Care Home: Sussex Road, 15

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What the care home does well The service is good at ensuring that care plans reflect the needs of students but should involve students more and should ensure they have the chance to agree or otherwise with the support they receive. The service enables students to make decisions about their daily lives and any risks faced as a result of these decisions are taken into account. The service is very good at ensuring that the skills learned by students in college continue within the service so that the goal of achieving more independent living is achieved. The service enables students to access the wider community and to take part in those activities enjoyed by everyoneelse. The service also ensures that students are able to form and maintain relationships and keep in touch with their families while they are living away from home. Students are allowed to be involved in the day to day running of the home and consider that they have their rights respected. Students are enabled to be involved in all aspects of the preparation of food and the planning of menus so that their preferences or any dietary needs are met. Students are happy with the way staff support them and they have their health needs met. They are kept safe through the way in which the service manages medication and lets students be independent in managing their own medication. Students are aware of who they can talk to if they are not happy with the support they are provided with and are protected from abuse.Students live in an environment, which is clean and hygienic. Students are supported by staff who have been recruited in a manner which protects them and who receive training, which meets the needs of students. Students benefit from receiving support from a service that has a management structure in place and who are aware of the need to register with the Commission for Social Care Inspection to ensure they are suitable to do the job. Students are able to influence the running of the service through the way in which they are consulted about the support they receive. The practices adopted by the service ensure that the health and safety of students is promoted. Comments made during the visit included: `I get my privacy``It is spot on, I love it here` `staff are really nice` `I know how to make a complaint and staff are working on it at the moment` `I am fully involved with everything here` `I love it and do not want to leave college` What has improved since the last inspection? Students now benefit from having their health and safety promoted through the training staff have received in medication awareness and training in health and safety topics. Students are now able to have the support they receive monitored by the service through visits held on a monthly basis. The electrical wiring the building has now been checked and this ensures that the health and safety of students is promoted What the care home could do better: The service needs to set a timescale for the replacement of the central heating boiler so that the supply of hot water in the building is consistent and promotes the health and safety and hygiene of students. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sussex Road, 15 15 Sussex Road Southport Merseyside PR9 0SS The quality rating for this care home is: Two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paul Kenyon Date: 1 1 1 2 2 0 0 8 Care Homes for Adults (18-65 years) Page 2 of 42 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 3 of 42 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 Crispin’s, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 4 of 42 Information about the care home Name of care home: Address: Sussex Road, 15 15 Sussex Road Southport Merseyside PR9 0SS 01704537344 01704549711 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Speciality Care (REIT) Homes Ltd Name of registered manager (if applicable) Post Vacant Type of registration: Number of places registered: Conditions of registration: Category (ies): Number of places (if applicable): Under 65 Over 65 3 0 Care home 3 Learning disability Additional conditions: The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Service users to include up to 3 in the category of LD. Care Homes for Adults (18-65 years) Page 5 of 42 Date of last inspection 1 7 0 3 2 0 0 8 A bit about the care home 15 Sussex Road is a small residential care home that offers support to up to three service students with learning disabilities. The home is owned by Arden College who are a subsidiary of Craigmoor Ltd. The students living there attend Arden College during term time. The post of Manager is vacant at present although a person has applied to the Commission for Social Care Inspection to become the Manager of the service. The home is a domestic dwelling located in Southport. The home is close to local shops and transport links. Southport town centre is approximately Care Homes for Adults (18-65 years) Page 6 of 42 half a mile away. The home is on two floors with one bedroom on the ground floor and two on the upper floor. Fees are currently charged 42,303 pounds to 68,829 pounds per 38-week placement. Care Homes for Adults (18-65 years) Page 7 of 42 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: Two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 8 of 42 How we did our inspection: This is what the inspector did when they were at the care home This was a key inspection of Sussex Road. The visit was unannounced and took about four hours. During that time we had the chance to take to students about the support they received at Sussex Road and we included these comments within the report. We had the chance to look at a number of records relating to the support and spoke with the team leader for the service. We also interviewed a member of staff about what it is to work there. Sussex Road is now used as term time accommodation for students who use Arden College, which is a specialist college, located nearby. The service used to accommodate former students of the college who used it as a home for life. The service had to close last year for repairs and then reopened as student Care Homes for Adults (18-65 years) Page 9 of 42 accommodation. No visit to the service could be made because of this and it was given a quality rating of providing adequate support. What the care home does well The service is good at ensuring that care plans reflect the needs of students but should involve students more and should ensure they have the chance to agree or otherwise with the support they receive. The service enables students to make decisions about their daily lives and any risks faced as a result of these decisions are taken into account. The service is very good at ensuring that the skills learned by students in college continue within the service so that the goal of achieving more independent living is achieved. The service enables students to access the wider community and to take part in those activities enjoyed by everyone Care Homes for Adults (18-65 years) Page 10 of 42 else. The service also ensures that students are able to form and maintain relationships and keep in touch with their families while they are living away from home. Students are allowed to be involved in the day to day running of the home and consider that they have their rights respected. Students are enabled to be involved in all aspects of the preparation of food and the planning of menus so that their preferences or any dietary needs are met. Students are happy with the way staff support them and they have their health needs met. They are kept safe through the way in which the service manages medication and lets students be independent in managing their own medication. Students are aware of who they can talk to if they are not happy with the support they are provided with and are protected from abuse. Care Homes for Adults (18-65 years) Page 11 of 42 Students live in an environment, which is clean and hygienic. Students are supported by staff who have been recruited in a manner which protects them and who receive training, which meets the needs of students. Students benefit from receiving support from a service that has a management structure in place and who are aware of the need to register with the Commission for Social Care Inspection to ensure they are suitable to do the job. Students are able to influence the running of the service through the way in which they are consulted about the support they receive. The practices adopted by the service ensure that the health and safety of students is promoted. Comments made during the visit included: I get my privacy Care Homes for Adults (18-65 years) Page 12 of 42 It is spot on, I love it here staff are really nice I know how to make a complaint and staff are working on it at the moment I am fully involved with everything here I love it and do not want to leave college Care Homes for Adults (18-65 years) Page 13 of 42 What has got better from the last inspection What the care home could do better The service needs to set a timescale for the replacement of the central heating boiler so that the supply of hot water in the building is consistent and promotes the health and safety and hygiene of students. Care Homes for Adults (18-65 years) Page 14 of 42 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 Paul Kenyon Commission for Social Care Inspection Unit 1 3rd Floor Tustin Court Port Way Preston PR2 2YQ 01772 730 100 Care Homes for Adults (18-65 years) Page 15 of 42 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 16 of 42 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 17 of 42 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This standard is not applicable to the students living at Sussex Road at present. Care Homes for Adults (18-65 years) Page 18 of 42 Evidence: Three students live at Sussex Road at present. All have received residential support from the organisation for the past three years while they have been students attending Arden College. This standard is not applicable given that the initial assessments completed by the organisation would have been completed three years ago during their initial introduction to Arden College and that these assessments would no longer be applicable to their needs. Care Homes for Adults (18-65 years) Page 19 of 42 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. Students have their needs met by the care plans used by the service. Students are able to make decisions about their lives Care Homes for Adults (18-65 years) Page 20 of 42 Judgement: and have the risks they face through their decisions taken into account by the service. Evidence: All care plans relating to Students were viewed. In all care plans, information relevant to the needs of each person was outlined. These needs ranged from general information to issues relating to health, the manner in which people need supporting by staff and the level of independence they had in daily living. In all cases, care plans had been updated to include key events for each person. For example, one care plan had outlined a health need of one person and the limitations this need had had one that persons daily life. An update had been included in the care plan stating how this issue had been resolved. In all cases, there was evidence that care plans had been reviewed at least every six months. All care plans had last been reviewed in December 2008. Interviews with students noted that they were not aware of their care plan but were able to confirm the progress they had made which had been recorded in each plan. It is recommended that all students be provided with the opportunity to confirm the contents of their care plan. Students were asked about the decisions they could make in their daily lives. All confirmed that they could. Student meetings were held on a monthly basis and the next meeting was scheduled for the end of January. One student was able to show the Inspector the agenda for the meeting. The agenda invited students to add their agenda items and one person had used this opportunity to list a number of items for the meeting. Minutes of previous meetings are maintained. Interviews with students confirmed that they all had their own bank accounts and that they had access to their personal monies Care Homes for Adults (18-65 years) Page 21 of 42 Evidence: when they needed this. The level of support needed by students is outlined in a separate document and indicated the support needed by people with budgeting on a daily or weekly basis. Risk assessments are maintained for all people. These include risks faced by each person both within the household as well as risks in the wider community. As well as health and safety risks faced by people in the building, the assessments went on to outline the potential vulnerability of individuals when accessing the wider community in general. One student is aiming to self medicate in the future. This had been included within the risk assessment. All assessments are reviewed every six months. Care Homes for Adults (18-65 years) Page 22 of 42 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. Care Homes for Adults (18-65 years) Page 23 of 42 Judgement: Those who use the service benefit from being able to access full time education and are able to access the wider community either independently or with staff support. Students are able to maintain relationships with people significant to them and have their rights recognised by the service. The nutritional needs of students are met. Evidence: Students are provided with term time accommodation by the service while they attend Arden College, which is a specialised college for younger adults with a learning disability. Information about the progress made by individuals is available for staff and the education process for students is extended into their home environment. Their support in the service is an extension of their education as they seek to gain more independence in their daily lives. This was clear through the target documentation that was available, the educational review documents and each students care plan. As a result this standard is exceeded. Interviews with students confirmed that they have the opportunity to access the wider community if they wished. One person stated that while they could go out, in the main they preferred to remain within the house although they did have a bus pass and only went out when they wished. Others confirmed they were aware of the local facilities within Southport and usually had staff support to access leisure facilities. One person has become more independent with using the community and their care plan demonstrated their gradual progress with this. Students talked about their families and friends and stated that they were able to maintain contact with them. One student was noted to be using their mobile phone during the visit and this demonstrated that they could maintain contact in privacy. One Care Homes for Adults (18-65 years) Page 24 of 42 Evidence: student confirmed that she had developed a close relationship and was able to maintain contact with this person through the week. All students were interviewed and confirmed that they felt they were given their privacy by staff and that their rights were respected. All students were informed of the Inspectors visit and were asked first if they wished to speak with the Inspector to offer their views. All students confirmed that they had a key to their bedroom and staff were seen knocking on bedroom doors before entering. Students are fully involved in domestic tasks in the service and this was demonstrated by rotas as well as details in care plans about the domestic activities they were involved in. This involvement was also confirmed through interviews with students. One person enjoyed cooking and was able to assist in the preparation of meals. A menu is available yet this serves as a rough guide. Students confirmed that they were able to choose what they wanted and were fully involved in shopping, choosing meals and preparing them. Only one person confirmed that they did not get involved with the preparation of meals yet they had the opportunity if they wished. Care plans noted that one person was on a special diet yet this was mainly maintained through medication rather than the provision of specialist meals. Others confirmed that they followed a healthy eating plan. A dining room is available and is large enough for all three people and staff to have their meals. The kitchen is domestic in scale and refrigerators and freezers were noted to be sufficiently stocked. There was evidence in the kitchen of health and safety notices in symbolic form suggesting that students were able to assist in the preparation of meals. Evidence form household rotas and care plans suggested that students were also involved in laying tables and washing dishes. Care Homes for Adults (18-65 years) Page 25 of 42 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. Students are supported in a manner which seeks to ensure that they are independent as possible. The practices of the service ensure that students maintain their health. The health and safety of students is maintained through the safe management of medication. Care Homes for Adults (18-65 years) Page 26 of 42 Evidence: All students were interviewed during the visit. All confirmed that they were satisfied with the support they received from staff. Some said they were sad it was their last year with the college and wanted to stay. All individuals are able to mobilise throughout the building and have no need for any aids or adaptations. Care plans noted that no direct personal care is provided to students. The support tends to be in the form of prompts for individuals to maintain their own personal care and this was confirmed again through interviews with students. All students are able to communicate their needs and they confirmed that each of them had a key worker. Interviews confirmed that all students felt well at the moment but relied on staff to go with them to attend any health appointments. Records confirming visits to health professionals and outcomes of visits were available. One care plan noted that one person had a health need related to their diet. This was met through the medication they were prescribed although consideration had to be made in respect of the meal they were provided with. One person had had a health need in respect of their mobility outside in the community. The care plan indicated the support needed until such time as an operation could be undertaken to address this. Once this had been done, the care plan was altered and the individuals health was restored. The operation needed was arranged by the service. The medication systems were examined. All medication is securely stored in a purpose built cabinet. No controlled medications are prescribed at present. When medication is received, their receipt if recorded on medication administration records and this had been completed in all cases. Medication administration records were noted to have been completed appropriately. All medications prescribed by students are outlined in their care plan. Students are reliant on staff to Care Homes for Adults (18-65 years) Page 27 of 42 Evidence: administer medication although one person is about to be supported in dealing with their own medication. A risk assessment has been completed to ensure that this can be safely done. Training records suggested that all staff have received medication awareness training and this was confirmed in an interview with a member of staff. Care Homes for Adults (18-65 years) Page 28 of 42 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. Students living at Sussex Road and their families are able to have any concerns they have investigated appropriately and as a result are able to influence the support they receive. Students are protected from abuse. Evidence: Interviews with three students were held. During interviews, students were asked who they would speak to if they had a complaint. All stated that they would refer this to the Team Leader. One person had had to make a complaint and they Care Homes for Adults (18-65 years) Page 29 of 42 Evidence: stated that the team leader was dealing with this at the moment. A complaints procedure is available in symbolic form and outlines the rights of students to make a complaint and who to talk to if they had any concerns. In addition to this there is a formal complaints procedure for others such as families or other professionals. This includes the action they can take as well as the contact details of the Commission for Social Care Inspection if they wish to refer there concerns further. The service retains complaints records although no formal complaints have been made since the last key inspection and the Commission for Social Care had not received any complaints. The service has a Local Authority procedure for the referring of any allegation of abuse as well as its own policies and procedures. Interview with a member of staff confirmed that they had received training in abuse awareness and this was confirmed for the remainder of staff through training records. Information was available to students in symbolic form about the action they could take if they considered they were being bullied. While no student at present displays any verbal or physical aggression, training records suggested that staff had attended training which focused on the diffusing of aggressive behaviour before it escalated. A whistle blowing procedure is available to staff yet this is limited in content and does not include the role of the commission for Social Care Inspection. It is recommended that the contact details of the Commission are included within this. A staff interview noted that they were aware of the procedure. Interviews with students noted that all felt safe living at Sussex Road and no allegations of abuse have been made since the last key inspection. Care Homes for Adults (18-65 years) Page 30 of 42 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. Students benefit from living in a clean and well decorated environment but their quality of life is being affected by the need to replace the central heating boiler. Evidence: A tour of the building was undertaken. The tour included the viewing of two students bedrooms after they had given Care Homes for Adults (18-65 years) Page 31 of 42 Evidence: permission. The building is located in a residential area of Southport and cannot be distinguished as a residential care home. All areas of the building are well decorated and furnishings are to a good standard. All students have full mobility and were noted to be able to access all parts of the building independently. Some areas of the building are not well lit. In particular this was noted in the lounge and upstairs landing. It is recommended that this be reviewed. In addition to this, there have been problems experienced with the central heating boiler. This means that hot water is not consistently available in the building and that two showers are not working. A bath is available and serves the personal care hygiene needs of individuals. The team leader of the service confirmed that a replacement boiler had been ordered and that this purchase had been approved. Documentation was provided to suggest that this had been done. No timescale for the replacement of the boiler has been identified and it is required in this report that the work is carried out within the timescale outlined later in this report. Two bedrooms were viewed. It was noted that some of students clothing were hung on clothes rails indicating that there was insufficient room in the wardrobes provided. It is recommended that more wardrobe space in provided. A system is in place for the reporting of any repairs within the building. Laundry facilities are sited within the kitchen area. This fits in with the aims of the service to provide ordinary domestic facilities for students. Information is available for staff to ensure that issues relating to infection control are taken into account while these facilities are used. Laundry facilities include domestic washing and drying appliances. Information is available for students in symbolic form reminding them of health and safety issues that need to be taken into account. All hand washbasins in the home are provided with soap and towels. The needs of Care Homes for Adults (18-65 years) Page 32 of 42 Evidence: students is such that there is no need for the service to provide laundry facilities other than those found in ordinary household settings. No offensive odours were noted in the building and all areas were noted to be clean throughout. Care Homes for Adults (18-65 years) Page 33 of 42 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. An effective staff team who understand and do what is expected of them supports people. 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. Students are protected by the manner in which staff are recruited to the service. Staff who are trained to meet their needs supports students. Evidence: Two personnel records were viewed for staff members who had come to work in the service since the last key inspection. In both cases, evidence was available to suggest that these staff had Care Homes for Adults (18-65 years) Page 34 of 42 Evidence: undergone a number of checks to ensure that they were suitable for the position. These checks included an initial vulnerable adults register check (known as a POVA First), a criminal records check and the obtaining of two references. Evidence of individuals’ identity was also provided. An interview with a member of staff was held. The issue of staff training was raised. The staff member was able to confirm that she had received training in mandatory topics such as health and safety, medication and the protection of vulnerable adults. Other staff training records were viewed. These included reference to health and safety training, the protection of vulnerable adults and training in the dealing with challenging behaviour. Certificates were available and these suggested that training had been undertaken during 2008. A requirement at the last inspection identified the need for staff to receive health and safety training and this had been done. In addition to this, a requirement was raised in respect of medication training for all staff. This has now been addressed. Care Homes for Adults (18-65 years) Page 35 of 42 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. Students benefit from living in a service that has an established management structure in place. The views of students are taken into account and they benefit from having the support they receive monitored regularly. The health and safety of students is promoted. Care Homes for Adults (18-65 years) Page 36 of 42 Evidence: The management arrangements for the service have changed since the last key inspection as has the individuals the service provides support for. The service previously was used as a home for life where former students of Arden College remained in the Southport area. Following a temporary closure of the building, the service re-opened providing term time accommodation for students. The management arrangements at present are such that a team leader has bee employed to oversee the student services while the Head of residential service is currently applying to the Commission for Social Care Inspection to become the registered manager of the service. Both this person and the team leader were present during the visit. The service examines the quality of the support it provides in a number of ways. Questionnaires are sent out to families for their views and the college examines any comments received. The communication needs of students at present are such that all are able to freely express their views on the support they receive. Student meetings are held on a monthly basis and there was evidence that students are able to use the agenda prior to the meeting to raise any views they have. A representative of the organisation visits on a monthly basis to examine the quality of support provided and them produces a report. These reports were available during the visit and indicated that these were completed on a monthly basis and provided information on how the quality of support provided was maintained. All requirements from the previous key inspection have been addressed and the Inspector was able to have access to all the information needed during the visit. The Inspector was also able to speak with students and staff in private. Students are able to use the current format of student meetings effectively given that they are able to communicate their wishes. It is recommended that future meetings or questionnaires be tailored to the Care Homes for Adults (18-65 years) Page 37 of 42 Evidence: communication needs of future students. Training records were examined and these confirmed that staff had attended health and safety training during the past twelve months. This included manual handling, food hygiene, health and safety and first aid. An interview with a staff member also confirmed that they had received recent training. Records were available to suggest that the gas and electrical systems in the building had been serviced of late and that fire detection systems were checked on a monthly basis to ensure that they worked satisfactorily. There was evidence that fire notices and procedures were displayed in a form appropriate to the communication needs of students. Portable electrical appliances are tested annually and this was evidenced through records as well as labels on all appliances. Accidents and incidents are recorded and the service continues to notify the Commission For Social Care Inspection of any adverse incidents that occur within the service. A certificate of registration was also available confirming the registration of the service. Radiators are covered, window restrictors are in place on the upstairs levels of the house and the building is secure both to the front and back. Care Homes for Adults (18-65 years) Page 38 of 42 Are there any outstanding requirements from the last inspection? Yes No X 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 39 of 42 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 1 Standard 24 Regulation Description 23 Timescale for action The central heating 28/02/2009 boiler should be replaced as agreed by the organisation who runs the service so that the supply of hot water is consistent and so that the quality of life for students is maintained Recommendations These recommendations are taken from the best practice Care Homes for Adults (18-65 years) Page 40 of 42 described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No 1 Refer to Standard 6 Good Practice Recommendations Students should sign their care plans to confirm they agree with their contents so that they are fully involved with influencing the support they receive. The whistle blowing procedure for staff should include the contact details of the Commission For Social Care Inspection so that the protection of students from abuse is enhanced. Lighting should be improved within the building to promote the health and safety of students and staff. Additional wardrobe space should be made available in bedrooms so that students are able to fully personalise their own accommodation Questionnaires for future students who have more communication needs should be considered to enable equality of opportunity in commenting on the support they receive. 2 23 3 24 4 24 5 39 Care Homes for Adults (18-65 years) Page 41 of 42 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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