Care Home: The Close Short Break Service

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What the care home does well This service provides accommodation to a very good standard. The way the daily routines are organised compares to that of a good quality hotel. The building is well maintained and as a result of effective cleaning routines, offers a clean and hygienic environment. The grounds are attractive, with well cared for garden areas where guests can relax and enjoy the surroundings. The friendly contact between guests and staff creates a warm and welcoming atmosphere in the home. So that guests are able to form and maintain relationships between each other, careful planning is carried out by the service so that friends receive breaks together. This is often at the request of guests,or as a result of an assessment carried out by staff who try hard to create groups who get on well together. Guests are supported to live a full and active lifestyle and they confirmed that staff supports them to go shopping, enjoy a drink at the pub, go bowling, go to the cinema and visit many other interesting places. One guest said:"I like coming here because I do things that I like, like going bowling and to the pub." Staff work with guests in a skilful way that allows guests to make decisions about how they want to be supported and what they prefer to do. This means that guests are in control of their lives and lead their own care. So that guests are supported to take part in varied activities of their choice, the management team uses a flexible approach to plan the staff rota. This means that the number of staff on duty may vary to support of the diverse needs of the guests staying there. One guest said:"The staff are really good, they help me to do the things that I want to do." The manager encourages both the guests and staff to make decisions about how the service should be. This means that guests and staff are empowered to lead an active part in the service and its development What has improved since the last inspection? The medication procedures have been reviewed and improved. There are clear guidelines in place that staff are aware of and understand. Clear tracking and clearer recording tools have resulted in safer ways of recording medication when given out which means that it is less likely that mistakes are made and that guests are kept safe. Guests are now more empowered to lead their care plans. They are now written with a person centred approach and an audit system is in place to monitor the quality of them. In addition to this staff are now more empowered to work with guests more closely and to visit them in their own homes, a situation where guests and their main carers can inform staff of their needs and aspirations. A computer and laptop have been installed in the lounge to enable staff to support service users to complete personal plans in a more accessible format.The manager has held consultation sessions with staff relating to the Valuing People Now White Paper and as an outcome a report on their responses has been compiled. The report formed part of the overall response to the White Paper during the consultation period from the City of Sunderland. Staff have also attended an information session regarding the Mental Capacity Act, and a member of staff is currently Charter Champion and responsible for ensuring that guests are aware of the Learning Disability Partnership Customer Charter. This means that people using this service have the opportunity of playing an active part in the development of services. What the care home could do better: As a result of completing the Annual Quality Assurance Assessment (AQAA) in detail this service has identified clear plans regarding how the service is to be developed and improved over the next twelve months. CARE HOME ADULTS 18-65 The Close Short Break Service Rock Lodge Road Roker Sunderland SR6 9NX Lead Inspector Elsie Allnutt Key Unannounced Inspection 18th November 2008 9:30 The Close Short Break Service DS0000032753.V373089.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 Close Short Break Service DS0000032753.V373089.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 Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Close Short Break Service Address Rock Lodge Road Roker Sunderland SR6 9NX 0191 553 5425 0191 553 5430 Linda.Gibson@sunderland.gov.uk 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) Council of City of Sunderland Mrs Linda Margaret Gibson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD, maximum number of places: 12 The maximum number of service users who can be accommodated is: 12 30th October 2007 Date of last inspection Brief Description of the Service: This short break service operates in a large detached building which stands in enclosed grounds. The service provides personal care for younger adults with a learning disability and is situated close to the sea front at Roker in Sunderland. The house has its own grounds with mature trees, lawns and well cared for gardens and retains many attractive original features such as wood panelling and fire- places. The décor and furnishings reflect the style and period of the building. There is a large reception area that leads onto a large staircase up to bedrooms on the first floor. It has eight single bedrooms, two of which are on the ground floor and which provide accommodation for people with disabilities. There are also two twin bedrooms offering accommodation to friends or family members who request to share. A fridge, music centre, TV and DVD player are provided in each bedroom. The dining room and two lounges also lead off from the reception area and overlook the gardens. There is a main lounge that is very large and a smaller one that offers a more quiet area. The building provides four bathrooms and eight toilets. Three of the bathrooms also have showers and there is also one separate shower room. The top floor of the building accommodates a full sized snooker table, dartboard, music centre, and a wide screened TV and coffee corner. The majority of people who use the service are quite independent and are able The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 5 to access all areas of the building. However, people with a physical disability are restricted to using the ground floor. The aim of the service is to provide a holiday type break for people attending the service while providing a break for the carers at home. A team of staff provide a programme of organised activities, as well as personal support, during each person’s stay. The home has developed a Service User Guide that informs prospective guests about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fee charged by the home to guests is £92:02 per week. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 19th May 2008. During the visits we: • • • • • • Talked with people who use the service, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: This service provides accommodation to a very good standard. The way the daily routines are organised compares to that of a good quality hotel. The building is well maintained and as a result of effective cleaning routines, offers a clean and hygienic environment. The grounds are attractive, with well cared for garden areas where guests can relax and enjoy the surroundings. The friendly contact between guests and staff creates a warm and welcoming atmosphere in the home. So that guests are able to form and maintain relationships between each other, careful planning is carried out by the service so that friends receive breaks together. This is often at the request of guests, The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 7 or as a result of an assessment carried out by staff who try hard to create groups who get on well together. Guests are supported to live a full and active lifestyle and they confirmed that staff supports them to go shopping, enjoy a drink at the pub, go bowling, go to the cinema and visit many other interesting places. One guest said:“I like coming here because I do things that I like, like going bowling and to the pub.” Staff work with guests in a skilful way that allows guests to make decisions about how they want to be supported and what they prefer to do. This means that guests are in control of their lives and lead their own care. So that guests are supported to take part in varied activities of their choice, the management team uses a flexible approach to plan the staff rota. This means that the number of staff on duty may vary to support of the diverse needs of the guests staying there. One guest said:“The staff are really good, they help me to do the things that I want to do.” The manager encourages both the guests and staff to make decisions about how the service should be. This means that guests and staff are empowered to lead an active part in the service and its development What has improved since the last inspection? The medication procedures have been reviewed and improved. There are clear guidelines in place that staff are aware of and understand. Clear tracking and clearer recording tools have resulted in safer ways of recording medication when given out which means that it is less likely that mistakes are made and that guests are kept safe. Guests are now more empowered to lead their care plans. They are now written with a person centred approach and an audit system is in place to monitor the quality of them. In addition to this staff are now more empowered to work with guests more closely and to visit them in their own homes, a situation where guests and their main carers can inform staff of their needs and aspirations. A computer and laptop have been installed in the lounge to enable staff to support service users to complete personal plans in a more accessible format. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 8 The manager has held consultation sessions with staff relating to the Valuing People Now White Paper and as an outcome a report on their responses has been compiled. The report formed part of the overall response to the White Paper during the consultation period from the City of Sunderland. Staff have also attended an information session regarding the Mental Capacity Act, and a member of staff is currently Charter Champion and responsible for ensuring that guests are aware of the Learning Disability Partnership Customer Charter. This means that people using this service have the opportunity of playing an active part in the development of services. 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 Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 9 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 Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 10 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. Good multidisciplinary preadmission assessments demonstrate guests’ needs and aspirations and assist the home to make informed judgements as to whether the needs can be met. EVIDENCE: Prior to guests receiving a service for the first time a detailed assessment of need is received from the referring agency with a current plan of care. When received a senior representative and the allocated key worker from The Close visits the person in their own home and carries out their own assessment of need. The service works closely with other professionals who may be involved in the individual’s care and they also provide information in the assessment process. This also includes working with children’s services regarding the transition process, however this does not include supporting young people within the service at The Close who are under 18 years old. Records are in place for one person who is going through this process and these are in good detail, clearly identifying the needs to be addressed. During this process the specialised needs of the individual are addressed and if The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 11 necessary training and guidance for staff is organised prior to the person’s stay. The outreach team supported one person during their visits so that staff could observe how the person was supported and the techniques used. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 12 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans that are the outcome of ongoing assessment and that are service user lead, guide staff to appropriately support guests’ care needs and to promote their independence safely. EVIDENCE: There is a care plan in place for each guest staying at this short break service. The information recorded in them is current and clearly guides staff to effectively address the individual guest’s personal, social and emotional care needs. Guests are empowered to lead their care plans and staff are encouraged to play and active part in supporting guests in the development of them. The care plans are reviewed at guests’ each visit to ensure that the The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 13 information in them remains relevant and that the person continues to be supported effectively. Any changes to the person’s personal information or support needs are recorded with risk assessments completed where necessary. Staff meetings take place twice weekly to discuss new guests coming into the service and to ensure that staff are aware of any changes in the support required by individuals. Annual reviews are held with guests and their parents/carers to reflect on the past year and to plan for the forthcoming year. Staff have supported guests to develop information about themselves, by developing a book, referred to as a Communication Passport. This is designed as a small booklet so that it is easy to carry around. The booklet is put together to reflect the individual’s needs, their likes, dislikes and preferences and is an empowering way to introduce themselves to other people and services. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Guests are supported to live fulfilling lifestyles both at the short break service and in the community. The service supports guests’ rights and promotes their independence, while successfully supporting them in maintaining relationships with family and friends. Meals are healthy, nutritious and attractive, and are prepared to meet the individual dietary needs of each service user. EVIDENCE: Six guests were staying at this service and three members of staff, the deputy manager and the manager were on duty to give support to them in their chosen activities. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 15 The staff rota is organised in a flexible way and is determined by the assessed needs of the individual guests and the amount of support that they might need to enjoy their planned activity programme. The availability of staff might also reflect the number of guests accommodated. Care plans include information about guests’ aspirations and the sort of activities and interests they hope to take part in during their stay. Guests enthusiastically discussed the activities they had planned and were particularly excited about going bowling, an activity that was planned to take place that morning. One guest stated that they enjoyed all of the activities that they did at The Close but particularly enjoyed going out shopping with staff where they could chose what to buy. Another guest said that they liked coming on holiday to The Close because they liked to be beside the sea. Staff confirmed that although a wide variety of activities take place in the community, some people often choose to stay at The Close to take part in activities there. One guest said they particularly liked playing on the computer games and using the games room. Guests choose the activities they want to take part in at the beginning of their stay. So that guests can make informed choices staff have developed a file that includes visual aids of different activities, including live music and theatre opportunities. Although this service is mainly focussed on arranging leisure activities, guests often discuss other aspects of their lives. This includes aspirations they might have to gain paid employment. In such cases guests are directed to the appropriate service called Workline and staff support the guest to make the initial contact. Guests are also introduced to various Friendship Groups that have been developed throughout the City of Sunderland by the Tenants and Residents Groups. This has opened up the opportunity for making new friends and joining new activities that can be accessed in the guests’ local communities from their own homes. The service at The Close is run and organised to promote respect, privacy and the rights of the guests who stay here. Staff care practices and attitudes reflect this. Guests’ rooms are respected as their private space and guests move around the building with confidence, demonstrating familiarity and comfort in their environment. A sample of menus confirmed a variety of food on offer and guests said that the meals offered were good. Staff have developed a pictorial menu book that The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 16 guides guests to make informed choices about what they wish to eat. Service users’ food preferences are recorded in the care plan. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 17 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Guests receive personal support appropriate to their needs and in a way that enables their privacy and dignity to be respected and promoted. The medication arrangements in place are appropriate for the needs of the guests. EVIDENCE: Although the majority of people who have used this service in the past have been independent, this is now changing and some people now being referred to the service have complex needs including demonstrating challenging behaviours. The service is addressing this by offering specialised training for staff and seeking support from specialised teams. The Learning Disabilities team or Assertive Outreach team is contacted for advice and support and good working relationships have developed with healthcare specialists. Staff interact with guests positively and encourage them to be as independent as possible while offering support discreetly to ensure guests’ privacy and The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 18 dignity is promoted. A gender sensitive policy applies and this ensures that guests are supported wherever possible by a member of staff of the same gender when supported with personal care. If a guest requires medical assistance whilst at The Close and family members are not available, staff support them to access a GP or to attend hospital. All staff are trained in first aid. All guests have keys to lock their bedrooms and are advised to do so. Staff always knock before entering a room. The home has an efficient medication policy supported by clear procedures that have recently been reviewed, which staff understand and follow. Medication records are fully completed, contain required entries and are signed by appropriate staff. All staff have received training regarding the Safe Handling of Medicines and issues surrounding medication are regularly monitored and addressed. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 19 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to protect guests from abuse and seriously address any complaints and concerns about the service. EVIDENCE: The service has a complaints procedure that is picture format, making it easier for guests to understand. This is regularly discussed with the guests and a copy of the procedure is placed in each bedroom. At the end of each guest’s stay staff support them to discuss the service they have received and to make comments about it. Any concerns raised are recorded in the complaints book and are addressed following clearly defined procedures. All complaints made have been satisfactorily addressed following the appropriate procedures. The manager has recently attended training regarding handling Complaints and all staff have received training regarding the Mental Capacity Act. Staff receive training in relation to verbal and physical aggression and in relation to the local authority’s protection of vulnerable adult procedures. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 20 A copy of the procedures is available in the office for staff to refer to when needed. Staff are aware of these and were able to confirm the process to follow. The manager discusses the procedures, the importance of treating guests with respect and reporting unacceptable behaviour towards guests within staff supervision sessions. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 21 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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Close is well maintained, homely and clean and offers guests a pleasant, comfortable and safe environment that is ideally situated in which to enjoy a holiday type experience. EVIDENCE: The standard of the furnishings and fittings in this home are good and reflect the period and character of the building, presenting an attractive and comfortable environment for guests.In addition to this the building’s situation offers the opportunity of holiday experiences being near to the sea. A good maintenance programme promotes the high standard of décor and furnishings throughout this building and the maintenance person works with discretion and interacts with guests positively. The cleanliness of the home reflects good and effective cleaning routines as well as effective procedures relating to infection control. Staff receive training The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 22 in relation to this and domestic staff have successfully worked through NVQ training relevant to their role. One member of staff has recently attended in depth training regarding infection control and is now an Infection Control Champion and uses her role to ensure that staff are aware of good practice regarding infection control. The building is surrounded by well-kept and well-designed gardens that guests can safely access. Good quality garden furniture and a barbecue allow for varied outdoor activities and the steps down into the garden area now have hand rails so that guests with mobility problems have the support needed to promote their independence. The building is a large listed building that that does not have a lift, however the majority of people who use this service are physically able and can manage the stairs. There are two rooms on the ground floor that people that find it difficult to access the stairs use and a bath seat and grab rail in the bathroom supports bathing needs. The limitations that the building presents are stated very clearly the Statement of Purpose. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 23 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): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment & selection procedures and regular training opportunities ensure that guests are safely and appropriately supported. EVIDENCE: Staff interact with guests in a respectful and sensitive manner and clearly demonstrate that they have the appropriate skills and knowledge relating to guests’ needs. They show enthusiasm about their role and work effectively with the manager to develop the service. Staff work well as a team and are empowered to develop care plans and the service in general. They have worked hard to establish a varied programme of activities and information that is accessible, to meet the diverse needs and interests of guests. Staff receive a good and varied training programme that offers appropriate opportunities to develop and learn skills related to their role. They are all up to date with mandatory training and have attended training courses that include: Autism, Team Building, British Sign Language (BSL) and other training The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 24 related to sensory impairment. All of the staff working at the service have now achieved NVQ 2 or 3. Staff files are well organised and clearly demonstrate the individual training undertaken. Learning and Development Records clearly records structured induction training based on the Skills for Care and the Learning Disabilities Award Framework (LDAF) standards. Any new staff have been seconded from other posts within the organisation and therefore have not needed to go through all of the recruitment procedures. However the recruitment records confirm that the service’s robust procedures are followed. The appropriate information is in place including application forms, 2 references and CRB checks. Guests who use the service are involved with the recruitment of new staff and at a previous inspection a guest discussed the questions they had asked. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 25 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): 37,39,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager operates a well-run service, in a way that creates an atmosphere of openness and respect, in which guests, their families and staff feel valued, listened to and empowered. EVIDENCE: The manager has been in post for 2 years. She is registered with the Commission for Social Care Inspection (CSCI) as the registered manager and has worked hard to establish her position within the home. The manager is qualified in NVQ Level 4 in Management and Care and has completed the Registered Managers Award (RMA). She is up to date with mandatory training and attends regular training sessions related to her role. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 26 The manager, supported by her deputy manager, administrator and staff team, has worked hard to establish a service that is run in the best interests of the guests that visit the service. All guests spoke very highly of the service received and emphasised how much they enjoyed visiting The Close. The manager continues to empower staff to take responsibility and to develop the service. Informing staff and keeping them up to date with new legislation and good practice help to achieve this. For example: two members of staff have completed communication passport training, and two have completed person centred toolkit training; all staff have attended an information session regarding the Mental Capacity Act and a member of staff is currently Charter Champion and responsible for ensuring that guests are aware of the Learning Disability Partnership Customer Charter. A Quality Assurance System has been developed that is based on the National Minimum Care Standards and which the manager monitors on a monthly basis. Monthly visits from the local council’s Performance and Governance Team also monitor the standard of service delivered and guests are consulted at each of their visits about their satisfaction of the service received. Questionnaires are sent out to families and carers and the responses are recorded and acted upon. Plans are put in place for annual developments for the service based on the outcomes of the surveys. Records kept in the home, including the accident and fire records are well maintained and securely stored and staff work reflecting their knowledge of health and safety procedures. The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 27 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 3 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 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 3 X X X 3 X The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations The Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Close Short Break Service DS0000032753.V373089.R01.S.doc Version 5.2 Page 30 - 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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