Care Home: South Street Residential Home

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What the care home does well People living at South Street live independent lives with support to enable them to develop and learn new skills. People are empowered to take an active part in the running of the home enabling them to feel in control of their lives. People who live at South Street have their care and support needs met by a team of appropriately trained staff who know them well. Staff tell us that they work well as a team and staff usually work at the home for a long time meaning they get to know the people they support really well enabling them to support people as they prefer. Care plans are very well written and help the staff to meet people`s needs in ways that they prefer. People are able to take part in a range of activities that they enjoy. People are supported to maintain and develop friendships and relationships with people who are important to them enabling them to enjoy fulfilled lived.People are supported to make decisions and choices and this means that people have control over their lives. What has improved since the last inspection? The manager said that since our last visit the home has been decorated and the garden improved making South Street an even nicer place to live. Since the time of our last inspection visit on 28th February 2007 the home has made the bathrooms more hygienic to ensure peoples continued good health. The manager has made sure that arrangements for who pays for what within the home is clearly identified in the Service User Guide. What the care home could do better: We found that South Street continues to offer an excellent service to the people who live there and so did not think that they could do anything better People who we spoke with said that there was nothing that they could think of that the home could do better however the manager saidthat they will `continue to listen to service users and stakeholders and act upon their requests and comments to ensure the home continues to meet peoples needs and wishes`. Key inspection report Care homes for adults (18-65 years) Name: Address: South Street Residential Home 17 South Street Palfrey Walsall West Midlands WS1 4HE 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: Sue Woods Date: 2 9 0 1 2 0 1 0 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. 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 Care Homes for Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: South Street Residential Home 17 South Street Palfrey Walsall West Midlands WS1 4HE 01922642057 01922642057 h6m036onions@mencap.org.uk www.mencap.org.uk Royal Mencap Society care home 9 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) : Number of places (if applicable): Under 65 Over 65 9 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 9 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 17 South Street is a large house that is shared by nine people with a learning disability. Everyone who lives at the home has his or her own bedroom. Nobody has to share a room. The house has a large lounge, a dining room and a fully equipped kitchen where people are supported to prepare and cook their own meals and can make drinks and snacks whenever they like. The home is situated in the Pelfrey area of Walsall, close to the local shops and facilities. South Street is owned by Accord Housing Association and Mencap provide the support to the people who live there. The home has an easy read Statement of Purpose and Service User guide that tells the reader all about the service offered at the home. People who live at South Street are consulted in the running of the home by attending regular reviews and in house meetings as well as completing annual questionnaires which are also sent out to staff and stakeholders. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 3 star. This means that people who use this service experience excellent quality outcomes. We visited 17 South Street on 29th January 2010 and stayed there for six hours. The home did not know we were coming. During the time that we were there we looked at what it is like to live at the home. We did this by meeting the people who live at South Street and asking them to share their experiences with us. We spoke with people individually and in a group. We were also invited to look around the home by two people who were home for the day. We spoke with the manager and the staff on duty and throughout our visit we saw how staff support people to live their lives. We also looked in more detail at how the home meets the care and support needs of three people that we met by looking at their care and support plans. These records help us understand what people need to enable them to live full and active lives. Before the visit the home sent us the Annual Quality Assurance Assessment (AQAA). The manager completed this. This is a form that tells us how the manager thinks the home is meeting the Care Homes for Adults (18-65 years) Page 7 of 30 needs of the people they support and also tells us other information relating to how the home is run. What the care home does well People living at South Street live independent lives with support to enable them to develop and learn new skills. People are empowered to take an active part in the running of the home enabling them to feel in control of their lives. People who live at South Street have their care and support needs met by a team of appropriately trained staff who know them well. Staff tell us that they work well as a team and staff usually work at the home for a long time meaning they get to know the people they support really well enabling them to support people as they prefer. Care plans are very well written and help the staff to meet peoples needs in ways that they prefer. People are able to take part in a range of activities that they enjoy. People are supported to maintain and develop friendships and relationships with people who are important to them enabling them to enjoy fulfilled lived. Care Homes for Adults (18-65 years) Page 8 of 30 People are supported to make decisions and choices and this means that people have control over their lives. What has got better from the last inspection What the care home could do better We found that South Street continues to offer an excellent service to the people who live there and so did not think that they could do anything better People who we spoke with said that there was nothing that they could think of that the home could do better however the manager said Care Homes for Adults (18-65 years) Page 9 of 30 that they will continue to listen to service users and stakeholders and act upon their requests and comments to ensure the home continues to meet peoples needs and wishes. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Sue Woods 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT 01216005300 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 10 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who move in to South Street are supported by appropriate assessments of their care and support needs to ensure as far as is possible their successful admission to the home. Evidence: There has been only one person move to the home since the time of our last visit to the home in 2007 and he moved in last year. He told us that he was very happy living at South Street and that he got on well with the other people already living there. One person told us that they threw a party to welcome him to the home. We saw assessments of the persons care and support needs on his file and these formed the basis of his care plan. He told us that the home could meet all of his needs. Easy to read information is available to any one interested in moving to the home and it is also available on tape and CD to make the information more accessible. The information tells the reader exactly what South Street can offer to enable them to make an informed decision as to whether the home is right for them. Care Homes for Adults (18-65 years) Page 12 of 30 Care Homes for Adults (18-65 years) Page 13 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personalised care plans ensure peoples needs are met and that they receive care and support in a way that they prefer. People are supported to enjoy full and active lives and risks are assessed to ensure people can do so as safely as possible. Evidence: On the day of the inspection we met seven people who live at South Street. People were happy to welcome us to their home and spent time telling us what it is like to live at South Street. Staff were seen to be offering support to enable people to carry out their planned routines although people made the decision that they would do their planned tasks later enabling them to tell us all about the lives they lead and the support they receive. Staff are supported to meet peoples care and support needs by care plans that are very detailed, identifying peoples likes and dislikes and preferred routines to support all aspects of daily living. The plans are very person centred care and reflect each persons Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: individuality. This means that staff can meet peoples identified support needs how they prefer and this ultimately gives people a better quality of life. Care plans that we saw reflected conversations that we had had about peoples lifestyles, plans and goals suggesting that they accurately reflect peoples needs and preferences. During the time we spent speaking with people who live at South Street it was evident that people make choices and are involved in all decisions about how they live their lives. For example two people were preparing to go on a weekend break to London and they told us how they had made the decision as to what they wanted to do while there and what they were taking to wear. Other people are also planning weekend breaks in the near future and three people have already chosen the destination for their summer holidays. The home supports people to be as independent as they are able and use risk assessments to identify possible risks in activities planned. Likewise risk assessments enable staff to carry out personal care tasks as safely as possible and where risks are identified actions are taken to reduce these risks. Assessments are regularly reviewed to ensure that people continue to be supported safely. Care Homes for Adults (18-65 years) Page 15 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at South Street are supported to maintain friendships and relationships meaning that they are able to stay close to the people that matter to them. Detailed support plans enable staff to meet individual needs and assist people as they prefer. People enjoy varied and active social lives enabling them to lead the lifestyles that they choose. Evidence: People who live at South Street told us that they lead very full and active lives. People attend day services or work opportunities during the day and spend their evenings and weekends socialising with friends and family doing a range of activities that they enjoy. People told us about regular discos and social clubs, parties and social gatherings as well as opportunities to spend private time at home with people who are special to them. All nine people living at South Street have very individual goals and aspirations and staff Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: offer individualised support to enable people to achieve their goals and thus lead fulfilling lives. Peoples religions beliefs are detailed in care plans and people told us that they go to church when they want to. The home is located near to the centre of Walsall and people told us that they get out daily to go shopping. One person had just bought some new clothes and one person said he likes to buy gifts for close friends. As well as regularly going out for leisure activities people also like to get together at home as a group to enjoy activities. One person told us that everyone enjoys Karaoke evenings and football in the garden (when weather permits). The home also has a computer for general use. All of these facilities mean that people can enjoy spending quality time at home, with others if they chose. Daily routines promote independence and this is a strength of the home. People live very independent lives and take part in all activities of daily living, even those that they are not so keen on like the washing and cooking. We saw people preparing snacks, cleaning and washing during our visit and people had a good working routine to ensure everyone gets opportunities to develop these skills with staff support where needed. Likewise people remain in control of their lives by being flexible around their daily routines to fit in with activities outside of the house. People like to lock their bedroom doors when they are out and one person told us that he values his privacy at the home. The home has a pictorial menu that is chosen as a group for the week ahead. Everyone told us of their favourite meals and these were all on the menu for the week suggesting that everyone has a say and peoples requests are listened to. One person said he doenst like certain foods and on those nights he chooses an alternative. Pictures support menu planning and also kitchen routines so everyone has a turn to cook and everyone shares in the cleaning. The menu looked nutritious and there was fresh fruit in the kitchen for everyone. One person told us that she was currently following a healthy diet and particularly liked salads. People were seen making snacks and drinks throughout the inspection visit. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of the people who live at South Street are appropriately documented and well met enabling them to have a good quality of life. People are safeguarded by the homes system for handling, storing and administering medication and peoples independence is promoted with opportunities for people to manage their own medication where possible. Evidence: People living at South Street told is that they are all currently fit and well. On the day of our visit three people had attended health care appointments in order for them to have their health care needs checked. One person had attended a dentist appointment. People told us that the home supports them to make and attend appointments when their health care needs change enabling them to remain in good health. Care records showed that people attend regular health care appointments. One person is currently looking at support to assist with her mobility to enable her to continue to access the community. Staff were very knowledgeable about peoples health care needs and staff support visits as required and keep good records to show outcomes meaning that new information is passed on to everyone providing the persons care and support. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: Care plans are very detailed as they describe how personal care should be given to reflect individual needs and preferences. Attention to detail means that staff maintain peoples privacy and dignity in all tasks that they support people with. People living at the home told us that staff support them well although the majority of people remain independent in carrying out personal care tasks. Medication records were seen to be accurate and up to date. Three people living at the home manage their own medication with minimal support. Protocols support the administration of medicines taken as and when required and the GP has signed to say that homely remedies are suitable for each individual. This means that medication within the home is administered safely. Care Homes for Adults (18-65 years) Page 19 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at South Street are protected by procedures in place for managing complaints, concerns and allegations of abuse and can be confident that their views and concerns will be listened to and acted upon appropriately. Evidence: Everyone we spoke with who lives at South Street told us that they knew who to speak to if the had a concern or a complaint. People said that if they were worried about something that they would speak to the manager who always helps us. Care records showed that everyone living at the home has a copy of the homes complaints procedure that is written in an easy read format and it is also available on cassette and compact disc. The manager showed us envelopes with pictures on of people who work for Mencap who would investigate a complaint if one was raised. This system means that people can write a complaint and send it to their preferred Mencap manager without having to involve staff. This would enable them to raise their complaint anonymously. The manager reported that no complaints have been received about the service provided at South Street although grumbles are recorded informally to assist the manger to make changes to improve the service provided. Two people living at South Street said that they have regular house meetings to arrange activities, set menus and discuss any problems. Staff working at South Street have all completed the Adult Protection course offered by Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: the local authority. The subject is also covered at Induction. All staff who spoke with us were aware of complaints and safeguarding adults procedures and said that they would be confident to recognise and report any incidents of abuse or poor practice within the home. This offers protection to the people living at the home to live safely and free from abuse. Although the manager was aware of the referral procedure following an allegation of abuse she reported that there have not been any so she has not had to use it. She said that she was confident to do so should the need arise meaning that people living at the home can be confident that any allegation would be investigated openly. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at South Street are provided with a safe and well maintained home and there are effective procedures used within the home to keep people safe and free from infection. Evidence: Two people who live at South Street offered to show us around during the visit. People were clearly very proud of their home and said that they had been involved in choosing colour schemes and carpets. Bedrooms seen were personalised and reflected peoples personalities. Pictures of people living at the home were seen throughout as well as numerous photos of events that have taken place. The hub of the home is the kitchen and dining room. People get together here during the day and throughout the inspection there was a very relaxed and happy atmosphere throughout the home. People have access to all areas of the home and people liked the fact that they could have privacy in their bedrooms and in the office if they wish to make a private phone call for example. All areas of the home were seen to be clean. Bathrooms were well maintained and hygienic. The manager reported that the home had received an Environmental Health Visit last year and the outcome had been positive. The Clean Food Premises Award 2009 was Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: displayed in the dining room to reflect this. People were aware of infection control measures within the home. One person explained to me that they check fridge and freezer temperatures daily and explained the colour coded chopping boards and the use of each one. People take part in checking first aid kits and pictures enable people to be sure they are using the right mop for the right area within the home. All of these measures promote good hygiene within the home and keep people free from infection. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at South Street receive good care and support from a well trained and well supported staff team enabling their needs to be effectively met within the home. Appropriate pre employment checks on staff who work at South Street ensure that the home only appoints people who are suitable to work with vulnerable people. Evidence: During our visit we spoke with all staff on duty in private and in also in general discussions. Everyone said they enjoyed working at South Street. People said that the staff team were one of the strengths of the home as they are all supportive of each other and worked well as a team enabling them to offer good care and support to the people living at the home. Staff told us The team really pull together Residents are very happy and well looked after We have a very good team. We all work well together Staff retention is high, a strength of service Its a good home to live and work in People lead very active lives day and night. All staff who spoke with us felt well trained and well supported. All staff have a qualification to support that they promote peoples independence. Records showed that people receive regular supervision and that the manager is always available for support Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: and guidance. Observations of staff interactions made by us at the time of the inspection were very positive. Staff supported people sensitively and discreetly. Staff respected peoples decisions and offered encouragement where necessary. They also offered regular reassurance to one person who was worried about her wheelchair. People told us that the staff were nice and that they always listened to what they said in relation to how they receive their care and support. One person told us that staff knock before entering his room and staff are always polite. As a result people felt able to talk to staff and share worries and concerns. Certificates reflected staffs comments that they have received mandatory training including training to recognise and report abuse. The manager has an up to date record of staff training to ensure that all staff receive the required level of support in order to do a good job while keeping people safe. The staff files of the last two care staff to join the team were reviewed and found to contain the essential information required for the home to demonstrate that people are recruited safely to ensure the protection of vulnerable people. All checks were carried out before people work at the home. Records were well maintained and readily available for inspection. We discussed the process for recording CRB information on staff files although it was recognised that the latest staff to join the team did so two years ago and processes have changed since then. The manager has not yet been involved in the recruitment of staff for her team but is booked to receive training to enable her to do this effectively when the time comes. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at South Street benefit from being supported by an effective and open management team. Effective health and safety policies and procedures, that fully involve the people living at South Street, ensure that people can live in a safe and well maintained environment. Evidence: The manager of South Street is well liked and respected by the people who live at the home and by her staff team. On the morning of our visits she was observed supporting someone to meet their personal care needs and was discreet, supportive and friendly. The manager attends training to update her knowledge in relation to her personal and professional development and in the near future she has further training planned in relation to Recruitment and Selection of staff, The Mental Capacity Act and in Deprivation of Liberties Safeguards. She will be able to use this knowledge to ensure the further protection of people living at the home as well as gaining up to date information on current good practice guidelines to ensure the safe running of the home. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: South Street is managed by Mencap, an organisation who, people living at the home, the staff team and the manager all told us, have a good senior management structure. Senior staff regularly visit the home and carry out checks to ensure the quality of care provided is of a good standard. Health and safety checks are carried out regularly within the home to ensure it is a safe place to live and people living at the home are actively involved in this process. For example, one person checks the first aid kits and one person helps check the fire alarms. One person told us what she would do if she had to leave the home in the event of a fire. The home carries out annual quality assurance questionnaires which give the manager an indication as to how the home is performing. The review carried out in December 2009 was overall very positive and suggestions for improvements have already been actioned demonstrating the managers ongoing commitment and enthusiasm to constantly improve the quality of the service provided Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 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 © (2010) 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 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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