Care Home: The Autistic Society

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What the care home does well People are provided with a homely, safe, environment in small group settings in the local community. People living at the home are supported by a committed team of support workers. The care needs of people are clearly recorded and understood by staff as they support people with their personal and social care needs. The support offered to people is focused very much on the individual, their needs, abilities and aspirations. Each person has a personal support plan, named members of staff to support them, access to local community resources and the continuing support of relatives. People are encouraged to make choices and decisions about daily routines and living arrangements. Staff were observed to consult with and listen toindividuals they supported and clearly explain any hazards or risks with choices and decisions people made. What has improved since the last inspection? Procedures relating to medication had improved and addressed issues raised at the time of the last inspection. What the care home could do better: The manager was advised to ensure all staff had been given the time to read Manchester Local Authority`s guidelines on adult safeguarding procedures. Ongoing programmes of decorating to one house required incorporating into a regular programme of maintenance. The manager was advised to have paper towel dispensers in all staff toilet facilities. CARE HOME ADULTS 18-65 The Autistic Society 1 Mainwaring Terrace Northern Moor Manchester M23 0EW Lead Inspector Joe Kenny Unannounced Inspection 14th February 2008 10:00 The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Autistic Society Address 1 Mainwaring Terrace Northern Moor Manchester M23 0EW 0161 945 9585 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vanessahalfacre@nas.org.uk National Autistic Society Care Home 14 Category(ies) of Learning disability (14) registration, with number of places The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users accommodated have a diagnosis of Autism/Asperger`s syndrome. 15th November 2006 Date of last inspection Brief Description of the Service: Mainwaring Terrace is a care home providing 24-hour care and accommodation, operated by the National Autistic Society, for 12 adults diagnosed within the autistic spectrum of disorders. The service comprises of three modern semi-detached houses located on a quiet residential housing estate. Each house has four single bedrooms, communal lounge, bathroom, kitchen and a dining area. There is a large shared private garden to the rear of three houses. The home is in keeping with other homes in the area. Local community facilities include shops, pubs, a post office and public transport. Fees for the service range between £1,200 and £1,800 per week. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The Autistic Society manages and supports people in three residential properties which support people with a diagnosis within the autistic spectrum of disorders and associated learning disabilities. This inspection was carried out unannounced on the 14 February 2008. The total time spent at the home was six and a half hours. The inspection included discussions with people living at the home, the manager, and staff working at the home. A number of comment cards, forwarded to the home by the commission, were completed by staff and people living in the home. The information received contributed to the findings of this report. The inspection also involved examination of files, records, a tour of the building and observations relating to personal and social care arrangements at the time of the visit. The Annual Quality Assurance Assessment, (AQAA), was completed and returned to the commission before the inspection. This provided us with a self assessment by the manager of how the National Minimum Standards were being met. The information in the assessment was used to inform this inspection. What the service does well: People are provided with a homely, safe, environment in small group settings in the local community. People living at the home are supported by a committed team of support workers. The care needs of people are clearly recorded and understood by staff as they support people with their personal and social care needs. The support offered to people is focused very much on the individual, their needs, abilities and aspirations. Each person has a personal support plan, named members of staff to support them, access to local community resources and the continuing support of relatives. People are encouraged to make choices and decisions about daily routines and living arrangements. Staff were observed to consult with and listen to The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 6 individuals they supported and clearly explain any hazards or risks with choices and decisions people made. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home provided evidence that the homes Statement of Purpose and Service Users Guide are regularly updated and reviewed. This was evident in a number of revised sections of the documents relating to staff numbers and qualifications. The information is provided to interested parties to ensure information about the service offered and structure of the service is current. Information is also provided in various formats suitable for the people using the service. An additional information brochure is being developed by the organisation to inform people about specific aspects of the service provided at Mainwaring Terrace. Admission procedures ensure information about people referred to the home is clearly understood and recorded. The manager receives information from the placing authority and will conduct visits to meet the person and their relatives to discuss their move to the home and to assess whether their needs can be met in the home. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 9 People are encouraged to visit the home as part of the admission process to allow them to meet staff and people living there and to familiarise themselves with the home and the area. This is seen as a necessary part of the admission process as many people considering moving to the home will be coming from another part of the country. People are then provided with a copy of their contract of care and tenancy agreement. These documents are provided in a number of formats, appropriate to the ability of the individual. Prior to an admission, consideration is also given to the needs of the current residents at the home and the impact that any new resident could have in relation to them. As part of the inspection comment cards were sent out to people living in the home to seek their views about life in the home and the care they received. Eight forms were returned. A relative or the person’s key worker assisted the person to complete the form and signed the form to confirm this. The responses were positive to questions relating to the person’s move to the home and confirmed people received information about the home before moving there. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are actively involved in and consulted on all aspects of life in the home. This included taking meaningful risks. EVIDENCE: The level of support and assistance required by individuals varies and is regularly monitored to ensure the support offered meets the person’s preferences and care needs. A clear objective of the home is to enable people to live as independently as possible based on their abilities. This included assessments and strategies to support people to take meaningful risks. The home has a clear and comprehensive person centred approach to care planning which includes risk assessments within the communal setting and in the community. From observations, care plan records and comments by a number of people living in the home, people were supported in a way which reflected their personal preferences. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 11 Each person is supported by named members of staff who offer one to one and where required, two to one support. Daily and weekly personal and social activities are planned in consultation with individuals. The support provided was flexible to meet people’s individual needs and routines and enable them to participate in valued activities. Information for each person was held confidentially and can be accessed by the individual being care for. Each of the houses making up Mainwaring Terrace was suitably adapted and equipped to meet the needs of people with autism The atmosphere in each house was homely, relaxed and unhurried. People spoke about previous holidays and plans for future trips. The manager spoke about the work the home had done to support a person to achieve their identified goal of moving to a more independent setting. Plans of care were examined and contained detailed information about the support people required in relation to health care, physical and social care. Files are set out in 12 sections and comprehensively address all aspects of care. Information is regularly reviewed to incorporate any changes to people’s needs. Social care plans are reviewed on a weekly basis and personal care plans every six months. Information is also developed in pictorial format to support people’s individual abilities. People responding to the comment cards indicated they were free to make decisions about what to do each day and at weekends. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are encouraged to take responsibility for daily living arrangements, which respect their chosen preferences. People are actively involved in meal and menu arrangements. EVIDENCE: People are supported by staff, where appropriate, to maintain contact with their family. It was evident from listening to a number of people that this was an important aspect of their life. The manager and staff also said that relatives are consulted on programmes of support and where necessary are consulted on events and activities which require assessments of any hazards or risks to the person. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 13 People choosing to remain at home pursued their own personal interests and were observed to access the kitchen to make drinks and plan for evening meals. People are supported to take part in activities within the local community. A number of people continue to be involved in a singing and musical group and there were plans to record a selection of their music onto a CD in a recording studio. This would benefit charity work they were involved in. Plans of support are detailed and recorded how staff supported people. The information referred to people’s chosen daily routines in the house and social and leisure interests when accessing community resources. People were free to plan how they spent their day and a number were observed to go out on recreational trips, for pub lunches and some attended local educational centres. Other activities included involvement in cycle clubs, trips to cinemas, and use of the local leisure centre. Each house has a budget to support social events undertaken by people. Meal and menu arrangements are planned on a daily basis in consultation with people in each house. Records are maintained of meals provided and indicated an individual and nutritionally balanced diet was offered to people. Residents are encouraged and supported by staff in all aspects of menu planning, preparation and shopping arrangements. Mealtime routines were based on the individual person’s needs and meals could be taken either communally or in private. The home had sufficient stocks of food including fresh and frozen foods and these were found to be stored appropriately. Each house has a weekly budget to cover the purchase of provisions. People regularly go out for meals and up to two meals in the week are planned as a take- out menu or trip to a local carvery. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive support and assistance with personal and health care issues in a way which reflects their assessed needs. EVIDENCE: Staff spoke about their experience of working with people and demonstrated they had extensive knowledge of each individual’s needs. It was evident from interactions that a professional and caring relationship existed. Health care needs were recorded on the care plan. The manager was advised to ensure the date is recorded at the time of assessments in order to assist in the monitoring of the effectiveness of the planned intervention. People continued to attend health practices and surgeries with services coming into the home where identified in the best interest individuals. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 15 People continue to have an annual health care assessment to ensure health and medical needs were being met. People responding to the comment cards indicated they were happy with the care and support offered by staff. Medication administration procedures were examined at each house and apart from some minor discrepancies in amounts of medication on site and records of balances on medication records, were found generally to be in order. Procedures for storage, administration and recording are undertaken by senior staff. Medication received and returned to the pharmacy by the home was recorded. Procedures relating to recording of medication when people went home or on trips required monitoring. There was evidence that a record is kept of how medication is managed at such times. However, on one record examined, there was limited evidence of records relating to the management of medication for one person on home leave. The date and record of amount of medication should be maintained and recorded on the Medication Administration Record when the person leaves and returns to the home. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are consulted on issues relating to their care to ensure their views are listened to. Polices and procedures were in place to protect people from harm or neglect. EVIDENCE: Procedures are in place to ensure people could raise concerns about the care and support they received. This included formal procedures in line with the home’s complaints procedures and regular consultation with people being supported about the care they received. People are supported by named members of staff as their key worker and are regularly consulted about how they wish to be supported on a daily basis. There was a positive open culture of consultation with people on all aspects of life in the home. This ranged from discussions on what activities people wished to undertake, what they wanted at meal times and how they wanted to spend their evenings. This was evident on the day of the inspection and is also evident in records seen. Formal procedures were also in place to discuss aspects of life in the home. Regular monthly surveys are conducted with people to enable them to give their views of life in the home. People responding to the comment cards indicated they knew who to speak to if they were not happy. For most people they choose to speak to a relative or their key worker. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 17 The manager stated no complaints had been received by the home since the last inspection. No complaints about the home had been received by the Commission in the same period. The home’s complaints procedure is available in the homes Statement of Purpose and the Service Users’ Guide. The policy is available to people living in the home in pictorial format. Staffing levels and training provided to staff on protection procedures are established to ensure systems are in place to protect people from neglect and self-harm. The level of support people need is identified in their care plans and informs staff of action to be taken to minimise identified risks. Staff had received training on Protection of Vulnerable Adults and demonstrated a good understanding of their responsibility on protection issues. Training on abuse awareness is provided in house and through NVQ training plans. The manager was advised to ensure each house is provided with a copy of the completed guidelines on Manchester Adult Protection Procedures. Staff should be given time to read and sign up to Local Authority procedures. The home had taken appropriate steps to refer incidents through Manchester’s Safeguarding Team. At the time of the inspection one incident had been referred and was being dealt with through adult protection and review of placement procedures. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People lived in a homely and comfortable environment. EVIDENCE: People are supported in three adjacent houses, accommodating four people in each house. The houses are part of a residential setting in a quiet cul-de-sac. The main issue for the home and other properties relate to parking arrangements, as there is a high volume of cars associated with the home and other dwellings. To address this the home is looking at ways to increase parking space by extending the parking area along the side of one of the houses. Each of the houses was found to be clean and generally well maintained. However discussions were held with the manager regarding the need for a programme of ongoing maintenance and refurbishment of one of the houses as the property appeared to be subject to greater wear due to the needs of the people supported there. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 19 There was a homely and welcoming feeling in each house and people living there said they were happy with the house and support offered by staff. People were in their own rooms following their own interests or in the communal areas participating in activities of their choice. The location of the houses enables people to access local resources and transport systems. There is a large garden to the rear of the houses, offering people ample secure space for external recreational activities. Each house offers both private and communal space, with toilet and bathing facilities appropriate to meeting people’s needs, including a wet room. Each of the houses had their own laundry facilities and people were able to carry out individual laundry arrangements for their personal clothing and linen. Appropriate infection control procedures were in place and staff had access to protective equipment and alcohol washes. However the manager was advised to have paper towel dispensers in all staff toilet facilities to support staff as they move between personal care and catering duties. A maintenance person is employed to address ongoing minor repairs. Some programmes of decorating were being undertaken at the time of the inspection; this included decorating of bedrooms. As a result some furniture was on the landing and the room had a strong odour of paint. These issues required managing prior to the person returning to their room. In some rooms the furniture had been removed as a result of an identified risk to the person in the room. This arrangement was addressed in a risk assessment and plan of support for the person accommodated in the room and was recorded in their file. The following issues relating to the environment were identified and discussed with the maintenance person on the visit who agreed to address them. In house 1 a locking device should be positioned on the storage door in the bathroom. In house 3 the door between the kitchen and corridor required attention, as it did not shut effectively into its frame. The emergency lighting required checking to ensure it was live. A privacy lock should be fitted to the toilet in house 3. Radiators in the main hallway House 3 were found to be excessively hot to touch and should be assessed in terms of risk to people living there. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by an effective and well supported staff team. Recruitment and selection procedures ensure a competent and skilled staff team is employed. EVIDENCE: The manager has the appropriate qualifications and experience to manage the home and is supported by a stable and committed staff team. The manager has submitted an application to the commission to be registered as manager of the home. Each member of staff is supported on training and development issues through regular access to training programmes and formalised programmes of supervision. Staff undertaking NVQ training are encouraged to work to Level III. At the time of the visit to the home there were 38 staff employed. 20 staff had completed or were in the process of attaining the NVQ level 3 which was equal to 53 of staff undertaking this level of training. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 21 During discussions with staff they said they were supported by the organisation both in regular supervision sessions, staff meetings and by being provided with appropriate training. As part of the inspection surveys were sent out to staff and six completed forms were returned to the commission. Staff responded positively to all sections and comments included: “by making sure all staff receive training” in topics relating to their meeting the needs of the people using the service. Staff confirmed that development and appraisal is provided. One staff member commented, “the service provides excellent support to its staff”. A training plan was in place, which listed all training undertaken by staff and programmes of training for the future. The information confirmed that all staff received induction training and training in mandatory areas to support the work they do. This included first aid, basic food hygiene, autism awareness and moving and handling. Staff recruitment and selection procedures ensured an application form is completed and that references and Criminal Records Bureau checks are carried out prior to employment. Criminal Record Bureau checks are conducted through the organisation’s personnel section. The manager of the home should be provided with written confirmation of each person’s clearance check. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team had the skills and knowledge to ensure the home was run in the best interest of people living there. EVIDENCE: The registered manager was in the process of completing the Registered Managers Award. To support the manager, each house has a senior member of staff referred to as “senior practitioner” and a dedicated team of support workers based at each house. This arrangement ensured consistency in care delivery and enabled people to establish good working relationships with staff. Regular meetings are held by the manager at each house to ensure information about the care needs of people is regularly monitored and reviewed. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 23 The manager is supported by the organisation on personal development issues and monthly site visits are carried out by a representative of the National Autistic Society to assess how the home is meeting its objectives. This visit is carried out as part of the homes compliance to Regulation 26. A copy of the report of the visit is held on the premises. Regular maintenance and health and safety checks are conducted to ensure a safe environment is maintained. This included regular tests and checks on fire safety procedures and tests on electrical and water temperatures. The home had a quality assurance monitoring system in place to gain the views of the people living in the home and their families. The manager was advised to compile a report on the outcomes of the surveys on an annual basis and to include the report in the homes Statement of Purpose. An independent accreditation of the service offered at the home is carried out on an annual basis. The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA8 Good Practice Recommendations The manager was advised to ensure the date is recorded on care plans, at the time of the assessment in order to assist in the monitoring of the effectiveness of the planned intervention. Medication records required monitoring to ensure records relating to management of medication for people on home leave and amounts of medication on site are recorded on medication records. The manager was advised to ensure each house is provided with a copy of the completed guidelines on Manchester Adult Protection Procedures. Staff should be given time to read and sign up to Local Authority procedures. Issues relating to the premises as identified in the environment section of this report should be addressed. 2 YA10 3 YA23 4 YA24 The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 26 5 YA31 The manager of the home should be provided with written confirmation of each member of staff’s Criminal Record Bureau check. The manager was advised to compile a report on the outcomes of surveys seeking the views of people using the service on an annual basis and to include the report in the home’s Statement of Purpose. It is recommended that paper towels are provided in staff toilets to minimise any risk of infection. 6 YA39 7 YA30 The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Autistic Society DS0000021603.V359786.R01.S.doc Version 5.2 Page 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. 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