Care Home: The Dales

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well People have a nice home to live in that has a nice garden where they can sit and enjoy the weather.The people living in the home are given information about the home and it tells them how much it costs to live there.The people living in the home can choose what they want to do and they will be helped to do it. People are taken on holiday.Each person has a care plan. This tells staff how to help the person.The staff help the people living in the home to see the doctor, or go to the hospital when they are not well.The food is varied with fresh fruit available to help keep people healthy. What has improved since the last inspection? Since the last inspection people living in the home have been given a key to the front door. The home is keeping better records to show how they are helping the people living in the manage their money. People living in the home get their medicines as the doctor has said they need it. What the care home could do better: The home must ensure that the people working in the home have the training they need to ensure that they can help the people living in the home safely.The home must lock away things like bleach so that people are safe.The door to the cellar must be kept locked so that people do not fall down the stairs. Key inspection report Care homes for adults (18-65 years) Name: Address: The Dales 137 Gillott Road Edgbaston Birmingham West Midlands B16 0ET The quality rating for this care home is: one star adequate 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: Kulwant Ghuman Date: 2 1 0 8 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 35 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 35 Information about the care home Name of care home: Address: The Dales 137 Gillott Road Edgbaston Birmingham West Midlands B16 0ET 01214540197 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Mary Slammon care home 7 Number of places (if applicable): Under 65 Over 65 7 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 7 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 categories: Learning disability (LD) 7 Date of last inspection 0 1 0 6 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 35 A bit about the care home The Dales is in Edgbaston in Birmingham and is a semi detached home in a street with space for parking cars on the street. There are bedrooms on the ground, first and second floor. The home is suitable for people who can use the stairs. Each person has a bedroom with wash hand basin. Care Homes for Adults (18-65 years) Page 5 of 35 There is a bathroom on the first floor. Four bedrooms have a shower. There is a large lounge at the front of the home and a dining room and kitchen area and laundry facilities. The garden has been developed to include two seating areas with comfortable garden furniture. Paving around the garden allows for short walks. The service user guide indicates that the fees at the home range from £1358.52 to £1.784.32 per month. Care Homes for Adults (18-65 years) Page 6 of 35 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 35 How we did our inspection: This is what the inspector did when they were at the care home This inspection was carried out by two inspectors over two days during August 2009. The home knew we were going to visit. Before this inspection we carried out a random inspection in June 2009. Because the home had not done what we had asked them to do we gave them a notice telling them what they had to do and by when. We tried to find out what it was like for people to live there by talking to some of the people living in the home. Care Homes for Adults (18-65 years) Page 8 of 35 We looked at how the home meets the law. We looked at how the home can do things better. Before this visit we looked at all the things we had been told about the home. This included things that had happened in the home since the last inspection and what other people told us about the home. Two people living in the home were case tracked. Tracking peoples care helps us understand what it is like to live in the home. We did this by meeting and observing them and talking to the staff about their care. We looked at their care files and some policies and procedures. Policies are rules about how to do things. Procedures tell people how to follow the rules. Care Homes for Adults (18-65 years) Page 9 of 35 We looked around the home and records about staff and health and safety. What the care home does well People have a nice home to live in that has a nice garden where they can sit and enjoy the weather. Care Homes for Adults (18-65 years) Page 10 of 35 The people living in the home are given information about the home and it tells them how much it costs to live there. The people living in the home can choose what they want to do and they will be helped to do it. People are taken on holiday. Each person has a care plan. This tells staff how to help the person. The staff help the people living in the home to see the doctor, or go to the hospital when they are not well. Care Homes for Adults (18-65 years) Page 11 of 35 The food is varied with fresh fruit available to help keep people healthy. What has got better from the last inspection Since the last inspection people living in the home have been given a key to the front door. The home is keeping better records to show how they are helping the people living in the manage their money. People living in the home get their medicines as the doctor has said they need it. Care Homes for Adults (18-65 years) Page 12 of 35 What the care home could do better The home must ensure that the people working in the home have the training they need to ensure that they can help the people living in the home safely. The home must lock away things like bleach so that people are safe. The door to the cellar must be kept locked so that people do not fall down the stairs. Care Homes for Adults (18-65 years) Page 13 of 35 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kulwant Ghuman Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel: 03000 616161 Fax: 03000 616171 Email: enquiries.westmidlands@cqc.org.uk www.cqc.org.uk If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 14 of 35 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 15 of 35 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process into the home ensures that people receive written information about what is available in the home. Evidence: The service user guide in place was in a format that the people living in the home could understand and had pictures to make it more user friendly. At the last key inspection it had been identified that the fees charged at the home needed to be included in the service user guide.This had been done so that people living in the home and people thinking of moving into the home know how much it costs to live there. The service user guide also needed to update the contact details of the Commission so that people would know where to contact us. This had not been updated. As at the last inspection there were contracts on the files of the people living in the home so that they knew what services they would receive at the home. No new individuals had been admitted to the home since the last key inspection as a Care Homes for Adults (18-65 years) Page 16 of 35 Evidence: suspension on referrals to the home was in place due to ongoing safeguarding issues. Care Homes for Adults (18-65 years) Page 17 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Updated care plans were in place but they needed to be further developed. This would mean that any new staff would have all the information they needed to be able to assist the people living in the home in a person centred way. Risk assessments needed to be robust and cover all areas identified to ensure that the people living in the home were kept safe. Evidence: We case tracked the care given to two of the people living in the home. This involved looking at their care files, talking to the individuals and speaking to staff about their care. The two people whose care we looked at had a pen picture, care plan and risk assessments in place. The pen pictures gave a good overall picture of the what the individuals liked to do and who they liked to keep in touch with. The care plans covered areas such as daily routines, health and diet, personal hygiene, Care Homes for Adults (18-65 years) Page 18 of 35 Evidence: relationships, personal safety and communication needs. The care plans had some good details about how the staff were to assist the individuals and how much they could do for themselves. During conversations it became evident that the manager and the people working in the home had more knowledge about how the individuals were to be assisted than was written. It was important that all this information was written down so that new staff knew how to assist the individuals. Also it was noted that there were documents on peoples files that had been updated however, the old ones were still on the files. This could be confusing for new staff and it was suggested that these are archived so that the files are easier to follow for staff and the people living in the home when they look at their files. The section in the care plans relating to communication had not been understood and included the wrong information in them for example, X is aware of body weight and need for exercise. These care plans should indicate what the preferred method of communication for each person living in the home was. For example, they should state what level of verbal communication they have, what mechanisms of making themselves understood they used, how staff would know that they were in pain, angry or upset from their body language. The care plans did show what tasks individuals undertook within the house but the care plans should be developed so that the emphasis is on encouraging independence and setting goals rather then having things done for them. There were some risk assessments in place however these could be further detailed. For example why one individual needed to be escorted when he went out and what the mental health relapse indicators for another were and what staff needed to be aware of and how to respond. The people living in the home are given some choices such as having a front door key, what activities they do, what time they go to bed and get up when they do not want to have an organised outing. Care Homes for Adults (18-65 years) Page 19 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home were being assisted to have meaningful activities to ensure that they were not bored. The food provided in the home was varied and nutritious. More emphasis could be put on developing the independence of the people living in the home so that they could be as independent as possible. Evidence: At the time of this inspection there were two people who were at home. One was unable to attend his day centre for a medical reason. We were told by the manager that the other person was able to attend Kennedy Club three times a week and a Mencap club twice a week. Plans were being made for him to attend a college in September. This will enable the individual to take part in meaningful activities if he wants. There had been some meetings with the people living in the home to discuss issues such as events that had happened in the home, menus and holidays. The minutes of the meetings, we saw during the inspection, indicated that one individual said that they had wanted to go on holiday to Spain, there was information to show how the decision to go Care Homes for Adults (18-65 years) Page 20 of 35 Evidence: on holiday to Turkey had been reached. However, he did tell us that he had enjoyed his holiday to Turkey. The minutes also showed that issues such as having a Pizza night could be acted on more quickly so that the people living in the home would feel that their views were being listened to. This issue had been raised in April and then again in June. There were some good relationships between the home and relatives of the people living in the home. One family told us during the inspection that they were happy with the care being given by the home and that their relative was happy living there. There were also good interactions evident between the staff and the people living in the home. We were told and there was some evidence in the daily recordings that people accessed the local shops, pubs, parks, colleges and day centres. One of the individuals was attending church on a Sunday showing that peoples relgious and spiritual needs were being met. One of the areas that the home could develop is ensuring that opportunities are provided to develop personal life skills to ensure that the people living in the home are able to be as independent as possible. The people living in the home were provided with a variety of meals and packed lunches when they were out of the home. There was evidence that the meals were varied and alternatives were available. There was a cooked breakfast available at weekends and drinks and biscuits available before bed. Care Homes for Adults (18-65 years) Page 21 of 35 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. The personal and health care needs of the people living in the home were met well by the staff at the home and medical professionals involved in their care. Evidence: The people living in the home were fairly independent in their personal care needing only prompting and supervision to ensure they had carried out these tasks. It was evident from discussions with the manager and staff in the home that they knew the needs of the people living in the home very well. There was information about what the individuals likes were in the pen picture but these were not always written in the care plans. This could mean that new staff may not have access to this information and therefore not be able to provide support in the way people wanted. All the people living in the home seen during the inspection were dressed appropriately for the weather, their age and reflected personal preferences. There were health action plans in place and these indicated the individual health care needs of the people living in the home. There was evidence that the health needs of the individuals were being appropriately met. There was input from the opticians, dentists, GP and district nurses as needed. Care Homes for Adults (18-65 years) Page 22 of 35 Evidence: One person in the home had some mental health issues which were well controlled however, there was a need for staff to be made aware of the types of indicators that would suggest that the individual was not well and what actions the staff needed to take. Care Homes for Adults (18-65 years) Page 23 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people livng in the home were happy there and they had opportunities to raise issues of concern. They were being safeguarded from financial abuse but the recruitment process was not robust enough to safeguard them fully. Evidence: There had been no complaints received about the home since the last inspection. At the time of the last key inspection a safeguarding issue had been raised. The individual concerned was no longer living at the home and the member of staff had returned to work at the home. Health and Social Care had been involved in assessing that the needs of the people living in the home were being met and that the home was being compliant with their contract. Following the last key inspection Health and Social Care had put a suspension on the homes contract. This was still in place at the time of this key inspection. At the last key inspection it was identified that the records for the management of monies for the people living in the home were not sufficient enough to safeguard them from abuse. A random inspection was carried out on 1.6.09 to check on the progress in respect of the requirement made to ensure adequate records were kept however, it was found that the records were still not robust enough. As a result a Statutory Requirement notice was issued on 23.7.09. Compliance with this notice was checked at this key inspection and Care Homes for Adults (18-65 years) Page 24 of 35 Evidence: found to have been met. At the last key inspection it was also noted that the recruitment process was not robust enough to safeguard the people living in the home. The recruitment process needed to be robust ensuring that the manager made sure the references were from whom they said they were from. Care Homes for Adults (18-65 years) Page 25 of 35 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided a comfortable and homely environment for people to live in. Evidence: As at the last inspection the home continued to be suitable for people with full mobility as there was no passenger lift or stair lift in place. The only adaptation made to the home was the availability of an emergency call system that was in place. The communal areas of the home were clean, comfortable and homely. This included the lounge, dining room and garden area. There was a suitable bathing facility on the first floor and the three bedrooms seen were found to be comfortable and personalised. Issues that the manager needed to be mindful of was that the laundry door was kept locked or items such as bleach are locked away so that the people living in the home are kept safe. The door to the office in the cellar should be kept locked and the keys removed to ensure that people living in the home do not fall down the steep steps. Care Homes for Adults (18-65 years) Page 26 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedure needed to ensure that it was robust so that the people living in the home were safeguarded. Records showing which staff are on duty need to be accurate so that the people living in the home can be assured that the staff on duty have the skills and knowledge needed to assist them. Evidence: The manager has recruited some staff for the home. Checks were in place to ensure that the people were suitable to work in the home but the checks were not robust. The manager needed to ensure that reference requests were sent directly to the referee and that at least one reference was from the last employer where possible. Any recruitment checks that showed any issues of concern should be risk assessed and the assessment placed on the personnel files. The manager needed to ensure that new staff undertook a skills for care induction programme to ensure that they had the skills and knowledge to care for the people living in the home. The staffing rotas did not indicate which week they referred to and did not accurately reflect who was on duty. Changes to the staffing complement should be made to the Care Homes for Adults (18-65 years) Page 27 of 35 Evidence: rotas to ensure that it can be determined who is on duty at any particular time and that the staff team can meet the needs of the people living in the home. There should be a training and development plan for each person employed in the home and a training matrix maintained that shows the training that each individual has undertaken so that it can be assured that everyone has had the required training. Care Homes for Adults (18-65 years) Page 28 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home has improved since the last key inspection but further improvements are needed to ensure that the people living in the home are provided with a good service. Evidence: The owner is also the manager of the home and has many years experience of running the home. It was evident that she was knowledgeable about the needs of the people living in the home and they were comfortable in her presence. She is caring and has the interests of the people living there at heart but she needs to ensure that the people living in the home are assisted to be more self sufficient and develop their daily living skills. No information has been gathered since the last key inspection to show that the service has been improved and that the views of the people using the service, their relatives and of professionals visiting the home have been taken into consideration. The manager should ensure that this information is gathered, collated and a report made available on what improvements are to be made to ensure that the service continues to develop. Care Homes for Adults (18-65 years) Page 29 of 35 Evidence: Over the past few years she has not maintained documentation such as financial records, recruitment records and staffing rotas in way that meets the requirements of the care homes regulations. This has not always safeguarded the people living in the home. Where discrepancies have been pointed out through the inspection process these are being addressed but the response has been slow. Since the last key inspection improvements have been made so that the people living in the home are judged to be receiving an adequate service. The home must show that the improvements can be further improved and sustained improving the service being provided to the people living in the home. Issues that have need to be attended to following this key inspection are the management of accurate rotas showing who is on duty in the home, ensuring that there is a development and training programme for the staff ensuring that the people living in the home are supported by suitably trained and knowledgeable people. The manager ensures that the equipment used in the home is regularly maintained and serviced so that it safe for use in the home. Fire records show that the appropriate tests are undertaken on the fire fighting equipment in the home ensuring their use worthiness. Other ways in which the manager needs to ensure the safety of the people living in the home are by keeping all dangerous substances such as bleach locked away, the door to the cellar kept locked so that people do not fall down the steep stairs and dating all foods in the freezer so that they are used before the use by dates ensuring they are safe to eat. Care Homes for Adults (18-65 years) Page 30 of 35 Are there any outstanding requirements from the last inspection? Yes  No  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 31 of 35 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 42 13 The management of the 30/09/2009 home must ensure that substances covered by the COSHH regulations are kept locked away securely and the cellar door is kept locked. This will ensure that the people livig in the home are protected from unnecessary risks. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The service user guide should be updated to include the correct address and telephone number of the commission. This will ensure that people have access to the correct contact details if they wish to contact us. A clear communication care plan should be in place for people who have limited verbal communication. This will ensure that the people living in the home will be able to Page 32 of 35 2 6 Care Homes for Adults (18-65 years) 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 make themselves understood. 3 6 Care plans should include all the known information about individuals needs so that staff can be clear about how they should be assisted. This will ensure that people are provided with person centred care. Care files should be organised so that only the most recent information is available. This will ensure that staff and the people living in the home can access information safely. Care plans should show the goals people living in the home want to achieve. This will ensure that they are encouraged to be as independent as possible. 4 9 The manager should ensure that all risks are fully documented and cover all the areas identified as risks. This will ensure that the people living in the home are kept safe. Greater emphasis should be put on maintaining and developing independent living skills. This will ensure that the people living in the home acheive their full potential. Records in the home should clearly show how specific decisions are arrived at. This will ensure that the people living in the home are fully involved in decisions made about their lives. Mental health relapse indicators should be available to all staff to ensure that they know what actions to take in the event of mental health relapse. Insulin should be stored so that it safe and accessible only individuals authorised. This will ensure that the people living in the home are safeguarded. The manager should ensure that employment checks fully safeguard the people living in the home. The manager should ensure that foods in the freezer are adequately dated. This will ensure that the food is safe to be eaten. The manager should ensure that the staff receive the training they need to ensure that they can assist the people living in the home in a person centred way. Page 33 of 35 5 11 6 14 7 19 8 20 9 10 23 30 11 32 Care Homes for Adults (18-65 years) 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 12 34 The manager should ensure that the recruitment process is robust and ensures that people employed in the home are suitable people and safeguards the people living there. The manager should ensure that the staff working in the home have the skills and knowledge to care for the people living there. This will ensure that the people living in the home get the support they need. The quality assurance system should be developed and used to improve the service for the people living in the home. The manager should ensure that the record keeping in the home safeguards the people living in the home. 13 35 14 39 15 41 Care Homes for Adults (18-65 years) Page 34 of 35 Helpline: Telephone: 03000 616161 or 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 35 of 35 - 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!