Care Home: The Penant

What the care home does well Staff at The Penant are positive in their approach to their work and work well together to meet the needs of those living at the home. The staff respect the needs and rights of those living at The Penant. The physical, emotional and social needs of the people were assessed and documented with regular reviews of care plans and risk assessments. All people living at the home have full and varied programme of activities throughout the week and told the inspector that there were opportunities for shopping and social trips at evenings and weekends. Trips to local pubs and restaurants are particularly popular. People were supported to take part in household tasks and all took some level of responsibility for keeping their own rooms clean. What has improved since the last inspection? Improvements to the back garden area and upgrading of laundry facilities are planned. More staff have been recruited. Care Plans are being developed so they are more person centred. They include clear guidance to staff as to the level of intervention required by service users and have clear dates set for evaluations. Risk assessments are concise and lay out the risk as well as the management plan to be followed to reduce any level of risk to a minimum. Service users are supported to take risks as part of an independent lifestyle. What the care home could do better: There are no requirements as a result of this inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Penant 7-9 Harold Road Clacton on Sea Essex CO15 6AJ     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: Helen Laker     Date: 1 2 0 5 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 27 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 27 Information about the care home Name of care home: Address: The Penant 7-9 Harold Road Clacton on Sea Essex CO15 6AJ 01255475688 01255475306 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) : The Regard Partnership Ltd care home 10 Number of places (if applicable): Under 65 Over 65 3 learning disability Additional conditions: 10 Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 10 persons) The total number of service users accommodated in the home must not exceed 10 persons Three named persons over the age of 65 years who require care by reason of a learning disability Date of last inspection Brief description of the care home The Penant comprises of two Victorian dwellings joined by a connecting door, located close to the sea front at Clacton on Sea and the amenities the area has to offer. The home is managed by one registered manager and accommodates six people with a learning disability. The accommodation offers single rooms all of which, bar one, have en-suite facilities. There are adequate communal and bathing facilities. The front garden is mainly laid as a hard standing for vehicle parking, with a smallbordered area. The rear garden is enclosed and is also mainly laid as a patio area with Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home some small-bordered areas. The fee range for staying in the home is from 689.72 pounds to 1649.36 pounds per week, with additional charges being made for items such as hairdressing, toiletries, magazines and personal shopping. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was carried out as part of the annual inspection programme for this home. The manager was available on the day of the inspection. The inspection focused on all of the key standards. A tour of the premises was undertaken. Evidence was also taken from the Annual Quality Assurance Assessment (AQAA) completed by the management of the home and submitted to the CQC. The AQAA provides an opportunity for the service to tell us what they do well and areas they are looking to improve and/or develop. It is anticipated that improvements or changes be noted as this contributes to the inspection process and indicates the Care Homes for Adults (18-65 years) Page 6 of 27 homes understanding of current requirements, legislation changes and own audited compliance. Six residents and five staff were spoken with during the inspection. Comments were also taken into account from completed CQC feedback survey sheets. All comments were taken into account when writing the report. Due to the care needs of the residents at the home it was not possible to fully obtain all their views specifically but from observations, residents looked happy, relaxed, well groomed and comfortable. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 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. Prospective residents are supported by the transition arrangements for admission into the home and can be confident they will receive information to enable them to make a positive and informed choice about where they wish to live. Information is available to prospective residents to ensure they will receive accurate information about the service or facilities on offer when deciding to move to the service. Evidence: A copy of the homes statement of purpose and service users guide had previously been provided to the Care Quality Commission and met regulatory requirements. The manager confirmed that a copy of the service user guide would be made available to any interested party, and copies were seen on each service users file. We are informed that this document is regularly reviewed and is just being updated. This enables current and prospective residents to have access to information about the home. The AQAA also confirms The home has a comprehensive pre admission needs assessment proforma which covers all areas recommended under the National Minimum Standard 2. Each service user is provided with a copy of the service user guide in user friendly Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: format and also a Statement of Purpose, both of which are planned to be available in audio format. Assessment details for three admissions to the home since the last key announced inspection, in May 2007 were reviewed. The manager confirmed that the home visits prospective new residents to carry out their own pre admission assessment prior to agreeing any admission, to ensure they can meet the persons needs. The home records this on a set form, with scope to record brief information on all key areas of need. An example of this was seen on the files inspected. It was noted that on each of the three files examined the date of assessment matched that of the day of admission, although in discussion the manager confirmed that visits and consultations could not take place on this occasion as they were emergency admissions who were all admitted on the same day. the homes normal practice, would be that visits take place prior to each service users admission. The manager also stated that prospective residents are encouraged to visit the home, and can have an overnight stay, in order to check whether they feel the home has the facilities to meet their needs. The home obtains a local authority care management assessment for each new resident which is helpful when determining an accurate picture of the prospective service user and care tasks required to meet their needs. The home provides facilities and staff training appropriate to the needs that the home aims to meet. Residents spoken with were satisfied that the home had the skills and resources to meet their needs. One service user stated They know how I like things A staff member also commented that they understand the residents needs and provide appropriate care and support. Care Homes for Adults (18-65 years) Page 11 of 27 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. Residents can expect to be supported by their care plan arrangements because they are consulted about the things that affect their lives. Residents are protected by the arrangements for the assessment of risk. Evidence: The home has care plans for each resident, covering personal and health care needs, social, emotional and behavioural needs, and needs relating to financial management and restrictions of choice. These are being redeveloped systematically to include more pictorial information and become more person centred including individual diaries being kept for each resident. In all this had not changed since the homes last inspection where in some instances details of the action required by staff to support a specific need was fairly brief, but this was supplemented by further information recorded on a risk assessment form. This covered a good range of relevant risks (including medication, falls, pressure areas, scalding, diabetes, smoking, going out on Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: ones own, challenging behaviour, gender sensitivity and any areas of risk of abuse). In one case a care plan was seen with good guidance on addressing a persons behavioural needs, in another instance it was good to see a care plan addressing short-term goals.The AQAA states Care plans are reviewed at least six monthly. All relevant, interested parties are invited to attend, and changes to person centred care plans (PCPs) made as appropriate. These changes are recorded and dated within the care plan. Key worker meetings take place monthly, and are documented and placed on file. These form part of the supervision format for keyworkers. Service users, professionals and advocates are involved in the care review process where appropriate. All risk assessments, risk management and risk evaluation plans are in place regarding service users taking identified or generic risks. There was evidence that residents and relatives had been involved in the development of their care plans and risk assessments, and also that these were being regularly reviewed. The issue of restraint was highlighted as one service user who used a lap belt whilst in a wheelchair did not have a risk assessment to cover the same. The manager stated she would attend to this and ensure one was in place. Service users spoken with confirmed they were involved in steps of their care planning. Daily recordings were seen to vary in some cases, and in one instance where a service user had sustained a physical health issue, such as a bad headache and there was no follow up mentioned via subsequent recordings and in others mainly the night recordings repetition was noted. This was discussed with the manager who agreed that variations in care planning and documentation would be monitored and training offered for staff where inconsistencies occurred. The AQAA tells us that Care plans are reviewed six monthly on an ongoing basis. Signatures evidenced this on the day of inspection when care plans were inspected. From discussion with residents and staff, it was clear that residents were encouraged to be involved in decision making about their lives, both on an individual level and as a group. One service user commented I enjoy it here and its my home now Each resident has a key worker, and those spoken with confirmed that they had a choice as to who their key worker was. From observations on the day of inspection, residents were making choices (e.g. how and where to spend their day, attending day centres, college courses and going swimming.) and were provided with information and support to make these. The manager stated that advocacy support would be obtained through social services if required. Risk assessments generally identified any risks relating to a persons daily activities, including their ability to manage their finances, and care plans had space to record any limitations of choice. Care Homes for Adults (18-65 years) Page 13 of 27 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. Residents can experience a relaxed environment and feel their choices and rights are respected and recognised in their daily lives. Residents can expect to receive an adequate range of food at times to suit their lifestyle and can expect to be supported by the staff team to maintain family links, friendships and access the community. Evidence: All the people living at The Penant had full programmes of daytime activities. These activities included education for arts and crafts and How I communicate courses, drop in centres such as Imperial House and lunch clubs on a Monday and Tuesday at Clacton family support, as well as individual shopping and shopping for the home. The home also undertook regular activities at evenings (Busby Club on Tuesday evenings) and weekends according to the needs and choices of individuals. Those living at the home reported that they often went to local pubs and restaurants for meals and Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: enjoyed going shopping had having walks along the sea front. One service user was taken shopping on the day of inspection and another swimming. The AQAA states The Homes Policy on receiving visitors is open door, with visitors being free to visit at any reasonable time of the day, key workers support Service users to maintain links with their families and friends through the use of the telephone, sending cards and photographs of holidays, Birthdays and Christmas Parties as well as exchanging cards. One service user also maintains contact through E-mail. Service users are free to choose where they receive visitors. Most people had regular contact with their families and visits to the home by relatives and friends are encouraged. The manager and service users confirmed that there was an open door policy at the home and visitors were welcome at any reasonable time. People living at The Penant said that they were able to choose how to spend their spare time. Some people were encouraged to participate in domestic tasks and take responsibility for keeping their own rooms tidy. This was supported by discussions with staff as well as entries in individual records. From discussions with people living at the home it was possible to form the opinion that people felt their rights were respected. Observed interactions between staff and people living at the home showed that people were treated with mutual respect and dignity was upheld. Discussions with individuals and the examination of records showed that a varied diet was offered with all nutritional needs being met. A four weekly menu is in place and service users have menu meetings where changes can be made. A full English breakfast is available for instance on a Saturday morning and weekly takeaways have also been incorporated into the menus. Staff stated that the menu was compiled jointly and that those living at the home participated in the shopping and meal preparation. The manager stated The residents can take part in as much or as little as they wish to Service users spoken to stated We have choices and enjoy the food and living here. Staff are encouraged to eat with the service users as the manager states it is conducive to discussion and information sharing. The meal observed on the day of inspection showed staff and service users interacted well during meals. Care Homes for Adults (18-65 years) Page 15 of 27 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. Residents can expect good support and assistance with health and personal care enabling appropriate consultation and respect of individual choice. People living in the home are adequately protected by the homes practice around administration of medicines. Evidence: Individuals spoken with, were happy with the way they were supported at The Penant and this was reflected within the care plans examined. Some people had an understanding of the contents of their individual plans and all had contributed to their development and review. Care plans identified individual needs, as well as the choices made as to how these needs were to be met. Care plans were well detailed, regularly monitored and formally reviewed at appropriate intervals depending on individual need. the AQAA states Service users receive support in a way which they prefer and require. Physical and emotional needs are met. All Service Users receive gender specific care in accordance with our Policies and Procedures. All service users are registered with a G.P., Chiropodist, Community Nurses, Dentists, Opticians, and Social Workers. Health Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: care records are clearly and concisely maintained. All service users are offered annual health checks. Service users medication is dispensed via a Measured Dosage System. All the Homes Care staff have received or are receiving training in the safe dispensing and handling of medicines. To supplement this training the Home carries out its own annual medication update programme. All our staff are offered and encouraged to achieve minimum Level 2 NVQ at no cost to the individuals. The ageing, illness and death of a service user are handled with respect and as the individual would wish. There was an ongoing process of review to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists, psychologists or the dementia clinic were accessed as necessary. Medication seen was appropriately stored, administered and recorded and the medication policies and procedures at the home afforded protection to those living there. No one living at the home was administering or controlling their own medication at the time of this inspection. Care Homes for Adults (18-65 years) Page 17 of 27 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. Residents can feel confident about how to complain and can expect to be listened to and their complaints acted upon. Residents can also be assured that all carers are adequately trained to safeguard their welfare. Evidence: The home has a robust complaints procedure that is currently being updated to include new details for the Care Quality Commission and was distributed to all people living at The Penant. Copies were seen in service users individual files. The adult protection policies and procedures were adequate to protect service users from abuse and where individuals presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. The Manager had copies of the Essex Vulnerable Adults Protection Committee guidelines and would refer to these in the event of a Protection Of Vulnerable Adults issue being raised at the home. People spoken with on the day of inspection said that should they have concerns or complaints they thought these would be taken seriously by the staff and manager of The Penant and appropriate actions would be taken. Care Homes for Adults (18-65 years) Page 18 of 27 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. Residents can expect the communal areas of the home and bedrooms to be of a good quality standard and to live in a clean and safe environment overall. Residents are assured that the maintenance of the home protects their health and welfare. Individual rooms are personalised promoting service users independence. Evidence: The building was in keeping with the local community and offered easy access to local community facilities. On the day of this inspection the home was clean and tidy, and no odours present, showing effective cleaning processes. Rooms viewed were in a satisfactory state of decoration, contained sufficient furnishings and fittings, and were homely and well personalised. It was good to see the wide range of personal items in peoples rooms, including equipment to pursue individual interests (e.g. watching SKY, TV/films, music, jigsaws, etc.). The service comprised of two semi detached houses that are linked internally by a door on the first floor. the manager told us that a new kitchen is to be installed in number seven and the laundry relocated. This would involve the gardens being converted to adjoin each other by knocking down old sheds currently dividing the two and the front care park is to be re surfaced. Externally, there was one large garden with a second, smaller paved garden. At the previous inspection, the paved garden Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: was of concern due to the potential trip hazards present and this area has now been improved. The homes laundry facilities were housed in outbuildings that will also be upgraded as part of the external improvements. All areas of the home visited as part of the inspection were clean and hygienic. Care Homes for Adults (18-65 years) Page 20 of 27 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. Staff employed in the home are appropriately trained and skilled to meet the needs of the people living in the home, and people were supported by the homes recruitment process. Evidence: Examination of staff records, as well as discussions with the manager and staff, gave evidence that care staff had a good understanding of their roles and responsibilities and that staff were qualified and competent. Staff spoken with on the day of inspection stated that training was regularly made available and the manager fully supported staff in meeting their training needs. Records examined showed that staff had received induction and mandatory training with ongoing refresher training. Records also showed that staff received regular formal supervision. The AQAA states with regard to NVQ qualifications that 1 Staff member has achieved NVQ 3, 1 Staff member is in the process of completing NVQ 3, 4 Staff members have NVQ 2 and 5 Staff members are in process of completing NVQ2 All staff complete annual statutory training requirements and the home does not employ carers under the age of 18, and those being left in a position of being in charge of the home are all over the age of 21. Examination of staff rotas showed that staff were employed in sufficient numbers to Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: meet the needs of those living at the home , creating an effective staff team. The home is using the Skills for Care Common Induction Standards for new staff. This enables the home to assess and evidence that a new carer has the knowledge and skills (i.e. competence) to meet the needs of residents, and evidence of inductions and supervision sessions were seen on staff files inspected. One new staff member spoken to stated Although they had some experience they found the induction helpful and felt it relevant to the work they undertake. Recruitment documentation inspected for two staff members included an application form, employment history, a criminal record declaration, evidence of identity and a photo, two written references, and a CRB and a POVAfirst check. The manager demonstrated a considered and responsible approach to recruitment issues discussed. This reflected a recruitment practice that aimed to protect service users. Care Homes for Adults (18-65 years) Page 22 of 27 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. Residents can generally be assured that all aspects of the home are managed appropriately. They should expect that quality systems be based upon appropriate consultation and that they safeguard their health and welfare. Evidence: The home continues to be managed in an open and inclusive manner and staff spoke positively of the working atmosphere. The manager has many years of experience in the field of learning disabilities and has achieved the NVQ level 4 Managers Award. The manager was able to provide evidence of undertaking periodic training to enable them to remain up to date with current best practice and theory. Courses recently attended included inclusive communication on the 23/04/2009 and a First Aid course booked for 01/06/2009. Discussions with people living at the home and the examination of records indicated that The Penant was managed in such a manner that considered the views of those living at the home. This was done through the homes quality assurance process that was managed at a corporate level and included regular service user meetings, staff Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: meetings and questionnaires to a range of stake holders including those living at the home, staff, relatives and other interested parties such as community nurses and social workers. The collation of these enables action plans for the home to be developed. In addition to this there was evidence of regular Regulation 26 visits by the Responsible Individual to monitor the effectiveness of the service. One was being undertaken on the day of inspection. Record keeping at the home was of a good standard and showed that the health, safety and welfare of those living at the home was promoted and protected. Fire detection and protection equipment was regularly serviced as were electrical appliances and equipment. The last fire drill was undertaken on the 16/04 2009 and the manager was advised that all staff attending should be documented. Care Homes for Adults (18-65 years) Page 24 of 27 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 27 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 9 Appropriate risk assessments for lap belts or other methods of restraint should be in place and be person centred. This also should include consultations with the service user and relatives to inform them of the same Care Homes for Adults (18-65 years) Page 26 of 27 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. 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