Care Home: The Gables

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The booklet that tells people about how the service works is known as the residents` handbook; it is a clear and detailed document so that people who have the information they would need to decide if their needs could be met at the home. Staff from the home had checked what people`s care needs were before they moved into the home. This means that people moving into the home and staff have the necessary information to make sure that the person`s needs will be met at the home. The staff team is stable and the staff are keen for high standards to be maintained, so that people who live in the home receive good quality care. Day to day supervision of staff is good and staff receive regular support form their line manager to make sure they provide good care to the people who live in the home. Plans of care and individual care notes for people who live at the Gables are well documented so that staff know what they should do to meet people`s needs. Referrals to the appropriate health care professionals take place when necessary to make sure that people stay as healthy as possible. Meals were varied and reflected people`s preferences. They are offered a range of choice and variety so they are able to enjoy a varied diet to keep them well and healthy. People at the home said "The home is always fresh and clean", "Some decisions are made by the staff but I can make a lot of decisions as well. The staff are sometimes strict", "I know who to speak to if I am not happy", "The staff always treat me well" and "The staff always act and listen to what I say". Staff said "We keep the house happy and friendly and make sure residents are healthy as well", "We take care of the residents well and look after their health, safety, welfare and individual needs", "We cope well with the variety of different service users needs. We have a good team of staff in force", "The staff work above and beyond the call of duty to support the residents. All the staff care deeply for the residents and always try to do their best for them". What has improved since the last inspection? The manager had taken appropriate action to address those areas where the home needed to make improvements and these included: Risk assessments being reviewed regularly; several medication issues have been addressed relating to the processes used; staff have received training in adult abuse awareness and have seen the homes policies regarding this; and issues relating to the interior and exterior of the building have been addressed. Other issues raised at our last inspection of the Gables included reviewing the residents handbook, ensuring staff have sufficient information if a person is admitted in an emergency, maintaining records with regard to people with behaviour that challenges, reviewing the staffing levels and ensuring people`s financial transactions are recorded appropriately. What the care home could do better: We recommend that the residents handbook be reviewed and new information be included as necessary. Also that monthly key worker reports are completed so that a full picture of each person`s activities can be easily seen. We also suggest that records of visits people receive from healthcare professionals are transferred to the relevant sheets so that their health needs can be accurately monitored. We also suggest that when the temperature of the hot food is checked that this information is recorded. Also that the medication cupboard is secured to the wall for added safety and security. The address of the commission should be changed on the complaints procedure and the smoking policy should be updated. Mandatory training and appraisals should be brought up to date for the staff team. Fifty percent of the staff team should also obtain NVQ level 2 in care and copies of identity checks should be kept on staff files. Staff were asked if there was anything they thought could be improved within the service and comments included "Covering for shifts when staff feel ill", "Training the staff to higher standards", "Support workers to get more involved in care plans and other issues regarding the residents." Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Gables 11 Heathside Road Withington Manchester M20 4XW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Maureen Brown     Date: 1 0 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: The Gables 11 Heathside Road Withington Manchester M20 4XW 01614457757 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Teresa Williams care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The home must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home provides care for a maximum of 9 service users requiring care by reason of learning disability. Two named service users are aged 65 or over. Should these service users leave the home, the places will revert to the service user category LD. Date of last inspection Brief description of the care home The Gables is a registered care home providing 24-hour accommodation and support for nine adults with a learning disability. The home is situated close to the centre of Withington and is in keeping with the surrounding area and comprises of two semi-detached houses converted into one. The accommodation is arranged on two floors. The furnishings and fittings of the home are 7 Over 65 2 Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home domestic in style. The Gables aims to create a supportive environment, which enables service users to maximise their independent living skills. The home has long established links with the local community and good working relationships with the local health and social services. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out an unannounced visit to the home on 10 March 2009 and this lasted six hours. It was done by one inspector. The report will say we when referring to what was done and found at the visit as it is written on behalf of the Commission for Social Care Inspection. The visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to all the people living in the home and staff to find out their views about the home and service provided. Other information received about the home was also reviewed. During our visit we looked at various records and the premises. We looked at the care records of some of the people who live in the home, to see how their needs were being Care Homes for Adults (18-65 years) Page 6 of 28 met. We spoke to people who live at the home, the manager and staff on duty. They all gave their views about the home. What the care home does well: What has improved since the last inspection? The manager had taken appropriate action to address those areas where the home needed to make improvements and these included: Risk assessments being reviewed regularly; several medication issues have been addressed relating to the processes used; staff have received training in adult abuse awareness and have seen the homes policies regarding this; and issues relating to the interior and exterior of the building have been addressed. Other issues raised at our last inspection of the Gables included reviewing the residents handbook, ensuring staff have sufficient information if a person is admitted in an emergency, maintaining records with regard to people with behaviour that challenges, reviewing the staffing levels and ensuring peoples financial transactions are recorded appropriately. Care Homes for Adults (18-65 years) Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive enough information about the home for them to decide if it is the right place for them and their needs are checked before they move in to make sure these needs can be met at the Gables. Evidence: At the Gables the information leaflets available that tell people about how the home works and who it is for are known as the residents handbook. The information is in a bound book which is written in plain English in large print with many photographs included. The information included a welcome statement, frequently asked questions with answers, philosophy of care and complaints procedure. It was suggested that a copy of this be kept in the communal areas so that it was available to all the people who live in the home and the staff team. It was also recommended that this be brought up to date and that the review date is included in the document so that people would know that it was up to date. Peoples needs are checked before they move into the Gables, to make sure these needs can be met at the home. Details of these checks were seen in a number of care Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: plans that we looked at. The manager told us that she tried to avoid having people move into the home in an emergency but if this was necessary then appropriate measures would be put in place to ensure that the person moving in was safe and their care needs were checked as soon as possible so staff would know how to meet these needs. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal care needs of people living in the home are met effectively by the staff and support is provided in a way that ensures peoples privacy, dignity and choice is respected. Evidence: We looked at care plans of four people who live in the home to check on the care they were receiving. These showed the areas of support that each person needed and how this support was going to be provided by the staff team. The information included the care plan, daily and weekly activities sheets, risk assessments, client reviews and personal development records. The daily record sheets we saw were a good record of day to day events. We suggested that monthly key worker report sheets be completed so there was a good account, easily accessible account of a persons life in the home. People who live in the home are helped to make their own decisions about their daily lives. Individual choices are recorded in the care records so that staff know what peoples preferences are and how they would like their support to be provided. People Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: who live in the home are supported in managing their own finances and appropriate records are kept to show it is completed correctly. Staff encourage the people who live at the Gables to do whatever they want to do. Risks are assessed and recorded to make sure that people are safe in what they do. The wide range of risk assessments we saw were up to date and had been checked regularly to make sure they were still correct. We also saw records of what action the staff had taken to manage peoples behaviour that was difficult to deal with. These records showed that staff had dealt with these incidents appropriately. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home were able to take part in a range of activities so they can stay active and staff help people to stay in touch with their families and friends. Evidence: Each person has their own weekly activity plan which includes regular contact with family and friends, monthly disco, going to local shopping areas, meals out, visiting the local church, cinema, and gong to Ventura Arts, yoga and tag rugby. Some people also go to the local day centre and one person has a voluntary job locally. A file on activities available is also kept within the home. People who live in the home are offered choices in various ways, such as in the time they get up or go to bed, what they wear or by deciding what the do each day. Also by deciding or not to join in activities and also by how they wish to be addressed. These give people some control over their own lives and this helps them to stay as Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: independent as possible. A record of meals is kept and this showed a varied diet and choice of meat, fish, eggs, cheese and vegetables. The menu book showed breakfasts, two choices at lunchtime and dinner time and also supper preferences. The manager said that a variety of foods are bought each week and the people who live in the home choose what they want the night before. Records of fridge temperatures were recorded to ensure that food is stored at the correct temperature and the cook stated that she checked the temperature of the hot food although she didnt record this information. A recommendation was made that this was recorded in future. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health care needs of the people who live in the home are met by the staff team in a way that promotes the persons independence, privacy and respect. Evidence: The medicines for people who live at the Gables are supplied in monitored dosage packs so it is easier to make sure that the correct medicines have been given each day. The medication administration had been correctly completed so we could see that people had received their medicines as they were prescribed. There was a policy and procedure in the home that contained guidance for staff on giving out medicines. This included information about giving what are called homely remedies (medicines that can be provided without prescription) and covert medication (disguising medicine to help people take it more easily). It was noted that the medicine cupboard was not secured to the wall and we recommend that this is made secure. Visits people living at the Gables receive from health care professionals were recorded on medical appointment charts. These included appointments with the GP, dentist, chiropodist, optician, audiologist, psychiatrist and district nurses. Recording this information helps staff to see that peoples healthcare needs are being met. However, Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: although we saw this information in peoples daily notes, in many cases it had not been transfered to the medical notes and a recommendation was made that this information should be kept up to date. From discussions with people who live at the home it was clear that personal support is carried out as each person prefers, so that choice and respect are maintained. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Gables procedures for complaints and safeguarding adults are effective so that the concerns of people who live there are listened to and they are protected from abuse and harm. Evidence: We looked at some of the staff files and saw that they had completed training on safeguarding adults. The manager confirmed that the staff had read the local authoritys policy on safeguarding adults so they would know what to do to make sure that the people living at the Gables were protected from abuse. The manager said she was aware of the policy, procedure and guidance on safeguarding adults. Other policies were available at the home including dealing with violence and aggression, bullying, harassment, restraint, signs and suspicion of abuse and whistle blowing. No safeguarding referrals had been made by the home since our last visit there. The complaints procedure was satisfactory but a recommendation was made to change the address of the commission on this document so that people had the correct information on how to contact us if they needed to. No complaints had been received by the home nor has the commission received any complaints about this service since our last visit there. People who live at the home told us they would speak to a member of staff or the manager if they had a problem. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well-maintained so that people who live at the Gables live in clean, safe and comfortable surroundings. Evidence: We had a look around the home during our visit and we saw all the shared (communal) areas and some of the bedrooms. All the bedrooms are single and the standard of decor is good. The home was clean and there were no unpleasant smells. People who live at the home had made their bedrooms more homely by using pictures, furniture, photographs and having TVs, DVDs, computers and music players in their rooms. The manager confirmed that previous issues relating to the exterior and interior of the home had been met to ensure that people living at the home were living in a safe and comfortable environment. Care Homes for Adults (18-65 years) Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedures are thorough and staff had completed a wide range of training so people who live in the home are protected from poor practices. Evidence: The staff rota we saw showed the staff on duty over the week. The staffing levels appeared to be sufficient to meet peoples needs. People who live in the home confirmed there were usually enough staff around to help them and during our visit we saw that staff were attentive to peoples needs. We checked three staff files to see how they had been recruited. All the necessary pre-employment checks had been carried out. These included Criminal Record Bureau checks, health checks, references and completed application forms so the home knew where people had worked before coming to the Gables. These checks are carried out to make sure that staff are suitable to work with the people who live in the home. A recommendation was made to include identity checks and keep a record of these on file. The training staff had completed included induction, moving and handling, first aid, medication awareness, abuse awareness, food hygiene, health and safety and fire safety awareness. Other courses staff had done included learning disability awareness, Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: understanding death and person centred awareness. Some of the training that the staff must do regularly was not up to date and we made a recommendation that this should be brought up to date. Progress is currently being made with National Vocational Qualification (NVQ) level 2 in care training. Four out of ten staff have obtained this award; two staff were currently undertaking this and two staff were currently undertaking NVQ level 3 in care. These are nationally recognised qualifications for people working in the field of care and help to show that staff are knowledgeable and skilled to provide support for people. We made a recommendation that action should be taken to make sure that 50 of care staff in the home should obtain this award at Level 2. Day to day supervision of staff was good and most staff had received formal supervision sessions during November 2008. Annual appraisals had been carried out in the past but these had lapsed, and a recommendation was made that these be reinstated, so that the staff have the opportunity to discuss their work and future needs with their line manager so they can continue to provide good quality care to the people who live at the Gables. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures within the home are thorough so the health, safety and welfare of the people who live at the Gables is protected. Staff were supervised and there were processes in place to make sure that the Gables is run in the best interests of the people who live there. Evidence: The manager has twenty-eight years experience working in social care settings and has been the manager of the Gables since 2001. She has relevant managerial qualifications and has updated her knowledge regularly. There is an established quality assurance process used at the home. This includes meetings for people who live and work at the home and satisfaction surveys completed by the people who live at the Gables and their relatives and friends. This enables people to say what they think about the way the home is run and the services provided. The relatives and friends surveys were carried out in October 2007 and a recommendation was made that these be completed annually. Surveys for people who live at the home were carried out in August 2008 and comments included I am not Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: worried or unhappy here, I think I like living here and I am very happy with the activities provided. All the people who live at the Gables commented that they liked the meals provided. Residents meetings are held regularly and the last meeting was held in February 2009. Records are kept of all meetings held. Staff meetings are also held on a regular basis; the last one was held in January 2009 and records are also kept of these meetings. The manager confirmed that these meetings are usually held every three months. We looked at some of the homes policies and procedures to check these were being kept up to date and provided staff with the guidance they need. We found that policies are checked regularly to make sure they are up to date but we saw that the policy on smoking in the home needed to be reviewed and brought up to date in line with current laws. We saw that safe working practices were in place within the home. There were up to date safety checks on the homes gas installation and electrical hard wiring system. These are undertaken to ensure that the home is safe for the people who live there. The accident book was kept up to date and records were stored correctly to keep the information confidential. The fire safety equipment test log book was up to date and completed correctly to show that the tests were carried out regularly. A range of policies were available relating to health and safety and these included dealing with hazardous substances, health and safety, moving and handling, fire precautions, first aid and accident prevention. These all provided staff with guidance about how to carry out their work safely without any risk of harm to the people living at the Gables. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The residents handbook should be brought up to date with the new staff details, the address of the commission and to add the review date so that people can be assured of up to date information about the home. Monthly key worker report sheets should be completed as these will provide an easily accessible account of each persons life and progress at the home. Hot food temperatures should be recorded when taken so that food is served at the correct temperature. Visits to and from health care professionals should be recorded on the medical notes so that people have up to date information about their medical needs and staff can see that peoples healthcare needs are being met. The medication cupboard should be secured to the wall for extra security of peoples medication. The address of the commission should be updated in the complaints policy so that people have up to date information about how to contact the commission if they need to. 2 6 3 4 17 19 5 6 20 22 Care Homes for Adults (18-65 years) Page 26 of 28 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 7 32 50 of the care staff team should obtain NVQ level 2 in care or above so that people who use the service are supported by well trained staff. Identity checks should be carried out with each member of staff and a record of this kept on their staff file to show that all the necessary checks have been done before people start working at the home. All mandatory training should be brought up to date so that people are supported by well trained staff. Annual appraisals should be carried out so that the staff have the opportunity to discuss their work so that they can continue to provide good quality care to the people who live in the home. The surveys for relatives and friends should be completed annually alongside the ones for the people who live at the Gables so there is a regular check of what they think about how the home is run, to help make sure it is run in the best interests of the people who live there. The policy on smoking should be updated in line with current legislation so that all people are aware of current guidelines used within the home. 8 34 9 10 35 36 11 39 12 40 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!