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Care Home: Thorpe House

  • Thorpe House Sawcliffe Hill Dragonby Scunthorpe North Lincolnshire DN15 0BQ
  • Tel: 01724847788
  • Fax: 01724846688

Thorpe House is registered for the care of young people between the ages of 16 and 25 years who have disorders associated with Autistic Syndrome, and other emotional, and behavioural difficulties that are combined with other learning disabilities. Thorpe House is part of the Aalps College North development. The home is situated approximately five miles from the centre of Scunthorpe, and close to the village of Roxby. The accommodation is provided over two floors. It has been converted from an old public house and hotel The home has access to a gym on the site of Roxby House. This includes facilities for indoor games such as basketball, and has a separate weight training area. Also included are changing rooms and shower facilities, to assist the service users in developing their social skills when attending outside venues and sport centres The staff at Thorpe House promote diversional therapies, and provide these facilities as an alternative to hands on approaches when faced with aggressive or threatening behaviours. Thorpe House also provides education to support the service users to develop their social, interactive, and life skills, at the same time as promoting recreational and occupational activities. Previous inspection reports are made available to service suers and visitors in the entrance area of the home. The current fees for the home can be obtained through the management of the service. There are no additional costs incurred to the people that use the service. The fees also include personal allowances for the people`s diatry needs and to meet their leisure and holiday requirements.

Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Thorpe House.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Thorpe House Thorpe House Sawcliffe Hill Dragonby Scunthorpe North Lincolshire DN15 0BQ 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: Stephen Robertshaw Date: 2 2 0 7 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. 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 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 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) 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 31 Information about the care home Name of care home: Address: Thorpe House Thorpe House Sawcliffe Hill Dragonby Scunthorpe North Lincolshire DN15 0BQ 01724847788 01724846688 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) : www.optionsgroup.co.uk Wider Options Ltd care home 9 Number of places (if applicable): Under 65 Over 65 9 0 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home Thorpe House is registered for the care of young people between the ages of 16 and 25 years who have disorders associated with Autistic Syndrome, and other emotional, and behavioural difficulties that are combined with other learning disabilities. Thorpe House is part of the Aalps College North development. The home is situated approximately five miles from the centre of Scunthorpe, and close to the village of Roxby. The accommodation is provided over two floors. It has been converted from an old public house and hotel The home has access to a gym on the site of Roxby House. This includes facilities for indoor games such as basketball, and has a separate weight training area. Also included are changing rooms and shower facilities, to assist the service users in developing their social skills when attending outside venues and sport centres The staff at Thorpe House promote diversional therapies, and provide these facilities as an alternative to hands on approaches when faced with aggressive or threatening behaviours. Thorpe House also provides education to support the service users to develop their social, interactive, and life skills, at the same time as promoting recreational and occupational activities. Previous inspection reports are made available to service suers and visitors in the entrance area of the home. The current fees for the home can be obtained through the management of the service. There are no additional costs incurred to the people that use the service. The fees also include personal allowances for the peoples diatry needs and to meet their leisure and holiday requirements. Care Homes for Adults (18-65 years) Page 5 of 31 Care Homes for Adults (18-65 years) Page 6 of 31 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 Care Homes for Adults (18-65 years) Page 7 of 31 How we did our inspection: This is what the inspector did when they were at the care home The Commission visited Thorpe House on the 22nd June 2009. The site visit was unannounced and started at 9 in the morning. The Commission was in the home for approximately six hours. The atmosphere was very relaxed and the inspector spoke with four of the people that use the service. We also spoke with five of the care staff and the deputy manager of the home. What the care home does well The people that use the service have very good assessments of their needs completed before they are admitted in to the home. This helps to make sure that Thorpe House will be right for them. Access to the local community is very good. Everyone that lives at the home either attends voluntary work placements or attends college courses. This helps to develop their personal and independence skills. People that are prescribed medication can be sure that it is given to them safely at the home. The care staff receive the right training and supervision to make sure that they Care Homes for Adults (18-65 years) Page 8 of 31 have all of the skills and knowledge to be able to safely care for the people that live at the home. What has got better from the last inspection What the care home could do better The service needs to make sure that all parts of the home are accessible for people to use. The decoration of the home needs to be improved to create a more comfortable and homely environment for the people that use the service. The care plans in the home need to be more person centered so that people receive support in a way that is safe and is acceptable to them Care Homes for Adults (18-65 years) Page 9 of 31 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 Stephen Robertshaw 33 Greycoat Street London SW1P 2QF 02079792000 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 10 of 31 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 11 of 31 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service are provided with the opportunity to visit the home before they make a decision to move there on a more permanent basis. Evidence: The Commission looked at all of the care records for two of the people that use the services at Thorpe House. The care files that were observed by the Commission demonstrated that that the people that use the service had received a comprehensive assessment of their needs before they had been admitted in to the home. This included a care management assessment of their needs psychiatric and psychology assessments and educational statements of needs all completed by outside professionals The home had also completed their own pre-admission assessments to make sure that if people were admitted to the home , the service could meet all of their individual needs. The home does not accept emergency admissions and this allows more time for the comprehensive assessments to be completed accurately. Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: Direct observation completed by the Commission of the day of the site visit supported the evidence that the home has the capacity to meet the needs of the people that use the service. This evidence was also supported through interviews with staff and observation of their training and supervision records. This demonstrated that the staff have all of the necessary skills and knowledge to meet the needs of the people that use the service. This includes specialist training in relation to supporting people with Autism Spectrum disorders and challenging behaviours. Care Homes for Adults (18-65 years) Page 13 of 31 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service are provided with choices to meet their individual needs throughout their daily lives at the home. Evidence: The Commission looked at the care files for two of the people that live at the service. The care plan paperwork in the home has changed since the last inspection. The care plans at this visit were sen to be very generic and did not give much detail as to how individuals needed to be supported with their daily tasks. On previous inspections the care plans had been developed in a very person centered way. Several of the staff commented to the Commission that they preferred the previous care plan paperwork that was used by the home. The care plans continued to be evaluated on a monthly basis to make sure that they were still appropriate to the needs of the individual that they concerned. Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: The Commission directly observed the people that use the service during their daily activities at the home and there was evidence that they were able to decide for themselves how to fill their time. It was obvious that people had chosen their own clothes and decided for themselves what what food they want to eat. People living at the home are supported and encouraged to manage their own finances. Where they are not able to do this for themselves care plans to support them with their budgeting skills had been developed. The staff record all financial transaction undertaken in the home and full and accurate receipts observed to be in position. Risk assessments and risk management plans had also been developed to support individual care plans, however once again the detail of these assessments were very generic. Those seen by the Commission had been reviewed on a regular basis alongside the care plans that they supported. Care Homes for Adults (18-65 years) Page 15 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service are encouraged and supported to maintain and develop their personal lifestyles at the home and are provided with work experience in the wider community. Evidence: The people that use the service are supported and encouraged to develop their social, emotional, communication and independent living skills while they live at the service. The Commission looked at all of the activities for two of the people that live at Thorpe House. The service has done exceptionally well in assisting all of the people that live at the Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: home to gain work experience in the wider community. Care file information and discusions with people that use the servivce identified that some of these opportunities included working in charity shops, cafes, farm work and one person had just finished a diploma in Music at a local college. Discussions with people that use the service showed that they enjoyed the work experiences that they were involved in and that they had made their own decisions to attend their particlar place of work. The service has always had good relationships with the local community and these relationships seem to have got stronger possibly due to the fact that all of the people that live at the home have jobs in the community and are regularly seen around the local area. People that live at the home also accces the community on a regular basis to do their shopping for their meals and acessing activities including swimming pools, sports centres, the cinema and ten pin bowling. Individual care files identified areas of personal interests and hobbies. Care plan information that was observed by the Commission supported the evidence that individuals are encouraged to maintain and develop their personal relationships with familiy and friends. People spoken to by the Commission informed the Commision of how they keep in touch with their familiy and friends. One person said the care staff take me to see them. It was clear that all of the people that were living at the home were refered to by their preffered names. One persons records showed that the service had supported them in officially changing their name by deed poll. People that use the service are encouraged to use the public transport system, however for some people this is not possible due to their anxieties, therefore the home also has its own transport to help these people to get to places. Some of the people that use the service have their own transport that is provided though their mobility alowances. The fees for the people that use the service provides them with a weekly budget for their meals and they are supported by the staff to provide a healthy eating option menu. Some of the peole make meals for their peers, however some choose just to prepare their own meals. One person said I like making pasta. Care Homes for Adults (18-65 years) Page 17 of 31 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service have all of their personal and healthcare needs are met at the home or through their health care partners that are based in the community. Evidence: Thorpe House does not provide nursing care to people that use the service. If anyone has nursing care needs these are met through their GPs, community nursing teams, opticians, chiropodists, psychiatrists and psychologists. Good records are maintained of any contact that people that use the service have with outside health care professionals. The staff working at the home endevour to maintain their privacy, dignity and respect at all times in the home and when out in the community. When in the community the staff do not have their radios visible to make them less noticeable. Direct observations during the site visit helped to support this evidence. Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: All of the care staff that administer prescribed medication to the people that use the service had received accredited medication training. The care staff are also provided with refresher training for administering medication to make sure that their practices are correct and safe. The medication records in the home were looked at by the Commission and were found to be up to date and had been accurately recorded. The controlled medication at the home had been appropriately stored and recorded. The individual medication records were supported with a photo of the person that they were prescribed for, this helps to make sure that the person receives the medication that is prescribed for them. The medication records also included a record of the side effects that the medication could have on the individual. Peoples medication is provided in individual boxes provided by a local pharmacy. None of the service users living at the home were responsible for administering their own medication. The home did not have any resources to keep refrigerated medication safely. The home should provide a new medication fridge in the event that it may be required at any time dependent on new prescriptions being received by the home. Care Homes for Adults (18-65 years) Page 19 of 31 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This means that the people that use the service are protected from abusive situations at the home and there is a clear and easy to follow complaints procedure. Evidence: The Commission observed all of the complaints records in the home and identified that no formal complaints had been made in the home since the last inspection of the service. The homes complaints procedures were available on display in the home and are also included in the homes statement of purpose. The comlaints policy and procedure is also available in different formats to make sure that all of the people that use the service understand them and how to use them. The service responds professionally to any safeguarding issues that arise in the home and report them directly to the local safeguarding adults teams and policies and procedures were in position to protect the people that use the service from possible abusive situations. The staff that were interviewed by the Commission were aware of how to report suspected abuse and said that they had received adult protection training. The employment procedures of the home also help to safeguard the people that use the Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: service from harm. Care Homes for Adults (18-65 years) Page 21 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This means that the environment at the home meets the needs of the people that use the service, however there are some concerns in relation to the poor access to some of the facilities. Evidence: The home and its grounds provide a safe environment for the people to live in. The perimiter of the home including the care park are protected with CCTV cameras. However the service had in the last six months built two new out buildings in the grouds of the home. The intention of these units was to allow the people that use the home to re-build bycycles and offer other crafts. Unfortunately the work has been left unfinished. The buildings are complete, however the door ways are raised quite a distane off the floor and no steps have been added and therefor nobody can access the units, the positioning of the doors would also limit the use of the buildings to people with mobility problems. Staff spoken too by the Commission said that this position was very frustrating for the people that use the service as they had seen the buildings going up, were told about what they could do in them and were then stopped from using them because they couldnt get in. One person that uses the service told the Care Homes for Adults (18-65 years) Page 22 of 31 Evidence: Commission I want to go over there to fix bikes. The homes bedrooms include en-suite facilities. Since the last inspection of the service the shared bathroom in the girls area of the home has been taken out and both bedrooms have now been provided with their own bathroom facilities. The bathroom and toilet facilities in the home are all kept very clean and free of any offensive smells. Staff training records showed that they recieve infection control training. Staff interviewed by the Commission confirmed to us that they had recieved this training in the last twelve months. Thorpe House is provided with a budget to make any necessary repairs or carry out any maintenance in the home. However some areas of the home looked as if they needed to be decorated to create a homely environment. The home does not employ ang domestic staff. All of the domestic tasks in the home are undertaken by the care staff or by the people that use the service if this is identified in their care plans. The laundry facilities in the home are domestic in character and are programmable to disinfection and sluicing standards. People that use the service are responsible for maintaining their own personal hygiene and laundry needs, however some of the people that use the service have care plans to support them with these tasks. Care Homes for Adults (18-65 years) Page 23 of 31 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. This means that the staff working at the home have the necessary skills and knowledge to meet the needs of the people that use the service, however the general staff attitude in the home was very negative. Evidence: The Commission looked at the staff personnel and training files for three of the staff that were working at the home. These files included clearly defined job descriptions and role specifications. Since the last inspection of the service there has been a lot of changes to the staff group. This has happened due to staff leaving the service or transferring to/or from other parts of the service. Staff files also showed that several of the staff had been transferred to Thorpe House following disciplinary proceedings at the services sister homes. The staff morale was very low at the time of the inspection. The commission spoke with five of the staff that are employed to work at the home. They stated that their roles were difficult and it was hard to meet the care plan needs of the people that use the service due to the lack of staff or facilities that are available. They stated that Care Homes for Adults (18-65 years) Page 24 of 31 Evidence: there was a lot of staff sickness and this brought about a need for other people to work additional hours to make sure that the rota was complete. They said that this was difficult as the homes shift patterns are for twelve hours per shift. A recent regulation 26 visit to the home reported staffing levels seem to be quite stretched at the moment. No actions had been identified to remedy this position although the senior management had been made aware of them through the regulation 26 report. Training is still seen as being very important to the staff group and the home has a good commitment to NVQ training. Approximately 62 of the homes care staff have achieved National Vocational Qualification (NVQ) 2 in care. The training records in the home supported that the majority of the homes staff have completed all of their mandatory training and training in relation to the needs of people with autism spectrum disorder and challenging behaviours. However one member of staff that was interviewed by the Commission stated that in relation to training the service promise a lot but dont deliver. Some of the homes training is provided over an Internet connection. another regulation 26 report states the Internet and email facility do not match the professionalism of the service. The dependency levels of the people that use the service determine the staffing numbers for each shift in the home. This ranges from 1/2-1 to 1-1 dependent on the individual needs and tasks being undertaken the people that use the service. The basic ratios are determined through the residential forum, however it was difficult to calculate the actual hours required due to the minimal information provided in the homes care plans. Person centered plans would help to demonstrate the amount of support that individuals required. The recruitment procedures for the home are good and safeguard the people that use the service. The staff induction is over a minimum of a four-week period, and covers areas specific to the needs of people with autism spectrum disorders and challenging behaviours. Staff supervision records and staff interviews supported the evidence that they receive at least the minimum of six formal recorded supervision periods per year. Care Homes for Adults (18-65 years) Page 25 of 31 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the management of the home understands the needs of the people that use the service and the staff group. Evidence: The manager of the home was not availbale on the day of the site visit, however there was evidence to support that they had completed the Registered Managers Award and the National Vocational Qualification (VVQ) 4 in care. The manager of the home has changed since the last inspection of the service, however the current manager has extensive management experience with the company. The service has an affective quality assurance and monitoring system in position. However no new surveys have been isued since 2008. It is important that the service obtains views from other people about how they see the services that are being provided and to help to identify any areas of improvement that are needed for the Care Homes for Adults (18-65 years) Page 26 of 31 Evidence: home. The home holds regular meetings for the people that use the service and the care staff. This helps to support the management in gaining different views on how the service is run and how it should be developed. The health and safety requirements of the home were ssen to be all up to date. This included current safety certificates for the electrical and gas systems in the home. Appropiate insurance was obsevred to be in position for the service. The necessary fire safety checks are maintained in the home includeding the maintenance and servicing of the fire fighting equipment. Care Homes for Adults (18-65 years) Page 27 of 31 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 28 of 31 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 24 16 The registered person must 28/08/2009 make sure that all of the facilities at the service are accessible to the people that live at the home This Will help to develop individual skills and interests for the people that use the service. 2 33 18 The registered person must make sure that the service has an adequate number of staff available to meet the requirements of the homes staffing rotas. 26/08/2009 This will help to support the health and safety of the people that use the service. Care Homes for Adults (18-65 years) Page 29 of 31 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 6 The registered person should make sure that the individual care plans and risk assessments are developed to include a person centered approach to care. This will help to make sure that people receive the support that they require in a way that is safe and appropriate to them The registered person should provide a new medication fridge to the home to safely store any medication that is received by the home and needs to be refrigerated. this will help to support the health and safety of the people that use the service. The registered person should consider improving the Internet access to the staff group to help them with their training needs. This will also help to make sure that they have the up to date knowledge and skills to safely care for the people that they are responsible for. The registered person should re-establish the home quality assurance surveys to help to identify how the service needs to improve to support the needs of the people that use the service. 2 20 3 35 4 39 Care Homes for Adults (18-65 years) Page 30 of 31 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 31 of 31 - 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!

Other inspections for this house

Thorpe House 22/06/09

Thorpe House 02/04/07

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