Care Home: Tolcarne Place

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well A staff respondent to the Commission`s survey said that "the home provides a secure and structured life for the service user. His days are filled with different activities." A staff respondent to the Commission`s survey said that "the home includes staff in multi-disciplinary team meetings and their views are always considered." A staff respondent to the Commission`s survey said that "the home promotes choice and involves families in service users` care needs." The home involves service user(s) their family or representative in all aspects of the admission process. Staff of all designations are supported to develop their skills, knowledge and experience and are involved in all aspects of service users` transition from assessment to admission. The home provides a good service to the service user living at the home. Contact with family members are encouraged and staff provide support to enable the service user to be part of the local community and to take part in age and culturally appropriate activities. The home has its own specialist multi-disciplinary team which consists of a speech and language therapist who provides assessment treatment and produces communication guidelines, social stories, talking mats and advises staff on behavioural therapy. Advice and support regarding managing challenging behaviour is provided. A psychiatrist and clinical psychologist provide support and monitor service users` mental well being. The home has a training and development plan which includes mandatory and specialist training to ensure that staff training needs are identified and met. The home`s recruitment process ensures that prospective staff members are able to demonstrate their skills by preparing and delivering a presentation on autistic spectrum conditions, completing a written exercise as well as a formal interview. What has improved since the last inspection? This is the first key inspection for the service. What the care home could do better: No requirements or recommendations of good practice have been made on this visit. The home is aware of where it still needs to make improvements. Key inspection report Care homes for adults (18-65 years) Name: Address: Tolcarne Place 60 Tolcarne Avenue Fishermead Milton Keynes Bucks MK6 2SS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Joan Browne     Date: 1 1 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Tolcarne Place 60 Tolcarne Avenue Fishermead Milton Keynes Bucks MK6 2SS 01908237937 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): helen.dean@abihomesuk.co.uk Resuscitate Care Ltd Name of registered manager (if applicable) Mr John Frank-Onyejuba Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of people to be accommodated is 3 The registered person may provide the following category/ies of service only: Care Home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are withing the following category LD (Learning Disability) Date of last inspection Brief description of the care home 60 Tolcarne Avenue is a care home providing care for up to three service users with learning disabilities. It is an end of terrace house situated in a residential area of Fishermead in Milton Keynes. The location of the home enables service users living at Tolcarne Avenue to have good access to public transport networks and the facilities of the nearby city centre where there are good shopping, business and recreational resources available. There is Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 Brief description of the care home limited parking to the front of house or in the street. The home has its own vehicle (a people carrier). There is a pleasant garden to the rear of the home. 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: This is the first key inspection for this service. The home is a new service and was registered with the Care Quality Commission on 13 May 2009. This unannounced key inspection was carried out on the 11 November 2009 and covered all of the National Minimum Standards for adults (18-65). The inspection lasted for approximately eight hours commencing at 09:15 am and concluding at 17:15 pm. Prior to the inspection a detailed self assessment questionnaire known as the annual quality assurance assessment (AQAA) was sent to the home for completion and surveys were sent to staff members, the service user living at the home and visiting professionals. The AQAA was returned by the due date and contained information about changes the home had made and where it still needs to make improvements. The service user living in the home and four staff members completed surveys and their replies have helped to form judgments about the service. The manager, director Care Homes for Adults (18-65 years) Page 6 of 28 of care, the service user and three staff members were involved in the inspection process and their responses and views of the home have been incorporated into the report. Further information was gained by observing staffs practice, discussions with the service user and support staff, examination of the care plan documentation, staffs records, some policies and procedures, health and safety records and a tour of the premises. No requirements or recommendations of good practice were made on this visit. Feedback was given to the manager and director of care on the inspection findings. We (the Commission) would like to thank the service user and staff who made the visit so productive and pleasant on the day. Care Homes for Adults (18-65 years) Page 7 of 28 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 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 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 9 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. The home provides prospective service users with the information they need to enable them to make an informed choice about where to live. Admissions to the home are not made until a full needs assessment has been undertaken. This is to ensure that the home can meet the needs of the service user. Evidence: From discussion with the registered manager it was clear that the home understands the importance of providing sufficient information to prospective service users to assist them in choosing a care home that will meet their needs. The homes statement of purpose was examined. The document was clear detailing the aims, objectives and philosophy of the home and what facilities can be provided. The service users guide was written in a pictorial format detailing what service users can expect and how to make a complaint. The AQAA informed that the homes staff meet with the prospective service user, their relative or care manager involved in their care to gain a thorough assessment of their needs and choices, in a variety of social and environmental settings. The preadmission assessment documentation for the service user was examined and evidence Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: seen supported the statement made in the AQAA. The manager was confident that the home would not offer a place to an individual whose needs it could not meet. If the home is not able to offer a placement the prospective individual and their representative is notified in writing. Staff spoken to during the inspection confirmed that they were involved and consulted in the service users transition admission to the home and their views and comments were listened to before a decision was made. The home provides a three month trial period and each placement is reviewed at six weeks and three months after admission. This is to ensure that the home is confident that it is meeting the assessed needs. The home does not provide emergency admissions. The manager said that the service user was issued with a contract detailing the service the home would be providing and what the individual should expect. Care Homes for Adults (18-65 years) Page 11 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 home has systems in place to ensure that changes to the service users care needs are documented in the care plan thereby ensuring all staff have access to the new information. Staff encourage the service user to make decisions and to take risks as part of promoting an independent lifestyle. Evidence: The service users care plan was examined. The plan was clear, personalised with details of how identified needs relating to health and personal care would be met. The manager confirmed that the plan was developed with the involvement of the service user, his representative and staff from the homes multi-disciplinary team. The plan was signed by the service user to confirm his involvement and agreement in the process. We spoke to the service users key worker and other members of staff who were involved in providing care and support. Staff were knowledgeable about the service users likes and dislikes and were able to describe the level of support they were providing to the service user to enable him to make choices and promote independence. Information relating to monthly multi-disciplinary team meetings and Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: review meetings was made available for the inspection purpose. Staff spoken to confirmed that the service user is encouraged to make decisions. We observed staff working with the service user and consulting with him. For example, the service user was observed preparing the evening meal with a staff member. The staff member made sure that he was happy to participate in the activity. We were told that the homes staff were supporting the service user with his finances and benefit entitlement. Staff were able to describe how they involve the service user in participating in the day to day running of the home. For example, his views are regularly sought and some policies and procedures such as the complaints and fire procedures were written in a pictorial format. Staff confirmed that the service user was encouraged to take risks to enhance his lifestyle. Activities involving any element of risk taking were supported by suitable risk assessment plans which were being kept under regular review. The home has a confidentiality policy which staff are made aware of. All staff spoken to were aware that information given in confidence should not be shared against the service users wishes. The home provides facilities to ensure that records relating to the service user is stored securely. Care Homes for Adults (18-65 years) Page 13 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 home has a strong commitment in enabling service users to develop their social, emotional educational, cultural communication and independent living skills. This means that service users are encouraged and supported to identify their goals and aspirations. Links with family members are encouraged. Evidence: One of the homes objectives is to support service users to maintain and develop social, emotional, communication and independent living skills and to live a meaningful life. The home was able to demonstrate how they were supporting the service user to learn and use practical life skills. For example, an activity timetable was in place detailing the daily activities and recreational interests that staff were supporting the service user to be engaged in as part of his personal development and to integrate him into the community. We were told by the manager that the service user was attending college three days a week to enhance his communication, personal Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: safety, shopping and cooking skills. As part of his personal development training he attends a work training centre, assist with chores at a local farm and works as a volunteer on conservation tasks with other volunteers in the local community. Staff spoken to described how they were supporting the service user to engage in appropriate leisure activities and to pursue his interests and hobbies. For example, he attends the local leisure centre and participates in swimming and bowling activities. He visits pubs and restaurants at the weekends to eat out. He enjoys walking, train and bus rides. The home has an activity room and there is a computer and electronic games that the service user can use if he does not wish to be involved in outside activities or wishes to be alone. The home does not have any restrictions on visiting and family members are encouraged to visit at any time if they wish to. It was documented that once a week the service user visited his Nan for dinner. The care plan reflected that the service user wished to be involved in the homes daily routines and to take responsibility for maintaining his bedroom menu planning and cooking meals. The service user confirmed that he was involved in the food shopping and creating menus to his taste. On the day of the visit he was observed preparing his evening meal with support from a staff member. There was a fruit bowl with fruit in the kitchen which means that the service user was able to help himself to fruit whenever he wished to. Care Homes for Adults (18-65 years) Page 15 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 and personal needs of the service user are well met with evidence of good multi-disciplinary working taking place on a regular basis. The homes practice on aging may need to be reviewed. This is to ensure that service users and their families are aware how aging, illness and death will be handled by the home. Evidence: Discussion with the manager and staff indicated that the service user was receiving the agreed personal care and support as identified in the care plan. Physical and emotional needs identified in the care plan were also being met. The AQAA informed that the service user was registered with a general practitioner and other health professionals such as the dentist and optician. The AQAA informed that for some service users visiting the doctor or dentist can be quite an anxiety provoking situation. The homes staff work closely with the health professionals and the individual to reduce the anxiety and to provide coping strategies to manage the situation. For example, social stories and regular visits to the doctor and dentist are arranged to build up confidence. Within the care plan there were health action plans, positive behaviour support plans and communication guidelines. The home has its own multi-disciplinary team (MDT) Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: consisting of a speech and language therapist, behavioural therapist and clinical psychologist. The home was able to demonstrate that monthly meetings are held with the MDT, senior managers and staff to discuss the service users progress. All healthrelated appointments were recorded in a diary to ensure that appointments are kept. A review of the medication administration record (MAR) sheet demonstrated that medication was being administered within the homes policy and procedure. We observed that medicines were stored appropriately and there was an audit trail of medicines entering and leaving the home. Staff spoken to confirmed that they had been trained in the safe handling and administration of medicines. Specimen signatures for those staff involved in the handling and administration of medication was kept in the medication folder. This is deemed as good practice. We noted that there was no information in the care plan about the individuals wishes, choices and decisions in planning for and dealing with growing older, terminal illness and death. It is acknowledged that this is a sensitive matter to discuss. Arrangements must be made for this information to be obtained and they should be clearly recorded, respected and known to the staff team. Also service users and their families should be made aware of how aging, illness and death will be handled by the home. Care Homes for Adults (18-65 years) Page 17 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 home has a complaints and safeguarding policy in place. This means that service users and their relatives are able to express their concerns and are protected from abuse and have their rights protected. Evidence: The AQAA stated that the home has not had any complaints. Examination of the complaints folder supported this statement. The home had received one compliment from a health care professional. The home has a comprehensive complaints policy and procedure and the AQAA stated that the homes staff ensure that service users and family members are supported in understanding the procedure and reassured that any concerns raised will be taken seriously. A copy of the procedure was displayed in the home. It was written in a pictorial and widget symbol format. The manager confirmed that the service user had been issued with a copy of the procedure for reference and it was discussed with him. The service user said that he knew how to make a complaint and who to speak to if he was not happy. On the day of the inspection he said that he was happy with everything. The home has a safeguarding of vulnerable adults policy. The policy was examined and found not to truly reflect local multi-disciplinary procedures and gave information that may lead to an investigation being undertaken. This was discussed with the manager who fully understood the reporting procedure as he had recently undertaken updated training in the safeguarding of vulnerable adults. He confirmed that the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: guidelines in the policy would be amended. Staff spoken to confirmed that they had undertaken training in abuse awareness and safeguarding of vulnerable adults. This was also evidenced in their personal training plans which were made available for the inspection process. Staff were knowledgeable about whistle blowing and safeguarding policy. They were aware of the action to be taken if they witnessed or suspected an incident of abuse. All staff were PoVA First and CRB checked before commencing employment. A staff member confirmed that staff were trained in how to deal with physical and verbal aggression by service users but physical intervention has never been used in the home. Staff ensure that the service users money is looked after in accordance with the homes financial policies and procedures. 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 physical layout of the home enables the service user to live in a safe well maintained and comfortable environment which encourages and promotes independence. Evidence: Tolcarne place is situated over two floors. The ground floor is comprised of the entrance hall, kitchen and dining area, activity room, two lounges with wide screen televisions, utility area, staff toilet and office. Stairs lead to the first floor where there are three bedrooms. There is a small garden where service users can sit or take part in hobbies and other activities. The home is decorated in neutral colours and was bright cheerful, airy, clean and free from offensive odours. It is accessible to local amenities and local transport. The premises are in keeping with the local community and have a style and ambience that reflect the homes purpose. The furnishing, and fittings were of the domestic type and of good quality. Staff spoken to said that they encourage the service user to see the home as his own. All bedrooms were single occupancy with en suite facilities consisting of wash hand basin, shower and toilet. Fitted wardrobes are provided as well as a bed, table and comfortable chairs and double electrical sockets. The bedding, curtains and floor coverings were of good quality. The service users bedroom was personalised to reflect Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: his individual character. All bedroom doors can be locked including en-suite doors with an override facility. The home has a no smoking policy. Staff are provided with adequate facilities including a safe place to store personal belongings and sleeping facilities when sleeping in. Service users living in the home need to be physically fit and able to access stairs as the home does not have a lift. The home has a small utility area and this was situated away from where food was being prepared. The area was appropriately maintained and all cleaning solutions and chemicals were stored in a locked cupboard to prevent risk of harm. The home has an infection control policy and staff training records reflected that they had undertaken training in the understanding and practice to prevent the spread of infection. The service user was encouraged to do his own personal laundry as reflected in his personal activity timetable. Care Homes for Adults (18-65 years) Page 21 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 staff have a good understanding of the service users support needs and are appropriately trained and recruited. This was evident from the positive relationship, which had been formed between the staff and service user. Evidence: The manager confirmed that staff were issued with job descriptions. The job descriptions seen were clear defining staffs roles and responsibilities and linked to achieving the service users individual goals as set out in the care plan. Staff spoken to confirmed that they had a very good relationship with the service user and were confident that his diverse needs were being met. The following comments were noted from a staff member who responded to the Commissions survey: I think the home provides a secure and structured life for the service user. The manager confirmed that staff are employed in accordance with the general social care council (GSCC) code of conduct and are issued with copies of the code. Staff spoken to said that they were aware of their own knowledge and limitations and were able to obtain support and advice from senior managers and staff members in the multi-disciplinary team if required. The AQAA informed that 100 of the staff team had achieved a care NVQ level 2 qualification. This means that the service user was being supported by competent and Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: qualified staff. The manager said that all staff are trained and supported to work with service users with autistic spectrum conditions (ASC). Staff from the multi-disciplinary team are also involved in providing both classroom-based and hands-on training. The AQAA informed that the staffing hours had been reviewed to meet the service users identified needs and activity timetable. There were three full-time and one part-time staff employed. The home employs a mix of diverse staff and have a good male and female ratio. Staff were observed having a laugh and a joke with the service user in a kind and respectful manner. They were very proud of the high standard of care they were providing. The AQAA informed that staff were recruited via the organisations assessment centre. Prospective staff members are expected to prepare and deliver a presentation on autistic spectrum conditions, complete written scenarios, and record information as well as a formal interview. Examination of the recruitment records for two staff members demonstrated that Schedule 2 of the Care Homes Regulations 2001 was being observed by the home. Staff who responded to the Commissions survey said that the appropriate checks were carried out before they started work. We were told by the manager that staff members undertake mandatory training such as moving and handling, infection control, fire awareness, health and safety, first aid and safeguarding of vulnerable adults. Staff have access to electronic-learning which is equivalent to the skills for care induction training. The manager said that training was linked to the homes aims and objectives and service users needs. The home has introduced a supervision framework which means that staff receive regular support to assist them to carry out their jobs effectively and to identify training and development needs. Care Homes for Adults (18-65 years) Page 23 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 manager ensures that staff follow the homes policies and procedures which should maintain the health, safety and welfare of the service user. Evidence: The home is managed by an experienced manager who is registered with the Care Quality Commission (CQC). He has worked with individuals with learning disabilities, mental health issues and autistic spectrum conditions. He has experience of working alongside social workers in the capacity of care manager, reviewing individual packages of care for adult social services. He holds the NVQ 4 certificate in care and the registered managers award (RMA) certificate. The manager reports directly to the director of care. Support workers report to the manager. The managers overall responsibility is to ensure that the homes aims and objectives are achieved and the policies and procedures are implemented. The manager confirmed that he undertakes periodic training to maintain and update his knowledge and competence while managing the home. The home is service user focused and there is a strong ethos of being open and Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: transparent in all aspects of running the home. Staff confirmed that regular staff meetings take place. The following comments were noted from a staff respondent who responded to the Commissions survey: I think the management, directors are great. They are very down to earth and make you feel good about yourself and the job you are doing. The home has effective equality and diversity and quality assurance systems to ensure that service users views are obtained and acted upon. Monthly regulation 26 monitoring visits are undertaken. The manager carries out monthly audits of all the activities and records in the home to ensure that they comply with best practice. Satisfaction/improvement questionnaires were sent out to the service user relative and care manager and the response received was satisfactory. The home promotes equality and diversity. For example, the organisation is committed to achieving a working and living environment which provides equality of opportunity and freedom from discrimination on the grounds of race, religion sex, class sexual orientation, age disability or special needs. The AQAA contained clear, relevant information about changes the home has made and where it still needs to make improvements. The service has policies and procedures which the manager said would be kept under review and updated in line with best practice. A sample of records relating to health and safety were examined and found to be satisfactorily maintained. The home has access to professional business and financial advice and has all the necessary insurance cover to enable it to fulfill any loss or legal liabilities. Care Homes for Adults (18-65 years) Page 25 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 26 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 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 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!