they have and are a strong advocate for the service they expect to receive. The service also provides a pictorial complaints policy, which was seen on the day of this inspection. Residents meetings are held regularly and are well attended. (Last meetings were held on the 29/04/09 and 27/05/09). People living at South Road are also actively involved in the The people we support conference later this month and are presenting a workshop on Looking good, feeling great. This is one example where staff are actively involved in promoting service user advocacy within this service. The service has a clear complaints policy and procedure that was available within the main reception of the home. It was reported that the service had not received any formal complaints since the last inspection was carried out. The service demonstrated Care Homes for Adults (18-65 years) Page 26 of 36 Evidence: that they have a good understanding of the procedures for safeguarding vulnerable adults. Training in the safeguarding and protection of vulnerable people is planned for 2009/10. The policies and procedures relating to recruitment promotes the safety of the people who use the service through the completion of an enhanced Criminal Records Bureau (CRB) disclosures and two written references before a new staff member starts work at the service. Care Homes for Adults (18-65 years) Page 27 of 36 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The environment requires updating and redecorating in order to ensure it provides a safe, comfortable and homely environment in which people can live. . Evidence: There are a variety of improvements that are necessary in order to ensure that this service provides a comfortable, safe and homely environment. However the manager informed us and (produced documentation) to confirm that there are plans to improve the environment with the following adaptations, the bathrooms will be updated , including a walk-in wet room, three bedrooms will be re-decorated, all communal areas will be re-decorated, the laundry will be re-furbished, a new boiler will be fitted and the office will be relocated to a more centrally placed on the ground floor. In the light of this information there will be no requirements made in relation to the current standard of this environment, as although the general decoration is quite shabby and areas that do require attention, these currently do not pose a current risk to people. There will be a recommendation within this report will be made to ensure that the manager informs the Care Quality Commission once these works have been completed. The service has also purchased an impressive plasma television for the lounge, which will will be fitted once the re-decoration has been completed. The manager stated that this work is due to start later this month and latterly, in September 2009 when all the residents are on Holiday, in order to reduce the health Care Homes for Adults (18-65 years) Page 28 of 36 Evidence: and safety risk to people living within the home. Generally the environment was tidy and clean with people living at South Road responsible for keeping their rooms clean and also take part responsibility for the cleaning within the house, as a whole. The person who kindly showed us around the home stated that they were happy and proud of the house in which they lived. They also pointed out the areas that required updating. They were well informed of the planned development within the house, including being consulted on the choice of colour of schemes. Infection control standards were being maintained with adequate hand washing facilities seen throughout the home. All fire records were up to date, including the last fire drill carried out on the 13/05/09, the last fire alarm tests were carried out on the 28/05/09. The emergency lights were tested on the 28/05/09. Nominated staff are responsible for carrying out the health and safety checks and these were all up to date. The gas safety certificate was dated 4/06/09. There are adequate bathrooms and toilets throughout. Everyone living at South Road has their own front door key. The general maintenance issues relating to the home are managed by the estates office based at head office in Bristol. Care Homes for Adults (18-65 years) Page 29 of 36 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use this service are supported by staff who are well trained and competent to meet their needs. The procedures for recruiting staff are thorough and ensures that residents are protected from abuse. Evidence: There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service. Staffing rotas take into account the needs and routines of the people using the service. The service recognises the importance of training and delivers a programme that meets any statutory requirements and the National Minimum Standards. The AQAA states All staff receive mandatory training and training relevant to the needs of the people they support. The staff training records were checked and confirmed that all staff have received their mandatory training. In addition to this training staff have also attended sexuality awareness, Mental Capacity Act, food hygiene and health and safety training. The AQAA also states that induction standards are met through Home Farm Trusts new induction pack that new staff and managers work with during the 12 week induction period and the 6 month probation period. This was evidenced on the day of this inspection and a new induction folder seen. Staff spoken to confirmed they receive regular supervision and several staff stated that they found it productive and supported. The AQAA states that Home Farm Trust has Care Homes for Adults (18-65 years) Page 30 of 36 Evidence: a policy in place for the supervision of staff. The aim is that staff receive supervision every 6 weeks. This is pro-rated for part time and relief staff. A variety of staff meetings are held on a regular basis. Minutes seen on the day confirmed that the last team meeting had been held on the 28/04/09. All staff are clear regarding their role and what is expected of them. People using the service report that staff working with them know what they are meant to do and that they meet their individual needs in a way that they are satisfied with. There was a relaxed and informal atmosphere on the day of this inspection and staff spoken to stated that they were very happy with the managers style and found them both approachable and professional. This service had gone through an unsettling period during the latter part of last year when the managers post was being temporarily covered by a manager from another service. However the new manager has now been in post for a period of seven months and has worked hard to improve staff morale and is providing a consistent model of leadership. This includes ensuring staff are appropriately supervised and being provided with appropriate training necessary to carry out their effectively and professionally. Two staff files were inspected on this occasion and found to contain all the required information, including CRB, two written references, contract of employment and terms of conditions and probationary reports. Care Homes for Adults (18-65 years) Page 31 of 36 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users can be assured that they are protected by the Health & Safety procedures in place, that their have their views listened to and benefit from a well managed home. Evidence: The current manager has a wealth of experience in the field of learning disability and is competent to run the home. Through discussions with both the manager and the staff team it was evident that people have a clear understanding of the key principles and focus of the service, based on organisational values and priorities. There is regular monitoring system in place to ensure that procedures and policies are being followed and checks are made to ensure the health, safety and welfare of anyone who lives, works or visits the home is promoted and protected. The manager carries out a variety of weekly and monthly checks that ensure if errors are made these are quickly identified and addressed immediately. Appropriate risk assessments are carried out with regular reviews taking place. Any maintenance issues relating to the home are coordinated by the estates office based in Bristol. A spot check showed that incident and accidents have been reported appropriately to the Commission as required by the Commission. Care Homes for Adults (18-65 years) Page 32 of 36 Evidence: Two members of staff spoken to and two service users confirmed that the service has an open atmosphere and found the new manager to be very professional, supportive and kind. The manager and staff are working hard to improve and further develop the services to people living at South Road. Two people spoken to stated that The staff are very kind and help support me when have a problem. I like going to my daycare placement. The AQAA states that The manager has a working knowledge of Home Farm trusts policies and procedures and the care standards and can coach staff in best practice to make sure the service complies with legislative requirements. The manager updates staff teams on CQC reports and visits. All information is handed over to staff, including new AQAA and CQC assessment. All health and safety documentation was up to date, including fire records, risk assessments, Quality Assurance monitoring checklists, financial checklists and assessments. The service receives a regulation 26 visit on a monthly visit. The last visit was recorded on the 4/05/09. The service was without a permanent manager in the latter part of last year with temporary cover being provided by a manager from another service. Although this must have been an unsettling period for the staff and service users, people are now enjoying the benefits of having the stability of a new and permanent manager in post . The staff team have worked extremely hard to improve the development of this service and whilst it is recognise that some documentation had not been kept up to date during this interim period this did not place people at risk. Recording systems have now improved and person centered plans and the new SPARS system will both be fully implemented before the end of the year. The current staff team appeared both motivated and enthusiastic about working at South Road and this clearly has had a positive effect on the people using this service, who took great pride in showing us around their home. Care Homes for Adults (18-65 years) Page 33 of 36 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 34 of 36 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 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 24 The manager should inform the Commission when the minor works are due to commence, provide a copy of the risk assessment for the planned works and inform the Commission once the works have been completed. Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 36 of 36 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!