Care Home: Storrington

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What the care home does well The homes admission and assessment procedures ensure that a prospective residents needs are appropriately identified and met. The support and personal care that residents receive is based on their individual needs set out in their care plans. Monitoring of risk assessments is robustly managed to ensure the residents safety and their dignity and respect is consistently promoted. Residents are able to exercise choice in their daily lives and maintain bonds with family and friends. Residents are offered and provided with a healthy diet. Residents physical, emotional and health care needs are monitored and met. Residents choice and dignity is promoted and the homes medication procedures ensure that medication is administered to all residents in a safe and appropriate way. The homes complaints procedure is an accurate document for people to express any concerns or complaints. Residents are protected from abuse and harm by the homes policies and procedures. The physical layout and indoor and outdoor communal areas of the home enable residents to live in a safe and generally well maintained environment and all areas of the home are clean and safe. The homes staff provides twenty four hour support to the residents and recruitment practises are well managed. The home has a robust induction and mandatory programme to ensure that residents needs are met appropriately and safely. The home continues to be run in the best interests of the residents and their views and opinions and those of others associated with the home are sought. The management and administration of the home is robust and residents welfare is promoted through the monitoring of health and safety in the home. What has improved since the last inspection? Some new sofas and armchairs have been purchased for the communal lounge and some soft furnishings, bedding, curtains and light fittings have been chosen by residents for their bedrooms. Some increased activities in the home and in the community have been arranged and use of the local Hoppa bus has been organised.Improvements in the record keeping of care planning, person centred care and health files, including pain recognition and management have been made to ensure the needs of residents are reviewed, continue to be met and are maintained. The registered manager has attended the Deprivation of Liberty Safeguarding Standards training to ensure the safety and protection and promotion of residents rights. The home have increased the staffing levels to reflect the changing needs of the residents to ensure their safety and well being and follow robust safe working practises. What the care home could do better: It has been recommended that the registered manager seeks, encourages and provides imaginative and more varied opportunities for residents to further develop and maintain their existing skills and abilities and seek additional information regarding offering increased opportunities for residents to be more fully integrated within their local community. Arrangements must be made that all areas in the home must be reasonably decorated in order that residents live in a well maintained environment. Key inspection report Care homes for adults (18-65 years) Name: Address: Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG     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: Suzanne Magnier     Date: 0 7 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 28 Information about the care home Name of care home: Address: Storrington Hill Road Beacon Hill Hindhead Surrey GU26 6BG 01428607606 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: storrington@robinia.co.uk Robinia Care Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Storrington is owned and run by Robinia Care Group plc and is a detached one storey home situated in the centre of Beacon Hill Village, with easy access to the local community and shopping area. There is good access to the home with some parking spaces available outside the home and within a public parking area provided for shopping. Accommodation is provided for five young adults between the ages of 18-50 years that have complex care needs. Each resident has their own bedroom and the home has a communal lounge and conservatory. The first floor is accessed by the use of a stair lift Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 5 Brief description of the care home and the home has bathrooms and toilet facilities on both floors. Residents have access to an enclosed garden and patio area. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The Quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection of the care home was an unannounced Key Inspection carried out by Ms S Magnier Regulation Inspector. A care worker represented the service in the absence of the registered manager who was on annual leave. For the purpose of the report the individuals using the service are referred to as residents. The inspector arrived at the service at 07.30 and was in the home for five hours. It was a thorough look at how well the home is doing and took into account detailed information provided by the home and any information that the commission had received about the home since the last inspection on the 10th September 2007. Care Homes for Adults (18-65 years) Page 6 of 28 The commission received two resident survey cards which had been completed on behalf of the residents, one completed survey from a health care professionals and two surveys completed by staff at the home. The comments of which have been included within the report. The inspector spent time being, talking and observing the body language of the residents living at the home and with staff members in order to gain their views and opinions about the service. The inspector looked at how well the service was meeting the Key National Minimum Standards for Care Homes for Adults and has in this report made judgements about the standard of the service. Documents sampled prior and during the inspection included the homes Annual Quality Assurance Assessment AQAA, care/person centred plans, risk assessments, medication procedures, a variety of training records, and several of the services policies and procedures including complaints and safeguarding. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection and no safeguarding referrals have been made since the last inspection. The home had submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, which was very well written to inform the commission about the service and some details of the document have been added to the report. From the evidence seen by the inspector and comments received, the inspector considers that the home continues to be able to provide a service that meets the needs of people who have diverse religious, racial or cultural needs. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? Some new sofas and armchairs have been purchased for the communal lounge and some soft furnishings, bedding, curtains and light fittings have been chosen by residents for their bedrooms. Some increased activities in the home and in the community have been arranged and use of the local Hoppa bus has been organised. Care Homes for Adults (18-65 years) Page 8 of 28 Improvements in the record keeping of care planning, person centred care and health files, including pain recognition and management have been made to ensure the needs of residents are reviewed, continue to be met and are maintained. The registered manager has attended the Deprivation of Liberty Safeguarding Standards training to ensure the safety and protection and promotion of residents rights. The home have increased the staffing levels to reflect the changing needs of the residents to ensure their safety and well being and follow robust safe working practises. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes admission and assessment procedures ensure that a prospective residents needs are appropriately identified and met. Evidence: The AQAA advises that there have been no new admissions to the service in seven years. Robinia have a pre admission and assessment policy and procedure which enables the prospective residents and their representatives the time to meet and get to know the home, and the other residents, prior to moving in and to ensure that their needs are fully assessed in order that staff can meet their needs. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The support and personal care that residents receive is based on their individual needs set out in their care plans. Monitoring of risk assessments is robustly managed to ensure the residents safety and their dignity and respect is consistently promoted. Evidence: The two care plans sampled contained up to date, clear and well-written guidelines for the homes staff to read which enabled them to provide care and support in the way the resident preferred. There was evidence that residents lifestyle choices were clearly recorded and throughout the inspection it was observed that the residents preferences were respected by staff for example one resident not wishing to engage and wanting to be alone in the conservatory area. There was evidence to support that residents communication needs had been identified and were well documented in a communication passport and agreed working practices and guidelines were in place to support residents should they become Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: distressed. The care plans were well managed, kept under a monthly key worker review and reflected the current support needs of the resident. There was evidence to support that the residents care plans had been reviewed by the local authority and the homes staff kept in contact with the care managers. Two person centred plans have been maintained by the homes staff. It was evident where possible that residents had assisted and been included in their plan which included a variety of aspects of their life including their dreams and aspirations for example holidays, likes and dislikes, social and cultural history and family and friends. The documents seen were thoughtfully presented and included pictures and photographs which offer the reader an insight into the residents life. Thorough and reviewed risk assessments were available in the residents files to demonstrate that the homes staff continue to be aware of the hazards in residents daily life and the ways in which to reduce harm to the resident. The general recording and management of the files was robust and well managed. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to exercise choice in their daily lives and maintain bonds with family and friends. The provision of activities within the community and at home need to be reviewed and improved. Residents are offered and provided with a healthy diet. Evidence: Throughout the inspection it was observed that residents were comfortable and happy in their surroundings and the three staff were attentive to the needs of each individual. The AQAA advises that the residents require full assistance with all activities and staff encourage residents to gain new life skills where possible for example recycling and looking after potted plants. There was evidence that an activities plan was in place and included one resident attending a local day service throughout the week, whilst Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: other residents stayed at home more often. There was photographic evidence to support that residents enjoyed trips to the coast, having in house theatre productions, going on shopping trips, ten pin bowling and visiting country parks. Individual activities with staff included cooking and some meal preparation. It was observed that within the care plans sampled there was no indication that the skills and abilities of resident had been fully assessed. This matter was discussed with the Operations Manager on the telephone during the inspection and the commission were assured this had been raised with the registered manager as an identified shortfall prior to the inspection and evidence within the documentation called regulation 26 notices confirmed this. One completed comment card written by a relative of a resident stated because of the geography its not an easy place to get residents about without a bus-if there is no driver available for example if the manager is away the residents are unable to get out which is frustrating and very uninteresting. Otherwise shopping days to buy own clothes, days out for lunch are regular features as are parties, special events and invitations to go out. There is a very normal day to day environment with full staff participation. Weekends and evenings there is not much socialising away from home, no mixed sex contacts and limited mobility facilities. These are points to consider not to detract from what already happens as I realise living in a group situation and relying on someone else to provide is not easy and makes a more fulfilling social life very difficult. A completed comment card from a visiting health care professional regarding the activities provided by the home stated the residents could use the garden more and become part of their local community which is really hard as some clients do not like being out and about but it would be good to see them in the village. The AQAA advises that the home have recently registered with the local Hoppa bus service to enable residents to go out on a one to one basis with staff to nearby towns and garden centres however it has been recommended that the registered manager actively seeks, encourages and provides imaginative and more varied opportunities for residents to further develop and maintain their existing skills and abilities and seek additional information regarding offering increased opportunities for residents to be more fully integrated within their local community. Whilst speaking with staff and looking at residents daily diaries and the homes visitors book it was evident that family and friends are involved in residents lives and the homes staff support and encourage the contact which is meaningful to the residents. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: The home have a cat called Freddie and it was noted that residents help to wash up his food dishes and some residents enjoy his company. The inspector observed residents being supported with their breakfasts where choices were offered and staff were attentive and respectful in the way each resident was supported to have their meals. The menu included a variety of meals. One staff member explained the need for nutritional and eating and drinking risk assessments in order to ensure the well being and safety of residents and nutritional risk assessments were observed in residents care plans. There was documented evidence to support that residents had been assessed by the speech and language therapist regarding safe eating and drinking and safe posture whilst having their drinks and meals. The homes fridge and freezer were well stocked with fresh dairy products and fruit and vegetables were available. Records of fridge and freezer temperatures and food temperatures were available and well recorded. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents physical, emotional and health care needs are monitored and met. Choice and dignity is promoted and the homes medication procedures ensure that medication is administered to all residents in a safe and appropriate way. Evidence: The staff team provide gender based care and demonstrated that they were aware of the residents individual preferences. It was observed that staff supported residents in a sensitive way ensuring their privacy was respected when providing assistance with personal care. The residents all received a general bath and were well groomed and appropriately dressed on the day of the inspection and appeared happy with their surroundings and relaxed in the presence of the staff. The care plans and health care report books have been maintained and included records of attended health care appointments which included visits to the residents general practitioner, chiropodists, physiotherapists, dentist, dietician consultations, occupational therapists, speech and language therapists and other specialist health care personnel. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The medication cupboard continues to be located in a safe and secure area within the home and a monitored dosage system remains in place. Procedures regarding the safe handling administration and disposal of medicines have been maintained. The homes medication policy and procedure was sampled and medication administration charts were well recorded. The inspector observed the homes staff administering medicines and the procedures were unrushed and methodical to ensure the safety of the resident receiving their prescribed medicines. Written comments received from health care professionals and staff reqarding the care and promotion of residents health included They are always willing to ask for help and listen well to advice given, a particualr strength of the staff is that they respect residents privacy and dignity and are keen to learn new skills which will enhance the residents quality of life. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes complaints procedure is an accurate document for people to express any concerns or complaints. Residents are protected from abuse and harm by the homes policies and procedures. Evidence: The home has a clear complaints policy and procedure and was displayed and available within the home for residents or their representatives or other visitors in the home to see so that their views, opinions, concerns or complaints can be raised and acted upon. The AQAA and complaints log indicated that no complaints have been received by the home and no complainant has contacted the commission with information concerning a complaint made to the service since the last key inspection. The staff member in charge demonstrated that she was aware of the local authoritys multi agency procedures for safeguarding adults and the home has the current multi agency safeguarding protocols dated 2008. The AQAA and operations manager confirmed there has not been any safeguarding referrals. The home has a whistle blowing policy and procedure, which is available to staff in order to safeguard residents in their care and records confirmed that all staff had received safeguarding vulnerable adults training. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical layout and indoor and outdoor communal areas of the home enable residents to live in a safe and generally well maintained environment and all areas of the home are clean and safe. Evidence: During the tour of the premises the inspector observed that the home had a homely atmosphere and all residents bedrooms had been decorated to reflect the persons personality and ethnicity and contained a variety of personalised details and leisure items. Specialist equipment, where necessary was available including a portable hoist, profiling bed and a stair lift to support residents in a safe way with regard to their mobility needs. Communal areas were observed to be spacious and clean and residents were observed to be comfortable and relaxed in their surroundings. The home was generally well maintained yet some shortfalls were observed which included the need for the redecoration of a wall in the downstairs shower room and a residents bedroom and a requirement has been made that all areas in the home must be reasonably decorated in order that residents live in a well maintained environment. The home was clean and orderly throughout and no malodour was detected. It was observed that on arrival to the home a staff member opened the door to the inspector Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: and had not removed their disposable apron and gloves to open the door. The staff member confirmed that they were supporting residents to get up and removed the protective clothing whilst speaking with the inspector. The staff member was reminded of the importance of infection control measures in order to control the spread of infection in the home. Disposal of general and clinical waste was well managed. The back garden leading from the conservatory was well maintained and secure and remains accessible for residents to use. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes staff provides twenty four hour support to the residents and recruitment practises are well managed. The home has a robust induction and mandatory programme to ensure that residents needs are met appropriately and safely. Evidence: The homes staff are currently supporting five residents. The staff advised that the staffing levels have recently been revised regarding the changing needs of the residents and this has helped to ensure that residents health and wellbeing is promoted and the ongoing monitoring of residents needs and staff resources would be maintained and action taken to address any shortfalls. On the day of the inspection there were three staff on duty and they were observed as skilled in supporting the residents in their care and were knowledgeable regarding the specific needs of residents to ensure their safety, well being and offer reassurance. The staff were observed to be thoughtful and thorough in explaining details of procedures, for example moving and handling and medication to individual residents in order to ensure that they knew what was going to happen and to reassure them. Staff carry out all roles within the home, which include personal care, shopping, cooking, housekeeping and laundry as well as assisting residents to social activities Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: and sometimes transporting them to these in the adapted vehicle. The home has a recruitment and selection policy, which incorporates equal opportunities. The inspector did not sample any staff recruitment files as these were sampled during the last key inspection and no staff had been recruited externally to the home since the previous inspection. Information received from Robinia following the inspection has confirmed that for the six staff employed at the home appropriate vetting procedures, including obtaining Criminal Records Bureau checks, have been undertaken in order to ensure the safety and protection of residents. Two staff mandatory and induction training records were evidenced to support that staff had received updated training. Written comments from staff about the home stated Storrington is a homely environment and we work as a team like a family. We work hand in hand together to meet the changing needs of our service users and we have a good and harmonious relationship with their families as well. What we could do better is to provide one to one support if needed and have a bigger transportation bus to fit in more than three service users when going out. One health care professionals opinions of the home and the staffing included The staff offer residents individual attention, there is a happy and homely atmosphere and the home is the clients home not a place where the carers work. It is well managed and staff are informed and interested and respectful to clients and each other. The AQAA confirms that all staff have achieved their National Vocational Qualification in Care NVQ awards. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is robust. The home continues to be run in the best interests of the residents and their views and opinions and those of others associated with the home are sought. Residents welfare is promoted through monitoring of health and safety in the home. Evidence: The home has a registered manager who has managed the home for several years. The registered manager was on annual leave at the time of the inspection yet the the inspector was able to access records and other information with ease due to the robust management of the home. A staff member represented the service during the inspection in a professional and calm manner and was knowledgeable about the running of the home to benefit the residents to promote their safety and well being and also to support their team colleagues. As documented within the report it was evident through observation that the pace of the home continues to be designed to meet the needs of the residents and the staff Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: present during the inspection had a good knowledge about the residents and their day to day lives and preferences. Confirmation was seen that Robinia seeks residents and their representatives views and opinions about the home through the Quality Assurance procedures and monthly reviews of residents care and support which was available to sample during the inspection and which reflected favourably of the care and support received by individuals. Food stored in the homes refrigerator was labelled and stored in compliance with food hygiene standards and hot food temperatures had been recorded to ensure as far as reasonably practicable the home is free from hazards to the residents regarding the preparation of meals. Accident and incident records demonstrated that the homes staff are prompt in giving notice to the commission without delay regarding any event, which affects the safety and welfare of the residents. Hand washing facilities remain available throughout the home to ensure and the laundry area sampled was clean and orderly. Records indicated that servicing of fire equipment had taken place and health and safety checks had been undertaken and recorded. A current insurance indemnity, gas and electric certification was sampled and the current certificate of registration of the home displayed. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 23 Arrangements must be made that all areas in the home must be reasonably decorated. In order that residents live in a well maintained environment. 10/12/2009 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 12 It has been recommended that the registered manager actively seeks, encourages and provides imaginative and more varied opportunities for residents to further develop and maintain their existing skills and abilities and seek additional information regarding offering increased opportunities for residents to be more fully integrated within their local community. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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