Care Home: Sutton House

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well Information about the service is made available in a variety of formats such as pictures and graphics, to aid peoples understanding. People are consulted on an ongoing basis about all aspects of their lives at Sutton House and these views are listened to and acted on. People are supported to access the local community and to maintain relationships with family and friends as well as develop new friendships. Equality and diversity is recognised and celebrated throughout the service. Staff provide appropriate support to enable people to make choices and take (assessed) risks and staff levels are calculated to afford people as many opportunities to live their chosen lifestyle, as possible. The service benefits from an experienced Directorship which ensures that the Health and Safety of people is managed effectively and that the service is run in the best interests of the people who live there. What has improved since the last inspection? This is the first inspection of this service which opened in July 2009 What the care home could do better: MGB Care Services must appoint a new manager for Sutton House and apply for them to register with the Care Quality Commission. This first key inspection has not identified any areas that would benefit from improvement at this stage. As occupancy increases the manager should monitor the impact this has on the people who already live at the service in order to maintain the standards that have been achieved to date. Key inspection report Care homes for adults (18-65 years) Name: Address: Sutton House 57 Kirkby Road Sutton-In-Ashfield Notts NG17 1GG     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: Angela Starr     Date: 2 5 1 1 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: Sutton House 57 Kirkby Road Sutton-In-Ashfield Notts NG17 1GG Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) MGB Care Services Limited mgbcareservices@btconnect.com Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The Registered person may provide the following category/ies of service only: Care home only - Code PC, to service users of the following gender: either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD. Date of last inspection Brief description of the care home Sutton House is a large property situated on Kirkby Road in Sutton-in-Ashfield. The service can provide a home for up to six people with Learning Disabilities and associated conditions. There are six bedrooms, all with en-suite facilities including a walk in shower, two of which are on the ground floor. The house is decorated to a very high standard and aims to provide a homely and comfortable environment for people. The service benefits from a very experienced staff team who receive a high standard of Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home training in order to enable them to provide support for a diverse group of people. MGB Care Services operates its own activities centre in Nottingham and people living at Sutton House have free access to this. It is the intention of Sutton House to promote independence and develop and maximise peoples life skills. The fee range starts at £1,150 per week but is subject to increase, in order to meet assessed needs. 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 two star GOOD service. This means that the people who use this service experience good quality outcomes. The focus of Inspections undertaken by the Care Quality Commission is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We ask managers to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing us with information to assist in planning our visit and deciding what areas to look at. Care Homes for Adults (18-65 years) Page 6 of 28 We also reviewed all the information we have received about the service since we last visited and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to the people who use the service and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff and two people who use the service to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? 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 8 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 9 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. People who want to live at the service have their needs fully assessed over an extended period to ensure that these needs can be met. People are given up to date and accurate information about the service that is provided. Evidence: The written information provided to us by the manager tells us that anyone considering moving to the service has an extended community care assessment completed by a social worker. The person is then assessed by staff from the service to ensure that their needs and wishes can be met. Following the assessment, people are invited to visit the service and spend time getting to know the staff and the other people who live there. Family members are closely included in this process where appropriate. Meetings are organised with people who are considering moving to the service, their families and social workers to further ensure that the home and its staff can meet the needs of the individual. People are provided with opportunities to have meals and stay Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: at Sutton House as part of a getting to know you process. As part of our case tracking process we looked at the care files for two people who live at the service including the last person to move there. Both files contained thorough assessments of need as well as detailed person centred support plans which provided personal history, goals and aspirations. The files also contained copies of the service user guide and statement of purpose as well as contracts of residency. These were produced in a format that was suitable for the person to understand. The acting manager and staff members that we spoke with were very knowledgeable about each persons individual preferences. People we spoke with who live at the service told us I like it here, better than the place I was at before. One person showed us his copies of the homes statement of purpose and other information he had been given before moving there. 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. People are involved in regular reviews of their needs and participate in the development of their support plans. People are supported to make decisions and take risks as part of a chosen independent lifestyle. Evidence: The manager provided us with written information which tells us that each person living at the service has a comprehensive individual support plan with assessments based on the activities of daily living. We looked at care plans for two people chosen for case tracking and found them to be appropriately detailed providing staff with all the information they need to provide a high level of person centred support. Both contained clear evidence of people being involved in the development and people we spoke with were aware of their support plans and what was in them. One person told us I know what is in my support plan because I told the staff what I want. People told us that they make choices about how they are supported and they decide what they want. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: We received completed questionnaires from both of the occupants of Sutton House and both said they took part in developing their support plans. Both files contained individual risk assessments as well as generic ones. These looked at areas of the persons life where they choose to undertake activities that may involve some risk but this was clearly identified and understood by the person, therefore enabling them to pursue a lifestyle of their choice. One person told us I love to go to Spain on my holidays. I like going out. One person told us I like horse riding and shopping. I like to play football and go and watch games as well. Each care plan had been developed in a format suitable for the individual person. They contained a lot of pictorial information in addition to written information. Both the support plans we saw had evidence of regular reviews taking place with the person and where appropriate, their relatives. Staff we spoke with were all aware of each persons individual likes and dislikes as well the necessary support required for them to achieve their goals and enjoy the activities of daily living. The completed questionnaires we received from staff confirmed that they are given all the relevant information to enable them to support people in a person centred manner. We also received a completed questionnaire from a Social Worker who told us Staff at Sutton House are good at person centred planning and they provide good support for individuals at difficult times. They respond well to peoples changing needs and provide good opportunities for people to join in social and educational activities of their choice. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Sutton House experience a fulfilling lifestyle. The staff team are committed to promoting peoples rights and maintaining peoples dignity. Individual goals are identified and achieved and people are enabled to make choices and exercise preference. Evidence: The written information provided by the manager tells us Each person is involved in planning their day and any activities they wish to participate in both within the Home and outside in the community. The home provides in-house activities for people including arts & craft sessions, games & puzzles, DVDs, videos, music etc. Day trips are also organised regularly. Each person is encouraged to take responsibility for their own room to ensure they have a sense of ownership by shopping for furniture and other items in the home. The person has a choice of what they would like to eat and individual tastes are catered for. Opportunities are also available for people to be Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: involved in food shopping and menu planning. Staff take into account the choices and preferences of people including their dietary requirements and ensure the menu is balanced, nutritional and varied. The files we looked at, showed us that people are pursuing activities of their choice on a daily basis. The activities are extremely varied and people are supported on a one to one basis to ensure that their individual requirements and wishes are met. We received completed questionnaires from the two people who currently live at Sutton House and these told us that people are provided with many activities of their choosing and are supported to take part in activities in the local community. These activities include playing snooker, doing puzzles, watching DVDs, videos, music and therapeutic pamper sessions. There are plans for a multi-sensory room for recreation and relaxation. Regular visits include walks to the local shops and supermarket as well as outings to the Mansfield Palace Theatre, swimming, bowling and attending a walking group in Derbyshire. One person told us about a regular event they attend where they meet friends and enjoy dancing and socialising. Another person showed us photographs and told us about the things they enjoy. We were told I like to go horse riding and play football. We spoke with people living at the service and were told by some of them that they enjoy regular visits to family and friends. One person said I go to my family most weeks. People told us that they also receive visits from family members. Peoples rights and responsibilities are fully supported and evidence of this was seen in the care plans as well as observed at the time of the inspection. On the day of the inspection we saw people choosing to go out with staff to participate in routine activities such as shopping. We observed people to be happy and occupied throughout our visit. The dining room and lounge appear to be the favoured area where people spend time interacting with each other and with the staff. The dining room is spacious and provides a comfortable area for people to enjoy their meals. The menu is varied and is produced in conjunction with the people living at the service. People told us I usually have what I want to eat. I like fish and chips and curries People told us that the food is Great and there is plenty of it. Care Homes for Adults (18-65 years) Page 15 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. People are receiving personal support in the way they prefer and require, and their health care needs are met. Evidence: The manager told us in the written information she provided Staff ensure that personal and health care needs are maintained with privacy and dignity. Individual support plans detail any support people need to maintain their personal hygiene and health. People are encouraged to be as independent as possible and to make choices regarding their clothing, choice of toiletries, hairstyle etc. Support plans that we saw were developed in a person centred way and the person they related to had been involved. Each plan was agreed and signed by the person or their representative and people we spoke with were very confident that their wishes had been recorded and were being met where possible. Evidence of health intervention was clear and there were records of all involvement from other professionals. e.g. Doctors, specialist teams such as the speech and language therapy service, district nurse intervention, opticians, physiotherapists etc. Peoples emotional needs were also addressed and where possible they are met. One person living at the service told us that they had experienced some difficulties in their previous home with establishing and maintaining Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: relationships with other people living at the service. They added that this is not a problem for them at Sutton House. Staff told us that another person had experienced some upset and anxiety, the cause of which was identified and the person was supported to manage the situation. People told us that if they want to see the Doctor, they ask the staff and an appointment is made. Staff do accompany people for appointments as necessary according to peoples wishes and needs. The manager told us that if a person was admitted to hospital and had to stay for any length of time a member of staff would stay with them throughout their waking hours to alleviate any unnecessary anxiety. As part of our case tracking process we looked at the medication administration records for both people. The records were accurately completed and signed. We also looked at the risk assessments for people to manage their own medications and found that there is currently no-one at the service who is assessed as being able to do this. The storage, ordering and disposal of medication was checked and found to be in order. There are currently no controlled drugs being prescribed for people but there is a suitable storage facility and record book if this changes. Training records showed us that all staff who have responsibility for administering medication have undergone training. Staff we spoke with were knowledgeable about the medication policies and practices and the importance of clear and accurate record keeping. Care Homes for Adults (18-65 years) Page 17 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. People living at the service are protected from potential abuse and harm and their views are actively sought, listened to and acted on. Policies and procedures are understood and are followed correctly by the staff team. Evidence: The manager told us The Home has a complaints procedure that is up to date and documents the stages of the process. The complaints procedure is presented in a clear and simple format using signs and symbols along with photos. This is to enable people to know who to make a complaint to if they have one. The complaints procedure is clearly displayed in the entrance to the home and is also contained within the policies and procedures of the home. To ensure people are safeguarded from abuse, prior to commencing employment at the home, staff have a Criminal Record Bureau and Protection of Vulnerable Adults check. All staff employed at the service have completed Safeguarding Adults training. A copy of the Nottingham and Nottinghamshire Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers is kept in the Managers office and all staff are encouraged to refer to this. (Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk.) We saw that a copy of the complaints procedure was displayed in the entrance hall of Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: the service and a further copy which had been produced in an easy read format was also displayed for the benefit of people living at the service. No complaints have been received by the service at the time of this inspection but the acting manager demonstrated her knowledge of how this area would be managed if a complaint was received and assured us that any complaint would be taken seriously and acted upon. People living at the service told us that they do know how to complain and that they would know who to speak to. They also told us that there is nothing to complain about. People living at the service have the opportunity to meet with the directors of MGB care services on a regular basis. People told us that this is another opportunity for them to voice any complaints or concerns. One person said I would soon tell someone if something was wrong. Staff told us If I ever have any problems or concerns about anything the office is always open. The manager is very good. The directors are very good and they make time to listen to us. Staff we spoke with were familiar with the complaints procedures and demonstrated a clear understanding of the policies as well as confirming they have undertaken training in safeguarding adults and would not hesitate to report anything of concern. Staff demonstrated an understanding of the whistle blowing policy and confirmed that they would not hesitate to follow this if they had any concerns. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a physical environment that is appropriate to the needs of the people living there and is well maintained. Evidence: The written information provided to us prior to our inspection visit tells us The home is well decorated, very clean, safe, comfortable, homely and all staff and residents take pride in the home. The home benefits from having a variety of communal space and a garden, The home benefits from having two lounges, a dining room and a sensory/relaxation room for the residents to enjoy. Residents rooms are en suite, having a toilet, shower and wash basin. Residents are encouraged and supported to personalise their bedrooms and also to keep them clean. All bedroom doors have locks and people can have their own keys. Residents bedrooms also benefit from having a nurse-call system in place which is maintained. We undertook a partial tour of the service where we looked at all communal areas, the kitchen, laundry and some peoples bedrooms. The home was clean and tidy and free of any odours. People living at the service were using all the areas including the gardens. People only have access to the laundry room with staff support where they are enabled to do their own laundry if they wish. We observed the service to be homely and furnished in a way that suits the people who live there, with modern, comfortable furniture. Peoples bedrooms that we looked at were all decorated differently in a manner chosen by the person and all Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: had many personal possessions. One person was in the process of painting their room in a colour they had chosen. All the bedrooms have en-suite facilities with a shower and there is an additional bathroom for people to use. No one currently has need of any specialist equipment but we were assured by the manager that this would be provided if required. One person told us I have a nice bedroom, its how I want it. I chose my room and its much bigger than where I lived before. We spoke to the person who carries out the maintenance for the service and he told us that staff contact him about any problems and he responds as quickly as possible. He visits the service several times each week to carry out routine maintenance and to undertake any improvements. He assured us that appropriately qualified tradesmen would be called upon to deal with any electrical or other specialist problems if they were to occur. 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. Recruitment practices, training and support for staff are well managed providing good outcomes for people living at Sutton House. The home is run in the best interests of the people living there. Evidence: The written information provided by the manager tells us The company has a recruitment and selection process to ensure equal opportunities and protection of residents. A website has been designed for MGB Care Services Ltd which contains regularly updated information regarding job vacancies. The recruitment of all staff (including volunteers, work placements) are confirmed in post only following receipt of two written references and completion of a satisfactory police and POVA check prior to commencement of employment. Staff have a thorough induction at Sutton House and all staff are issued with an Induction Book. Day one of the induction is spent at MGB Care Services Head Office where staff sign their contract of employment and complete a mandatory fire safety awareness session on the computer. New members of staff are allocated a mentor for their first few shifts and are required to complete their induction book with guidance from the Home Manager. The staff team are very experienced and have the skills and knowledge to support the residents, ensuring all their needs are met. We observed people being supported by staff who were competent and had received training to enable them to do their jobs. On the day of Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: the inspection we observed a high ratio of staff on duty. Two care staff were on the shift to support the current occupancy of two people. In addition to this, the acting manager was on duty. The staff rota we saw confimed that there are always a minimum of two staff on duty. We discussed this with the acting manager who assured us that as the occupancy level increases, more staff will be employed on each shift and that this will relate to peoples assessed needs. Training records that we looked at showed us that the service benefits from staff who have obtained or are working towards a National Vocational Qualification Level 2 or above in Health and Social Care. Staff are also given opportunities to complete various training courses linked to the needs of the people who live at the service. Training records showed us that training courses provided have included Food Hygiene, Health & Safety, Infection Control, Autism Awareness, Emergency First Aid, Safeguarding Adults, PROACT SCIP training (This is a specialist training which equips staff with the necessary skills to work with people with a range of different behaviours.) History of Care, Epilepsy Awareness, Person Centred Planning and Therapeutic Hand and Arm Massage training and care of medicines. We spoke with staff who told us that they hold regular staff meetings and we saw that the minutes are recorded, documented and plans of action are implemented. We saw evidence that staff supervisions take place on a regular basis and this was confirmed by staff who told us that they find supervision to be very useful. Staff also told us that they have the opportunity to access the latest information regarding learning disabilities in the Training Resource Room at MGB Care Services Head Office. Training and resources such as journals (from the British Institute of Learning Disabilities), magazines, videos, DVDs are available. Staff files we saw contained all the necessary information including two references, Criminal Record Bureau checks, proof of identity etc. Each shift is led by a shift leader and at each handover, a number of areas are double checked to reduce the incidence of any omissions or errors. The staff we spoke with all felt that the team are very good. We have a good team and a good manager who is very easy to talk to and is always available. People living at the service told us The staff are all nice. They are very good and good fun. We received completed questionnaires from six staff members. All told us that they have received a high standard of training and thet they feel supported and valued by MGB Care Services. 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 based on openness and respect. There is an effective quality assurance system to ensure the service runs in the best interests of the people living there. Evidence: The Annual Quality Assurance Assessment returned to us by the manager gave us comprehensive and useful information about the service. It told us All staff adhere to the policies and procedures of the Home and undertake regular training. The Home has clear documentation of all safety checks to ensure compliance with current legislation as well as the health and safety of residents and staff. The staff team have an excellent working relationship and ensure the needs of the residents are met. Feedback is actively sought from residents at the Home through Service User Questionnaires. This is in addition to monthly visits through Regulation 26 and monthly financial audits to ensure effective safeguarding and management of residents money. Staff we spoke with all said that they enjoy working at the service and feel supported and listened to by the acting manager and the company directors. They told us This is a well run home and run in the best interests of the people who Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: live here People who live at the home told us that they think the home is well run and the acting manager is very approachable. They told us that they have plenty of opportunities to talk to her and to the directors and they feel confident to make their views known. We looked at the arrangements for supporting people with their finances and saw that the system is safe and all transactions are carefully documented. The fire log shows that all necessary fire safety testing and fire drills have been carried out. Servicing of equipment including gas and electricity is up to date and there are measures in place for the prevention of Legionella. The accident book was seen but no accidents had been recorded. The acting manager assured us that no accidents have occurred and in the event that something does happen, the necessary recording and reporting procedures would be followed. The acting manager told us that Health and Safety of staff and people living at the service is of primary importance and records seen by us, support this statement. The registered manager has left the service and an acting manager is currently in post and is receiving support from the directors of MGB care services. We spoke with one of the directors who assured us that they will be appointing a manager and applying for them to register with the Care Quality Commission within the next few weeks. 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 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 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. 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!