Care Home: Southwinds

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• Westmead
• 1a White Ladies Close

What the care home does well People that live at the service are pleased with the care they get and say that staff treat them well. Comments from people include `I like it here` and `look after me well`. Relatives are also happy with the care provided. Comments include: `I have every confidence she will be well looked after`, `Southwinds more than provides for the needs of my relative` and `[my relative] has been at Southwinds now for a couple of years and always has had first class care and attention`. People have their health care needs met. They receive health screening and regular health reviews. People have access to a range of health care specialists. People are supported to have their personal care needs met. People`s views are listened to; through house meetings, individual meetings and by annual surveys. People know how to raise any concerns. Staff receive relevant training and the majority of staff have a nationally recognised qualification. People have suitable communal and private accommodation. People can bring their own belongings and personalise their bedrooms. The accommodation is well maintained and kept clean. What has improved since the last inspection? Since the last inspection the service has made improvements. The service is doing more to promote people`s choices and independence. There have been improvements in the way the service administers medication including having in place a system for auditing and checking medication. Care planning has improved with everyone having a person centred plan and people being involved in planning their care. The service has brought in more appropriate activities for people living at the service. What the care home could do better: There continue to be areas that can be developed to give people better outcomes. There is still scope for people to have an improved lifestyle having more interesting things to do and to make more decisions about their lives. The service should also make sure that people are aware of the choices that are available for meals. The service should put in place a system for assessing staff`s competency to administer medication. We have previously asked the service to obtain a copy of the interagency procedures and this still needs to be done. We also recommend that staff should be made aware of the actions that the service takes if a safeguarding referral is made. Although the service has some systems in place for monitoring and reviewing the service these should be developed and records kept of audits completed and any actions taken to address issues. Key inspection report Care homes for adults (18-65 years) Name: Address: Southwinds 17 Chase Road Burntwood Staffs WS7 0DS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jane Capron     Date: 2 7 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Southwinds 17 Chase Road Burntwood Staffs WS7 0DS 01543672552 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): glenda.southwinds@tiscali.co.uk Southwinds Ltd The registered provider is responsible for running the service care home 25 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: The Maximum number that can be accommodated is 25 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 Disabilities (LD) 25 Learning Disabilities over 65 (LD) 6 Mental Disorder, excluding learning disability or dementia (MD) 1 Physical Disabilities (PD) 1 Date of last inspection Brief description of the care home Southwinds is a 25-bedded care service for people with a learning disability. The service is located in a residential area of Burntwood and is close to the local shops, Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 6 0 0 25 1 1 Brief description of the care home church and pub. The design of the service ensures that it blends in with the surrounding neighbourhood. The service has ample car parking at the front and has a very large rear garden that is used both for leisure activities and for growing fruit and vegetables that are served in the service. The service is well maintained throughout and has a good standard of decoration and furnishing. The service has a large number of cats. The service provides accommodation in 21 single bedrooms and 2 double bedrooms. Three of the single bedrooms have ensuite facilities. The home has a vertical shaft lift. There are two large lounge/ dining rooms, a small dining room and two other smaller lounges, one of which is used for meeting visitors. The service is nominally divided into two groups depending on individual abilities. Many of the people living there undertake educational or vocational activities either attending college, day services or work placements. People assist with some domestic tasks around the home including assisting with their laundry, vacuuming and laying and clearing the table. The service has a service user guide but this does not include the current fee level. People considering using the service need to contact the service to obtain current fees. 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over an seven hour period. The service did not know we were visiting. As part of this inspection we looked at information that the service sends us about incidents that have occurred. These are a legal requirement. We also looked at information we have about any complaints or safeguarding incidents that have occurred. We received surveys from 11 people living at the service, nine relatives and five staff. We also spoke to two people that provide specialist health care support to people living a the service. At the service we looked at how the service is meeting peoples health and personal care needs and whether peoples privacy and dignity is respected. We also looked at whether people can live the life they want and whether choice is promoted. We looked at how the service is protecting people and whether there are systems in place to listen to the views of people. As part of this inspection we looked around the service including a sample of bedrooms. During the inspection we spoke to some people that Care Homes for Adults (18-65 years) Page 6 of 29 live at the service. Since the last key inspection we have visited the service once to check that the service has complied with requirements made at the key inspection. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: There continue to be areas that can be developed to give people better outcomes. There is still scope for people to have an improved lifestyle having more interesting things to do and to make more decisions about their lives. The service should also make sure that people are aware of the choices that are available for meals. The service should put in place a system for assessing staffs competency to administer medication. We have previously asked the service to obtain a copy of the interagency procedures and this still needs to be done. We also recommend that staff should be made aware of the actions that the service takes if a safeguarding referral is made. Care Homes for Adults (18-65 years) Page 8 of 29 Although the service has some systems in place for monitoring and reviewing the service these should be developed and records kept of audits completed and any actions taken to address issues. 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. People considering moving to the service have the chance to visit to see what the service offers. An assessment is completed by the service to identify whether they can meet peoples needs. Evidence: The services Annual Quality Assurance Assessment tells us that the service provides people with information about the service. It also states that people visit the service prior to admission and that an assessment of their needs is completed. It does tell us that it feels that it could improve its assessment to include peoples hopes and aspirations. Examination of the records of the last person that moved to live at the service permanently confirms that a pre admission assessment was completed by the service. The service also had information from the local authority and from health care staff. People in their surveys tell us that they were involved in choosing to move to the service and that they were provided with information about the service. The service also tells us that people always come and visit before moving to the service. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: We feel that the service is generally meeting everyones needs, staff are being provided with training to support people and most staff have an NVQ qualification. We did however feel that one person should be reviewed with a view to moving from the service. This person expresses a wish to move and the service acknowledges that he is not suitably placed but the placing authority has not been able to provide an alternative. We raised this issue with the service and they confirm that they will address this. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service have their needs set out in a support plan. People are supported to make some decisions about their lives. Evidence: The services AQAA tells us that each person has a support plan and that risks are assessed. It also tells us that people have meetings to give them the opportunity to make decisions about the service. Examination of two files confirms that the service has support plans in place and the service is in the process of further developing these. These are specific to the person involved. They contain information about peoples health and personal care as well mobility, dietary and communication needs. Peoples social care needs are also described. Plans are reviewed and we saw evidence of the involvement of people in planning their own care. Individual profiles are in place describing things that are important to people, their social interests and the help they need to keep them safe. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: People are provided with choices over their lives and our surveys confirm that people make decisions about their life. We do feel however there remains scope for people to have more control over their lives for example we did not see any specific support such as pictures for people with communication needs. People go out shopping for clothes and can choose whether to take part in activities. We saw that people can choose where to spend their time - either in the communal rooms or in their bedroom. The service did tell us that there is a choice of meals but these were not offered to people when we were there and when one person was asked if he would ask for something else he said he would not feel able to. Care Homes for Adults (18-65 years) Page 14 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service have the opportunity to take part in social activities but there is scope for this to be further developed to provide people with a more fulfilling lifestyle. Evidence: The AQAA tells us that the service feels it has improved peoples lifestyle through improved opportunities to take part in activities and to access the community. It does state that it still feels it could promote peoples choices more and provide more social activities. We feel that the service has made improvements to peoples lifestyle although we feel there is still more that can be done to provide people with the opportunity to have a fuller and more worthwhile lifestyle. Some people attend day services and several attend an industrial workshop. One person undertakes voluntary work in a shop and Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: another helps out some neighbours with shopping. Most people undertake some tasks such as laying and clearing the table and helping with their laundry. Two people particularly do a number of household tasks such as helping in the kitchen, recycling, gardening and hanging the washing out. When we asked people using the service about what the service does well they said: I do things outside - raking and potting up, and I do things for myself, helping out, vacuum my bedroom. We also noticed an improvement in the social activities for more dependent people. People are now being supported to do undertake more age related activities. People have also taken part in a motivational group supported by Occupational Therapists (OT). An OT we spoke said that the staff had been very supportive and provided any equipment they needed. The OT has arranged to train a staff member to take over running the group. Some people have regular access to the community for example going shopping, taking part in social activities and seeing relatives. People with more complex needs have less opportunity to access the community but the service tells us that they are trying to address this. Some people have spiritual needs and the local minister visits the service. One person is supported to go to church. People are supported to maintain relationships with friends and relatives. Some people visit relatives independently and other people have visitors regularly. We saw records that one person is supported to write to a relative. The service provides people with varied and balanced meals. Much of the produce is grown in the garden. People tells us that they like the meals. The service tells us that there is choice of meals but this was not shown on the menu board and we did not see anyone offered any alternatives. One person said they would not like to ask for something else. We also feel that the meal process is not promoting peoples independence. People wait to be served and meals are brought to them. There was no discussion over how much people wanted, whether they wanted all the meal or wanted gravy. People currently are not actively involved in planning meals but the service tells us that this is planned. Records confirm that peoples dietary needs are recorded and that they are weighed regularly. Some people need support to eat their meals. We saw one person being fed and this was completed is a caring manner. Another person had a bowl and was using a spoon. Care Homes for Adults (18-65 years) Page 16 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service can be confident that their health and personal care needs will be met and that they will have access to a range of health care specialists. Evidence: The AQAA tells us that it provides for peoples health and personal care and works closely with health care professionals. They also say they have worked to ensure that peoples dignity is promoted. An examination of a sample of support plans shows that peoples health and personal care needs are identified and plans are in place to address them. This includes considering peoples mobility, their bathing needs, oral and nail care and their mental health. There is also consideration of the care people need during the night. Records show us that people are receiving the health care they need including visiting the dentist, the optician and seeing the GP. We also saw that the service works with health care specialists such as psychiatrists, Community Nurses, OTs and Speech and Language therapists. A health care specialist we spoke said said that the service responded to peoples health care needs, that they always followed any Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: recommendations made, any needs are met swiftly and that any changes are quickly referred. On the day of our visit a health care review was taking place for one person. Observation shows that people are having their personal care needs met. People are suitably dressed and we saw that people receive hair and nail care. Records confirm that the service seeks specialist advice from for example OTs to provide advice on equipment that people may need. At our last visit we felt that peoples dignity was not always being promoted but on this visit we feel that this area of care is improved. The deputy manager tells us that she feels things have improved since staff attended training in equality and diversity. Comments from relatives of people using the service include: I have every confidence she will be looked after and Takes good care of [name]. Always clean and well turned out and happy. One person using the service said in their survey looks after me well, everything fine. The AQAA tells us that it has improved the way it manages peoples medication. They also tell us that a pharmacist is due to visit to undertake a full assessment of the process. The service has revised the medication procedure and has put in a system for auditing medication. Medication is stored in a secure filing cabinet and we would continue to recommend that a proper cabinet is provided. Examination of medication shows that all medication is in date and that the service is now dating creams when they are opened. Checking a sample of medication shows no gaps in the medication records. Medication is mainly administered by one person who is trained. The deputy manager has been nurse trained. We did not see evidence of a competency system being in place. One person is self medicating and we saw that an assessment has been completed that include a system for monitoring that the medication is being taken. Care Homes for Adults (18-65 years) Page 18 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 living at the service have opportunities to express their views about the service and are made aware of how to raise concerns. People living at the service are made safer through staffs knowledge of safeguarding issues. Evidence: The services AQAA tells us that it provides people with the complaints procedure and maintains a record of any complaints received. The service has a complaints procedure in place and this is displayed on a corridor wall. It is in a pictorial format. The service also maintains a record of any complaints. The service provides opportunities for people that live there to express their views about the service through house meetings, individual meetings and through yearly surveys. The responses to our surveys of people that live there tell us that they know who to speak to if they have a problem and know how to make a complaint. Information from relatives tells us that most of them know how to make a complaint and that they feel that the service mostly responds if they raise an issue. We would advise the service to consider these responses and to make sure that relatives are all aware of the complaints procedure. Since the last inspection we, the commission, have received one complaint which we asked the service to respond to. Records confirm that the service responded to the issues raised. The AQAA states that it has a procedure in place for the protection of vulnerable Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: adults. It states it has improved the way it safeguards peoples money and has plans to provide staff with more information about the Mental Capacity Act. Records show that staff have been trained in safeguarding issues. Talking to two staff confirms that they are aware of potential signs of abuse and of the need to refer any concerns. One however was unaware of whistle blowing procedures. The deputy manager is aware of the need to refer any issues to the local authority. We do feel however that all staff should be made aware of what is expected of the management should a safeguarding incident occur. We also feel that the service should satisfy itself that all staff are aware of the whistle blowing procedure. At previous inspections the service was advised to obtain a copy of the Interagency Safeguarding Procedures but this as yet has not been done. The service is supporting people to manage their money and this was an issue at the last inspection. The service now has a better procedure in place to safeguard people when they are spending large amounts of money. This includes either involving relatives, advocates or Social Workers. However since we visited this procedure has not been needed so we cannot confirm whether it is in fact working. We checked two peoples money and the cash held balanced with the record of expenditure. We did see that in one case there are some gaps in the receipts. Care Homes for Adults (18-65 years) Page 20 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. People living at the service have suitable communal and private accommodation that is well maintained and kept clean. Evidence: The AQAA states that it is well located and ongoing maintenance completed. It also states that it has upgraded some furniture including seating and some bedroom furniture. The service is well located within walking distance of local amenities and on a bus route. The service is indistinguishable as a care home being set in a residential area. The service provides people with suitable accommodation. There is suitable communal accommodation including several places to sit and suitable bathing and toilet facilities, although the latter could be made more welcoming. The service has a small kitchen that could be used by people living there to prepare meals. We would ask that the service consider using this for some people to help them develop their skills and become more independent. As on our last visit the main corridor was a bit stark and a corridor upstairs was poorly lit. We asked the service to look at these issues. The service was warm. Most people have single bedroom accommodation. The service tells us that it checks that people remain happy to share. We asked one person and they said that they wanted to share and did not want a single bedroom. Bedrooms we saw are of a good Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: size and provide suitable private areas. Bedrooms provide adequate storage and seating. Bedrooms can be personalised and one we saw had lots of the persons personal items including a range of items they have made, lots of books and pictures and certificates on the wall. Another one we saw was less personalised but the occupant said they liked their room. The AQAA tells us that staff are trained in infection control procedures. We saw that the service is clean and tidy throughout and that the service has infection control procedures in place. All of the people tell us that they feel that the service is kept clean and fresh. The service has a laundry that is suitable to meet the needs of the service. 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. People living at the service are supported by sufficient staff who receive training to meet peoples needs. The services recruitment procedure is safeguarding people. Evidence: The AQAA tells us that all its staff have employment checks to safeguard the people living there. It also states that most of the staff have NVQ training. The service provides sufficient staffing to meet peoples needs although the service accepts that it could provide people with more activities if the staffing levels are higher. The service usually provides three staff on duty throughout the day although this does include time for management tasks. At night there are two staff on duty, one of which may be a sleep in member of staff. We felt on this occasion that there was a marked change in staff attitude, moving more towards a service that promotes peoples choice and independence rather than doing things to and for people. Our surveys of people living a the service tell us that they feel the staff treat them well and that they listen to them and act on what they say. Comments from relatives include the staff are competent, friendly and understanding. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Examination of three staff files shows that the service undertakes pre employment checks including references and Criminal Record Bureau checks. We did see one file was missing a reference and told the service to address this. The service provides staff with training to meet the needs of the people that live there. Training includes health and safety training as well as relating to health care conditions such as epilepsy, dementia and diabetes. Some staff have completed training in working with people that display behaviour that is challenging. The service confirms that over 50 of staff have achieved an NVQ qualification and that the rest of the staff are either completing it or due to register. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the service is ensuring that people are kept safe. The monitoring system of the service includes the views of people that live there Evidence: The services AQAA states that the service promotes the health and safety of the people that live there. The service is a run by the registered manager and her daughter, the deputy manager. Both have achieved a management qualification. Although Mrs Bundy is the registered manager most of the management tasks are completed by her daughter with Mrs Bundy working directly with the people that live there. We feel that the management of the service has improved since our last visit. The service has made efforts to address issues raised at the last inspection including medication and lifestyle. Previously we had concerns about some of the values of some of the staff but we feel that good improvement have been made in this area. Staff have received training in equality and diversity which appears to have made a difference. The service has made improvement in promoting peoples choices and independence and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: has made significant moves away from a service that does things to and for people. The service has an informal system for reviewing and monitoring the service. The service seeks peoples views about the service through house meetings, annual surveys and individual meetings. Some audits are done on the service including on the environment and on medication although these are not always recorded. We would recommend that the service looks to develop these monitoring systems and to maintain a record of checks completed along with any action taken. The service has health and safety procedures in place. Records confirm that staff receive training in safe working practices. Examination of the fire records confirms that equipment is tested and that risk assessments are in place. Regular fire drills are held. 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 2 7 14 The service should look at ways of supporting people to make more decisions about their lives. People should be provided with more and varied activities based on their wishes to provide them with a more fulfilling lifestyle. People should be made aware of the choices of meals available. To obtain a copy of the Interagency Safeguarding Procedures and to ensure all staff are aware of the safeguarding referral procedures. When spending peoples money receipts should be obtained and kept to confirm that the money has been spent. The service should look at improving the lighting in the upstairs corridor. The service should further develop the systems for monitoring the service and keep records to show the outcome of audits and any action taken. 3 4 17 23 5 6 7 23 24 39 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!